PMID- 6570038 TI - One porter's day. PMID- 6570039 TI - No grounds for rejoicing. PMID- 6570040 TI - Clinical forum. 1. Postabortion counseling. PMID- 6570043 TI - Enigma or expert? PMID- 6570042 TI - Computers. 2. All systems go. PMID- 6570045 TI - Antenatal clinics. 9. Encouraging feedback. PMID- 6570044 TI - Monitoring. 2. A question of efficiency. PMID- 6570046 TI - The right decision? PMID- 6570047 TI - Nursing care study: a lump in the throat. PMID- 6570048 TI - Cleft palate. 'Why has he got a funny nose, Mum'? PMID- 6570049 TI - Venereology nursing. PMID- 6570050 TI - National health situation and the nurse. PMID- 6570051 TI - Caring for the carers. Working with government. PMID- 6570053 TI - The migration of Filipino nurses: a situational analysis. PMID- 6570052 TI - Power in a new key: the hidden resources of empowerment. PMID- 6570054 TI - The influence of talking on diastolic blood pressure readings. AB - Recent research disclosed a number of variables which may distort blood pressure readings, but little attention has been paid to talking as such a variable. To investigate the effect of talking on diastolic blood pressure, 48 subjects with one previous diastolic blood pressure reading of 90 mm Hg or more and not taking antihypertensives, were recruited from an outpatient hypertension clinic. Three diastolic blood pressure readings under each of three sequentially counter balanced treatment conditions were obtained: no talking, reading neutral material for part of the procedure, and reading neutral material continuously. Blood pressure increased significantly (p less than .01) under both talking conditions. Implications for nursing education, practice, and future research are discussed. PMID- 6570055 TI - "Why me?": an attributional analysis of a major illness. AB - The applicability of attribution theory in general, and Weiner's model in particular, to a medical setting was investigated. Patients undergoing thoracic surgery were interviewed before and after surgery to ascertain why they thought they had the disease and why they were recovering at an adequate or inadequate rate from the surgery. These data were analyzed to answer two primary questions. First, to what extent can Weiner's academically-based attribution model be applied to a medical setting? Secondly, do the attributions that patients make about the cause of their disease affect their ability to recover from it? The results indicated that Weiner's theory can be applied to this situation, although a modification in one major dimension of the theory (the Locus dimension) seems warranted. In addition, the causal attributions that patients made about their disease correlated with recovery, although the pattern of attributions for successful patients was complex and theoretically ambiguous. Suggestions for modifying Weiner's model to make the theory more applicable to a medical setting are presented. PMID- 6570056 TI - Concerns of acutely ill, chronically ill, and healthy preschool children. AB - The study was designed to determine if the concerns of 2- to 5-year-old children hospitalized for chronic illness differ from the concerns of other children. Interviews were conducted with 32 short-stay chronically ill, 10 long-stay chronically ill, 20 acutely ill, and 20 healthy children. Narrative recordings were analyzed using a categorical system of 10 developmental and hospital-related concerns. Differences between groups in mean proportion of concerns expressed were examined for each interview using analysis of variance techniques. The major concerns expressed by each group on all interviews were Autonomy and Exploration and, in the chronically ill children, Intrusion. Increased age was associated with increased expression of Intrusion in all groups except the long-stay chronic illness group. PMID- 6570057 TI - Empirical test of the interaction model of client health behavior. AB - The general concepts, variables, and relationships described by the Interaction Model of Client Health Behavior (IMCHB) were used to guide a secondary data analysis of 203 women's decisions to request an amniocentesis. Step-wise multiple regression explained 58% of the variance in these decisions by jointly examining the factors which define the client as unique in her responses to an at-risk pregnancy, as well as factors describing the client-provider interaction. The women could be correctly classified as users or nonusers of prenatal diagnosis with 87% accuracy in a discriminant analysis based on the variables derived from the conceptual model. Finally, structural equation modeling was used to estimate the causal paths described by the general model. While the relationships proposed in the model need further empirical evaluation, this first application serves to demonstrate the testability of the IMCHB and its potential to direct nursing inquiries. PMID- 6570058 TI - The male nursing student as a token. AB - The purpose of this research was to test the applicability of Kanter's theory of tokenism to male nursing students. Kanter's theory states that numerical underrepresentation, not cultural factors, causes tokens to experience greater performance pressure, social isolation, and role entrapment. Subjects were 322 male and female nursing students from two similar midwestern nursing schools. Subjects completed instruments measuring social isolation, upward communication distortion, performance pressure, and communication apprehension. This research did not find support for Kanter's claims. Possible explanations for the findings include sex status differences and the nurturing character of the nursing profession. PMID- 6570059 TI - Occupational commitment and the quality of maternal infant interaction. AB - A positive and statistically significant relationship was found between a woman's degree of occupational commitment measured at 34 weeks gestation and the quality of interaction with her infant measured soon after delivery in a sample of 50 married, white, college-educated women and their healthy term infants. This finding did not occur at 6-weeks postpartum, however. Specific characteristics which influenced the quality of the interaction between mother and infant included mothers' of the subjects work histories, infant gender, attendance at prenatal classes, intention of returning to work, and method of infant feeding. With respect to occupational commitment, influencing characteristics included income and subjects' mothers' work histories. The findings are discussed within the perspective of current literature. PMID- 6570060 TI - Personal characteristics and back injury among hospital nursing personnel. AB - Since back injury is the largest workman's compensation claim in most industries, the relationship between selected personal characteristics and back injury in hospital nursing personnel were studied. The sample included 64 female nursing personnel, half back injured and half not. Demographic: Workers were more likely to be back injured if they were older, worked longer on nursing units requiring frequent lifting, had family members with back problems, and had family members whose back problems began at an early age. Physical: The back injured had less muscle flexibility, less keen proprioception, and greater unequal leg length. Life style: Back injured were more vulnerable to frustration and stress overload (overstimulation), smoked more cigarettes, spent fewer hours exercising, and rated their physical condition lower. The variables with the greatest discriminatory power to predict back injury were a sense of overload, muscle flexibility, proprioception, family history of back problems, difference in leg length, years of risk in nursing practice, and smoking. PMID- 6570061 TI - Prediction of birthweight by the use of extrauterine measurements during labor. AB - Maternal height, pregravid weight, weight gain during pregnancy, fundal height, McDonald's measurement, uterine width, uterine height, abdominal girth, and station of the fetal head were measured in 44 laboring, nulliparous women and were used to construct a regression model for the prediction of infant birthweight during labor. A model constructed from maternal height, weight gain during pregnancy, fundal height, abdominal girth, and station accounted for 69.6% of the variance in birthweight. The use of this regression equation resulted in predictions that were within 100, 250, and 500 gm of the actual birthweights in 34.1%, 79.5%, and 97.7% of the 44 cases, respectively. In all 44 cases, the weights of the infants also were estimated by palpation of the maternal abdomen during labor. These estimates were within 100, 250, and 500 gm of the actual birthweights in 31.8%, 61.4%, and 88.6% of the cases, respectively. PMID- 6570062 TI - Social support and social network scales: a psychometric review. AB - Social support and social network scales were reviewed from a psychometric perspective. A sample of 29 behavioral science studies were selected from social support and social network articles published between 1967 and 1982. Each study was classified according to psychometric issues of scaling, reliability, and validity. The review was motivated by the hypothesis that many social support and social network scales are developed without complete utilization of existing measurement technology. Results of this review confirm this hypothesis. Limited availability of basic psychometric data for such scales attenuates theory development and research efficiency. Researchers in this field are encouraged to increase the availability of basic psychometric information for social support and social network scales. PMID- 6570064 TI - [The open doors of the school at Alencon]. PMID- 6570063 TI - [Children of the city, children of the fields]. PMID- 6570065 TI - [A temporary home for the elderly]. PMID- 6570066 TI - [Social rehabilitation in the Vale of Running Water]. PMID- 6570067 TI - [From symptoms to community action. Interview by Nadine Wehrlin]. PMID- 6570068 TI - [Nurses at the Atlantic dockyards]. PMID- 6570069 TI - [A hard-to-shape bow]. PMID- 6570070 TI - [Educating mothers' helpers in Mayenne]. PMID- 6570071 TI - [In Sarthe, qualifying training for hospital allied health personnel]. PMID- 6570072 TI - [Is there a nurse in the house?]. PMID- 6570073 TI - [Congenital malformations of the excretory urinary tract]. PMID- 6570074 TI - [Oral anti-diabetics]. PMID- 6570075 TI - [Acute diarrhea in children]. PMID- 6570076 TI - [Nurses and health education]. PMID- 6570077 TI - [Computers and documentation]. PMID- 6570078 TI - [The kallikrein-kinin system in dust-induced bronchitis]. PMID- 6570079 TI - The psychosocial environment and the school nurses' role. PMID- 6570080 TI - A gift from Gheeus. PMID- 6570081 TI - C3 nephritic factor in a patient with recurrent Neisseria meningitidis infections. AB - A 15-year-old female experienced two systemic infections with N.meningitidis (group C and B) within a two months period. Classical as well as alternative pathway CH50 determinations on the patients serum showed no lysis. All individual complement factor concentrations, except for C3, were found to be within the reference area. Crossed immunoelectrophoretic analysis of C3 revealed no demonstrable native C3. The patient had normal levels of C3c and a markedly elevated C3d concentration. Serum from the patient was found to convert all native C3 in normal sera within 10 minutes at 37 degrees C. The active converting principle, present in the IgG fraction activated C3 in C4-depleted serum, and had a dose dependent stabilizing effect on the EA-C3bBb complex. The isolated factor showing the characteristics of C3 nephritic factor (C3 NeF), was unchanged in the patients serum over a ten months observation period. Circulating immune complexes (IC) could not be demonstrated by a C1q-dependent assay but the patients capacity to solubilize preformed IC in vitro was virtually abolished. The patient had no signs of renal disease or lipodystrophy. PMID- 6570082 TI - The renal kallikrein-kinin system in spontaneously hypertensive rats. AB - In male spontaneously hypertensive rats (SHRSP) of the stroke prone strain (Okamoto) and in normotensive Wistar-Kyoto rats (WKY) urinary kallikrein excretion was investigated at different age and at drug-induced diuresis. In rats of both strains from 7th till 19th week of age urinary kallikrein excretion increased with age. In SHRSP of 7th till 11th week of age kallikrein excretion was higher than in WKY rats, while it was lower in the 48-week-old SHRSP. No correlation was found between urinary kallikrein excretion and systolic blood pressure. In SHRSP and WKY rats a similar daily rhythm of kallikrein excretion in urine was found being high in the early morning and low in the afternoon. Kallikrein excretion correlated significantly with urine volume. The loop diuretic bumetanide (4 and 40 mg/kg) induced diuresis and natriuresis in both strains, however more marked in the WKY rats than in the SHRSP. Urinary kallikrein excretion, however, showed in both strains the same biphasic course with a short lasting increase and a secondary decrease. Thus, in the average urinary kallikrein excretion was not effected by the drug. Prolonged treatment with furosemide over 5 days (125 mg/kg) resulted in an increase in kallikrein excretion in urine, more pronounced in the WKY rats than in the SHRSP. The observed results suggest that renal kallikrein-kinin system is not involved in the development of spontaneous hypertension as a pathogenetic factor, but rather is influenced by other factors like hormone interactions, i.e. mineralocorticoids and catecholamines, as well as renal function and acute changes in urine flow. PMID- 6570083 TI - Lack of reproducibility of macrodilution MBCs for Staphylococcus aureus. AB - MBCs of methicillin, oxacillin, penicillin G, cephalothin, vancomycin, and gentamicin were determined by a standard broth macrodilution technique for 101 clinical isolates of methicillin-susceptible Staphylococcus aureus. Increased killing (more than 99.9%) was observed after 48 versus 24 h of incubation for many strains, and cross tolerance to antimicrobial bactericidal activity (less than 99.9% killing) was frequently observed among antimicrobial agents. However, these in vitro measurements of bactericidal activity against S. aureus were not reproducible. PMID- 6570084 TI - Responses of tolerant and nontolerant Staphylococcus aureus strains to methicillin treatment in an experimental infection in mice. AB - Staphylococcus aureus strains can be divided into tolerant and nontolerant strains on the basis of their survival in vitro in the presence of high concentrations of methicillin (greater than or equal to 64 micrograms/ml). A strain is defined as tolerant if more than 2% of the inoculum survives under these conditions. The response of five susceptible and five tolerant S. aureus strains to treatment with methicillin was studied in an experimental thigh infection in mice. Animals were treated with one and two injections of methicillin (2.5 mg per mouse). At the end of treatment, the number of CFUs in the thigh muscles infected with the susceptible strains was found to be significantly lower than that in the thigh muscles infected with the tolerant PMID- 6570085 TI - Susceptibility of multiply antibiotic-resistant pneumococci to the new quinoline antibiotics, nalidixic acid, coumermycin, and novobiocin. AB - The susceptibility of 10 multiply antibiotic-resistant strains of Streptococcus pneumoniae to several quinoline antibiotics and to coumermycin, novobiocin, and penicillin was determined. The MIC of penicillin for all test isolates was greater than or equal to 4 micrograms/ml. Ciprofloxacin was the most active quinoline derivative tested, followed by norfloxacin. These isolates of S. pneumoniae were not inhibited by the remaining quinolines at achievable concentrations in serum. Coumermycin and ciprofloxacin were the most active antibiotics tested in this study. PMID- 6570086 TI - Inhibition of human neutrophil elastase activity by encapsulated serum (Serumsome) therapy. AB - In order to inhibit human leukocyte proteolytic activity as a means of arresting the inflammatory response in tissues in vivo, we have designed a novel antiprotease carrier named serumsomes. Stabilized human serum was added to a flask containing a film of dried, purified lipids (phosphatidylcholine/dicetyl phosphate/cholesterol, 70:20:10) and hand-shaken for 10 min. Equal volumes of human neutrophils, and either serumsomes (in stabilized human serum) or stabilized human serum alone were mixed together. Following 2 h of incubation at 37 degrees C, the total elastase content of the neutrophils was reduced to 60 +/- 15% and 83 +/- 7% of the original activity by serumsomes and stabilized human serum, respectively. Analysis of beta-glucuronidase activity, a nonproteolytic lysosomal marker enzyme, revealed no diminution of activity during either of these incubations. These experiments demonstrate that human neutrophils are capable of interacting with serumsomes in vitro, selectively inhibiting the lysosomal protease elastase. By administering serumsomes in vivo, one may potentially preload blood leukocytes with serum antiproteases prior to their migration to inflammatory sites and thus possibly reduce the extent of tissue injury. PMID- 6570087 TI - Dynamics of changes in the blood coagulation system, fibrynolysis and kallikreinogenesis in endotoxin shock in rabbits. AB - In rabbits intravenous injection of subtoxic doses of E. coli endotoxin serotype 02:K1 (10 micrograms/kg), resulted in the activation of intrinsic and extrinsic pathways of blood coagulation and, in some animals, simultaneous fall of the fibrinolytic activity which was manifested by hypercoagulability and intravascular coagulation already at the initial stage of the endotoxin shock. Among the earliest changes which appeared 30 min after endotoxin injection, was a decrease of blood platelets count and concentration of factor X in plasma. Out of the blood coagulation tests performed, most sensitive appeared the paracoagulation tests (particularly ethanol test). The second dose of endotoxin (20 micrograms/kg) injected 4 h later intensified the observed changes and autopsy of animals performed after further 4 h revealed extravasations of blood and hemorrhagic changes in the lungs, liver and occasionally in the kidneys. In spite of the above alterations, AT-III activity in the animals plasma decreased by ca. 30% as compared to the initial value. PMID- 6570088 TI - Serum and urinary arginine-esterase activity in paediatric kidney diseases. AB - Serum and urinary kallikrein activities were determined from the arginine esterase activities in various groups of kidney diseases and were compared with urinary beta-glucuronidase excretion, urinary output, urinary protein content and creatinine clearance. Serum arginine-esterase activity was significantly augmented in the active stage of diffuse renal diseases but was not related to the severity of parenchymal damage. The values improved during remission; the enzyme activity in chronic uraemic patient was as low as in the control sera. There was a positive correlation between urinary output and serum arginine esterase activity, and consequently serum kallikrein might have an enhancing effect on diuresis. PMID- 6570089 TI - Porcine pancreatic prokallikrein. III. Some different forms of kallikrein generated from prokallikrein. PMID- 6570091 TI - Critical health problems in school-aged youth. PMID- 6570090 TI - Activity of some lysosomal enzyme in rheumatoid and psoriatic arthritis. AB - In order to study the function of polymorphonuclear leukocytes in patients suffering from psoriatic and rheumatoid arthritis and psoriasis vulgaris the release of beta-glucuronidase, elastase and cytoplasmic lactate dehydrogenase was investigated. The life of polymorphonuclear leukocytes in rheumatoid and psoriatic arthritis is shorter. Polymorphonuclears from patients with psoriasis and psoriatic arthritis release, with as well as without phagocytic stimulation by zymosan, more lysosomal enzymes into extracellular space then cells of healthy controls. The total content of LDH and of lysosomal enzymes in leukocytes of patients suffering from all three forms of disease were not altered in comparison with the amount in PMNL of healthy subjects. PMID- 6570092 TI - Urinary kallikrein and prostaglandin response to frusemide in mild hypertension. PMID- 6570093 TI - Renal, endocrine and hemodynamic effects of water immersion in man. PMID- 6570094 TI - Prostaglandins and kallikrein during volume expansion in normal man. PMID- 6570095 TI - [Cleanliness in the surgical center]. PMID- 6570096 TI - [Acupuncture and do-in ou tui-na: 2 treasures from the East. III]. PMID- 6570098 TI - [Samaritano Hospital]. PMID- 6570097 TI - [Study of the level of contamination of the ambient air with ethylene oxide. I]. PMID- 6570099 TI - [Basic assumptions of legislation concerning labor hygiene and protection]. PMID- 6570100 TI - [Industrial hygiene in field feed production]. PMID- 6570101 TI - [Prevention of poisoning with pesticides in agriculture]. PMID- 6570102 TI - [The mitral valve prolapse syndrome]. PMID- 6570103 TI - [Enuresis]. PMID- 6570104 TI - [Ethical categories in the work of medical people]. PMID- 6570105 TI - [Clinical picture and treatment of bursitis]. PMID- 6570106 TI - [Health education and annual dispensary examinations of the population]. PMID- 6570107 TI - [Treatment of urinary incontinence]. PMID- 6570108 TI - [Emergency therapy of poisonings in children]. PMID- 6570109 TI - [Use of chloroethyl in treating diffuse neurodermatitis]. PMID- 6570110 TI - [Pregnancy in the 6th-7th weeks and antenatal fetal death in the anamnesis]. PMID- 6570111 TI - [Pericarditis. Alcoholic liver cirrhosis]. PMID- 6570112 TI - [Urogenital candidiasis in women]. PMID- 6570113 TI - [Abrogation of a labor contract at the initiative of the administration]. PMID- 6570114 TI - [Cesarean section and risk of infection]. AB - The risk of infection associated with Caesarean section is several times greater than normal parturition. The only way to effectively combat nosocomial infections is to ensure harmonious and well-balanced interplay between general antimicrobial measures at all levels (i.e., hospital hygiene), even though the rate of Caesarean sections has been on the increase, while avoiding at the same time the general use of antibiotics. The article presents a suitable overall concept to prevent infection. This has been successful in reducing the rate of both antibiotics consumption and of infectious complications at our hospital during the past 15 years. PMID- 6570115 TI - [Effect of intra-amnial thyroxine administration in the fetus]. AB - Stimulation of the surfactant production in foetal lung cells by thyroxine has been shown in experiments on animals. In humans, too, thyroxine instilled intra amnially should increase lung maturity. Therefore, amniotic fluid samples were taken from 22 women before the 35th week of gestation before instilling 500 micrograms levothyroxine and then during labour, and blood samples were taken half an hour and also 24 hours after instillation of thyroxine into the amniotic fluid and during labour. The concentration of thyroxine, triiodinethyronine and reversed triiodinethyronine were measured radioimmunologically in the amniotic fluid samples and blood samples, and the lecithin concentration was also determined enzymatically in the amniotic fluid samples. The occurrence of cases of membrane syndrome in the examined group, and the foetal heart rate were subsequently determined after thyroxine had been administered. The results showed that the foetus resorbed the thyroxine administered intra-amnially and--in a manner typical of foetal metabolism--converted it by preference to rT3. The thyroxine dosage leads to only a temporary increase in foetal thyroid gland hormones. The thyroxine given intra-amnially is not absorbed in considerable amounts by the mother. The lecithin content of the amniotic fluid was significantly increased after a dose of thyroxine, possibly a reversible increase. The membrane syndrome rate laid below the expected number; in 5 of the 22 cases a foetal tachycardia was observed about 2 days after thyroxine administration. PMID- 6570116 TI - [Short-term prevention with cefoxitin in cesarean section]. AB - In a preliminary prospective study, the febrile morbidity of 60 patients after Caesarean section was determined to investigate the prophylactic effect of a single-dose cefoxitin-application (2 g) intravenously at the time of induction of anaesthesia. Patients were randomly assigned to either the cefoxitin group or a control group without the antibiotic. Each group consisted of 30 patients. Although the numbers of patients were small, a statistically significant reduction (p less than 0.05) of febrile days was found for the cefoxitin group. As compared to previous studies with a three-dose regimen of cefoxitin, the per cent reduction rate of febrile morbidity was similar. In cases with certain risk profiles, such as premature rupture of the membranes or prolonged delivery, a single-dose appears to suffice and is therefore indicated. PMID- 6570117 TI - [Comparison of a 2-phase preparation (Oviol 22) with a low-dose 1-phase preparation (Ovoresta M)]. AB - Oviol 22 was administered to 145, and Ovoresta M to 118 healthy female volunteers. During the first six cycles, 27 (18.6%) women discontinued the Oviol 22 intake, and 45 (38,1%) women discontinued the Ovoresta M intake. The other women were observed over 6 cycles. Together, 1,369 cycles were evaluated. Overall, the clinical results with Oviol 22 were more favourable than those with Ovoresta M. The discontinuation rate because of nausea, headache, acne and breast tenderness was lower in the group of women who received Oviol 22 than in the group of women receiving Ovoresta M. Cycle control was much better with Oviol 22 than with Ovoresta M. Following the administration of both preparations, no significant alteration in blood pressure, weight or mental status was seen. None of the patients became pregnant during the period of observation. PMID- 6570118 TI - [Results of diagnostic hysteroscopies in an in vitro fertilization/embryo transfer program]. AB - Twentysix sterile women were examined during the development and growth phase of the follicle, using a microhysteroscope manufactured by Karl Storz, under local anaesthesia. All these patients had been included in the in-vitro fertilisation/embryo transfer (IVF/ET) programme because their oviducts were either missing or had been irreparably damaged. Pathological findings were present in 7 patients. Cervical conditions were normal in 22 patients, and intrauterine conditions were without any abnormal findings in 23 patients. The clinical relevance of the findings with regard to embryo transfer and implantation are discussed. It is concluded that hysteroscopy not only occupies an important rank in the general diagnosis of sterility, but is also of considerable importance in preparatory work for embryo transfer. PMID- 6570119 TI - [Spontaneous liver rupture in pregnancy]. AB - The author reports on a rare case of spontaneous rupture of the liver during pregnancy - a rare but life-threatening event. In this particular case, the cause of the incident was probably the occurrence of a late gestosis. Early identification and, consequently, suitable surgery will usually prove life saving. PMID- 6570120 TI - [Improved Bamberg divergence forceps. Modification for the prevention of soft tissue injuries of the pelvis]. AB - Constant and limited (max. 300 g) force of application by the Bamberg divergent forceps helps to prevent compression injuries and slippage of the forceps with resultant trauma. No serious foetal lesions have been observed over a period of 9 years. Maternal soft-tissue injuries were somewhat above the range of vacuum extractions. This prompted us to consider modifying the Bamberg forceps with a view towards preventing such maternal injuries. PMID- 6570121 TI - [Surgical perspectives--historical and current aspects]. PMID- 6570122 TI - [Medical clinical responsibility in control studies in pregnancy and curettage of the uterus long after fetal death]. PMID- 6570124 TI - [Control of disease vectors]. PMID- 6570123 TI - [Natural family planning (NFP)]. PMID- 6570125 TI - [The Center for Aid to the Dying, pilot experience]. PMID- 6570126 TI - [Pain relieve in other cultures]. PMID- 6570127 TI - [Study trip report]. PMID- 6570128 TI - [Episiotomy and perineal rupture--a study of the course of healing]. PMID- 6570129 TI - [Report on a study trip to West Germany]. PMID- 6570130 TI - [Early return home following childbirth]. PMID- 6570131 TI - Bishop Harvey's address to the Annual General Meeting. PMID- 6570132 TI - Microwave hyperthermia controlled by microwave radiometry: technical aspects and first clinical results. AB - Microwave systems combining microwave heating generators (434, 915 or 2450 MHz) with microwave radiometers (1-2 GHz or 2-4 GHz) have been used for two years in hyperthermia therapy. Technical aspects (generator, radiometer, applicator), experiments and first clinical results are detailed. PMID- 6570133 TI - Design and optimization of multi-stepped waveguide applicators for medical applications. AB - Modal analysis and scattering matrix concepts at discontinuities have been applied to the design and optimization of open-ended waveguide applicators with several transverse discontinuities. The tissues are simulated by means of two dielectric layers, skin and fat. The results obtained show how important improvements can be obtained in the match between the applicator and the tissues. This method can also be applied to obtain applicators with increased depth of penetration, by controlling the discontinuities of the applicators. PMID- 6570134 TI - [Importance of the presence of a loved one during childbirth of the first baby]. PMID- 6570136 TI - [Violence against children and adolescents]. PMID- 6570135 TI - [Development of maternity care on the basis of a continuation course on preparation for parenthood]. PMID- 6570137 TI - [Work and pregnancy]. PMID- 6570138 TI - [Do we have problems with our childbirth preparation courses?]. PMID- 6570139 TI - [Causes and treatment of postnatal depression according to Katharina Dalton]. PMID- 6570140 TI - [Meeting of the European Breastfeeding Organization]. PMID- 6570141 TI - [Studying natural childbirth at Viittakivi]. PMID- 6570142 TI - [Reform program of education for the health professions]. PMID- 6570143 TI - [Legal protection of midwifery]. PMID- 6570144 TI - [Raising children with the heart--a parents' school in every health center]. PMID- 6570145 TI - An introduction to the study of acupuncture and moxibustion in China. Part II. Studies on acumoxibustion therapy. PMID- 6570146 TI - Paralytic squint treated with acupuncture. PMID- 6570147 TI - Ejaculatio deficiens treated with acupuncture. Report of 110 cases. PMID- 6570148 TI - Clinical observation on acupuncture treatment of 106 cases of trunk-sciatica. PMID- 6570149 TI - A study of acupuncture anesthesia in surgery on the anterior cranial fossa. PMID- 6570150 TI - Study on cervical visual disturbance and its manipulative treatment. PMID- 6570151 TI - Lateral rotary manipulative maneuver in the treatment of subluxation and synovial entrapment of lumbar facet joints. PMID- 6570152 TI - Status epilepticus treated by alpha-asarone. Report of 18 cases. PMID- 6570153 TI - Inhibitory effect of asarum oil on the central nervous system. PMID- 6570154 TI - Effects of radix Angelicae sinensis on hemorrheology in patients with acute ischemic stroke. PMID- 6570155 TI - Antagonistic effect of radix Puerariae on the ototoxicity of sodium ethocrynate. An experimental study. PMID- 6570156 TI - Treatment of bile reflux gastritis with traditional Chinese medicine. An analysis of 21 cases. PMID- 6570157 TI - Effects of Tripterygium wilfordii on the menstruation of 50 patients suffering from rheumatoid arthritis--with a summary of its therapeutic effects in 12 cases of menorrhagia. PMID- 6570158 TI - Casual remarks on the five shu points. PMID- 6570159 TI - [Significance of case study in management education]. PMID- 6570160 TI - [Case conference about troubles in hospitals]. PMID- 6570161 TI - [Comparative study of language and behavior of the schizophrenic patients in closed and open wards]. PMID- 6570162 TI - [The importance of "empathic viewpoint" for health care studies in the era of new science]. PMID- 6570163 TI - [Dialogue of a biologist and a cultural anthropologist]. PMID- 6570164 TI - [Introduction of theories into nursing administration]. PMID- 6570165 TI - [Progressive learning of nursing of DM patients]. PMID- 6570166 TI - [Methods of training students in the affective domain]. PMID- 6570167 TI - Mental hospital regulation and the safe environment: liability for sexual assault. PMID- 6570168 TI - Malpractice in hospitals: ten theories for direct liability. PMID- 6570169 TI - Nursing negligence in collaborative practice: legal liability in california. PMID- 6570170 TI - [Prenatal (prepartal) diagnosis of the sex of the fetus]. PMID- 6570171 TI - [Keeping mother and child together after birth]. PMID- 6570172 TI - [Organization of a pediatric service in an obstetrics hospital]. PMID- 6570173 TI - [Peritonitis after cesarean section]. PMID- 6570175 TI - [Hygiene of the adolescent girl]. PMID- 6570174 TI - [Central forms of amenorrhea in adolescents]. PMID- 6570176 TI - [Role of the nurse in preventing gynecologic diseases in girls]. PMID- 6570177 TI - [Prophylactic work with the healthy child--the basis of health protection for the coming generation]. PMID- 6570178 TI - [Rehabilitation in gynecological practice]. PMID- 6570179 TI - [Endocrine infertility in women]. PMID- 6570180 TI - [Medical gymnastics for patients with inflammatory diseases of the female genitalia]. PMID- 6570181 TI - [Physiotherapy in uterine myoma]. PMID- 6570182 TI - [X-ray study methods in the gynecological clinic]. PMID- 6570183 TI - [Observation of the healthy child from 1 month to 1 year]. PMID- 6570184 TI - [Prevention of rickets in children]. PMID- 6570185 TI - [Breast diseases]. PMID- 6570186 TI - [Work organization of a specialized mammography office]. PMID- 6570187 TI - [Ethics and deontology of the district nurse]. PMID- 6570188 TI - [Antenatal care of the fetus]. PMID- 6570189 TI - Sequence-specific binding of simian virus 40 A protein to nonorigin and cellular DNA. AB - The simian virus 40 A protein (T antigen) recognized and bound to the consensus sequence 5'-GAGGC-3' in DNA from many sources. Sequence-specific binding to single pentanucleotides in randomly chosen DNA predominated over binding to nonspecific sequences. The asymmetric orientation of protein bound to nonorigin recognition sequences also resembled that of protein bound to the origin region of simian virus 40 DNA. Sequence variations in the DNA adjacent to single pentanucleotides influenced binding affinities even though methylation interference and protection studies did not reveal specific interactions outside of pentanucleotides. Thus, potential locations of A protein bound to any DNA can be predicted although the determinants of binding affinity are not yet understood. Sequence-specific binding of A protein to cellular DNA would provide a mechanism for specific alterations of host gene expression that facilitate viral function. PMID- 6570191 TI - Is it lonely at the top? PMID- 6570190 TI - Transcription factor binding is limited by the 5'-flanking regions of a Drosophila tRNAHis gene and a tRNAHis pseudogene. AB - We determined the sequence of a Drosophila tRNA gene cluster containing a tRNAHis gene and a tRNAHis pseudogene in close proximity on the same DNA strand. The pseudogene contains eight consecutive base pairs different from the region of the bona fide gene which codes for the 3' portion of the anticodon stem of tRNAHis. The tRNAHis gene is transcribed efficiently in Drosophila Kc cell extract, whereas the pseudogene is not. The pseudogene is also a much poorer competitor than the real gene in a stable transcription complex formation assay, even though the sequence alteration in the pseudogene does not affect the sequence or spacing of the putative internal transcription control regions. Recombinant clones were constructed in which the 5'-flanking regions are exchanged. The transcription efficiencies and competitive abilities of the recombinant clones resemble those of the genes from which the 5' flank was derived; for example, the tRNAHis pseudogene with the 5'-flanking sequence of the tRNAHis gene is now efficiently transcribed. Deletion analysis of the pseudogene 5' flank failed to uncover an inhibitory element. Deletion analysis of the real gene showed very high dependence on the presence of the wild-type 5'-flanking sequence for factor binding to the internal control regions and stable complex formation. The 5' flanking sequence of a Drosophila tRNAArg gene active in the Drosophila Kc cell extract does not restore transcriptional activity or stable complex formation. The tRNAHis gene and pseudogene behave atypically in HeLa cell extract. Both genes compete for HeLa transcription factors, but neither of them is efficiently transcribed. Removal of the 5'-flanking sequences of each gene and replacement with various sequences, including the tRNAArg gene 5' flank, does not allow increased transcription in HeLa cell extract. PMID- 6570192 TI - Management stress and burnout. PMID- 6570193 TI - On the scene: Long Beach Community Hospital. PMID- 6570195 TI - Loss and grief behaviors: application to nursing managerial practice. PMID- 6570194 TI - Nursing leadership: a buffering perspective. PMID- 6570196 TI - Burnout in nursing administration. PMID- 6570197 TI - Orientations by John Paul II in the health field. PMID- 6570198 TI - [5th Regional CENCAMEX 84 Congress. Guadalajara, Jalisco, Mexico, February 13-17 1984. Closing address of the Congress. "The nurse as promotor of health and family"]. PMID- 6570199 TI - European seminar CICIAMS. Workshops. PMID- 6570200 TI - Case history. A whiff of the gases? PMID- 6570201 TI - The effects of chemicals on health--2. PMID- 6570202 TI - [Automatic data processing]. PMID- 6570203 TI - [Service planning schedule]. PMID- 6570204 TI - [Trends in continued and further education]. PMID- 6570205 TI - [Planned care]. PMID- 6570206 TI - [Children's health--our wealth. World Health Day 1984. Mothers first]. PMID- 6570207 TI - [The functional field of the ward nurse]. PMID- 6570209 TI - [Nursing process in education and practice]. PMID- 6570208 TI - [The needs of patients with different religions in our hospitals!]. PMID- 6570210 TI - [Women as managers. Female administrators in Austria 1980-1983]. PMID- 6570211 TI - [Management and colleagues conferences]. PMID- 6570212 TI - [A good nurse--how should she behave?]. PMID- 6570213 TI - [The sick child--a milieu psychological theory and a cognitive intervention program to reduce mental disorders and behavior disorders]. PMID- 6570214 TI - [The pediatric nurse--from the viewpoint of a psychologist]. PMID- 6570215 TI - [Children's health--our wealth. Yesterday--today--tomorrow]. PMID- 6570216 TI - [Give them a second chance]. PMID- 6570218 TI - [A fitness program for children--recommended by the Study Group for Public Health]. PMID- 6570217 TI - [Relationship of parents with the sick newborn infant]. PMID- 6570219 TI - Nurse retention: a Louisiana story. PMID- 6570220 TI - The impaired nurse. A focus on chemical dependency. PMID- 6570222 TI - Costing out nursing service: issues and implications. PMID- 6570221 TI - Emergency nursing care and EMT's. PMID- 6570223 TI - Need for guidance and counselling for students in schools of nursing. PMID- 6570225 TI - Things to remember while you move out of school! PMID- 6570224 TI - The nurse as a student. PMID- 6570226 TI - Hyderabad College at 25. A commendable educational experience. PMID- 6570227 TI - Quality nursing care. PMID- 6570228 TI - Psychotherapy for patients with hysterical neurosis; conversion type. PMID- 6570229 TI - Problems associated with breast-milk substitutes. PMID- 6570230 TI - [Nutrition in the autumn]. PMID- 6570231 TI - [Adaptation]. PMID- 6570232 TI - [Personality of the teacher]. PMID- 6570233 TI - [Vital problems of patients]. PMID- 6570234 TI - [Amyloidosis]. PMID- 6570235 TI - [Nursing of the resuscitated patient]. PMID- 6570236 TI - [Pathomorphology of malignant neoplasms]. PMID- 6570237 TI - [Hospitalization as a stress situation]. PMID- 6570238 TI - [The concept of adaptation]. PMID- 6570239 TI - [On the border of Poland. Interview by Zenon Wadecki]. PMID- 6570240 TI - [Division of Nurses and Midwives]. PMID- 6570241 TI - [Ognisko]. PMID- 6570242 TI - [Prolonged pregnancy]. PMID- 6570244 TI - [Child and adolescent nutrition]. PMID- 6570243 TI - [Managerial nursing personnel in light of the legal regulations]. PMID- 6570245 TI - [Professional start]. PMID- 6570246 TI - [Logbook of practices for the apprentice]. PMID- 6570247 TI - [The image of one's own body]. PMID- 6570248 TI - [The secondary medical educational system]. PMID- 6570249 TI - [The charge nurse]. PMID- 6570251 TI - [Pioneering years]. PMID- 6570250 TI - [Epidemiology of the most frequent malignant neoplasms in women]. PMID- 6570252 TI - [Fascination. Interview by Hanna Jaskiewicz]. PMID- 6570253 TI - [The potential for an impact is growing. Interview by Iwona Krysiak]. PMID- 6570255 TI - [How it will be in '84-'85]. PMID- 6570254 TI - [The chief nurse]. PMID- 6570256 TI - [Anemia in pregnant women. Its prevention and treatment]. PMID- 6570257 TI - [Determinants of human sexuality]. PMID- 6570258 TI - [Evaluation of charge nurses]. PMID- 6570259 TI - [Death]. PMID- 6570260 TI - [Underutilization of the prepared nursing professional]. PMID- 6570261 TI - [Humanism in nursing care. Problems of transmissible diseases]. PMID- 6570262 TI - [The nurse and the dying patient]. PMID- 6570263 TI - [Maintenance of oxygenation of the premature newborn infant]. PMID- 6570264 TI - [A new approach to the teaching of medical nursing: perception of the student]. PMID- 6570265 TI - [Antepartum hair removal: validation or not of its realization]. PMID- 6570267 TI - [Longevity: reward or punishment?]. PMID- 6570266 TI - [Childbirth in the squatting position]. PMID- 6570268 TI - [Political and ideological aspects in the demands and supply of health care]. PMID- 6570269 TI - [An exploratory study of nursing care in mental health for adolescents]. PMID- 6570270 TI - [Empathy--a phenomenologic approach]. PMID- 6570271 TI - [Concept of nursing--an attempt at a phenomenologic approach]. PMID- 6570272 TI - [Care of the woman in labor with a continuous infusion of oxytocin]. PMID- 6570273 TI - [Nursing care to the woman in the pregnancy-puerperium period--psychosocial aspects]. PMID- 6570274 TI - [External use of a specialized library]. PMID- 6570275 TI - [The process of decision making in a university hospital--a preliminary study]. PMID- 6570276 TI - [Scientific production of nurses in the meeting of the Brazilian Society for the Development in Science]. PMID- 6570278 TI - [The rectum. Introduction to surgery for cancer of the rectum]. PMID- 6570277 TI - [Emotional involvement in the nurse-patient relationship]. PMID- 6570279 TI - [The urinary tract: generalities, introduction to intravenous urography]. PMID- 6570280 TI - [Physiopathologic elements of burns]. PMID- 6570281 TI - [Burns. First aid. Preparation for critical care]. PMID- 6570282 TI - [Burns. Local treatment]. PMID- 6570283 TI - [Burns: generalities, prognosis, etiology]. PMID- 6570284 TI - [A face and a body made to measure]. PMID- 6570285 TI - [The psychology in the formation and maintenance of performance in pediatric nursing]. PMID- 6570286 TI - [Respiratory monitoring of thymectomized myasthenic patients]. PMID- 6570287 TI - [Student section--analysis of the contents of a national periodical]. PMID- 6570288 TI - [Nursing students' experience of teaching and learning with adolescents]. PMID- 6570289 TI - [Nature of the conditions of nursing activities]. PMID- 6570290 TI - [Amplification of nursing functions]. PMID- 6570291 TI - [Neurological regulation--nursing care]. PMID- 6570292 TI - [Therapeutic diets]. PMID- 6570293 TI - [Recognition and prevention of gout]. PMID- 6570294 TI - [Pericarditis]. PMID- 6570295 TI - [Postoperative care and complications of radical mastectomy]. PMID- 6570296 TI - [Nursing care in the Provincial Hospital of Madrid. Perspectives in evaluation]. PMID- 6570297 TI - [Importance of ethics in nursing]. PMID- 6570298 TI - [Social implications at the time of applying an ecological concept of health]. PMID- 6570299 TI - [Occupational risks. Hygiene and safety measures in work]. PMID- 6570300 TI - [Bottle feeding for the elderly demented?]. PMID- 6570301 TI - [From Soba University Hospital in Sudan]. PMID- 6570302 TI - [Research on a care program for a neonatal department]. PMID- 6570303 TI - [Care of tetraplegic patients]. PMID- 6570304 TI - [The importance of day care for relatives of elderly long-term patients]. PMID- 6570305 TI - [Empty aggregates carefully into infusions!]. PMID- 6570306 TI - [Health program in Sweden for the year 2000]. PMID- 6570307 TI - [Health and nursing services in the 90s (HS-90)]. PMID- 6570308 TI - [Practical work study]. PMID- 6570309 TI - [Calcitonin]. PMID- 6570310 TI - [Tetanus]. PMID- 6570311 TI - [Osteoporosis]. PMID- 6570312 TI - [Osteomalacia]. PMID- 6570313 TI - [Hyperparathyroidism]. PMID- 6570314 TI - [Paget's disease of the bone]. PMID- 6570315 TI - [Physiology of bone tissue and pharmacologic applications]. PMID- 6570316 TI - [Tumoral pathology of the skeleton. Bone metastases and Kahler's disease]. PMID- 6570317 TI - [Hypercalcemia and its treatment]. PMID- 6570318 TI - [Nursing care in bone pathology]. PMID- 6570319 TI - [Study of the metabolism of phosphocalcium and of bone tissue]. PMID- 6570320 TI - [Phenobarbital]. PMID- 6570322 TI - [Role of the psychiatrist in a non-psychiatric department]. PMID- 6570321 TI - [2 case reports of hysteria]. PMID- 6570323 TI - [Request by others]. PMID- 6570324 TI - [Suicide and attempted suicide. From theory to practice]. PMID- 6570325 TI - [The psychiatric department at Cochin hospital]. PMID- 6570326 TI - [Approach to suicidal crises in the framework of emergencies]. PMID- 6570327 TI - [Psychiatric emergencies. A night on duty in a general hospital in Paris]. PMID- 6570328 TI - [Round table. Depression]. PMID- 6570329 TI - [Social work in emergency psychiatry]. PMID- 6570330 TI - [Specificity of consultation and hospitalization in the general hospital]. PMID- 6570331 TI - [Avlocardyl]. PMID- 6570332 TI - [Coronarography]. PMID- 6570333 TI - [Endocavitary electrophysiology]. PMID- 6570334 TI - [Cardiac catheterization]. PMID- 6570335 TI - [Angiography]. PMID- 6570336 TI - [Invasive procedures in cardiology. Materials, catheterization, incidents and accidents, role of the nurse]. PMID- 6570337 TI - [Junctional tachycardia and Wolff-Parkinson-White syndrome]. PMID- 6570338 TI - [The radiology department in a medium-sized hospital. Approach to working conditions]. PMID- 6570339 TI - [Isotopes in cardiology]. PMID- 6570340 TI - [Ocular burns]. PMID- 6570341 TI - [Public health ophthalmology and primary health care]. PMID- 6570342 TI - [Health education, cornerstone of primary health care]. PMID- 6570344 TI - [The WHO launches a new program for new vaccines]. PMID- 6570343 TI - [Glaucoma]. PMID- 6570346 TI - [Flagyl]. PMID- 6570345 TI - [Keratitis]. PMID- 6570347 TI - [Sleep disorders in infants]. PMID- 6570348 TI - [The psychosomatic testing of a child]. PMID- 6570349 TI - [Health care personnel and early prevention. Psychological problems of health personnel viewed in the modern perspective of early prevention]. PMID- 6570350 TI - [Psychosomatic approach in children. Introduction]. PMID- 6570351 TI - [Fertilization in vitro]. PMID- 6570352 TI - [Fertilization in vitro. Role of the nurse]. PMID- 6570353 TI - [Bathing of infants]. PMID- 6570354 TI - [Hospital of the postern of the poplars. A facility for psychosomatic medicine]. PMID- 6570355 TI - [Disorders with somatic manifestations in infants]. PMID- 6570357 TI - [Scandinavian Nurses' Cooperative's representative meeting: the changing picture of disease--nursing's challenge]. PMID- 6570356 TI - [Desires and reality. Nursing students' career choice]. PMID- 6570358 TI - [Education--one of our challenges]. PMID- 6570359 TI - [How do stoma patients live?]. PMID- 6570360 TI - [Rogaland project: nurses' research in psychiatry]. PMID- 6570361 TI - [How should districts be organized in the future?]. PMID- 6570362 TI - [Relief of cancer pain--nursing's contribution]. PMID- 6570363 TI - [Children in the hospital]. PMID- 6570364 TI - [Midwives' role in the international perspective]. PMID- 6570365 TI - [Diet and cancer]. PMID- 6570366 TI - [Nurses' working environment. High illness absenteeism--what are the reasons?]. PMID- 6570367 TI - [Continued education for nurses in More and Romsdal]. PMID- 6570368 TI - [District council in the Nordland district: sceptical about new organizational form]. PMID- 6570369 TI - Demonstration of the third kininogen in high and low molecular weight kininogens deficient Brown Norway Katholiek rat. AB - A gel filtration profile of the plasma of Brown Norway Katholiek (B/N-Ka) rat was compared with those of B/N-Kitasato (B/N-Ki) and Sprague-Dawley (SD) rats. In the chromatograms of B/N-Ki and SD rat plasmas, high-molecular weight (HMW) kininogen was eluted together with pre-kallikrein. In lower molecular weight fractions, there were two kininogens, one of which released kinin by urinary kallikrein, snake venom kininogenase (SVK) and trypsin, and the other released kinin only by trypsin. In the chromatogram of B/N-Ka rat plasma, there was no fraction which released kinin by plasma kallikrein, urinary kallikrein or SVK. However, the kinin-release only by trypsin was found in the lower molecular weight fraction, which corresponds to the third peak of kininogen in the chromatograms of B/N-Ki and SD rat plasmas. These results indicate that B/N-Ka rat plasma is deficient in HMW kininogen, and also deficient in the LMW kininogen susceptible to urinary kallikrein and SVK, but it contains the third kininogen responsive only to trypsin. PMID- 6570371 TI - [The practice of euthanasia in medical institutions]. PMID- 6570370 TI - Electrochemical activity determination of trypsin-like enzymes. VIII. Kallikrein and prekallikrein in plasma and whole blood. AB - In-vitro determinations of purified kallikrein on the one hand, of human plasma and whole blood prekallikrein on the other hand have been conducted with the S 2648 electrogenic substrate using the electroanalytical technique. Plasmatic evaluations have been checked photometrically for assessing the reliability of the procedure. Whole blood levels of prekallikrein compare with plasma if the haematocrit of the sample is taken into account. PMID- 6570372 TI - [Nursing management of a person with anorexia nervosa symptoms]. PMID- 6570373 TI - [Death of an organ. Aspects of brain death]. PMID- 6570374 TI - [Status of the nursing profession. Various observation in relation to studies of the image of the nurse in the Netherlands]. PMID- 6570375 TI - [Managing grief]. PMID- 6570376 TI - [Patients' rooms: nursing aspects of a patient room in new hospital construction]. PMID- 6570377 TI - [The patient, his social environment and the institution]. PMID- 6570378 TI - [The Law Pregnancy Interruption and the consequences for the nurse burdened by conscience]. PMID- 6570379 TI - [The Advisory Committee for Education in the Field of Nursing. An account from Brussels. III]. PMID- 6570380 TI - [Prevention of accidents in young children in the private home]. PMID- 6570381 TI - [Shaman: magician or healer?]. PMID- 6570382 TI - [The maturity of the patient]. PMID- 6570383 TI - [Medical information for nurses. The shattered lower leg. 1. Diagnosis]. PMID- 6570384 TI - [State of the kallikrein-kinin system in blood from the heart ventricle in the dynamics of spontaneous hypertension in the rat]. AB - Estimations of prekallikrein and kallikrein inhibitor by means of TAME-esterase method and of the content of kininogen by biological procedure were carried out in blood plasma, isolated from right and left ventricles of heart, of rats with spontaneous hypertension, Okamoto-Aoki strain, and of the normotensive animals Wistar-Kyoto strain. The animals were 2=3 months, 6=8 months and 12=14 months old. Development of spontaneous hypertension was accompanied by an increase in the kallikrein-kinin system components studied. Content of prekallikrein and kininogen was higher in blood plasma from left heart ventricle than in blood from right ventricle, independently of the age of the rats, by 6=10% and 33=40%, respectively. Lung tissue was shown to carry out a definite reserve function in the compensatory increase of the kallikrein-kinin system potential under conditions of spontaneous hypertension. PMID- 6570385 TI - The effect of systematically varying components of nursing care on satisfaction in elderly ambulatory women. PMID- 6570386 TI - Philosophy of nursing education: a national survey. PMID- 6570387 TI - Nursing assessment of parental coping with cystic fibrosis. PMID- 6570388 TI - Anthropology and nursing--the interaction between two fields of inquiry. PMID- 6570389 TI - Student involvement in faculty research: a mentor's view. PMID- 6570390 TI - Ethical issues in nursing research. PMID- 6570392 TI - Research in cultural diversity. PMID- 6570391 TI - Problems in doing nursing research. Nursing research: systems entry. PMID- 6570393 TI - Researchmanship. Research grant applications: what they should be. PMID- 6570394 TI - Strategies for teaching nursing research. Scholarly writing. PMID- 6570395 TI - [Activation of the kallikrein-kinin system by clonidine]. AB - Our results show that after the application of clonidine an activation of the kallikrein kinin system develops. The activation is characterized by the proof of active kallikrein and the decrease of kallikreinogen and the inhibitor capacity against kallikrein and trypsin. The extent of the activation seems to depend on the dosage of clonidine. The more pronounced reaction of the kallikrein kinin system might be connected with the side effects observed in the clonidine test. PMID- 6570396 TI - [District nurse on the future of primary care: we need generalist nurses to manage health care. Interview by Inger Lernevall]. PMID- 6570397 TI - [Social medicine national sector: generalist nurses are accepted following continued education. Interview by Inger Lernevall]. PMID- 6570398 TI - [New part-time jobs wreck economy for nurses]. PMID- 6570399 TI - [Part-time jobs' breach of equality agreements]. PMID- 6570400 TI - [Delegation should not be used to solve break problems]. PMID- 6570401 TI - [Delegation-a question of work distribution and responsibility]. PMID- 6570402 TI - [How delegation and distribution of responsibility functions]. PMID- 6570403 TI - [Anxiety in Beckomberg: slow progress with sectorization]. PMID- 6570405 TI - [Research transforms--and education is the most important link]. PMID- 6570404 TI - [Psychiatric care in transition]. PMID- 6570406 TI - [Reception of community care: choose for coordination in team!. Interview by Anita Widen]. PMID- 6570407 TI - [Kerstin Andersson, newly-fledged doctor: what do we really mean with safety?. Interview by Anita Widen]. PMID- 6570408 TI - [MAF (Medical Technicians' Association) disappearing?. Interview by Viveka Holmertz]. PMID- 6570409 TI - [Psychiatric nurse is chairperson of the SSEF (Swedish Student Nurses' Association). Interview by Viveka Holmertz]. PMID- 6570410 TI - [We work at the patients' convenience. Interview by Anita Widen]. PMID- 6570411 TI - [Incorrect prosecution of nurses in dialysis incident. Interview by Jan Thomasson]. PMID- 6570412 TI - [Winner: novel is about my wife. Interview by Viveka Holmertz]. PMID- 6570413 TI - [Finally fall is here!]. PMID- 6570414 TI - ["Ability to reach out to people" is a professional skill which could disappear with computerization. Interview by Viveka Holmertz]. PMID- 6570415 TI - [Shortage of substitutes, getting service, poor planning. Politicians exploit nurses' responsibilities toward patients. Interview by Jan Thomasson]. PMID- 6570416 TI - [They arrange for their free days--that's why activities work out]. PMID- 6570417 TI - [Satisfied ombudsman in Vastmanland: unique arrangement gives substitutes permanent job. Interview by Inger Lernevall]. PMID- 6570418 TI - [Safety in anesthesia has not deteriorated]. PMID- 6570419 TI - [Committee on the Future of Health and Nursing Care: continued stake in primary health care]. PMID- 6570420 TI - [One of the 5 nurses here is hospital administrator. Interview by Jan Thomasson]. PMID- 6570421 TI - The influence of psychosocial factors on patient adjustment to continuous ambulatory peritoneal dialysis. PMID- 6570422 TI - Coordinated pediatric renal nutrition education model. PMID- 6570423 TI - Nephrology nursing research. Methodology. PMID- 6570425 TI - Renal nutrition for the renal nurse. PMID- 6570424 TI - The influence of home dialysis on adolescent psychosocial development: a case report. PMID- 6570426 TI - Evaluation of hypotensive episodes during maintenance hemodialysis in patients with impaired cardiovascular function. PMID- 6570427 TI - Educating families about slow continuous ultrafiltration. PMID- 6570429 TI - Quality assurance for ESRD: a successful program. PMID- 6570428 TI - Custom hemodialysis in the hospitalized renal failure patient. PMID- 6570430 TI - Hemodialysis emergencies: carefully prepared resuscitation. PMID- 6570431 TI - A comparison of hemodialysis patients and locus of control. PMID- 6570432 TI - Presenting nursing research findings. PMID- 6570433 TI - One cuff versus two cuff catheters in incidence of infection. PMID- 6570434 TI - Beta-cap: improving the body image of patients on continuous ambulatory peritoneal dialysis. PMID- 6570435 TI - The hemasite system: a transcutaneous approach to vascular access. PMID- 6570436 TI - Femoral vein catheterization: whose responsibility? PMID- 6570437 TI - The Hickman catheter--today's vascular access for pediatric hemodialysis. PMID- 6570438 TI - Percutaneous angioaccess for hemodialysis using subclavian catheters. PMID- 6570439 TI - Impact of prospective payment regulations: results of head nurse survey. PMID- 6570440 TI - Communication of research findings. PMID- 6570441 TI - Reflections on the word "client'. PMID- 6570442 TI - Three techniques for peritoneal catheter exit site dressings. PMID- 6570444 TI - [Isolation and determination of human plasma prekallikrein]. PMID- 6570443 TI - The nucleotide sequence of mannosyl-Q-containing tRNAAsp from Xenopus laevis oocytes. AB - The nucleotide sequence of tRNAAsp from X. laevis oocytes was determined as being: (sequence in text) The tRNA is 75 nucleotides long. This sequence is very similar (75% to 97% identity) to all other eukaryotic tRNAAsp sequenced so far, except for the bovine liver tRNAAsp (32% identity). The relation between the presence of a mannosyl group on queuosine (Q) at position 34 and the nucleotide sequence of the anticodon loop is discussed. PMID- 6570445 TI - Contemporary demands on the community nurse. PMID- 6570447 TI - Research--the cornerstone of modern nursing management. PMID- 6570446 TI - [Psychiatric nursing abilities in other nursing dimensions]. PMID- 6570449 TI - My home--the hospital. A case study. PMID- 6570448 TI - [Nursing administration in health services]. PMID- 6570450 TI - [Communication with the dying and their loved ones]. PMID- 6570451 TI - The objective structured clinical evaluation. The Groote Schuur Hospital nurses' experience. PMID- 6570452 TI - Evaluation of the OSCE in the primary health care situation. PMID- 6570453 TI - [Computers in nursing. 2. Computers as an aid in nursing administration]. PMID- 6570454 TI - Nursing practice--reality or dream. PMID- 6570455 TI - [Standard nursing care plan for prenatal clients]. PMID- 6570456 TI - [The nursing instructor--the innovator?]. PMID- 6570457 TI - [School medicine]. PMID- 6570458 TI - [Hepatic amebiasis]. PMID- 6570459 TI - [Vascular acrosyndromes]. PMID- 6570460 TI - [Diuretics]. PMID- 6570461 TI - [Intestinal complications of antibiotic therapy]. PMID- 6570462 TI - [Premedication]. PMID- 6570463 TI - [Hyperuricemia]. PMID- 6570464 TI - [Anti-infective agents in children]. PMID- 6570465 TI - [Chronic pancreatitis]. PMID- 6570466 TI - [Senescence and endocrine metabolism]. PMID- 6570468 TI - [Sherbrooke miniconference (joint replacement prostheses)]. PMID- 6570467 TI - [Dietetics and diet]. PMID- 6570469 TI - [A woman who calls herself "ordinary" but who is extraordinary!. Interview by Colette Verreault]. PMID- 6570470 TI - [Return to our last annual congress. "1974-1984" The nursing assistant ... more than care]. PMID- 6570471 TI - [Continuing education. 2d part. 4. Respiratory tract]. PMID- 6570473 TI - [Continuing education. Respiratory tract. 2. Management of principal emergencies]. PMID- 6570472 TI - [We are all aged!... Interview by Colette Verreault]. PMID- 6570474 TI - Continued education. Charting. 14-15. PMID- 6570475 TI - [Chronicle. Professional assessment: medications]. PMID- 6570476 TI - [Autonomous updating]. PMID- 6570478 TI - National Council study of nursing performance due in '86. PMID- 6570477 TI - Urinary kallikrein in hypertension secondary to hemolytic uremic syndrome: response to diuretic stimulus. AB - Urinary kallikrein excretion was measured in 43 children, mean age 8 years, who had the hemolytic uremic syndrome (HUS) during the first year of life. Twenty eight were normotensive and fifteen hypertensive. We found no difference in urinary kallikrein excretion between the normotensive and hypertensive groups. Twenty three of these children received a combination of 1 mg/kg/day of hydrochlorothiazide plus amiloride for ten days. 14 of these patients were normotensive and 9 hypertensive. The rate of kallikrein excretion did not change in the hypertensive children whereas normotensive children had a three fold increase following administration of the diuretic. The different behaviour of kallikrein excretion in both groups may reflect a change in the reactive capabilities of the vasodilator system in this form of hypertension. PMID- 6570479 TI - [Uterine torsion in pregnancy. Case report]. PMID- 6570480 TI - [Observation on the maintenance of infant nurseries and the obstetric department]. PMID- 6570481 TI - [Report--study trip to St. Margret's Hospital, Sydney. ICM's Congress, September 1984]. PMID- 6570482 TI - Purification and properties of alanyl-tRNA synthetase from Bombyx mori: a monomeric enzyme. AB - Alanyl-tRNA synthetase was purified from the posterior silk glands of Bombyx mori by ammonium sulfate fractionation and chromatography on DEAE-Sephacel and hydroxyapatite columns. The yield was about 100 mg of the enzyme per 1 kg of the glands. The enzyme required both L-alanine and alanine tRNA for pyrophosphate formation from ATP. The PPi formation was observed even after tRNA was fully aminoacylated. The enzyme was found to be a monomer of 115K daltons by SDS polyacrylamide gel electrophoresis, gel filtration and suberimidate cross-linking experiments. The monomeric enzyme did not dimerize in the presence of the alanine tRNA. The enzyme and the tRNA formed a 1:1 complex. The results indicate that Bombyx mori alanyl-tRNA synthetase functions in a monomeric state. PMID- 6570483 TI - High-performance liquid chromatographic separations on dihydroxyboryl-agarose. AB - This paper (which is part of a series of articles on high-performance liquid chromatographic separations on agarose columns) describes the chromatographic behaviour of catecholamines, nucleosides, aminoacylated and non-aminoacylated tRNA, and glycosylated and non-glycosylated hemoglobins on agarose matrices derivatized with m-aminophenylboronic acid. These matrices primarily bind molecules with two vicinal hydroxy groups in the cis-configuration. The possible existence of secondary electrostatic and hydrophobic interactions has been studied with the aid of diagrams showing retention time as a function of pH and buffer concentration. PMID- 6570484 TI - Mixed-mode chromatographic matrices for the resolution of transfer ribonucleic acids. AB - Modification of approximately 65% of the amine groups of an aminopropylsilyl bonded-phase silica high-performance liquid chromatographic anion exchanger (APS Hypersil) with organic acids containing n-alkyl moieties of different chain lengths, results in mixed mode chromatographic matrices of varying hydrophobic character. These stationary phases result in high resolution of transfer ribonucleic acids (tRNAs) when used with a decreasing gradient of ammonium sulfate. The observed resolution appears to be primarily a function of interfacial precipitation effected by the high initial salt concentration of the mobile phase and the hydrophobic character of the stationary phase, followed by selective resolubilization during the decreasing salt gradient. After resolubilization, adsorptive processes may additionally contribute to resolution. The residual amine groups decrease the hydrophobic character of the stationary phase compared to a pure reversed-phase support. The mixed-mode matrices are useful for the resolution of aminoacylated tRNAs from non-aminoacylated tRNAs. PMID- 6570485 TI - Release of prostaglandins during reversal of one-kidney, but not two-kidney, one clip hypertension in the rat. AB - Changes in systolic blood pressure and urinary excretion of PGE2 and 6-keto PGF1 alpha 24 h after removing the renal artery clip were compared in one-kidney and two-kidney, one clip Goldblatt hypertension in the rat. Unclipping the one-kidney rat returned blood pressure to normotensive levels within 24 h and was associated with a substantial increase in urinary PGE2 and 6-keto PGF1 alpha. Although hypertension was also completely reversed in the two-kidney model there was no significant change in urinary prostaglandin excretion. Prior treatment with indomethacin (6.0 mg/kg) markedly reduced urinary prostaglandins after clip removal in both forms of hypertension but attenuated the fall in blood pressure in the one-kidney model only. There were no significant changes in urinary kallikrein activity following unclipping. It is suggested that in the one-kidney, one clip rat prostaglandins are released as the result of exposing the unclipped kidney to elevated arterial pressure and that these contribute to the subsequent fall in blood pressure. PMID- 6570486 TI - Home care of the child with cancer. PMID- 6570487 TI - Respiratory problems in the pediatric oncology patient. PMID- 6570488 TI - Portable chemotherapy pumps in pediatric oncology: psychosocial and cost considerations. PMID- 6570489 TI - A study of children's understanding of the cerebral CT scan procedure. PMID- 6570490 TI - The effects of group therapy on adolescents with cancer. PMID- 6570491 TI - Play to reduce anxiety in children after bone marrow aspiration. PMID- 6570492 TI - Use of flow sheets in antiemetic therapy. PMID- 6570493 TI - Formulating research hypotheses. PMID- 6570494 TI - Pain assessment and relief in children with cancer. PMID- 6570495 TI - Observation of effect of iontophoresis of traditional Chinese drug in female infertility. PMID- 6570496 TI - Acupuncture treatment of benign thyroid nodules. Clinical observation of 65 cases. PMID- 6570497 TI - Neurodermatitis treated by plum-blossom needle. PMID- 6570498 TI - Effect of AQSD resulted from Neiguan needling in cardiovascular disease. Analysis of 112 cases. PMID- 6570499 TI - Electro-acupuncture analgesia and analgesic action of Naga. PMID- 6570500 TI - The effect of acupuncture using reinforcing and reducing methods on nail microcirculation and local skin temperature. PMID- 6570501 TI - Preliminary observation on carboxyl-methyl Poria cocos polysaccharide (CMPCP) in treating chronic viral hepatitis. PMID- 6570502 TI - Studies on hawthorn and its active principle. I. Effect on myocardial ischemia and hemodynamics in dogs. PMID- 6570503 TI - Studies on hawthorn and its active principle. II. Effects on cultured rat heart cells deprived of oxygen and glucose. PMID- 6570504 TI - Clinical observation on the effect of Radix rosae multiflorae in reducing blood lipids. PMID- 6570505 TI - Infantile rotavirus enteritis treated with herbal Valeriana jatamansi (VJ). PMID- 6570506 TI - Treatment of rotavirus infection in tree shrews (Tupaia belangeri yunalis) with herbal Valeriana jatamansi (VJ). PMID- 6570507 TI - Clinical observation on the treatment of exfoliative cheilitis with traditional Chinese medicine. PMID- 6570508 TI - A clinical study of 197 cases of fracture of carpal scaphoid bone treated by paper plates with pressure padding. PMID- 6570509 TI - A study of the tongue coating with electron microscope. II. An investigation on various pathological tongue features. PMID- 6570510 TI - Hand behaviors of women during childbirth. AB - An exploratory study was conducted to determine what could be inferred from the hand behaviors of women during childbirth. The specific study questions were: What are the hand actions? What are the objects of the hand actions? What are the purposes of the hand actions? The influence of the uterine state, i.e., contraction or relaxation, on the hand behaviors was also explored. A preliminary study was conducted from which three components of hand behaviors were identified: the hand action, the object of the action, and the purpose of the action. Nine discrete hand actions were defined according to the inter relationship of the posture, characteristic motion, and the mode of contact of the hand upon the object: grasping, pressing, rubbing, non-moving, gesticulating, holding, playing, palpating, and striking. The objects of the hand actions were grouped into three distinct groups including: the self, inanimate items, and other persons. Eleven purposes of the hand action were inductively defined from the preliminary study: attacking, augmenting, bracing, caretaking, comforting, containing, inactivating, informing, orienting, regulating, and requesting. A data collection instrument, in grid form, to accommodate the rapid recording of the nine types of hand action, the three objects of the actions, and the eleven purposes of the actions, was constructed. The study was conducted in the labor and delivery unit of an urban university-related teaching and research hospital. The specific setting for the study included two sites: the single bed labor room, the primary site; and the delivery room, the secondary site. Thirty women, 10 primigravida and 20 multigravida, ranging from 17 to 34 years of age were the subjects of the study. Of the 30 subjects, 23 experienced a normal onset of labor and 7 had labor induced. The duration of labor ranged from 1 1/2 to 16 1/2 hours with the mean duration 8 3/4 hours. Direct observation was the method for data collection. Observations were conducted once every half hour throughout the subjects' labor experience. During each observation session, the hand behaviors were recorded during one uterine contraction and during 60 seconds of uterine relaxation. The data were tabulated by frequency and by percentage in relation to the hand action, the object of the hand action, the purpose of the hand action, and the uterine state. Findings related to the hand actions demonstrated a predominance of grasping (28%; 765/2,724) and pressing (25%; 670/2,724) actions. Rubbing actions (16%; 421/2,724) and non-moving actions (11%; 313/2,724) were the next most frequently observed actions.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6570511 TI - [Interview. Psychiatric nursing]. PMID- 6570512 TI - [A model for early intervention. Mother-child groups]. PMID- 6570513 TI - [Beware of professional secrecy]. PMID- 6570514 TI - [Hysterectomy. Is it still the "major operation"?]. PMID- 6570515 TI - [The nurse patient relationship. Pivot of the patient's and nurse's mental health]. PMID- 6570516 TI - [The family system...a few elements of understanding]. PMID- 6570517 TI - [1974-1984: assessment. Interview with Jeanne Grimard. Interview by Denise Goudreault]. PMID- 6570519 TI - Mental health in motion...what is our profession concerned with? PMID- 6570518 TI - [What is new in the matter of standardizing the records of the beneficiary]. PMID- 6570520 TI - [Springtime in psychiatry]. PMID- 6570521 TI - [The psychiatric nurse, a psychotherapist?]. PMID- 6570522 TI - [C.V.A.: cardiovascular accident]. PMID- 6570524 TI - [Academic education in nursing]. PMID- 6570523 TI - [Nursing education development within universities]. PMID- 6570525 TI - [Inservice education for 1983 public health nurses on the topic of breast feeding]. PMID- 6570526 TI - [From subordination to cooperation in doctor-nurse relationships]. PMID- 6570527 TI - Planning nursing education for 2000 A.D. PMID- 6570528 TI - Imperatives of nursing education. Tasks for the future. PMID- 6570529 TI - Common problems in the first month of breast-feeding. PMID- 6570530 TI - Onset pattern of menarche among nursing students. A study of PGI, Chandigarh. PMID- 6570531 TI - The nurse as a student. PMID- 6570532 TI - Monitoring health strategies. The South-East Asian context. PMID- 6570533 TI - Changing challenges and needs. PMID- 6570534 TI - Special cases of breast-feeding. PMID- 6570535 TI - Community-oriented education at St. John's Bangalore. PMID- 6570536 TI - Correcting genetic defects during pregnancy. PMID- 6570537 TI - Competence of community health nurses in primary health care: a perceptual study. PMID- 6570538 TI - "Health for all: a framework for action". PMID- 6570539 TI - What's up after the phasing out of PNA in PHC Parang. The creation of KP-Parang. PMID- 6570541 TI - [Grain products]. PMID- 6570540 TI - The PHC project of PNA-Nueva Ecija Chapter. PMID- 6570542 TI - [Nursing report]. PMID- 6570543 TI - [Specialization of midwives]. PMID- 6570544 TI - [Psychological care of the patient]. PMID- 6570545 TI - [Evaluation of students in the pediatric department]. PMID- 6570546 TI - [In the day nursery]. PMID- 6570547 TI - [Treatment of malignant neoplasms]. PMID- 6570548 TI - [Use of lasers in neurosurgery]. PMID- 6570549 TI - [Participation of the nurse in rehabilitation]. PMID- 6570550 TI - [A life of hard work. Interview by Witold Nowicki]. PMID- 6570551 TI - [Work in the community. Interview by Iwona Krysiak]. PMID- 6570552 TI - [In a Warsaw day nursery]. PMID- 6570554 TI - [Documentation of nursing care]. PMID- 6570553 TI - [Traditional midwives in the developing countries]. PMID- 6570555 TI - [Kindness]. PMID- 6570556 TI - [Smoking and the circulatory system]. PMID- 6570557 TI - [Ulcerative colitis]. PMID- 6570558 TI - [Life and work]. PMID- 6570559 TI - Don't cut corners on informed consent. PMID- 6570560 TI - Turning students into nurses-fast! PMID- 6570561 TI - Helping your patient breathe easier after chest surgery (continuing education credit). PMID- 6570562 TI - When a co-worker drives you wild. PMID- 6570563 TI - A nurse's Christmas carol. PMID- 6570564 TI - Are you sure it's only croup? PMID- 6570565 TI - A better way to dress a scalp wound. PMID- 6570566 TI - Emergency! Dealing with poisonings. PMID- 6570567 TI - Taking your nursing know-how home. PMID- 6570568 TI - Understanding white cell morphology. PMID- 6570569 TI - [Kayexalate]. PMID- 6570570 TI - [Gastric intubation in a 65-year-old woman suspected of having tuberculosis]. PMID- 6570571 TI - [Emergency care in the field]. PMID- 6570572 TI - [First-line emergency surgery]. PMID- 6570573 TI - [Emergency management of burned assault victims and of nuclear accident victims]. PMID- 6570575 TI - [Advice to a medical assistant witnessing a terrorist act]. PMID- 6570574 TI - [Psychiatric reactions to urban terrorism]. PMID- 6570576 TI - [A person suffering from multiple sclerosis. Case report]. PMID- 6570577 TI - [Wounding agents. Their consequences on anatomic-pathologic lesions and on triage of the wounded]. PMID- 6570578 TI - [Rivotril]. PMID- 6570579 TI - [Behavior disorders of the active type in mentally retarded patients]. PMID- 6570580 TI - [Psychosis and mental deficiency]. PMID- 6570581 TI - [Anxiety and sexuality]. PMID- 6570582 TI - [Minimal brain dysfunction]. PMID- 6570583 TI - [Intelligence and affect]. PMID- 6570584 TI - [Psychomotor instability. Report of a case]. PMID- 6570585 TI - [Psychiatric emergencies]. PMID- 6570586 TI - [Action and fantasy. Attempt at theoretical reflections based on personal practice]. PMID- 6570587 TI - [Quinidurule]. PMID- 6570588 TI - [Initial assessment of the hypertensive patient]. PMID- 6570589 TI - [Hypertensive disease]. PMID- 6570590 TI - [Education of the hypertensive patient]. PMID- 6570591 TI - [The day of a hypertensive patient in a day care center]. PMID- 6570592 TI - [The causes of arterial hypertension. Importance, research, mechanisms and significance]. PMID- 6570593 TI - [Chronic calcifying pancreatitis in Africa]. PMID- 6570594 TI - [The WHO program of action for essential medicinal drugs and vaccines. Rational use of drugs]. PMID- 6570595 TI - [Cancer of the exocrine pancreas]. PMID- 6570596 TI - [2 cases of calcified chronic pancreatitis]. PMID- 6570597 TI - [Acute pancreatitis]. PMID- 6570598 TI - [Spasfon]. PMID- 6570599 TI - [Acute otitis media in infants and children]. PMID- 6570600 TI - [The Eustachian tube: its role. Practical application: serous otitis]. PMID- 6570601 TI - [Study of a case report: recurrent otitis or subacute mastoiditis?]. PMID- 6570602 TI - [Laryngeal dyspnea in children]. PMID- 6570603 TI - [Anatophysiologic review of the auditory apparatus]. PMID- 6570604 TI - [Case report of acute laryngitis]. PMID- 6570605 TI - [Prevention of rubella and toxoplasmosis in pregnant women. Viewpoint of MCH center at district level]. PMID- 6570606 TI - ["Social aid to children". What is it?]. PMID- 6570607 TI - [Detection and diagnosis of hearing disorders in young children]. PMID- 6570608 TI - [I told her she had cancer]. PMID- 6570609 TI - [Even Einstein's problem was to measure outcome with a ruler]. PMID- 6570610 TI - [Health visiting: disengagement from unhealthy conditions via conscious effort]. PMID- 6570611 TI - [Representative can help but has no use for backup]. PMID- 6570612 TI - [Work supervisor has responsibility for work environment in home nursing]. PMID- 6570613 TI - [Modernization with new technology without appraisal of consequences]. PMID- 6570614 TI - [Executive Board. More rigorous requirements in applications for research support]. PMID- 6570615 TI - [Head lice. Control of lice simplified with a new spray medication]. PMID- 6570616 TI - [Pressure sores. Observation concerning pressure sores must immediately call for treatment]. PMID- 6570617 TI - [WHO: greater realism in international work for health]. PMID- 6570618 TI - ["Modernization" nursing doesn't want to go along]. PMID- 6570619 TI - [Cross-professional cooperation. Various professional groups and their cooperation concerning sick people]. PMID- 6570620 TI - [CAPD treatment: advantages and disadvantages]. PMID- 6570621 TI - [Technology clears away most of the paperwork]. PMID- 6570622 TI - [Medical Director's hunger for power doesn't solve any problems]. PMID- 6570623 TI - [Nurse managers prepared for professional and work economics' responsibility]. PMID- 6570625 TI - [Nurses from Scandinavia draft health strategy]. PMID- 6570624 TI - [Modernization. Formally, it is voluntary--but it is urgent]. PMID- 6570626 TI - [Nursing care. New and easy warning apparatus in continence training]. PMID- 6570627 TI - [After dialysis incident in Linkoping. Change equipment frequently during the year demands SHSTF]. PMID- 6570628 TI - [A trial to create a different kind of long-term care. Own room and homelike atmosphere--yet with little staff]. PMID- 6570629 TI - [Last word on zone therapy]. PMID- 6570630 TI - [It is Spring, It is Friday, it is pay day. Vardfacket spent a night in jail. Interview by Inger Lernevall]. PMID- 6570631 TI - [Qualification regulations compared to general council]. PMID- 6570633 TI - [One day in emergency]. PMID- 6570632 TI - [Incompetent or cold-shouldered?]. PMID- 6570634 TI - [Portrait: Tuulikki Jahre. Interview by Inger Lernevall]. PMID- 6570635 TI - [A blood test in the living room--that works fine!]. PMID- 6570636 TI - [SHSTF protest against UHA (Council of Universities and Colleges): no reductions in education]. PMID- 6570637 TI - [Mothers don't get enough food when they grow up. That's why their infants are underweight at birth]. PMID- 6570638 TI - [Demonstrators demand that small maternity clinics remain in existence "neighborhood provides security"]. PMID- 6570639 TI - [Providers of health information should be nurses]. PMID- 6570640 TI - [Effect of methods of artificial detoxication on various indicators of homeostasis]. PMID- 6570641 TI - [Kallikrein-kinin system of the lymph in early post-resuscitation period]. PMID- 6570642 TI - Using screening instruments in community psychiatric nursing for the elderly. PMID- 6570643 TI - Basic nurse education in CAEs--the educational evidence for transfer. PMID- 6570645 TI - A study of falls among elderly hospitalized patients. PMID- 6570644 TI - Pain and the surgical patient: a cross-cultural perspective. PMID- 6570646 TI - The change process: a N.S.W. reflection. PMID- 6570647 TI - Provisions in the laws of Pakistan to combat serious drug-related offences. AB - British drug control laws were in force in Pakistan until February 1979 when the President of Pakistan promulgated the Prohibition (Enforcement of Hadd) Order, 1979. Under this Order more severe penalties are prescribed for those who violate the regulations of import, export, manufacture or processing of any intoxicants, the term which refers mainly to products of cannabis, opiates and coca derivatives. The Prohibition Order, 1979 and the Dangerous Drugs Act 1930 were amended in December 1983 to provide for further increases in punitive sanctions for offenders violating drug control laws and even more severe sanctions for offenders who are recidivists. PMID- 6570648 TI - Legal measures to combat drug-related problems in Poland. AB - The opium poppy, traditionally cultivated for its seeds and industrial purposes, has recently been increasingly used in so called "home technology" as a raw material for the illicit production of opiates. This development has been accompanied by an increasing number of drug abusers, mainly among young people. Law enforcement authorities in Poland recorded in 1979 approximately 8,000 persons abusing drugs and 13,000 in 1983. The number of drug offences known to the police increased from 1,313 in 1979 to 3,014 in 1983, often involving illegal manufacture of opiates. A study of 110 criminals sentenced for drug offences showed that they also abused drugs over periods of several months to several years. Penal sanctions relating to drug control are provided in different legal instruments. The sentencing policy has not substantially changed over the past several years. The sentence most frequently administered has been the conditional suspension of enforcement of punishment. Effective administration of the penalty of imprisonment for a drug offender engaged in illicit drug trafficking or other criminal acts presenting an exceptional public danger, even when the offender is a drug addict, is one of the basic principles of drug legislation. The law enables the court to commit a drug-addicted offender to an institution, for a period of six months to two years, for treatment of drug dependence before the sentence is carried out, and, in case of successful treatment, the court may reassess the case with a view to reducing or waiving the penalty. A new comprehensive drug law is currently being drafted. PMID- 6570650 TI - Summary of an eleven-country study of socio-legal measures to combat drug abuse and related crime. AB - In a comparative study of a group of experimental and control subjects in Argentina, Brazil, Costa Rica, Japan, Jordan, Italy, Malaysia, Singapore and the United States of America (State of New York), and of the results of independent studies conducted in Sweden and the United Kingdom of Great Britain and Northern Ireland, a rather close association was found to exist between drug abuse, criminal behaviour and social attitudes to such problems. Both drug abuse and the socio-legal systems varied greatly in the countries involved. No correlation was found between the level of foreseen or actual harshness of the socio-legal system and the level of seriousness of drug abuse and its associated criminality, but there was a significant correlation between knowledge of the law and the efficacy of the socio-legal system. In each country informal control systems, such as the family, church, school, neighbourhood and work environment, were active. Approximately one half of the subjects that were interviewed from countries with the most punitive socio-legal systems perceived informal controls as harsh and punitive while in the other countries such controls were generally perceived as positive. The study encouraged the review, testing and implementation of alternative measures to penal sanctions, particularly with a view to creating a genuine therapeutic approach to correcting the deviant behaviour of drug abusers. PMID- 6570649 TI - Drug offence sentencing practices in the United States of America. AB - The United States criminal justice system, in response to a variety of risks, makes available a range of options to help control drug offenders. Pre-arrest diversion, pre-trial diversion, pre-trial release, probation, split sentencing, warn release, incarceration and parole release are alternative dispositions involving a graduated scale of punishment, incarceration, specific deterrence and rehabilitation. New drug offence sentencing policies are emerging within the criminal justice system. Traditional values of rehabilitation are currently less favoured and contemporary doctrines advocate sentencing based on principles of uniformity and retribution. Drug law sentencing practices are a principal concern of this article and the major policy themes are systematically reviewed. Diversion, criminal responsibility, selective incapacitation, trafficking, and cocaine abuse are examined. Guidelines for policy development are recommended and the analysis covers the related concepts of sentencing ideology, decriminalization, and determinate sentencing models. Specific recommendations are offered for revision of drug offence sentencing policies to incorporate the emerging penal values. PMID- 6570651 TI - Denial of passports to drug offenders in Singapore. AB - In order to curtail illicit drug trafficking, drug offenders are not allowed to leave Singapore for a specified period of time ranging from 2 to 15 years, depending on the gravity of the offence. Offenders who have committed certain drug offences, as specified in this article, are not allowed to possess passports. The Immigration Department maintains a register of drug offenders, on the basis of which it refuses to issue a passport to a person who has a drug offence record. The appeal against such a decision is referred to the Central Narcotics Bureau, which, given extenuating circumstances, may authorize the issuance of a passport for a restricted and defined period of time. PMID- 6570652 TI - Drug-related crime and sentencing policies from the perspective of the United Nations crime prevention and criminal justice programme. AB - Owing to the incompleteness of available data, there is no conclusive evidence on the effectiveness of sentencing policies in various countries. Insufficient data at both the regional and international levels also make it difficult to draw any firm conclusions on general trends in sentencing policies for offenders convicted of drug-related infractions. Regional, and particularly national, circumstances influence the pattern of penal measures against drug offences in any given country. Thus, drug legislation reflects the socio-cultural, religious and other values of a nation. There is a growing tendency to apply measures of treatment and social reintegration to drug-addicted persons who have committed minor offences rather than to impose prison sentences on them. Drug addiction is increasingly recognized as a disease, which should be cured in an appropriate treatment setting, but the data available indicate that the application of this measure to drug offenders is rather restricted. Another apparent tendency is the move to decriminalize the simple use of drugs and, at the same time, to provide more severe penalties for drug trafficking. In certain countries, however, there is a trend towards increased penalties for illicit drug use as well. PMID- 6570653 TI - Some unresolved legal issues relating to punishment of offenders in criminal law and their effect on sentencing policies: the case of drug abusers. AB - The sentencing policy of a country is based on extra-legal considerations, such as political, social and moral principles, although the sentencing procedure employs legal principles. In imposing sentences the concepts of recklessness, negligence or liability are controversial, but they seem to be determining factors or at least play an important role in most legal systems. Sanctions do not need any legal justification, they are mostly value-oriented. The deterrence theory of sanctions still seems to be playing a significant role. Despite its lack of legal support, sanctions seem to serve a purpose in society, even though they are not quantifiable or certain. In the case of drug-related offences, there often exists a tendency to disregard the criminal acts of drug addicts. Although the education and rehabilitation of drug addicts are believed to be efficacious, from a legal point of view the incidence of contributory offence, that is, in certain circumstances the participation of the addict himself, in enhancing illicit trafficking in drugs cannot be ignored. However, illicit traffickers must be subject to severe sanctions of law. PMID- 6570655 TI - [Primary nursing and the nursing process]. PMID- 6570654 TI - Penal measures for drug offences: perspectives from some Asian countries. AB - The importance of penal measures in the control of drugs has been recognized by various Asian countries during the last three centuries. The countries of the Asian region referred to in this article have legislation providing for different penal measures against drug offences. Severe punitive sanctions, including the death penalty, have been prescribed for serious drug offences by Iran (Islamic Republic of), Malaysia, the Philippines, Singapore, Sri Lanka and Thailand. Several countries in the region have made legal provisions for the compulsory treatment and rehabilitation of drug dependent persons. There is, however, a paucity of research studies on the efficiency of penal measures and approaches in drug control. Given the long tradition of punitive measures and the wide variety of penal approaches adopted to cope with drug-related problems, various Asian countries can provide interesting cases for criminological research on the effectiveness of penal measures in combating drug problems. PMID- 6570656 TI - [Implementation of primary nursing]. PMID- 6570657 TI - [Primary nursing in the hospital]. PMID- 6570658 TI - [Peculiarities of nursing in traditional Chinese medicine]. PMID- 6570659 TI - [Nursing practice in traditional Chinese medicine]. PMID- 6570660 TI - [Aerosol sterilization with a compound Taraxacum solution]. PMID- 6570661 TI - [Traditional Chinese medicine in the care of patients at home]. PMID- 6570662 TI - [Clinical uses of radiosterilization]. PMID- 6570664 TI - [Care for patients undergoing selective coronary arteriography]. PMID- 6570663 TI - [Nursing of a patient resuscitated from cardiac arrest after 36 minutes]. PMID- 6570665 TI - [Movements of surgical patients confined to bed]. PMID- 6570666 TI - [A review of the neonatal intensive care unit]. PMID- 6570667 TI - [Genetics and genetic diseases (V)]. PMID- 6570668 TI - [The point of intramuscular injections on deltoid muscle]. PMID- 6570669 TI - Kallikrein-kinins in the central nervous system. AB - We studied whether the components of the kallikrein-kinin system are present in the central nervous system. We found that human cerebrospinal fluid (CSF) contains free kinins: 53 +/- 15 pg/ml; kininogen: 10.9 +/- 2.1 ng kinin equivalent/ml, and kininogenase activity: 5.0 +/- 2.1 ng kinins/ml/minute. Kininogenase activity was 2-3 fold augmented by preincubation with trypsin. Soybean trypsin inhibitor completely inhibited untreated CSF and partially inhibited trypsin activated kininogenase. Kininogenase activity and immunoreactive glandular kallikrein were present in rat brain, and their concentrations in hypothalamus is several-fold higher than in cortex, pons medulla, basal ganglia and cerebellum. In the hypophysis, activity in pars intermedia was between 6- and 20-fold higher than in posterior and anterior hypophysis, respectively. High activity was also found in the pineal gland. The kallikrein-kinin system is present in the central nervous system where it may participate in modulation of nervous and neuroendocrine functions. PMID- 6570670 TI - Early postnatal development of the rat lens. AB - Late prenatal and early postnatal development of the human crystalline lens is described as a process of continued flattening brought on by equatorial mitotic activity. The rat lens is relatively flat at birth, the difference between the axial and equatorial diameters being approximately equal to those of the lens of a newborn human. However, the rat lens rapidly becomes more spherical in shape after birth, with the lens occupying most of the intraocular space, as in adults, by 16 days. Study of the optical quality of excised lenses, from photographs of lens refractive effects on parallel laser beams of varying separation, indicates that the lens of the newborn rat is relatively free of the large negative spherical aberration found in adult lenses. However, large amounts of negative spherical aberration are evident five days after birth. It is suggested that the refractive components of the rat eye are similar in appearance and quality to those of a diurnal mammal at birth and that they assume the characteristics associated with nocturnal vision during an early period of postnatal development. PMID- 6570671 TI - Effect of gonadectomy on the secretory activity of the cerebral glands in Lithobius forficatus L. (Myriapoda Chilopoda). AB - Castrated Lithobius forficatus L. showed increased activity of the cerebral glands which are cephalic neurohemal organs exerting a role in spermatocyte and oocyte growth. This glandular hyperactivity is characterized by higher activity of the Golgi apparatus. The reaction, although comparable in both sexes, is apparently more pronounced after ovariectomy. About 50 days after castration glandular cells showed signs of injury while their activity remained similar or somewhat lower in comparison with controls. It is suggested that the glandular hyperactivity arises from the cessation of negative feedback signals from the gonads. The genital glands could act either directly or indirectly via the brain. PMID- 6570672 TI - Influence of dark-rearing on the ontogenetic development of Sarotherodon mossambicus (Cichlidae, Teleostei): I. Effects on body weight, body growth pattern, swimming activity and visual acuity. AB - The ontogenesis of the cichlid fish, Sarotherodon mossambicus was investigated under normal- and dark-rearing conditions from hatching to 100 days. Light deprivation did not change normal increase in body weight. The increase in body length was slightly retarded in dark-reared animals (DR), whereas the increase in body height was more pronounced as compared to normal-reared animals (NR). DR failed to swim up after resorption of the yolk sack. Visual acuity was severely impaired. The first deficits in visual discrimination were observed after 20-30 days in the dark. After 50 days DR failed to show any optokinetic nystagmus. PMID- 6570673 TI - Influence of dark-rearing on the ontogenetic development of Sarotherodon mossambicus (Cichlidae, Teleostei): II. Effects on allometrical growth relations and differentiation of the optic tectum. AB - The effect of dark-rearing (DR) on the allometrical growth relations of defined brain structures, on the lamination and the synaptogenesis of the optic tectum of the cichlid teleost Sarotherodon mossambicus was studied. Dark-rearing did not alter allometric growth relations of the optic tectum. Both in dark-reared (DR) and in normal-reared animals (NR) the predominant outgrowth of the nerve fibers in the optic tectum took place within the first 20 days after hatching. Dark rearing changed the laminar structure of the optic tectum. In 100-day-old DR the optic layer was significantly reduced as compared to NR. The morphometric differentiation of synapses was affected by dark-rearing. In DR no significant reduction in the length of synaptic contact zones occurred between 30 and 100 after hatching, as it did in NR. Moreover, specific layers (stratum marginale, stratum griseum centrale) in 100-day-old DR showed significant increase in the number of synaptic vesicles per nerve terminal. PMID- 6570674 TI - Arterial walls as cephalic neurohemal organs in Lithobius forficatus L. (Myriapoda Chilopoda). AB - Neurosecretory axon sections of the cephalic arterial walls (aorta and antennal arteries) of the centipede, Lithobius forficatus, are described. An ultrastructural study showed that these sections can be differentiated according to the form, size and electron-opacity of the secretory granules they contain. However, it is not easy to correlate these granules with those observed in the protocerebral neurosecretory cells. Various experiments (cerebral electrostimulation or electrocoagulation, and antennectomy) showed that part of the secretory products originate in the pars intercerebralis secretory cells. Although the cephalic arterial walls are neurohemal organs, certain axons extend beyond the areas investigated and the location of their endings remain unknown. PMID- 6570675 TI - Clinical and biochemical profile of subacute hepatic necrosis. PMID- 6570677 TI - Complications of amoebiasis in pregnancy and puerperium. PMID- 6570676 TI - Search for aetiological factors of non-cirrhotic portal fibrosis. PMID- 6570678 TI - Obstructive jaundice (a complication of amoebic liver abscess ) PMID- 6570679 TI - Indian childhood cirrhosis and copper--a critique. PMID- 6570680 TI - [The kidneys. Introduction to surgery of the kidney]. PMID- 6570682 TI - [Burns and their psychologic repercussions]. PMID- 6570681 TI - [Defibrillators]. PMID- 6570683 TI - [The nurse in a burn treatment center]. PMID- 6570684 TI - [The role of the social worker]. PMID- 6570685 TI - [Case report of deep burns]. PMID- 6570686 TI - [Chemical burns]. PMID- 6570687 TI - [Gas gangrene]. PMID- 6570688 TI - [Questions and answers on intravenous perfusions]. PMID- 6570689 TI - [Electrical burns]. PMID- 6570690 TI - [Place of functional rehabilitation and re-adaptation in the treatment of severe burns]. PMID- 6570691 TI - Prealbumin, prekallikrein and prothrombin in hepatosplenic schistosomiasis: increased turnover of the clotting proteins? PMID- 6570692 TI - Bf group system in the Polish population. AB - In a sample of the Polish population including 890 subjects, the five common types BfSO, BfF, BfFS, BfSSO 7, BfFSO 7 and one phenotypic variant BfF1S were met. The frequencies of genes determining the common types were: BfS = 0.8337, BfF = 0.1506, BfSO, 7 = 0.0112 and BfF1 = 0.0045, respectively. Examination of 38 newborns and their mothers has revealed that Bf types are formed during the fetal life. Inheritance of Bf types was studied on 84 families with 187 children and 449 mother-child pairs. The results obtained have confirmed that Bf system is determined by a single genetic locus in which multiple codominant, autosomal alleles are situated. The occurrence of phenotypic variant Bf FIS observed in two and three generations, confirmed its hereditary character and its dependence on the rare BfF1 gene occurring with the BfS gene. PMID- 6570693 TI - Cloning cDNAs corresponding to the 5' end of messenger RNAs using specific DNA primers. AB - A method is described to clone cDNAs corresponding to the 5' end of specific mRNAs which are absent from cDNA libraries. A segment is excised from the 5' end of a previously cloned truncated cDNA and hybridized to total polyadenylated RNA. The hybridized primer is extended using reverse transcriptase, tailed with deoxycytidine, and the second strand synthesized using oligo (dG)10-16 as a primer. The primer-extended double-stranded cDNA is cloned into pBR322 by dC-dG homopolymeric tailing. This method has been successful for cloning a 398 bp cDNA fragment corresponding to the entire 5' end of rat pancreatic elastase I mRNA, a prominent pancreatic mRNA, and a 510 bp fragment encoding the 5' end of kallikrein mRNA, a lower abundant pancreatic mRNA. PMID- 6570694 TI - Forfeiture of properties in respect of economic offences: the Indian experience. AB - India has on its statute book a number of enactments providing for seizure and forfeiture or confiscation of illegally acquired property. The Smugglers and Foreign Exchange Manipulators (Forfeiture of Property) Act, 1976, provides for forfeiture of both movable and immovable property illegally acquired by smugglers and foreign exchange manipulators and their relatives and associates. The Conservation of Foreign Exchange and Prevention of Smuggling Activities Act, 1974, contains provisions for the detention of certain persons to prevent them from undertaking certain prejudicial activities. The normal maximum period of detention under the Act is one year, but in respect of certain activities and in specified areas highly vulnerable to smuggling, it may be extended to two years. The Customs Act, 1962, provides for penal sanctions against infringement of its provisions, including departmental adjudication in respect of smuggled goods, imposition of penalties and prosecution by a court of law, which in certain cases may impose a sentence of imprisonment of up to seven years. The Foreign Exchange Regulation Act, 1973, provides for confiscation of securities, moneys and properties arising from such offences as the unauthorized export or import of currency and nonbanking foreign exchange transactions. The existing central laws on narcotics--the Opium Acts, 1857 and 1878, and the Dangerous Drugs Act, 1930- contain provisions for confiscation of narcotics and related goods under certain circumstances. Since stringent measures generally lead to greater ingenuity and sophistication in methods of drug trafficking.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6570695 TI - Commonwealth initiatives in the tracing, seizing, freezing and forfeiture of drug proceeds. AB - Commonwealth Law Ministers have recognized that improved domestic measures for tracing, seizing, freezing and forfeiting illegally acquired assets, including the proceeds of drug trafficking, should be complemented by international initiatives. To this end, the Commonwealth Secretariat is formulating a Commonwealth scheme for mutual judicial assistance in criminal matters to strengthen the ability of national authorities to investigate, prosecute and convict international drug traffickers. Work is also being done to develop model legislation governing the attachment of assets believed to have been illegally acquired. In addition, the Commonwealth Commercial Crime Unit has for the past three years been developing intelligence on illicit money operations relating to drug traffickers and other organized criminals. The Commonwealth Secretariat considers that the fight against organized drug crimes requires a wide-ranged response, including improved laws, greater training and education and increased international cooperation. PMID- 6570696 TI - Forfeiture of the proceeds of drug trafficking. AB - The Hodgson Committee in its report on "The Profits of Crime and Their Recovery", which is being examined by the Government of the United Kingdom of Great Britain and Northern Ireland, made a number of recommendations relating to forfeiture and confiscation of the proceeds of crimes. The Committee, inter alia, recommended that the criminal courts should have the power to order the confiscation of the proceeds of crimes but that there should be a prescribed minimum amount below which no confiscation order could be made. This article comments on those recommendations relating to the proceeds of drug crimes, and suggests three possible ways of developing international cooperation to secure the tracing or confiscation of illegally acquired assets held abroad. The alternatives suggest either extending national laws to deal with these problems, in accordance with the provisions of the Single Convention on Narcotic Drugs; or following the example of Canada, where it is understood to be an offence to receive or possess the proceeds of crime irrespective of whether or not that crime took place in Canada; or developing a more extensive extra-territorial jurisdiction, for which there are precedents in the field of terrorism. One of the two annexes to this article describes recent initiatives within the Council of Europe to promote co operation in tracing, freezing and confiscation of assets arising from drug trafficking, and the other provides an example of bilateral agreement (Cayman Islands) on disclosure of banking arrangements. PMID- 6570697 TI - Forfeiture of the profits and proceeds of drug crimes. AB - Drug trafficking is controlled by well-organized international criminal syndicates, whose only motives for becoming involved are to make profits and secure influence, which in turn help perpetuate illicit drug distribution networks. For example, one producer of illicit opium receives approximately $Can 650 for 10 kilograms of opium, from which one kilogram of heroin is produced and sold to end-users for up to $Can 12 million. The risks involved for those at the highest level of international criminal syndicates is extremely low since they are financiers who may never come in direct contact with illicit drugs or the law enforcement authorities. The proceeds of drug crimes are laundered through sophisticated international transactions often covered by legitimate operations. Current legislative provisions at both national and international levels are inadequate to support effective action to trace, freeze, seize and secure the forfeiture of the proceeds of crimes and to prosecute individuals who knowingly possess such proceeds. In pursuance of recent resolutions of the Commission on Narcotic Drugs, the Division of Narcotic Drugs of the United Nations Secretariat convened two expert group meetings, one in 1983 and the other in 1984, to consider ways and means of dealing with this problem. The meetings recommended the establishment of machinery that would facilitate, at both national and international levels, concerted action to deprive drug traffickers of the proceeds of their crimes. The annex to this article contains provisions recommended by the second expert group meeting for inclusion in an international instrument to supplement existing provisions of the international drug control treaties in order to deal more effectively with the profits of drug crimes. PMID- 6570698 TI - Forfeiture of the profits and proceeds derived from drug trafficking: thoughts on future action in Malaysia. AB - While the Dangerous Drugs Act 1952 of Malaysia has been amended to take into account changing patterns of drug abuse and trafficking, it lacks provisions for the mandatory forfeiture of proceeds derived from drug trafficking. Nor do the general powers of forfeiture in the Criminal Procedure Code of the country extend to such proceeds. To meet further changing patterns of drug trafficking involving criminal syndicate leaders, who rarely incriminate themselves through overt and detectable acts, Malaysia has a bill in Parliament the purpose of which, when it becomes law, is to detain without trial, upon cogent evidence, persons who have been associated with any activity relating to or involving drug trafficking, and to prevent them from further committing drug crimes. In addition, serious thinking has been given to the possibility of adopting, within the constraints of the Malaysian Constitution, a law on forfeiture of the proceeds derived from drug trafficking. There are, in this respect, several problems to be resolved, such as the secrecy of bank accounts and taxpayers' returns, which might make it difficult to trace proceeds and to keep track of tainted money being remitted abroad, although it is believed that such problems could be overcome by domestic measures. A more serious problem is the lack of international co-operation for investigations to be carried out outside national borders to trace, seize, freeze and secure the forfeiture of the proceeds of drug crimes located abroad. PMID- 6570699 TI - An assessment of legal measures to trace, freeze and confiscate the proceeds of drug crimes in France: the Customs viewpoint. AB - Well-organized drug traffickers and their associates use sophisticated methods, such as banking transactions, to conceal their illegally acquired assets under the cloak of quasi-legitimate operations. The Customs Code contains provisions that govern French Customs officials in their fight against drug crimes and the proceeds of such crimes. In any customs offence relating to illicit drugs, legal action is directed against all those associated with the offence. When convincing information is received on drug trafficking and the proceeds derived from it, customs officials are authorized, in conjunction with the police, to make house searches anywhere in the country, even if no court procedure has been initiated. The confiscation of property derived from drug crimes can be ordered only by a court of law. Once sentence has been pronounced, any illegally acquired property that has been seized is confiscated. The Customs check all financial movements, searching for any exchange infractions, and banking secrecy is not allowed to obstruct the performance of this function. Although legal provisions in France have proved effective, the results obtained in respect of confiscation of the proceeds of drug crimes have generally been limited. Insufficient international co-operation seems to a certain extent to account for this unsatisfactory situation and the author pleads for more effective co-operation between Governments in tracing and securing the confiscation of property derived from drug trafficking. PMID- 6570700 TI - Forfeiture of the proceeds of drug-related crimes: a Swedish point of view. AB - The Narcotics Drugs Act in Sweden provides for extensive legal means to trace, sequestrate and forfeit the proceeds of drug crimes. The sequestration and forfeiture orders are made by courts of law. As it is often difficult to prove connections between drug trafficking and property derived from it, certain possibilities of amending the national law are discussed with a view to overcoming these difficulties. Another problem arises when a court order to forfeit the proceeds of a given trafficking operation cannot be implemented, as those individuals to whom such order applies have neither domicile nor property in Sweden, though they may have property in their own country. Similarly, problems are also encountered when the proceeds of drug crimes are transferred abroad. Current co-operation between Governments does not provide effective measures to deal with these problems, and, for this reason, the authors are of the opinion that the Commission on Narcotic Drugs should consider the matter with a view to adopting an international agreement on mutual assistance between Governments in tracing, freezing and forfeiting the profits of drug crimes. PMID- 6570701 TI - Forfeiture of narcotics-generated wealth in the United States of America pursuant to the Comprehensive Forfeiture Act of 1984. AB - Trafficking in illegal narcotics and dangerous drugs exists mainly because it yields immense profits and it can be eradicated only by depriving traffickers of their drug derived profits and economic power. With that in mind and to cope more effectively with the problem, the United States Congress recently enacted the Comprehensive Forfeiture Act of 1984, which revised and strengthened the existing laws and procedures. This Act is comprised of four parts. Part A amends the forfeiture proceedings of the Racketeer Influenced and Corrupt Organization (RICO) statute. Part B adds a new criminal forfeiture statute to the Comprehensive Drug Abuse Prevention and Control Act of 1970, which permits forfeiture in all drug felony cases. This newly created section of the Act also adopts other measures, a number of which are identical to those contained in part A of the RICO amendments. In addition, part B contains a civil forfeiture provision to reach land and buildings used to facilitate felonious drug offenses. Part C, inter alia, establishes a revolving fund for the use of the Department of Justice in enforcing forfeiture laws and amends existing provisions regarding the disposition of forfeited property. Part D sets up a Customs Forfeiture Fund. PMID- 6570702 TI - Effects of the new anti-mafia law on the proceeds of crime and on the Italian economy. AB - In 1982, the Italian authorities enacted a new law against the mafia conspiracy, which provided for the seizure and confiscation of property illegally acquired by criminals and their associates. This law is intended to strike at the accumulation of wealth of the mafiosi, which chiefly motivates their criminal activity. According to the established procedure, the district attorney or the chief of police are authorized to propose the seizure of property suspected of being derived from crimes, and a court of law decides either to accept or reject such a proposal and, where appropriate, orders the confiscation of illegally acquired assets. Two phenomena were identified, particularly in the southern part of Italy, which preceded the adoption of this new law: one was the establishment of an illegal sector of the economy with the development of a vast illicit market of drugs, and the other was an increase in the number of mafia firms and entrepreneurs. In some areas of western Sicily, for example at Palermo and Trapani, the income derived from illegal activities is estimated at approximately 15 to 20 per cent of the total gross income; the illicit sale of drugs nation wide exceeds 10,000 billion lire, according to estimates. An assessment of the impact of the new law reveals positive results. In four provinces--Calabria, Campania, Lombardy and Sicily--property suspected of being derived from crimes was seized on 352 occasions and illegally acquired property was confiscated on 108 occasions during a period of 21 months following the adoption of the new law; 98 per cent of the seizures and all of the confiscations took place in the above mentioned four provinces. The effective enforcement of the new law is, in the long run, expected to result in a movement from illegal to legal activity; if the risk involved in persisting in illegal activities becomes high enough, it should trigger a tendency towards avoiding involvement in the illegal activities and converting the assets into property shares protected by legal means. A certain tendency towards such "legalization" and investment in financial affairs rather than in real estate, agriculture and tertiary assets has already been observed. It is, however, unlikely that the mafia will be inclined to give up easily its profits derived from crime and its power of influence in society, and, consequently, it is expected that the confiscation of the illegally acquired properties will for a long time be the cornerstone of every effective struggle against criminal activity on a large scale. PMID- 6570703 TI - [Communication patterns of health teaching and information recall]. PMID- 6570704 TI - [Basic conditions of research: a discussion on Dr. Kishi's work on "communication pattern of health teaching and information recall"]. PMID- 6570705 TI - [Definition of conceptual framework]. PMID- 6570706 TI - [The concept of the cause-effect relationship]. PMID- 6570707 TI - [Validity of research]. PMID- 6570708 TI - [Classification of variables and statistical analysis]. PMID- 6570709 TI - [Discussion on the "key concepts for the study and practice of nursing" by Marjorie L. Byrne and Lida F. Thompson]. PMID- 6570710 TI - [Browsing through articles in English]. PMID- 6570711 TI - [Reflection on my research activities]. PMID- 6570712 TI - [Importance of ethics in research--an advice from an instructor]. PMID- 6570713 TI - The nurse as a social force. PMID- 6570714 TI - The nurse as a social force in education. PMID- 6570715 TI - The nurse as an agent of change: an experience. PMID- 6570716 TI - Nurses in the streets: a new dimension for a meaningful change. PMID- 6570717 TI - The concept of touch. PMID- 6570718 TI - The powerlessness of the nurse and its effect on the client. PMID- 6570719 TI - Competencies of community health nursing in primary health care. PMID- 6570720 TI - [Central dilution service--a proposal by the Hospital Infection Control Committee]. PMID- 6570721 TI - [The nursing teacher--actualization in the clinical field]. PMID- 6570722 TI - [The nurse on duty in the Sao Paulo subway system--report of an experience]. PMID- 6570723 TI - [Infant care in the first year of life--knowledge desired by a group of mothers]. PMID- 6570724 TI - [Sociodrama with public health nursing students]. PMID- 6570725 TI - [A proposal for the evaluation of nursing students based on the theories of Peplau and King]. PMID- 6570726 TI - [What the nurse of the Ministry of Health is doing for school children]. PMID- 6570727 TI - [Systematized nursing assistance--a learning experience]. PMID- 6570728 TI - [Student-patient therapeutic relationship--report of an experience]. PMID- 6570729 TI - [Study of teaching of nursing in transmissible diseases in Brazil]. PMID- 6570730 TI - [Student-mentors: an experience in the basics of nursing]. PMID- 6570731 TI - [Growth rate and sexual development of rats subjected to various degrees of food restriction]. PMID- 6570732 TI - [Continuing education in public health nursing]. PMID- 6570733 TI - [Student-centered teaching: students' report of experience with this method]. PMID- 6570734 TI - [Teaching of basic procedures in the nursing laboratory]. PMID- 6570735 TI - [Natural resources in practical cases of health care--utilization by the nurse]. PMID- 6570736 TI - A Portuguese nursing thesaurus. PMID- 6570737 TI - [Theories of nursing--international conference]. PMID- 6570738 TI - [Observations on nurses' behavior facing mothers in the pediatric ward]. PMID- 6570740 TI - [Theoretical frame of reference]. PMID- 6570739 TI - [Body composition, first estrus of rats subjected to various degrees of food restriction]. PMID- 6570741 TI - [Behavior of nursing personnel at the admission of a child to the hospital]. PMID- 6570742 TI - [Relactation: literature review]. PMID- 6570743 TI - [Preparation for motherhood using a group structure]. PMID- 6570744 TI - [Approach to risk in community health nursing]. PMID- 6570745 TI - [Patients do not listen to medical superintendents]. PMID- 6570746 TI - [Psychotic young people are treated without drugs in Norway]. PMID- 6570748 TI - [Nurses ready for a concerted effort]. PMID- 6570747 TI - [Reductions. Change in resources in hospitals]. PMID- 6570749 TI - [Disease and nutrition. I. Recovery and nutrition are inextricably bound together]. PMID- 6570750 TI - [Nursing requires knowledge and understanding and hence, research. Interview by Helle Kastholm Hansen]. PMID- 6570751 TI - [Nurses feel that the clock has been turned back 20-30 years]. PMID- 6570753 TI - [Only new statistics can describe a current problem]. PMID- 6570752 TI - [Disease and nutrition. II. Relationship between quantity of food and nutritional requirements]. PMID- 6570754 TI - [There are continually fewer of us to do more and more]. PMID- 6570755 TI - [Conflict in Greenland: important that the blockade be effective]. PMID- 6570756 TI - [Nurses' opponents should carry the responsibility]. PMID- 6570757 TI - [Executive board. Examining of requirement recommendations from all county boards]. PMID- 6570758 TI - [Unfair distribution of educational support for nurses]. PMID- 6570759 TI - [Nursing care load. Testing of several systems of nursing care load measurement]. PMID- 6570760 TI - [Middelfart. Development requires goal for nursing and a changed attitude. Interview by Helle Kastholm Hansen]. PMID- 6570761 TI - [Death and dying. It gives peace of mind that other patients observe death without pain]. PMID- 6570763 TI - [Management structure. Nursing is a secondary need of patients]. PMID- 6570762 TI - [Drug administration. Patients ought to administer their medications themselves as much as possible]. PMID- 6570764 TI - [Management structure. Nursing is a helping function for patients]. PMID- 6570765 TI - [Work environment. Classification of hospital refuse is elucidated]. PMID- 6570766 TI - [Nursing research is for you, for me and for patients]. PMID- 6570767 TI - [Continuing education. Nursing colleges invite applications]. PMID- 6570768 TI - [Norwegian discussion account on nurses' responsibility and education]. PMID- 6570769 TI - [Continuing education. Practice instructors should be something else than role models]. PMID- 6570770 TI - [Nurses stood alone during Hjorring conflict]. PMID- 6570771 TI - [Psychiatry. Legislation for mental patients will be revised in a long list of countries]. PMID- 6570772 TI - [Nurses' right to bargaining gathered together under one agency]. PMID- 6570773 TI - [Nursing which aims at prevention needs to toil]. PMID- 6570774 TI - [Productivity and efficiency. Nursing and change-over processes]. PMID- 6570775 TI - [Great interest for the establishing of evening and around-the-clock home nursing]. PMID- 6570776 TI - [Disease and nutrition. IV. Nutritional deficiencies in patients can be avoided]. PMID- 6570777 TI - [Psychiatry. The need for education remains far away]. PMID- 6570778 TI - [Lifelong professional nursing education]. PMID- 6570780 TI - [Stressful experience in a radium department]. PMID- 6570779 TI - [Management structure. Either nurses or physicians point at particular management models. Interview by Peter Hjorth]. PMID- 6570781 TI - [Nursing care load. Newly started project on nursing care load measurement and patient classification]. PMID- 6570782 TI - [Responsible nursing care together with patients]. PMID- 6570783 TI - [No talks about a change in nursing management]. PMID- 6570784 TI - [Our health is determined by psychosocial relationships]. PMID- 6570785 TI - [Negative effects of psychosocial stress]. PMID- 6570786 TI - [One should learn to take off without having a bad conscience]. PMID- 6570787 TI - [Conditions for a stimulating and positive work environment]. PMID- 6570788 TI - [Management structure: committee activities characterize various viewpoints on problem presentation]. PMID- 6570789 TI - [A combination of suppression and elucidation]. PMID- 6570790 TI - [FTF Congress: organizations must work together on agreements]. PMID- 6570791 TI - [FTF Congress: organizations should be conscious of their responsibility]. PMID- 6570792 TI - [FTF Congress: new president but not immediately full-time]. PMID- 6570793 TI - [Security with misuse of ADP in nursing]. PMID- 6570795 TI - [Budgeting and budget checking via computer]. PMID- 6570794 TI - [Economy and quality in nursing]. PMID- 6570796 TI - [Consequences of ADP in hospitals]. PMID- 6570797 TI - [Data in nursing easier, safer and clearer]. PMID- 6570798 TI - [The structure of ADP in hospitals]. PMID- 6570799 TI - [Reductions. Deaconess foundation gives the last class of students a proficiency education themselves. Interview by Ulla Danielsen]. PMID- 6570800 TI - [Management structure. Rigid departmental boundaries is a hindrance to resource redistribution]. PMID- 6570801 TI - [Great responsibility lies with leaders in psychiatric nursing]. PMID- 6570802 TI - [Health education. Nurses back health college's work foundation]. PMID- 6570804 TI - [Such a development nurses don't want to experience again]. PMID- 6570803 TI - [FTF Congress: agreement on decentralized structure]. PMID- 6570805 TI - [Prevention in infants. Qualitative research now recognized by the medical faculty]. PMID- 6570806 TI - [One's ability to lead can be seen in care]. PMID- 6570807 TI - [Management structure. Norwegian hospitals were on the verge of a nurses' strike]. PMID- 6570808 TI - [Management structure. Catastrophic for the profession to surrender management responsibility]. PMID- 6570809 TI - [Management structure. Insecurities so great that we are ready to take a tough stand]. PMID- 6570810 TI - [Management structure. What I want is a solution which works here and now]. PMID- 6570811 TI - [Management structure. Hospital system ought to have a flat pyramid structure]. PMID- 6570812 TI - Learning needs of cardiac patients. PMID- 6570813 TI - Why don't members come to meetings? A survey of membership and attendance. PMID- 6570814 TI - Alcohol is a hard drug. Part II. PMID- 6570815 TI - The role of the infant health nurse. PMID- 6570816 TI - Work related child care. PMID- 6570817 TI - Community health issues. PMID- 6570818 TI - Nursing management of the patient with hepatitis B. PMID- 6570819 TI - Nursing of infants with pulmonary hypertension following repair of a diaphragmatic hernia. PMID- 6570820 TI - Training to be assertive--Part A. PMID- 6570821 TI - The issue of privatisation and related problems in the public health sector. PMID- 6570822 TI - Health and health services. PMID- 6570823 TI - The forgotten women. PMID- 6570824 TI - Stress, substance use and the nurse. PMID- 6570826 TI - Religion of school, perceptions of nursing, and work values. PMID- 6570825 TI - Institutionalization and its accompanying family traumas. PMID- 6570827 TI - Some thoughts on teaching student nurses human sexuality. PMID- 6570828 TI - QNU staffing survey - sound familiar? PMID- 6570829 TI - Cardiac rehabilitation. PMID- 6570830 TI - Nurse education--shaping up for 1985. PMID- 6570831 TI - Shift work and nurses. PMID- 6570832 TI - Putting the hard word on politicians--and keeping them to their promises. PMID- 6570833 TI - 6 per cent claim lodged: NSW Public Sector Unions Alliance. PMID- 6570834 TI - Continuous ambulatory peritoneal dialysis. PMID- 6570836 TI - The Richmond Report on Mental Health. PMID- 6570835 TI - Nurse education seminar. Industrial and professional implications. PMID- 6570837 TI - Self care in health. Paper 1. PMID- 6570838 TI - Puerperal depression--Linda's story. PMID- 6570839 TI - Shift work rostering and circadian rhythms. PMID- 6570840 TI - Job sharing. PMID- 6570841 TI - A fair day's pay for work of equal value. PMID- 6570842 TI - Aged care. PMID- 6570843 TI - Sexual harassment. PMID- 6570844 TI - Report on the 38-hour week. PMID- 6570845 TI - The Anti-Discrimination Act and you. PMID- 6570846 TI - Women and labour conference. PMID- 6570847 TI - Health services as pensioners see them within the community. PMID- 6570848 TI - Alcohol is a hard drug. Part 1. PMID- 6570850 TI - When your patients ask about race and maternity problems. PMID- 6570851 TI - Drugs and herbal remedies. PMID- 6570849 TI - Recent trends in childbirth in France. PMID- 6570852 TI - Health visitors role during an outbreak of diphtheria. PMID- 6570853 TI - Glue sniffing--the facts. PMID- 6570854 TI - The maternity department at Ipswich. PMID- 6570855 TI - The year of the rat. PMID- 6570856 TI - Cot deaths. PMID- 6570857 TI - Hearing protection and the role of health education. PMID- 6570858 TI - Toughening up the laws on industrial noise. PMID- 6570859 TI - Something to shout about. PMID- 6570860 TI - A nurse-based group OH service--a viable proposition? PMID- 6570861 TI - Safety: why not act to prevent falls? PMID- 6570862 TI - Compliance with outpatient lithium therapy. AB - This study was conducted to identify factors that influence compliance in patients being treated with lithium carbonate and regularly scheduled supportive clinic appointments for major affective disorders. The researcher examined the predictive value of elements of the Health Belief Model relative to patient compliance, the demographic characteristics of patients, and the effects of patient mood and type of treatment on patient compliance. Patient compliance was operationally defined as serum lithium level within a recommended therapeutic range and attendance at 75 percent or more of regularly scheduled clinic appointments for six months prior to the study. Fifty patients (67%) were compliant with both indices specified by the research, and only three patients (4%) were noncompliant with both indices. Lithium compliance was significantly greater among married patients and patients with higher levels of education. Appointment-keeping compliance was positively associated with individual therapy and increased patients' perceptions of continuity, and negatively correlated with patients' perceptions of increased costs of treatment. The study demonstrates the complexity of the issue of patient compliance with the long-term treatment of primary affective disorders and supports the need for additional research. While some findings suggest interventions to improve patient adherence, scrutiny and testing of these strategies to promote compliance is necessary to determine their effectiveness. PMID- 6570863 TI - Bowen's concept of triangles and Edward Albee's "Who's Afraid of Virginia Woolf?". PMID- 6570864 TI - Therapist self-disclosure: when is it appropriate? PMID- 6570865 TI - The concept of shame. PMID- 6570866 TI - A family systems look at the developmentally disabled. AB - In summary, families of the developmentally disabled need to be looked at in terms of their system wholeness. Interacting elements of the subsystems have unique concerns and coping styles. Psychiatric nurses are in a key position in the mental health scene to assess these coping styles and to offer compassion, understanding, knowledge, and needed resources to assist these overburdened families to move in the direction of openness, growth, and health. PMID- 6570868 TI - "The fragile princess." Midway on the borderline-narcissistic personality continuum. PMID- 6570867 TI - The Arab American and psychiatric care. PMID- 6570869 TI - [Nursing intervention for the patient whose death is imminent]. PMID- 6570870 TI - [Beliefs of mothers in relation to vaccination]. PMID- 6570871 TI - [Changes in intestinal elimination habits in hospitalized patients]. PMID- 6570872 TI - [How the hospitalized patient perceives the environment of the ward]. PMID- 6570873 TI - [Introduction of birth centers in the State of Bahia]. PMID- 6570875 TI - [Administrative analysis in nursing--study in the field of O & M (organization and methods)]. PMID- 6570874 TI - [Innovations in nursing care to orthopedic patients]. PMID- 6570876 TI - [Knowledge and opinions of the population about disease]. PMID- 6570877 TI - [Supervision by health aides in primary health care programs]. PMID- 6570878 TI - [Coxarthrosis]. PMID- 6570879 TI - [Radiologic examination of the non-traumatic hip]. PMID- 6570881 TI - [Aortic insufficiency]. PMID- 6570880 TI - [Angela, Paule, Colette and their coxarthoses]. PMID- 6570883 TI - [Serology of syphilis]. PMID- 6570882 TI - [Hyperhidrosis]. PMID- 6570884 TI - [Immunosuppressive therapy]. PMID- 6570885 TI - [Professional dermatoses]. PMID- 6570886 TI - [Chronobiologic approach to shift work]. PMID- 6570887 TI - [Children, caregivers, parents together]. PMID- 6570888 TI - [Viral pneumopathies]. PMID- 6570889 TI - [Helene, a nurse in Norway]. PMID- 6570890 TI - [Resuscitation ambulances of the fire department of Paris. A rescue link in the Parisian region]. PMID- 6570891 TI - [The saga of departmentalization]. PMID- 6570892 TI - [Who should be vaccinated against the hepatitis B virus currently in France?]. PMID- 6570894 TI - [The nurse and the hypertensive patient in daily life]. PMID- 6570893 TI - [Revival of professional values]. PMID- 6570895 TI - [Postoperative infection in gynecology and obstetrics]. PMID- 6570897 TI - [Ovarian cysts]. PMID- 6570896 TI - [Technic: antacids]. PMID- 6570898 TI - [Open trauma of the hand]. PMID- 6570900 TI - [Diapering in abduction]. PMID- 6570899 TI - [Early detection of congenital hip luxation in the newborn infant]. PMID- 6570902 TI - [What can we learn from the Finnish health system?]. PMID- 6570901 TI - [Fibrinolytic treatment in the acute phase of myocardial infarct]. PMID- 6570903 TI - [Health services in the year 2000. Crisis--or merely a problem of coordination?]. PMID- 6570904 TI - [Nationwide study: how great is the need for nurses?]. PMID- 6570905 TI - [Infection hazard in the hospital: tuberculosis is not eradicated in Norway]. PMID- 6570907 TI - [A milestone in nursing's history: Norwegian Nursing College to the University]. PMID- 6570906 TI - [Home nursing provisions in Ostfold. Similarities and differences between communities]. PMID- 6570909 TI - [Disappointed nurses: don't travel to Saudi Arabia!]. PMID- 6570908 TI - [Psychiatry Conference in Tromso. Why don't nurses want a job in B departments?]. PMID- 6570910 TI - [Sister Astrid with the chairman's gavel: we convey the voice of the regions. Interview by Anita Widen]. PMID- 6570911 TI - [A day in the collective gardens. Interview by Viveka Holmertz]. PMID- 6570913 TI - [Staff and patients neglected]. PMID- 6570912 TI - [Action program on anesthesia gases: pregnant employees should have the right to change positions. Interview by Inger Lernevall]. PMID- 6570914 TI - [Newspaper survey provides respite for night duty]. PMID- 6570915 TI - [Labor Safety Board has different viewpoint: working with cytostatics not hazardous for pregnant women]. PMID- 6570916 TI - [That's why 1300 employees occupy their place of work. "Hospital closure gets the poor no health care"]. PMID- 6570917 TI - [Fear disappears with play and talk]. PMID- 6570919 TI - [Ann-Charlotte works in a Namibian refugee camp]. PMID- 6570918 TI - [Physician shortage is problem for nurses. Extra responsibility and difficult to plan]. PMID- 6570920 TI - [Swedish Ann new spokesperson for European student organization. Interview by Viveka Holmertz]. PMID- 6570921 TI - [I actually don't have the heart to...]. PMID- 6570922 TI - [Substitutes should get permanent employment]. PMID- 6570923 TI - [Changes entail a lot of psychological stress]. PMID- 6570924 TI - [Dialysis incident in Linkoping. SHSTRF does its own investigation]. PMID- 6570925 TI - [Today's data technology cannot improve health care activities. Interview by Viveka Holmertz]. PMID- 6570926 TI - [Continuous education for managers in Gallivare]. PMID- 6570927 TI - [In women's group drug addicts will remain the customary mothers]. PMID- 6570929 TI - [Ever more patients seek help with acupuncturists, homeopaths and zonal therapists]. PMID- 6570928 TI - [Preventive maternal care saves lives in Guinea-Bissau]. PMID- 6570930 TI - [Alternative medicine should be investigated now. Social Welfare Board doesn't want to lose its control]. PMID- 6570931 TI - [Midwife gave acupuncture as analgesia in childbirth: during the last stage the woman was free of pain. Interview by Inger Lernevall]. PMID- 6570933 TI - [Portrait: Miriam Hirschfeld. Interview by Jan Thomasson]. PMID- 6570932 TI - [TBV district on a study trip to Spain: "miserable economy is the root of all evil"]. PMID- 6570934 TI - [Manuel got his job back]. PMID- 6570935 TI - [SHSTF report: extended education for laboratory assistants]. PMID- 6570936 TI - [Please doctors, write so one can read it for safety's sake!]. PMID- 6570937 TI - [Large stake in occupational health care]. PMID- 6570938 TI - [Nurse who became health care administrator: now she will abolish her own job. Interview by Elisabeth Magnusson]. PMID- 6570939 TI - [Health care hierarchy impedes development]. PMID- 6570940 TI - [Lisbeth is a nurse and has her own acupuncture consultation. Interview by Inger Lernevall]. PMID- 6570942 TI - [Satisfied mothers in a smoke-free maternity ward: easy to avoid the temptations of the smoking-room. Interview by Anita Widen]. PMID- 6570941 TI - [Nurses' fault that patients starve]. PMID- 6570943 TI - [Convention delegates say yes to agreement]. PMID- 6570944 TI - [Dont shut down our schools]. PMID- 6570945 TI - [Working women--brackets in history?. Interview by Anita Widen]. PMID- 6570946 TI - [Food in long term care: a vital question of comfort]. PMID- 6570947 TI - [Pneumoconiosis in workers in the cement industry]. PMID- 6570948 TI - The plasma kallikrein kinin system in severely ill and traumatised patients. AB - Serial estimations of plasma prekallikrein in four critically ill patients in intensive care showed reduced values in each case, suggesting activation of the plasma kallikrein kinin system. In contrast, samples taken early from 15 patients attending an accident and emergency department with multiple trauma showed significantly elevated plasma prekallikrein concentrations; the significance of this observation is at present unclear. PMID- 6570949 TI - [Changes in kininogens, kininogenases and fibrinolysis in the blood of parturients]. PMID- 6570950 TI - In search of holistic family assessment: an investigation of a clinical instrument. PMID- 6570951 TI - The hospital of broken dreams: a systematic investigation of a moribund psychiatric hospital. PMID- 6570952 TI - Techniques for group psychotherapy on inpatient units. PMID- 6570953 TI - Factors affecting blame placement for patient assault upon nurses. PMID- 6570954 TI - Prediction of potential against medical advice discharges in psychiatric settings. PMID- 6570955 TI - The schizophrenic clients reinforcement and punishment for medication adherence. PMID- 6570956 TI - Life satisfaction in the minority elderly. PMID- 6570957 TI - Theoretical models and interventions used by nurse psychotherapists. PMID- 6570958 TI - Theoretical basis for nursing diagnosis in mental health nursing. PMID- 6570959 TI - Identification as an appropriate component of therapeutic growth and development. PMID- 6570960 TI - Stepfather family dynamics: an overview for therapists. PMID- 6570961 TI - The nurse's role with mentally retarded clients: teacher, advocate, listener, doer. PMID- 6570962 TI - Osteoporosis: implications for community health nursing. PMID- 6570963 TI - The mentally retarded adult: a nursing perspective. PMID- 6570964 TI - Multiple sclerosis: the nurses' role using a self-care framework. PMID- 6570965 TI - Caregiver stress in the older adult. PMID- 6570966 TI - Hypertension screening for Hispanics. PMID- 6570967 TI - Selected school health-education topics in grades 7 through 12: an exploratory study. PMID- 6570969 TI - [Nursing diagnosis]. PMID- 6570968 TI - [Life at Minnesota University School of Nursing. 16]. PMID- 6570970 TI - [Leadership in nursing: who takes the leadership where and how]. PMID- 6570971 TI - [Study on social status of nurses in modern history of nursing in Japan]. PMID- 6570972 TI - [Health and Welfare Ministry. Recommendations on the improvement of nursing system]. PMID- 6570973 TI - [Caring for a dying family member--how to prepare for death]. PMID- 6570974 TI - [Rights of psychiatric patients. The case of Mr. K--medical and nursing care that respects the patient's dignity]. PMID- 6570975 TI - [Rights of psychiatric patients. Patient's rights and role of the nurse]. PMID- 6570976 TI - [Rights of psychiatric patients. Violence at psychiatric hospital]. PMID- 6570977 TI - [Rights of psychiatric patients. Circumstances that led to the recent maltreatment of patients at Utsunomiya Psychiatric Hospital]. PMID- 6570978 TI - [Rights of psychiatric patients. Legal issues in psychiatric medicine]. PMID- 6570979 TI - [Rights of psychiatric patients. Problems surrounding medical supervision of patients at psychiatric hospitals: frightful facts revealed by Utsunomiya Psychiatric Hospital scandal]. PMID- 6570980 TI - [Right of psychiatric patients. Care of psychiatric patients at Yadokari-no sato]. PMID- 6570981 TI - [Rights of psychiatric patients. Patients' rights: my experience in the United States]. PMID- 6570982 TI - [Social issues in history of nursing after World War II. 2. Medical malpractice and nursing]. PMID- 6570983 TI - [Teaching party at nursing school--for better imagination]. PMID- 6570984 TI - [Interview with Rosemarie Parse on man-living-health]. PMID- 6570985 TI - [Teaching poetry at nursing school--for better imagination]. PMID- 6570987 TI - [Study on social status of nurses in modern history of nursing in Japan]. PMID- 6570986 TI - [Medical topics: chlorophenol and cancer/spiral bacteria in stomach]. PMID- 6570988 TI - [Nursing education in the baccalaureate programs: dialog]. PMID- 6570989 TI - [A science of unitary human being--a paradigm for nursing]. PMID- 6570990 TI - [Humanity in health care]. PMID- 6570992 TI - [Essentials of the Roy adaptation model]. PMID- 6570991 TI - [Interview with Dr. Rogers]. PMID- 6570993 TI - [Interview with Sister Roy]. PMID- 6570994 TI - [Implications of conceptual frameworks for nursing practice to health care consumers]. PMID- 6570995 TI - An exploratory study of the compliance of patients to their medical regimen. PMID- 6570996 TI - Neonatal urine output patterns. PMID- 6570997 TI - Theoretical framework for independent nursing practice. PMID- 6570998 TI - Caring-curing orientations for nurses, students and physicians. PMID- 6570999 TI - [Pneumoconiosis due to inhalation of dust of the end-product of cement]. PMID- 6571000 TI - Research on women and health care: influence of sociocultural factors. PMID- 6571001 TI - Elderly women's attitudes toward sexual activity among their peers. PMID- 6571002 TI - Women and coronary artery disease: a review of the literature. PMID- 6571003 TI - The changing role of rural women: nursing and health implications. PMID- 6571004 TI - Emotional response of primary and repeat cesarean mothers to the cesarean method of childbirth. PMID- 6571005 TI - Maximizing preparation for childbirth. PMID- 6571006 TI - Can prenatal teaching promote maternal attachment? Practicing nurses test Carter Jessop's prenatal attachment intervention. PMID- 6571007 TI - Qualitative research: the nurse as grounded theorist. PMID- 6571008 TI - An examination of perinatal death literature: implications for nursing practice and research. PMID- 6571009 TI - Adjusted control: an explanation for women's positive perceptions of their pregnancies. PMID- 6571010 TI - Breastfeeding as a maternal-child team effort: women's perceptions. PMID- 6571011 TI - The effect of prenatal nipple conditioning on postpartum nipple pain on breastfeeding women. PMID- 6571012 TI - The effects of a regular aerobic exercise program on selected measures of the stress response. PMID- 6571013 TI - Nursing care of the depressed patient: a cognitive approach. PMID- 6571014 TI - Helping students survive institutionalized patients and burn-out in staff in chronic psychiatric care facilities. AB - In summary, we have discussed the problem of institutionalized patients and burn out in staff as well as the effect they both have on nursing students during their mental health-psychiatric nursing rotation. The stages in which specific student behaviors occur during the psychiatric nursing rotation as a result of the students' perceptions, and the interventions faculty members can employ in decreasing the subjective aspects of these perceptions have also been presented. We conclude that nursing students will emerge from their experience with better understanding of institutionalization and burn-out, and better equipped to cope with reality shock if they are introduced to these concepts early in the lecture series and are sent to a variety of psychiatric care facilities for observational experience. The facilities selected should be those in which patients are coping with less chronic behavior problems than found in state hospitals and where observable behavioral changes in patients are measured in weeks or months, rather than years. Facilities such as outpatient clinics and crisis intervention centers where clients may be more stabilized, less overwhelming, and have more resources available to them would meet these criteria. Finally, we recommend that instructors be made more aware than they are of the institutionalization and burn out process early in their teaching responsibilities; that faculty group discussions on institutionalization as maladaptive behavior be held; and that the faculty encourage an open atmosphere where students can discuss their reactions to institutionalization in patients and burn-out in staff freely. PMID- 6571016 TI - Supervising graduate students in family therapy. PMID- 6571015 TI - Students' perceptions of learning and change in the psychiatric clinical setting. AB - In an attempt to augment our understanding of how students learn, we employed an open-ended questionnaire to elicit students' and pre- and post-experience thoughts and feelings about their psychiatric nursing clinical activities. The questionnaire also asked students to identify specific factors that helped bring about change in their initial thoughts and feelings. Analysis of these data revealed that students overwhelmingly identified clinical experience and self awareness as the primary change-producing factors, and lecture/readings/assignments, teachers, and peers as secondary. We, therefore, must infer that it is at the experiential and cognitive level that learning is most likely to occur, and it would seem that the "raw" components (assignments, teachers, and peers) provide the stimulus for students to reorganize previous perceptions to integrate then with their newly acquired perceptions in the promotion of learning/change. This finding has implications for the role of the clinical instructor as she or he attempts to enhance the experiential learning process. The perceptions of the students in this study suggest that learning occurs primarily through experience and self-awareness within the context of a structured environment. The implication would seem to be that in the clinical setting the instructor needs to go beyond the didactic role of the traditional teacher to a more facilitative managerial role in the promotion of student learning. Whether or not the student perceives the clinical instructor as a central figure in the learning/change process is of minor importance. Of prime importance is that the instructor assumes the responsibilities inherent in this managerial role and creates an experiential milieu in which learning objectives can be more optimally fulfilled. PMID- 6571017 TI - [Work in nursing: conditions and alternatives]. PMID- 6571018 TI - [Preparing the patient's bed]. PMID- 6571019 TI - [Frequency of students' attendance at the nursing laboratory as a free optional activity]. PMID- 6571020 TI - [Evaluation of infants' health in the 0-to-6-month period through the health center's nursing consultation of Passo Fundo--1982]. PMID- 6571021 TI - [Study proposal for student-centered teaching at the 3rd-year level]. PMID- 6571022 TI - [Teaching and the practice of the rehabilitation of motor skills and verbal communication in general hospitals. A comparison between nursing instructors and service staff]. PMID- 6571023 TI - [Teaching plan for the discipline of psychiatric nursing]. PMID- 6571024 TI - [Organizational structure--the nursing service in the organic structure of the hospital]. PMID- 6571025 TI - [Rendering first aid in cardiorespiratory arrest]. PMID- 6571026 TI - [Estimation of the gestational age of the newborn infant by Capurro's method by the nurses and physicians working in the Neonatology Unit of Porto Alegre Clinical Hospital]. PMID- 6571027 TI - [Anxiety state in classroom situations and nursing internships]. PMID- 6571028 TI - [General concepts of the systems approach to the educational activity of the nurse]. PMID- 6571029 TI - [The place of the Brazilian woman and the place of the Brazilian nurse]. PMID- 6571030 TI - [Behavior of the kallikrein-kinin system on alcohol ingestion]. PMID- 6571031 TI - [Experience in carrying out primary nursing]. PMID- 6571033 TI - [276 patients with scrub typhus: observations and nursing]. PMID- 6571032 TI - [Care for patients with connective tissue diseases using combined traditional Chinese and western medicine]. PMID- 6571035 TI - [Experience in making nursing rounds in the psychiatric ward]. PMID- 6571034 TI - [Early care of patients with acute insecticide poisoning]. PMID- 6571036 TI - [Menstruation care for female patients with mental disorders]. PMID- 6571037 TI - [Intravenous antibiotic perfusion in chronic osteomyelitis]. PMID- 6571038 TI - [Use of intraoperative autotransfusion]. PMID- 6571039 TI - [Pre- and postoperative care of patients undergoing operations for W-P-W syndrome]. PMID- 6571040 TI - [Nursing of elevated injured extremities]. PMID- 6571041 TI - [Postoperative care of patients undergoing extracranial-intracranial bypass operations]. PMID- 6571042 TI - [Nursing of children with benign esophageal stenosis after the colon interposition operation]. PMID- 6571043 TI - [Total laryngectomy and verbal rehabilitation]. PMID- 6571044 TI - [Auto-bile refusion apparatus and its use]. PMID- 6571046 TI - [Talks with nurses]. PMID- 6571045 TI - [How to deal with women's menopause]. PMID- 6571047 TI - [Genetics and genetic diseases (VI)]. PMID- 6571048 TI - [How to write papers on nursing]. PMID- 6571049 TI - [Transmission electron microscopy of elastin in elastase emphysema]. PMID- 6571051 TI - [Nursing diagnosis]. PMID- 6571050 TI - [My diary]. PMID- 6571052 TI - [Study of social status of nurses in the modern history of nursing]. PMID- 6571053 TI - [Division of work--its structure and dynamics. Current status of division of work and job analysis]. PMID- 6571054 TI - [JNA information: equal pay law and nursing personnel]. PMID- 6571055 TI - [Nurse--an important member of health team]. PMID- 6571057 TI - [Division of work--its structure and dynamics. Report from clinical settings: medical department]. PMID- 6571056 TI - [Division of work--its structure and dynamics. Clarification of division of work]. PMID- 6571058 TI - [Division of work--its structure and dynamics. Expansion of nursing into the realm of relative medical activity]. PMID- 6571059 TI - [Division of work--its structure and dynamics. Report from clinical settings: neurosurgery department]. PMID- 6571060 TI - [Division of work--its structure and dynamics. Report from clinical settings: obstetrical department]. PMID- 6571061 TI - [Division of work--its structure and dynamics. Report from clinical settings: intensive care unit]. PMID- 6571062 TI - [Division of work--its structure and dynamics. Report from clinical settings: at a hospital in New York]. PMID- 6571063 TI - [Teaching poetry at a nursing school--for better imagination. 14]. PMID- 6571064 TI - [Oral administration of zinc; vitamin A surplus and anemia]. PMID- 6571065 TI - [Life at Minnesota University School of Nursing. 18]. PMID- 6571066 TI - Attribution theory and its application in crisis intervention. PMID- 6571067 TI - Beyond patient management: the therapeutic use of seclusion and restraints. PMID- 6571068 TI - Marital therapy from a systems approach. PMID- 6571069 TI - Planned change: an innovative nursing rehabilitation model. PMID- 6571071 TI - [FTF Congress: an attitude towards culture is important for developments]. PMID- 6571070 TI - Relationships at risk: issues and interventions with a disturbed mother-infant dyad. PMID- 6571072 TI - [Executive Board: mapping out of nursing's professional development projects]. PMID- 6571073 TI - [Nutrition. With cow's milk allergy goat's milk is a poor alternative and ought to be discouraged]. PMID- 6571074 TI - [Nutrition. Goat's milk can be extremely beneficial in cow's milk allergy]. PMID- 6571075 TI - [Do district burgomasters and nurses see standardization applications?. Interview by Ulla Danielsen]. PMID- 6571076 TI - [South Africa: "stay away from occupational politics or you will lose your job"]. PMID- 6571077 TI - [Intuition and its significance in care]. PMID- 6571079 TI - [Clinical teaching in Norwegian nursing education]. PMID- 6571078 TI - [Life after paralysis? A qualitative study of how cerebral apoplexy affects peoples' living conditions and quality of life]. PMID- 6571080 TI - [Health and nursing research in Denmark]. PMID- 6571081 TI - [Nursing research from a professional didactic viewpoint]. PMID- 6571082 TI - [Balanced course--a psychiatric nurse's working day. A qualitative comparative analysis of how 'Grounded Theory' is used as a method]. PMID- 6571083 TI - [Quality care and health care research]. PMID- 6571084 TI - [Health care sciences and health care research; advantages and availability]. PMID- 6571085 TI - [The connecting link of research and researchers' education in the Stockholm region]. PMID- 6571086 TI - [Nursing research--does it make a difference?]. PMID- 6571087 TI - Nurses urged to allay fears of AIDS in schools. PMID- 6571088 TI - The seven ages of cancer. PMID- 6571089 TI - Royal College of Nursing. The real victims; rewarding cuts. PMID- 6571090 TI - Has to be a more open attitude to society membership. PMID- 6571091 TI - Nurse education--an endless enigma. PMID- 6571092 TI - Nursing and measurement. PMID- 6571093 TI - [Teenagers who have children. Mothers' groups give them the guts]. PMID- 6571094 TI - [She continues research to prepare children. Interview by Viveka Holmertz]. PMID- 6571095 TI - [New regulations proposed for patient's integrity]. PMID- 6571096 TI - [Polish visit to Umea: Zofia and Krystyna arrive after 3 years of waiting. Interview by Viveka Holmertz]. PMID- 6571097 TI - [Incontinent patients seek help after year of silence. Interview by Viveka Holmertz]. PMID- 6571098 TI - [Eva--organization for women with cancer burdened by taboos]. PMID- 6571099 TI - [Groups other than district nurses more adept at handling preventive care]. PMID- 6571100 TI - [Newly graduated midwives remain in Africa. Village midwives' instruments are few but they can depend on their knowledge]. PMID- 6571101 TI - [Alcoholics in a drying-out unit. Waking up is an important period in treatments]. PMID- 6571102 TI - [SHSTF is no women's organization]. PMID- 6571103 TI - [Political choice, own enterprise and industries, responsibility for health care: Histadrut--a unique professional organization. Vardfacket in Israel]. PMID- 6571104 TI - [It is socially complicated to be a nurse in a kibbutz. Interview by Jan Thomasson]. PMID- 6571105 TI - Violent deaths among children in the United States, 1900-1980. An epidemiologic study of suicide, homicide and accidental deaths among 5- to 14-year-olds. AB - The authors examined the violent death rates among children aged 5-14 years in the United States from 1900 to 1980. For homicides and non-motor-vehicle accident deaths, 5- to 14-year-olds are at a lower risk than any other age group; for suicides and motor-vehicle accident mortality, only 0- to 4-year-olds have lower rates. Males tend to have higher rates than females for all forms of violent deaths for 5- to 14-years-olds. Nonwhites are at greater risk of dying by homicide and non-motor-vehicle accidents than whites; for suicide, whites are at greater risk; and for motor-vehicle accidents, nonwhites are currently at greater risk, with white children having been at greater risk earlier in the century. The epidemiologic time trends throughout the 20th century for 5- to 14-year-olds are quite similar to other ages for non-motor-vehicle accidents, but show some differences from other age groups in homicide, motor-vehicle accident mortality and, especially, suicide patterns. Various psychobiological perspectives as well as socioenvironmental issues are discussed as possible means of enhancing an understanding of the low violent death rates among 5- to 14-year-olds. PMID- 6571106 TI - Childhood injury control. AB - Control of the widespread, life-threatening 'disease', injury, requires prevention of (1) events which cause injury; (2) injury when such events occur, and (3) unnecessary severity when an injury occurs. Educating children and their parents about the danger has not been enough. Strategies developed in concordance with the epidemiological model successful in controlling many infectious diseases are available. Chosen strategies must work when used, and they must be used. Those which require frequent action on the part of individuals are not as desirable as more automatic or 'passive' protection. When automatic protection has not been achieved, incentives can be added to promote behavior change on the part of parents and children or on the part of decision makers who control the risk of injury for many. Childhood injury control requires the coordinated efforts of all interested in the welfare of children. PMID- 6571107 TI - Violent deaths among adolescents in Switzerland. From epidemiology to prevention. AB - Violent deaths, including accidental deaths, suicides and homicides, are the main cause of mortality among people aged between 1 and 24 in Switzerland, as in the majority of industrialized countries. During the last 10 years there has been a considerable increase in violent deaths in the 15- to 24-year age range, but this has not been so for other age groups. This article sets out the details of this evolution and makes certain comparisons with other Western countries. In the second part it describes some specific and nonspecific means of prevention, while taking into consideration the reasons for this situation. It finishes by examining the role of medical practitioners in such prevention. PMID- 6571109 TI - Fatal motor vehicle crashes involving teenagers. AB - The major health problem for teenagers is deaths and injuries associated with motor vehicle use. Teenagers are disproportionately involved in fatal crashes both as drivers and passengers; as drivers they are responsible for the crash deaths of many other people including non-teenagers. There are public policies available that would substantially reduce the deaths and injuries that result from teenagers driving, although they have not been widely applied. PMID- 6571108 TI - Epidemiology of violent deaths in children and adolescents in the United States. AB - Injuries are the largest cause of death in children and adolescents after the first year of life. Injuries more than any other disease result in 3.5 million years of potential life lost. Poor children are particularly at risk of dying from trauma, particularly fires and drownings. The patterns of different types of childhood injuries are discussed, including motor vehicle occupants, pedestrian, bicycle and motorcycle injuries, fire and flame injuries, drownings and firearm deaths. For each of these, possible preventive strategies suggested by injury epidemiology are given. Intentional injuries from suicide and homicide are included because of similarities in epidemiology and prevention. The article also outlines areas where few effective strategies are available and where further research should be concentrated. PMID- 6571110 TI - Prevention of road accidents in Australia. AB - Since 1970, the Australian road fatality rate has been reduced by two-thirds. Legislation for compulsory wearing of seat belts reduced the vehicle occupant fatality rate by more than one-third. Drunk driving countermeasures have included the 0.05 g% legal limit and mandatory disqualification, random breath testing, compulsory blood alcohol tests on all road crash casualties and a zero blood alcohol limit for learner and probationary drivers and motor cyclists. Since 1977 there has been a steady reduction in the proportion of driver and motor cyclist fatalities and casualties with illegal blood alcohol concentrations. Helmet wearing is compulsory for motor cyclists. A one-third reduction in accidents with injury among learner and probationary motor cyclists followed legislation restricting them to machines of 260 cm3 maximum engine capacity. Safety helmet wearing has been recently popularized among pedal cyclists and legislation is anticipated which will make approved safety helmet wearing mandatory. A considerably smaller reduction in our road toll would have occurred if Australians had been unwilling to accept countermeasures opposed by civil libertarians. PMID- 6571111 TI - Epidemiologic trends in firearm suicides among adolescents. AB - Total and firearm suicide rates in the United States from 1933 to 1982 were examined by 5-year age groups for males and females 10-24 years of age. Both total and firearm suicide rates increased in all groups from low points in the 1950s until the 1970s. Rates continued to climb for young people 10-19 years of age, but declined for 20- to 24-year-olds. The proportion of the total suicide rate due to firearms increased from approximately half in the 1930s to nearly two thirds in the early 1980s. In all three age groups, female suicides used firearms in nearly the same proportion as males. Whether or not the increasing availability of firearms is one of the many causes of the rise in young suicides is unknown. PMID- 6571112 TI - Epidemiologic characteristics of child homicides in Atlanta, 1970-1980. AB - Homicide is now among the five most common causes of death in children. As part of an epidemiologic investigation of a cluster of related homicides of children in Atlanta from 1979 to 1981, data were reviewed concerning background cases that occurred from 1970 through 1980. Homicides of children under the age of 16 years occurred in every year (median 5/year) in a bimodal distribution with peaks in children under 2 years old and 13-15 years old. Although firearms and knives were the most common weapons in older children, physical force predominated in those under 8 years old. In most cases, the victims knew their assailants. Family members accounted for 91% of the perpetrators when the victims was less than 2 years old. Homicide rates for black children were higher than those for caucasian children; for both groups, rates for children residing in census tracts of low socioeconomic status were about twice those in higher status tracts. These findings reflect trends observed nationally and suggest avenues for public health interventions. PMID- 6571113 TI - Fatal child abuse: analysis of 24 cases. AB - Analysis of 24 cases of fatal child abuse reveals that multi-disciplinary review can assist in the determination of whether fatal injury was accidental or non accidental. All cases had both a 'discrepant history' and some 'delay' in seeking care. The predisposing child factor was inconsolable crying in infants under 12 months, and was associated with a bowel or bladder accident or diaper change in 9 of 12 cases where children were over 1 year of age. Head injury accounted for 17 of the 24 deaths. PMID- 6571115 TI - The child born with ambiguous genitalia: family assessment and nursing intervention. PMID- 6571114 TI - Suicide and attempted suicide among children and adolescents. A transcultural study. AB - Official statistics on suicides among children and adolescents in West Germany and Japan were used to compare transcultural social and psychiatric data on 108 German and 103 Japanese suicides and attempted suicides. This analysis revealed characteristic differences with respect to the following variables: ratio of attempted and accomplished suicide, age, method, integrating problems at school, alcohol and drug dependence, relationships with the opposite sex, broken homes, and number of friends. Based on these findings, the suicidal tendencies and social backgrounds of patients from both of these highly industrialized countries are discussed. PMID- 6571116 TI - Parents' reactions to pediatric critical care settings: a review of the literature. PMID- 6571117 TI - Maternal and paternal stress reactions when a child is hospitalized in a pediatric intensive care unit. PMID- 6571118 TI - Incorporating play into the care of the hospitalized child. PMID- 6571119 TI - The development of an instrument to measure perceived emotional, instrumental, and informational support in breastfeeding mothers. PMID- 6571120 TI - When hospitalization becomes an "everyday thing". PMID- 6571121 TI - Nursing home abuse: the tragedy continues. PMID- 6571122 TI - Certification: implications for nurses. AB - Certification is an attainable goal for all nurses within a variety of practice settings. Certification brings a special meaning to the profession. It allows nurses to take control and assume full responsibility for their competency, accountability, and professional identity. PMID- 6571123 TI - Patient education evaluation: beyond intuition. AB - Intuitive ideas about problem areas gleaned from the literature as well as practice settings can provide nurses with a multitude of patient education evaluation issues. The nurse who is interested in evaluating patient education should review existing studies in the literature, sampling both process and outcome. Thoughtful planning and implementation of a patient education study can be personally satisfying. In addition, such an undertaking will contribute to the body of knowledge in patient education and provide valuable information to other patient educators. It is natural that nurses should pursue the rewards of patient education evaluation for themselves and their patients. PMID- 6571124 TI - Autonomy in nursing. PMID- 6571125 TI - The current status of nursing research. PMID- 6571126 TI - Challenge within the community: crisis intervention for society's unemployed. AB - Unemployment is a human concern which requires individual assistance with the crisis, the sequelae, and the treatment plan. Varying degrees of assistance for obtaining information in matters of health, for receiving anticipatory planning and therapeutic counseling, and for resolving the crisis are needed for the unemployed to regain a life that is meaningful and manageable. Crisis intervention for the unemployed is definitely nursing's social responsibility when one considers the human suffering associated with unemployment. Situational crises are areas of concern for all of nursing, but community mental health, public health, and clinic nurses are the ones most likely to be involved in the care of the unemployed. They are in the unique position to identify those among the unemployed who are physically or emotionally at high risk as well as to accept the responsibility for initiating preventive measures to deter disabling health disorders. PMID- 6571127 TI - [Nursing orientation--an important factor in the adjustment of mastectomized women. A contribution to nursing care]. PMID- 6571128 TI - [The nursing team facing the problem of individualized care for the terminal patient]. PMID- 6571129 TI - [Process of adaptation of the laryngectomized patient]. PMID- 6571130 TI - [Nursing care in a tertiary care unit for diabetics]. PMID- 6571131 TI - [Participant research--an alternative in nursing]. PMID- 6571132 TI - [Factors affecting the implementation of a nursing care model--an alternative proposal]. PMID- 6571134 TI - [Analysis of the implementation of nursing care planning in the nursing units of a teaching hospital]. PMID- 6571133 TI - [Preliminary study on standards of psychiatric nursing care]. PMID- 6571135 TI - [Dental hygiene--an account of experience with a mothers' group]. PMID- 6571136 TI - [Experience with the implementation of oral rehydration therapy of the State Secretariat of Health of Sergipe]. PMID- 6571137 TI - [Autonomic dysreflexia--an emergency or not?]. PMID- 6571138 TI - [Obstacle to communication at the Rehabilitation and Social Integration Center--a functional or structural consequence?]. PMID- 6571139 TI - [Critical analysis of the use of control records in intensive therapy units (ITUs)]. PMID- 6571140 TI - [Health volunteers--myth or reality? The preliminary elements of an evaluation of 9 years of experience in the Murialdo Community Health System, Rio Grande do Sul]. PMID- 6571141 TI - [Interdisciplinary integration in the nursing degree course at the Federal University of Ceara. An account of our experience]. PMID- 6571142 TI - [Nursing an nutrition internship. A modality for teacher-assistant integration]. PMID- 6571144 TI - Involuntary pregnancy loss research and the implications for nursing. PMID- 6571143 TI - [The water bed and the alpist bed in the prevention of decubitus ulcers]. PMID- 6571145 TI - Fetal alcohol syndrome: human and infrahuman disorders. PMID- 6571146 TI - A very special child: his mother's story. PMID- 6571147 TI - Exercise: a holistic approach for the treatment of the adolescent psychiatric patient. PMID- 6571148 TI - Post violence dialogue: perception change through language restructuring. PMID- 6571149 TI - Beliefs and values of the client with chronic mental illness regarding treatment. PMID- 6571150 TI - The universal enervating triad: psychopharmaceutical considerations of anxiety, schizophrenia, and depression. PMID- 6571151 TI - Descriptive differences between black and white suicide attempters. PMID- 6571152 TI - The student nurse and the borderline patient. PMID- 6571153 TI - Outpatient management of anorexia nervosa. AB - The outpatient management of anorexia nervosa is described according to four levels of approach: identification, information, intervention, and intensive treatment. On the first level, emphasis is laid upon early detection and positive diagnosis of anorexia nervosa by focusing on behavioral and attitudinal features of the patient. In mild or benign cases confrontation and information may suffice to induce a rapid reversal of the symptoms. This second level includes (confronting or reassuring) medical clarification and general educational instruction in order to allow the parents to handle the problem themselves. A considerable number of patients, however, require more specific interventions - the third level of problem management. A concrete procedure involving the patient and the family in a directive, problem-specific and contractual approach is presented. Finally, several patients need an intensive and mostly multifaceted treatment program. On this level, the limits of outpatient therapy must be seriously questioned. PMID- 6571154 TI - Anorexia nervosa. Transcultural comparisons. AB - The psychological characteristics of anorectic patients were compared in studies in Germany and in North America. German adolescent patients scored significantly lower on the Eating Attitude Test and the Eating Disorder Inventory than did Canadian patients. On the other hand, self-image as measured by the Offer Self Image Questionnaire was strikingly similar among German and American adolescent anorectics. PMID- 6571155 TI - Role of physical activity in the etiology and treatment of childhood obesity. AB - Children in the United States are getting fatter and less active. Some childhood obesity undoubtedly develops from overeating but underactivity contributes to this condition. Various studies document less movement and lower intensity of activity in obese youth. An increase in physical activity is desirable since the health-related fitness components of flexibility, muscular and cardiovascular endurance can be improved in addition to the primary goal of body fat reduction. Evidence from animal studies suggests that exercise may alter adipose cell proliferation as well as total fat mass if initiated during growth. Regaining the natural inclination of children to be physically active may require efforts by physicians, parents, schools and special clinics. An increase in physical activity during childhood may help prevent chronic adult diseases related to inactivity and obesity. PMID- 6571156 TI - A comprehensive treatment plan for obese children and adolescents: principles and practice. AB - The problem of obesity in children must be identified early and treated seriously. The long-term psychological, social, and medical consequences of childhood obesity can be quite serious. Behavior modification has shown new promise compared to the discouraging results of traditional approaches such as inpatient starvation, the use of appetite suppressants, and dietary counseling. PMID- 6571157 TI - Nutrition intervention and health risk reduction in childhood: creating healthy adults. AB - Reducing health risk factors in childhood is a critical component of well-child pediatric care. Risks to eventual adult health status must be considered with equal importance as risks to the child's immediate health. Heart disease, cancer and stroke risk begins in childhood, when risk factors, especially obesity and positive family history, may easily be identified. Obese children (and those at high risk of obesity based on parental obesity) constitute a special group of children for whom chronic disease risk factor evaluation is of particular importance. This is based on observations that cardiovascular risk factors tend to aggregate among obese children (similar to adults), particularly with respect to elevated blood pressure, elevated serum cholesterol and triglycerides, and decreased cardiovascular response to exercise. In addition, many obese adolescents adopt cigarette smoking with the notion that it may aid weight reduction, thereby compounding their risk status. Risk reduction in childhood can be successfully approached both through school-based programs incorporating risk evaluation with health education curricula, or by relatively simple office- or clinic-based procedures designed to evaluate and track risk status over time. Such practices, though not currently prevalent, are increasingly being incorporated into routine pediatric care, especially following the American Association of Pediatrics Nutrition Committee's recommendations with respect to children with positive family histories for early coronary events. PMID- 6571158 TI - Adherence of Staphylococcus strains to human urinary and buccal epithelial cells. AB - 91 strains of Staphylococci belonging to different species were investigated for their adhesive capacity to urinary and buccal human epithelial cells. Furthermore the adherence of the same bacterial strains was evaluated in relation with their methicillin-sensitive and methicillin-resistant properties. S. aureus showed an high adhesion to buccal and urinary cells; S. saprophyticus and S. epidermidis attached mainly to uroepithelial cells and to buccal cells, respectively. Bacterial strains, either sensitive or resistant to methicillin antibiotic, did not exhibit significant differences of adhesive capacity. PMID- 6571159 TI - The code of nurses and wrongful discharge. PMID- 6571160 TI - Nurses' attitudes regarding acquired immunodeficiency syndrome (AIDS). PMID- 6571161 TI - Compliance and related nursing actions. PMID- 6571162 TI - The masculine and feminine in nursing. PMID- 6571163 TI - Selected characteristics of male registered nurses in New Jersey. PMID- 6571164 TI - Conducting research as a group. PMID- 6571165 TI - Critical care nurse becomes critical care patient. PMID- 6571166 TI - A mental health professional looks at nursing care. PMID- 6571167 TI - The use of insulin pump therapy in adolescents. AB - Continuous subcutaneous insulin infusion (CSII) systems have been used in diabetes management since the mid-1970s. Investigators have reported encouraging results with CSII use in adult subjects with dramatically improved glucose control, reversal of some complications, and high acceptance and compliance rates. We have studied 10 adolescents and 3 young adults using CSII for diabetes management. Only the three young adults (ages 20, 24, 34 years) have had markedly improved metabolic control, sustained pump use, and made adequate psychological adjustment to CSII therapy. Adolescent subjects, (ages 9-17 years), experienced problems with peer acceptance of pumps, had difficulty with infusion needle insertion and skin care, were unable to perform home blood glucose monitoring consistently, made nonadvised manipulations of insulin dosage and reported mechanical problems with CSII devices more frequently than the young adult subjects. Mean duration of CSII use in adolescent subjects (6.1 months) was significantly less than mean use (30.6 months) among the young adults (p less than 0.01). Currently, adults appear to have greater success than adolescents in using CSII for diabetes management. PMID- 6571168 TI - Quantification and validation of the Jones basic needs assessment tool. PMID- 6571169 TI - Application of the Jones adaptation model with a neurosurgical patient. PMID- 6571170 TI - Adaptation of the Jones adaptation model with a cardiovascular patient. PMID- 6571171 TI - The Jones adaptation model for nursing--toward effective energy. PMID- 6571172 TI - Amyloid A proteins in different species. AB - Amyloid A (AA) proteins were purified from canine and bovine idiopathic amyloid and casein-induced hamster amyloid. The molecular weights of these proteins were in the same range (8,000-10,000) as those reported for AA proteins from man and other animal species. The amino acid compositions were comparable as well. Antisera against human, bovine, canine and hamster protein AA were tested with the indirect immunoperoxidase antiperoxidase (PAP) method and the indirect immunofluorescence technique on amyloid-containing human, bovine, canine and hamster tissue sections. Antihuman protein AA serum did not cross-react with hamster protein AA. In all the other combinations, cross-reactions were observed. Because of the high similarity of these different AA proteins, the amyloid diseases in the species mentioned can serve as interchangeable models to investigate the pathogenesis of AA amyloidosis. PMID- 6571173 TI - Ultrastructural investigation of amyloidosis. Pathogenesis of systemic amyloidosis. AB - Three types of ultrastructural changes in the cell membrane observed in the formation and accumulation of amyloid fibrils in systemic amyloidosis were described: in type I change (contact loss type), unusual dilatation of the intercellular gaps accompanied by occasional disappearance of the tight junction and desmosomes appeared. Type II change (indentation or cystic invagination type) showed cone-shaped indentations or cave-like cystic invaginations. Type III change (surface fold type) consisted of newly developed or inherent surface folds. The widened intercellular gaps of type I, advanced indentation or invagination of type II and the disrupted surface folds of type III resulted in atrophy of the cells and final replacement by amyloid. The author believes that amyloid fibrils are produced by many cells, not by a certain specific cell, extracellularly. PMID- 6571174 TI - Syntactic findings in developmental verbal apraxia. AB - Spontaneous language samples of eight children diagnosed as presenting developmental verbal apraxia were analyzed in terms of their mean length of utterance, Developmental Sentence Scores, use of 14 grammatical markers, and yes no and wh-question forms. Although MLUs were greater than the range associated with stage V syntactic development, all children demonstrated difficulties with stage V and beyond grammatical markers and many omitted stage II markers. Developmental Sentence Scores were generally well below chronologic age expectations and revealed notable difficulties with personal pronoun and main verb selection. Omissions or noninversions of auxiliary and/or copulas in yes-no and wh-questions were apparent. Omissions of regular and irregular third-person singular markers, inconsistent use of regular and irregular past tense, and difficulty with question transformations provide evidence that at least some of the errors presented by this group of apraxic children cannot be attributed to motor speech and/or phonologic limitations but rather they evidence concomitant syntactic disorders. PMID- 6571175 TI - The use of nonverbal pragmatic behaviors by language-impaired and normal-speaking children. AB - The use of six nonverbal pragmatic behaviors was investigated for three groups of subjects. The experimental group (LI) consisted of 20 language-impaired children who were in stages III and IV of linguistic development. One control group (NSY) consisted of 20 normal-speaking children equated with the experimental group on the basis of mean length of utterance. Another control group (NSO) consisted of 20 normal-speaking children equated with the experimental group by chronologic age. The NSY were younger, whereas the NSO were of the same age as the LI. Two individuals observed each child and a peer playing with toys and recorded the presence of the six behaviors for each subject. The LI and the NSY and the NSO did not differ significantly for five behaviors. Play was the only behavior that distinguished the groups. The clinical implications of the results are discussed. PMID- 6571176 TI - Some acoustic characteristics of oral reading by ten- to twelve-year-old children. AB - In contrast to the amount of information available on acoustic characteristics of adults' effective speech, little data are available on children's vocal effectiveness. A study, therefore, has been initiated to examine the relationship between some acoustic characteristics and listener judgments of children's vocal effectiveness. This paper reports the results of the first part of the study, that is, the acoustic analysis of oral reading by 36 10- to 12-yr-old children. The voice fundamental frequency characteristics, speaking time, pause time, and phonation-time ratio were measured using an automatic analysis method. Effects of the passage, repeated readings, and speaker sex are discussed. PMID- 6571177 TI - Communicative disorders in a group of adult female offenders. AB - Fifty female offenders ranging in age from 18 to 44 yr from the Purdy Treatment Center for Women (Washington state) were individually screened for articulation, hearing, receptive language, fluency (stuttering), and voice disorders. Results indicate that 44% of the 50 women evidenced a dysfunction in one or more of these areas. PMID- 6571178 TI - Prevalence of speech and hearing disorders in a state penitentiary population. AB - Speech and hearing screening was conducted with 136 inmates incarcerated at the Mississippi State Penitentiary. The prevalences found for articulation and for fluency disorders were comparable to prevalence figures reported for the general population, whereas the prevalence figures for voice and hearing disorders among the sample group were appreciably higher. The demographics of the subject group as to age, sex, offender status, educational background, and receipt of previous speech/hearing evaluation are reported and discussed relative to screening failure. PMID- 6571179 TI - Phonetic influences on stuttering in monolingual and bilingual stutterers. AB - The difficulty stutterers might have with individual sounds was investigated with respect to two modes of speaking (oral reading versus spontaneous speech) and two languages (English versus Kannada). Ten monolingual and ten bilingual stutterers read 16 lists of words (8 in each language). Analysis of stuttering was made with respect to a three-way classification of sounds (vowels, voiceless consonants, and voiced consonants) as well as an eight-way classification (short vowels, long vowels, voiceless stops, voiceless fricatives, voiced stops, voiced fricatives, nasals, and semivowels). Analysis was made with respect to both word-initial and total stuttering. The results indicated that both monolingual and bilingual stutterers were more dysfluent on voiceless consonants and especially on voiceless fricatives, when total stuttering was considered. Results of the analysis of word-initial stuttering on an eight-way classification of sounds showed that the bilingual stutterers stuttered more on the nasal sounds. The results of the bilingual comparison indicated the possibility that the phonetic influences on stuttering might be dependent on the number of languages spoken by the subjects as well as the specific language in which the effects were observed. PMID- 6571180 TI - Acoustic characteristics: tracheoesophageal speech. AB - This study examined differences among five tracheoesophageal, four esophageal, and five laryngeal speakers on the acoustic parameters of intensity and duration. Each subject repeated 14 prerecorded model sentences and prolonged phonation of three vowels. Analogue prints of the voice samples were obtained, and measures were subjected to parametric statistical analysis. Differences among groups indicate that the tracheoesophageal speakers are more like normal speakers than are esophageal speakers, indicating that surgical procedures such as the tracheoesophageal puncture are a significant rehabilitative alternative for the laryngectomee. PMID- 6571181 TI - Certain problems of long-term drug treatment. PMID- 6571182 TI - Recurrency rate influencing effect on intravesical Lycurim treatment in transurethrally resected bladder tumours. PMID- 6571183 TI - Favourable effect of combined Miscleron-Xavin treatment on HDL-cholesterol level. PMID- 6571185 TI - Clinical observations made with Kalium-R depot tablet in hypokalaemic conditions. PMID- 6571184 TI - Gramurin (oxolinic acid) treatment in acute enterocolitis accompanied by the discharge of bloody stool. PMID- 6571186 TI - Acupuncture dilemma: paramedical magic or potential anaesthetic method? PMID- 6571187 TI - Dissolution of uric acid-urate stones and prophylaxis of recurrency with Magurlit. PMID- 6571188 TI - Mechanism of action and clinical use of Ca++-antagonists. PMID- 6571189 TI - Effect of Catergen [(+)cyanidanol-3] on some haemostatic parameters in chronic liver diseases. PMID- 6571190 TI - Usefulness of 5% lidocaine ointment (EGYT) in internal medicine. PMID- 6571191 TI - Therapeutic effect of Potesept syrup in infancy and young childhood. PMID- 6571192 TI - Use of Calypsol anaesthesia in gynaecology. PMID- 6571193 TI - Treatment of essential tremor with Sertan. PMID- 6571194 TI - Observations with Pyassan in the treatment of urinary tract infections. PMID- 6571195 TI - Experiences with tobramycin in polyresistant bacterial urological infections. PMID- 6571196 TI - Importance of No-Spa and Probon combination in the conservative treatment of ureterolithiasis patients. PMID- 6571197 TI - Use of phenylbutazone in locomotor and vascular diseases. PMID- 6571198 TI - Advanced age and drugs. PMID- 6571199 TI - The role of civilization injuries in the development of hypertension. PMID- 6571200 TI - Further data referring to oxolinic acid (Gramurin) treatment of shigellosis, salmonellosis and urinary tract infections. PMID- 6571201 TI - Observations with cavinton treatment in acute cerebral ischaemic conditions. PMID- 6571202 TI - Antibacterial action of prenylamine (Corontin) on streptococci. PMID- 6571203 TI - Examinations of interactions in the course of the simultaneous use of cavinton, saluretic and beta-receptor blocker with special regard to blood pressure. PMID- 6571204 TI - Treatment of constipation of hospitalized patients suffering from internal diseases with Tisasen A + B coated tablet. PMID- 6571205 TI - Examinations with Anteovin, a biphasic contraceptive. PMID- 6571206 TI - Susceptibility and resistance of bacterial strains to brulamycin from isolated surgical material. PMID- 6571208 TI - Biotechnology. PMID- 6571207 TI - Evaluation of the clinical efficiency of brulamycin in the treatment of infections of the respiratory and urinary tracts. PMID- 6571209 TI - The future of biotechnology. PMID- 6571210 TI - Molecular variants of proteins: biosynthesis and clinical relevance. Introduction. PMID- 6571211 TI - Structural homology of nicotinic acetylcholine receptor subunits. PMID- 6571212 TI - Clinical biochemistry of alcoholism. PMID- 6571213 TI - Sensory evoked potentials: a system for clinical testing and patient monitoring. AB - There is increasing interest in the use of averaged sensory evoked potentials for diagnostic testing and patient monitoring. This testing technique offers an opportunity to obtain information on function in the central nervous system and can be used in uncooperative and comatose patients. However, in the clinical situation background noise is often high, due for example to posturing by the patient, and even with extensive signal averaging it can be difficult to determine whether a response is present. This paper describes a data acquisition technique we have implemented for patient testing in the intensive care unit and the operating room to facilitate analysis of the responses. The averaging system delivers the stimulus in the middle of the data window, providing a pre-stimulus control interval from which to estimate residual background noise in the average. In addition, two averages are formed simultaneously to determine reproducibility of the response. This technique has been modified to provide a method of continuous monitoring that allows rapid detection of large changes in the response plus automatic tracking of selected response peak parameters. PMID- 6571214 TI - Pitfalls with mass spectrometry in clinical anesthesia. AB - Mass spectrometry of respired gases puts a powerful analytic tool into the hand of the clinician. However, serious misinterpretations may result if the principle of operation and certain weaknesses of spectrometry are not appreciated. The potential pitfalls of clinical mass spectrometry are related to the need to have one unit serve many patients and to the design of the spectrometer and its algorithms. PMID- 6571215 TI - Inspired and end-tidal gas concentration and alveolar ventilation: concurrent breath-by-breath measurement. AB - A system is described which concurrently measures, breath-by-breath, the inspired and end-tidal concentrations of five gases, and alveolar and total ventilation. Gas concentrations are measured by means of a quadrupole mass spectrometer and mixed-expired carbon-dioxide concentration, required for the computation of alveolar ventilation, is computed as the volume-weighted average of expired carbon dioxide. PMID- 6571216 TI - Many gene-regulatory proteins appear to have a similar alpha-helical fold that binds DNA and evolved from a common precursor. AB - Amino acid and DNA sequence comparisons suggest that many sequence-specific DNA binding proteins have in common an homologous region of about 22 amino acids. This region corresponds to two consecutive alpha-helices that occur in both Cro and cI repressor proteins of bacteriophage lambda and in catabolite gene activator protein of Escherichia coli and are presumed to interact with DNA. The results obtained here suggest that this alpha-helical DNA-binding fold occurs in many proteins that regulate gene expression. It also appears that this DNA binding unit evolved from a common evolutionary precursor. PMID- 6571218 TI - Transitions and transversions in evolutionary descent: an approach to understanding. AB - In this paper I lay a quantitative theoretical groundwork for understanding the proportions of the possible types of base substitutions observed between 12 genes sharing a common ancestor and isolated from extant species. The experimentally observed types of base substitution between two sequenced genes do not give a direct measure of the types of base substitutions that occur during evolutionary descent. However, by use of a statistical assemblage of these observations, we can recover, without the assumption of parsimony, the conditional base substitution probabilities that determine this descent. Three methods - direct count, regression, and informational entropy maximization - are described by which these probabilities can be estimated from experimental data. The methods are complementary in that each is most useful for somewhat different types of experimental data. These methods are used to study the ratio of transversions to transitions during gene divergence. Though this ratio is not constant during divergence, it does approach a stable limiting value that in principle can vary from zero, corresponding to 100% transition differences, to infinity, corresponding to 0% transition differences. In practice the limiting ratio tends to hover around a value of two, which is expected on a random basis. However, base substitution pathways that are very nonrandom also may lead to a limiting ratio of exactly two, so that such a value is not diagnostic for random pathways. The limiting ratio can be directly calculated from a knowledge of the twelve conditional probabilities for each type of base substitution, or from a knowledge of the equilibrium base composition of the DNAs compared. An expression is given for this calculation. Fifteen years ago Jean Derancourt, Andrew Lebor and Emile Zuckerkandl (1967), analyzing the amino acid sequence of globin chains coded by nuclear genes, made the original observation that the proportion of transition differences decreases with increasing evolutionary time. Recently Brown et al. (1982) and Brown and Simpson (1982) have reported a decrease in the observed proportion of transition differences in mitochondrial DNA with increasing evolutionary divergence. The conditions that must be satisfied for this type of behavior to occur at stable base composition and with stable base substitution probabilities are defined. Multiple substitutions per se do not lead to a decrease in transition differences with increasing evolutionary divergence. PMID- 6571217 TI - A prevalent persistent global nonrandomness that distinguishes coding and non coding eucaryotic nuclear DNA sequences. AB - Coding sequences of eucaryotic nuclear DNA were characterized by an excess of short runs and a deficit of long runs of weak and of strong hydrogen bounding bases; non-coding sequences by a deficit of short runs and an excess of long runs, in the same of purines and of pyrimidines. The conservation of these attributes across DNA sequences coding for proteins of widely different function, across widely different eucaryotic species for the same protein and across related genes that diverged a long time ago and that now show large differences in base and, if coding, amino acid sequence suggested that these attributes have survival value. It was concluded that these attributes constitute probalistic constraints on the primary structure (base sequence) of both coding and non coding DNA. PMID- 6571219 TI - Origin of the duplicated ribonuclease gene in guinea-pig: comparison of the amino acid sequences with those of two close relatives: capybara and cuis ribonuclease. AB - The amino acid sequences of the pancreatic ribonuclease from capybara (Hydrochoerus hydrochaeris) and cuis (Galea musteloides) were determined. Both species belong to the same superfamily of the hystricomorph rodents as the guinea pig. In guinea-pig pancreas two ribonucleases are present as a result of a recent gene duplication, but in capybara and cuis pancreas only one single ribonuclease has been found. A most parsimonious tree of ribonucleases indicates that the gene duplication leading to both guinea-pig ribonucleases occurred before the divergence of guinea-pig from capybara and cuis. This would mean that changes in expression of the ribonuclease genes have occurred in these taxa. Cuis and capybara ribonuclease have no Asn-X-Ser/Thr sequences and are carbohydrate-free proteins. Capybara ribonuclease has leucine at position 114, a position occupied by proline in the cis-configuration in bovine pancreatic ribonuclease. PMID- 6571220 TI - Accuracy of estimated phylogenetic trees from molecular data. II. Gene frequency data. AB - The accuracies and efficiencies of three different methods of making phylogenetic trees from gene frequency data were examined by using computer simulation. The methods examined are UPGMA, Farris' (1972) method, and Tateno et al.'s (1982) modified Farris method. In the computer simulation eight species (or populations) were assumed to evolve according to a given model tree, and the evolutionary changes of allele frequencies were followed by using the infinite-allele model. At the end of the simulated evolution five genetic distance measures (Nei's standard and minimum distances, Rogers' distance, Cavalli-Sforza's f theta, and the modified Cavalli-Sforza distance) were computed for all pairs of species, and the distance matrix obtained for each distance measure was used for reconstructing a phylogenetic tree. The phylogenetic tree obtained was then compared with the model tree. The results obtained indicate that in all tree making methods examined the accuracies of both the topology and branch lengths of a reconstructed tree (rooted tree) are very low when the number of loci used is less than 20 but gradually increase with increasing number of loci. When the expected number of gene substitutions (M) for the shortest branch is 0.1 or more per locus and 30 or more loci are used, the topological error as measured by the distortion index (dT) is not great, but the probability of obtaining the correct topology (P) is less than 0.5 even with 60 loci. When M is as small as 0.004, P is substantially lower. In obtaining a good topology (small dT and high P) UPGMA and the modified Farris method generally show a better performance than the Farris method. The poor performance of the Farris method is observed even when Rogers' distance which obeys the triangle inequality is used. The main reason for this seems to be that the Farris method often gives overestimates of branch lengths. For estimating the expected branch lengths of the true tree UPGMA shows the best performance. For this purpose Nei's standard distance gives a better result than the others because of its linear relationship with the number of gene substitutions. Rogers' or Cavalli-Sforza's distance gives a phylogenetic tree in which the parts near the root are condensed and the other parts are elongated. It is recommended that more than 30 loci, including both polymorphic and monomorphic loci, be used for making phylogenetic trees. The conclusions from this study seem to apply also to data on nucleotide differences obtained by the restriction enzyme techniques. PMID- 6571221 TI - The instability of the autogen. AB - The autogen theory has sought to provide a mechanism for the rapid origin of a self-replicating chemical system from short, random oligomers. The autogen is considered in terms of hypercycle theory, and its dynamic behavior is subjected to fixed point analysis. It is shown that the components of the autogen are incapable of stable coexistence. PMID- 6571222 TI - A comparison of adenine and some derivatives on pig isolated tracheal muscle. AB - We studied the muscle relaxation induced by adenine and several adenine derivatives in strips of tracheal smooth muscle from pigs; in addition their metabolism by the tissue was examined. Adenine relaxed tissue which was contracted by carbachol, histamine, or KCl. Adenine's potency was similar to that of adenosine and ATP (threshold about 4 X 10(-5)M). In tissues with carbachol induced tone, the adenine effect differed from adenosine and ATP by being slower in onset and in 'washout' time. Furthermore, neither dipyridamole nor theophylline modified the response to adenine. The relationship was examined between pharmacological effects and the metabolism of [3H]-adenosine and [3H] adenine. Both substrates were taken up by the tissue and converted to nucleotides, but relaxation correlated with nucleotide accumulation only in the case of [3H]-adenine. We conclude that the site and mechanism of adenine-induced relaxation is different from that of adenosine and ATP in porcine tracheal muscle. PMID- 6571223 TI - Inhibition by propranolol of the contractile response of the rat diaphragm to tetanic field stimulation in vitro. AB - Contraction of the rat isolated diaphragm in response to maximal tetanic stimulation was examined before and after isoprenaline or propranolol. Isoprenaline (10(-4)M) did not affect maximum isometric force, whereas propranolol depressed maximum force in a concentration-dependent manner (10(-6) 10(-4)M). Inhibition due to propranolol (10(-4)M) could not be overcome by increasing the intensity or duration of electrical stimulation, and was only partially reversed (mean 73% +/- 10 s.e. mean) after washing. Pretreatment with isoprenaline did not alter the response of the muscle to propranolol, nor did neuromuscular blockade with (+)-tubocurarine. The response to either stereoisomer of propranolol was similar to that obtained with the racemate. Atenolol, a beta adrenoceptor blocking agent without membrane stabilizing activity, had minimal (less than 10%) depressant effects on diaphragmatic force development. Lignocaine (8.5 X 10(-6)-8.5 X 10(-5)M) produced a concentration-related decrease in isometric force, similar to that with propranolol. It is concluded that propranolol decreases the contractile force of the rat isolated diaphragm by a mechanism related to stabilization of excitable membranes. PMID- 6571224 TI - Convulsant-induced depression of amino acid responses in cultured mouse spinal neurones studied under voltage clamp. AB - A two-microelectrode voltage-clamp technique was used to record membrane current responses induced by the application of the neutral amino acids, gamma aminobutyric acid (GABA) and glycine, to mouse spinal neurones maintained in cell culture. Membrane current responses to GABA were depressed by the convulsant agents, bicuculline, picrotoxin and pentylenetetrazole. Membrane current responses to glycine were depressed by the convulsant compound, strychnine. Analysis of the fluctuations in membrane current about the mean response during prolonged applications of GABA revealed that neither the conductance nor the average open-time of GABA-activated ion-channels was altered in the presence of picrotoxin or bicuculline. Pentylenetetrazole caused a reduction in the open-time of GABA-activated ion-channels but this effect alone was too small to account for the depression of the current response. A similar analysis of glycine-induced responses in the presence of strychnine revealed that the depression of glycine responses by strychnine was not associated with any changes in the conductance or average open-time of glycine-activated ion-channels. We therefore conclude that the convulsant compounds act by reducing the rate of activation of ion-channels by the neutral amino acids either through a reduction in the number of free receptors or by a change in the kinetics of channel activation. PMID- 6571225 TI - Age related changes in the antilipolytic effects of nicotinic acid in rat adipose tissue. AB - The effect of nicotinic acid on lipolysis was tested in vitro in adipose tissue from three groups of rats, selected according to age: 6-7 weeks, 10-12 weeks and 16-20 weeks old. Although the changes were not statistically significant, the basal release of free fatty acid (FFA) was increased and glycerol was decreased by nicotinic acid (0.01-1 mM); the drug caused a statistically significant increase in basal FFA: glycerol ratio in a concentration-dependent manner. This ratio also increased with age in the absence of drug. (-)-Noradrenaline (10 microM) and theophylline (3 mM) each stimulated lipolysis. When glycerol release was calculated as a percentage increase, the effects of these drugs became more marked with age. By contrast, the highest absolute rate of induced release occurred in adipose tissue from the youngest rats. The lipolytic effect of 10 microM (-)-noradrenaline was generally unaffected by nicotinic acid except in adipose tissue from the oldest rats when the glycerol release was reduced by 1 mM nicotinic acid, although it did not alter FFA:glycerol ratio. The stimulation of glycerol release induced by 3 mM theophylline was not affected by the presence of nicotinic acid in the youngest rats, but the drug elicited a concentration dependent antilipolytic effect in adipose tissue from 10-12 weeks old rats, which was even more pronounced in the oldest animals. Lower theophylline concentrations (0.6-1 mM) were also sensitive to nicotinic acid inhibition in the 6-7 weeks old rats. In the presence of theophylline, nicotinic acid had no effect on FFA:glycerol ratio. These data show a direct influence of age on the antilipolytic action of nicotinic acid. PMID- 6571226 TI - Heterogeneity of 5-hydroxytryptamine receptors in the rat uterus and stomach strip. AB - Experiments were performed using the rat isolated uterus and the rat stomach strip to investigate the effects of 5-hydroxytryptamine (5-HT) on 5-HT receptors in the presence of different antagonists. Amitriptyline, methysergide and trazodone were used to antagonize the response to 5-HT in these tissues. The pA2 value for amitriptyline with 5-HT as the agonist was estimated from the Schild plot analysis and found to differ significantly (P less than 0.05) in the stomach strip (6.36) from that in the isolated uterus (9.06). A similar difference was found using trazodone; here the pA2 value was 6.74 in the stomach strip and 8.49 in the isolated uterus. These results indicate a difference between the two tissues. This difference is discussed in terms of heterogeneity of 5-HT receptors. PMID- 6571227 TI - Studies on an isolated innervated preparation of guinea-pig trachea. AB - An isolated preparation of the guinea-pig trachea with intact parasympathetic and sympathetic innervation has been devised. Responses to nerve stimulation were recorded as increases or decreases in intraluminal pressure from the fluid-filled trachea. The preparation maintained a positive resting intraluminal pressure of 3 4 cmH2O. This was unaffected by atropine, hexamethonium or propranolol. Brief pressor responses, which could be completely blocked by atropine or hexamethonium, were obtained by applying short trains of stimuli to the cervical segment of the right vagus. The amplitude of responses was frequency-dependent up to a maximum at 40 Hz. Depressor responses, more delayed and prolonged than the pressor responses and blocked by propranolol but not by hexamethonium, were obtained by stimulation of the right cervical sympathetic trunk or stellate ganglion in 70% of preparations. Dual pressor-depressor responses were observed in the remaining 30% of preparations. The pressor component was blocked by atropine, the depressor component by propranolol. In the presence of atropine and propranolol, sustained sympathetic stimulation sometimes evoked a small, delayed pressor response which was blocked by phentolamine. Under the same conditions, transmural stimulation produced a depressor response evidently due to non adrenergic, non-cholinergic nerves. Spontaneous activity was observed in some preparations under normal conditions, but could always be evoked by hypoxia. Responses to sympathetic stimulation were reduced both by hypoxia and during periods of spontaneous activity. 8 The principal advantage of this preparation is that it permits both excitatory and inhibitory responses to be elicited by stimulation of vagal and sympathetic nerves separately in the isolated trachea in the absence of agonist and antagonist drugs. PMID- 6571228 TI - Antagonism of enkephalin action on acetylcholine release by methylxanthines: lack of a purine link. AB - Theophylline (Theo) and caffeine antagonized the inhibitory effect of methionine (Met)-enkephalin, leucine (Leu)-enkephalin and morphine on the twitch height of the field stimulated myenteric plexus longitudinal muscle (MPLM) preparation of the guinea-pig ileum. Antagonism by Theo was observed only in tissues stimulated submaximally, but that by caffeine was observed in tissues stimulated submaximally and supramaximally. Injection of Theo (20, 40 mg kg-1) or caffeine (40 mg kg-1) reversed or blocked the inhibitory effects of Leu-enkephalin (50 micrograms i.c.v.) and a systemically active enkephalin FK 33,824 (0.5 mg kg-1) on the release of acetylcholine (ACh) from the rat cortex in vivo. Injections of morphine (2.5, 5.0 mg kg-1 i.v.) did not modify the in vivo release of radiolabelled purines from the cerebral cortex prelabelled with [3H]-adenosine (2.8 X 10(-7) M). Application of K+ (60 mM) to the cortex readily stimulated this release. Injection of morphine (5.0 mg kg-1 i.v.) increased the spontaneous release of radiolabelled purines from the cortex prelabelled with a higher concentration of [3H]-adenosine (10(-4) M) in six out of eleven experiments. Under similar conditions neither Leu-enkephalin (50 micrograms i.c.v.) nor FK 33,824 (0.5 mg kg-1 i.v.) stimulated purine release. It is concluded that methylxanthines can antagonize the inhibitory action of opioids on the peripheral and central release of ACh. However, this antagonism does not reflect an intermediary purine step in the action of opioids on the release of ACh. PMID- 6571230 TI - Symposium on nutritional aspects of exercise. PMID- 6571231 TI - Nutritional conditioning for athletic competition. AB - Diet in itself cannot provide fitness or championship form, but a poor diet can ruin both. Optimal nutrition is a basic component of training that is necessary for the development and maintenance of top physical performance. Appropriate application of recent research findings can have a beneficial impact on exercise performance. PMID- 6571229 TI - The inotropic effect of ouabain and its antagonism by dihydroouabain in rat isolated atria and ventricles in relation to specific binding sites. AB - The inotropic effect of ouabain has been studied in rat ventricles and atria. The concentration-effect curve of ouabain may be fitted by a model assuming the existence of two saturable components. The component with the higher sensitivity to ouabain accounted for 30% of the maximal increase in systolic tension in ventricles and for only 5% in atria. Increase in diastolic tension was only apparent at ouabain concentrations required to observe the low sensitivity component. [3H]-ouabain binding has been examined in microsomes prepared from atria and ventricles. High and low affinity binding sites have been observed. The ratio of high and low affinity ouabain binding sites was 4 fold lower in microsomes from rat atria than from rat ventricles. This could account for the difference in the response of these two tissues to the inotropic action of ouabain. In ventricular strips the high sensitivity component was much less apparent in the presence of dihydroouabain than with ouabain. When ventricular strips were preincubated in the presence of dihydroouabain 3 microM, the increase in systolic tension evoked by ouabain 1 microM was significantly reduced. Cumulative concentration-effect curve studies showed dihydroouabain antagonism to the high sensitivity component. PMID- 6571232 TI - Role of carbohydrate in exercise. AB - Carbohydrate is an important energy source during exercise. During short, heavy exercise it may be the only energy source for the working muscle and may be derived exclusively from the glycogen stores within the muscle fibers themselves. During prolonged, submaximal exercise the magnitude of the contribution that carbohydrate makes to the total fuel consumed depends upon a number of factors, including (1) the intensity of the exercise, (2) the duration of the exercise, (3) the state or type of training that the individual has engaged in, or both, and (4) the diet previously consumed. Due to their limited storage in the body and the relative ease with which these stores can be manipulated by combinations of diet and/or training, a knowledge of the dynamics of carbohydrate metabolism is an important component in the arsenal of knowledge for coaches and athletes. PMID- 6571233 TI - Protein nutrition for the athlete. AB - Endurance exercise results in a protein catabolic state characterized by decreased protein synthesis, increased amino acid oxidation, and increased conversion of amino acids to glucose. The adaptive response to performance of strength exercise, on the other hand, results in an anabolic state in hypertrophying muscles, and the accretion of protein is the result of increased protein synthesis. Because of changes in protein metabolism there is an increased dietary requirement for protein in both endurance and strength exercise. However, the normal dietary intake of protein is adequate for athletes as long as the energy intake is sufficient to maintain body weight. There is little scientific evidence that consumption of large protein supplements will have any beneficial effect on muscle hypertrophy, muscular strength, or physical performance. PMID- 6571234 TI - Role of fat metabolism in exercise. AB - Fat and carbohydrate are the two major energy sources used during exercise. Either source can predominate, depending upon the duration and intensity of exercise, degree of prior physical conditioning, and the composition of the diet consumed in the days prior to a bout of exercise. Fatty acid oxidation can contribute 50 to 60 per cent of the energy expenditure during a bout of low intensity exercise of long duration. Strenuous submaximal exercise requiring 65 to 80 per cent of VO2 max will utilize less fat (10 to 45 per cent of the energy expended). Exercise training is accompanied by metabolic adaptations that occur in skeletal muscle and adipose tissue and that facilitate a greater delivery and oxidation of fatty acids during exercise. The trained state is characterized by an increased flux of fatty acids through smaller pools of adipose tissue energy. This is reflected by smaller, more metabolically active adipose cells in smaller adipose tissue depots. Peak blood concentrations of free fatty acids and ketone bodies are lower during and following exercise in trained individuals, probably due to increased capacity of the skeletal musculature to oxidize these energy sources. Trained individuals oxidize more fat and less carbohydrate than untrained subjects when performing submaximal work of the same absolute intensity. This increased capacity to utilize energy from fat conserves crucial muscle and liver glycogen stores and can contribute to increased endurance. Further benefits of the enhanced lipid metabolism accompanying chronic aerobic exercise training are decreased cardiac risk factors. Exercise training results in lower blood cholesterol and triglycerides and increased high density lipoprotein cholesterol. High-fat diets are not recommended because of their association with atherosclerotic heart disease. Recent evidence suggests that low fat high-carbohydrate diets may increase blood triglycerides and reduce high density lipoproteins. This suggests that the chronic ingestion of diets that are extreme in their composition of either fat or carbohydrate should be approached with caution in health-conscious athletes, as well as in sedentary individuals. PMID- 6571235 TI - Vitamin and mineral supplements to athletes: do they help? AB - Although the general implications of this review would be that vitamin and mineral supplements are ineffective as ergogenic aids when added to the diet of an athlete who is well-nourished, there may be certain instances in which supplementation is warranted. For example, wrestlers on low calorie diets and high levels of energy expenditure may not be receiving a balanced intake of nutrients. Young male athletes and female athletes of all ages should be aware of iron-rich foods and include them in the daily diet. The female athlete who experiences a heavy menstrual flow may consider commercial iron preparations; hemoglobin and other hemotologic variables may be evaluated in order to determine the need for supplementation. More research is needed, particularly with large doses of the vitamin B-complex and vitamin C. Although some of the studies cited herein have used large doses, some athletes have been reported to consume massive dosages, for example, 10,000 mg of vitamin C daily. Unfortunately, there may be some adverse side effects of such massive doses, and it may not be ethical to conduct research with humans at those high intake levels. Do these massive dosages elicit a pharmacodynamic effect on some metabolic reactions that are favorable to physical performance? More research with vitamin E at altitude also appears to be warranted, as does iron supplementation to iron-deficient, but not anemic, athletes. As noted earlier, the current data base suggests that vitamin and mineral supplements are unnecessary for the athlete receiving a balanced diet. However, only with additional controlled research may we expand that data base to help answer some of the questions that still remain relative to nutrition and athletic performance. There are still a large number of athletes who believe that the "racers edge" may be found in a tablet. PMID- 6571236 TI - Water and electrolyte requirements during exercise. AB - These studies demonstrate the body's capacity to minimize electrolyte losses during acute and repeated bouts of exercise and dehydration. Although there are marked shifts in water and selected ions in the exercising muscle, only during prolonged exertion is the ratio of intramuscular to extramuscular potassium significantly altered, suggesting that some modifications of the muscle cell membrane may occur. Muscle tissue not engaged in the exercise seems unaffected by the sweat loss during prolonged activity but relinquishes intracellular water shortly after work is terminated. Blood, muscle, sweat, and urine measurements before and following varied levels of dehydration demonstrate that body water loss during exercise in the heat is accomplished at the expense of larger water losses from extracellular and intracellular compartments. Moreover, the loss of ions in sweat and urine have little effect on the potassium content of either plasma or muscle. With repeated days of dehydration and heavy exercise, plasma volume increases in proportion to an increase in body sodium storage. Since red blood cells and hemoglobin are confined to the vascular space, both may decrease significantly as a function of the hemodilution induced by repeated days of exercise and dehydration. This may, in part, explain the apparent anemia reported by sports physicians among athletes undergoing intensive training. It is also possible that such hemodilution may produce low concentrations of plasma potassium, which might be falsely interpreted as suggestive of hypokalemia. In any event, some caution should be used in the clinical interpretation of plasma concentrations of various constituents among endurance-trained athletes. In general, it seems that the large sweat losses incurred during training and competition are adequately tolerated by the athlete, with concomitant adjustments in the water and electrolyte distribution of their fluid compartments. Despite the sizable excretion of ions and sweat, the athlete's large caloric intake and renal conservation of sodium minimize the threat of chronic dehydration or electrolyte deficits, or both. PMID- 6571237 TI - Nutritional needs of female athletes. AB - Nutritional intake is undoubtedly an important component that has an impact on physical performance of all athletes, women as well as men. Clearly, this fact is recognized and is acted upon by the athlete in seeking nutritional advice from sources reliable and otherwise in the hope of finding a food or nutrient that provides the "competitive edge." The nutritional advice that will best serve female athletes in their physical endeavors and in their health is based on a few sound nutritional principles. The nutrients required for physically active women are the same as for women in the general population and for men. Although the nutrients required are the same, physical activity does influence the amount of some nutrients needed by female athletes. In general, female athletes will need more energy, water, sodium, potassium, and certain vitamins (thiamin, riboflavin, niacin) than nonathletic females. Fortunately, this does not require special dietary adjustments, since when a balanced diet is eaten to meet additional energy needs, the requirements for sodium, potassium, and vitamins are usually more than met. The female athlete should be encouraged to give special attention to two nutrients, water and iron. Any female athlete participating in physical activity causing significant sweat loss should understand the importance of fluid balance and how to properly rehydrate during and following exercise. Iron is not required at increased levels for the female athlete; however, it is frequently limited in the diet of women in general. If the diet is inadequate and biochemical abnormalities are found, supplementation should be considered under the guidance of a physician. Lastly, although studies repeatedly show the general adequacy of female athletes' diet, there is evidence that some individual athletes do consume a marginal diet. By evaluating the typical pattern of dietary intake, these athletes can be identified and provided with nutritional counseling or supplementation, or both. PMID- 6571238 TI - Nutritional management of the adolescent athlete. AB - The difference between the adolescent athlete and his mature counterpart is that this is a period of rapid physiologic growth and change. It is important that the additional stresses of athletic competition or preparation for that competition (such as weight reduction) do not compromise these changes. Providing the proper training diet for the adolescent athlete consists of providing adequate calories in the proper balance of nutrients for the additional stress of athletics. This must also take into account the eating patterns and preferences associated with adolescence. Education of coaches, parents, and athletes is an important aspect of providing health care to an athlete or athletic team. Although it may seem more "glamorous" to work with Olympic level or elite athletes, our experience is that these individuals often already have established poor eating patterns and nutritional misinformation. Clinics or educational sessions involving younger athletes will be more successful and build a foundation for tomorrow's Olympic athletes. PMID- 6571239 TI - Nutrition for ultra-endurance: several hours to several months. AB - In conclusion, the nutritional needs of three types of ultra-endurance athletes have been reviewed. These include events of several hours, day-after-day competition, and prolonged true endurance expeditioneering. There are many requirements common to all three--an adequate supply of fuel already available, judicious repletion of fuel and fluid losses during the events, and postcompetition repletion, which pertains not only to training but also to events of several days' duration. Most importantly, the "competitive edge" can be maintained only with careful attention to all of these factors. PMID- 6571240 TI - Weight control in the athlete. AB - Altering body composition either through reducing body fat or increasing muscle mass is a frequent and very important concern of large numbers of young athletes. When efforts to induce these body changes are approached with sound principles of nutrition and training, the resulting changes in body composition can make the desired contribution to health and fitness as well as contributing to increasing the athlete's performance potential. Any attempt to alter body composition must be planned over a significant time period, making it essential to initiate the program several weeks prior to the competing season. Significant increases or decreases in any body tissue component cannot be safely accomplished in a brief period. Supervision by a physician or another legitimate health professional is highly recommended to protect the motivated athlete from the abuses of faddists, quacks, and nutrition charlatans. The proper educational information regarding the ineffectiveness and hazards of drug use by the athlete are also to be dealt with. Having achieved a desired body composition, the athlete will recognize an achieved weight as his or her desired competing weight. Monitoring body weight two or three times weekly during the season will identify any involuntary changes in body weight that, if continued, will inevitably compromise athletic performance. PMID- 6571241 TI - Body composition. Methods of estimation and effect upon performance. AB - The assumption that is implicit in nearly all methods for determining body composition is that the fat-free body has a constant composition and that fat content can vary from some minimal amount to over 70 per cent. Fat estimations, however, are almost always indirect and are based upon estimating some fat-free component of the body. Some fifteen different methods are described in terms of the principle involved, the cost, and the applicability for routine use. A review is presented of a large number of regression equations that have been developed to predict body density from many types of anthropometric equations. The accuracy or comparative accuracy of body composition methods cannot be evaluated with human subjects. Methods can be validated only by using the method on an animal model, then performing chemical analyses on the same animal. Data of this type are limited. PMID- 6571242 TI - A practical guide to fad diets. AB - This discussion of fad diets may be concluded by comparing the 14 selected diets with the standards previously outlined for desirable weight reducing plans. Many of the popular diets supply large quantities of saturated fat and cholesterol, which are dietary components that have been associated with cardiovascular disease. Ketogenic diets are not appropriate for athletes because of problems with secondary dehydration and hyponatremia. Almost all of the diets are nutritionally inadequate. The rate of anticipated weight loss will vary according to the age, sex, weight, basal energy requirement, and activity level of an individual. However, it is expected that weight loss will be excessively rapid if a competitive athlete consumes a diet of less than 1000 calories per day. These hypocaloric diets cannot meet the training demands of athletes and will promote loss of lean body mass and carbohydrate stores. Many of the ketogenic diets do not restrict calories; therefore, weight loss will depend upon individual daily caloric consumption. The Cambridge Diet and starvation diets produce weight loss far in excess of that desired for an athlete in training. Long-term eating patterns to maintain weight loss are not encouraged in any of the 14 selected fad diets. In fact, most of these diets promote patterns of poor nutrition. Not one of the diets provides options or choices for dieters to use in accommodating food preference and lifestyle patterns. Some of the diets are fairly easy to comply with and others require special foods and supplements. None of the 14 diets reviewed fulfull all of the standards for a sound weight reduction diet plan.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6571243 TI - [Role of uro-nephrologic diseases in the mortality at an internal medical department in Dakar. Apropos of 1,782 cases]. PMID- 6571244 TI - [Morphology and topography of the lower wisdom tooth in the African]. PMID- 6571245 TI - [Aberrant pancreas in the gastric antrum. Value of diathermic loop endoscopic biopsy for a definite histopathological diagnosis]. PMID- 6571246 TI - [Growth and cardiovascular status in greater Dakar]. PMID- 6571247 TI - [Does the antibacterial action of Madagascar chewing tobacco justify its use against dental caries?]. PMID- 6571248 TI - [Facial paralysis in localized tetanus: electromyographic aspects. Apropos of a case]. PMID- 6571249 TI - [Effect of NaCl loads on experimental digitalis poisoning in the guinea pig]. PMID- 6571250 TI - [Arterial distribution at the level of the pancreas tail. Its impact on the etiology of caudal pancreatic necrosis following splenectomy for splenic trauma]. PMID- 6571251 TI - [Reference values of glycosylated hemoglobins in black Sengalese]. PMID- 6571252 TI - [Alizapride: a new antiemetic for severe vomiting during cancer polychemotherapy. Apropos of 20 cases]. PMID- 6571253 TI - [Blood transfusion in Senegal: psychosociological study of blood donation]. PMID- 6571254 TI - [The spinal accessory nerve in the posterior sub-parotid space. Anatomic considerations based on 106 cadaveric neck dissections]. PMID- 6571255 TI - [Anatomic considerations concerning the spinal accessory nerve. Apropos of 106 cadaveric neck dissections]. PMID- 6571256 TI - [Perforated duodenal ulcers. Apropos of 60 cases at Dakar General Hospital, 1977 1983]. PMID- 6571257 TI - [Evaluation of bird poison residues in "millet-eaters" (Quelea quelea L.). Toxicologic consequences arising from the consumption of poisoned birds by domestic animals and man. 1. Fenthion]. PMID- 6571258 TI - [Evaluation of bird poison residues in "millet-eaters" (Quelea quelea L.). Toxicologic consequences arising from the consumption of poisoned birds by domestic animals and man. 2. Cyanophos]. PMID- 6571259 TI - [Contamination of sugar cane by 2 bird poisons: fenthion and cyanophos. Evaluation of residues in sugar cane juice transformed into sugar]. PMID- 6571260 TI - Pharmacokinetics of indomethacin i.m. in blood, synovial fluid, synovial membrane, muscle, fat, bone, and spinal fluid. AB - Nonsteroidal anti-inflammatory drugs are an important part of the therapy of rheumatoid arthritis. For optimal dosage it would be necessary to know the levels of such compounds in inflamed tissue and not only in blood because the drugs inhibit prostaglandin synthesis in all cells of the body. In the present study, the levels of indomethacin in blood, synovial fluid, synovial membrane, muscle, fat, bone and spinal fluid of patients with rheumatoid arthritis have been measured at 1, 3, 6, and 12 hours after administration of 50 mg indomethacin (Amuno, Merck Sharp & Dohme). At 3, 6, 9 and 12 hours after administration levels in synovial fluid and tissue were higher than in blood but the differences were not significant. Levels in the other tissues investigated did not differ much from blood. In experiments with carrageenan-induced inflammation in rabbits, levels of indomethacin in blood and exudate have been measured after administration of 7.5 mg/kg i.v. Between 3 and 8 hours after administration levels in exudate were significantly higher than in blood. From the time course of indomethacin in blood compared to synovial fluid or exudate and from the comparison of the elimination half lives it can be concluded, that the transport of indomethacin into the inflamed area is mainly a process of diffusion. PMID- 6571261 TI - Severe acute polyarthropathy associated with levamisole therapy in a patient with Crohn's disease. AB - A 17 year old Caucasian youth with intractable Crohn's disease developed a severe, acute polyarthropathy during a second course of levamisole therapy. Rapid resolution of systemic symptoms occurred on stopping the drug but full joint recovery was not achieved until five months had elapsed. The relationship of levamisole to Crohn's disease and the underlying mechanisms of the polyarthropathy are discussed. PMID- 6571263 TI - A poor deal for ankylosing spondylitics. PMID- 6571262 TI - Snapping scapulae: a report of three cases. AB - Snapping scapula or retroscapular pain is uncommon, and few cases require surgical intervention. In three cases the symptoms were such as to eventually require surgery. No obvious cause was found but excision of the 2 cm of the medial scapular border resulted in prompt and permanent pain relief. Why this should be so is a mystery. PMID- 6571264 TI - Studies into the effects of the iron chelator desferrioxamine on the inflammatory process. AB - We have examined the effect of the iron chelating agent, desferrioxamine on different models of acute inflammation initiated by the irritants carrageenan or calcium pyrophosphate crystals. Depending on the dose of drug used and the time at which the lesion is examined both pro- and anti-inflammatory effects were observed as judged by measurement of leucocyte accumulation and oedema formation. The anti-inflammatory effects of desferrioxamine were supported by a decrease in concentration of the acute phase reactant alpha 1 glycoprotein. Our findings suggest that iron has a complicated relationship with the inflammatory process. PMID- 6571265 TI - The correlation of composition and morphology during the high to low potassium transition in single erythropoietic cells. AB - The change from high potassium dog erythroid cells to low potassium red blood cells during erythropoiesis was investigated by X-ray microanalysis of single cells. A correlation of morphology and composition, using freeze-dried cryosectioned preparations, showed that during normal erythropoiesis in dog bone marrow the switch from high potassium to low potassium occurs during the change from early to late nucleated erythroid cells, and in synchrony with the beginning of iron accumulation. In contrast, during rapid erythropoiesis in dogs with phenylhydrazine-induced anemia, the most prominent change in cation composition as well as the accumulation of iron occurs during the reticulocyte stage in the peripheral blood. The determination of the absolute amounts of sodium and potassium per cell in stress reticulocytes of peripheral blood indicated that the changeover from high potassium to low potassium actually occurs by the loss of cellular potassium during volume reduction, with little change in the amount of cellular sodium. This suggests that maturation may involve a selective change in potassium permeability. Lastly, it was observed that not all cells followed the predominant pathway with respect to change in morphology, membrane permeability and hemoglobin synthesis. One particular subpopulation appeared to follow a sequence which expressed the complete HK to LK transition before the accumulation of any iron; this implies the possibility of completing protein synthesis in a low potassium intracellular milieu. PMID- 6571267 TI - Judging office practice systems. II: Factors that effect system performance. PMID- 6571268 TI - Using a spreadsheet program to increase your income. PMID- 6571266 TI - Relation between intracellular sodium and active sodium transport in rabbit colon: current-voltage relations of the apical sodium entry mechanism in the presence of varying luminal sodium concentrations. AB - The current-voltage relations of the amiloride-sensitive Na entry pathway across the apical membrane of rabbit descending colon, exposed to a high K serosal solution, were determined in the presence of varying mucosal Na activities, (Na)m, ranging from 6.2 to 99.4 mM. These relations could be closely fit to the "constant field" flux equation yielding estimates of the permeability of the apical membrane to Na, PmNa, and the intracellular Na activity, (Na)c. The following empirical relations emerged: (Na)c increased hyperbolically with increasing (Na)m; PmNa decreased hyperbolically with increasing (Na)m and linearly with increasing (Na)c; spontaneous variations in Na entry rate at constant (Na)m could be attributed entirely to parallel, spontaneous variations in PmNa; the rate of Na entry increased hyperbolically with increasing (Na)m obeying simple Michaelis-Menten kinetics; the relation between (Na)c and "pump rate," however, was sharply sigmoidal and could be fit by the Hill equation assuming strong cooperative interactions between Na and multiple sites on the pump; the Hill coefficient was 2-3 and the value of (Na)c at which the pump-rate is half-maximal was 24 mM. The results provide an internally consistent set of relations among Na entry across the apical membrane, the intracellular Na activity and basolateral pump rate that is also consistent with data previously reported for this and other Na-absorbing epithelia. PMID- 6571269 TI - How to automate your billing system. PMID- 6571270 TI - The search for national standards for medical data exchange. PMID- 6571271 TI - Software review: Medical Manager, an office management system. PMID- 6571273 TI - Understanding computer basics. PMID- 6571272 TI - Let your computer do the talking and the listening. PMID- 6571274 TI - The software corner. PMID- 6571275 TI - Judging office practice systems. III: Reports and retrievals. PMID- 6571276 TI - Software review: The Specialist, a billing system. PMID- 6571277 TI - A primer on word processors--with three examples. PMID- 6571278 TI - Anticipating the future in medical computing. PMID- 6571279 TI - Digitalis therapy: simple formulas to plan and adjust dosage regimens. PMID- 6571281 TI - Keeping dates straighter. PMID- 6571280 TI - Review of microcomputer nutrient analysis and menu planning programs. PMID- 6571282 TI - Computers in the examining room, the delivery room, and the nursery. PMID- 6571283 TI - Bits, bytes, words and numbers. PMID- 6571284 TI - Choosing office practice systems for billing, accounting, and medical record functions. PMID- 6571285 TI - Writing practice systems without programming. PMID- 6571286 TI - Medical records and clinical databases: what is the difference? PMID- 6571287 TI - Tracking the stock market. PMID- 6571288 TI - What we want in M.D. Computing articles. PMID- 6571289 TI - Presentation graphics: an introduction and review of four systems. PMID- 6571290 TI - Local area networks: why? What? What if? PMID- 6571291 TI - Compudyne: a timesharing office management system. PMID- 6571292 TI - Selecting your first computer: a contrary theory. PMID- 6571293 TI - Orthopedic computing: bone and joint computer connection. PMID- 6571294 TI - Diagnostic digital angiography: the image revolution continues. PMID- 6571295 TI - The current state of operating systems: 1983 and 1984. PMID- 6571296 TI - Interactive video. PMID- 6571297 TI - Twelve rules for effective office computerization. PMID- 6571298 TI - Are computerized billing systems an asset for small practices? PMID- 6571299 TI - Metafile: one of a new breed of database management systems. PMID- 6571300 TI - Everything you wanted to know about printers. PMID- 6571301 TI - Using computers to care for patients with renal disorders. PMID- 6571303 TI - Programming languages. PMID- 6571302 TI - A history of computerized medical interviews. PMID- 6571304 TI - A model for software exchange: the College of American Pathologists approach. PMID- 6571305 TI - Appointment scheduling by computer. PMID- 6571307 TI - Careers in medical computing. PMID- 6571306 TI - A compendium of medical software for microcomputers. PMID- 6571308 TI - How near is the bionic future? PMID- 6571309 TI - Univair system 9000: an office billing system. PMID- 6571310 TI - Feedback control of hand-movement and Fitts' Law. PMID- 6571311 TI - Conditions for a linear speed--accuracy trade-off in aimed movements. PMID- 6571312 TI - The contribution of the thumb to reaching movements. PMID- 6571313 TI - Visual control of discrete aiming movements. PMID- 6571314 TI - Timing and torque involvement in the organisation of a rapid forearm flexion. PMID- 6571315 TI - Visual timing in hitting an accelerating ball. PMID- 6571316 TI - On the space-time structure of human interlimb co-ordination. PMID- 6571317 TI - RT to tactile stimuli presented ipsi- and contralaterally to the responding hand. PMID- 6571318 TI - Kinaesthesis: its measurement, training and relationship to motor control. PMID- 6571319 TI - Phonological spelling. PMID- 6571320 TI - Surface dyslexia. PMID- 6571321 TI - Allocation of attention according to informativeness in visual recognition. PMID- 6571322 TI - Thresholds for movement direction: two directions are less detectable than one. PMID- 6571323 TI - The sources of visual recency: movement and language in serial recall. PMID- 6571324 TI - Hemispheric competence and perceptual confusability. PMID- 6571325 TI - Psychological analyses of haptic and haptic-visual judgements of extent. PMID- 6571326 TI - The temporal course of visual pattern encoding: effects of pattern goodness. PMID- 6571327 TI - [Ruthenium complexes as antitumor drugs: isolation of a new Ru (III) and iminodiacetic acid complex]. AB - The authors discuss the convenience for using ruthenium complexes as potential antitumor drugs, and the considerable importance of these substances in regard to their biological activity. The synthesis of a new drug of the group and the results of its administration to mice bearing Ehrlich ascites cancer are reported. PMID- 6571328 TI - Chronochemotherapy of N-nitrosomethylurea-induced mammary tumors in rats. II. Circadian treatment with cyclophosphamide. AB - The chemotherapeutic effectiveness of intraperitoneal administration of cyclophosphamide (CY) (100 mg/kg) was evaluated, on a circadian basis, on the N nitrosomethylurea (NMU)-induced mammary tumors in female Wistar rats. Untreated rats showed a progressive increase in the mean tumor number/rat, tumor area and total tumor area/rat. The average number of tumors/rat was significantly lower in the rats treated with CY at 02:00 h than the values obtained in the control group days 21 and 28, and than that observed at the end of the 4-week period of study in the rats treated with CY at 20:00 h. Average tumor area and total tumor area/rat in all groups of treated rats were lower than those in the untreated animals, though without significant differences amongst those treated with CY. The body weight remained constant throughout the 4-week period of study in the control group, while a transient reduction was registered after CY administration. PMID- 6571329 TI - Liver regeneration in mice bearing a transplanted hepatoma. AB - The hepatocyte mitotic index curve in hepatectomized hepatoma-bearing mice, rises earlier, has a greater amplitude and is less synchronized than that of normal hepatectomized mice. This indicates a stimulation (more mitosis in a shorter time period) produced by the presence of the tumors. The sinusoid litoral cells mitotic index curve in hepatectomized hepatoma-bearing mice appears earlier and is much less synchronized than that of normal hepatectomized mice. Nevertheless both curves have the same amplitude for the whole sampling period and the early stimulation is quickly compensated by lower values (apparent inhibition) appearing in the resting (light) period. PMID- 6571330 TI - [Treatment with intratumoral prospidium chloride of cancer of the mammae induced by N-nitrosomethylurea in the rat]. AB - Wistar rats bearing N-nitrosomethylurea-induced mammary tumors received intratumoral injections of prospidium chloride or saline. Each tumor with 30-100 mm2 (the product of the two largest perpendicular diameters) received 20 mg of prospidium chloride diluted in 100 microliter of saline, and increasing amounts of 20 mg of the product in the same volume for every additional 100 mm2 or fraction of tumor. After a week the treatment was repeated in the same way. Control rats received only saline without prospidium chloride. No significant differences were observed regarding the tumor area, total tumor area/rat, and body weight when comparing the rats receiving prospidium chloride and the control rats. Prospidium chloride does not show any direct oncolytic effect upon the experimental model employed. PMID- 6571331 TI - [Malignant proliferative tricholemmal tumor: a clinical, morphologic and ultrastructural study]. AB - The clinical, morphological and ultrastructural features of malignant proliferating Tricholemmal Tumor with neoplastic angioinvasion, and its histogenetic changes are discussed. We concluded that it is a tumour derived from non-keratogenous lower external tricholemmal sheath cells. We prefer the denomination of Malignant Proliferating Tricholemmal Tumour, instead of Malignant Proliferating Tricholemmal Cyst because, in our case, there was an important proportion of solid tumoral component beside the numerous cysts. PMID- 6571332 TI - [Neuropsychological effects of various cerebral tumors]. AB - We have studied in this work, from the neuropsychological point of view, sixteen patients (9 with tumor in the frontal lobe, 3 with temporal and temporo-parietal tumor and 4 with parietal, occipital and parieto-occipital tumor). The results show an intellectual damage when the work to carry out involves time, visualmotricity and perceptive-visual integration. We have likewise observed the appearance of many disorders of the spatial orientation, the perceptive visual integration, the graphomotricity and the reading process. PMID- 6571333 TI - [Bilateral malignant Brenner's tumor. Apropos of a case]. AB - This is the case of a 51 year old woman presented with sensation of pelvic fullness, hypogastric pain, anorexia, asthenia and weight loss of one year duration. The gynecological exam revealed a normal uterus and a hard oval mass in the posterior aspect of the vagina, and another spherical mass in right vaginal cul de sac and adnexial area. After surgery malignant a Brenner tumor was diagnosed. A course of chemotherapy was started postoperatively. The "second look" was negative macroscopically but positive cytologically. A second course of chemotherapy was done. The second "second-look" was negative macroscopically and cytologically. The patient at present is in good health. PMID- 6571334 TI - Intrathecal opiates for chronic pain in cancer patients. AB - A total of 20 cancer patients suffering chronic pain were treated with morphine chloride by intrathecal administration through a subcutaneous implanted reservoir. Pain evaluation was done using our INO scale, McGill questionnaire and the visual analogue scale. A morphine intrathecal test was done previously to disclose if this method of administration would be effective. In nearly all patients the initial dose of morphine chloride was 2 mg/day and according to the pain relief the dose was modified if necessary. In 14/20 patients the initial dose was maintained during all treatment until their death. One patient treated during 370 days required a final dose of 6 mg/day. In all patients the analgesia obtained and evaluated with the INO scale was statistically significant using the t-Student (P less than 0.001) with a pretreatment mean value of 12.4 +/- 1.81 (mean +/- sigma) and 6.85 +/- 0.99 (mean sigma) in the final evaluation. The mean period of treatment was 62.8 days (range 10-370 days). Side effects are comparable with those described by others, and respiratory depression did not occur in our series. This method of treatment can alleviate pain in cancer patients not suitable to be treated by other methods, including ablative neurosurgical procedures, permitting home care which can be more comfortable to patients and their families. PMID- 6571335 TI - [Treatment of lesions caused by extravasation of therapeutic drugs]. PMID- 6571336 TI - [Significance of calcifications of the breast and diagnostic value of mammography]. AB - The authors make a revue of the value of mammography as a diagnostic technic for breast cancer, centering their attention in the existence of calcification. Based on data from the literature and on their own experience, they consider mammography to be a useful procedure for screening, allowing an early diagnosis in a significant number of cases. PMID- 6571337 TI - [Circulating immune complexes in patients with cancer]. AB - The author makes a review of the mechanisms and results of the different procedures that have been developed to measuring circulating immune complexes, and indicates the great divergences and contradictions existing between them. PMID- 6571338 TI - Kinetics of cefsulodin in patients with renal impairment. AB - Kinetics of cefsulodin were determined after administration of a 500-mg dose to normal subjects and patients with various degrees of renal insufficiency, including those requiring hemodialysis. Elimination kinetics were described by a two-compartment model. The steady-state volume of distribution was 0.26 liters/kg regardless of renal function. When the glomerular filtration rate (GFR) was greater than 80 ml/min, the elimination half-life (t1/2) was 1.9 hr. When the GFR ranged from 79 to 53 ml/min, t1/2 was 2.9 hr. In patients with moderate renal failure, in whom the GFR was 32-22 ml/min, t1/2 was 5.7 hr. In anuric patients, t1/2 was 13.0 hr. During hemodialysis the average plasma flow was 122 ml/min, dialyzer plasma clearance was 50.9 ml/min, concentration of drug in plasma was reduced by 60%, and t1/2 decreased to 2.1 hr. After dialysis the elimination rate appeared to return to that found in subjects not undergoing dialysis. While progressive renal failure slows the elimination of cefsulodin, there is a linear relationship between elimination of cefsulodin and GFR such that dosage nomograms can be developed. In patients undergoing hemodialysis, the maintenance dose of cefsulodin should be reduced to 10% of normal, and 60% of the dose should be given after hemodialysis. PMID- 6571339 TI - Clinical and pharmacokinetic study of parenteral administration of cefsulodin in pediatric patients in Japan. AB - A multicenter study of cefsulodin was carried out with pediatric patients having infections caused by Pseudomonas aeruginosa. Clinical responses were evaluated in 78 of 84 cases, and bacteriologic responses were evaluated in 77 cases. Peak serum levels, urinary excretion rates, and biologic half-lives were determined for some patients. Daily dosage of cefsulodin was usually 60-100 mg/kg of body weight given in three to four divided doses. Infections were mainly septicemia (12 cases), respiratory tract infections (23), and urinary tract infections (26); clinical responses in these cases were excellent or good in 75.0% of the cases (nine of 12), 78.3% (18 of 23), and 84.6% (22 of 26), respectively. P. aeruginosa was eradicated in 67.5% of patients (52 of 77) and was replaced in an additional 5.2% (four of 77). No adverse reactions were observed except for four cases of eosinophilia and one case in which serum transaminase levels were elevated. These results indicate that cefsulodin is a safe and useful drug for the treatment of pseudomonal infections in pediatric patients. PMID- 6571341 TI - Ambivalent effect of light on the eye. PMID- 6571340 TI - Predictors of response to therapy for infections caused by Pseudomonas aeruginosa. AB - Data from 410 courses of cefsulodin therapy for infections caused by Pseudomonas aeruginosa were used to determine the factors that correlated with three outcomes: bacteriologic cure, clinical response, and the occurrence of adverse effects. The factors that were evaluated were site of infection, number of infected sites, prior antibiotic therapy, concurrent antibiotic therapy, maximum daily dose of cefsulodin, pretreatment status (blood pressure, white blood cell count, hemoglobin and creatinine levels, liver function tests), age, sex, and assignment to cefsulodin via randomization. Stepwise logistic regression analysis was used to determine the factors that contributed independently to the outcome. Regression analysis indicated that three factors were significantly associated with bacteriologic cure: age, site of infection, and pretreatment hemoglobin values. Regression analysis indicated that the following four variables were significant correlates of satisfactory clinical response: site of infection, the presence of more than one infected site, diastolic blood pressure before therapy, and prior antibiotic therapy. Regression analysis also indicated that two factors, maximum daily dose of cefsulodin and duration of therapy, were the only significant predictors of the occurrence of adverse effects. PMID- 6571342 TI - Collateral circulation in hemicentral retinal vein occlusion. AB - The perchance occurrence of a hemicentral retinal vein occlusion in an eye with a lightly pigmented fundus allowed us the opportunity to observe the development and flow dynamics of collateral circulation. We are able to demonstrate an optic disc collateral draining into a choroidal vein, a finding which to our knowledge had previously only been documented histologically. The collateral circulation developed slowly over many months and was not rapid enough to prevent chronic microcystic macular changes. PMID- 6571343 TI - Amyloid infiltration of the levator palpebrae superioris muscle: case report. AB - Intraorbital amyloidosis has rarely been described. This case is unique in its referral pattern, isolated levator muscle involvement, and lack of a palpable mass, proptosis, and extraocular muscle involvement. Amyloidosis should be considered in the differential diagnosis of ptosis. PMID- 6571344 TI - Pars plana vitrectomy for vitreous hemorrhage and retinal vein occlusion. AB - We studied 16 cases of retinal vein occlusion and vitreous hemorrhage treated by pars plana vitrectomy. The visual acuity in all nine eyes suffering from branch vein occlusion was improved postoperatively, reaching an acuity of 6/6 to 6/12 in 33% of the patients. In the seven eyes suffering from central vein occlusion, however, the postoperative visual acuity results were poor. The incidence of postoperative complications was higher also in the central vein occlusion group. PMID- 6571345 TI - Upper eyelid retraction in long-standing anophthalmic sockets. AB - Marked retraction of the upper eyelid is a rare but distressing complication of the anophthalmic socket. It usually occurs in long-term prosthesis wearers who have undergone enucleation in childhood or 20 to 30 years previously. Contributing factors include a large prosthesis, infrequent removal of the prosthesis, and lid closure difficulties. Clinically, the upper eyelid may be severely retracted, producing a wide-eyed stare as well as problems with comfort and prosthesis retention. The upper fornix may be foreshortened or of adequate depth but misdirected posteriorly. The postulated mechanism of anophthalmic upper eyelid retraction is a contraction of the levator muscle because of its role as an antagonist to the underutilized orbicularis muscle. Barring excessive atrophy of the lid layers, the eyelid can be brought forward out of the orbit to an acceptable position with surgical correction. Transcutaneous levator recession with interposition of eyebank sclera is the procedure used by the author. PMID- 6571346 TI - Aneurysmal bone cyst of the orbit: a review. AB - An aneurysmal bone cyst involving the orbital roof in a 12-year-old girl is discussed. Other reported cases of this highly unusual non-neoplastic bony lesion affecting primarily adolescents and young adults are reviewed. Similarities and differences between orbital aneurysmal bone cysts and those affecting the long bones and spine are also discussed. PMID- 6571347 TI - Clinical cystoid macular edema with intracapsular cataract extraction and posterior chamber lens implantation. AB - A prospective clinical study has been undertaken to determine the rate of clinical cystoid macular edema in a population that has had intracapsular cataract extraction with the implantation of an iris-supported posterior lens. Transient cystoid macular edema developed in 7.2% of the patients in this study, and persistent cystoid macular edema developed in 1.02% of the patients. A chi 2 test shows that there is no significant difference in the rates of transient and persistent cystoid macular edema in this group with intracapsular cataract extraction and a group reported in the literature who had extracapsular cataract extraction and the implantation of a Shearing lens. PMID- 6571348 TI - Fine-needle aspiration of orbital lesions. AB - In seven patients with orbital lesions, fine-needle aspiration (FNA) was performed. No complications were seen in performing this procedure. FNA proved to be an important adjuvant method in the diagnosis of orbital lesions, especially in their pre-operative cytologic definition. PMID- 6571349 TI - Fuchs' heterochromic cyclitis: some observations on clinical picture and on cataract surgery. AB - In a study of 33 patients of heterochromic cyclitis, some unusual clinical features were observed. In many cases the iris was feltlike, month eaten, and associated with gelatinous nodules at the pupillary border or over the surface of iris stroma. An association of pseudoexfoliation of the lens capsule with bilateral heterochromic cyclitis was noted. Twenty-one eyes were subjected to cataract surgery. Hyphema (23.6%) and phacoanaphylactic uveitis (9.5%) were the main postoperative complications. PMID- 6571350 TI - Anterior uveitis as a first sign of primary orbital lymphosarcoma. AB - A 47-year-old woman had a painless anterior uveitis in her right eye. Later, it appeared to be secondary to a developing extraocular orbital tumor, which also caused marked proptosis. Histopathologic examination of the tumor revealed lymphocytic lymphosarcoma. The tumor regressed rapidly after irradiation and cytological treatment. PMID- 6571351 TI - Metastatic adenocarcinoma presenting as bilateral blindness. AB - A 71-year-old man had bilateral shallow retinal detachments. An extensive medical work-up was unrevealing. A "skinny-needle" biopsy of retrocrural lymph nodes under computed tomographic control supported a diagnosis of metastatic adenocarcinoma to his choroid. A review of the literature on metastatic ocular cancer is presented. PMID- 6571352 TI - Spatio-temporal modulation transfer function in retinal diseases. AB - Spatio-temporal modulation transfer function was measured in patients with retinal disease (central serous choroidopathy, retinal branch vein occlusion, retinitis pigmentosa) using microcomputer controlled monitor-TV display system. Sensitivity loss in high spatial frequency ranges at 1.0 Hz temporal frequency was the characteristic finding in those diseases, and the results suggest that the sustained channel of the visual perception system is more impaired than the transient channel in retinal diseases involving the macula. PMID- 6571353 TI - Juxtapapillary choroiditis associated with chronic meningitis due to Coccidioides immitis. AB - A 73-year-old man had chronic meningitis of uncertain origin. Ophthalmologic examination revealed juxtapapillary choroiditis with an associated localized serous retinal detachment. Subsequent laboratory evaluation demonstrated absent serum complement-fixing antibody titers to Coccidioides immitis, but serological examination of the CSF demonstrated an antibody titer of 1:2. The final diagnostic impression was that of chronic meningitis in association with juxtapapillary choroiditis due to C immitis. PMID- 6571354 TI - Combined pars plana vitrectomy and retinal surgery in massive periretinal proliferation. AB - Thirty-two patients with retinal detachment and massive periretinal proliferation underwent combined vitreous and retinal surgery. The cases were divided into two groups: 18 patients primarily operated on and 14 patients with a history of previous unsuccessful retinal surgery. Successful reattachment was accomplished in 13 eyes of the first group (70%), with a mean follow-up period of 8.5 +/- 1.9 months. In the second group, reattachment was accomplished in seven eyes (50%) followed for 11.4 +/- 2.3 months. Visual improvement was achieved in 61% and 29% of eyes in the first and second groups, respectively. These results indicate that eyes with retinal detachment and massive periretinal proliferation following retinal surgery have a much worse prognosis than patients who were not previously operated on. PMID- 6571355 TI - Catecholamines in diabetic retinopathy. AB - An attempt has been made to correlate the catecholamines and diabetic retinopathy. Plasma catecholamines and their urinary metabolite, vanillylmandelic acid, were measured in 53 cases of different stages of diabetic retinopathy and the results compared with the 30 cases of the control group. The study revealed a rise in total plasma catecholamines that was significant in the preretinopathic stage and highly significant in the early as well as in the late stages of diabetic retinopathy. Thus, catecholamines may play an important role in the pathogenesis of diabetic retinopathy by stimulating the counterregulatory hormones, namely growth hormone and glucagon. PMID- 6571356 TI - Superior oblique paresis and contralateral Horner's syndrome. AB - A superior oblique paresis with contralateral oculosympathetic paresis may occur with a lesion at the dorsolateral pontomesencephalic junction. PMID- 6571357 TI - Diseases of the lower extremities. PMID- 6571358 TI - General foot care considerations. PMID- 6571359 TI - Cutaneous diseases of the paw. AB - Cutaneous disorders of the paw remain a challenging clinical entity. The presenting appearance of the various etiologies is often amazingly similar. However, by using a standardized diagnostic method, one can systemically rule in or out the more common causes and objectively establish a working differential diagnosis. Therapeutic and prognostic considerations are dependent on the etiology. General dermatologic principles apply to the paw as well as to the other areas of the skin; however, because of the known frequency of relapses and therapeutic difficulties, one must approach any case of pododermatitis with a realistic attitude and anticipation of prolonged therapy. PMID- 6571360 TI - Papulosquamous diseases of the lower extremities. PMID- 6571361 TI - Histologic differentiation of mechanical and non-mechanical keratoses of the sole. PMID- 6571362 TI - Microbiology of the interdigital web. PMID- 6571363 TI - Vascular diseases of the lower extremities. PMID- 6571364 TI - Cutaneous manifestations of systemic diseases: collagen vascular disease and vasculitis. PMID- 6571366 TI - Certain aspects of diagnosis and treatment of phaeochromocytoma. PMID- 6571365 TI - Arterial hypertension and pregnancy. PMID- 6571367 TI - Primary hyperaldosteronism. PMID- 6571368 TI - Indications to treatment of essential hypertension with particular reference to borderline hypertension. PMID- 6571369 TI - Pharmacological treatment of arterial hypertension. PMID- 6571370 TI - Epidemiology of arterial hypertension with particular reference to research conducted in Poland. PMID- 6571372 TI - Arterial hypertension in renal parenchyma diseases. PMID- 6571371 TI - The role of certain hormonal factors in arterial hypertension. PMID- 6571373 TI - [Ultrastructural study of papillomas of the choroid plexus]. AB - The choroid plexus papillomas are rare neoplasms. They constitute about 0.5 per 100 of all intracranial tumors. From a histological point of view they are generally benign tumors. However they give a high mortality rate due to their location near vital structures, the rapid production of intracranial hypertension, and the rich vascularity making risky the surgical treatment. PMID- 6571374 TI - [Serum tissue polypeptide antigen in the differential diagnosis of chronic pancreatitis and exocrine pancreatic tumors. Preliminary results]. AB - The authors give the preliminary results about the determination of the tissue polypeptide antigen (TPA) in chronic pancreatitis and pancreas exocrine tumors, indicating that although it can make a differential diagnosis between the two diseases, it is of no practical value because of the frequent increase of TPA in several non tumoral processes that may or may not accompany pancreatic tumors. PMID- 6571375 TI - Random migration of leukocytes and phagocytic activity of neutrophils in patients with cancer of gastrointestinal tract at different clinical stages. AB - Capillary leukocyte migration test and neutrophil phagocytosis test with Bacto Latex were performed in 22 patients with gastric cancer, 8 patients with cancer of large intestine and 40 healthy subjects. Patients were divided into 3 groups on the basis of the clinical stage of the disease. Patients with initial (1st stage) cancer showed a statistically significant decrease of spontaneous leukocyte migration accompanied by increased neutrophil phagocytic activity, as compared with the control group (P less than 0.05). The mechanism of the observed changes is discussed. PMID- 6571376 TI - [Determination of plasma prolactin in patients with breast dysplasia]. AB - Prolactin is determined by means of radioimmunoassay in the postovulatory phase of a group of women with mammary dysplasia. A specially increased concentration of prolactin is found in the proliferative dysplasias (multiple intraductal papillomatosis and invasive sclerosing adenosis), that may be considered as preneoplastic processes. PMID- 6571377 TI - [Type A adenocarcinoma grafted into C3H/he-M mice subjected to treatment with various antineoplastic agents. I. Biological study]. AB - The biological modifications in C3H/he-M mice treated with vincristine, prospidium chloride and adriamycin are studied. A significative reduction of the tumor volume was observed with prospidium chloride and adriamycin treatment. The index of tumour growth inhibition (I0) is very high and corroborates the obtained results. The histopathological and ultrastructural studies will be published later. PMID- 6571378 TI - [Type A adenocarcinoma grafted into C3H/he mice subjected to treatment with various antineoplastic agents. II. Histopathological and ultrastructural study]. AB - We studied the histopathological and ultrastructural modifications which the adenocarcinoma type A grafted to C3 H/he-M mice manifested on being treated with vincristine, prospidium chloride and adriamycin. With M/O the tumors treated with prospidium chloride and adriamycin showed a greater proportion of connective stroma and numerous extensive parenchymatous necrosis. Ultrastructurally, in these groups, atypical mitoses were observed with multiple chromosomal fragmentations which can be related to the pharmacological action mechanism. A decrease in the number of viral particles was seen throughout the treatment. PMID- 6571379 TI - [Evolution of weight and survival of C3H mice with solid, subcutaneous sarcoma 180, treated with radiotherapy, hyperthermia and a combination of hyperthermia and radiotherapy]. AB - The authors make an experimental study of the weight evolution and survival rate of sarcoma 180-bearing C3H mice treated by combinations of radiotherapy and hyperthermia. The body weight increased progressively in control animals. The weight increase was less marked under the effect of radiotherapy, hyperthermia, and radiotherapy plus hyperthermia, in decreasing order. While tumor-bearing control animals died after an average of 26.6 days, 3.33, 16.67 and 76.67 per cent of the mice treated respectively by radiotherapy, hyperthermia, and radiotherapy plus hyperthermia were living after 90 days. PMID- 6571380 TI - [Cerebral metastasis, idiopathic pneumoperitoneum and obstructive jaundice as clinical manifestations of carcinoma of the pancreas]. AB - A case of undifferentiated pancreatic carcinoma is described. The first symptoms were due to brain metastases and was then diagnosed as malignant glioma. The appearance of a sudden obstructive jaundice and pneumoperitoneum without any apparent cause led to the diagnosis of undifferentiated pancreatic carcinoma and peritoneal carcinomatosis, that was confirmed by the anatomicopathological study. PMID- 6571381 TI - [The hospital cancer registry. A study of the cases registered in 1977]. AB - The authors describe the results of the hospital registry of tumors made at the National Institute of Oncology in Madrid, following the rules given by the cancer specialists of the World Health Organization. The studied cases correspond to the cancer patients that were seen during the year 1977 for the first time. PMID- 6571382 TI - Glucocorticoid effect on intranuclear localization of poly(ADP-ribose) in chick embryo liver. PMID- 6571383 TI - Uremic pleuritis--clinicopathological analysis of 26 autopsy cases. PMID- 6571384 TI - An autopsy case of extragenital choriocarcinoma in a male. PMID- 6571385 TI - Variation of alpha 2-plasmin inhibitor in patients with gastric cancer. PMID- 6571386 TI - Clinico-genetic study on "school refusal". PMID- 6571387 TI - Pemphigus. PMID- 6571388 TI - Perspectives and speculations. PMID- 6571389 TI - Animal models. PMID- 6571390 TI - Psychomental stress in tetraplegic man: dissociation in autonomic variables and emotional responsiveness. AB - Tetraplegic patients with physiologically complete cervical spinal cord transsection are classic ablation models of sympathetic denervation. Therefore this study was conducted to investigate the hemodynamic response (blood pressure, cardiac rate) and the plasma catecholamine (adrenaline, noradrenaline) release induced by a standardized psychomental stress model (sonic confuser). Attention was focussed on subjective evaluation of stress experience in spinal man. During psychomental stress, typical pressure reaction was not observed, cardiac rate was elevated insignificantly, and catecholamine release was diminished. The subjective estimates of stress experience, however, did not differ from those of the control group. It appears that psychomental stress in sympathectomized man is not extinguished despite abolished peripheral autonomic feedback modifying the state of the central nervous system. Cognitive processes and cortical arousal seem to be the initial and important steps of emotional experience and they are independent from peripheral autonomic processes. These results lend support to the centralistic view of emotions and the importance of cognitive factors in emotional responsiveness. PMID- 6571391 TI - Factors influencing first-year medical students' perceptions of stress. AB - This preliminary report from an ongoing longitudinal study of students at both Tufts and Harvard medical schools examined the relationship between premedical school demographic and stress variables and the numbers and types of stresses reported by students in open-ended interviews conducted during their first year of medical school. Analyses showed that the general categories of "medical school stresses" and "social stresses related to medical school" accounted for about two thirds of the total number of stresses mentioned. The overall distributions of stresses across general categories were remarkably similar in all student groups studied, although significant differences were found between students from different background groups on a number of the specific types of stress. No significant differences were found between groups as to those reporting a high total number of stresses. There did appear to be differences in the degree to which students felt affected by the stresses they reported, suggesting the need for additional data on the meanings of different stresses for different students and the ways in which they cope with them. PMID- 6571392 TI - Beliefs and fears underlying type A behavior: what makes Sammy run--so fast and aggressively? AB - Price has proposed that Type A behavior allows individuals to cope with fears and anxieties engendered by beliefs they develop about their environment through socialization. Three investigations tested her cognitive social learning model of Type A behavior by developing measures of beliefs and fears, and validating them against a standardized Type A measure, the Jenkins Activity Survey (two studies), and measures of Time Urgency, Hostility, Time for Reverie and Self-Centeredness (one study). Respondents provided data by completing questionnaires. Three beliefs and four fears were assessed. Findings indicated that the measures of beliefs and fears had desirable psychometric properties and produced modest relationships with the JAS, Time Urgency and Hostility. Future research directions and practical implications are offered. PMID- 6571393 TI - Dilemmas concerning the training of individuals for task performance under stress. AB - The relative effectiveness of five procedures for the training of individuals to perform tasks under stress was tested in a criterion situation, where subjects were requested to perform a visual search task under the threat of electric shocks. During training on the task, different groups of subjects received shocks of criterion-level intensity; milder than criterion-level intensity; gradually increasing intensity; randomly varying intensity. The last group received no shocks at all. The results pointed to three conditions for the enhancement of training effectiveness: minimal interference of exposure to stressors with task acquisition, familiarity with stressors characteristic of the criterion situation, and absence of unrealistic expectations about future stressors. However, none of the five training procedures meets all three conditions. Implications for the design of procedures whereby persons can be trained to perform proficiently under stress are discussed. PMID- 6571395 TI - Travel broadens...? PMID- 6571394 TI - Psychosocial stress, symptoms, and anxiety of male and female teachers in Greece. AB - Psychosocial stress as measured by a Greek adaptation of the Schedule of Recent Experiences (SRE) constructed by Holmes and Rahe was studied in relation to symptoms, manifest anxiety, visits to doctor, and health concerns using 129 male and female Greek elementary school teachers. Psychosocial stress was related to number of symptoms and to level of manifest anxiety only with women. Although no sex differences were found in average psychosocial ratings, males and females reported different stressful life events. Females reported more symptoms than males, and had higher manifest anxiety. Relationships of sex differences to cultural norms are discussed. PMID- 6571396 TI - Journeys between continents--sleeping around the world. PMID- 6571397 TI - Computer assisted health briefing for travellers. PMID- 6571398 TI - Lloyd Roberts Memorial Lecture. A choice of futures. PMID- 6571400 TI - The flying doctor service and primary health care in East Africa. PMID- 6571399 TI - The deaf child. PMID- 6571401 TI - The restoration of an image. PMID- 6571402 TI - Books from the Library of the Medical Society of London. An exhibition at the Wellcome Institute. PMID- 6571403 TI - Effects of voluntary muscle tension increases in tension headache. PMID- 6571404 TI - The significance of muscle discrimination training in the treatment of chronic muscle contraction headache. PMID- 6571405 TI - Differential efficacy of biofeedback in headache. PMID- 6571406 TI - A screening procedure for differentiating temporomandibular joint related headache. PMID- 6571407 TI - Atypical odontalgia: a localized form of atypical facial pain. PMID- 6571408 TI - Mood and migraine--a preliminary prospective study. PMID- 6571409 TI - Symposium on compensatory renal growth. PMID- 6571411 TI - Polyamine metabolism in compensatory renal growth. AB - The aliphatic polyamines, putrescine, spermidine, and spermine, appear to play an important role in many forms of rapid growth including embryonic, regenerative, hormone-induced, and neoplastic. While the exact biochemical function of polyamines is unclear, current evidence suggests they are probably involved in the biosynthesis and accumulation of nucleic acids and proteins. Increased levels of polyamines and their biosynthetic enzymes are associated with augmented kidney growth stimulated by renal mass extirpation, as well as by various hormones, toxins, and carcinogens. These observations are reviewed and additional data is provided pertaining to alterations in polyamine metabolism during compensatory renal growth following unilateral nephrectomy (uni). To further explore the effect of growth stimuli on renal polyamine synthesis, an in vitro system was employed which previously provided evidence for a circulating renal growth factor after unilateral nephrectomy. These in vitro observations underscore the rapid inducibility of ornithine decarboxylase, the rate limiting enzyme for polyamine biosynthesis; illustrate the association of polyamine and nucleic acid synthesis during enhanced kidney growth; and support the existence of a circulating renal growth regulator which apparently contributes to compensatory responses following loss of functional renal parenchyma. PMID- 6571410 TI - Messenger RNA regulation during compensatory renal growth. AB - The normal pattern of mRNA metabolism almost certainly becomes altered after uninephrectomy, especially during the first day when ribosomes accumulate in the proximal tubular cells of the remaining kidney. For example, within the first hour after nephrectomy, the fraction of newly synthesized poly(A)-deficient mRNA increases relative to poly(A)-containing mRNA. Investigation of other growth specific regulatory changes in renal mRNA has been complicated by its heterogeneity with respect to translational activity, polyadenylate content, membrane association, and cytoplasmic distribution. In general, analysis of kidney mRNA metabolism during growth has not been sufficiently thorough in that few timepoints have been examined after nephrectomy and the techniques used have been suited primarily to the study of only abundant mRNA sequences. Application of recombinant DNA methods should eliminate these difficulties and permit quantitative measurement of growth-specific genetic events during compensatory growth of the kidney. PMID- 6571412 TI - Adenosine and compensatory renal growth. PMID- 6571413 TI - Renal growth in response to unilateral ureteral obstruction. PMID- 6571414 TI - Effect of age on compensatory renal growth. AB - Studies in experimental animals and humans have demonstrated that adaptive compensatory changes in renal growth and function are influenced substantially by the age of the subject at the time that viable renal tissue is removed surgically or destroyed by disease. The compensatory response is enhanced in neonatal subjects, compared to the adult, when normal renal growth is characterized by hyperplasia, while in later life the response is blunted, in association with renal senescence and a decline in both mass and renal function. PMID- 6571415 TI - Renotrophic factors in urine. AB - Our previous observations of increased renal protein synthesis in rats subjected to the constant intravenous reinfusion of half their urine output has suggested that the circulatory retention of renotrophic factors in urine is capable of stimulating renal growth. In the present studies, using this same model of "half urine-reinfusion," which is designed to produce a selective halving of renal excretory function, we have demonstrated significant increases in total DNA content and the incorporation of tritiated thymidine in renal DNA. In addition, a bioassay method was developed in which an assay rat, given an intravenous infusion of urine from another rat, exhibited increases in the incorporation of thymidine into renal DNA and the incorporation of radiolabelled choline into renal phospholipid. This renotrophic activity in the urine was only minimally decreased by heating to 100 degrees C for 30 min and was confined to ultrafiltration fractions retained on a membrane with a nominal 10,000-dalton solute rejection. Removal of one kidney from the rats from which the urine was obtained led to only a modest and transient reduction in the excretion of renotrophic activity, suggesting that the urinary renotrophic factors are of circulatory, not renal, origin. Isolated renal cortical fragments incubated with an ultrafiltration retentate of urine displayed a dose-dependent increase in choline incorporation into phospholipid, suggesting a direct action of the factors on kidney tissue. Finally, no evidence of stimulation of either DNA or phospholipid synthesis could be seen in hepatic tissue.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6571416 TI - In vitro evidence from tissue cultures to prove existence of rabbit and human renotropic growth factor. AB - When synchronized primary rabbit kidney monolayer cell cultures were incubated with a medium that contained uninephrectomized rabbit serum, the incorporation of tritiated thymidine into DNA was much greater than that with a medium that contained normal rabbit serum. The maximal growth-stimulating activity of uninephrectomized rabbit serum on thymidine incorporation into confluent monolayer cultures and sparsely cultured cells was increased approximately two- and fivefold, respectively, above that of normal serum. We conclude that uninephrectomized sera contain a growth-stimulating factor. Similarly, sera from a uninephrectomized human kidney donor and a cancer patient stimulated primary human kidney cell cultures to incorporate tritiated thymidine at levels far beyond those with their prenephrectomized sera. The maximal growth-stimulating activities of uninephrectomized human sera with confluent monolayer cultures and sparsely cultured cells were approximately six- and 13-fold, respectively, above those with the prenephrectomized sera. Thus, the maximal growth-stimulating activity in uninephrectomized human sera was much greater than that in uninephrectomized rabbit sera. Differences in the maximal growth-stimulating activities may be due to differences in the relative number of cell types, for example, epithelial versus fibroblast, present in these kidney cell cultures. By the use of primary cultured cells from other organs such as rabbit skin and human prostate and primary kidney cultures from three species (rabbit, human, and hamster), the growth-stimulating factor in uninephrectomized sera showed organ specificity, that is, renotropic and species specificity in this in vitro assay system.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6571417 TI - Renotropic growth factor found in cancer patient sera after removal of cancer bearing kidney. AB - We have used two sets of primary human kidney culture systems for assaying human renotropic growth factor in day 5 postnephrectomized human sera. The first set of primary kidney cell cultures was prepared from one hydronephrotic kidney and used for assaying the renotropic growth stimulating activity of six kidney cancer patients sera simultaneously. The level of renotropic growth-stimulating activity varies from patient to patient. The postnephrectomized sera of three patients showed rather small (27 to 68%) increase over their prenephrectomized sera. The postnephrectomized sera of the remaining three patients showed a much greater (2.69- to 3.19-fold) increase over their prenephrectomized sera. Variation in the growth-stimulating activities produced in these uninephrectomized kidney cancer patients is most probably due to different levels of renal function loss by removal of the cancer-bearing kidney. Each cancer-bearing kidney has a different proportion of healthy kidney region to diseased (nonfunctional) region. The second set of primary kidney cell cultures was prepared from a healthy noncancerous region of a cancer-bearing kidney and used to assay for renotropic growth-stimulating activities in two different unilaterally nephrectomized kidney transplantation donor sera. Increased levels of growth-stimulating activity are quite similar and high (4.19- to 4.79-fold increase above their prenephrectomized sera). These high and similar assay values of the renotropic growth factor produced in two healthy humans suggest the sensitivity and reliability of the assay method with the use of the noncancerous cells from the cancer-bearing kidney. PMID- 6571418 TI - Serum renotropic activity and renal growth in spontaneously hypertensive rats. AB - Studies performed in the 1950's suggested that a circulating factor controlling renal growth (renotropin) could contribute to hypertension. However, no assay was available to prove its existence. Recently, different assays have been able to demonstrate the presence of a circulating renotropic factor following unilateral nephrectomy in rats. Therefore, we investigated certain aspects of renal growth in SHR, especially serum renotropic activity, and compared these with the same parameters in three strains of normotensive rats (SD, NWR, and WKY). Renal slice and renal DNA synthesis in response to unilateral nephrectomy were not unusual in SHR compared to other strains previously studied. Sera and renal extracts from young SHR following unilateral nephrectomy compared to sera and renal extracts from sham-operated SHR stimulated 3H-thymidine incorporation into the DNA of renal fragments. This pattern was similar to findings when sera and renal extracts from unilaterally nephrectomized SD were investigated, but the sera and extracts from SHR may have shown greater overall stimulation. Interestingly, a relative increase in renotropic activity was found in the serum of untouched SHR (11.1% +/- 1.7 (SEM), P less than 0.001) but not untouched NWR, SD, and WKY. The greatest renotropic activity in SHR was found at 6 to 16 weeks of age (13.5% +/- 2.1 (SEM), P less than 0.001). The previously reported activator found in renal tissue after unilateral nephrectomy was not found to be increased in untouched SHR. No studies were performed on SHR greater than 25 weeks of age. As a first approximation, our investigations are consistent with a previously hypothesis that renotropin may play some role in hypertension. PMID- 6571419 TI - Renal hypertrophy in experimental diabetes mellitus. AB - The kidney changes seen in rats shortly after the induction of experimental diabetes were reviewed: Kidney weight increases by 15 to 20% during the first 4 to 5 days of diabetes and by 70 to 90% after some weeks. GFR increases after a lag-time of some days in parallel to kidney weight. Morphometric analysis shows glomerular hypertrophy to be prominent during the first few days of diabetes. The glomerular filtration surface increases by 40% after 4 days. Diabetic renal hypertrophy is related to the severity of the diabetes, and kidney growth rate relates linearly to blood glucose. Moderate diabetes mellitus and unilateral nephrectomy have approximately the same effect on the kidney (weight increase 20%/4 days). When diabetes mellitus and nephrectomy are combined, renal growth rate almost doubles. PMID- 6571420 TI - Abstracts. Italian Society of Nephrology. Verona, Italy, June 10-12, 1982. PMID- 6571421 TI - A retrieval model for both recognition and recall. PMID- 6571422 TI - Assessment of covariation by humans and animals: the joint influence of prior expectations and current situational information. PMID- 6571423 TI - Personality, motivation, and performance: a theory of the relationship between individual differences and information processing. PMID- 6571424 TI - Role of unconditioned and conditioned drug effects in the self-administration of opiates and stimulants. PMID- 6571425 TI - Automatic and controlled processing revisited. PMID- 6571426 TI - The existence of posterior internuclear ophthalmoplegia. PMID- 6571427 TI - Inhibition of salivary and lacrimal secretion by an enkephalin analogue (FK33 824). PMID- 6571428 TI - Perimetry update. AB - The possible applications of computer-assisted static perimetry are examined after five years of personal controlled studies of different types of computerized perimeters. The common advantage of all computer-assisted perimeters is the elimination of the influence of the perimetrist on the results. However, some perimeters are fully computer-assisted and some are only partially so. Even after complete elimination of the perimetrist's influence, some physiological and psychological influences remain due to the patient and will cause fluctuations of the results. In perimeters, the density of the grid and the adaptive strategy of exact threshold measurement are important in obtaining reproducible results. A compromise between duration of the test and exactness has to be found. The most acceptable compromise seems to be an uneven distribution of stimuli, which form a denser grid in areas of special interest and a wider grid in areas less likely to be involved, combined with exact threshold measurements only in suspicious areas. Multiple stimulus presentation is not adequate. High sensitivity of screening is not a great advantage, unless combined with a high specificity. We have shown that using the same stimulus luminosity for center and periphery (a nonadaptive strategy) produces nonspecific results. Only an adaptive strategy can result in high sensitivity and specificity. Adaptive strategy means that the luminosity of the stimulus is adapted to the individual threshold curve of the visual field. In addition, the exact individual thresholds are bracketed by small up and down steps of variation in luminosity. In some cases, scanning programs with two levels of adaptation can be sufficient. The user of modern perimeters must understand such terms as: asb, dB, presentation time, and diameter of stimuli. Projection of stimuli is preferred to light emitting diodes or glass fiber optics. The programs (software) of the modern instruments are of the greatest importance, because the clinical experience that the perimetrist had to acquire in previous manual perimetry is incorporated in these programs. In the Octopus perimeter a delta program is available that differentiates patient fluctuations that may be insignificant from directed significant alterations of the field which might require alteration of therapy. The programs are listed for different computer-assisted perimeters, and their choice is described. The costs of the perimeters are also given. Many controlled clinical studies are quoted briefly where they are useful for understanding the discussion. A brief chapter deals with the reliability of the perimetric test.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6571429 TI - A new technique of visual field evaluation for unilateral ptosis. AB - A technique of uniocular visual field testing under binocular viewing conditions for evaluation of unilateral ptosis is described. The eye with the nonptotic lid is covered with a red filter, and both eyes fixate the white fixation light while a green test light is used. The resultant field reveals the true functional field loss due to the ptosis and avoids changes due to the patient elevating his brow. PMID- 6571430 TI - Alport's syndrome and retinal telangiectasia. AB - A 30-year-old woman with Alport's syndrome was noted to have unilateral retinal telangiectasia. Intravenous fluorescein angiography was performed to help establish the diagnosis. Photocoagulation was not done since visual acuity was good and there was no apparent threat at this time to central vision. To our knowledge, this is the first reported association of retinal telangiectasia with Alport's syndrome. PMID- 6571431 TI - Early management of retinal problems associated with prematurity: cryothermy treatment. AB - From July 1, 1975 through June 30, 1981 one observer (CDF) examined premature infants at Kern Medical Center and Memorial Hospital nurseries. The infants were all considered high risk cases for development of retinopathy of prematurity. During the five-year period 927 infants were examined at the two facilities. PMID- 6571432 TI - Pediatric aphakic glaucoma. AB - Three cases of pediatric open-angle aphakic glaucoma are presented. These patients had congenital cataracts extracted by the extracapsular techniques of phacofragmentation or irrigation and aspiration. Each required a secondary membranectomy and had development of glaucoma six to 25 months after cataract extraction. Surgical therapy was required in each case of glaucoma, and multiple procedures were necessary. Visual outcome in the involved eye was less than 20/400. The cause of the open-angle aphakic glaucoma is most likely secondary to damage to the trabecular meshwork initiated by uveitis and lens remnants. We urge ophthalmologists who perform pediatric cataract surgery to use phacofragmentation of the cataract and posterior capsule and anterior vitrectomy with vitrectomy instrumentation. This should reduce the incidence of secondary membranes and glaucoma. Ophthalmologists should be aware of this complication and the necessity of prolonged patient follow-up. PMID- 6571433 TI - Inheritance and the pigmentary dispersion syndrome. AB - We studied 23 patients in four families and have found that ten of these patients fulfill criteria for the pigmentary dispersion syndrome. Affected patients had characteristics associated with the pigmentary dispersion syndrome, which are: peripheral slit-like iris transillumination defects, increased trabecular meshwork pigmentation, Krukenberg spindle, myopia, and elevated intraocular pressure. We observed this syndrome to be transmitted in a direct linear manner from parent to sibling in three of the four families. The transmission of this syndrome was found to be independent of refractive error, iris color, and sexual predilection; all of which will be presented. PMID- 6571434 TI - Segmental retinal periarteritis with branch arterial occlusion. AB - An 18-year-old woman complained of acute visual field loss in the right eye due to branch arterial occlusion. Similar disease occurred in the left eye two years later. Extensive laboratory examination revealed no factor of etiologic significance, and no sign of uveitis was observed. The retinal arterioles around the optic disc were segmentally inflamed angiographically, which led to their obstruction. Corticosteroid therapy (betamethazone, 3.0 mg/day) improved the arteriolitis within two weeks. PMID- 6571435 TI - Natural abundance 13C NMR spectra of human muscle, normal and diseased. AB - 13C NMR spectra of human surgical muscle samples have been obtained at 50 and 118 MHz. Numerous sharp peaks in the 13C spectrum have been assigned to carbon atoms of soluble metabolites and fatty acyl chains of neutral fats and membrane-bound phospholipids. Comparisons have been made of 13C NMR spectra of normal and diseased muscles after removal of neutral fat by extraction with isopentane. Creatine, lactic acid, and phospholipids are not removed from muscles by isopentane. The most striking difference between 13C NMR spectra of isopentane extracted normal and diseased muscle samples was the size of the residual 30.5 ppm methylene carbon resonance, that is, small in normal muscles and in nonspecific muscle diseases, but large in myogenic and neurogenic muscle diseases. In addition, differences were also found between normal and diseased muscles in their creatine content and their ability to produce lactic acid. By deoxycholate treatment of isopentane-extracted diseased muscle it is estimated that about one-fifth of the total phospholipids are highly mobile. T1 and NOE measurements indicated that the differences in peak height for the 30.5 ppm resonance between normal and diseased muscle are due only to difference in the amount of highly mobile fatty acyl chains in the muscle and not due to differences in relaxation parameters. 13C NMR of isopentane-extracted muscle appears to permit differentiation of normal from diseased muscle and, within diseased muscle, grading of the severity of the disease. PMID- 6571436 TI - Magnet field profiling: analysis and correcting coil design. AB - A full mathematical framework for the analysis and production of localized magnetic field profiles is presented. Of primary use in the production of highly homogeneous fields for nuclear magnetic resonance studies, the paper details the analysis of fields in terms of spherical harmonics, describes how field plotting in the appropriate manner may be used to obtain a direct measure of which harmonics are present, and shows how to combine basic "building blocks" to produce the various lower-order zonal and tesseral harmonics. "Building blocks" described include coils, arcs, and sinusoids of current as well as rings and arcs of steel. The use of shaped magnets is also briefly mentioned. Attention is drawn to the presence, in high-order designs, of possibly dominant lower orders of harmonics created by errors in fabrication. The goal of the paper is to present a design philosophy, backed by the appropriate mathematics, which is applicable to the variety of situations encountered in magnet design. Practical examples of correcting coils and "shims" are also given. PMID- 6571437 TI - The NMR diagnosis of cerebral tumors. AB - The results of NMR examinations in 52 patients with histological or clinical diagnoses of cerebral tumor are reviewed. An increase in relaxation time was recognized in all tumors but problems were experienced in distinguishing the margin of tumors from surrounding edema. Mass effects were well demonstrated as a result of the high level of gray-white matter contrast available with inversion recovery sequences and the use of coronal and sagittal imaging planes. In general repeated FID sequences were less sensitive in detecting tumors than inversion recovery or spin-echo sequences. Periventricular edema was well demonstrated with spin-echo sequences and was of importance in recognizing acute or subacute hydrocephalus. Radiation therapy was associated with increased relaxation times particularly within white matter. Problems in the recognition of tumor recurrence following treatment are outlined. The opportunities and challenges that NMR imaging is now providing for physicists and radiologists are discussed. PMID- 6571439 TI - The observer SNR penalty for reconstructions from projections. PMID- 6571438 TI - Composition and relaxation of the proton magnetization of human enamel and its contribution to the tooth NMR image. AB - The spin-spin, T2, and spin-lattice, T1, relaxation times and the magnetization of protons were measured in human enamel. The proton free induction decay was analyzed into solid-like interstitial water, enamel apatite, and semiliquid-like water components. The solid-like interstitial water was evaluated to be approximately 5 wt% and the semiliquid-like water to be approximately 1 to 2%. Neither in wet nor in dry natural enamel does the solid water exchange upon deuteration nor can it be extracted in vacuum. The semiliquid natural water, which is in the closed pores of the structure in the two samples above also remains unexchanged upon an 8 hr deuteration and cannot be extracted in a vacuum. With the lineshape-relaxation correlation NMR the free induction decays from heads and tails of the enamel rods were resolved. The solid-like water with T2 of approximately 14 microseconds and the apatite with a T2 of approximately 61 microseconds have T2's too short to be observed in an NMR zeugmatogram. Therefore only the semiliquid water component having an apparent T*2 of about 240 microseconds would contribute to the NMR image of human enamel. Since the relative intensity of this proton magnetization component in tooth is quite small the NMR image of tooth would show primarily the dentin and liquids within the tooth and on its surface. PMID- 6571440 TI - Abstracts of papers presented at the second annual meeting of the Society of Magnetic Resonance in Medicine. August 16-19, 1983, San Francisco, California. PMID- 6571441 TI - [Alprazolam versus lorazepam in the treatment of anxiety: controlled clinical study]. AB - 58 patients suffering from anxiety neurosis were divided into two groups, matched for age, sex, marital status and symptomatology. In a double-blind trial of 4 weeks' duration one group (28 patients) received alprazolam 0.75-3 mg/day and the other (30 patients) received lorazepam 3-12 mg/day. Both groups showed a steady and significant reduction in anxiety levels as measured by Hamilton Anxiety Rating Scale and Clinical Global Impression scores at 0, 1, 2 and 4 weeks. However, there was no significant difference in measured anxiety levels between the two groups at any stage. Fewer side effects were reported in the alprazolam treatment group, with the mental confusion symptom occurring significantly less often. PMID- 6571442 TI - [Schizoaffective psychoses: review of nosographic concepts and longitudinal clinical study]. AB - A through review of the literature relating to the schizoaffective psychoses was undertaken; the considerable variety of criteria used for diagnosis accounts for the diversity of the results obtained by various researchers. In order to identify a homogeneous group of schizoaffective patients, four parameters, on which the literature is in agreement were formulated. These have enabled us to isolate 27 schizoaffective subjects and to compare them with two control groups: 25 cases of schizophrenia and 26 cases of maniac-depressive psychosis. On the basis of the symptomatological and social variables considered (age of onset, cultural level, social adaptation, family history, early and recent events, response to short-term pharmacological treatment, symptomatology during the observation period), we believe that we are able to distinguish schizoaffective subjects from both schizophrenic and dysthymic subjects. PMID- 6571443 TI - [Body illness and changes in verbal communication. Study of the alexithymic phenomenon in somatic disease]. AB - The Schalling--Sifneos Personality Scale was administered to several groups of subjects (patient suffering from chronic hepatitis or from ulcerative colitis, patients undergoing chronic periodic haemodialysis, encephalopathic patient and healthy subjects) in order to assess the presence of alexithymia in healthy subjects, in patients suffering from chronic organic pathologies and in psychosomatic patients. The results obtained permit one to distinguish the psychosomatic patients from other groups of subjects: compared to healthy subjects, patients suffering from ulcerous rectocolitis obtained higher average scores, while compared to patients suffering from other organic pathologies their scores showed a wider scatter. A distinction is therefore proposed between primary alexithymia, of a distinctive cognitive-affective kind which predisposes towards psychosomatic pathology, and secondary alexithymia which is associated with stressful situations, such as illness, and which is essentially defensive in origin. PMID- 6571444 TI - [Crossed aphasia: considerations on a clinical case]. AB - A right-handed patient with no family history of either neurological disorders or of left-handedness was affected by crossed aphasia due to a focal hemorrhagic lesion in the right hemisphere at the level of the basal ganglia. The CAT-scan revealed the site of the brain change. Our case is uncommon in that the aphasia. Assessed by neuropsychological tests, was associated with impairment of right functions such as visual and spatial cognition. Thus he does not fit the classic description of crossed aphasia, exhibiting instead language disorders similar to those following deep brain lesions. Various hypotheses were considered in attempting to explain the pathogenesis of our neurological data, none of which proved adequate to account for all the reported findings. PMID- 6571445 TI - [Myxedematous cerebellar ataxia. Description of a case]. AB - The case of a 64-year-old patient with a severe cerebellar ataxia of unknown origin, dating back at least three years, is described. The patient was diagnosed as suffering from hypothyroidism and after one month of replacement therapy with thyroxine there was complete remission both of the myxedema symptoms and of the cerebellar syndrome. The possible association between cerebellar ataxia and myxedema was thus confirmed. The writers stress the importance of identifying this uncommon clinical entity especially in view of the excellent results of thyroxine treatment. PMID- 6571446 TI - [Correlations between EEG and CT in 79 cases of dementia]. AB - An EEG and CT study was carried out on 79 patients affected by dementia (24 SDAT and 55 MID). The EEG and CT patterns were compared with those of an age-matched control group. Statistical analysis of the CT findings between the demented and normal subjects showed significant differences only for severe atrophy. As far as EEG findings are concerned, no EEG pattern indicative of a specific type of dementia was observed even though a greater number of abnormal EEGs occurred in demented patients than in the control group. Finally, a poor EEG-CT correlation was found in demented patients. PMID- 6571447 TI - [Cranial injury disclosing an asymptomatic arachnoid cyst of the sylvian fossa]. AB - In a 21 year-old man suffering from a post-traumatic neurotic syndrome, the cranial CT scan revealed an arachnoid cyst in the left Sylvian fissure, which had been completely asymptomatic before. The surgical emptying of the cyst modified neither the CT finding nor the neurotic syndrome. The latter disappeared once the insurance controversy was resolved. After a review of the etio-pathogenesis of arachnoid cysts, our patient's malformation was identified as the so-called "Temporal Lobe Agenesis Syndrome". On that basis, any medico-legal correlation between the head injury and the cystic malformation was excluded. PMID- 6571448 TI - [Interaction between schooling and physiognomic recognition: neuropsychological study in a group of patients with unilateral brain lesions]. AB - Groups of left-hemisphere damaged patients, right-hemisphere damaged patients and controls were given the facial recognition test of Benton and Van Allen. Educational level was found to be relevant with regard to the performance of the brain damaged groups, such that a difference between left and right hemisphere damaged groups became apparent only in patients with higher (greater than 5 years) schooling. The implications of the results are discussed. PMID- 6571449 TI - [Intracerebral tuberculoma. Clinical and x-ray computed tomographic characteristics]. AB - Intracranial tuberculomas have become uncommon in industrial nations, while they still have a high incidence in underdeveloped countries. Four cases of intracerebral supratentorial tuberculomas are reported in this paper. Clinical findings suggestive of tuberculosis were present in only one case. The other cases were thought to be gliomas or metastases and the diagnosis was made only after surgery. The CT scan provided a good image of the lesions whose characteristics, however, were diagnostically confusing. When a tuberculoma is suspected, medical therapy alone should be administered initially. Surgery should be resorted to in cases of markedly increased intracranial pressure. PMID- 6571450 TI - Familial hypokalemic paralysis: a case study. AB - A case of hypokalemic periodic paralysis, is reported, characterized by a positive family history and by repeated attacks of transient motor weakness since the age of 14 involving one all limbs. An induction test under ECG and EMG monitoring, carried out by infusing glucose and insulin when the patient was symptom-free, provoked motor paresis comparable to the spontaneous attacks and confirmed the diagnosis. PMID- 6571452 TI - [Italian Society of Neurology. Gorizia, 1 June 1986. Abstracts]. PMID- 6571451 TI - [Late myelopathy caused by ionizing radiation. Considerations on 3 cases]. AB - Three cases of tardive myelopathy were identified among more than one thousand patients treated for tumors by X-rays at the Institute of Radiology of the University of Florence during the period 1974-83. In two of these, the clinical picture was that of a partial Brown-Sequard syndrome while in the third case it corresponded to a transverse myelitis. The myelopathy of the former patients can be attributed to the total radiation dose, which was very close to the tolerance limit. The third patient's disturbance, instead, involved additional factors of individual hypersensitivity of connective vascular tissue in response to the X ray treatment. These cases, while few in number and lacking pathological investigation, call attention to this iatrogenic disorder which, though rare now thanks to progress in limiting radiation exposure, has not yet disappeared. PMID- 6571453 TI - Psychological and demographic characteristics of persons reporting out-of-body experiences. AB - Three hundred, thirty-nine subjects who reported out-of-body experiences were compared to 81 subjects who had a strong interest in such phenomena but had not had the experience. They were also compared with several other groups on a scale of psychological adjustment. No distinctive psychological profile could be delineated, but the OBE subjects were less danger-seeking than the comparison group. Also, they showed significantly better psychological adjustment than a group of psychiatric patients and were roughly equivalent to a group of randomly selected college students. Demographic factors were discussed. PMID- 6571454 TI - Possible lithium-induced extrapyramidal effects in Alzheimer's disease. AB - Extrapyramidal symptomatology has previously been reported in patients on long term lithium maintenance. This report emphasizes that, in the presence of organic mental disorder, even brief treatment with lithium may induce severe extrapyramidal signs. Furthermore, toxicity to lithium may occur even though serum lithium levels are at therapeutic levels. Following termination of lithium, symptoms subsided quickly in one patient (five days), but more slowly in the other (16 days). Possible pathophysiology of this phenomenon is discussed. PMID- 6571455 TI - Psychosocial crises of older men. PMID- 6571456 TI - Perspectives on borderline subtypes--overview of current research. AB - This paper has reviewed recent efforts to subtype patients within the borderline group. An overview of current definitions of the borderline syndrome was followed by a critical evaluation of recent empirical investigations designed to subtype within the larger domain of borderline pathology. Studies of borderline patients have, in large part, been based on the descriptive-phenomenological approach. It has been argued that while establishing a reliable diagnosis based on signs and symptoms provides internal validation for current theories of the borderline syndromes, studies providing external validating criteria are sorely needed. PMID- 6571457 TI - Borderline disorders: diagnosis, genetics and personality factors. PMID- 6571458 TI - A Hamilton subscale for endogenomorphic depression. AB - The validity of a scale for endogenomorphic depression derived from the Hamilton Rating Scale for Depression was studied in 147 women outpatients with primary depression. Endogenomorphicity scores were bimodally distributed, with 53% of the sample considered high (score greater than 7) and 47% considered low for endogenomorphicity. This cutting point significantly predicted RDC (81%) and DSM III (64%) diagnoses of endogenous or nonendogenous depression. The high endogenomorphicity group also scored significantly higher on a number of measures of depressive symptomatology and social impairment. Further directions for research and potential applications of this scale were discussed. PMID- 6571459 TI - Therapeutic milieu and clinical improvement. AB - While studies of the interpersonal environment of psychiatric hospitals have compared one ward or unit with another, there are no reports relating a patient's perception of a treatment unit to his clinical coruse on the unit. In this study conducted on an acute psychiatric ward of a general hospital, the Community Oriented Program Environment Scale (COPES) of Rudolph Moos was used as a measure of the patient's conception of an ideal ward and the patient's perception of the actual ward. The Nurses Observation Scale for Inpatient Evaluation (NOSIE) was used to rate psychopathology. Patient's perceptions of the actual ward, of an ideal ward, and differences between actual and ideal were not related to initial pathology or improvement over time. Research and clinical implications of these findings are discussed. PMID- 6571460 TI - Marital intimacy and neurosis. PMID- 6571461 TI - Toward the separation of memory and hope: applications of psychoanalysis to art in the writings of Martha Wolfenstein. AB - My aim in the foregoing article has been to demonstrate, by a brief study of Martha Wolfenstein's selected works, the value of applying clinically derived interpretative schema to the realm of art. It has not been possible here to recapitulate in all its intricacy the argument of each of Wolfenstein's papers under discussion; only a thorough reading of her papers themselves can provide that measure of detail. Beginning with an overview of Wolfenstein's theoretical contributions to the theme of parental loss in childhood, I have shown how her psychoanalytic understanding of this theme is brought to bear on the artistic products of both a poet and a painter who were themselves in childhood bereaved, as were the patients in Wolfenstein's clinical case studies. I hope in so doing to have conveyed a sense of the range and depth of Wolfenstein's work. I believe her work offers us a legacy not only substantive but paradigmatic, a legacy of humane concerns, passionate scholarship, remarkable ingenuity, and stunning leaps of insight. PMID- 6571462 TI - [Nucleus motorius lateralis in the lumbosacral segment of the spinal cord in horses]. AB - Two medullae oblongatae of horses were cut into 15 microns cross-sections and stained according to the modified method of Nissel. The lateral motor nucleus lies in the lateral and median part of the ventral column of spinal cord grey matter. It adjoins medially nucleus motorius medialis of the spinal ventral column. Cells of this nucleus occur both along the whole lumbar and sacral segment of the spinal cord. In the lateral motor nucleus three cell groups are distinguished-median, basal and lateral. The latter is divided in some segments into subgroups-dorsal and ventral. Along the nucleus quite numerous constrictions and intervals are found, which are caused by various numbers of cells in particular cross-sections. Nucleus motorius lateralis is formed mainly of large and medium multipolar or single spindle cells. PMID- 6571463 TI - [Nucleus motorius medialis in the lumbosacral segment of the spinal cord in horses]. AB - The studies carried out on 2 spinal cords of horses showed that cells of the medial motor nucleus (nucleus motorius medialis) are present in all neuromers of the lumbar and sacral segment of the spinal cord. It lies in the medial part of grey matter of the ventral column, neighbouring laterally and ventrally with cells of the lateral motor nucleus, whereas dorsally with cells of the nucleus of the ventral commissural horn. Along the nucleus numerous constrictions and intervals are found, which are connected with various numbers of nerve cells in particular cross-sections. PMID- 6571464 TI - [Studies on the biologic and allergenic properties of various avian and atypical Mycobacteria isolated from swine]. AB - Thirty two strains of Myc. avium showing typical or atypical cultural and biochemical properties, and 8 strains of atypical bacilli, belonging to II, III and IV Runyon's groups, were inoculated into guinea-pigs, rabbits and chickens. All the Myc. avium strains were not pathogenic for guinea-pigs but were very virulent to rabbits and chickens. The atypical bacilli were not pathogenic for all the animals to be used, but some of them induced tuberculin allergy. Myc. avium, Myc. fortuitum, strain of scotochromogenic bacilli--all isolated from pigs and Myc. avium D4, were used for study of the sensitizing properties. The experiments were performed on albinotic guinea-pigs sensitized intramuscularly and young pigs sensitized per os. The results showed that avian bacilli possessed much stronger sensitizing properties than Myc. fortuitum or scotochromogenic bacilli. Tuberculin allergy caused by atypical bacilli usually lasts for a short time. However, infection of pigs with atypical bacilli can sometimes allergical diagnosis of swine tuberculosis difficult. PMID- 6571465 TI - [Characteristics and variability of microflora in steamed common sausage during the post-production storage period]. AB - The quantitative level and variability of microorganism groups of sanitary character, occurring in common sausage in the post-production period of storing at different temperatures was determined. Eleven microorganism groups were determined, taking into consideration the following variation factors: three storing temperatures (4 degrees, 10 degrees and 20 degrees C), progressing storing periods up to 120 hr, two different production sites, two year's seasons. With the time of storing the number of microorganisms was found to increase the faster the higher the temperature was. Significant differences in contamination between the temperatures were observed after 24 hr for 20 degrees C, and after 96 hr for 10 degrees C. A similar relationship was found for proteolytic, psychrophilic, greening microorganisms and fungi. On analysing the effect of the storing period it was found: for 4 degrees--absence of variation of total contamination till 96 hr, for 10 degrees--till 48 hr, and for 20 degrees C--till 24 hr. At 4 degrees C a slow growth, frequently insignificant even up to 120 hr, of other microorganisms was found. At 10 degrees C differences were observed after 48-78 hr, and at 20 degrees C frequently as early as after 24 hr. From the summary of the per cent number, the individual groups of microorganisms in general contamination after 120 hr of storing, a considerable increase in the number of proteolytic microflora can be concluded. The correlation of quantitative variations in storing between total contamination and some selected microorganisms groups was significant in all cases. PMID- 6571466 TI - [Dynamics of decomposition processes in steamed common sausage under various storage conditions]. AB - The studies were carried out to determine the dynamics of decomposition processes of common sausage kept at three temperatures (4, 10 and 20 degrees C) for about 120 hr. Moreover, two different production sites and two year's seasons as variation factors were taken into consideration. The following decomposition indicators as durability standards were assumed: pH values, quantitative level of ammonia and hydrogen sulfide and organoleptic changes. Temperature and periods of sausage storing were the factors of statistically significant variation of sausage pH as well as ammonia and hydrogen sulfide quantitative levels. Significantly higher values of these indicators, however were found only for sausages kept at 20 degrees C, as compared with the sausages at 4 and 10 degrees C, between which no significant differences occurred. In organoleptic evaluation of sausages kept at 4 for 120 hr, the particular characteristics were on the level of approved edibility; at 10 degrees C the sausages reached their edibility limit, i.e. 3.0 points, after 96 hr, and at 20 degrees C the time limit was 48 hr. PMID- 6571467 TI - [Cytogenetic studies of hybridization in wild boars (Sus scrofa ferus) and domestic swine (Sus scrofa dom.)]. AB - In cytogenetic studies on 2 domestic sows (male) crossed with a wild boar (female) karyotype 2n = 37,XX was found. The localization of G brands permitted to confirm that the submetacentric chromosome in in the hybrids inherited from the European wild boar corresponds to 2 acrocentric chromosomes of pair 15 and 17 fused by centromeres in the domestic pig. Both sows had regular, 18-day sexual cycles. After covering with the wild boar they become pregnant and gave birth to alive progeny. Polymorphism of chromosomes in Suidae and its relation to the effects of hybridization is discussed. PMID- 6571468 TI - [Effect of various environmental factors on the development of mastitis in cows and the implementation of a control program]. AB - The analysis carried out aimed at obtaining numerical data concerning the environmental conditions and finding out whether their improvement would contribute to control mastitis. Examinations of the environmental conditions were made seven times during the year, and mastitis was found in 2,088 cows of the black and white breed in 12 cowsheds of the state farms in the Szczecin district. The analysis resulted in gradual improvement of zoo sanitary conditions and in a decrease of mastitis cases. This correlation was proved statistically. A characteristic correlation was found between the sanitary state and infection intensity r = 0,948, between the sanitary state aNd irritation intensity of this gland r = 0,945. Moreover, the duration of udder dryness in cows was analysed. In 50,43% of the cows examined the period of dryness was short. In these cows the intensity of infection was higher (81,7%) than in cows with a normal period of dryness (33,5%). PMID- 6571476 TI - Sarcoidosis: a worldwide phenomenon. PMID- 6571477 TI - Sarcoidosis has no boundaries. PMID- 6571478 TI - The sarcoidosis movement. PMID- 6571479 TI - Pulmonary function in sarcoidosis. AB - Pulmonary function testing provides an important insight into the pathophysiology in patients with sarcoidosis. Major functional abnormalities in this disease include decreased diffusing capacity, lung compliance and lung volumes. Arterial oxygen desaturation with exercise is common. Airways obstruction may occur as an isolated finding or be superimposed on the interstitial process. The activity of the disease cannot be well determined by pulmonary function tests but serials testing is helpful in detecting progression or improvement. PMID- 6571480 TI - Fc and C3 receptor expression on human alveolar macrophages in sarcoidosis. PMID- 6571481 TI - Spontaneous hydropneumothorax by severe pulmonary sarcoidosis. AB - A case of pulmonary sarcoidosis involving the pleura and complicated by spontaneous hydropneumothorax is reported. Diagnosis is made by cytological features of pleural effusion and confirmed by mediastinal biopsy. The rare occurrence of this clinical situation must be diagnosed because of the important therapeutic implications, but in any event it indicates the severity of granulomatous disease. PMID- 6571482 TI - A descriptive analysis of community support program case managers serving the chronically mentally ill. AB - This article presents a description of case managers who serve community-based chronically mentally ill (CMI) persons through the Community Support Program (CSP). Information is presented on case managers' demographic characteristics, education, job training, job history, current job activities, and locus of employment. Data were generated through the Case Manager Background Questionnaire, a 23-item self-administered instrument developed in conjunction with the CSP, a pilot Federal-State collaboration project designed to explore strategies for improving the delivery of community-based mental health and related services to the CMI. Results of the study suggest that a typical CSP case manager is white, female and in the mid-thirties. Case managers are a highly educated group; nearly one-half have graduate degrees and about two-thirds have participated in an in-service or continuing education program. Currently, two out of three CSP case managers are employed at Community Mental Health Centers and about one-third of their time is spent in direct service provision. While CSP case managers have been working at their present location for about one and one half years, they have been in the community-based mental health system for about four years, and with the mentally disabled an average of seven years. A critical issue emerging from this analysis is the need for future research on the relationships among job training, education, job functions, and service delivery. PMID- 6571483 TI - On vagrancy and psychosis. AB - Paradoxically, due to recent mental health legislation, the mentally handicapped of the developed world find themselves in the same situation as the majority of those in the developing world who never had contact with a mental health service. A survey of the literature and of the situation in Egypt and Lesotho suggests marked coincidence of vagrancy and chronic mental illness. In both the developed and developing world, adequate services to support these people are lacking. PMID- 6571484 TI - The stages of terminating: when mental health workers face job loss. AB - Recent decreases in funding for the human services have resulted in involuntary job loss for numerous mental health and social service professionals. The present study, utilizing a participant-observer methodology, examines the job termination process and its effect on both terminating staff members and their surviving colleagues. Four stages, the stage of uncertainty, the post announcement stage, the exiting stage, and the resolution stage are delineated and characteristic stresses and behaviors observed during each are described. Based on the findings, a number of suggestions are made to aid administrators and staff members who are facing this difficult experience. The role of the consultant in this process is described. PMID- 6571485 TI - Is there a shortage of psychiatrists? An economist's view of the evidence. PMID- 6571486 TI - Surviving cutbacks in community mental health: seventy-seven action strategies. AB - The question of how community mental health centers could best weather cutbacks in funding was addressed in this study. A survey was conducted with a panel of experts in this area yielding a total of 77 action strategies that agencies could utilize in these difficult financial times. These strategies are reported in terms of services, treatment modalities, consultation, education and training, staffing, personnel policies, location of services, finance and business practices, third party reimbursement, overhead and administrative costs, role of the Board, monitoring the external environment and linkages and contacts. It was recommended that these strategies not be utilized as a recipe for survival but rather as a self-study guide by individual agencies. PMID- 6571487 TI - Standardizing outcome data in program evaluation. AB - Procedures are described for standardizing outcomes in evaluations of service delivery systems. Accounting for the variability of a given device, client gains across services can be expressed in a standard metric of change. Standardized gains take on a common meaning of change regardless of the original scale and variability of the raw data. In return, a wide range of common statistical analyses can be applied with individual client gains as the units of analysis, powerfully delineating influences on outcome variability. Implications and limitations are discussed. PMID- 6571488 TI - Astigmatic keratotomy procedures. PMID- 6571489 TI - The effect of citrate and other compounds on PMN incubated in vitro: further studies on the site and mechanism of action of citrate. AB - Polymorphonuclear leukocytes (PMN) are important in corneal disease because of their role as effector cells in inflammation and ulceration. The favorable effect of citrate on corneal ulceration appears to result from inhibition of the PMN. Citrate does not enter the cells but chelates Ca2+ in the extracellular fluid and may promote a loss of some intracellular Ca2+. Isocitrate is the only tricarboxylic acid cycle intermediate that inhibits PMN, also by Ca2+ chelation. When isobutylcyanoacrylate is polymerized, a substance, probably formaldehyde, inhibitory to PMN, continuously leeches from the plastic. Although acetylcysteine has been reported to inhibit collagenase in vitro it has a direct effect of enhancing the respiratory burst and possibly degranulation of PMN stimulated by opsonized zymosan. Dexamethasone had no effect on PMN stimulation while prednisolone was partially inhibitory at high concentrations. Indomethacin exerts an inhibitory effect on all parameters of PMN stimulation. These studies clarify the site and mechanism of citrate action as well as show the importance of knowing the effect of drugs on the PMN. PMID- 6571490 TI - The fellow eye of patients with aphakic bullous keratopathy. AB - The fellow normal-appearing eyes of 23 patients with unilateral aphakic bullous keratopathy were examined by wide-field specular microscopy and pachymetry. All patients had: pseudophakic or aphakic bullous keratopathy in one eye; unoperated fellow eye on no medication; no other ocular disease; and no endothelial guttata seen by slitlamp biomicroscopy or specular microscopy. Three of 23 patients had endothelial cell counts less than 1,000 cells/mm2. There was no correlation between cell density and corneal thickness, but a negative correlation existed between age and endothelial cell density. Preoperative specular microscopy is indicated in patients who have developed bullous keratopathy in the fellow eye after cataract surgery. PMID- 6571491 TI - Treatment of marginal corneal ulcers with cryotherapy and conjunctival recession or resection. AB - Thirteen eyes with sterile marginal corneal ulcers were treated with cryotherapy and conjunctival recession or resection. Ulcer progression was ultimately controlled in all cases (mean follow-up of 21 months). One eye with Mooren's ulcer required reoperation to achieve a quiescent state, and two other eyes needed conservative therapy after surgery in order to heal. The eyes required careful observation for ulcer recurrence or problems associated with the original systemic diseases, such as Sjogren's syndrome. In the majority of cases, visual acuity was not affected by the procedure. Light microscopy of the conjunctiva adjacent to the ulcer showed lymphocytes and plasma cells. PMID- 6571492 TI - Cyclosporin A on human corneal endothelium. AB - Human corneal endothelial cells grown in culture medium were exposed to different concentrations of cyclosporin A in vitro. After 7 days, concentrations of the drug less than 1,000 ng/ml of medium were found nontoxic to the endothelial layer, while greater concentrations killed the cells in 1 hour to 48 hours, depending upon the concentration of the drug. Degenerative cytoplasmic vacuoles were the first sign of toxicity from the drug, leading in higher concentrations to eventual disintegration. PMID- 6571494 TI - [Cardio-circulatory evaluation of the anesthesized pig]. PMID- 6571493 TI - Vernal keratoconjunctivitis: new corneal findings in fraternal twins. AB - A case of vernal keratoconjunctivitis is presented with a similar clinical presentation and disease type identified in each of two fraternal twins. The unique findings of superior stromal infiltrates and corneal marginal thinning are discussed. PMID- 6571495 TI - [Mesenteric venous thrombosis: experimental study and natural history in the rat]. PMID- 6571496 TI - [Surgery of hepatic echinococcosis in childhood]. PMID- 6571497 TI - [Wilkie's syndrome: considerations on 2 cases brought to our attention]. PMID- 6571498 TI - Ocular involvement in sarcoidosis. PMID- 6571499 TI - Ocular changes in sickle cell haemoglobinopathies. PMID- 6571501 TI - Observations on the use of low temperature in the treatment of glaucoma. PMID- 6571500 TI - Regional hospital prevalence of viral keratitis. PMID- 6571502 TI - Mydriasis--use of phenylephrine (a dose-response concept). PMID- 6571503 TI - A comparative study of retinal breaks in phakic and aphakic retinal detachment. PMID- 6571504 TI - Vidian neurectomy for crocodile tears. PMID- 6571505 TI - Microsurgical techniques of levator resection. PMID- 6571506 TI - Bilateral Descemet's wrinkles in acute gastro-enteritis. PMID- 6571507 TI - Orbital varices. PMID- 6571508 TI - Bilateral Duane's retraction syndrome associated with crocodile tears. PMID- 6571509 TI - Wolfram Tyrer syndrome (a case report). PMID- 6571510 TI - Retinoblastoma: recent concept in diagnosis and management. PMID- 6571511 TI - Convulsions in children with fever: intermittent prophylaxis. PMID- 6571512 TI - Journal cover on first aid for venomous bites. PMID- 6571514 TI - Surgical aspects of snake bite. PMID- 6571513 TI - Legislate against tattoos? PMID- 6571515 TI - Dystonic reaction to metoclopramide. PMID- 6571516 TI - Use of car seat belts during pregnancy. PMID- 6571517 TI - The clicking painful temporomandibular joint. Use of arthrography in diagnosis. AB - Why does the clicking temporomandibular joint not lock, and the locked joint not click. Why is either of these conditions painful? Improved temporomandibular joint arthrography is able to delineate the problem and to direct surgical intervention appropriately, rather than toward the empirical remedies of the recent past. PMID- 6571518 TI - The leaking anus. PMID- 6571519 TI - Enterotoxigenic Aeromonas hydrophila and diarrhoea in adults. AB - Aeromonas hydrophila was isolated from the faeces of 32 patients during a nine month period in three hospitals in Western Australia. All 32 isolates produced enterotoxin which was detected by the suckling-mouse test, and all patients except one had diarrhoea. Treatment should be considered in patients with chronic diarrhoea and in those with malignant disease or with hepatobiliary disease who are at risk of developing aeromonas septicaemia. PMID- 6571520 TI - Promotion of newer antimicrobial agents. PMID- 6571521 TI - ADRAC report for 1981. Adverse Drug Reactions Advisory Committee. PMID- 6571522 TI - Acute renal failure after peritoneal lavage with mercuric chloride. AB - A 64-year-old man developed acute renal failure after hemicolectomy during which the peritoneal cavity was irrigated with a 0.2% solution of mercuric chloride. Renal failure was preceded by abdominal pain and hypotension, and followed by adynamic ileus, wound disruption, and a severe peritoneal reaction. The mechanism of this injury, together with the development of renal failure and its management, are discussed. PMID- 6571523 TI - Recall of radiation pneumonitis after intrapleural administration of doxorubicin. AB - A 67-year-old woman developed a malignant pleural effusion 18 months after radical mastectomy and radiotherapy for carcinoma of the breast. After drainage, 30 mg of doxorubicin was instilled into the pleural cavity. Thirty-six hours later, she developed fever, dyspnoea, and erythema in the area of the previous radiotherapy field; patchy intrapulmonary opacities were evident on chest X-ray film. These features resolved over two weeks after treatment with prednisone and frusemide. We believe that this represents a radiation-recall phenomenon. PMID- 6571524 TI - Infant botulism. A Pan-Pacific perspective. PMID- 6571525 TI - Influence of iron-deficiency anaemia on the glycosylated haemoglobin level in a patient with diabetes mellitus. AB - Iron-deficiency anaemia in a 68-year-old female patient with diabetes mellitus was associated with a marked rise in glycosylated haemoglobin level (from 10.7% to 15.4%). After treatment of the iron-deficiency anaemia, the glycosylated haemoglobin level fell to 11.0%. Control of her diabetes, as assessed by other measures, appeared to be satisfactory throughout. PMID- 6571526 TI - Phantom breast sensation. PMID- 6571527 TI - Orf. PMID- 6571528 TI - Inadequate serological surveys for immunity to poliomyelitis. Inadequate indicators of immune status of communities using oral poliovirus vaccine and inadequate guides to vaccination policy. PMID- 6571529 TI - Recurrent ulcer treated with colloidal bismuth. PMID- 6571530 TI - Disappearing lung lesion. PMID- 6571531 TI - Necrotizing enterocolitis and human rotavirus. PMID- 6571532 TI - Health care for black South Africans. PMID- 6571534 TI - First aid management of snake bite. PMID- 6571533 TI - Combination diuretics in the elderly. PMID- 6571535 TI - Immunity to poliomyelitis in Sydney's children. AB - No indigenous cases of poliomyelitis have occurred in New South Wales since 1970, and it was presumed that herd immunity was high. However, our survey of Sydney's children by the neutralization test showed that only 42% of children had antibody levels (titre 8 or higher) to all three serotypes, 30% had antibodies to two, 16% to one, and 12% had no demonstrable antibodies at all. The immune status could not be determined with confidence from the immunization history, as 48% of the children who were reported as having received four or more doses of Sabin vaccine were not fully immune. When children who had inadequate levels of antibodies were given a single dose of Sabin vaccine, 77% of them achieved adequate antibody levels to all three viruses. The Health Commission of New South Wales subsequently undertook a mass Sabin immunization campaign of primary-school children, and reviewed the recommended immunization schedule. PMID- 6571536 TI - Transitional cell carcinoma of the kidney. AB - This paper presents 14 personal patients with transitional cell carcinoma of the kidney who were managed over a period of 13 years. Emphasis is placed on the diagnostic features, the great variety of radiological appearances of this neoplasm and the value of preoperative cytological examination of urine. In three patients the tumour started in the mucosa of peripheral calyces, and did not involve the surgical renal pelvis; this added to the diagnostic difficulty, and led to delay in diagnosis and treatment in one patient. The possibility that this tumour may be more common in Australia because of the high incidence of analgesic nephropathy is raised. PMID- 6571537 TI - The anaemic inpatient. A survey of current hospital practice. AB - The haemoglobin levels of all patients in a large teaching hospital (except those receiving cytotoxic chemotherapy or radiotherapy) were examined over a three-week period. One hundred and eleven patients with haemoglobin levels below 100 g/L were found, and the approach to this problem by the clinicians was scrutinized. In most patients, there was a good and obvious explanation for the anaemia; in just under 50%, however, the causes were often mixed or less obvious. Frequently the anaemia was not investigated when, perhaps, it should have been and, when treated, it was often treated inappropriately. Excessive, inappropriate and indiscriminate use of oral iron therapy was a prominent finding. PMID- 6571538 TI - The Australian Health Survey. Implications of reported accidents for medical education. AB - An analysis of the Australian Health Survey was made to define the health needs of our society. The high number of people who consult physicians outside hospitals, and the extent of accidents as a cause of morbidity are in contrast with the emphasis of current medical training. The potential value of incorporating Health Survey and national census data into curriculum planning is emphasized. PMID- 6571540 TI - Ophthalmomyiasis due to Oestrus ovis in South Australia. AB - A case of severe eye irritation caused by the larvae of Oestrus ovis (the sheep nasal botfly) is reported. As this fly is widely distributed in Australia, it is possible that many cases of ocular infestation by O. ovis larvae remain undetected and the eye irritation is ascribed to other causes. PMID- 6571539 TI - Congenital contractural arachnodactyly. AB - Congenital contractural arachnodactyly is an inherited disorder of connective tissue. A family with the condition is described. PMID- 6571541 TI - Drug treatment of sexually transmittable diseases. AB - Sexually transmittable diseases are an important group of conditions which frequently confront the Australian family practitioner. Primary-care health workers need especially to know how to deal with acute urethritis, persistent vaginitis and recurrent genital herpes, and should be aware of the rapidly spreading world-wide epidemic of drug-resistant gonorrhoea. The drug treatment aspects of managing sexually transmitted diseases in Australia are summarised. PMID- 6571542 TI - [A case of adrenal pseudocysts in an adult woman]. PMID- 6571544 TI - [Study of the respiratory function in flight personnel during mountain survival training]. PMID- 6571543 TI - [Villous tumors of the rectum]. PMID- 6571546 TI - [Transportation of patients and the severely injured by medical aircraft and air rescue in Italy]. PMID- 6571545 TI - [Study of the stomach operated on for peptic ulcer]. PMID- 6571547 TI - [Behavior of retinal critical fusion frequency as an index of disorientation states]. PMID- 6571548 TI - [Conjunctival changes caused by a helium-neon laser]. PMID- 6571549 TI - [Surgery of the thyroid]. PMID- 6571550 TI - [Botulism and ocular manifestations: recent data on microbiology and clinical aspects]. PMID- 6571551 TI - [Hygienic and medical problems in military camps and their impact on the national community]. PMID- 6571552 TI - Idiopathic spontaneous pneumothorax and fitness for flying. PMID- 6571553 TI - [Hang-gliding and physio-psycho-aptitude fitness]. PMID- 6571554 TI - [Current directions in the surgical treatment of adenomatous polyposis of the colon and rectum]. PMID- 6571555 TI - [Conjunctival changes caused by the helium-neon laser]. PMID- 6571556 TI - [Esophageal manometry: methodological aspects and clinico-experimental applications]. PMID- 6571557 TI - [Validity of enlarged resections in surgery of tumors of the rectosigmoid: our experience]. PMID- 6571558 TI - [Fibrinolytic therapy in mesenteric venous thrombosis: experimental study in rats]. PMID- 6571559 TI - [Indications for and role of hepatic resections in surgery of echinococcosis]. PMID- 6571560 TI - [Usefulness of a morpho-functional study using Tc-99m-HIDA in the preoperative and postoperative evaluation of patients with hepatic hydatidosis]. PMID- 6571561 TI - Metabolic recovery after exercise and the assessment of mitochondrial function in vivo in human skeletal muscle by means of 31P NMR. AB - It has been suggested that the rate of phosphocreatine resynthesis after exercise is an index of mitochondrial oxidative metabolism in intact muscle. To investigate this hypothesis, the time courses of metabolite recovery following mild and more severe dynamic exercise of human forearm muscle were compared by means of 31P NMR. Severe exercise resulted in greater net hydrolysis of phosphocreatine and greater intracellular acidosis than light exercise. The rate of phosphocreatine resynthesis was significantly slower during recovery from the more severe exercise. To explain this it was noted that, as a consequence of the high activity of creatine kinase in the sarcoplasm, the [phosphocreatine] at any time is a function of the intracellular pH. Calculations demonstrate that the difference between rates of phosphocreatine recovery after the two exercise protocols was primarily determined by the rates of recovery of the intracellular pH to normal rest values. It is concluded that the calculated rate of recovery of the cytosolic free [ADP] to its pre-exercise concentration may provide a more specific measure of mitochondrial oxidative activity. PMID- 6571562 TI - Signal to noise in derived NMR images. AB - The NMR image is dependent on multiple tissue parameters: hydrogen density, relaxation times T1 and T2, and flow. From the acquired intensity images, T1, T2, and hydrogen images may be produced. The signal/noise of these derived images is critically dependent on the choice of acquisition parameters. Using the calculated T1, T2, and hydrogen images, intensity images may be calculated at arbitrary values of TE and TR, some of which (for example, short TE or TR) may be physically unacquirable. PMID- 6571563 TI - Quadrature detection in the laboratory frame. AB - A theory of quadrature detection in the laboratory frame is developed. It is shown that the geometry of the two orthogonal coil systems needed for quadrature detection is radically different from that used with saddle-shaped coils, and that the homogeneity of the B1 field produced upon transmission is marginally better. The opposing quadrature phase shifts needed for transmission and reception are emphasized, and the use of a quadrature hybrid is advocated as a simple and inexpensive means of interfacing the transmitter, probes, and preamplifier. Experimental results are presented which confirm the theoretical predictions, and show that up to a 40% improvement in sensitivity and a twofold reduction in transmitter power are possible, particularly in those instances where the sample is conductive--namely, imaging of humans and in vivo spectroscopy. PMID- 6571564 TI - A parallel algorithm for rotating-frame zeugmatography. AB - An algorithm, which utilizes a high degree of parallel processing, has been developed for two-dimensional rotating-frame zeugmatography so that a picture of 256 X 256 pixels can be generated with a minicomputer system 2 sec after data accumulation. An array processor is employed as a second processor and, the refresh memory of a display unit is used as a fast data storage entity. Approximately half the calculations are carried out in the array processor during the nuclear relaxation period. Data movement to and from the display memory occurs largely during, and in parallel with, the array processing. The sequence can be run at a repetition rate of 35 msec per free induction decay and the algorithm can be implemented in any two-dimensional experiment of the Fourier transform genre. PMID- 6571565 TI - Measurement of spin-lattice relaxation times in double spin-echo imaging. AB - Calculation of tissue T1 in double spin-echo imaging (90 degrees-T-180 degrees-2T 180 degrees) using two repetition times (b1 and b2) has entailed an approximation that ignores the two 180 degrees pulses. The theoretical consequence of the simplification is to overestimate T1 with a fractional error that increases with increasing T1 faster than linearly in a manner dependent on the sequence parameters. With b1, b2, and T as parameters, the theory gives a family of curves relating T1 to the predicted ratio of signals acquired at b2 versus b1 intervals. Tissue T1 can be determined from the observed signal ratio with no approximation. Consideration of noise effect on the precision of T1 so determined favors the use, within limits, of higher b2/b1 ratio for the same b1 + b2 time. At constant b2/b1, using longer b1 + b2 permits wider range of T1 to be measurable with a specified minimum precision. PMID- 6571566 TI - Spatial mapping of the chemical shift in NMR. AB - In many biological systems, nuclear magnetic resonance chemical-shift studies of 31P, 13C, and 1H can be of great value as a means of studying metabolic processes in vivo. This information is likely to be of great clinical value in the diagnosis of disease and in the study and monitoring of the effect of drug treatment. This paper discusses two new techniques, based on the echo-planar imaging (EPI) method. One is the echo-planar shift mapping (EPSM) technique and the other is a hybrid projection reconstruction-echo-planar (PREP) method. Both methods may be used to obtain complete chemical-shift spectra at each point of a specified grid in a chosen plane through the subject. A major attraction of the EPSM method is the very high speed at which this information is obtained. The major attraction of the PREP hybrid method is its simplicity. Both techniques have the advantage of speed and efficiency over both the point-by-point topical magnetic resonance (TMR) and 3D Fourier transform approaches. The new mapping techniques may also be used to measure magnetic field spatial inhomogeneities, caused by either the presence of magnetic material or simply nonalignment of the magnet. PMID- 6571567 TI - The installation of high-field NMR equipment in a hospital environment. AB - Installing high-field magnets in hospital environments has implications for safety, for the performance of the equipment and for the well-being of the subjects who will be examined. This paper outlines the relevant properties of magnets and identifies the requirements necessary for a safe and usable installation. One approach to the meeting of these requirements is described. PMID- 6571568 TI - Spatial localization in 31P and 13C NMR spectroscopy in vivo using surface coils. PMID- 6571569 TI - Depth pulse sequences for surface coils: spatial localization and T1 measurements. AB - The depth pulse sequences theta;[2 theta(+/- x, +/- y)]2 and 2 theta;theta(+/- x);[2 theta(+/- x, +/- y)]2 have been implemented with a 20 mm diameter two-turn surface coil operating at 31P resonance (89.96 MHz). In these sequences theta refers to the pi/2 rf pulse at the center of the sensitive region of the coil, +/ x and +/- y denote the four orthogonal phases of the rf pulses, and ";" represents an optional brief delay (e.g., 4 microseconds) between pulses to facilitate switching between different phases. Localization of the sensitive region was demonstrated with phantom samples by in vivo monitoring of rat livers and detection of necrotic regions of subcutaneously implanted tumors. The inversion-recovery pulse sequence, 2 theta-tau-theta(+/- x);[2 theta(+/- x, +/- y)]2, where tau is a variable delay, was employed to measure the spin-lattice relaxation time of a selected region, which could be varied by changing the pulse width and the size of the surface coil. PMID- 6571570 TI - Analysis of multiple T2 proton relaxation processes in human head and imaging on the basis of selective and assigned T2 values. AB - Two-dimensional T2-selective proton imaging of human head has been performed at 10 MHz employing Carr-Purcell-Gill-Meiboom pulse trains with echo separation of 6 and 12 msec. Using the information of 36 spin echoes and applying a recovery time of 2 sec the magnetization decay has been traced. The multi-exponential T2 relaxation curve of each pixel of the image has been deconvoluted into up to three mono-exponential functions which are defined by 1/T2,i and alpha i. The T2,i values are represented in a T2 histogram of the slice and then selected for generating images which relate to protons with specific T2. The alpha i values indicate the relative amounts of the T2-selected protons. Imaging on the basis of alpha i values increases the contrast of the image. The multiple T2-selective imaging technique leads to head images which show selectively cerebrospinal fluid, gray matter, different types of white matter, and nonassigned fast relaxing proton classes. PMID- 6571571 TI - Relaxation of solvent protons by paramagnetic ions and its dependence on magnetic field and chemical environment: implications for NMR imaging. AB - Paramagnetic ions have been used to alter the magnetic relaxation rates 1/T1 and 1/T2 of solvent water protons since the first observations of a proton resonance signal almost four decades ago. The earliest theories of relaxation indicated that the influence of solute paramagnetic ions on relaxation rates of solvent protons should depend both on the chemical environment of the solute ions and on the magnetic field strength. Much knowledge, both experimental and theoretical, has since been amassed regarding relaxation effects in solutions of hydrated ions (aquoions) and of complexes of these ions with macromolecules, mainly proteins. The phenomena are well understood at this point, though the understanding is more retrospective than predictive for ion-protein complexes. Nonetheless, from what is now known about homogeneous solutions, and from current reports on the introduction of paramagnetic ions into tissue to alter contrast in NMR images by affecting relaxation rates, it is clear that the solution results are particularly germane, and transferable, to tissue investigations. The main features of relaxation of solvent protons in the presence of solute paramagnetic ions, as hydrated aquoions and complexed with protein, are presented here, with attention to those ions most relevant to in vivo studies, and with emphasis on the influence of the magnetic field and the chemical environment of these ions on solvent proton relaxation rates. PMID- 6571572 TI - Driven-equilibrium radiofrequency pulses in NMR imaging. AB - Driven-equilibrium pulse techniques are applied to NMR imaging to extend the possibilities of manipulating image contrasts in pulse sequences with a high repetition rate. In many cases the data acquisition time can be much shorter than in more conventional pulse techniques. Both calculations and experiments reveal that the intensity of tissue with slowly relaxing nuclear magnetizations can significantly be enhanced, thus facilitating the detection of a number of pathologies. PMID- 6571573 TI - Diagnostic radiation and pregnancy. PMID- 6571574 TI - New methods of free T4 estimation. The need for critical evaluation. PMID- 6571575 TI - Lung-function reference values. PMID- 6571576 TI - Burns due to watches with metal bands. PMID- 6571577 TI - Gatekeeping at the nursing home. PMID- 6571578 TI - Prolonged use of pressure/immobilisation after snake bite. PMID- 6571579 TI - Length of hospitalisation of aboriginal and non-aboriginal children in Western Australia, 1971-1979. AB - The respective lengths of hospital stay of aboriginal and non-aboriginal children between 1971 and 1979 were studied using the Western Australian Hospital Morbidity Data Collection. In each of the years studied, the median length of hospital stay of aboriginal children was at least twice as long as that of non aboriginal children, irrespective of hospital type, age at admission to hospital, sex, the region of home address or the category of disease. However, an encouraging decline in the length of hospitalisation of children from both racial groups was observed over the study period; this decline was more marked in aboriginal children. Nevertheless, in 1979, the excess hospitalisation of aboriginal children still accounted for 30,000 bed-days in Western Australian hospitals, and is estimated to have cost $4,900,000. It is recommended that aboriginal liaison officers be employed to reduce this cost, and to mitigate other problems associated with the hospitalisation of aboriginal children. PMID- 6571580 TI - Epidemic of acute poststreptococcal glomerulonephritis in aboriginal communities. AB - During 1980, an epidemic of acute glomerulonephritis occurred in a number of Aboriginal communities in the Northern Territory, affecting several hundred people. Clinical and laboratory studies of children admitted to the paediatric wards of Darwin Hospital, and of a larger number of individuals in the communities, have established that the nephritis was preceded by a streptococcal infection, and a recognised nephritogenic streptococcal strain was isolated from a number of children. The clinical course of the disease was mild in the majority of those affected and none had had serious complications. Serological results indicate the importance of measuring antideoxyribonuclease B levels as well as antistreptolysin O titres when seeking evidence of antecedent streptococcal infection. PMID- 6571581 TI - Tropical pulmonary eosinophilia. A clinical study. AB - The present concepts of tropical eosinophilia are discussed on the basis of 50 cases observed in a service hospital, and with particular reference to earlier Indian studies. The importance of early diagnosis and therapy before irreversible damage develops is stressed. Further controlled studies in the aetiopathogenesis and clinical immunology are needed for better understanding of this continuing problem. PMID- 6571582 TI - Nitrofurantoin-induced interstitial pulmonary fibrosis. Presentation and outcome. AB - Four cases of interstitial pulmonary fibrosis associated with nitrofurantoin therapy are analysed along with 45 other reported cases of this disease in order to review the presenting features and outcome and to determine the role of steroid therapy. Most patients were elderly (mean age, 66 years); women were more commonly affected (71%). All patients had been treated with nitrofurantoin for longer than six months (mean, 31 months). The usual presenting symptoms were dyspnoea and non-productive cough which had been present for periods for two weeks to six years (mean, 9.4 months). After cessation of nitrofurantoin therapy, the condition of 32 patients improved. In seven patients the symptoms remained unchanged. In one case, progressive deterioration of the condition ensued. There was no difference in outcome between patients who were treated with steroids and those who were not. Steroid therapy is probably not indicated in mild cases. PMID- 6571583 TI - Brachial plexopathy complicating central venous catheter insertion. AB - After insertion of a central venous catheter by the infraclavicular approach to the subclavian vein, a patient had clinical and electrophysiological evidence of injury to the lower cord of the brachial plexus. Therefore, brachial plexopathy joins the other known forms of local vascular and neurological injury which can complicate this procedure. The apparent rarity of brachial plexus injury may either be due to the anatomical distance between the plexus and the point of catheter insertion or the subtle neurological deficit may escape detection. PMID- 6571584 TI - Optical activity and conformation of beta-bungarotoxin in solution. AB - beta-Bungarotoxin, which consists of two polypeptide chains (A- and B-chain), in the venom of Formosan banded krait is stable in 7.5 M urea but can be denatured in 6.0 M guanidine hydrochloride. Its conformation remains virtually the same in solvents of lower polarity than water such as a mixture of 1,2-ethanediol-water (4:1 by volume). The circular dichroism spectrum in water shows a double minima at 222 and 209 nm, which is characteristic of the helical structure. The ellipticities at these two wavelengths indicate that the helical content of this toxin is not high. Comparing how guanidine hydrochloride effects the helix-coil transition of the toxin with that of phospholipase A2's which are structurally homologous to A-chain implicates that the two polypeptide chains should be coexisted and interacted with each other in order to maintain the active conformation of beta-bungarotoxin. Removal of eight amino acid residues from the N-terminus of the A-chain by action of CNBr on beta-bungarotoxin does not disrupt the polypeptide folding but abolishes the neurotoxicity. PMID- 6571585 TI - The effect of pituitary homografts on the accessory sex organs and serum hormonal levels with or without androgen in mature male rats. AB - The effect of pituitary homografts on the accessory sex organs and hormonal levels were studied in Wistar mature male rats. Grafted rats were further divided into four experiments: rats were bled once daily via a jugular vein cannula for seven days to investigate when serum prolactin began to rise after transplantation. rats were decapitated on the seventh day after transplantation to test whether 7 days were long enough to show the effect of pituitary grafts on the weight of prostate and seminal vesicles. rats were orchiectomized or orchiectomized and adrenalectomized on the seventh day after transplantation and then decapitated 4 weeks later to test a long term action of pituitary grafts and hormonal levels on the accessory sex organs without androgen. Rats grafted with several pieces of muscle were used as controls in each experiment. The initial rise in serum prolactin level was observed on the fourth day after pituitary transplantation, and then a higher serum prolactin level was maintained thereafter. Despite the higher prolactin level in the pituitary-grafted rat than in the control, no significant differences from the control in the weight of prostates and seminal vesicles and adrenal gland and the concentrations of serum luteinizing hormone (LH) and follicular stimulating hormone (FSH) were measured. This result showed that the weight of accessory sex organs was not affected by a higher serum prolactin within seven days.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6571586 TI - Separation of isoenzymes of glucose-6-phosphate dehydrogenase from human erythrocytes by two-dimensional gel electrophoresis. AB - Isoelectric focusing performed in 6.0% polyacrylamide gel in the presence of 1.0 M urea separates well the various molecular forms of glucose-6-phosphate dehydrogenase from human erythrocytes. At least seven sharp bands appear in the gel pattern, which vary both in isoelectric points and in the relative intensity. Their isoelectric points are at pH 6.88 for band 1, pH 6.79 for band 2, pH 6.64 for band 3, pH 6.50 for band 4, pH 6.39 for band 5, pH 6.19 for band 6, and pH 6.10 for band 7. A second-dimensional disc electrophoresis performed in a polyacrylamide gel slab resolves each band into two components, a slow and a fast component defined according to their mobilities in the disc gel. The slow component constitutes the major portion of each band. All the seven slow components appear to be dimer having a molecular weight between 98,000-94,000. They belong to "change isomers" having identical molecular size but containing different net changes. The molecular weight of the fast components is between 66,800-50,600. These fast components might be monomer or the digested products of slow components. PMID- 6571587 TI - Effects of ketamine on the circulatory functions and body tissue oxygenation in dogs under normal and hypovolemic conditions. AB - Anesthetic induction with ketamine may cause cardiovascular (CV) stimulation and depression. The study was conducted in dogs to evaluate the dependence of ketamine-induced CV effects upon the dosage, mode of administration and experimental hypovolemic conditions. Slow ketamine infusion (n = 12) at 3 dose levels (5 mg/kg/min for 1, 2 and 4 min to a total dose of 5, 10 and 20 mg/kg) consistently increased the arterial pressure (AP) and heart rate (HR). Rapid bolus injections at 5, 10 and 20 mg/kg (n = 16) produced biphasic changes- decreases followed by increases in AP and HR. Profound depressor and bradycardic responses were readily observed with large dose, rapid bolus injection and during hemorrhagic hypotension. The striking CV depression in some cases became irreversible and led to death. Further study in 8 open-chest dogs revealed that ketamine infusion (a total dose of 10 mg/kg) caused slight increases in cardiac output (CO) and tissue oxygen uptake (VO2). However, the marked depressor response to bolus injection was associated with decreases in CO, total peripheral resistance, stroke volume and VO2. These inhibitory effects were prolonged after hemorrhagic hypotension. In a few cases, CO and VO2 became severely and progressively depressed and death ensued shortly following the injection. PMID- 6571588 TI - Evaluation of MMA-4-META-TBB resin as a dental adhesive material. AB - A new adhesive resin containing a reactive monomer, 4-methacryloxyethyl trimellitate anhydride (4-META) was prepared, and its application to hard tooth tissues and metals was studied. Scanning electron microscopy showed that the average length of 4-META resin tags in enamel and dentin was 22 mu and 40 mu respectively. The tensile adhesive strength between 4-META resin and enamel was about 130 kg/cm2 after etching with 65% phosphoric acid. Its bond strength to dentin treated with a cleaning solution of 10% citric acid and 3% ferric chloride was about 190 kg/cm2. In precious alloys heated at 500 degrees C for 5-10 minutes, a bond strength of more than 100 kg/cm2 was obtained. The precious alloys containing Au, Ag, Pt and Cu should be selected especially for dental restorations. In polished non-precious alloys, the bond strength was greater than 100 kg/cm2. If non-precious alloys were oxidized with HNO3, the bond strength increased to 150-200 kg/cm2. The results suggest that the nickel-chromium alloy used in fixed prosthodontics must be treated chemically before adhesion with 4 META resin, but cobalt-chromium alloy used in removable partial dentures bonds well with 4-META resin without chemical treatment. In conclusion, MMA-4-META-TBB resin seems to be a promising adhesive material in dentistry. PMID- 6571589 TI - Preference of a revolving target to a stationary one by the big brown bat, Eptesicus fuscus. AB - Utilizing a three-ramp platform, we studied the detection of a revolving and a stationary target in the presence of background clutter by trained Eptesicus fuscus. During the test, the mean amplitude of echo from either target was always larger than that of the background echoes at the bat-to-target distance of 30, 70 and 100 cm. The amplitude of the echo reflected back from a revolving target was modulated between a maximum and a minimum value. An electric motor was used to revolve a target. The frequency contents of the motor noise were mostly below 1 kHz. While the total percent response of approaching either target is always more than 90% at every bat-to-target distance tested, the bats approach a revolving target more frequently than a stationary one. Echolocation pulses emitted by the bats during the test were recorded and analyzed. The bats shortened their pulse durations and interpulse intervals and lowered the frequency contents as they entered into the crawling phase from the searching phase. Potential interference of background echoes and ambient noise with the performance of the bats is discussed. The preference of a revolving target to a stationary one by the bats is perhaps due to the fact that a revolving target has a higher releasing value than a stationary one does. PMID- 6571590 TI - A therapeutic trial of bezafibrate on patients with hyperlipidemia with or without diabetes mellitus. AB - Bezalip (bezafibrate), at an oral dosage of 200 mg three times a day, has been used on 12 patients with idiopathic hyperlipidemia, and on 12 patients with hyperlipidemia superimposed with diabetes mellitus. Each patient received bezafibrate for 3 months and placebo for 3 months. Blood glycosylated hemoglobin (HbA1) and fasting plasma glucose (FPG) were used as indices of diabetic control. Serum triglyceride (TG), total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), and TC/HDL-C ratio were measured and calculated in order to compare the antilipemic effects of bezafibrate with that of placebo. Non parametric Wilcoxon test was used for statistical analysis. In both the idiopathic group and diabetic group, bezafibrate significantly lowered the serum levels of TG and TC/HDL-C, as well as elevated the level of HDL-C. The serum TC levels were not significantly altered in either of the groups. These effects could not be ascribed to an improved diabetic control, since the percent changes of HbA1 were not different between the bezafibrate periods and the placebo periods. There were no significant facial flushing, nor other side effects during the treatment with bezafibrate. It is concluded that bezafibrate has antilipemic effects, and may be helpful in reducing the atherogenic risks. PMID- 6571591 TI - Reversible hepatic black pigmentation and enzyme alteration induced by prolonged feeding of high dose of crocin dyes in rats. AB - Crocin dyes, isolated from Gardenia jasminodes, did not affect hepatic function when they were orally administered to rats in a daily dose of 50 mg/kg for 8 days, but could induce acute hepatic discoloration. A high dosage of 100 mg/kg for 2 weeks could induce both hepatic damage and black pigmentation, but a lower dose of 100 mg/kg for 40 days did not. Rats fed on diet containing 1% of crocin dyes for four months were shown to have mild hepatic functional disorders and pigmentation. The black pigmentation of the liver and the acute hepatic damage associated with the discoloration were completely reversible. During the period of hepatic pigmentation caused by high dose of crocin dyes, the urine had abnormally increased porphyrin excretion and tended to display a blackish green color. The skin also appeared purplish black. The mechanism of black pigmentation seemed to correlate with the gradual accumulation of crocin dyes. In summary, the crocin dyes have a very low toxicity in rats even in high experimental dosage which would hardly happen in human practice. It is therefore suggested that the crocin dyes are safe for coloring foods. PMID- 6571592 TI - Circadian organization of running-wheel activity, food intake and drinking of old male rats. AB - Circadian rhythms of running-wheel activity, food intake and drinking were monitored in old male rats of Long-Evans strain over 22 months of age in both entrained (light:dark 12:12, LD) and free running condition (continuous illumination, LL) and were compared with those of young adult male rats of 3.5 to 6.5 months of age. Twenty-four hour distribution of running activity, feeding events and licking events of young rats as well as old rats showed bi- or tri modal patterns during the 12 hr dark period of the LD schedule. In the light period, 2 out of 8 old rats, 6 out of 10 old rats and 1 out of 6 old rats had 1 or 2 medium or high peaks in running activity, feeding events and licking events, respectively, leading to equal distribution between the dark and light period. In the LD schedule, old rats showed a decrease in running-wheel activity, its patterns and power spectra, a decrease in feeding events and its power spectra in 6 rats which lost circadian rhythms and increase in feeding events and its power spectra in 4 rats which still showed circadian rhythms and increase in licking events. LL suppressed running-wheel activity, its patterns and power spectra, licking events and its power spectra and feeding events in young rats. However, LL could suppress only feeding events of 4 rats which still showed circadian rhythms and licking events and its spectral level in old rats. The possible causes of decreased response to LL in old rats and its implication are discussed. PMID- 6571593 TI - Interactions of manganese(II) and small ligands with Busycon canaliculatum hemocyanin. AB - Cyanide (5 X 10(-3) M) and thioacetamide (5 X 10(-3) M) increase the P50 values (P02 required for 50% oxygenation) of hemocyanin by 100%, respectively. Using an ion-exchange method involving 14CN-, we have found that cyanide forms a 1:1 complex with hemocyanin in the concentration range examined: Kf = 2.3 X Mw M-1 at room temperature, where Kf is association constant and Mw is molecular weight of hemocyanin. This strong binding of cyanide to hemocyanin is to be expected from the effect of this ion on the oxygenation of hemocyanin. The effects of manganese(II) ion and fluoride on the oxygenation of hemocyanin are found to be weak. The nmr measurements, however, suggest that manganese(II) ion does have some interactions with the active site of hemocyanin. PMID- 6571594 TI - Neuroglia of the adult rat optic nerve in the course of wallerian degeneration. AB - The neurological reactions in Wallerian degeneration have been studied by electron microscopy in the optic nerve of adult albino rats from 7 to 120 days after unilateral enucleation. Reactive astrocytes contained abundant dense bodies, numerous microtubules and hyperplastic glial filaments. These astrocytes also assisted phagocytosis of degenerated myelin sheaths and in glial scar formation. Oligodendrocytes disconnected their cytoplasmic extensions, which were phagocytosed by microglial cells and astrocytes, by increased production of lysosomes. Microglial cells consisted of crinkled, long, rough endoplasmic reticula, several highly-active Golgi complexes, laminar inclusions and globoid lipid droplets. Microglia engulfed and lysed the disintegrated axons and myelin sheaths. PMID- 6571595 TI - Effects of pre-ganglionic decentralization or post-ganglionic excision of the superior cervical ganglia on brain edema and heat stroke in rats. AB - The preventive effect of pre-ganglionic decentralization (Sympathetic trunk resectioN) or postganglionic excision (ganglionectomy) of the superior cervical ganglia on thermal injury induced brain edema or the development of heat stroke was assessed in rats. Brain edema was induced by cold or heat injury to the cortex in 24 rats. The results showed that decentralization, but not excision, of the superior cervical ganglia greatly inhibited the formation of brain edema which was subsequently induced. When heat stroke was induced by exposing 24 rats to an ambient temperature of 41 degree C, the latency for the onset of the heat stroke and the survival time after the heat stroke were greatly prolonged by the former surgical procedure, but shortened by the later one. The present study demonstrates the potential benefit to brain edema and heat stroke of the pretreatment with decentralization of the superior cervical ganglia. PMID- 6571597 TI - Abstracts of the Cajal Conference on Neurobiology. Madrid, 17-20 September 1984. PMID- 6571596 TI - Adverse behavioral effects of the anticholinesterase poisoning protector pralidoxime methanesulfonate. AB - Pralidoxime methanesulfonate (P2S) has anticholinesterase protective properties, but it also has an array of gastrointestinal (GI) symptoms. Because such a symptom would be disadvantageous to occupational workers who handled and used organophosphorus anticholinesterase continuously, and to soldiers who have had oral pretreatment in a situation where anticholinesterase agent poisoning is a possibility, this question was investigated in rats using three behavioral paradigms to evaluate the feasibility of the oral prophylactic regimen. These are: (1) conditioned taste aversion (CTA), (2) operant behavior and (3) spontaneous locomotor activity (SMA); these three behavioral parameters are analogous to toxicant-induced gastrointestinal (GI) disturbances, performance of learned tasks and behavioral arousal, respectively. Dose-response studies of P2S in dose levels of 0.2, 0.4, 0.8 and 1.6 gm/kg (P.O.) were evaluated. The results consistently demonstrated that only the highest dose significantly produced marked decreases in consumption of flavored solution associated with its ingestion, suppressed keypress response maintained under a 20-response fixed ratio schedule of water presentation, and inhibited SMA. By inference, if CTA, operant behavior and SMA are appropriate paradigms, P2S, on an acute single oral high dose level, would cause GI disturbances, impair task performance and induce sedation in man. PMID- 6571598 TI - [Cranial traumas in the city of Ravenna: a prospective study of patients who recovered]. AB - A prospective study of head injury patients was carried out in the city of Ravenna in 1984. A complete record was completed for all patients admitted for hospital care. More than 50 clinical and diagnostic variables were evaluated to investigate risk factors on patients admitted to a Non-Neurosurgical Unit with CT facilities. Our report deals with 578 cases and shows some interesting findings: The mortality in the entire trauma-group was 42 cases; 35 (83%) of these died immediately after the accident or while being transported to the hospital. The number of patients hospitalized (42%) was much higher than that in previous reports concerning hospital admission of head injury patients. 9 cases were sent from the First Aid to Regional Neurosurgical Centre (Bellaria Hospital, Bologna). Among the other patients admitted to the Non-Neurosurgical Centre, 12 showed cerebral lesions on the CT (1 extradural haematoma). Risk factors were evaluated by comparing EEG, skull fractures and poor clinical condition with the presence of cerebral lesions. Our data show a peculiar situation here in Italy: a large number of hospital admissions for minor head injuries, of whom relatively few patients are at risk of intracranial post-traumatic haematoma. PMID- 6571599 TI - [Bilateral giant carotid-ophthalmic aneurysm. Clinical case]. AB - The author describe a patient with bilateral giant aneurysms of the internal carotid artery in the region of the ophthalmic artery. These lesions are very rare and can be mistakenly diagnosed as intracranial tumors on the basis of the clinical presentation and CT findings alone. The correct diagnosis is made via cerebral panangiography and a successful surgical treatment for this pathology is often available. PMID- 6571601 TI - [Medical Society of French-Speaking Black Africa. Abstracts of reports]. PMID- 6571600 TI - [Electrophysiologic studies (auditory and somatosensory evoked potentials) in Friedreich's ataxia]. AB - Auditory and somatosensory evoked potentials were recorded from 10 patients suffering from Friedreich's ataxia. All patients were subjected to audiological tests and EMG-ENG study. Acoustic evoked potentials recordings included brainstem acoustic evoked potentials and long latency components. Peripheral and central components of somatosensory evoked potentials were obtained by stimulating the median nerve at the wrist and elbow. Various abnormalities of the cortical components were observed in all patients for both acoustic and somatosensory evoked potentials. Analysis of brainstem acoustic evoked potentials and of the early components of somatosensory evoked potentials showed a different incidence of abnormalities. The main feature of brainstem acoustic evoked potential changes was the frequent absence of one or more waves; the greatest abnormalities occurred in patients whose disease was of long duration. Long latency components (N85) were significantly prolonged in all but one patient. There was often an absence or reduction of early somatosensory evoked potentials with normal or near normal latencies, even though cortical responses were markedly prolonged. The sensory conduction velocity between stimulation sites at wrist and elbow was normal in all patients. Clinically brainstem acoustic evoked potentials may prove to be a reliable means of monitoring the progression of the disease, while long latency components and somatosensory evoked potentials could be used as complementary procedures in early diagnosis. PMID- 6571602 TI - Ego ideal and ideal ego. AB - A genetic and functional differentiation between the ego ideal and the ideal ego is proposed. This differentiation allows for a more precise characterization and interpretation of ego libido in symptoms and transference. These genetic and functional differentiations of ego ideal and ideal ego can be used to clarify the differing severities of the types of narcissistic disorder: psychosis, borderline personality disorder, narcissistic personality disorder, from normal maturity. It can also be put to work in refining one's formulation of the narcissistic complications of the classical transference neurosis. This usefulness has been demonstrated in relation to clinical material. In neurosis the ideal ego is a source of symptoms and inappropriate transference demands; in culture it finds embodiment in aggrandized concepts of human nature; in mature adults it is the comforting memory of a vanished splendour. PMID- 6571603 TI - Analyst involvement in the psychoanalytical impasse. AB - This paper develops the idea that a state of impasse is the objective towards which the patient tends and that this is in response to an unconscious fantasy whose essential aim is to paralyse the object's autonomy and the bond. The fact that in some cases this objective is brought about with the unconscious participation of the analyst is pointed out. This unconscious participation is distinguished from the conscious emotions that permit the diagnosis of the impasse. The manifest content of the verbal material reveals typical features of these states. One of them is the lack, or marked diminution, of representations expressed through visual images. When the representations become evident in the verbal material, it is a sign that the impasse is over and that the process has temporarily resumed its course. The process has unconscious representations which, on becoming evident, reveal the state of deadlock or development through which it is passing. The representations of the impasse situation are typical. Some of these, such as objects endowed with circular movement, static bodies lacking mobility, are pointed out. Verbal material is differentiated in two categories depending on its capacity to transmit or to conceal contents belonging to the unconscious. Material devoid of meaning is inherent to resistance. When the analyst is unconsciously involved in the patient's impasse, he tends to favour a kind of dialogue which is lacking in meaning and symbolic value. The symbol-forming function is not affected.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6571604 TI - Some implications of former massive traumatization upon the actual analytic process. AB - The treatment of first and second generation patients, having been traumatized by social catastrophes (like German concentration camps), puts a heavy burden on the therapist. To overcome this, the therapist must clearly realize what goes on in himself (countertransference) to avoid unsuitable interpretations and acting out. This counts even more if the therapist himself has undergone social trauma. Two case studies are included, which illustrate how the author could further the analytic process. Especially with masochistic-regressive patients the analyst has to accept and use his temporary identification. PMID- 6571606 TI - Some conceptual and technical aspects of the actual neurosis. AB - The idea of the actual neurosis is approached as a problem of the transformation of the meaning of terminology by developments in psychoanalytic thought. However, unlike most concepts, the transformation of the meaning of the actual neurosis presents a special problem because this concept refers to issues at the boundaries of psychoanalysis. Three meanings of the actual neurosis are discussed: the actual neurosis as a diagnostic entity, as an infantile core of the psychoneurosis and as observable states in the clinical situation. Certain controversies having to do with technical points of view on the various meanings of the concepts are reviewed. The danger of over-technologizing the clinical situation in deference to actual-neurotic states is stressed. PMID- 6571605 TI - Some considerations arising from the treatment of a patient with necrophilic fantasies in late adolescence and young adulthood. AB - Some psychoanalytic theories relating to necrophilia are reviewed, supplemented by other relevant theoretical abstracts. A psychoanalytic case of a young man with necrophilic fantasies is described, emphasizing separation anxiety, sadism and anal masturbation, all compellingly manifest in the transference and rooted in infantile trauma. The material is compared with that of other analysts working with similar pathology, then discussed in relation to perversions generally. Finally, it is argued that if the prognosis depends on whether core fantasies are amenable to analysis in the transference, then there may be therapeutic justification for keeping adolescence open by blocking the developmental move forward, on the grounds that these fantasies would quickly be rendered inaccessible under the normal repressive processes of young adulthood. PMID- 6571607 TI - Delinquent perversion problems of assimilation: a clinical study. AB - This paper is a clinical account of a patient whose adolescence was dominated by perverse and antisocial behaviour and who later became ill with severe anxiety symptoms and inability to work. In the analysis the breakdown of his omnipotent defences led to feelings of impotence and depression and delusional fears which he had previously tried to deal with by drugs and perverse sexuality. Both good and bad sexuality were used to compensate for lack of internal and external loving relationships. Analysis helped him to achieve a more stable equilibrium as a result of his becoming more able to become aware of and contain the murderous part of himself, and the growth of good parts and loving feelings. PMID- 6571608 TI - The problem of anorexia nervosa. AB - In anorexia nervosa the pain of hunger or, alternatively (in bulemia), of glut recalls Freud's aphorism that the man with toothache cannot fall in love. But object longing remains and stimulates such envy that the anorectic must project her wishes; she is not be found wanting. The use of projection, in turn, complicates self-other boundaries, with the result that she experiences not only people but even food as overpowering. This, then, excites more envy, indeed an envy so ruinous that self-starvation or compulsive evacuations are employed additionally to make reparation. Because all of this condenses into Less is More, the anorexic poses particular problems for analytic treatment, which is the subject of a companion paper. PMID- 6571609 TI - The use of a mistress and the internalized sexual mother. AB - Using clinical material and the transference manifestations from two married male patients who had mistresses and a female patient whose husband had a mistress, it is suggested that the mistresses are used to deal with the man's internalized sexual mother, thus allowing the wives to become the good-enough mothers that the men had never experienced. It would seem that the father unconsciously colludes with this incestuous relationship between the sexual mother and the son by not being an adequate husband. It is further suggested that one of the qualities of a good-enough father is the capacity to be a good-enough husband. PMID- 6571610 TI - The complete oedipus complex. AB - The 'Complete Oedipus Complex' is shown to be a critical period in Spitz' sense of convergence of drive maturation with ego development. It is proposed that competence to venture into the heart of the oedipal conflict is acquired in the practising subphase of the separation-individuation process where traits such as venture-someness, courage, initiative and the like become part of the self representations. Also proposed is that tension between drive need and object relations need at the anal phase results in compromise that establishes a pattern for taming the drive because of object relations considerations. The so-called negative oedipal position is seen as a regression to a pre-oedipal level of object need that is tinged with sexual wishes carried back from the oedipal position. Finally, the waning of the Oedipus complex is regarded as another developmental thrust terminating in identification with and love for the parent of the same sex, with transfer of functions of the object representations to the self representations, which results in diminution of primary object need and frees the individual to make new libidinal connexions at adult levels of object need. PMID- 6571611 TI - An acoustic holding environment: from the analysis of a 'transitional character'. AB - The significance of the sounds of human voices is often blurred by our customary emphasis on the visual representations of objects and part-objects in the reconstruction in analysis of patients' unconscious fantasies. A case has been presented highlighting an individual's sensitivity to the noises of his early holding environment, and his use of them for perpetuating his early attachments, as well as in substituting for his stunted phallic development. The case is offered in support of the contention that our instruments of reproducing and transmitting human sounds often become auxiliaries in mediating the problem of separation: as such, they also become internalized influences in character formation. The clinical type described is seen as representative of a genre of people whose early transitional development has directed their choices toward certain life roles that are inordinately stamped with the imprint of illusion. Many of them receive a legitimization from the outer society (like the child's transitional object receives confirmation from its mother), thereby justifying their being classified as having 'transitional characters'. In this broad category, one could list entrepreneurs and actors from business and entertainment, including impresarios and magicians, mimes and comedians. The fields of politics and religion, philosophy and psychology, are by no means exempt from attracting individuals of this order. PMID- 6571612 TI - Choice as the basis for mentation. A dialectic approach to mental development. AB - I propose to build on Robbins' new mind model for the primitive personalities a stronger base and a more clearcut development. The stronger base requires a clearer exposition of pleasure that includes the earliest choice an infant can make. Choice determines the beginning of the mind as a complex system of its own. Pleasure describes the motivational viewpoint. Taken together they will define the structure which constitutes the mind. I agree with Robbins that phenomenological psychic representation furnishes the building blocks for this developmental model but I see conflict in interstage development to be necessary to furnish the dynamism for growth and/or regression. Normal grandiosity is infantile pleasure in choice. I present pathological grandiosity from a new regressive viewpoint within the developmental framework. Robbins' case of N is used to illustrate these ideas. In addition I present some complex requirements for human object and self constancy to be achieved. PMID- 6571613 TI - Choice as the basis for mentation. PMID- 6571614 TI - Issues in geriatric medicine. Part II. PMID- 6571615 TI - Etiology and management of sexual dysfunction in elderly men. PMID- 6571616 TI - Psychological and physiological manifestations of relocation. PMID- 6571617 TI - Reminiscence and life review in the elderly. AB - Reminiscence in skilled hands may be a useful adjunct when caring for older individuals. The individual may benefit psychologically from a feeling of increased self-esteem and control. Staff must clearly establish a modality in which to utilize reminiscence; goals must be set. Problems that may result from uncovering certain memories must be carefully dealt with and may even require the assistance of a skilled psychotherapist. Additional research is necessary to improve our understanding of this potentially useful interactional tool. PMID- 6571618 TI - Psychiatric referral after head trauma. AB - This preliminary study of 22 patients referred for psychiatric consultation after HT requires further investigation to better define the trends observed regarding diagnosis, injury site, and medication choice. The absence of a control population of HT patients not referred for psychiatric evaluation limits our ability to make definitive conclusions. Further work is also planned to systematically explore the injury site-medication relationship. PMID- 6571619 TI - Alcoholism in the general hospital: the effectiveness of screening and referral. PMID- 6571620 TI - Measuring acute grief. PMID- 6571621 TI - Organic affective syndromes associated with thyroid dysfunction. PMID- 6571622 TI - Difficulties in the physician-patient dyad: invoking the psychiatric consultant. AB - Drawing upon their studies of physicians' responses to the recommendations and diagnosis of psychiatric consultants, the authors propose that the psychiatric consultant is most often invoked when the primary physician experiences an inappropriate interpersonal distance in the relationship with the patient. Sensing the threat or the reality of the patient as too close or too distant, the physician seeks the presence of the consultant. In the subsequent triadic constellation, the psychiatric consultant is suggested to function principally as buffer between the physician and the patient, restoring, or effecting a more optimal interpersonal distance in the original dyad. This construct helps to explain the consultees' "selectivity" in requesting consultation and the marked disparity between reported prevalence of psychiatric disorders in the medically ill and referral rates. It also calls attention to the role of the psychiatric consultant in assuring that the medical care of the patient with psychiatric features is not compromised or abbreviated. PMID- 6571623 TI - The concept of bahala na. PMID- 6571624 TI - The concept of irritability. PMID- 6571625 TI - The concept of hiya. PMID- 6571626 TI - The effects of teaching clinical clerks psychotherapy skills in the outpatient department. AB - We have described a psychiatric clerkship which is highlighted by a clinical exposure for the students to the practice of psychodynamic psychotherapy on relatively well-functioning outpatients. Students assigned this rotation are shown to opt for psychiatry significantly more often and rate the educational experience as significantly more positive when compared to psychiatry clerks other teaching hospitals which do not emphasize this clinical experience in outpatient psychotherapy. In addition, students undergoing this type of clerkship are shown to significantly improve in their ability to the histories and interact with medically ill patients, suggesting a further beneficial effect of the experience in conducting psychotherapy during the clerkship. PMID- 6571627 TI - Role of prior knowledge in comprehension of medical information by medical students and physicians. PMID- 6571628 TI - Text comprehension among medical students and experienced physicians. A preliminary study. PMID- 6571629 TI - Representation of clinical case cues: a multidimensional scaling demonstration. PMID- 6571631 TI - Physicians' evaluation of their postgraduate education for primary care. PMID- 6571630 TI - Analysis of practice patterns: differences in primary care practice by postgraduate training route. PMID- 6571632 TI - Factors underlying the cognitive difficulty of patient care episodes. PMID- 6571633 TI - Women in medicine: factors which influence career patterns. PMID- 6571634 TI - The selection of priority problems and conditions: an innovative approach to curriculum design in medical education. PMID- 6571635 TI - The relationship between cognitive factors and medical student specialty/residency selection. PMID- 6571637 TI - Models for predicting practice outcomes based on branching and switching of physicians among specialties during graduate medical education. PMID- 6571638 TI - Leniency and score distribution differences among clinical raters. PMID- 6571636 TI - Career choice in family medicine: a longitudinal study. PMID- 6571639 TI - Evaluating medical student clinical skill performance: relationships among self, peer, and expert ratings. PMID- 6571640 TI - A multiple station objective clinical evaluation. PMID- 6571641 TI - Student evaluation in clinical education: a field study at one medical school. PMID- 6571642 TI - Physician adoption of new clinical investigations--a study of the information sources utilized during the decision making process. PMID- 6571643 TI - The role of communication networks in physicians' adoption of innovations. PMID- 6571644 TI - Information-seeking behavior among physicians practicing in urban and nonurban areas. PMID- 6571645 TI - Effects of CPR training: participant competence and patient outcomes. PMID- 6571646 TI - Can the future adjustment of medical students be predicted? A thirty-five year follow-up. PMID- 6571647 TI - Assessing medical student stress levels and psycho-physiological stress reactions. PMID- 6571648 TI - Research-and-teaching elective in a primary care oriented school. PMID- 6571649 TI - A 10-year freshman support group program: leader review. PMID- 6571650 TI - Outstanding clinical teachers: methods, characteristics and behaviors. PMID- 6571651 TI - Evaluation of attending physicians: three perspectives. PMID- 6571652 TI - Improving teaching rounds: action research in medical education. PMID- 6571653 TI - Predicting national board performance using MCATs and medical school course scores. PMID- 6571655 TI - Medical problem-solving: a critique of the literature. PMID- 6571654 TI - Doomed to failure? Correlates of NBME. Part I. Success among students predicted to fail. PMID- 6571656 TI - The effect of item format on test performance. PMID- 6571657 TI - Coping with 'loose coupling': the introduction and maintenance of new curricula in medical schools. PMID- 6571658 TI - Promoting medical student attention to preventive medicine in the clinical setting. PMID- 6571659 TI - The primary care curriculum: educating for change in medicine. PMID- 6571660 TI - Freshman and senior medical students' opinions concerning economic aspects of the health care system, 1980-1983. PMID- 6571661 TI - The cost of problem-based vs. traditional medical education. I. Faculty time during the freshman year. PMID- 6571662 TI - Symposium: The potential effects of changing fiscal policies on medical education. PMID- 6571663 TI - Symposium: Contrasting perspectives on the clinical ratings process. PMID- 6571664 TI - Symposium: Videotapes as teaching tools: three applications in medical education. PMID- 6571665 TI - Symposium: Developing medical curricula responsive to national health needs. PMID- 6571666 TI - Symposium: Identifying the marginal student during clinical clerkships. PMID- 6571667 TI - Symposium: Dual careers in medicine. PMID- 6571668 TI - Symposium: Technical considerations and establishing standards for scoring clinical performance in simulated clinical encounters. PMID- 6571669 TI - Supply of and demand for academic general internists--an exploratory study of a re-emerging academic discipline. PMID- 6571670 TI - Symposium: Stress in clinical training: causes, recognition and intervention. PMID- 6571671 TI - Symposium: Use of the OSCE (objective structured clinical examination) to assess clinical competence. PMID- 6571672 TI - Symposium: Strategies for integrating the basic and clinical sciences. PMID- 6571673 TI - Stresses and supports during residency training. PMID- 6571674 TI - The case study as research in medical education: issues related to the educational quality of a medical residency program. PMID- 6571675 TI - The reliability and validity of in-training evaluation reports in obstetrics and gynecology. AB - In a specific Obstetrics and Gynecological program, the program and certifying ITERs were evaluated for their measurement qualities. The internal consistency of the ITERs is supported. The tendency for high inter-item correlations suggest overall judgment of candidates may be influencing individual item rankings- particularly on the Program ITER. Unfamiliarity of faculty with appropriate behaviors may be one of the reasons for this effect based on the faculty's inability to select correct behavior for each item. Very limited inter-form consistency is noted and random associations of items often correlate higher than parallel items. The stability of the Program ITER is supported, but there is little support for criterion validity based on the criterion variables available. It is concluded that more clearly defined behaviors must be identified for each ITER item and faculty must be trained in their use. The use of the same ITER for all specialities may be a major reason for this inconsistency. Lastly, more studies of validity are advised. PMID- 6571676 TI - Reliability and validity of objective examinations. PMID- 6571677 TI - Reliability and validity of ratings of physician performance. PMID- 6571678 TI - The predictive validity of test formats and a psychometric theory of clinical competence. PMID- 6571679 TI - Visual arts training to enhance observational skills of medical students. PMID- 6571680 TI - Patient instruction and locus of control: an application of the aptitude x treatment interaction approach. PMID- 6571681 TI - Individual learning style: the development of a reliable measure. PMID- 6571682 TI - The relation of extended life to extended employment since the passage of social security in 1935. PMID- 6571683 TI - Comment: the democracy of facts. AB - As the availability and quality of our national data-gathering systems have increasingly been taken for granted, concern and protection for these resources have been relaxed. This has resulted in the loss of a focus for statistical policy and coordination, a diminution in the size of samples taken, a retrogression in the amount of data collected, and the neglect of social and economic research. It is the responsibility of government, labor, business, and users of data to demand a national statistical coordination that maintains quality, integrity, and independence. PMID- 6571684 TI - Orthopaedic resource day: a new addition to nursing orientation. PMID- 6571685 TI - Getting the facts: a guide to orthopaedic assessment. PMID- 6571686 TI - Orthopaedic health promotion: injury and disability prevention. PMID- 6571687 TI - Protocol: health screening for Indochinese refugees. AB - Indochinese patients of all ages continue to present with multiple health problems. The most prevalent include incomplete immunizations, skin disease, dental disease, positive tuberculin skin tests, otitis media, anemia and intestinal parasites. Thorough health assessments for both adults and children include complete patient's age. If health problems can be diagnosed and treated soon after arrival in the United States, the refugees can then concentrate on the daily adaptation problems and complete the acculturation process. PMID- 6571688 TI - Missouri legislation and litigation. Practicing medicine without a license. PMID- 6571689 TI - Models of clinical practice. PMID- 6571690 TI - Primary care of the mastectomy patient. AB - Breast cancer is the leading form of cancer and a common chronic illness in women. The prevention, diagnosis and management of the disease involves a need for information, support and ongoing physical care which can best be coordinated by a primary care provider. This article reviews current surgical and adjuvant therapies and their side effects. The role of the nurse practitioner in monitoring and meeting mastectomy patients' needs during and after treatment is also discussed. PMID- 6571691 TI - The thinker-doer dual nursing role. AB - Nursing, for a time, was a profession polarized into "thinker" and "doer" groups. This polarization was bridged by nurse practitioners who were expected to be both knowledgeable and capable; the degree of their accountability demanded both. More recently, the nursing world has come to accept the duality of the thinker-doer nursing role. It is no longer unthinkable for a clinically oriented journal to discuss practice-relevant theories. Theories can be viewed as generalizations which guide decision making. They don't have to be grand theories which encompass every human condition to be valuable. In this series, advantages and disadvantages of a number of practice-relevant theories will be explored. Early on, "borrowed" theories will be considered. Later, some newer, more original theories will be discussed. PMID- 6571692 TI - 3M/NTI scholarship paper. Innovative strategies for the future. PMID- 6571693 TI - [Intraosseous ganglion of the carpal scaphoid--a case report]. PMID- 6571694 TI - In vitro transcription of human mitochondrial DNA. Identification of specific light strand transcripts from the displacement loop region. AB - The displacement loop region of human mitochondrial DNA contains the origin of heavy strand DNA replication and is the most likely site of promotion of transcription of both heavy and light strands. In order to identify relevant control regions for initiation of transcription, a partially purified human mitochondrial RNA polymerase activity was isolated and utilized in a runoff transcription assay using a cloned portion of the displacement loop region as the DNA template. Analysis of the transcription products from differentially cleaved DNA templates reveals that specific light strand transcripts are synthesized and no heavy strand transcripts are detectable. The 5' ends of the light strand transcripts map within a unique trinucleotide site on the heavy strand template at a position which overlaps the pentanucleotide map position of the 5' ends of in vivo 7 S RNA light strand transcripts. By using templates that have been truncated at the 5' or 3' end, an upper limit on the size of template sequence required for synthesis of the specific light sequence required for synthesis of the specific light strand transcripts can be defined as the 433-nucleotide genomic region between the 5' 10 nucleotides of the 12 S rRNA gene and a BalI restriction site in the displacement loop region that is 352 nucleotides from the gene boundary for tRNAPhe. Two of the previously identified conserved sequences of the mammalian displacement loop region are not required for synthesis of the light strand transcripts. The location of the in vitro light strand transcripts is consistent with a functional role in either in vivo transcription or priming of heavy strand DNA replication. PMID- 6571695 TI - The genes sup-7 X and sup-5 III of C. elegans suppress amber nonsense mutations via altered transfer RNA. AB - The sup-5 III and sup-7 X suppressors in C. elegans have previously been shown to have many genetic properties in common with tRNA nonsense suppressors of microorganisms. We report here the results of two lines of investigation into the molecular basis of these suppressors. In one, which sought to determine the nature of suppressible alleles, we demonstrate through DNA sequencing studies that a suppressible allele, unc-54(e 1300) I, of the myosin heavy chain gene contains a C leads to T substitution, which changes a glutamine codon to amber terminator at residue 1903. In the other approach, which sought to define the nature of the suppressing activity, we show through in vitro translation studies that tRNA fractions from the suppressor strains, but not wild-type, promote the specific readthrough of amber terminators of three different messenger RNAs. We conclude that sup-5 and sup-7 result in readthrough of amber terminators in vivo through an altered tRNA. PMID- 6571696 TI - Human preprovasoactive intestinal polypeptide contains a novel PHI-27-like peptide, PHM-27. AB - Vasoactive intestinal polypeptide (VIP), a 28-amino acid peptide originally isolated from porcine duodenum, is present not only in gastrointestinal tissues but also in neural tissues, possibly as a neurotransmitter, and exhibits a wide range of biological actions (for example, relaxation of smooth muscle, stimulation of intestinal water and electrolyte secretion and release of insulin, glucagon and several anterior pituitary hormones). As the structure of porcine and bovine VIP shows several similarities to those of mammalian glucagon, secretin and gastric inhibitory peptide (GIP), VIP is considered to be a member of the glucagon-secretin family. Recently, we have found that VIP is synthesized from a precursor, pro-VIP (molecular weight (Mr) 17,500), in human neuroblastoma cells and that the primary translation product of the mRNA encoding VIP is prepro VIP (Mr 20,000). In an attempt to elucidate the primary structure of the precursor, we have now cloned the DNA sequence complementary to the mRNA coding for human VIP and analysed the nucleotide sequence. The entire amino acid sequence of the precursor, deduced from the nucleotide sequence, indicates that the precursor protein contains not only VIP but also a novel peptide of 27 amino acids. The peptide, designated PHM-27, differs by only 2 amino acids from PHI-27, a peptide recently isolated from porcine intestine, and is also closely related in sequence to VIP. PMID- 6571697 TI - Sequences of halobacterial tRNAs and the paucity of U in the first position of their anticodons. AB - The sequence of three tRNAs from Halobacterium cutirubrum have been determined. The sequences of tRNAValGAC and tRNAValCAC differ by only one nucleotide which is in the 5' terminal anticodon position. These tRNAs as well as that of tRNAAlaCGC are compared to other known halobacterial tRNAs. An observed paucity (or absence) of U in the first anticodon position is unique to archaebacterial tRNAs and may be indicative of unusual decoding properties of these organisms. PMID- 6571698 TI - The nucleotide sequences of 5S ribosomal RNAs from four Bryophyta-species. AB - The nucleotide sequences of cytoplasmic 5S rRNA from four bryophytes, Marchantia polymorpha, Lophocolea heterophylla, Plagiomnium trichomanes and Anthoceros punctatus have been determined. These RNAs are 119 nucleotides long except for the Anthoceros RNA that has 118 nucleotides. Their sequences are highly similar to each other (91-99% identity) and are more related to those from seed plants (78-83% identity) than to those from green algae (61-73% identity). PMID- 6571699 TI - A single gene for bovine high molecular weight and low molecular weight kininogens. AB - A potent vasoactive peptide, bradykinin, is liberated from two distinct kininogens designated low molecular weight (LMW) and high molecular weight (HMW) kininogens. We have recently cloned and sequenced cDNAs for bovine LMW prekininogens and indicated that LMW prekininogens are encoded by two very similar but distinct mRNAs. This study concerns the structural basis for the relationship between HMW and LMW prekininogen mRNAs by examination of cDNA clones for bovine HMW prekininogens and a genomic clone. Two types of cDNAs for HMW prekininogens have been identified. The deduced sequences of these two mRNAs are identical with those of two LMW prekininogen mRNAs up to the regions preceding the sequences specifying the divergent C-terminal regions of HMW and LMW kininogens, with one-to-one correspondence. In genomic DNA, the sequence precisely corresponding to the divergent 3'-terminal region of LMW prekininogen mRNA is located after 87 nucleotides downstream from the sequence specifying the 3'-untranslated region of HMW prekininogen mRNA. Based on these findings, we conclude that HMW and LMW prekininogen mRNAs are transcribed from the same gene. PMID- 6571700 TI - Structural features of B family chorion sequences in the silkmoth Bombyx mori, and their evolutionary implications. AB - Partial protein sequences, and DNA sequences of corresponding cDNA and genomic clones were obtained and analyzed to reveal the primary structural features of major, developmentally middle or late components of the B chorion multigene family in Bombyx mori. Comparisons with other types of sequences confirm and clarify the tripartite domain structure of chorion proteins. Glycine-, leucine- and tyrosine-containing, tandemly repetitive peptides form the bulk of the amino terminal and carboxy-terminal domains ('arms'). Extensive sequence homologies suggest a common evolutionary origin for the amino-terminal arms of some B. mori B sequences and the corresponding portions of members of a different (A) chorion multigene family in Antheraea polyphemus, a distantly related silkmoth. PMID- 6571701 TI - Biochemical and genetical characterization of a fiber-defective temperature sensitive mutant of type 2 adenovirus. AB - The adenovirus type 2 fiber mutant H2 ts 125 synthesized an unstable, temperature sensitive fiber polypeptide with an apparent mol. wt. smaller by 2500 than the wild-type (62 K). The polypeptide of 59.5 K was found to be stable at the permissive temperature (33 degrees C). H2 ts 125 fiber synthesized in reticulocyte lysates had the same apparent mol. wt. of 59.5 K as the mutant fiber produced in vivo. Neither structural nor functional differences between wild-type and mutant fibers were detected in the N-terminal and C-terminal sequences, excluding the occurrence of a new initiation or termination codon. Restriction analysis of H2 ts 125 DNA also ruled out the hypothesis of a deletion mutant. The 59.5 K mutant fiber unit was normally glycosyated, N-acetylated, assembled into 6S oligomeric fiber and incorporated into virions. DNA sequencing of the H2 ts 125 fiber gene revealed two point mutations at nucleotides 3970 (C*TT leads to T*TT) and 4958 (GC*T leads to GT*T), corresponding to two amino acid changes at positions 105 and 434, respectively. The 105 mutation consisted of a conservative change Leu leads to Phe; the 434 interchange was Ala leads to Val, usually considered as nonconservative. The possibility of a donor site for splicing created by the mutation at codon GTT was eliminated on the basis of S1 nuclease analysis data. All these results suggested that either one or both mutations concerned highly organized domain(s) of the fiber polypeptide chain, resulting in aberrant mobility in SDS-polyacrylamide gels and temperature-sensitivity. PMID- 6571702 TI - Structure of two human beta-actin-related processed genes one of which is located next to a simple repetitive sequence. AB - From a human gene library we have isolated and sequenced a beta-actin-like pseudogene, H beta Ac-psi 2, which lacks intervening sequences and contains several mutations resulting in frame-shifts, stop codons and in a departure from the known beta-actin protein sequence. We have also extended our sequence work on the intronless human beta-actin-related pseudogene H beta Ac-psi 1 described previously and we find that both genes are processed genes ending in a poly(dA) tract and flanked by direct repeats. The gene H beta Ac-psi 2 is preceded by a 230-bp region in which the simple sequence 5'-GAAA-3' is repeated greater than 40 times. This satellite-like sequence is highly repetitive in the human genome. PMID- 6571703 TI - Nucleotide sequences of three soybean chloroplast tRNAsLeu and re-examination of bean chloroplast tRNA2Leu sequence. AB - The nucleotide sequences of soybean chloroplast tRNAsLeu were determined using post-labeling techniques. Comparison of the primary structures of soybean chloroplast tRNAsLeu with their bean, maize and spinach counterparts only show few base differences. Contrary to previously published results (1) a re examination of bean tRNALeu sequence shows that this tRNA resembles soybean and maize tRNA2Leu in structure. PMID- 6571704 TI - Organization of the human myoglobin gene. AB - Cross-hybridization of the grey seal myoglobin gene to human DNA detected a single human myoglobin gene plus an extensive family of sequences apparently related to the central exon of this gene. The functional human gene is 10.4 kb long and has a haemoglobin-like three exon/two intron structure with long non coding regions similar to its seal homologue. At least 300 bp of 5'-flanking region are closely homologous between the two genes, with the exception of a divergent purine-rich region 68-114 bp upstream of the cap site. A diverged tandem repetitive sequence based on (GGAT)165 is located 1100-1750 bp upstream from the gene; internal homology units within this sequence suggest sequence homogenization by gene microconversions. A second 33-bp tandem repeat element in the first intron is flanked by a 9-bp direct repeat, shares homology with other tandem repetitive elements in the human genome and may represent a novel form of transposable element. PMID- 6571705 TI - [Effect of benzobamil on the morpho-functional state of liver and drug metabolism in experimental CC14 intoxication]. AB - An anticonvulsive drug benzobamil (3-benzoyl-5-ethyl-5-isoamyl barbituric acid) improved the antitoxic function of liver tissue, increased the content of RNA, protein, cytochrome P-450, accelerated the oxidation of NADH, NADPH as well as metabolism of xenobiotics in microsomes of rats with CCl4 intoxication. Benzobamil normalized the hepatocyte structure, corrected the fatty dystrophy, stimulated the protein synthesis, increased the content of glycogen as well as activity of succinate and lactate dehydrogenases and stabilized the lysosomal membranes. PMID- 6571706 TI - Comparison of dye exclusion assays with a clonogenic assay in the determination of drug-induced cytotoxicity. AB - The following factors must be considered when dye exclusion assays are interpreted. (a) It may require several days for lethally damaged cells to lose their membrane integrity following a cytotoxic insult. (b) During this time, the "surviving" cells may continue to proliferate. (c) Also during this time, some lethally damaged cells may undergo an early disintegration, so that they are not present to be stained with dye at the end of the culture period. Factors b and c may cause an underestimate of cell kill when the results of the assay are based upon the traditional "percent viability" expression. In order to overcome these problems, an internal standard was developed and tested. This was based upon the addition of a constant number of permanently fixed duck erythrocytes to the cultures of cells from two different established tumor cell lines. Results were based upon comparisons of the ratios of "viable" tumor cells to duck erythrocytes on permanent cytocentrifuge slides prepared from the cultures. This novel "ratio" method was found to be a more sensitive index of drug-induced cell kill than the traditional percent viability method. A standard agar cloning assay gave somewhat higher estimates of cell kill than the ratio method, although both assays were in qualitative agreement for the drugs tested. All three assays demonstrated a clear dose-effect relationship for most of the drugs tested. Dye exclusion assays may have a useful role in chemosensitivity testing in vitro. PMID- 6571707 TI - Kinetic and catabolic considerations of monoclonal antibody targeting in erythroleukemic mice. AB - The parameters affecting the use of tumor-specific monoclonal antibodies for diagnostic imaging and tumor cell targeting and therapy were quantitatively examined in a murine erythroleukemia model system. Normal and tumor-bearing leukemic BALB/c mice were given injections of 125I-, 131I-, or 111In-labeled specific and control immunoglobulins. At various times after injection, gamma camera images were obtained, and targeting to whole organs and to isolated cells was measured. The following observations were made: (a) tumor-specific monoclonal antibodies rapidly targeted to tumor cells (within hr); (b) the ratio of binding to tumor cells as compared to normal cells was highest (63.7 +/- 7.6) at the earliest times (6 hr after injection); (c) specific targeting was reflected by 20 fold shorter half-lives of antibody in the blood of tumor-bearing mice; (d) bound antibody was rapidly catabolized, and the radiolabel was cleared from the target (within hr) and appeared in organs metabolizing or excreting the radioisotope; (e) optimal images of tumors, using either 131I- or 111In diethylenetriaminepentaacetic acid-labeled antibodies, were obtained early after extravascular distribution of the antibody because of the rapid targeting, clearance, and excretion or metabolism of isotope; and (f) changing the immunoglobulin isotype class or fragment had large effects on the half-life of the antibody but did not improve cell targeting uptake ratios or image contrast or alleviate the problem of specific catabolism. These results suggest (a) that diagnostic imaging should be obtained immediately after extravascular distribution of the antibody using short-lived isotopes and (b) that tumoricidal agents coupled to antibodies must act quickly upon targeting. In our system, the radiometal chelate-conjugated monoclonal antibodies appear to be the most versatile and effective at satisfying these criteria. PMID- 6571708 TI - Chromosomal aberrations observed in 52 mouse myeloid leukemias. AB - Chromosomes of 52 cases of mouse myeloid leukemia were examined. There were 5 myeloblastic leukemias, 22 granulocytic leukemias, 17 myelomonocytic leukemias, and 8 monocytic leukemias. Fifty cases were radiation induced and the other 2 were nonirradiated. Each case had leukemic cells with 1 to 10 marker chromosomes. Partially deleted No. 2 chromosomes appeared in 49 cases, including 2 nonirradiated cases. These deleted No. 2 chromosomes were varied in size, and they were classified into 7 types according to morphological features. There was no type-dependent difference in histological or cytological features among the 7 types. It was found that the chromosomal segment lying between Regions 2C and 2D was commonly missing from all of the deleted No. 2 chromosomes. In addition to such No. 2 chromosomes, an anomaly in chromosome 6 was observed in 16 cases, of which 12 cases were granulocytic leukemia. The abnormalities of chromosomes 3 and 9 were next most frequent, appearing in 14 cases each. Besides such structural anomalies, numerical changes involving the Y chromosome (33 cases), chromosome 6(6 cases), and chromosome 15 (4 cases) were also found. Characteristics of the karyotypes of the mouse myeloid leukemia in comparison with other leukemias were noted. The significance of the specific segments of the chromosomes which were commonly missing or trisomic in the karyotypes of neoplasias in mice, rats and humans was discussed. It was suggested that the genesis of myeloid leukemia was greatly influenced by the genetic information on chromosome 2 in mice. PMID- 6571709 TI - Action of retinoids on the anchorage-independent growth of normal rat kidney fibroblasts induced by 12-O-tetradecanoylphorbol-13-acetate or sarcoma growth factor. AB - In this study, we report that retinoic acid enhances dramatically the colony forming ability in soft-agar medium of normal rat kidney fibroblast cells NRK 536 3 (SA6) exposed to sarcoma growth factor. Retinoic acid also stimulates colony formation in soft agar induced by the phorbol ester 12-O-tetradecanoylphorbol-13 acetate, although the phorbol ester alone is less effective in producing anchorage-independent growth than is the sarcoma growth factor. Retinoic acid not only enhances the number of colonies formed but also causes an increase in their average size. Retinoic acid by itself does not induce anchorage-independent growth. The formation of colonies in agar induced by either the sarcoma growth factor or the phorbol ester is a reversible characteristic whether retinoic acid is present or not. Retinoic acid acts synergistically with the sarcoma growth factor and the phorbol ester on anchorage-dependent growth of these NRK cells. In addition to retinoic acid, the 13-cis-, 4-oxo-, and trimethylmethoxyphenyl analogues of retinoic acid and retinol also stimulate colony formation in agar induced by sarcoma growth factor or the phorbol ester. Although the stimulation of growth in soft agar by various retinoids correlates well with the specificity with which they bind to the cytosolic binding proteins in other systems, no binding proteins could be detected in the cytosol of these normal rat kidney cells. PMID- 6571710 TI - HLA and gluten cytotoxicity in vitro. PMID- 6571711 TI - Biosynthesis and expression of Ia and H-2 antigens on a macrophage cell line are stimulated by products of activated spleen cells. PMID- 6571712 TI - Expression of H-2Dd and H-2Ld mouse major histocompatibility antigen genes in L cells after DNA-mediated gene transfer. AB - Among the more than 20 H-2-like genes in the BALB/c mouse genome, there are two classical transplantation antigens (H-2Dd and H-2Ld) encoded at the D-end of the major histocompatibility complex. Here we report the identification of a bacteriophage clone that encodes H-2Dd. The H-2Dd gene was identified by nucleotide sequence analysis and by characterization of the new H-2 antigen expressed when the cloned gene was introduced into mouse L cells by DNA-mediated gene transfer. The previously identified H-2Ld gene was then compared with the H 2Dd gene. The two genes appear to have the same general structure, and for the 854 nucleotides that have been compared, the two genes are 89% homologous. The H 2Ld and H-2Dd antigens expressed on mouse L cells after DNA-mediated gene transfer were examined by immunologic criteria. The stably transformed cell lines express apparently normal levels of H-2Dd and H-2Ld on the cell surface as measured by quantitative immunofluorescence by using monoclonal anti-H-2 antibodies. They synthesize H-2Dd and H-2Ld at normal rates as determined by endogenous labeling and immunoprecipitation of cell extracts. They evoke a strong specific serologic response when used to immunize C3H mice. The newly expressed antigens are able to serve as targets for alloreactive T cells. These cloned genes provide good substrates for examining the evolution of two closely linked H 2 antigen genes. Comparison of the structures of these genes provides clues to the basis for the differential expression of these antigens and their different biologic functions. PMID- 6571713 TI - Spasmodic dysphonia in Gilles de la Tourette's disease. PMID- 6571714 TI - Induction of differentiation of human myeloid leukemias: surface changes probed with monoclonal antibodies. AB - The surface changes occurring in three acute myeloid leukemia cell lines (HL60, ML3, and KG1) induced to differentiate by a variety of agents (dimethylsulfoxide, retinoic acid, 12-O-tetradecanoylphorbol-13-acetate, and factors present in lymphocyte conditioned medium) were probed using monoclonal antibodies that are differentiation stage- and lineage-specific. In all cases, the differentiated phenotype was defective and varied with the inducing agent and the cell line used. HL60 proved to be the most sensitive to the effect of the inducers. Retinoic acid was better than DMSO, and TPA was better than the medium factors in the ability to induce granulocytic and monocytic differentiation, respectively, in HL60 cells. These findings indicate that the differentiation block in acute myeloid leukemias is heterogeneous and that each cell line has different phenotypic characteristics that are responsible for the extent of differentiation obtained with a given inducer. These results also suggest that the extent of the differentiation response in vitro may be improved by the use of more suitable inducers for each specific leukemic line. PMID- 6571715 TI - Immunoreactive calcitonin production by a human promyelocytic leukemia cell line HL60. AB - Using a sensitive radioimmunoassay, we detected human immunoreactive calcitonin in cell extracts and in cell-exposed media of the HL60 cell line derived originally from a patient with acute promyelocytic leukemia. The cell extract was chromatographed on a reverse-phase high-pressure liquid chromatography system. Radioimmunoassay of the fractions showed that the immunoreactive calcitonin was heterogeneous but had peaks corresponding to those of synthetic human calcitonin monomer and its sulphoxide. We have previously shown that levels of immunoreactive calcitonin are elevated in the plasma of the majority of patients with acute and chronic myeloid leukemias. Our studies with the HL60 cell line add further support to the concept that leukemic cells can synthesize immunoreactive calcitonin "ectopically." PMID- 6571716 TI - Near-tetraploid clones in acute leukemia. AB - Near-tetraploid clones were observed in bone marrow (BM) samples from two patients with acute leukemia. One case had a hypotetraploid clone (model chromosome range, 88-90) characterized by two apparently identical 8:21 translocations and loss of both Y chromosomes as well as by other changes. As in aneuploid patients with only a single 8:21 translocation, the cytologic features in this case were characteristic of acute myeloid leukemia with maturation. The marrow of the second patient contained immature leukemic blasts indicative of acute myeloid leukemia. The abnormal clone in this patient contained 93 chromosomes with an extra small marker. In this case we examined BM preparations that were made by several different cytogenetic methods: "direct" and 24-hr culture (with or without methotrexate synchronization). We scanned 100 consecutive mitotic cells from each of the three preparations and found almost no variation in the incidence of abnormal metaphase cells. However, in this particular case, we noted some disparity between preparations with respect to the quality of diploid mitoses versus that of near-tetraploid mitoses. This finding is discussed with near-tetraploid mitoses. This finding is discussed with regard to bias in selecting metaphase cells for banding analysis in acute leukemia in general. In both of our patients there was a close correlation between the incidence of polyploid mitoses observed in cytogenetic preparations and the incidence of bizarre blast cells found in BM smears on the same date. PMID- 6571718 TI - Effects of alkyl-lysophospholipids on human leukemic cell lines measured by nuclear magnetic resonance. AB - Part of the cytotoxic action of alkyl-lysophospholipids (ALP) on leukemic cells is known to result from the lack of an O-alkyl cleavage enzyme and its antimetabolic effect which results in a toxic lysophospholipid buildup. Further, ALP (5 micrograms/ml) suppresses clonogenicity and tritiated thymidine uptake in HL60 cultures after 24 hr of exposure. The effect of ALP on two leukemic cell lines, HL60 and K562, measured by two nuclear magnetic resonance (NMR) techniques and examined by electron microscopy is reported. 31P-NMR spectroscopy indicates that the adenosine 5'-triphosphate:adenosine 5'-diphosphate ratios are unaffected after 24 hr, as is mitochondrial morphology, judging by electron micrographs. However, cell membrane integrity in HL60 is altered at that time. The earliest ALP effects occur in NMR internal water relaxation at 1 hr after ALP exposure, followed by a small reduction in tritiated thymidine uptake at 4 hr. No effect is observed in K562 cell cultures in morphology or NMR measurements. No new 31P labeled metabolites were detected in either cell line as a result of drug treatment. PMID- 6571717 TI - Differentiation patterns in the blastic phase of chronic myeloid leukemia. AB - The surface antigen phenotype of 30 patients with the blast phase of chronic myeloid leukemia (CML) was determined using a panel of monoclonal antibodies recognizing differentiation antigens of normal myeloid, erythroid, megakaryocyte, and lymphoid cells. Ten patients' cells expressed a phenotype corresponding to an immature myeloid cell and were felt to have "myeloid" blast crisis. None of these myeloid leukemias were TdT+ or responded to vincristine (V) and prednisone (P). Eleven patients expressed a phenotype similar to acute lymphoblastic leukemia cells and probably reflect maturation to an early B lymphocyte. All of these "lymphoid" leukemias were TdT+, and 67% of evaluable patients had a complete response to V and P. One leukemia had the phenotype of an erythroleukemia, one patient's cells expressed the phenotype of megakaryoblastic leukemia, and one leukemia had populations of both myeloid and lymphoid blasts. Six leukemias did not express surface markers characteristic of any lineage and were termed "undifferentiated." This group was heterogeneous with respect to TdT expression, but no patient had a complete response to V and P. Determination of surface antigen phenotype in CML blast crisis thus provides clinically useful information for the structuring of treatment protocols. PMID- 6571719 TI - Chromosomal abnormalities and their clinical significance in acute lymphoblastic leukemia. Third International Workshop on Chromosomes in Leukemia. AB - Three hundred thirty newly diagnosed patients were studied to determine the frequency and type of chromosomal abnormalities in acute lymphoblastic leukemia (ALL) and their clinical significance. Analyses of banded chromosomes revealed clonal chromosomal abnormalities in 218 patients (66%), including all cases of B ALL; and 70% of non-T, non-B ALL; but only 39% of T-ALL (p less than 0.001). Patients were classified into 10 groups according to karyotype: no abnormalities (34%), one of the following recurring structural abnormalities [the Philadelphia chromosome (12%), t(4;11) (5%), t(8;14) (5%), 14q+ (4.5%), 6q- (4%)] or, in the remaining cases with abnormalities, the modal number [less than 46 (5%), 46 (12%), 47 to 50 (8%), greater than 50 (9%)]. Response to treatment (achievement of complete remission and remission duration) and survival differed significantly among chromosome groups (p less than 0.002). The best responses were seen in patients with a modal number greater than 50; the poorest responses were found in patients with the t(4;11) and t(8;14). Interestingly, survival for children and adults who had karyotypes with the same specific structural abnormalities [e.g., the Philadelphia chromosome or t(4;11)] was identical. Multivariate analysis demonstrated that the karyotypic pattern was an independent prognostic factor even when age, initial leukocyte count, and French-American-British (FAB) type were considered. We conclude that banded chromosome studies should be performed in all patients with ALL at diagnosis to identify those patients who have a pattern associated with a poor prognosis who may require more aggressive therapeutic approaches such as marrow transplantation. PMID- 6571720 TI - Effect of protein on the determination of total bile acids in serum. AB - We measured total serum bile acids on a fluorescence-light-scattering micro centrifugal analyzer by the direct enzymatic method with 3 alpha-hydroxysteroid dehydrogenase (EC 1.1.1.50) and with resazurin as a fluorogenic electron acceptor. We found that serum protein has an inhibitory effect on the measurement of bile acids, but this effect was eliminated by adding bovine serum albumin to the reaction mixture in a final protein concentration (12.2 g/L) that was high compared with that contributed by a normal serum specimen. The assay is a sensitive method that reaches equilibrium in 5 min. The method is microscale (5 microL of sample, 150 microL of working reagent), is easy to perform, and is accurate (analytical recovery = 104.1%) and precise (CV = 11.1 and 5.7% on specimens with bile acid concentrations of 7.6 and 35.4 mumol/L, respectively). Normal values are 1-12 and less than 9 mumol/L on nonfasting and fasting individuals, respectively. Pure 3 alpha-hydroxysteroid dehydrogenase must be used: we found several enzyme preparations that gave falsely high values for bile acid. PMID- 6571721 TI - Differential lung ventilation after unilateral hydrochloric acid aspiration in the dog. AB - Differential lung ventilation (DLV) may be necessary in the supportive care of patients with severe unilateral or asymmetrical lung disease. The best method for allocating tidal volume between the 2 lungs is unknown. Eighteen mongrel dogs were given a unilateral hydrochloric acid (HCI) aspiration injury. A computer controlled differential lung ventilation system was used to ventilate 6 dogs with equal volumes in each lung, 6 dogs with equal end-inspiratory pressure in each lung, and 6 dogs with equal end-tidal CO2 fraction in each lung. The computer allocated volume between the 2 lungs by these 3 schemes on a breath-by-breath basis and maintained PaCO2 at 35 torr and total tidal volume at 15 ml/kg. Oxygen tension fell and pulmonary venous admixture increased after aspiration. There were no differences in gas exchange among the groups. Without PEEP, differential partitioning of tidal volume is of little consequence in differential lung ventilation of asymmetrical injuries. PMID- 6571722 TI - Infant ventilator design: performance during expiratory limb occlusion. AB - We examined the specifications and design of the inspiratory pressure regulating valve of 8 continuous flow, pressure-limited infant ventilators. Two pressure regulating designs are currently available; one placing the primary pressure regulating valve on the inspiratory limb, the other placing it on the expiratory limb. Seven ventilators incorporate the latter design to limit inspiratory pressure and must have a safety pressure-relief valve located on the inspiratory limb to vent pressure in case of circuit occlusion. These pressure-relief valves are generally set by the manufacturer far in excess of pressures normally used for infant ventilation. Alarm systems are often absent or inadequate to warn of high pressure conditions during circuit obstruction. A case report detailing the fatal complication of prolonged excessive airway pressure during circuit occlusion is presented. Improvements in the pressure-relief valve designs currently available are possible, and may be necessary to provide adequate protection from barotrauma. The majority of infant ventilators currently available expose the patient to unnecessary excessive airway pressures in the case of expiratory limb occlusion, and the lack of alarm systems may leave the operator unaware of malfunction. PMID- 6571723 TI - Intermittent inspiratory chest tube occlusion: a modification for patients with empyema. AB - In critical ill patients, significant bronchopleural cutaneous fistulae (BPCF) may lead to the loss of a substantial portion of mechanically delivered inspiratory volume. This leads to maldistribution of ventilation and ventilation perfusion mismatch with resulting arterial hypoxemia and hypercarbia. In such patients, attempts at surgical closure are frequently inadvisable. The use of intermittent inspiratory chest tube occlusion (IICTO) using a pneumatic valve has proven to be a useful adjunct in this clinical situation. In patients with empyema, as others, thick proteinaceous pleural fluid poses an unusual problem. As drying and caking of drainage occurs, the valving mechanism is impaired. A modification of the original technique is described, which eliminates this problem. PMID- 6571724 TI - Tips for dealing with the problem patient. PMID- 6571726 TI - Planning for your practice's future. PMID- 6571725 TI - Credit cards: a way to reduce your accounts receivable problem. PMID- 6571727 TI - Indium-111-leukocyte imaging study in inflammatory bowel disease. PMID- 6571728 TI - Genetic transformation of Streptococcus pneumoniae by DNA cloned into the single stranded bacteriophage f1. AB - A Staphylococcus aureus plasmid derivative, pFB9, coding for erythromycin and chloramphenicol resistance was cloned into the filamentous Escherichia coli phage f1. Recombinant phage-plasmid hybrids, designated plasmids, were isolated from E. coli and purified by transformation into Streptococcus pneumoniae. Single stranded DNA was prepared from E. coli cells infected with two different plasmids, fBB101 and fBB103. Introduction of fully or partially single-stranded DNA into Streptococcus pneumoniae was studied, using a recipient strain containing an inducible resident plasmid. Such a strain could rescue the donor DNA marker. Under these marker rescue conditions, single-stranded fBB101 DNA gave a 1% transformation frequency, whereas the double-stranded form gave about a 31% frequency. Transformation of single-stranded fBB101 DNA was inhibited by competing double-stranded DNA and vice versa, indicating that single-stranded DNA interacts with the pneumococcus via the same binding site as used by double stranded DNA. Heteroduplexed DNA containing the marker within a 70- or 800-base single-stranded region showed only slightly greater transforming activity than pure single-stranded DNA. In the absence of marker rescue, both strands of such imperfectly heteroduplexed DNA demonstrated transforming activity. Pure single stranded DNA demonstrated low but significant transforming activity into a plasmid-free recipient pneumococcus. PMID- 6571729 TI - Heat curing of a sym plasmid in a fast-growing Rhizobium sp. that is able to nodulate legumes and the nonlegume Parasponia sp. AB - Genes involved in nodulation of both legumes and the nonlegume Parasponia sp., as well as nitrogenase genes, reside on a large plasmid in a fast-growing Rhizobium sp. from Lablab purpureus. This plasmid can be cured by incubation at elevated temperatures and can be mobilized by the P1 group plasmid RP1::Tn501. PMID- 6571731 TI - Evaluation of cutaneous blood flow responses by 133Xenon washout and a laser Doppler flowmeter. AB - A new method for noninvasive measurement of cutaneous blood flow is laser-Doppler flowmetry. The technique is based on the fact that laser light is back-scattered from the moving red blood cells, with Doppler-shifted frequencies; these impulses lead to photodetectors and are converted to flow signals. In this work we used a new system with a low noise level. Comparison was made between this technique and the atraumatic epicutaneous 133Xenon technique for measurement of cutaneous blood flow during reactive hyperemia and orthostatic pressure changes. The laser Doppler flowmeter seems to measure blood flow in capillaries as well as in arteriovenous anastomoses, while the 133Xe method probably measures only capillary flow. A calibration of the laser-Doppler method against the 133Xe method would appear to be impossible in skin areas where arteriovenous anastomoses are present. The changes in blood flow during reactive hyperemia, orthostatic pressure changes, and venous stasis were found to be parallel as measured by the two methods in skin areas without shunt vessels. The laser Doppler flowmeter would appear to be a useful supplement to the 133Xe washout method in cutaneous vascular physiology, but it is important to keep in mind that different parameters may be measured. PMID- 6571730 TI - Pseudomonas stutzeri and related species undergo natural transformation. AB - Cells of Pseudomonas stutzeri are naturally transformed by homologous chromosomal DNA; they do not require chemical treatment to become competent. This capacity to undergo natural transformation was found to be shared by the closely related species P. mendocina, P. alcaligenes, and P. pseudoalcaligenes, but was not detectable in strains of P. aeruginosa, P. perfectomarinus, P. putida, P. fluorescens, or P. syringae. P. stutzeri could be transformed either on plates or in liquid medium. Only double-stranded chromosomal DNA was effective; single stranded DNA and plasmid DNA were not. DNA fragments larger than 10 kilobase pairs were more effective than smaller fragments. The transformation frequency was proportional to DNA concentration from 1 ng/ml to 1 microgram/ml; higher concentrations were saturating. The maximum frequency, about 10(-4) transformants per recipient cell, was obtained with cells from a culture in the early stationary growth phase. A variety of chromosomal mutations have been transformed, including mutations to auxotrophy and to antibiotic resistance. Other systems for genetic exchange in P. stutzeri have not yet been found; transformation offers a means for the genetic analysis of this metabolically versatile organism. PMID- 6571732 TI - Ethanol-induced hyperlipoproteinemia. Crucial role of preceding ethanol intake in the removal of chylomicrons. AB - Ethanol produces a number of effects in different steps of lipid metabolism which have been suggested to be responsible for the common phenomenon of ethanol induced hyperlipoproteinemia in man. The occurrence of hyperchylomicronemia has been attributed to an ethanol-specific disturbance of the clearing mechanism of triglyceride-rich lipoproteins. However, the reports on lipolytic activities and the clearance of chylomicrons after ethanol ingestion are contradictory. In this investigation the short-term excess of serum lipoproteins and the lipolytic activities in healthy volunteers were studied after single and prolonged ethanol ingestion followed by an intravenous lipid load. One hour after a single oral dose of ethanol, the intravenous fat tolerance test was unchanged. After an ethanol load over a 5 hr period, the fat tolerance was reduced, although the same ethanol levels at the time of infusion were maintained. In addition, the lipolytic activities of the serum were significantly reduced after 5 hr of ethanol ingestion followed by intravenous fat load. Hence the time relations between ethanol and fat loads determine whether a defect in chylomicron catabolism can be observed or not. A striking difference in the situations when the fat infusions were performed was the development of endogenous hypertriglyceridemia after 5 hr of ethanol ingestion. Since ethanol-dependent differences in the absorption of fat are ruled out by our experimental design, we attribute our findings to a competitive inhibition of chylomicron degradation by VLDL and partial depletion of the lipolytic system by combined endogenous and exogenous hypertriglyceridemia. PMID- 6571734 TI - Reduction of ketamine-induced emergence phenomena. PMID- 6571735 TI - Comparison of two methods of profile prediction in surgical treatment of mandibular prognathism. AB - Two methods for prediction of the soft tissue profile subsequent to oblique subcondylar osteotomy for correction of mandibular protrusion were evaluated. The first one included distalization of the mandible into an Angle Class I relationship. The amount of distalization and any vertical changes were transferred to the tracing, and the anticipated new profile was drawn. The second method was based on the profile means of a group of "normal" persons and was aimed at correction of both sagittal and vertical discrepancies. Fifty patients were studied. A double set of prediction tracings was made according to both methods; and the results were compared with the actual postoperative results and with a "normal" control group. Both methods were usable, as the predictions were considered satisfactory if they were within one standard deviation from the mean of the control group. The sagittal changes were somewhat exaggerated by both analyses. The vertical changes were much better expressed by the profile prediction. Such changes are difficult to create by the vertical subcondylar osteotomy. Consequently, the model prediction seems most suitable for planning profile changes in surgical techniques that include mobilization of one main mandibular fragment. PMID- 6571733 TI - Purification and characterization of fetal hematopoietic cells that express the common acute lymphoblastic leukemia antigen (CALLA). AB - Fetal hematopoietic cells that express the common acute lymphoblastic leukemia antigen (CALLA) were purified from both fetal liver and fetal bone marrow by immune rosetting with sheep erythrocytes coated with rabbit anti-mouse immunoglobulin and by fluorescence-activated cell sorting. Dual fluorescence techniques disclosed that these cells were heterogenous with respect to the expression of a series of differentiation and activation antigens defined by monoclonal antibodies. Thus, whereas all CALLA+ cells were Ia+ and expressed two activation antigens, J2 and T10, only 30-50% expressed B1 antigen. Furthermore, using methanol-fixed cells, it could be shown that approximately 20% contained intracytoplasmic mu chains (cyto-mu) and that approximately 15% were positive for the terminal transferase enzyme (TdT) marker. The CALLA+ fetal cells thus closely resemble the childhood acute lymphoblastic leukemia cell with respect to surface marker phenotype. A population of CALLA- cells devoid of mature erythroid and myeloid surface markers was found to contain higher numbers of TdT+ cells but lower numbers of cyto-mu, B1, and Ia+ cells than the CALLA+ subset. In vitro analysis of normal, purified CALLA+ cells demonstrated that incubation at 37 degrees C with J5 monoclonal antibody specific for CALLA resulted in the specific modulation of surface antigen. Similar results have previously been obtained with CALLA+ tumor cells. Although phenotypic analysis of CALLA+ cells suggests that these cells are relatively immature lymphoid cells, CALLA+ cells do not appear to contain either myeloid precursor cells (CFU-G/M) or the earliest lymphoid stem cells. PMID- 6571736 TI - A radiographic assessment of autologous tooth transplants in dogs. AB - This study assessed structural and functional changes that occurred when teeth in dogs were transplanted at various stages of development. Unerupted developing permanent teeth were transferred to other existing bony crypts or to surgically prepared bony sockets. Erupted teeth with varying degrees of root formation were transplanted to other sockets, some with increased functional influences. The development, morphologic features, and relationships of the transplanted teeth were assessed radiographically at intervals ranging from seven to 150 days postoperatively. PMID- 6571737 TI - New concepts in the reconstruction of mandibular defects following tumor resection. AB - The results of experiments with a new reconstruction plate used to bridge defects in irradiated and nonirradiated mandibles of dogs are presented. The principles of fixation of the plate with hollow titanium powder-sprayed screws and a titanium mesh for stabilizing the autologous cancellous bone are discussed. The direct contact between the surface of the screw and the bone, as well as proliferation of bone into the hollow screw, are demonstrated by light and scanning electron microscope studies. Autologous cancellous bone fixed with the new mesh leads to bridging of the defect even in irradiated areas. PMID- 6571738 TI - Case 43, Part I. PMID- 6571739 TI - Vascular leiomyoma of the infraorbital region. PMID- 6571740 TI - Solitary subcutaneous lipoma in the parotid region. AB - A case of a solitary subcutaneous lipoma in the parotid region occurring in a 45 year-old woman is presented, and possible etiologic factors that can give rise to lipomas in the parotid region are discussed. PMID- 6571742 TI - Your recall system: a basic marketing technique. PMID- 6571741 TI - Sebaceous adenoma of the oral cavity. AB - The solitary sebaceous adenoma is uncommon both on the skin and in the oral mucosa. According to certain criteria, two cases have shown the features of this neoplasm. The differential diagnosis of this lesion should include Fordyce's granules and also adenomatoid sebaceous hyperplasia. PMID- 6571743 TI - A case of mistaken identity. PMID- 6571744 TI - Isolated bone relapse in long-term survivors of acute lymphoblastic leukemia. PMID- 6571745 TI - Allogeneic leukocytes as a possible factor in induction of aids in homosexual men. PMID- 6571747 TI - General practice report. PMID- 6571746 TI - Continuous ambulatory peritoneal dialysis. AB - Continuous ambulatory peritoneal dialysis is a portable wearable method of treatment for patients with end-stage renal failure. We describe our experience with 42 patients treated by this technique. Continuous ambulatory peritoneal dialysis provided satisfactory biochemical control of uraemia. Major problems encountered were peritonitis, catheter malfunction and the effects of raised intra-abdominal pressure. Patient motivation, compliance and good family support help predict those patients in whom the technique will be successful. PMID- 6571748 TI - Rheumatic fever outbreak in a school associated with M type 5 streptococci. PMID- 6571749 TI - Hypothermia in the elderly. PMID- 6571750 TI - Reintroduction of anti-inflammatory drug therapy after drug-associated gastrointestinal disturbances. PMID- 6571751 TI - Maternal welfare. PMID- 6571752 TI - Small children left alone in parked cars. PMID- 6571754 TI - Prevention of nuclear war. PMID- 6571753 TI - Vocational training for general practice. PMID- 6571755 TI - Intravenous disopyramide in myocardial infarction: a haemodynamic study. AB - Disopyramide (2 mg/kg intravenously in 10 minutes) was administered to 14 patients with myocardial infarction within 36 hours of their infarct. Heart rate (HR) increased significantly five minutes after completion of the injection, but profound tachycardia was not seen. Mean wedge pressure (WP) rose and stroke volume (SV) fell. Disopyramide therefore showed a negative inotropic effect on the heart. Systemic vascular resistance (SVR) increased but blood pressure was not significantly altered. Diastolic and mean pulmonary arterial (PA) pressure was also increased by disopyramide. Peak plasma disopyramide level was reached five minutes after injection. The implications of the haemodynamic effects of disopyramide are discussed. PMID- 6571756 TI - Bilateral apical fibrobullous disease complicated by bilateral Aspergillus mycetomata in rheumatoid arthritis. PMID- 6571757 TI - Postoperative pain. PMID- 6571758 TI - Ultrasound diagnosis of testicular leukemia. PMID- 6571759 TI - Childhood typhlitis: its increasing association with acute myelogenous leukemia. Report of five cases. AB - Five children with acute myelogenous leukemia (AML) are described in whom typhlitis developed early in the course of the disease. The plain and barium enema radiographic findings of mass effect and bowel edema ("thumbprinting") were similar among the cases, although nonspecific. The increasing association of typhlitis with AML and its earlier appearance in the course of the disease should be recognized. PMID- 6571760 TI - Bone sarcomas in Paget disease. AB - The most serious complication of Paget disease is the development of sarcoma. Forty-one cases of bone sarcoma in Paget disease, which represented our institution's entire experience, were reviewed. The relative frequency of sarcomatous degeneration was 0.9%. Histologically, 35 of 41 lesions were osteogenic sarcomas, and six were fibrosarcomas. The distribution of lesions was similar to that expected with uncomplicated Paget disease, except for a disproportionately high number of lesions in the humerus; only one lesion involved the vertebrae. The tumors were categorized radiographically as lytic, mixed, and sclerotic, in descending order of frequency. The vast majority of lesions occurred in the pelvis, humerus, and femur. Overall prognosis for these patients was poor, with a five-year survival of 8%. Finding areas of cortical destruction is particularly useful in the detection of malignant degeneration. The radiologist must maintain a high index of suspicion when evaluating radiographs of patients with Paget disease, especially of those who present with pain or a palpable mass. PMID- 6571761 TI - Congenital diaphragmatic hernia: immediate preoperative and postoperative oxygen gradients identify patients requiring prolonged respiratory support. AB - We reviewed 22 patients with congenital diaphragmatic hernias in whom operative repair was undertaken within 24 hours of age, in the period between 1970 and 1981. An improvement in survival rates since 1977 was observed. Preoperative pH, PO2, and alveolar-arterial O2 gradients (P[A-a]O2) were found to have predictive value. Patients with P(A-a)O2 greater than 500 torr both before and immediately after surgery did not survive. After an initial improvement in oxygenation some infants experienced a period of deterioration beginning at approximately 12 to 24 hours, peaking at 36 hours and improvement by 72 hours after surgery. Special attention should be directed toward maintaining aggressive cardiopulmonary support during this critical period. Reducing support prematurely may accentuate right-to-left shunting via fetal channels. PMID- 6571763 TI - Our past could indicate our future. PMID- 6571762 TI - Report on independent survey taken of Austin dental offices for mercury contamination. PMID- 6571764 TI - According to Uncle Sam: job prospects in dental field are bright for the 1980's. PMID- 6571765 TI - Circulating micromegakaryocytes preceding leukemia in three dogs exposed to 2.5 R/day gamma radiation. PMID- 6571766 TI - Comparative effects of nifedipine, verapamil, and diltiazem on experimental pulmonary hypertension. AB - The role of calcium-channel blocking agents in the treatment of pulmonary hypertension is not well defined. Consequently, the effects of diltiazem, nifedipine, and verapamil were compared in 3 groups of anesthetized dogs (n = 6 for each group). In each group, normoxic hemodynamic variables were recorded before and after increasing doses of diltiazem, nifedipine, and verapamil (5 X 10(-8) M/kg, low; 10(-7) M/kg, medium; and 10(-6) M/kg, high dose; given intravenously over 2 minutes). In addition, the effect of these doses on the pulmonary pressor responses to hypoxia (fractional inspired oxygen concentration [FIO2] 12%) and prostaglandin F2 alpha (PGF2 alpha) (5 micrograms/kg/min, intravenously for 4 minutes) was measured. During normoxia, high-dose nifedipine and verapamil decreased mean aortic pressure and systemic vascular resistance while increasing cardiac output in all dogs in both groups (p less than 0.01). Pulmonary vascular resistance, however, remained unchanged. High-dose diltiazem did not significantly alter cardiac output or pulmonary vascular resistance. During acute hypoxic pulmonary hypertension, verapamil decreased cardiac output by 30% (p less than 0.01) without appreciably altering pulmonary arterial pressure; thus pulmonary vascular resistance increased slightly (4.9 +/- 0.6 to 6.4 +/- 1.0 mm Hg/liter/min, difference not significant [NS]). Nifedipine decreased hypoxic pulmonary vascular resistance to normoxic values (p less than 0.01). Cardiac output increased 71% while pulmonary arterial pressure remained unchanged. Diltiazem administration produced no change in hypoxic pulmonary hemodynamic variables. The responses to diltiazem, nifedipine, and verapamil during acute pulmonary vasoconstriction induced by PGF2 alpha were similar to those induced by hypoxia. After verapamil, pulmonary vascular resistance tended to increase (7.3 +/- 1.3 to 8.1 +/- 1.4 mm Hg/liter/min, NS). Nifedipine, however, completely blocked pulmonary vasoconstriction by decreasing pulmonary vascular resistance to pre-PGF2 alpha levels (p less than 0.01). This was accompanied by a 157% increase in cardiac output and only a small increase in pulmonary arterial pressure (7 mm Hg). Again, diltiazem produced no change in pulmonary hemodynamic variables. In these acute studies, nifedipine appeared to be a more effective pulmonary vasodilator than verapamil or diltiazem. PMID- 6571768 TI - The quadrilateral analysis: an individualized skeletal assessment. AB - There must be a change in our approach to orthodontic diagnosis, especially in those cases involving skeletal dysplasias. The orthodontic practice of today requires a more in-depth diagnostic approach before a realistic treatment plan can be developed. An understanding of the problem that exists is emerging as the essential ingredient before appliance therapy can begin. Diagnosis should dictate the direction of treatment for both the orthodontist and the surgeon. A cephalometric analysis should be able not only to detect but to locate the area of the skeletal dysplasia. Surgery, if at all possible, should be performed where the problem exists. In many cases, it becomes rather confusing to determine whether or not surgical orthodontic treatment is indicated, because most of the cephalometric measurements that are used do not reveal whether a skeletal problem exists, its location, or its magnitude. We believe that current cephalometric analyses do not completely recognize the extent of the dysplasia or where it is located within the jaws. Because of this, surgery is performed by repositioning bones to mask the defect rather than to restore a normal balance between the bones of the face. The only recourse the surgeon has is to achieve an acceptable facial profile by relying on cephalometric norms or to make the necessary correction on what appears visually to be an acceptable profile. The quadrilateral analysis offers an individualized cephalometric diagnosis on patients with or without skeletal dysplasias. We believe that it is a reliable and accurate method of assessing whether orthodontic treatment, surgical treatment, or a combination of both is required to achieve a satisfactory result. PMID- 6571767 TI - The effect of prolactin pretreatment on prostaglandin F2 alpha-associated structural changes in membranes from rat corpora lutea. AB - The ability of prolactin treatment to antagonize the luteolytic effect of prostaglandin F2 alpha (PGF2 alpha) was examined in the rat. Animals were superovulated, treated with PGF2 alpha and various doses of prolactin. Plasma progesterone concentrations were measured to assess luteal function. Microsomes were prepared from ovarian homogenates and examined by wide-angle x-ray diffraction for evidence of structural changes in the cellular membranes during luteolysis. In addition, the concentrations of various lipids were analyzed for alterations in membrane lipid composition. In preparations from control animals, all of the membrane lipid was in the liquid-crystalline phase at body temperature. However, in samples from PGF2 alpha-treated rats, portions of the bilayer underwent a structural alteration from liquid-crystalline to gel phase. This phase transition was not accompanied by significant changes in the relative concentrations of various lipids. Prolactin treatment was effective in inhibiting this membrane breakdown in a dose-dependent manner. These results suggest that PGF2 alpha and prolactin may control luteal function by affecting membrane structure. PMID- 6571769 TI - Acid resistance of enamel exposed to fluoride-containing orthodontic cements. AB - In a previous study enamel fluoride uptake from fluoride-containing orthodontic cements was evaluated after a 21-day period. The enamel fluoride uptake from a zinc phosphate cement (A), a zinc phosphate cement containing 5 per cent stannous fluoride by weight (B), and a silicophosphate cement (C) was compared. The results indicated that there was a net loss of fluoride from enamel beneath the orthodontic bands cemented with A while the enamel beneath B and C acquired significant amounts of fluoride. The purpose of the present study was to evaluate enamel fluoride uptake after 12 weeks and the effect of the fluoride uptake or loss by the enamel on acid resistance. Five teeth each had bands cemented with cements A, B and C, respectively, and were individually suspended in synthetic saliva for 12 weeks at 37 degrees C. Following this period the bands were removed, the cements were carefully cleaned off the teeth, and the crowns of the teeth were individually suspended in a lactic acid buffer at pH 4 for 4 weeks. Each tooth crown was then sectioned longitudinally and examined microradiographically to study the degree of enamel demineralization. Characteristic subsurface enamel carieslike lesions were noted on all the specimens studied. The carieslike lesions in the enamel exposed to the fluoride containing cements were considerably reduced. The enamel which had acquired fluoride from the fluoride-containing cements was apparently more resistant to artificial caries attack. PMID- 6571770 TI - A dental-facial attractiveness scale. Part I. Reliability and validity. AB - Since the decision to seek orthodontic treatment is frequently the result of concerns about appearance, assessment of need for treatment should include an impartial evaluation of dental-facial appearance. While some of the standardized techniques for assessing malocclusion have included a consideration of esthetic impairment, they tend to confound this with functional impairment. The purpose of this study was to develop a valid and reliable index that provides relatively objective judgments of dental-facial attractiveness. The subjects in this study were eighth- and ninth-grade children seeking orthodontic treatment and their siblings, and eighth- and ninth-grade children not seeking treatment and their siblings. Photographs of the children were rated for dental-facial attractiveness by lay and dental judges. Children were also assessed for severity of malocclusion by means of the Treatment Priority index. Children seeking treatment were perceived as significantly less attractive than children not seeking treatment. Dental judges rated children seeking treatment as more attractive than did nondental judges. Intraclass reliability coefficients were moderate to high. PMID- 6571771 TI - A dental-facial attractiveness scale. Part II. Consistency of perception. AB - A previous report describes the reliability and validity of a scale designed to assess perceptions of dental-facial attractiveness, independent of occlusal function. The purpose of the present study was to assess the consistency of judgments of dental-facial attractiveness (DFA) for sex and race differences in photographed children. Using a five-pont DFA scale, twelve college freshmen (three black females, three black males, three white females, three white males) rated ninety-six photographs of the mouths and jaws of 13- to 14-year-old children (twenty-four black females, twenty-four black males, twenty-four white females, twenty-four white males). No significant mean differences were found between the black and white photographed or between the female and male children photographed. However, means were significantly different for DFA judgments by race and sex of the raters. Black raters judged all photographs to be more attractive than did white raters, and female raters judged all photographs to be more attractive than did male raters. Correlational data are presented describing consistency of perception within rater groups and photographed groups of children. PMID- 6571772 TI - Open-bite--a case report (1965-1982). AB - Successful treatment of severe skeletal open-bite malocclusions has always demanded the utmost of the orthodontist. Long-term evaluation of this type of treatment is not often seen in the literature, for the results have often been disappointing. Combining the best of the surgical and orthodontic disciplines offers these cases an optimistic outlook for the first time. A case treated twice by conventional orthodontic means in 1965 and 1969 was re-treated in 1980 by a surgical orthodontic approach. The results are quite encouraging. PMID- 6571774 TI - Cephalometers. PMID- 6571775 TI - Telecentric photogrammetry. PMID- 6571773 TI - Statistical testing of an allometric centered model of craniofacial growth. AB - An allometric centered model of craniofacial growth was tested by several computer-assisted statistical methods on the pure longitudinal growth data of twenty-four close-bred female rats and on cross-sectional human cranial growth data. The study demonstrated that such a model was heuristic and, being incapable of exact definition, was deemed inappropriate for further use in modeling of craniofacial skeletal growth. The necessity for vigorous testing of any hypothesis concerning the modeling of craniofacial growth is stressed. PMID- 6571776 TI - K562 cell anion exchange differs markedly from that of mature red blood cells. AB - Human K562 leukemic cells exhibit several erythroid properties, including synthesis and expression of the major red blood cell sialoglycoprotein, glycophorin. This has led us to ask if these cells express a functional anion transport system analogous to that which is associated with the other major erythrocyte glycoprotein, band 3. The chloride-36 exchange flux in K562 cells is less than 0.6% of that which would be expected in mature erythrocytes under similar conditions. Unlike red blood cells, K562 cells do not exhibit a high chloride-sulfate selectivity, and various agents that inhibit red blood cell chloride exchange are all much less effective in K562 cells. On the basis of these flux measurements, K562 cells probably contain less than 600 fully functional red blood cell-like band 3 molecules per cell, in contrast to about a million molecules in the mature red blood cell. The possible-existence of greatly altered band 3 molecules with a reduced turnover rate and/or a reduced affinity for chloride and for various inhibitors is unlikely but cannot be completely excluded. Anion transport was also measured in K562 cells that had been induced to increase hemoglobin synthesis by various chemical agents. Even under these conditions, chloride fluxes indicated no substantial increase in the number of functional anion transport sites or their chloride transport rate. PMID- 6571777 TI - Albumin turnover in sarcoma-bearing rats in relation to cancer anorexia. AB - Hypoalbuminemia, a frequent finding in cancer patients, can be demonstrated in the tumor-bearing rat. In actuality, the circulating amount of albumin is maintained in tumor-bearing rats, although total body water and plasma volume are increased. The fractional degradation rate of newly synthesized albumin labelled by the injection of carbon-14-carbonate was significantly increased in tumor bearing rats (half-life 55 hours) as compared with control rats (half-life 85 hours). These findings indicate maintained synthesis of albumin in the tumor bearing rats, a finding consistent with an increased ratio of specific activity in albumin to that in plasma urea after the injection of carbon-14-carbonate. Hypoalbuminemia in cancer seems to be the net result of an increased turnover rate of albumin and dilution of the maintained albumin mass. Despite the presence of cancer anorexia, the flux of substrates from the degradation of peripheral tissues is sufficient to supply the liver and, in turn, to enable an increased protein synthesis with maintenance of the synthetic rate of albumin. PMID- 6571778 TI - A simple flueric high frequency jet ventilator. PMID- 6571779 TI - Chronic myelogenous leukemia with nephrotic syndrome. AB - A patient with chronic myelogenous leukemia was initially seen with nephrotic syndrome. Minimal-change glomerulonephritis was verified by open renal biopsy, and the patient showed good response to treatment with a diuretic and prednisone. We believe this represents the first reported case of nephrotic syndrome in myelogenous leukemia. PMID- 6571780 TI - Smoldering acute granulocytic leukemia. Observations on its natural history and morphologic characteristics. AB - In this prospective study, 24 patients with smoldering acute granulocytic leukemia received no specific treatment. Median survival duration from diagnosis was 9.29 months. Fourteen patients died of infection, four died of hemorrhage, two (8%) progressed to aggressive acute leukemia, and three remain alive at 36, 32, and 10 months. No survival predictions could be made from the severity of leukopenia, thrombocytopenia, or both. Neither sepsis nor hemorrhage, as causes of death, segregated into short- or long-term survivors (9.0 and 8.75 months' median survival, respectively). Thirteen patients (59%) had French, American, and British M2 subclassification of acute granulocytic leukemia. The following marrow findings distinguished this entity from preleukemia and other dysplastic states: clustering of stem cells; percentage usually between 20% and 40%; and Auer rods. The use of aggressive chemotherapy v only supportive measures in this condition remains unsolved. PMID- 6571781 TI - Normal platelet function after therapy for acute lymphocytic leukemia. AB - The aggregation responses of platelets from 19 patients who had completed treatment of acute lymphocytic leukemia (ALL) and had remained in remission for two months to 4.8 years were studied both in vitro and in vivo. Responses to 0.5 micro M adenosine diphosphate (ADP), epinephrine, and collagen were all normal. One child had irreversible platelet aggregation to 0.1 micro M ADP, a concentration that only elicited a primary aggregation response from control platelets. The mean platelet-aggregate ratio was normal. We conclude that platelet defects, although a possible late effect of ALL or its chemotherapy, do not occur with any appreciable frequency in long-term survivors. PMID- 6571782 TI - Cytogenetic analysis of leukaemic colonies from acute and chronic myelogenous leukaemia. AB - We have utilized the blast cell assay of Buick et al. (1977) to grow and subsequently cytogenetically analyze cultured colony forming cells (CFUs) from patients with acute and chronic myelogenous leukaemia (AML, CML). Cytogenetic analysis of CFUs was successful in 30/36 cases (83%), a success rate similar to direct harvesting techniques. Identical clonal chromosomal abnormalities demonstrated by direct techniques were also observed in CFUs from AML and CML. Removal of T-precursor cells by E-rosetting prior to plating did not eliminate growth of karyotypically normal cells. The combination of morphologic and cytogenetic studies performed clearly established that the assay system supports the growth of leukaemic progenitors. Although both karyotypically normal and abnormal leukaemic colonies grew in this assay, growth of leukaemic colonies was much more likely if the plated cells were karyotypically abnormal (P = 0.010). Leukaemic colony growth was also more frequent if the tritiated thymidine labelling index (LI%) of plated cells was greater than or equal to 5% (P = 0.018). Leukaemic colonies were most likely (P = 0.018) to have been derived from plated cells with both abnormal karyotype and high LI% (greater than or equal to 5%). Cytogenetic analyses from cultured cells revealed only those karyotypic features found in the uncultured cells (i.e., no additional abnormal sublines were found). However, in most cases, the greatly enhanced number and quality of mitotic figures allowed for more detailed banding analysis. PMID- 6571783 TI - Selective cytotoxicity against human tumour cells by a vindesine-monoclonal antibody conjugate. AB - The anti-mitotic drug vindesine was coupled chemically to a monoclonal antibody raised originally against the human osteogenic sarcoma cell line, 791T. The cytotoxicity of the conjugate in vitro was tested, in comparison with free vindesine, against sarcoma 791T and other antigenically cross-reactive osteogenic sarcoma-cell lines, and also against tumour cell lines which have no detectable reaction with the monoclonal antibody. Continuous exposure of cultured 791T cells indicated that the vindesine was partially inactivated following conjugation since the conjugate was less toxic than the free drug. However, antibody-binding activity was essentially preserved following conjugation. Despite diminished drug activity in the conjugate, assays designed to mimic antibody binding to tumour in which target cells were treated with conjugate and washed before culture, showed selective cytotoxicity for osteogenic sarcoma lines with little or no effect on non-cross reactive control cells. In comparison, free vindesine was toxic equally for all cell lines and free antibody was non-toxic. These studies indicate that conjugation of a cytotoxic agent to a monoclonal antibody can confer on that agent selectivity for a particular target cell type which is recognised by the antibody. PMID- 6571784 TI - Do metastases arise from pre-existing subpopulations of cancer cells? AB - The hypothesis that metastases arise from pre-existing metastatic sub-populations of cancer cells with heritable metastasis-related characteristics, was tested by comparing the metastatic behaviour of cancer cells derived from pulmonary metastases with those from corresponding primary tumours, after implanting them subcutaneously in mice. In the case of KHT osteosarcomas and B16 melanomas, injected minces of metastases gave rise to more pulmonary metastases than cells derived from minces of the primary cancers generating them. However, in the case of 3LL and T241 cancers, the primary tumour minces gave rise to more pulmonary metastases than those derived from minced metastases. It is therefore concluded that the subpopulation hypothesis cannot be accepted as a general rule. When fragments of solid tumours were implanted into animals, no differences were detected between the metastatic behaviour of implants taken randomly from pulmonary metastases and the volume/age matched primary tumours generating them. These experiments thus provide no support for the hypothesis that metastases arise exclusively or predominantly from pre-existing metastatic subpopulations of cancer cells. Finally, implants of matched fragments from 3LL tumours of different volume and age, essentially produced no statistically significant differences in numbers of metastases. These observations do not therefore support the concept of a progressive evolution of subpopulations of cancer cells with heritable metastatic phenotypes during tumour growth. PMID- 6571785 TI - Skin infiltration associated with chronic myelomonocytic leukaemia. AB - Chronic myelomonocytic leukaemia (CMML) is typically associated with a prolonged clinical course and is not usually very responsive to chemotherapeutic intervention. Skin infiltration has not been recognized previously as a feature of this illness. We have seen four patients recently with CMML, who during the the course of their illness developed marked skin infiltration. Whilst sensitivity to chemotherapy could be demonstrated in the peripheral blood cell population, skin infiltration was quite resistant to treatment. Skin infiltration heralded a more aggressive phase of the disease although no discernible change in morphology, cytochemistry or membrane marker analysis of the leukaemic cell population could be demonstrated in three of the patients studied; one patient, however, transformed to an acute leukaemia shortly thereafter. PMID- 6571786 TI - Differential excretion of modified nucleosides in adult acute leukemia. AB - Excretion of modified nucleosides in urine was measured in 23 adults with acute leukemia to determine correlation of nucleoside excretion with disease activity. In addition, differences in excretion between patients with acute lymphoblastic leukemia (ALL) and patients with acute myeloid leukemia (AML) were established. Six modified nucleosides were resolved and quantitated by reversed-phase high performance liquid chromatography (HPLC). Patients with ALL at initial diagnosis or in relapse had significantly higher concentrations of 1-methylinosine and N2,N2-dimethylguanosine in their urine compared to patients in remission (p less than 0.01, p less than 0.05, respectively). One patient with ALL was followed with serial nucleoside determinations over a period of 18 mo; nucleoside excretion correlated closely with disease activity. Nucleoside excretion in patients with AML did not change significantly with disease activity. Considering only those patients at initial diagnosis or in relapse, excretion of 1 methylinosine and N2,N2-dimethylguanosine was significantly higher in ALL than in AML (p less than 0.01, p less than 0.05, respectively). Thus, urinary excretion of 1-methylinosine and N2,N2-dimethylguanosine by adults with acute leukemia may prove to be valuable clinically in following disease activity in patients with ALL and in distinguishing patients with ALL from those with AML. PMID- 6571787 TI - Efficacy and morbidity of central nervous system "prophylaxis" in childhood acute lymphoblastic leukemia: eight years' experience with cranial irradiation and intrathecal methotrexate. AB - Between 1972 and 1979, 214 children with acute lymphoblastic leukemia and no evidence of central nervous system (CNS) disease prior to CNS prophylaxis were treated with 2400 rad cranial irradiation and concurrent intrathecal methotrexate. Only nine children developed CNS leukemia; five of them in the CNS only and four concurrently in the CNS and another site. Major acute effects of CNS prophylaxis were seizures in seven patients (3%). Sixty-nine children who had a minimum follow-up of 4 yr were evaluable for late effects of therapy. Small cataracts, incomplete regrowth of hair, and learning disabilities were noted. The latter occurred in 18% of patients, an incidence similar to that encountered in a normal community of school-age children. However, the incidence of learning disabilities in patients who were under 5 yr of age at the time of diagnosis was much higher, 35%. We conclude that the combination of cranial irradiation and intrathecal methotrexate was highly efficacious. The incidence and severity of neuropsychologic abnormalities, the principal late morbidity of this treatment program, varies among reporting institutions. Prospective longitudinal studies of neuropsychologic function are necessary to better define the incidence of abnormalities. Future programs should attempt to decrease late morbidity, but must also assure equal efficacy and improve overall disease-free survival. PMID- 6571789 TI - Influences of clotting factors (thrombin, factor XIII) and of fibronectin on the growth of tumor cells and leukemic cells in vitro. AB - Thrombin, factor XIII and fibronectin were incubated with cultures of mouse sarcoma cells, human cervix carcinoma cells (HeLa cells) and cells of an acute lymphoblastic leukemia. Thrombin induced a significant increase of 3H-thymidine uptake into cells with a 1,5- to 2-fold increase of cell count. The cells of an acute lymphoblastic leukemia showed a similar response to the influence of thrombin. Factor XIII in tumor cells merely induced an increase of 3H-thymidine uptake, the cell count remained constant. The cells of an acute lymphoblastic leukemia showed under the influence of factor XIII a significant increase of cell count and thymidine uptake. HeLa cell growth was optimal at low fibronectin concentrations. Fibronectin concentrations of 1 mg/ml to 3 mg/ml inhibited HeLa and mouse sarcoma cell growth. PMID- 6571788 TI - Idiopathic refractory sideroachrestic anemia (IRSA) progressing to acute mixed lymphoblastic-myelomonoblastic leukemia. Case report and review of the literature. AB - A longitudinal observation of a patient with idiopathic refractory sideroachrestic anemia (IRSA) progressing to acute mixed lymphoblastic myelomonoblastic leukemia is reported. The leukemia was characterized by morphology, immunological cell markers, and dissociated clinical responsiveness to vincristine/prednisone and arabinosylcytosine/6-thioguanine. Attention is paid to the hematological changes prior to leukemia development. Acute leukemia was best heralded in this patient by a severe deterioration of dyserythropoiesis and by an increase of blasts in the marrow to more than 5%. The observed preleukemic features are compared to those described in the literature. PMID- 6571790 TI - Raising employees salaries: a dentist's dilemma. PMID- 6571791 TI - Modern chairside liners do more than improve the fit of dentures. PMID- 6571792 TI - Extensive pulmonary infiltration by leukemic blast cells treated with irradiation. PMID- 6571793 TI - Chronic myelogenous leukemia. Prolonged survival with spontaneous decline in the frequency of Ph1-positive cells and subsequent development of mixed Ph1-positive and Ph1-negative blast crisis. AB - A 23-year-old man developed Ph1-positive chronic myelogenous leukemia in 1966. After two short courses of busulfan not associated with severe myelosuppression, the frequency of Ph1-positive metaphases in his bone marrow was 40%. Over the next eight years, he remained hematologically stable without further therapy. During that time there was a progressive decline in the frequency of Ph1-positive metaphases in his bone marrow to 3% by 1976. His disease subsequently transformed to an acute lymphoblastic leukemia. Cytogenetic studies of the marrow at the onset of blast crisis and of cultured marrow blast cells suggested that the blasts were a mixture of Ph1-positive and Ph1-negative cells. This patient was thus unique in that he demonstrated spontaneous decline in the frequency of Ph1 positive cells in his bone marrow and he developed blast crisis with an apparent mixture of Ph1-positive and Ph1-negative blasts. These findings demonstrate that a Ph1-positive cell clone may lose its proliferative advantage over Ph1-negative cells and raise the possibility that Ph1-negative cells persisting in patients with Ph1-positive chronic myelogenous leukemia may be abnormal and, like the Ph1 positive cells, may be susceptible to acute leukemic transformation. PMID- 6571794 TI - Effect of polar organic compounds on leukemic cells. Butyrate-induced partial remission of acute myelogenous leukemia in a child. AB - Polar organic compounds, such as dimethylsulfoxide and butyric acid, are known to induce differentiation in Friend erythroleukemia cells as well as in other cell types. It has been found that many of the compounds that induce cellular differentiation, inhibit 3H-thymidine incorporation and induce cell damage when incubated with leukemic cells from patients with acute or chronic myelogenous or acute lymphocytic leukemia. These effects are time and dose dependent. Among the compounds tested, butyrate was the most potent. Parenteral administration of butyrate (500 mg/kg/day) for ten days to a child with acute myelogenous leukemia in relapse, and resistant to conventional therapy, resulted in elimination of myeloblasts from the peripheral blood, an increase in mature myeloid cells and a reduction in 3H-thymidine uptake by the patient's peripheral blood cells. Bone marrow myeloblasts were reduced from 70-80% to 20% following the course of intravenous butyrate. No impairment of liver or renal function and no coagulation abnormalities were observed during butyrate treatment. Organic agents that induce cell differentiation may provide additional reagents for the clinical management of selected cases of leukemia. PMID- 6571795 TI - Use of a human tumor cloning system to screen retinoids for antineoplastic activity. AB - Retinoid analogs are being actively evaluated as antitumor agents in man. A human tumor cloning system was used to assess the antineoplastic activity of all-trans retinoic acid, all-trans-retinol and 13-cis-retinoic acid. The effect of retinoids on the formation of tumor colony forming units (T-CFU) was surveyed for 67 different human tumors. These analogs showed minor activity in a variety of neoplasms. The decrease in T-CFU varied between histologic tumor types and between tumor of the same type. No significant difference between retinoid analogs was noted. PMID- 6571796 TI - Osteosarcoma: intra-arterial treatment of the primary tumor with cis-diammine dichloroplatinum II (CDP). Angiographic, pathologic, and pharmacologic studies. AB - Intra-arterial CDP was utilized to treat the primary tumor in 11 pediatric patients with osteosarcoma and in one with malignant fibrous histiocytoma. The investigation commenced with a phase I-II pilot study in four osteosarcoma patients. A dose of 150 mg/m2 was found to be safe and effective in producing a clinical response. This was followed by a definitive study in the remaining seven osteosarcoma patients and in the one malignant fibrous histiocytoma patient. The results were assessed by specific clinical, pharmacologic, radiographic and pathologic criteria. The overall response in the definitive study was 50% with two patients exhibiting total tumor destruction. The success of intra-arterial CDP was attributed to its ability to achieve high local drug concentration and tumor penetration. This was demonstrated by pharmacologic studies. PMID- 6571797 TI - Vincristine neurotoxicity with residual equinocavus deformity in children with acute leukemia. AB - Vincristine has been demonstrated to be a neurotoxic agent with distal axonal degeneration progressing proximally. Five children with acute lymphoblastic leukemia developed bilateral peroneal nerve palsies with equinocavus deformities. Three developed fixed contractures requiring surgical correction. One patient was braced prior to development of fixed deformity and the other had physical therapy preventing fixed deformities and did not require surgery. All of the children obtained complete return of peroneal nerve function. Proper bracing and/or physical therapy at the time of diagnosis of neurologic deficit will prevent fixed contractures and the necessity for surgery. PMID- 6571798 TI - Acute cerebellar dysfunction with high-dose ARA-C therapy. AB - The authors report a patient with clinical and morphologic evidence of acute cerebellar toxicity after receiving high-dose cytosine arabinoside (ARA-C) (3000 mg/m2/12 hours) for refractory AML. Damage of Purkinje cells and dentate nucleus was demonstrated. Reversible cerebellar toxicity has previously been noted in patients on an identical regimen. Signs of cerebellar dysfunction mandate immediate cessation of high-dose ARA-C therapy. PMID- 6571799 TI - Ocular toxicity from high-dose cytosine arabinoside. AB - A patient with refractory acute myelogenous leukemia was treated with high-dose cytosine arabinoside (3.0 g/m2 every 12 hours). Following ten doses over five days the patient developed excessive tearing, photophobia, burning ocular pain, and blurred vision. Ophthalmologic examination revealed conjunctival injection, central punctate corneal opacities with subepithelial granular deposits, and decreased visual acuity. Symptoms gradually resolved over the following four days; however, impaired visual acuity persisted for two weeks and corneal opacification did not disappear until four weeks following therapy. Prior and subsequent administration of cytosine arabinoside according to the same dose schedule for only four doses over two days and eight doses over four days were well tolerated and did not produce ocular toxicity. It is suggested that ocular toxicity results from inhibition of corneal epithelial DNA synthesis and is related to both drug dosage and duration of drug exposure. Strategies should be explored to eliminate this treatment-limiting adverse effect of potentially effective therapy. PMID- 6571800 TI - Antithrombin III and anti-activated factor X activity in patients with acute promyelocytic leukemia and disseminated intravascular coagulation treated with heparin. AB - Two patients diagnosed as having acute promyelocytic leukemia (APL) and disseminated intravascular coagulation (DIC) were closely followed from the day of admission until completion of the first course of chemotherapy with serial coagulation studies including plasma levels of functional antithrombin III activity (AT III) by fluorometric analysis and anti-activated Factor X activity (anti-Xa) by coagulation assay. Both patients were treated with intravenous heparin and the presence of heparin in plasma was followed by the thrombin time. Consistently normal levels of AT III (greater than 80%) were found despite evidence of intravascular coagulation. However, plasma levels of anti-Xa were often low (less than 70%) and increased only in the presence of heparin. The significance of these results in relationship to heparin therapy for disseminated intravascular coagulation of APL is discussed. PMID- 6571801 TI - Extraosseous osteogenic sarcoma. A review of 48 patients. AB - The clinical records and histologic material of 48 patients with extraosseous osteogenic sarcoma were reviewed. Most patients developed their tumors in the fifth or sixth decades of life. Five patients (10%) developed neoplasms in an area of prior radiation therapy, a median of 15 years after their exposure. Six patients (13%) related a history of trauma to the area where their extraosseous osteogenic sarcoma developed. The course of most patients was that of multiple local recurrences (69%) followed by pulmonary metastases (80%) and death (76%). Amputation or wide resection followed by irradiation appeared to be the most effective types of therapy, with median survivals greater than 60 months for patients receiving these treatments, compared to 28 months for patients initially treated with resection alone. Chemotherapy was not effective for patients with advanced disease; however, adjuvant chemotherapy after surgery may have been of value. Four of five patients who received adjuvant chemotherapy after surgery are alive and disease-free; the only two survivors after development of pulmonary metastases received adjuvant chemotherapy after surgical resection of visible pulmonary metastases. PMID- 6571802 TI - Fibronectin concentration in plasma of patients with breast cancer, colon cancer, and acute leukemia. AB - Plasma fibronectin was measured in patients with breast cancer, colon cancer, and acute leukemia. In the patients with solid tumors, mean levels were significantly elevated above the mean level of age- and sex-matched normals whether the disease was thought to be metastatic or not (P less than 0.001). It did not make a difference whether the determinations were done prior to or during chemotherapy. Fibronectin was measured serially in eight hospitalized patients with leukemia during intensive induction chemotherapy. Normal concentrations were found prior to therapy. However, fibronectin concentration fell on the day following chemotherapy in nine of 12 episodes (P less than 0.05), and during sepsis in 13 of 13 episodes (P less than 0.001). Thus, the concentration was influenced by at least two factors: recent chemotherapy and sepsis. Because fibronectin concentration is sensitive to clinical events other than the status of the malignancy, it seems unsuitable as a tumor marker, at least as a single isolated measurement. PMID- 6571803 TI - Scanning electron microscopy of the human enamel surface layer of incipient carious lesions. PMID- 6571804 TI - A microanalytical procedure for the determination of calcium, phosphate and fluoride in enamel biopsy samples. PMID- 6571805 TI - Fluoride-exchanging resins for caries protection. PMID- 6571806 TI - Enamel fluoride uptake, distribution and retention from topical fluoride agents. PMID- 6571807 TI - Effect of packing density and polysaccharide to protein ratio of plaque samples cultured in vitro upon their permeability. PMID- 6571808 TI - Isolation and characterization of intracellular polysaccharide from Actinomyces viscosus. PMID- 6571809 TI - Effect of dental plaque on fluoride uptake by enamel from a sodium fluoride varnish in vivo. PMID- 6571810 TI - Effect of 4 days consumption of chewing gum containing sorbitol or a mixture of sorbitol and xylitol on dental plaque and saliva. PMID- 6571812 TI - Comparability of the biochemical composition of dental plaque samples collected from 14- to 15-year-old males using plastic and metal instruments. PMID- 6571811 TI - Preeruptive acquisition of fluoride by surface enamel of permanent teeth after daily use of F supplements. PMID- 6571813 TI - What's new in preventive dentistry? PMID- 6571814 TI - California's dental disease prevention program: your involvement counts! PMID- 6571815 TI - Smile in style! A close-up view of the dental disease prevention program at the local level. PMID- 6571816 TI - Nutrition, diet and preventive dentistry. PMID- 6571817 TI - Winning a campaign for fluoridation. PMID- 6571818 TI - Origin of the marrow cells in bones induced by implantation of osteosarcoma derived bone-inducing factor in mice. AB - Bone marrow cells (10(7)) of beige mice were injected into 800-rad-irradiated normal (C57BL/6 - +/+ or -bgJ/+) mice. After establishment of chimerism, bone formation including bone marrow was induced by implantation of the bone-inducing substances extracted from the murine osteosarcoma. The origin of marrow cells was investigated by observing giant granules of beige (C57BL/6-bgJ/bgJ, Chediak Higashi syndrome) mice, as a marker for the origin of the cells. The marrow cells in the induced bones were of the beige type. These results indicate that the induced bone marrow cells are not the progeny of undifferentiated mesenchymal cells in situ, but that of hemopoietic stem cells circulating in the peripheral blood. PMID- 6571819 TI - Effects of myeloid leukaemic blast cell extract on sodium transport in human erythrocytes. AB - 1. Previous studies have shown that leukaemic plasma inhibits sodium efflux from erythrocytes. In this study the effect of an extract of myeloid leukaemic blast cells on sodium efflux was investigated. 2. Blast cell extract decreased the sodium efflux rate constant in erythrocytes from 0.395 +/- sem 0.028 to 0.310 +/- 0.018 (P less than 0.02), whereas a leucocyte extract had no significant effect. 3. The extract had an inhibitory effect after heating at 80 degrees C for 30 min, and in the presence of ouabain and frusemide alone or in combination. 4. These studies suggest that myeloid leukaemic blast cells contain a heat stable factor which inhibits the efflux of sodium at least in part through a pathway which is not inhibited by ouabain or frusemide. PMID- 6571820 TI - A collagenolytic response to parathormone, 1,25-dihydroxycholecalciferol D3, and prostaglandin E2 in bone of osteopetrotic (mi/mi) mice. AB - Stimulators of bone resorption, such as PTH, 1,25-dihydroxycholecalciferol [1,25 (OH)2D3], or prostaglandin E2 (PGE2), do not cause calcium release from cultured calvaria of the genetically determined osteopetrotic microphthalmic (mi/ mi) mouse, due to a defect in the function of osteoclasts. To investigate the capacity of cells of mi/mi bone to degrade collagen, calvaria of 1- to 3-day-old normal and mi/mi littermates were labeled in vivo with [3H]proline 16 h before removal, followed by culture in resorption medium. PTH, 1,25-(OH)2D3, and PGE2 stimulated the release of 3H-labeled material into the culture medium from both normal and mi/mi calvaria. The labeled substance released was of collagenous origin, as indicated by its content of hydroxyproline and susceptibility to collagenase. PTH also stimulated the release of 3H-labeled materials from normal calvaria labeled in vivo 112 h before the mice were killed, but had little or no effect on 3H release from the mi/mi bone, indicating that only noncalcified collagen is susceptible to hormone-stimulated degradation in osteopetrotic bone. We conclude that a portion of the hormone-stimulated resorptive mechanism, namely collagenolysis, is functional in bone of mi/mi mice. This result helps to pinpoint the resorptive defect in mi/ mi bone to a failure to dissolve mineral, rather than a more general phenomenon of failure to remove both mineral and matrix. PMID- 6571821 TI - CL 115,347 (DHV-PGE2 ME): a new orally and topically active prostaglandin antihypertensive agent. AB - CL 115,347 orally (0.25-10 mg/kg) and topically (0.03 and 0.1 mg/kg) lowered blood pressure in a dose-dependent manner in conscious spontaneously hypertensive rats (SHR). Duration of action of the oral dose range was from 1 to more than 8 h and of the topical dose range, from more than 6 to more than 24 h. CL 115,347 was 100-200 times more potent orally and greater than 250 times more potent topically than l-prostaglandin (PG) E2. When 3 mg/kg was administered orally, CL 115,347 was also active in Dahl "S" salt-sensitive hypertensive rats, deoxycorticosterone acetate-salt hypertensive rats, aorta-coarcted renin-dependent hypertensive rats, normotensive rats, bilaterally nephrectomized SHR, and bilaterally ureteral ligated SHR. CL 115,347 was also orally active at 0.1 mg/kg in normotensive rhesus monkeys and in renal hypertensive dogs at 1 mg/kg. CL 115,347 was as active as l-PGE2 in relaxing the rabbit ear arterial smooth muscle in vitro. In anesthetized dogs, CL 115,347 injected intra-arterially (0.5-10 micrograms) into the vascular bed being studied increased blood flow to femoral, carotid, coronary, superior mesenteric, and renal vascular beds. CL 115,347 decreased vasopressor responses induced by electrical stimulation of the spinal cord at T7 T9 but did not decrease the tachycardia induced by stimulation of the cardioaccelerator segments (C7-T1) in pithed SHR. CL 115,347 has a broad spectrum of antihypertensive activity in various animal models and probably exerts its major antihypertensive effects through relaxation of blood vessels. PMID- 6571822 TI - Hire office staff--successfully. PMID- 6571823 TI - How to profit when relocating your practice. PMID- 6571824 TI - How to manage difficult patients. PMID- 6571825 TI - Practice management guidelines for the new dentist. A DM interview with Carl. M. Caplan, DDS, MBA. PMID- 6571827 TI - Are you paying your employees fairly? PMID- 6571826 TI - Dollars, sense and certification. Interview by Paul C. Gerber. PMID- 6571828 TI - Fluoride as the possible cytotoxic component of Silicap. 1. Fluoride release. PMID- 6571829 TI - Fluoride as the possible cytotoxic component of Silicap. 2. Effect on cellular enzymes in different cell types. PMID- 6571830 TI - The pulpal effects of medicaments containing formaldehyde following pulpotomy in monkeys. PMID- 6571831 TI - The palato-gingival groove and pulpitis: a case report. PMID- 6571832 TI - Genetic transformation of obligately chemolithotrophic thiobacilli. AB - Genetic transformation of Thiobacaillus thioparus auxotrophs to prototrophy was obtained at frequencies of up to 10(-2) when proliferating cell populations were exposed to chromosomal DNA from a nutritionally independent strain of the same bacterium. The rate at which transformation occurred depended on recipient growth rate and could be drastically reduced by depriving otherwise competent cells of either nitrogen or exogenous energy substrate. Interspecies marker transfer was also shown among several obligately chemolithotrophic members of the genus. PMID- 6571833 TI - Biological and psychological aspects of a case of Gilles de la Tourette's syndrome. AB - The case of a 12-year-old girl with Gilles de la Tourette's syndrome is presented, and the following factors are discussed: psychological aspects, urinary excretion of 3-methoxy-4-hydroxyphenylethylene glycol (MHPG) and unconjugated amines, and CT scan findings. The most noticeable differences from normal controls seen in the urine studies were elevated levels of beta phenylethylamine and the catecholamine metabolites normetanephrine, MHPG, and 3 methoxytyramine, and a decrease in 5-hydroxytryptamine. A CT scan revealed a slight increase in density in the caudate nuclei bilaterally; this was thought to be due to calcification. PMID- 6571834 TI - Identification and characterization of cellular targets for tyrosine protein kinases. AB - Protein kinases associated with the transforming proteins of a number of retroviruses are specific for tyrosine. Several proteins in cells transformed by these viruses are phosphorylated at tyrosine. We have now identified three unrelated abundant nonphosphorylated cellular proteins of 46,000, 39,000 and 28,000 daltons in chick embryo cells, which are the unphosphorylated forms of phosphotyrosine-containing proteins and thus are substrates for tyrosine protein kinases. By two-dimensional gel analysis, we have found that the 46,000-dalton protein exists in two unphosphorylated forms of which the more acidic is a minor species. This latter form is phosphorylated, chiefly at serine, in both normal and transformed cells, generating a yet more acidic species. In transformed but not normal cells, the major form is phosphorylated at tyrosine and serine, yielding a fourth isoelectric variant. The 46,000-dalton unphosphorylated protein has been partially purified, and antiserum to it recognizes all four isoelectric variants of the protein. The 39,000-dalton protein has two unphosphorylated forms of which the more acidic is a minor species. The major form is phosphorylated at tyrosine and serine in transformed cells only. The 39,000-dalton unphosphorylated protein has been partially purified, and antiserum raised to it recognizes all three isoelectric variants. The 28,000-dalton protein has a single phosphorylated form which contains serine in normal cells, but both serine and tyrosine in transformed cells. PMID- 6571835 TI - Reversal of thrombin-induced myosin phosphorylation and the assembly of cytoskeletal structures in platelets by the adenylate cyclase stimulants prostaglandin D2 and forskolin. AB - Stimulation of platelets by thrombin causes an increase in the amount of cytoskeleton proteins insoluble in 1% Triton X-100, i.e. myosin, actin, actin binding protein, an alpha-actinin-like protein of Mr = 105,000, unidentified polypeptides of Mr = 150,000, 31,00, and under some conditions, 56,000. Concurrently the Mr = 20,000 light chains of myosin and a cytoplasmic Mr = 42,000 polypeptide are phosphorylated, presumably by calmodulin-Ca2+-dependent myosin light chain kinase and a phospholipid-Ca2+-dependent kinase, respectively. The adenylate cyclase stimulators prostaglandin D2 (PGD2) and forskolin increased platelet cyclic AMP and prevented the phosphorylation of these polypeptides and the increase in Triton-insoluble cytoskeleton proteins. When added to platelets after stimulation by thrombin they caused rapid complete reversal of myosin light chain and Mr = 42,000 polypeptide phosphorylation; simultaneously the association of myosin with the cytoskeleton proteins and the increase in the content of each of the Triton-insoluble cytoskeleton proteins (except the Mr = 56,000 polypeptide) was reversed. The amount of Triton-insoluble myosin was affected more readily by PGD2 or forskolin than were the other proteins. Increasing thrombin from 0.1 to 1.0 unit/ml inhibited all the responses to PGD2 and forskolin possibly due to concentration-dependent effects of thrombin that inhibit adenylate cyclase. These results suggest that cytoskeleton assembly and activation of the contractile apparatus in intact platelets are readily reversible by cyclic AMP-dependent reactions. PMID- 6571836 TI - Oligomeric structure and catalytic activity of G type casein kinase. Isolation of the two subunits and renaturation experiments. AB - Casein kinase G purified from bovine tissue is an oligomeric cyclic nucleotide independent protein kinase made of two different monomers, namely an alpha (Mr = 38 kilodaltons) and a self-phosphorylatable beta (Mr = 27 kilodaltons) subunit. Treatment of the native enzyme under denaturing conditions (0.5 M NaCl, 4 M LiCl, and 20 to 35% formamide) resulted in a progressive selective removal of the beta subunit following gel filtration and a correlated loss of activity of the corresponding renatured enzyme. Mild digestion with papain resulted in a proteolytic alteration limited to the beta monomer with a concomitant partial loss of the enzyme activity. Isolation of the alpha and beta casein kinase G subunits was achieved by preparative reversed polyacrylamide gel electrophoresis in the presence of sodium dodecyl sulfate. Renaturation of the proteins following sodium dodecyl sulfate removal by acetone and/or Triton X-100 treatment allowed reconstitution of a functional casein kinase G. Whereas the isolated alpha subunit was found to exhibit a weak catalytic activity, addition of the beta subunit was required for recovery of a maximal casein kinase activity. The process was dose-dependent and reached a plateau for an alpha:beta subunit molar ratio of approximately 1 to 1. These data suggest that while the casein kinase G alpha subunit bears the catalytic site, stoichiometric combination with the beta subunit is required for optimal enzymatic activity. A possible role of the beta subunit as a regulatory component of casein kinase G activity in the intact cell remains to be examined. PMID- 6571837 TI - Human placental 17 beta-estradiol dehydrogenase and 20 alpha-hydroxysteroid dehydrogenase. Studies with 6 beta-bromoacetoxyprogesterone. AB - Two soluble enzyme activities, 17 beta-estradiol dehydrogenase and 20 alpha hydroxysteroid dehydrogenase, copurified from the cytosol fraction of human term placenta, were identically inactivated by 6 beta-bromoacetoxyprogesterone. This affinity alkylating steroid binds at the enzyme-active site (Km = 866 microM; Vmax = 0.073 mumol/min/mg). Enzyme inactivation by four concentrations of 6 beta bromoacetoxyprogesterone (molar ratio of steroid to enzyme, 71/1 to 287/1) causes irreversible and time-dependent loss of both the 17 beta- and 20 alpha-activities according to first order kinetics and affirms that the alkylating steroid is an active site-directed inhibitor (KI = 2.7 X 10(-3) M; k3 = 1.6 X 10(-3) s-1). Affinity radioalkylation studies using 6 beta-[2'-14C]bromoacetoxyprogesterone indicate that 2 mol of steroid are bound to each mole of inactivated enzyme dimer (Mr = 68,000). Amino acid analyses of the acid hydrolysate of radioalkylated enzyme show that 6 beta-bromoacetoxyprogesterone carboxymethylates cysteine (56%), histidine (22%), and lysine (8%) residues in the active site. These results are identical with those reported for 2-bromo[2'-14C]acetamidoestrone methyl ether radioalkylation of purified "17 beta-estradiol dehydrogenase." The parallel inactivation of 17 beta-estradiol dehydrogenase and 20 alpha hydroxysteroid dehydrogenase by 6 beta-bromoacetoxyprogesterone further shows that both activities reside at a single enzyme-active site. The radioalkylation profile supports our proposed model of one enzyme-active site wherein the bound progestin and estrogen substrates are inverted, one relative to the other. PMID- 6571838 TI - Proteolytic interconversion of electrophoretic variants of the enzyme rhodanese. AB - It has been confirmed that the enzyme rhodanese, although a homogeneous single polypeptide chain protein by sodium dodecyl sulfate-polyacrylamide gel electrophoresis, is separable by electrophoresis under nondenaturing conditions into four species which differ in net surface charge (I-IV in the order of increasing positive charge). Limited proteolysis can interconvert these species. Chymotrypsin converts IV and III to II and forms a small amount of I. Carboxypeptidase B converts IV to III. The total protein among the species remains constant, and two-dimensional gels show that the change induced is below the resolution of the sodium dodecyl sulfate-polyacrylamide gel system. The suggestion that the products can be produced in the order IV, III, and II is supported by the results of sequential treatment of rhodanese first with carboxypeptidase B and then with chymotrypsin. It is concluded that there are covalent differences among the rhodanese species identified to date and an interconversion of forms can be triggered by proteolysis at the COOH-terminal end of the Mr = 33,000 single polypeptide chain which comprises the enzyme. This conclusion is strengthened by the close similarity between the amino acid composition of the peptide released by chymotrypsin and the composition expected on the basis of the known sequence. Furthermore, it appears that form IV is the primary in vivo product and the other species arise from it. PMID- 6571839 TI - Effects of relaxin on rat uterine myosin light chain kinase activity and myosin light chain phosphorylation. AB - Isometrically suspended uteri from estrogen-primed rats were stimulated with prostaglandin F2 alpha and then exposed to relaxin. Relaxin-dependent decreases in the ratio of phosphorylated to total myosin light chains (MLC) and in MLC kinase activity, measured in the presence of 0.5 mg/ml of uterine myosin and the absence and presence of Ca2+-calmodulin (CaM), were observed. The time-course and concentration-response of these biochemical effects of relaxin paralleled the hormone-induced inhibition of uterine contractile activity. Relaxin treatment resulted in a change in the requirements of MLC kinase for Ca2+, CaM, and myosin. Titrations of MLC kinase activity showed a shift in K50 values for Ca2+ from 82 to 260 nM and for CaM from 2.2 to 25 nM in extracts from control and relaxin treated tissues, respectively. The myosin Km values of MLC kinase from control and relaxin-treated tissues were 0.33 and 0.71 mg/ml, respectively. Under optimal assay conditions (100 microM Ca2+, 1 microM CaM, and 1.2 mg/ml of myosin) the activities of MLC kinase in both extracts were identical, regardless of hormone concentration or exposure time. These data suggest that relaxin-treatment results in a change in the affinity of MLC kinase for its substrate and modulator and that relaxin inhibits uterine contractile activity by a mechanism which involves a decrease in MLC kinase activity and, in turn, a decrease in phosphorylation of the 20,000-dalton light chains of myosin. PMID- 6571840 TI - Folate utilization in Friend erythroleukemia cells. AB - In order to study the generation, factors controlling endogenous folate pools, and their functional importance, Friend erythroleukemia cells were grown in media containing 100; 1,000; and 10,000 ng/ml of tritiated pteroylglutamic acid (3H)PteGlu1 and then studied in unlabeled media with varying amounts of PteGlu1. The intracellular folate pool was directly proportional to the PteGlu1 in which the cells were incubated. At equilibrium, greater than 95% of the labeled intracellular folate pool chromatographed as polyglutamyl folate, regardless of the exogenous folate concentration. The functional importance of the intracellular folate pool was studied by varying the endogenous pool and the exogenous (media) supply. The ability of the cells to replicate in the absence of exogenous folate was directly proportional to the intracellular polyglutamyl folate pool. The maximal rate of replication, however, required exogenous PteGlu1 in addition. The cell doubling time was the most important determinant of intracellular folate turnover; changes in the intracellular pool size and the extracellular folate concentration had no effect on the turnover time. In a rapidly proliferating tissue, the onset of functional folate deficiency will be determined by dilution of intracellular polyglutamates among progeny until a critical level is reached. PMID- 6571841 TI - Lingual orthodontics: a status report. Part 4: Diagnosis and treatment planning. PMID- 6571843 TI - Orthodontic office design. On-deck area. PMID- 6571842 TI - JCO/interviews Dr. H.P. Bimler on functional appliances. PMID- 6571845 TI - Wraparound retainer. PMID- 6571844 TI - A safe, effective germicide-deodorizer for removable appliances. PMID- 6571846 TI - Abstracts of papers: annual session - American Association for Dental Research, March 17-20, 1983. PMID- 6571847 TI - Molecular composition of the protein matrix of developing human dental enamel. AB - The protein matrix of fetal human dental enamel was isolated and fractionated by chromatographic and electrophoretic procedures. Nine principal protein fractions were isolated and characterized. Possible inter-relationships of these proteins and their comparison with data from other species were examined. Significant differences between human proteins and those described for cow or pig enamel were identified. PMID- 6571848 TI - Weddellite in submandibular gland calculus. AB - Scanning electron microscopy of a submandibular sialolith showed octahedral and dipyramidal crystals located at the surface layer of cortex. The crystal habits observed were consistent with those of a tetragonal crystal system. X-ray microdiffraction revealed the presence of weddellite. The origin of weddellite within the calculus remains to be determined. PMID- 6571849 TI - Association of lipids with proteins and glycoproteins in human saliva. AB - The distribution of lipids in the fractions of parotid and submandibular saliva following Bio-Gel A-50 column chromatography was measured. Over 50% of the total lipids of submandibular saliva was found in the fraction which contained mainly the high-molecular-weight glycoprotein. This fraction also contained most of the glycolipids, free fatty acids, phospholipids, and cholesterol. In the parotid saliva, the fraction containing the basic glycoprotein (the major glycoprotein fraction of parotid saliva) contained 35% of the total saliva lipids and was enriched in phospholipids ana cholesterol esters. PMID- 6571850 TI - Initial dimensional change of composites in dry and wet conditions. PMID- 6571851 TI - Development of an artificial oral environment for the testing of dental restoratives: bi-axial force and movement control. AB - The integration of two closed mechanical loops was used to produce a force movement cycle, using servo-hydraulics. Several of the parameters were of interest in clinically-simulated laboratory studies. The system represented the first phase in developing an artificial oral environment. PMID- 6571852 TI - Changes in the microstructures of silver-tin and admixed high-copper amalgams during creep. PMID- 6571853 TI - On creep mechanisms in amalgams. AB - Creep mechanisms have been investigated in both conventional and non-gamma 2 amalgams. The back stress during steady-state creep was measured by the "stress dip" technique, and pre-polished vertical surfaces of nearly cylindrical specimens were studied after creep. Indications of both superplastic flow and dislocation creep were observed. PMID- 6571854 TI - Oxidation kinetics of some Ni-Cr alloys. AB - Oxidation kinetics of four Ni-Cr alloys and a high-purity nickel standard was determined under isothermal conditions in an air atmosphere. In addition, weight gains of the alloys were measured during a simulated pre-oxidation treatment. The alloys' behavior suggests that mechanisms of oxidation vary with temperature and alloy composition. PMID- 6571855 TI - Target cells for 1,25-dihydroxyvitamin D3 in developing rat incisor teeth. AB - The concentration of radioactivity is observed in the nuclei of pulpal cells of maxillary and mandibular incisors of 20-day-old fetal rats, following injection of [3H]-1,25 (OH)2 vitamin D3. Cells in the odontoblast and ameloblast layers are essentially free of nuclear labeling. The radioactively labeled pulpal cells exist throughout the length of the incisors with the exception of the progenitor areas. The results indicate the presence of receptors for 1,25 (OH)2 vitamin D3 in pulpal cells, and suggest the effects of the hormone on these cells. PMID- 6571856 TI - Characterization and modification of electrochemical properties of teeth. AB - Permselectivity of teeth was studied by membrane potential measurements. The enamel was found to have a preferential affinity for calcium and hydrogen ions. Its permselectivity could be modified by anionic compounds, such as phytate and alginate; by cationic compounds, such as protamine, polyarginine, and polylysine; or by an alternating coating of the above compounds. PMID- 6571857 TI - Action of drugs on liposomes with varying charges. AB - The effects of 12 amphipathic compounds--such as aromatic and aliphatic carboxylic acids, amines, imines, nitrogen-substituted derivatives, and aldehydes -on multilamellar liposomes with varying charges were monitored in biological systems. The stabilization-lysis action of amphipathic compounds on liposomes was influenced by either the electrostatic repulsion or the attraction force between these compounds and liposomes. PMID- 6571858 TI - Oral colonization and pathogenicity of Actinomyces israelii in gnotobiotic rats. AB - Reference strains of A. israelii were orally implanted in germ-free rats after multiple inoculations. Early colonization was associated with areas of interdental hair and bedding impactions. Largest populations of organisms were isolated from teeth, as compared to the tongue, cheek, or palate. Examination of molar teeth with the scanning electron microscope revealed bacterial accumulations in the occlusal fissures, but not on smooth or approximal surfaces. Extensive plaque formation after 100-150 d was accompanied by root-surface caries and bacterial invasion of the pulp. There was no evidence of bacterial penetration of the dentin underlying surface enamel. PMID- 6571859 TI - The ultrastructure and hardness of the transparent layer of human carious dentin. AB - The ultrastructure of the transparent layer of carious dentin was investigated in relation to hardness. This layer was the deeper part of the intermediately softened inner carious dentin. Intratubular deposition of fine crystals was initially observed at the uppermost layer of normal dentin, increased in the subtransparent layer, and gradually shifted to deposition of rhomboid-shaped crystals in the transparent layer. Crystals were not seen in the tubules in the overlying discolored layer. Softening, due to demineralization of the intertubular and peritubular dentin, started at the bottom of the subtransparent layer and increased in the outward direction. PMID- 6571860 TI - Effects of composite restorations on the periodontal membrane in monkeys. AB - We evaluated the histopathological response of the periodontal membrane to intentionally-replanted teeth carrying composite (experimental) and silver amalgam (control) restorations in the middle third of each root. The study revealed that the amalgam produced, in the periodontal tissues, an initial localized inflammation that subsided with the subsequent formation of a fibrous capsule. However, the periodontal membrane adjacent to the composite resin restorations demonstrated chronic inflammation. It was concluded that the composite evoked chronic inflammatory responses of the periodontal tissues in monkeys. PMID- 6571861 TI - The rate of setting of zinc polycarboxylate dental cements investigated by an electric conductance method. PMID- 6571862 TI - Microstructures of Cu-rich amalgams after corrosion. PMID- 6571863 TI - Aluminum foil pouch packaging in pre-measured amalgam capsules. AB - Examination of the aluminum foil pouch used in some pre-measured amalgam capsules for mercury packaging revealed the formation of an unknown substance after trituration. This substance was determined to be aluminum oxide and, in the amorphous or poorly crystallized hydrated form, may be a contaminate of the amalgam alloy. PMID- 6571864 TI - The level of residual monomer in self-curing denture-base materials. AB - Because residual monomer may cause tissue irritation, we investigated two self curing acrylic denture-base materials--one a compression type, and the other a pourable material--by means of gas-liquid chromatography. Both exhibited higher residual monomer levels than did heat-cured acrylics, with thick sections having lower values than did thin sections. The pourable material showed lower values than did the compression variety. PMID- 6571865 TI - Leaking of fillers in dental composites. AB - The leakage of filler elements from four composites after storage in water was investigated. The results showed that all fillers leaked Si, and that the micro filled composite and the Ba- and Sr-containing glass composites leaked more Si than did the quartz-containing material. The leakage from the different fillers was explained by hydroxy-ion and stress-corrosion attacks. PMID- 6571866 TI - Synergistic inhibitory effect of zinc and hexetidine on in vitro growth and acid production of Streptococcus mutans. PMID- 6571867 TI - In vitro caries-like lesion formation in F-containing tooth enamel. AB - In vitro caries-like lesion formation in F-containing tooth enamel (shark) showed a lower depth of penetration compared to that in human enamel (42 vs. 100%). After longer periods of exposure, the depth of penetration in shark enamel is only 33% relative to that in human enamel. The extent of dissolution in acetate buffer for powdered human enamel and for synthetic F-free calcium-carbonated apatites was greater than for powdered shark enamel and for synthetic F containing apatites. These results suggest that the cariostatic action of fluoride may be explained in terms of a combination of two effects: (a) the stabilizing effect against acid dissolution (caries) when fluoride is incorporated in the tooth mineral (apatite), and (b) a greater degree of remineralization (repair) in the presence of F solution. PMID- 6571868 TI - Effect of zinc citrate on fluoride uptake by artificial caries lesions. PMID- 6571869 TI - Three-dimensional stress distribution around a dental implant at different stages of interface development. AB - An anchor-type ceramic dental implant contained in a section of the mandibular molar region was modeled for finite element stress analysis. The distributions of stresses in the bone around the implant due to axial and transverse loading were calculated for different stages of normal and pathological development of the implant-bone interface. Highest stress concentrations are observed in the crestal region with transverse loading when spongy bone surrounds the implant immediately after surgery. Development of a lamina dura around the implant slightly reduces severe stress peaks, whereas ingrowth of connective tissue almost eliminates them. PMID- 6571870 TI - Unreacted methacrylate groups on the surface of composite resins. PMID- 6571871 TI - Stress analysis of the human tooth using a three-dimensional finite element model. PMID- 6571872 TI - The acid pattern in human dental plaque. AB - Lactic and volatile acids in standardized plaque samples from 11 subjects have been estimated by means of HPLC before and after exposure to sucrose in vivo. Total acid differed considerably between subjects, but the ratio of acids estimated within the plaque from different persons did not vary significantly. The time-dependent acid pattern following sucrose rinsing allowed the plaque samples to be divided into two groups: one showing only small changes in total acid production; and the other exhibiting a distinct increase in total acid up to 15 min after sucrose rinsing. PMID- 6571874 TI - 60th AADS (American Association of Dental Schools) annual session. March 13-16, 1983, Cincinnati, Ohio. Abstracts of educational research and new programs presentations. PMID- 6571873 TI - Combined effect of trace elements and fluoride on caries: changes over ten years in northwest Ohio (U.S.A.). AB - Dental caries examinations were carried out in an area of low caries prevalence, ascribed to a combined effect of fluoride and other trace elements. Repeat examinations in 1978 on lifelong resident children aged from 12 to 14 yr showed caries distribution patterns to be essentially the same as those found in a previous study in 1968. Some changes in DMFS scores had occurred, which were associated with changes in the strontium content of the drinking water; low caries levels were significantly associated with high strontium concentrations. PMID- 6571876 TI - Significance of the solitary lesion in pediatric bone scanning: concise communication. AB - This study was undertaken to determine the incidence and importance of the solitary lesion in pediatric bone scanning. One hundred four children with known or suspected malignancy had 340 scans performed. There were 62 scans with a solitary area of increased uptake, 24 of which (39%) were due to metastatic disease. The solitary lesion in a child with known malignancy must be evaluated further and followed clinically. PMID- 6571875 TI - Thymic dysfunction in the mutant diabetic (db/db) mouse. AB - Thymic function has been explored in genetically diabetic homozygous C57BL/KsJ (db/db) mice by evaluating their serum thymic factor (FTS) levels with a rosette assay. As previously reported for other autoimmune mice (NZB or MRL/I mice), the age-dependent decline of FTS levels was significantly accelerated in diabetic mice when compared to heterozygous littermates. Furthermore, FTS inhibitory molecules were detected in db/db mouse sera (as early as 10 wk of age) as evaluated by their ability to absorb in vitro the activity of synthetic FTS in the rosette assay, and in vivo for their capacity to induce the disappearance of endogenous FTS when injected into normal mice. These inhibitors were shown to be immunoglobulins. Histologically, the thymus presented an accelerated involution starting with a cortical lymphocytic depletion and an increased number of Hassall's corpuscles. Ultrastructural studies showed alterations in thymic epithelial cells, mainly represented by an increasing number of cytoplasmic vacuoles. By means of indirect immunofluorescence with anti-FTS monoclonal antibodies, it was shown that the number of FTS+ cells was reduced in db/db mouse thymuses: at the age of 22 wk, diabetic mice had 10 times fewer FTS+ cells than heterozygotes of the same age. Taken together, these results indicate important abnormalities in the thymus of diabetic mice. It is possible that the associated lymphocyte dysfunction plays a role in the pathogenesis of the autoimmune disease presented by db/db mice. PMID- 6571877 TI - A quantitative evaluation of breathing systems used with Kr-81m generators. AB - A quantitative evaluation of breathing systems currently in use with Rb-81 leads to Kr-81m generators is presented. Four systems were evaluated: a reservoir unit, a disposable oxygen face mask unit, and two types of nasal oxygen cannula units. These systems were used on 30 patients. It was found that the reservoir breathing system (a) delivered approximately 10% more Kr-81m gas to the lungs, and (b) reduced the image collection time by a factor of two or more, compared with the other three systems. PMID- 6571878 TI - Excessive intake of 13-cis retinoic acid and fatty acid composition of tissues. AB - The effects of feeding an excess of 13-cis retinoic acid on the fatty acid composition of tissues were studied. Groups of male, weanling, Sprague-Dawley rats were fed diets containing 0, 100 and 300 mg 13-cis retinoic acid per kilogram diet. Rats were killed 4 weeks after feeding the diets, and the fatty acid composition of total lipids in plasma, liver, kidney, heart and lung was determined. Changes in fatty acid patterns were observed primarily in plasma and liver. The proportions of 16:1, 18:1 and 20:3 omega 6 were generally higher, whereas those of 20:4 were lower. The fatty acid composition of kidney, heart and lung lipids was not appreciably changed. The results on fatty acid changes in liver suggest that 13-cis retinoic acid may be modifying the activities of desaturating enzymes. PMID- 6571879 TI - Soft tissue changes in surgically treated cases of bimaxillary protrusion. PMID- 6571880 TI - Case 43, part II: Cherubism. PMID- 6571881 TI - Calcifying epithelioma of Malherbe (pilomatrixoma) of the cheek. PMID- 6571882 TI - Multiple myeloma presenting as a hemorrhagic diathesis. PMID- 6571883 TI - Metastatic renal cell carcinoma from a primary tumor removed 14 years previously. AB - It is not uncommon for renal carcinomas to present with a solitary metastasis. However, this patient was initially seen with multiple metastatic lesions. The five-year survival rate in such cases is very low, i.e., less that 5%. It is unfortunate that the initial diagnosis of Wilm's tumor was in error, as postoperative radiation therapy might have been of some value in ablation of residual tumor foci. It is, however, doubtful that radiation therapy and/or chemotherapy would have altered the eventual outcome of this disease. Although the diagnosis of a clear cell metastatic tumor to the head and neck is difficult because of the multiplicity of clear cell malignancies that can occur in this area, a primary tumor of the kidney must always remain high in the differential diagnosis. PMID- 6571884 TI - Suspension and traction appliance for nasal, zygomatico-maxillary complex, and zygomatic arch fractures. PMID- 6571886 TI - Sagittal anatomy of the human temporomandibular joint spaces: normal and abnormal findings. PMID- 6571885 TI - Epithelial and connective tissue healing following electrosurgical incisions in human gingiva. AB - Electrosurgery is used for intraoral incisions by many clinicians. Much controversy surrounds the effect of lateral heat produced during the electrosurgical incision upon the healing of adjacent connective tissue. Ten electrosurgical incisions were made in the gingiva in each of five adult male volunteers. The duration of incision and actual energy production for each incision were calculated. Excisional biopsies of the incisions were obtained at 0 504 hours. At the light microscopic level, epithelium, totally degenerated immediately following the electrosurgery incision, showed extensive activity at 24-48 hours and had covered all wounds by 72 hours. Early hour specimens showed a homogenous connective tissue region, adjacent to the wound site, devoid of cells and fibers. This zone of denatured connective tissue gradually diminished until it was no longer present at 396 hours. PMID- 6571887 TI - Indications for open reduction of mandibular condyle fractures. AB - Most condylar fractures of the mandible may be treated by closed reduction and appropriate physiotherapy. Some, however, absolutely should be opened and reduced anatomically; with others, good arguments for open reduction may be offered. This article reviews the possible indications for open reduction and presents an approach that conceals the scar. PMID- 6571888 TI - Amnesia, pain experience, and patient satisfaction after sedation with intravenous diazepam. AB - Recovery time, the effect of sedation or amnesia on postoperative pain, and patients' opinions of the sedation were studied. Forty operations were performed on 20 patients. Each patient had four impacted third molars removed in two sessions, one in which a new emulsion form of diazepam (Diazemuls) was used, and one in which no sedation was used. The recovery from sedation was found to be very individual and not related to the dose administered, as assessed by a simple, easy-to-use method. There was no difference in postoperative pain between the sedated and unsedated groups, and we found no correlation between postoperative pain and amnesia. Eighty-five per cent of the patients preferred sedation during surgery, even though none of them had a preoperative indication for sedation. PMID- 6571889 TI - Comparison of mandibular rest positions induced by phonetics, transcutaneous electrical stimulation, and masticatory electromyography. PMID- 6571890 TI - The masseter muscle: the silent period and its clinical implications. AB - Standardized solenoid chin taps were delivered downward and upward as parallel as possible to the fibers of the superficial part of the masseter muscle and backward at a right angle to this direction. Each one of the 10 healthy subjects received 10 taps in each direction during isometric masseter muscle activity (clenching the teeth). Taps in all three directions evoked the classic jaw jerk response, M1, a short latency (mean, 8.3 msec) excitation followed by an SP (mean latency, 15.9 msec; mean duration, 42.6 msec). The SP duration varied considerably not only between subjects but also within individuals. Forty-nine percent of the SPs were divided into two parts by an EMG peak, M2, with mean latency 42 msec and mean amplitude 78 microV. Sometimes this peak marked the end of the SP. The SP duration has been claimed to be of diagnostic significance because it is longer in patients with mandibular dysfunction. It is concluded that the large variations of the parameter found in this as well as in other studies make it impossible to establish criteria for a healthy or pathologic SP duration. A carefully obtained history and thorough clinical examination are probably more reliable means to establish a correct diagnosis. PMID- 6571891 TI - Current and future considerations for a geriatric population. PMID- 6571892 TI - Palatal receptor contribution to and effects of palatal alteration on taste acuity thresholds. AB - To determine the contribution of the soft palate to the overall taste mechanism and the effects of palatal compromise (surgery, cleft palate, and trauma), four taste solutions representing sweet, salty, sour, and bitter were applied to the apex and base of the tongue and to the soft palate of 12 subjects in each of the control and palatally compromised groups. Each group was tested on two different occasions with the sessions 2 weeks apart and one in the morning and the other in the afternoon. Results indicate that the soft palate contributes to bitter and salty sensations to a greater degree than the other two sensations. Of these two, bitter is the more acutely experienced. Patients with compromised palates revealed higher taste acuity thresholds than the normal control group, particularly with bitter solutions. Taste acuity thresholds increased with age. PMID- 6571894 TI - A qualitative comparison of various record base materials. PMID- 6571895 TI - Porosity in boilable acrylic resin. AB - An acrylic resin developed to be processed by boiling for 20 minutes in water was compared to a conventional heat-processed acrylic resin for porosity when processed according to the manufacturer's directions. No porosity was found in the conventional resin in thicknesses up to 19.5 mm. The boilable resin developed porosity in thicknesses of 6 mm and greater. The porosity increased with increased thickness. The boilable resins should not be used for long-term prostheses or those requiring a thickness of acrylic resin that approaches 6 mm. PMID- 6571893 TI - Iron discoloration of acrylic resin exposed to chlorhexidine or tannic acid: a model study. AB - A clinical model was introduced to study the ability of chlorhexidine, tannic acid, and iron to discolor dental plaque formed on acrylic resin surfaces. None of the agents caused discoloration when applied individually five times daily during a 5-day period. However, exposure of the dental plaque to either chlorhexidine or tannic acid before the iron applications produced marked staining. Possible mechanisms, among which denaturation appears to be significant, are discussed. The use of a strong oxidizing agent, peroxymonosulfate, completely bleached the established discolorations. PMID- 6571896 TI - A clamp to support the maxillary section of adjustable articulators. PMID- 6571897 TI - An immediate acid-etched provisional fixed partial denture. PMID- 6571898 TI - Molar uprighting can be useful periodontic and/or prosthodontic adjunct. PMID- 6571899 TI - Nutritional problems of the aged. PMID- 6571900 TI - Isolation of pathogenic microorganisms from dentures and denture-soaking containers of myelosuppressed cancer patients. PMID- 6571901 TI - The assessment of Chroma sensitivity to porcelain pigments. PMID- 6571902 TI - Electrical burns of the oral commissure. PMID- 6571903 TI - Mechanically retained facial prostheses: helpful or harmful? PMID- 6571904 TI - Physical therapy as an adjunct to temporomandibular joint therapy. PMID- 6571905 TI - Partial reversal of the myometrial progesterone 'block' in the non-pregnant ewe in vivo by oestradiol-17 beta. AB - In ovariectomized non-pregnant ewes myometrial activity, which was suppressed by continued injection of progesterone, showed a significant recovery of both spontaneous activity and oxytocin responsiveness by 12 and by 24 h after intrauterine administration of oestradiol-17 beta. No such recovery occurred in ewes given vehicle only into the uterus. The oestrogen-induced recovery was lost by 60 h after treatment. Infusion of PGF-2 alpha into the uterine lumen instead of oestrogen provided no support for the possibility that the oestrogen-induced recovery was mediated through PGF-2 alpha secretion. It is suggested that oestradiol may participate in the mechanism of parturition in sheep by accelerating myometrial recovery from the effects of progesterone. PMID- 6571907 TI - Malpractice claims increasing in periodontics. PMID- 6571906 TI - Uterine histology and prostaglandin concentrations and utero-ovarian venous steroid and prostaglandin concentrations during the luteal phase of the menstrual cycle in baboons (Papio spp.) with or without an IUD. AB - Arachis oil was infused via the oviducts into the uterus of baboons 6-9 days after ovulation; uterine tissue was collected towards the end of the luteal phase (3-7 days after the oil infusion) for histological assessment of the occurrence of any deciduomal reaction. To exclude the possibility that a variation in the endogenous steroid concentrations was responsible for any observed variation in the incidence of the deciduomal reaction, blood samples were collected and assayed for progesterone and oestradiol-17 beta. The effect of the IUD on endometrial prostaglandin release was examined by measuring PGE and PGF concentrations in uterine tissue and utero-ovarian venous plasma. The IUD stimulated a deciduomal response in every animal, whereas the traumatization with arachis oil had no such effect; the variation in the peripheral and utero-ovarian steroid levels could not explain the variation in the incidence of the deciduomal reaction. Greater concentrations of PGF but not PGE were present in the endometria of those animals bearing an IUD and in which a deciduomal reaction had been stimulated. The corpus luteum was the major source of progesterone and of oestradiol-17 beta, although non-luteal ovarian tissue also secreted oestradiol 17 beta. PMID- 6571908 TI - Clinical camera. PMID- 6571909 TI - Periodic breast cancer screening with single oblique-view mammography. PMID- 6571910 TI - Experimental induction of parathyroid adenomas in the rat. AB - Neonatal inbred Wistar albino rats were given either 5 or 10 microCi radioiodine (131I) within 24 hours of birth. After weaning, animals were placed on diets high, normal, or deficient in vitamin D3 (cholecalciferol) for periods up to 2 years. In animals aged 12 months and older, adenomas were found in 0 of 67 unirradiated controls, in 22 of 67 given 5 microCi 131I, and in 25 of 67 given to microCi 131I. The incidence of tumors in irradiated animals was highest (55%) in those on a low-vitamin D diet and lowest (20%) in those on a high-vitamin D diet. Plasma calcium levels were significantly increased by the high-vitamin D diet, but the low-vitamin D diet did not lead to any significant decrease as compared to the calcium levels of the normal vitamin D diet group. Small but significant calcium increases were found in tumor-bearing animals. These findings indicate that parathyroid tumors in the rat can be induced by radiation and that their incidence is strongly influenced by dietary vitamin D content. The possibility that metabolites of vitamin D3 may influence parathyroid growth and tumor formation directly is discussed. PMID- 6571911 TI - Modifying factors in pancreatic carcinogenesis in the hamster model. I. Effect of protein-free diet fed during the early stages of carcinogenesis. AB - The role of protein in pancreatic carcinogenesis was examined in outbred Syrian golden hamsters treated with the pancreatic carcinogen N-nitrosobis(2 oxopropyl)amine (BOP) and fed a purified protein-free diet (PPFD). The PPFD was fed for 28 days from 8 weeks of age; before and after animals were fed PPFD, they were given a commercial diet (CD). BOP was given before PPFD feeding (group 1) or at 18 days (group 2) and 28 days (group 3) from the beginning of the PPFD feeding. BOP-treated control hamsters (group 4) were pair-fed a purified control diet (PCD) instead of PPFD. All animals fed PPFD and PCD were returned to a CD for the rest of the experiment, which was terminated in each group 52 weeks after BOP treatment. The results showed a highly significant reduction of tumor incidence (P less than 0.0001) in hamsters that received PPFD, when compared to those fed PCD, regardless of the time of carcinogen administration during the dietary regimen. Hamsters treated with BOP at 18 days of PPFD (group 2) developed neither benign nor malignant pancreatic tumors. The inhibition of pancreatic neoplasms was not related to reduced calorie consumption, since this occurred in the BOP-treated hamsters that were pair-fed the PCD diet. The results indicated that both the initiation and promotion of pancreatic carcinogenesis with BOP in hamsters can be inhibited by lack of protein in the diet given for 4 weeks during the early stages of the neoplastic process. PMID- 6571912 TI - Retrospective assessment of menstrual cycle length in patients with breast cancer, in patients with benign breast disease, and in women without breast disease. AB - The length of the menstrual cycle was compared in women with breast cancer, women with benign breast disease, and controls. Older women in general tended to report shorter menstrual cycles (P less than 0.05). After correction for the age difference, breast cancer patients still reported a shorter average menstrual cycle length than benign breast disease patients and controls (P less than 0.006). Very short cycles (less than or equal to 21 days) were present in 20% of the breast cancer patients compared to 8% of the patients with benign breast disease and 4% of the controls (P less than 0.0001). Long cycles (less than or equal to 30 days) were not a feature of breast cancer patients (2%), whereas 20% of the patients with benign breast disease and 20% of the controls reported such long cycles (P less than 0.0001). Irregular menstrual cycles were more common in benign breast disease patients (20%) than in cancer patients (10%) and controls (8%) (P less than 0.001). PMID- 6571913 TI - Destruction of murine lymphoma cells by allogeneic peritoneal macrophages in vitro: influence of antiserum. AB - Peritoneal macrophages isolated from intact inbred C57BL/10ScCr mice and from inbred C57BL/10ScCr mice previously immunized with the allogeneic SL2 lymphoma were incubated with SL2 cells with and without antiserum. The mode of interaction of the cells during the first 4 hours was studied ultrastructurally. Normal macrophages interacted with the tumor cells only when antiserum was present. The main feature was a partial enveloping of the tumor cells by thin lamellipodia without any visible cell damage. Immune macrophages without antiserum killed the tumor cells extracellularly by a process of apoptosis and subsequently phagocytized the cell remnants, as described previously. In the presence of antiserum, immune macrophages phagocytized intact tumor cells with very long, slender lamellipodia. Subsequently, the tumor cells underwent intracellular necrosis that seemed to be initiated by the release by the macrophage of complete lysosomes into the phagosome containing the tumor cell. In addition to altering the mode of interaction, antiserum greatly increased the degree of cytotoxicity. PMID- 6571914 TI - DNA alkylation and tumor induction in regenerating rat liver after cell cycle related continuous N-nitrosodimethylamine infusion. AB - Synchronized regenerating rat liver after partial hepatectomy was used to study cell cycle-related DNA base alkylation and liver carcinogenesis. A continuous iv infusion of [14C]N-nitrosodimethylamine (DMN) at a dose of 0.5 mg/kg/hour was given to inbred male Wistar Af/Han rats over a period of 8 hours either during the G1 phase, hydroxyurea-synchronized DNA synthesis, or the G2+M-phase of regenerating liver or to untreated rats (G0-phase liver--carcinogen dose, 1.5 mg/kg/hour). Two hours after the end of the infusion, the amount of 7 methylguanine was highest in the G0-phase liver, with a decrease in the G1 phase, the S-phase, and the G2+M-phase. After continuous DMN exposure, the O6 methylguanine:7-methylguanine ratio was lower in the S-phase and G2+M-phase livers than in the G0-phase and G1-phase livers, indicating an increased O6 methylguanine repair during DNA synthesis and the G2+M-phase. Liver tumors in rats treated by continuous DMN infusion either during the G0 phase or the S-phase developed only after carcinogen exposure during DNA synthesis. PMID- 6571915 TI - Spontaneous tumors of the prostate gland in inbred strains of mice. AB - Spontaneous tumors of the prostate gland in the house mouse (Mus musculus) have rarely been described. In a histologic survey of prostate glands from old (greater than 700 days of age) mice, we have observed 2 primary adenocarcinomas of the prostate gland, 1 in a 1,047-day-old C57BL/6J mouse (DEH 1009) and 1 with metastases to the kidney and lungs in a 778-day-old C57BL/KsJ mouse (DEH 705C). We have also found a rhabdomyosarcoma of the prostate gland in a C57BL/6J mouse (DEH 1121C) 732 days old. The histologic characteristics of these tumors, and of the prostate glands of mice of similar ages without prostatic neoplastic involvement, including a 736-day-old CBA/CaJ mouse (DEH 849) with adenomatous hyperplasia, are described. PMID- 6571916 TI - Mammary carcinogenesis in rats in relation to age at time of N-nitroso-N methylurea administration. AB - The effects on mammary carcinogenesis when N-nitroso-N-methylurea (NMU) is administered to rats of different ages were studied. Female outbred Sprague Dawley rats received two iv injections of NMU (5 mg/100 g body wt/injection) 1 week apart beginning at either 35, 50, 80, 140, or 200 days of age. Animals were killed 6 months after the initial NMU injection, and all mammary tumors were histologically classified. The percent incidence of mammary carcinomas for each age group was as follows: 100%, 35 days old; 94%, 80 days old; 59%, 80 days old; 30%, 140 days old; and 22%, 200 days old. Rats receiving NMU at a young age also exhibited a greater number of carcinomas per rat with latent periods that were in general shorter than those of rats treated at later ages. Since NMU does not require metabolic activation, the observed decrease in chemically induced mammary tumors in aging rats appears to be primarily due to changes occurring within the mammary gland. PMID- 6571917 TI - Parity as a prognostic factor in young breast cancer patients. AB - Data were analyzed concerning 219 female breast cancer patients less than 36 years of age who were diagnosed and treated in the Province of Saskatchewan, Canada, during 1946-72. Pathology slides were available for review on 171 of these patients, and invasive breast cancer could be confirmed in 136. Nulliparous patients had more favorable age-adjusted survival rates than parous patients for the total patient group and for those patients whose tumor was verified to be invasive cancer on pathologic review. Adjustment for potential confounding factors indicated that differences in survival among parity groups could be explained to a substantial degree by differences in distribution over node status and the nuclear grade of the primary tumor. Because these factors relate to the biologic behavior of breast cancer and because the distributions of these factors were significantly associated with the parity categories utilized in the analysis, the data provide some evidence that parity influences the behavior of breast cancer in young women. PMID- 6571918 TI - Relative difficulties in transforming human and animal cells in vitro. PMID- 6571919 TI - A follow-up study of a ten-percent sample of the Canadian labor force. I. Cancer mortality in males, 1965-73. AB - A system is described for monitoring the mortality experience of an approximately 10% sample of the Canadian Labor Force with the use of computerized record linkage to the Canadian mortality data base. Results are presented for the 4,203 cancer deaths that occurred between 1965 and 1973 in 415,201 males with known occupational histories from 1965 to 1969. A number of previously suggested associations between certain occupations and cancers have been confirmed in these results, and a number of new associations also have been observed. The system provides a powerful tool for both generating and testing hypotheses, and this power will increase as further mortality experience is accumulated by the cohort. PMID- 6571920 TI - Sister chromatid exchange frequency in asbestos workers. AB - In vitro cytogenetic studies of amosite, chrysotile, and crocidolite asbestos have shown that these fibers may induce chromosome abnormalities and an elevated sister chromatid exchange (SCE) rate in mammalian cells. Twenty-five asbestos insulators (6 with radiographic asbestosis) were compared to 14 controls frequency matched for age and were found to have a marginally increased SCE rate in circulating lymphocytes with increasing years of exposure (P= 0.057). There was a significant association between SCE rate and smoking (P=0.002) after controlling for years of asbestos exposure and age. Smoking asbestos insulators had the highest SCE rate. Sister chromatid exchanges in chromosomes of group A, i.e., the group with the longest chromosomes, were significantly associated with asbestos exposure and cigarette smoking, with an interaction between the two. PMID- 6571921 TI - Incidence of childhood cancer: experience of a decade in a population-based registry. AB - Incidence rates of cancer among children aged 0-14 for the period 1970-79 have been generated with the use of data from the Greater Delaware Valley (GDV) Pediatric Tumor Registry. This population-based registry covers a 31-county area and has a pediatric base population of 2 million. During the period, approximately 2,300 cases of childhood cancer were diagnosed in the region. Incidence rates for all histologic types combined are similar to rates from other large surveys conducted in the United States and Western Europe. However, certain histology-specific rates in the GDV vary by race. In the GDV nonwhites relative to whites have higher rates of Wilms' tumor, soft tissue sarcomas other than rhabdomyosarcoma, and retinoblastoma. These contrasts are supported by surveys in African populations showing relatively higher rates of these tumors among African black children. GDV whites exceed nonwhites in incidence of acute leukemia, neuroblastoma, and Ewing's sarcoma. African black children also experience low rates of these tumors. The frequency of central nervous system tumors is similar for GDV whites and nonwhites, despite reports of a rarity of these neoplasms in African blacks. Variations in incidence rates reveal population subgroups with particular tumor susceptibilities and may provide clues as to the relative influence of heredity and environment on patterns observed. PMID- 6571922 TI - D-Glucosamine-induced increase of the glycerol-containing lipids in growing cultures of human malignant epithelial cells. AB - D-Glucosamine was found to inhibit the growth of human malignant epithelial cells SW-839, HT-29, RT-4, and SK-OV-3 in culture in a process that was associated with significant increments in glycerol-containing lipids. Each cell line had a different sensitivity to the drug, but all four cell lines shared the same features in their response, i.e., dose-dependent (at concentrations of 1, 5, and 10 mM), noncytotoxic reductions in growth (minimum 30%, maximum 70%), and simultaneous 1.5-fold to sevenfold increases in lipid contents. Cells regained their normal growth and lipid patterns when glucosamine was removed. Glucosamine did not modify the lipid contents of cells in the late phase of culture when growth was minimal. PMID- 6571923 TI - Breast cancer following iodine-131 therapy for hyperthyroidism. AB - A retrospective cohort study of women treated for hyperthyroidism at the Mayo Clinic between 1946 and 1964 was conducted to determine if 1,005 women treated with iodine-131 (131I) were at increased risk of breast cancer compared with 2,141 women traced, and a response (death certificate or questionnaire) was received for 99% of the traced women. The average duration of follow-up was 15 years for the 131I-treated women and 21 years for women treated surgically. No increased risk of breast cancer was observed in the 131I-treated women (adjusted relative risk = 0.8). No patterns were found of increased breast cancer risk by age at first treatment, by time since treatment, or by total exposure to 131I. Failure to detect an increased risk of breast cancer in the 131I-treated women was attributed to the moderately low doses from 131I therapy and the relatively small number of exposed women. The study also failed to find any increased risk of breast cancer associated with hyperthyroidism. PMID- 6571925 TI - Mortality from brain tumor and other causes in a cohort of petrochemical workers. AB - To evaluate a suspected excess of deaths due to brain tumor (BT) among petrochemical workers, a retrospective cohort mortality study was conducted among 7,595 men ever employed at a plant in Texas City, Texas, between 1941 and 1977. Among hourly employees, overall mortality was lower than expected from U.S. national rates [standardized mortality ratio (SMR) = 79]. However, 19 BT deaths (International Classification of Diseases, seventh revision, codes 193, 223, and 237) among hourly employees were observed as against 9.6 expected (SMR = 198), and with extension of the analysis to include BT deaths occurring in 1978 and 1979, 22 deaths were observed versus 10.7 expected (SMR = 206). Fifteen years or more after being hired, 19 of these workers died from BT versus 7.2 expected (SMR = 263), and the standardized mortality ratios increased with duration of employment to 377 for hourly workers who had worked over 20 years. Although nonoccupational etiologies cannot be dismissed, these data suggest an occupational etiology for certain BT deaths in petrochemical workers. PMID- 6571924 TI - Androgen stimulation of gross cystic disease fluid protein and carcinoembryonic antigen in patients with metastatic breast carcinoma. AB - Plasma levels of carcinoembryonic antigen (CEA) and the 15,000 molecular weight gross cystic disease fluid protein (GCDFP-15) were determined in 30 patients with metastatic breast carcinoma before, during, and after treatment with fluoxymesterone. Within 2 weeks after initiation of treatment, plasma levels of GCDFP-15 increased 50% above basal values in 15 (79%) of 19 patients. Similar increases in plasma CEA levels occurred in only 5 (23%) of 22 patients. Eight (33%) of 24 patients achieved increases in GCDFP-15 of 500% or more above basal levels after 14-336 days of therapy. Within 2 weeks of fluoxymesterone termination, 14 (93%) of 15 patients had a decrease in plasma GCDFP-15 levels, and in 12 (80%) the decrease exceeded 33% (the inverse of a 50% increase). Conversly, only 5 (33%) of 15 patients experienced a decrease in plasma CEA levels within 2 weeks of therapy termination, and in only 1 (6.7%) subject did the decrement exceed 33%. Nine (90%) of 10 patients who had 50% increases in plasma GCDFP-15 during initial androgen therapy also had significant decreases in plasma GCDFP-15 following termination of therapy. Data on 3 prospectively studied patients demonstrated that plasma GCDFP-15 rose within 24 hours of initiation of fluoxymesterone therapy and continued to rise for at least 6 days. Increased plasma levels of GCDFP-15 were reflected in increased urinary excretion of the glycoprotein. PMID- 6571926 TI - Loss of heterozygosity in cultured human tumor cell lines. AB - One hundred and thirty-seven cultured human tumor cell lines derived from Caucasian patients were surveyed for ten of their polymorphic enzyme phenotypes. The gene frequencies in this cell line population were similar to those of normal Caucasian populations, although consistent differences in phenotype frequencies were detected at each of the loci. All 10 loci showed fewer heterozygous phenotypes and a correspondingly greater number of the common and rare homozygous phenotypes than occur in normal Caucasian populations. On the average, only 85% of the loci expressed in fully differentiated diploid cells were expressed in the neoplastic cell lines adapted to in vitro growth. There was no significant difference in the proportion of loci expressed in cells that had been passaged less than 10 times and in cells passaged more than 50 times. Consequently, it appears that there is a loss of expression in genetic marker loci from at least six different chromosomes. This loss occurs either in the in vivo tumor or in the very early stages of the cultivation of neoplastic cells derived from solid human tumors. Once the cells have become adapted to growth in vitro, the patterns of expression in their polymorphic loci remain stable for many passages. PMID- 6571927 TI - Tumorigenicity and other properties of cells from ten continuous human esophageal carcinoma cell lines in nude mice. AB - A total of 239 6-week-old nude mice of BALB/c origin were inoculated sc with human esophageal carcinoma cells of lines Hcu 10, Hcu 18, Hcu 37, and B5 (derived from poorly differentiated tumors), of lines Hcu 39, Hcu 57, and B17 (derived from moderately differentiated tumors), and of lines Hcu 13, Hcu 33, and Hcu 35 (derived from well-differentiated tumors), as well as with esophageal carcinoma lines 13.M1, 13.M5, 13.M7, 13M9, and 13.M1.M11 passaged through the mouse. Tumor take rates varied from 5 to 90% with an overall take rate of 21.9% (56 tumors). Latent periods ranged from 4 weeks to 9 months, and cells of each line gave rise to tumors of varying histologic differentiation. Cells of the poorly differentiated and well-differentiated lines gave rise to 23 infiltrating tumors, with metastasis being observed in a single mouse. All other tumors (33) were encapsulated and mobile. Thirty mice were observed for 6 months following removal of the primary tumor, and a single instance of recurrent carcinoma was noted. Cells from the nude mouse tumor xenografts adapted well to in vitro conditions and developed into continuous lines. The investigations confirmed the tumorigenic potential of 10 human esophageal carcinoma cell lines and provided information about properties of esophageal carcinoma cells in vivo and in vitro. PMID- 6571928 TI - A stem cell model of human tumor growth: implications for tumor cell clonogenic assays. AB - A simple stem cell model of human tumor growth is presented. Three tumor cell populations are predicted: stem, transitional, and end cells. The properties of these cells are discussed in terms of their behavior in currently available technologies for investigation of cell kinetics and for their influence on clinical outcome. Stem cell renewal, transitional cell proliferation, and cell loss are analyzed mathematically to define their influence on the relative proportions of cell populations; it is demonstrated that stem cell renewal has a central role in determining the growth properties of tumors. The impact of a stem cell model on the use of tumor clonogenic assays as predictors of clinical outcome is discussed; opinions are expressed as to the definition of reasonable expectations for current experimental procedures. PMID- 6571929 TI - Routine growth and differentiation of primary retinoblastoma cells in culture. AB - The lack of systems permitting the routine growth of primary retinoblastomas has been a hindrance in the study of basic properties of these neoplastic cells. Therefore, a new culture system has been developed in which all retinoblastomas, regardless of their origin (primary eye tumor and/or its metastasis, subcutaneous and/or intraocular xenograft from the nude mouse), showed consistent growth. Each tumor could be grown for an unlimited number of culture passages with the use of rat smooth muscle cell multilayers as a biologic substrate and human serum as a culture medium supplement. Several of the tumor lines were continuously grown for longer than 1 year. Labeling with [3H]thymidine for 16 hours demonstrated that between 15 and 40% of the retinoblastoma cells were labeled, depending on the individual neoplasm. Retinoblastomas were organized into clumps of cells that adhered to the smooth muscle cells. The tumor cells maintained a round morphology, and cell spreading was observed in only a few cases. Cultured retinoblastomas consistently showed spontaneous formation of well-differentiated Flexner-Wintersteiner rosettes if these structures were present in the primary eye tumor of the patient. Thus the culture system consistently permitted the growth of retinoblastomas and their photoreceptor cell differentiation. PMID- 6571930 TI - Alterations of glycolipids of human leukemia cell line HL-60 during differentiation. AB - Alterations of glycolipids of human leukemia cell line HL-60 during differentiation were investigated. The neutral glycolipids of HL-60 cells are of the lacto-types such as lactosylceramide (LacCer) and lactoneotetraglycosylceramide (nLcOse4Cer). The gangliosides of HL-60 cells consisted of a mixture of the lacto-types and the ganglio-types. Chemical inducers of differentiation, 12-O-tetradecanoylphorbol 13-acetate (TPA) and dimethyl sulfoxide, altered the glycolipid profile; II3-alpha-acetylneuraminyl lactosylceramide (GM3) increased in amount and LacCer and nLcOse4Cer decreased. Tunicamycin had no effect on the glycolipid synthesis. The GM3 accumulated more than tenfold in the TPA-induced macrophage-like cells. This accumulation could be due to the increased activity of LacCer sialytransferase. PMID- 6571931 TI - Occupation and cancer of the lower urinary tract in Detroit. AB - The relationship between occupation and cancer of the lower urinary tract in Detroit was examined by means of a population-based case-control study conducted as part of the National Bladder Cancer Study. Three hundred three white male patients with transitional or squamous cell carcinoma of the lower urinary tract and 296 white male controls selected from the general population of the study area were interviewed to obtain lifetime occupational histories. Our findings suggested that truck drivers have a significant increased risk of lower urinary tract cancer [relative risk = 2.1; 95% confidence interval (Cl) = 1.4-4.4]. A significant trend in risk was apparent with increasing duration of employment as a truck driver (P = 0.004); the relative risk estimated for truck drivers employed at least 10 years was 5.5 (Cl = 1.8-17.3). Truck drivers with a history of operating vehicles with diesel engines experienced a significant elevated risk compared to non-truck drivers (relative risk = 11.9; Cl = 2.3-61.1), but whether the increased risk observed among truck drivers was attributable to diesel exposure could not be evaluated. Nonsignificant excess risks were also seen for tool and die makers as well as for workers in several other industries and occupations. Employment in the motor vehicle manufacturing industry was associated with no significant excess risk of lower urinary tract cancer (relative risk = 1.1; Cl = 0.8-1.5). PMID- 6571932 TI - Urine estrogens, frequency of ovulation, and breast cancer risk: case-control study in premenopausal women. AB - Urine specimens from 94 premenopausal women with breast cancer and from 70 control women have been compared with respect to concentration of the three major estrogen fractions and to frequency of ovulation as assessed by urine pregnanediol. The probability of anovulation (0.14 in the breast cancer patients and 0.09 among the controls) was not significantly higher among the women with breast cancer (P approximately 0.30). However, there was a positive association between urine estrogen concentration and breast cancer risk. The association was statistically significant (P less than 0.05) for each of the three estrogens measured and in both the follicular and the luteal phases of the menstrual cycle; the relative risk increased from 1 in the referent category (less than 5 micrograms estrogen/g creatinine) to about 3 in the highest category (greater than or equal to 15 micrograms estrogen/g creatinine). The association between urine estrogens and breast cancer risk was consistently stronger when the comparison was restricted to specimens collected in menstrual cycles during which ovulation occurred. PMID- 6571933 TI - Oral cancer and mouthwash. AB - As part of a case-control study in North Carolina involving 206 women with oral and pharyngeal cancers and 352 controls, questions were asked concerning the patterns of mouthwash use. No significant overall increase in risk was found among users; the relative risk, adjusted for snuff dipping and smoking habits, was 1.15 [lower, upper limits of the 95% confidence interval (95% Cl) = 0.8, 1.7]. The relative risk associated with mouthwash use was increased to 1.94 (95% Cl = 0.8, 4.7), however, among women abstaining from tobacco. Although consistent dose-response relationships were not observed for this subgroup, these findings and other reports of an increased risk among persons ordinarily at low risk of this disease raise the possibility that mouthwash may contribute to oral and pharyngeal cancers. PMID- 6571934 TI - Oral cancer and mouthwash use. AB - The role of mouthwash and other factors was examined in relation to oral cavity cancer by means of a retrospective study. Daily use of mouthwash showed an excess risk in females but no excess risk in males. No dose response was seen in females with increased duration of use. In nonsmoking, nondrinking women as well, daily mouthwash use was associated with excess risk. Multiple logistic regression including all factors of interest showed inconsistent results for duration and frequency of mouthwash use. Due to the absence of a dose-response relationship and the possibility of confounding by tobacco and alcohol use, it was not possible to attribute causal significance to the association between daily mouthwash use and oral cancer in women. PMID- 6571935 TI - Transplantation immunity and cross-protection of two cultured murine colon lines. AB - Previous comparative investigations of the in vivo biology of two cultured colon tumors of BALB/c origin, C-C26 and C-C36, demonstrated different biologic activities. For elucidation of these differences, this report investigated the immunogenicity of these lines in providing protection to a subsequent challenge with different doses of tumor cells. Furthermore, the specificity of this protection was evaluated with cross-protection experiments. Our findings demonstrated these lines to be immunogenic and suggested the presence of cross reactive tumor rejection-type antigens on these 2 cultured colon tumor lines. BALB/c mice immunized with these tumors developed resistance to challenge with the same tumor as well as to challenge with the other colon tumor lines. Further definition of these putative antigens could provide us with a better understanding for the diagnosis and treatment of colon tumors. PMID- 6571936 TI - Antiviral effects of amino acid derivatives with the fluorene substituent on murine leukemia viruses. AB - Two new amino acid derivatives with the fluorene substituent, when administered ip to female inbred ICR-CD1 mice inoculated with Friend murine leukemia virus, significantly inhibited virus-induced splenomegaly, reduced viable virus titers in spleen and plasma, and significantly prolonged survival time. These compounds also inhibited multiplication of the strains of the Friend and Moloney murine leukemia viruses in a cell culture system. The action of these compounds on murine leukemia virus was presumely different from that of tilorone. PMID- 6571937 TI - Differential susceptibility of AKR, C57BL/6J, and CF1 mice to 1,2 dimethylhydrazine-induced colonic tumor formation predicted by proliferative characteristics of colonic epithelial cells. AB - The proliferative characteristics of the colonic mucosae of various mouse strains were examined to determine their value in forecasting the differential susceptibility of each to 1,2-dimethylhydrazine (DMH)-induced tumor formation. The control labeling index (LI) was highest (9.9 +/- 2.6) and the proliferative compartment (PC) widest in the DMH-sensitive CF1 strain, whereas the LI was lowest (7.3 +/- 1.3) (P greater than 0.01) and the PC shortest in the AKR resistant strain. The size of the PC and the LI for moderately resistant C57BL/6J mice lay between these values (8.5 +/- 1.1). Pooled data from 1 week after the fifth and sixth injections and 12 weeks after the first injection of six showed elevated LI in the distal colons of all DMH-treated mice. Distribution analyses of [3H]thymidine-labeled cells indicated extension of the PC (Stage II abnormality) in all strains with a shift of DNA-synthesizing cells from the major zone or lower third to the middle and upper thirds of the crypt (Stage II abnormality) occurring primarily in the CF1 strain. Cytotoxicity measurements at 6 hours and compensatory DNA synthesis at 3 and 4 days after DMH injection (20 mg/kg body wt) revealed similar relative response levels in CF1 and AKR mice, which suggested induction initially of like numbers of mutations. Indigenous conditions shown to influence the expression of colonic neoplasia are the level of DNA synthesis and the dimensions of the PC within the mucosa. PMID- 6571939 TI - Pool size of pluripotential hematopoietic stem cells increased in continuous bone marrow culture by Friend spleen focus-forming virus. AB - Continuous mouse bone marrow cultures were infected with Friend murine leukemia virus. Production of nonadherent (NA) and adherent cells, granulocyte-macrophage colony-forming unit(s) of progenitor cells (GM-CFUc), pluripotential hematopoietic stem cells (CFUs), the self-renewal potential (Rs) of CFUs, and generation of factor-dependent (FD) multipotential and committed permanent stem cell cloned lines were measured. Uninfected marrow cultures from C57BL/6J, C57BL/6JUt, B6.S, C3H/HeJ, (C57BL/6J x DBA/2J)F1, CD- 1 Swiss, or N:NIH(S) mice generated NA cells, GM-CFUc, and CFUs for 20-41 weeks; cultures infected with Rauscher or other helper viruses generated them for 35-45 weeks. GM-CFUc and CFUs production in SFFV-positive cultures persisted for over 65 weeks and exceeded control levels by twentyfold to fiftyfold. The Rs of CFUs in SFFV-positive cultures was not detectably increased above control cultures. Multipotential (erythroid-neutrophil-mast cell-basophil-eosinophil) permanent FD cell clones were derived from control and SFFV-positive cultures. Thus SFFV amplifies the stem cell pool in vitro without detectably increasing the Rs capacity of CFUs. PMID- 6571938 TI - Alloreactivity and tumor antigens: generation of syngeneic antilymphoma killer lymphocytes by alloimmunization of mice with normal cells. AB - The possibility of obtaining a syngeneic antitumor effect by immunization with normal allogeneic cells was investigated by tests of the lytic activity of peritoneal exudate cells (PEC) of BALB/c mice immunized with lymphoid cells of either a single strain or a pool of six different allogeneic strains on the syngeneic Moloney virus-induced lymphoma YC8 target and on one of its clones designated YC8-D1. Significant cytotoxicity on both targets but not on two other BALB/c lymphomas was obtained with PEC of BALB/c mice singly immunized to the non H-2-incompatible but H-2-compatible DBA/2 or B10.D2 lymphoid cells. The lack of lysis of YC8 cells by PEC of BALB/c mice immune to B10.A (H-2k,d) suggests that the in vitro killing was restricted by Kd-IEd region products of the major histocompatibility complex. Pool immunization was effective in generating antitumor cytotoxic lymphocytes only when DBA/2 lymphoid cells were included in the pool. The pattern of reactivity of effectors elicited in (BALB/c x DBA/2)F1 and in (BALB/c x B10.D2)F1 mice by immunization with DBA/2 and B10.D2 cells showed that at least two sets of antigens are recognized on YC8 targets, one shared by DBA/2 and B10.D2 tissues and the other expressed by DBA/2 cells only. Cold target blocking experiments indicated that the same effectors recognized non H-2 antigens of DBA/2 and the cross-reacting YC8 determinants. The antitumor effect was mediated by T-cells, since it was abrogated by treatment of effectors with anti-Thy 1.2 serum plus complement. These data indicate that determinants defined by cytotoxic T-lymphocytes are expressed on the BALB/c lymphoma YC8 and cross-react with non-H-2 antigens of DBA/2 and B10.D2 strains. PMID- 6571940 TI - Possible site of zinc control of hepatoma cell division in Wistar rats. AB - The effect of zinc on the growth of a transplantable DAB hepatoma in young male Wistar rats was determined. Both a zinc deficiency (less than 0.5 microgram/g feed) as well as high levels of dietary zinc (500 micrograms/g feed) significantly reduced tumor growth. Both high- and low-zinc diets resulted in reduced activity of the salvage pathway of thymidine synthesis as well as reduced 32PO4 incorporation into DNA and diminished DNA polymerase activity. Blockage of the de novo pathway of DNA synthesis by the folate antagonist methotrexate (MTX) resulted in greatly increased flux through the thymidine salvage pathway and increased DNA polymerase activity but decreased 32PO4 incorporation in the transplantable hepatomas in Wistar rats fed normal zinc diets (50 micrograms/g feed). MTX had the effect of reducing all these activities in the groups fed low- and high-zinc diets. These data suggested a site of action of zinc associated with the salvage pathway of thymidine synthesis. PMID- 6571941 TI - Carcinogenicity of butylated hydroxyanisole in F344 rats. AB - Butylated hydroxyanisole (BHA) was added at levels of 0.5 and 2.0% to the diet of inbred F344 rats for 2 years. The higher dose of BHA induced a significant increase in the incidence of papilloma and squamous cell carcinoma in both sexes. Both the higher and lower doses increased the incidences of hyperplasia of the forestomach, considered to be associated with neoplasias. The incidences of these neoplastic changes were dose-dependent. Neoplastic changes in other organs were not increased significantly by BHA. These results show that BHA is carcinogenic in the forestomach of F344 rats. PMID- 6571942 TI - Prevention of N-nitrosobis(2-oxopropyl)amine-induced nasal cavity tumors in rats by orchiectomy. AB - Bilateral orchiectomy, performed 1 week before initiation of weekly sc injections of N-nitrosobis(2-oxopropyl)amine (BOP), prevented induction of hyperplastic and neoplastic lesions in the nasal and paranasal cavities of outbred Wistar-derived MRC rats. However, in BOP-treated rats without surgery or with bilateral vesiculectomy, the incidences of these lesions were 100 and 90%, respectively. Literature review indicates that nasal and paranasal lesions occur predominantly in male domestic animals as well as in human males and suggests a possible hormone dependency of these lesions. PMID- 6571943 TI - Carcinogenicity of cadmium chloride aerosols in W rats. AB - Lung cancers were induced in inbred W rats by cadmium chloride aerosols. For 18 months, 120 male W rats were continuously exposed to cadmium chloride aerosols with cadmium (Cd) concentrations of 12.5, 25, and 50 micrograms/m3, respectively. For the same period of time, 41 rats were kept in filtered air; these rats served as the control group. The survivors were killed 13 months after the end of the inhalation experiments. Histopathologic examination revealed a dose-dependent incidence of primary lung carcinomas of the following types: adenocarcinomas, epidermoid (squamous cell) carcinomas, combined epidermoid carcinomas and adenocarcinomas, and mucoepidermoid carcinomas. The incidence of lung carcinomas was 71.4% in the group exposed to 50 micrograms Cd/m3, 52.6% in the group exposed to 25 micrograms Cd/m3, and 15.4% in the group exposed to 12.5 micrograms Cd/m3. None of the controls developed lung carcinomas. At the end of the experiment, the remaining Cd concentrations in the lungs were relatively high, almost at the same level as those in the livers. PMID- 6571944 TI - In vivo formation of N-nitrosomorpholine in CD-1 mice exposed by inhalation to nitrogen dioxide and by gavage to morpholine. AB - Male CD-1 mice were exposed to approximately 20 ppm nitrogen dioxide (NO2) for 5 6 hours, to 1 g morpholine/kg body weight by gavage, or to both. Treatments were repeated daily for 5 consecutive days. N-nitrosomorpholine (NMOR) was found in whole carcasses (16-146 ng NMOR/mouse) in all animals that had been exposed to both NO2 and to morpholine, but NMOR was not found in tissues from animals that had been exposed to either chemical alone. Approximately one-third of the NMOR was found in the gastrointestinal tract, mainly in the stomach. The coadministration of 2 g sodium ascorbate/kg body weight or 1 g alpha-tocopheryl acetate/kg body weight had no effect on the amount of NMOR that was found in any tissue. Another possible product of the interaction of NO2 and morpholine, N nitromorpholine, was not detected in any tissue. We concluded that the repeated, concurrent exposures of mice to NO2 by inhalation and to morpholine by gavage resulted in the in vivo formation of significant quantities of NMOR. The biological significance of the observation remains unknown. PMID- 6571945 TI - Neoplasia and chronic disease associated with the prolonged administration of dehydroheliotridine to rats. AB - When dehydroheliotridine (DHH), a pyrrolizidine alkaloid metabolite with bifunctional alkylating and antimitotic activities, was administered to a hooded strain of rats by ip injection, the incidence of tumors, excluding interstitial cell tumors, was significantly greater than that in saline-injected controls. The number of tumors was not further increased when thioacetamide (TA) was co administered for its mitosis-stimulating effect. The life-span of the rats was significantly shortened by DHH and more so by combined DHH and TA treatment, but not by TA alone. The results indicate that DHH is responsible for some, possibly most, of the carcinogenicity of the parent pyrrolizidine alkaloids and also stimulates the earlier and more rapid development of renal and vascular diseases normally associated with aging in rats. PMID- 6571947 TI - Renal anomalies in childhood acute lymphoblastic leukemia. PMID- 6571946 TI - Comparison of intermediate-dose methotrexate with cranial irradiation for the post-induction treatment of acute lymphocytic leukemia in children. AB - We compared two regimens with respect to their ability to prolong disease-free survival in 506 children and adolescents with acute lymphocytic leukemia. All responders to induction therapy were randomized to treatment with 2400 rad of cranial irradiation plus intrathecal methotrexate or to treatment with intermediate-dose methotrexate plus intrathecal methotrexate, as prophylaxis for involvement of the central nervous system and other "sanctuary" areas. Patients were then treated with a standard maintenance regimen. Complete responders were stratified into either standard-risk or increased-risk groups on the basis of age and white-cell count at presentation. Among patients with standard risk, hematologic relapses occurred in 9 of 117 given methotrexate and 24 of 120 given irradiation (P less than 0.01). The rate of central-nervous-system relapse was higher in the methotrexate group (23 of 117) than in the irradiation group (8 of 120) (P = 0.01). Among patients with increased risk, radiation offered greater protection to the central nervous system than methotrexate (P = 0.03); there was no difference in the rate of hematologic relapse. In both risk strata the frequency of testicular relapse was significantly lower in the methotrexate group (1 patient) than the radiation group (10 patients) (P = 0.01). Methotrexate offered better protection against systemic relapse in standard-risk patients and better protection against testicular relapse overall, but it offered less protection against relapses in the central nervous system than cranial irradiation. PMID- 6571948 TI - Combustible gases: the importance of proper fuel selection. PMID- 6571949 TI - A VEBA in your future. PMID- 6571950 TI - No smoking: a profitable policy. PMID- 6571951 TI - More on hepatitis. PMID- 6571952 TI - Promises and pitfalls for new year. PMID- 6571953 TI - New functions for oxytocin? PMID- 6571954 TI - Vascular insufficiency in McArdle's disease. PMID- 6571955 TI - Serial serum immunoglobulin levels in acute postinfectious glomerulonephritis. AB - In 102 children with acute postinfectious glomerulonephritis, serum immunoglobulin levels at six month follow-up were significantly lower than those on admission to hospital. For those with a normal C 3 level on admission, the admission level of IgG was lower than for the group as a whole, while serum IgA and IgM levels on admission were no different from the group as a whole. Absolute levels of serum immunoglobulin in acute glomerulonephritis will not differentiate one kind of renal lesion from another. PMID- 6571956 TI - Amenorrhoea. PMID- 6571958 TI - Medical Practitioners Disciplinary Committee review of complaints. PMID- 6571957 TI - Costing of treatment strategies in the case of childhood respiratory illness. PMID- 6571959 TI - The mini-Wright peak flow meter. PMID- 6571960 TI - Psychiatric diversion at a general hospital. PMID- 6571961 TI - Nuclear magnetic resonance scanners. PMID- 6571962 TI - Epidemiology of orf. PMID- 6571963 TI - Might serum calcium, sodium, and potassium concentrations and blood pH affect the frequency and severity of hypoglycemia in newborn infants of diabetic mothers? PMID- 6571964 TI - Orf virus infection of workers in the meat industry. AB - Two hundred and thirty-one cases of orf were reported in one year from 18 meat works slaughtering lambs and sheep. This represented 1.4 percent of the total employees at these works and 4 percent of those working on the mutton slaughter board. One hundred and nineteen of these reports were accompanied by samples of the lesion and 85 percent of lesions contained orf virus particles as determined by electron microscopy. The tasks that led to the greatest risk of contracting orf were related to handling pelts and/or wool. Ninety-five percent of lesions were on the hands. The risk of a worker contracting orf did not decrease with the number of years employed at the meat works and 18 cases of re-infection were reported. Control of the disease in man in the meat industry will be difficult in the short term. In the long term control of the disease in man will rely on control of the disease in sheep. Alternative vaccines for sheep will need to be found. PMID- 6571965 TI - Hyperbetalipoproteinaemia and hyperalphalipoproteinaemia in a single family. AB - Twelve members of a kindred were studied of whom six showed elevated low-density lipoprotein (LDL) cholesterol levels. Within the blood related group nine showed elevated high density lipoprotein (HDL) cholesterol levels and correspondingly elevated HDL lipoprotein apoprotein levels. The members with elevated LDL also therefore had elevated HDL. There was no family history of premature vascular disease in the kindred and the 74 year old member was clinically free of ischaemic vascular disease. It is considered that the coincidence of a familial tendency to high blood LDL and HDL was not associated with appearance of premature arterial disease in this kindred. PMID- 6571966 TI - Gastroenteritis in children. PMID- 6571967 TI - Pedestrian traffic in a paediatric ward. AB - On three separate occasions, between May 1980 and May 1982, observations were made of the number of people entering a six cot room in a paediatric ward between 6 am and 6 pm. The number of different people interacting with one unaccompanied child was also counted and in the 1982 study, the child's responses were described in detail. Results showed that more than 300 entrances by 100 different people occurred each day. It is suggested that such social demands on an unaccompanied child in the psychologically vulnerable age group may add to the stress of a hospital stay. PMID- 6571968 TI - The safety standards of domestic swimming pools 1980-1982. AB - The accessibility and safety standards of domestic swimming pools were studied for a sample of 1118 five-year-old children. Comparison with data collected in 1980 indicated two major trends. First, there has been an increase in the number of children in this birth cohort who had a swimming pool on their property or on a neighbouring property: in 1980 31 percent of children were living on a property with a swimming pool or had neighbours with a swimming pool; in 1982 this figure had risen to 41 percent. Coupled with this increasing number of swimming pools there was a marked decline in pool safety standards. In 1980 one in five pools lacked any safety features whereas in 1982 nearly half of the pools surveyed lacked these features. This situation of an increasing number of domestic pools associated with declining safety standards may be a factor in the increasing number of child drownings in domestic swimming pools in New Zealand. The mothers were also questioned about their attitudes to fencing legislation or by-laws requiring adequate pool fencing and gates. This showed strong support with 86 percent of mothers being in favour of such regulations and only 9 percent declaring disagreement with such a move. PMID- 6571969 TI - Document! Document! Document! PMID- 6571970 TI - Fine tuning change: planning for dental manpower needs. PMID- 6571971 TI - Dental hygiene: profile of a profession. Part IV: current issues and future trends. PMID- 6571972 TI - Hypertonic saline as an abortifacient in a select group of patients. AB - The clinical course of 40 patients with a uterine scar who were undergoing second trimester abortion induced with either hypertonic saline or prostaglandin F2 alpha, was reviewed. In the 38 patients with a previous cesarean scar, and in the 2 patients with a hysterotomy scar, the uterine contents were evacuated with no evidence of uterine rupture. A review of the literature dealing with uterine rupture subsequent to induced midtrimester abortion revealed that the typical multiparous uterus was more prone to rupture if oxytocin was used in conjunction with or a few hours after instillation of the abortifacient, or if oxytocin was used continuously for more than 12 hours. Although rupture after use of prostaglandin in a previously scarred uterus has been reported, there is no case reported of rupture after use of hypertonic saline. This review and the authors' experience lead them to conclude that hypertonic saline is a safe abortifacient during the second trimester, especially between 18 and 22 weeks' gestation, in a previously scarred uterus when careful monitoring is employed and oxytocic agents are used judiciously. PMID- 6571973 TI - Cytosol and nuclear estrogen and progestin receptors and 17 beta-hydroxysteroid dehydrogenase activity in normal and carcinomatous endometrium. AB - Endometrial estrogen and progestin receptors were quantitatively measured in the cytosol (ERc, PRc) and nuclear (ERn, PRn) fractions, the activity of 17 beta hydroxysteroid dehydrogenase measured in 13 normal women in the late proliferative phase of the cycle (control group), in 33 patients with adenocarcinoma, and in 6 patients with other malignancies of the endometrium. The parameters measured had relatively small variations in the control group, whereas the opposite was true for the malignant endometrium. ERc and PRc were present in significantly higher concentrations in normal endometrial tissue (167 and 1697 fmol/mg cytosol protein, respectively) than in malignant endometrial tissue (45 and 116 fmol/mg cytosol protein, respectively), and the ratios of ERc/ERn and PRc/PRn were higher (P much less than .001 in both cases) in the normal group. The activities of 17 beta-hydroxysteroid dehydrogenase were identical in normal and adenocarcinoma tissue and correlated with PRc in carcinomatous endometrium. The present results support previous findings that the great majority of endometrial adenocarcinoma specimens have significant concentrations of ERc and PRc and that these concentrations are lower than in normal endometrium. In addition, they demonstrate that nuclear location of the female sex steroid receptors is favored in the malignant tissue. Despite these differences, the 17 beta-hydroxysteroid dehydrogenase activities were identical in proliferative endometrium and in endometrial adenocarcinoma. PMID- 6571974 TI - Effects of naproxen sodium on menstrual prostaglandins and primary dysmenorrhea. AB - Prostaglandins E2 and F2 alpha in the menstrual fluid from 12 patients with primary dysmenorrhea were measured by radioimmunoassay (RIA). Each patient was studied for 3 cycles, using vaginal tampons issued for this study. All tampons were collected individually for prostaglandin extraction and RIA. Severity of dysmenorrhea and clinical response to treatment were evaluated by a scoring method and by the patients' self-assessment. Each patient in this double-blind cross-over study had a control cycle and 2 treatment cycles with naproxen sodium tablets (275 mg) or placebo in random order. The treatment regimen was 2 tablets at the first sign of menses followed by one tablet 4 times daily for 3 days. Nine patients obtained good to excellent relief from naproxen sodium, but no relief from the placebo. Two patients had moderate to good response to both naproxen and placebo, and one patient showed no response. Naproxen therapy but not placebo therapy sharply reduced menstrual prostaglandin F2 alpha and prostaglandin E2 release. There was a positive correlation between menstrual prostaglandin levels and the severity of dysmenorrhea. Symptomatically, naproxen sodium was most effective in alleviating severe menstrual cramps but had little effect on mild cramps. It was also effective in ameliorating many but not all of the subjective symptoms such as dizziness, nausea, and vomiting. Relief of dysmenorrhea was apparent within one hour after the initial dose, attained maximum level in 2 hours, and was maintained throughout therapy. PMID- 6571975 TI - Defining personnel policies in an office manual. PMID- 6571976 TI - Help wanted: selecting new staff members. PMID- 6571977 TI - Preparing legal employment applications: state and federal laws govern content. PMID- 6571978 TI - Preventing staff turnover: train employees to be long-term members of the dental team. PMID- 6571979 TI - The emperor's clothes: a program to help the impaired professional. PMID- 6571980 TI - Dentists concerned for dentists program gets under way. PMID- 6571981 TI - The natural history of pulp and dentin. PMID- 6571982 TI - Reconciliation of dental practitioners and dental educators. PMID- 6571983 TI - Modified combination chemotherapy of leukemia. An attempt to overcome drug resistance. AB - Vincristine and prednisolone are important drugs for induction therapy in acute lymphoblastic leukemia. In our experience quite a number of patients relapse during maintenance therapy after induction. At this stage some of the patients are resistant to vincristine and prednisolone. In the present study we attempted to explore whether vincristine could be used together with cytosine arabinoside. Vincristine being a phase-specific agent is known to synchronize the leukemic cells in vitro and a drug like cytosine arabinoside added after vincristine at the appropriate time is expected to have added cell kill. In vitro studies with leukemic cells confirmed the expected increase in cell kill with the addition of cytosine arabinoside 6 h after vincristine treatment. Simultaneously, the same approach was explored in the clinic. Acute lymphoblastic leukemia patients who were resistant to vincristine and prednisolone for reinduction, remitted with this strategy, i.e. with the addition of cytosine arabinoside 6 h after the vincristine treatment. PMID- 6571984 TI - Kinetic behavior of 'pathological' myeloblasts and 'normal' erythroblasts in acute granulocytic leukemia. Analysis of in vitro studies in 20 patients. AB - Kinetic studies of leukemic blast cells (LBC) and erythroblasts were carried out in 20 cases of acute myeloblastic leukemia (AML), and the results were compared with those observed in dividing granulocytic precursors (DGP) and erythroblasts in a control group of 16 normal subjects. The parameters studied were: mitotic index (MI), labelling index (LI-3HTDR), MI/LI ratio and mitotic time (MT). The results showed that (1) LBC of AML do not proliferate more quickly than normal DGP, on the contrary, they replicate more slowly; (2) LBC obey some 'ecological laws' of normal hemopoiesis as a response to the control of the proliferative activity and release through the 'marrow-blood barrier'; (3) the difference between hyperleukocytemic and subleukemic AML is not related to the multiplicative activity of marrow LBC, but rather to other unknown biological factors; and (4) the kinetic behavior of erythroblastic population in AML is consistent, at least in some cases, with its 'leukemic origin'. PMID- 6571985 TI - Internal triplication in the structure of human ceruloplasmin. AB - Amino acid sequence analysis of the 67,000-dalton (67-kDal) fragment that is the amino-terminal half of human ceruloplasmin has revealed internal triplication in the primary structure of the entire molecule. This is illustrated by comparison of 620 residues representing homologous domains of the 67-kDal fragment and of the 50-kDal and 19-kDal fragments that together comprise the carboxyl-terminal half of the molecule. The polypeptide chain is divided into three covalently linked homologous segments, each of about 340 residues. All three homology units have about 30% identity in sequence, and each pair exhibits at least 40% identity. The statistical significance of the 3-fold internal duplication was established by computerized analysis of the sequence. These results and studies of the sites of limited proteolytic cleavage support a model for the ceruloplasmin molecule consisting of an alternating structure of six domains of two different kinds (or possibly nine domains of three kinds). The 3-fold internal homology suggests that the ceruloplasmin molecule evolved by tandem triplication of ancestral genes. PMID- 6571986 TI - Cloning of the Vibrio harveyi luciferase genes: use of a synthetic oligonucleotide probe. AB - A mixed-sequence synthetic oligonucleotide probe was used to isolate a clone containing the gene encoding the alpha subunit of bacterial luciferase from Vibrio harveyi and part of the gene coding for the beta subunit. DNA sequence analysis has allowed us to determine that the genes are closely linked on the bacterial chromosome and transcribed in the same direction. Comparison of the sequences in the regions preceding the two structural genes has revealed considerable homology and has identified sites that may be involved in the expression of the genes. Identification of a clone from a clone bank of total genomic DNA from this organism shows that mixed probes can be successfully used to isolate a gene of interest from any bacterium provided some protein sequence for the gene product is available. PMID- 6571987 TI - Latent insulin receptors and possible receptor precursors in 3T3-L1 adipocytes. AB - Cell surface and cryptic insulin receptors were solubilized from the particulate fraction of murine 3T3-L1 adipocytes with buffer containing 1% Triton X-100. Solubilized receptors were affinity crosslinked with 125I-labeled insulin and disuccinimidyl suberate and characterized by sodium dodecyl sulfate/polyacrylamide gel electrophoresis and autoradiography after specific immunoprecipitation. Two insulin-binding polypeptides were identified: the more abundant protein had a Mr of 130,000, corresponding to the size of the hormone binding subunit of insulin receptors on the surface of target cells; the second polypeptide exhibited a Mr of 200,000 and appears to be a component of the latent pool because it was unaffected when 3T3-L1 adipocytes were exposed to trypsin under conditions that result in a 95% reduction in cell surface insulin-binding activity and the loss of the Mr 130,000 polypeptide in crosslinking experiments. Unexpectedly, the population of Mr 200,000 molecules in intact cells was accessible for limited cleavage by chymotrypsin, yielding a Mr 195,000 insulin binding polypeptide. When 3T3-L1 adipocytes received a 15-min pulse of [35S]methionine, the predominant immunoprecipitated polypeptide had a Mr of 180,000. During a 1.5-hr chase, radioactivity in the Mr 180,000 species rapidly declined while the latent Mr 200,000 polypeptide became intensely labeled. After a 5-hr chase period, broad protein bands with Mrs of 130,000 and 90,000 were visualized as the major immunoprecipitated radioactive polypeptides. Thus, the Mr 180,000 species may be a very early biosynthetic precursor that may be subsequently processed to a Mr 200,000 form and one or both of the smaller receptor subunits at the cell surface. PMID- 6571988 TI - Organization of Achlya mtDNA: a population with two orientations and a large inverted repeat containing the rRNA genes. AB - We have investigated mtDNA organization in the oomycetous water mold; Achlya, and report here that this primitive organism contains a circular mitochondrial genome of 49.8 kilobase pairs. Extensive restriction endonuclease analysis indicates that a significant portion of the genome is present as an inverted repeat. Of 52 restriction sites for 14 enzymes thus far mapped, 28 sites cluster in two 9.6 kilobase-pair regions; within these regions, the sequence of sites is inverted but the spacing between analogous sites is identical. The repeat arms have a maximum length of 12.1 kilobase pairs and are separated by 4.6-8.4 and 21.0-22.3 kilobase pairs of unique sequences. Transfer hybridization experiments show that genes for both the large and the small rRNAs are contained within each repeat. Restriction endonuclease analysis shows that the unique regions between the inverted repeats are present in both possible orientations with respect to each other and in approximately equal proportions. These orientational, or "flip flop," isomers of the unique regions are postulated to occur by intramolecular homologous recombination between the repeated regions. PMID- 6571989 TI - Metal and sulfur composition of iron-molybdenum cofactor of nitrogenase. AB - The sulfur content of N-methylformamide solutions of cofactor from Clostridium pasteurianum nitrogenase has been determined to be 11.9 (+/- 0.9) mol per mol of molybdenum. This number was determined radiochemically, using iron-molybdenum cofactor isolated from molybdenum-iron protein from bacteria grown on 35SO4. A total of 3.2 (+/- 0.2) mol of sulfur per mol of molybdenum was found to be present in cysteine and methionine, probably arising from contaminating proteins not intrinsic to the cofactor. Combined with accumulated evidence that is discussed, these results lead to an updated stoichiometry of MoFe6S8 or 9, not MoFe6S4 as previously thought, for this cluster. PMID- 6571990 TI - Oligomeric structure of muscarinic receptors is shown by photoaffinity labeling: subunit assembly may explain high- and low-affinity agonist states. AB - The potent muscarinic photoaffinity reagent N-methyl-4-piperidyl p-azidobenzilate (azido-4NMPB) was used to covalently label specific muscarinic binding sites in various brain regions and in the heart. In the cortex and hippocampus, a single specifically labeled protein with an apparent molecular mass of 86,000 daltons was detected by gel electrophoresis. In the medulla pons, cerebellum, and cardiac atria, there was a 160,000-dalton band in addition to the 86,000-dalton polypeptide. Under certain conditions, alkali or hydroxylamine treatment dissociated both macromolecules into a single 40,000-dalton polypeptide. These results suggest that the muscarinic receptor exists in oligomeric forms and that a dimer and tetramer of a basic 40,000-dalton peptide may exist as interconvertible species. We propose a model to explain the biological architecture of the muscarinic receptors and suggest a possible correlation between the azido-4NMPB-labeled polypeptides and the two states of the receptor observed in agonist binding experiments. PMID- 6571991 TI - DNA sequence preference of the progesterone receptor. AB - Highly purified hen oviduct progesterone receptor A subunit was tested for binding to several chicken gene DNAs. Sequence preference detected by nitrocellulose filter adsorption of [32P]DNA fragments obtained from recombinant plasmids revealed a marked retention of certain DNA fragments. About a 10-fold preference was seen for DNA fragments flanking the 5' end of the steroid regulated genes ovalbumin and gene Y. No preference was seen with analogous DNA fragments from chicken beta-globin and alpha-actin genes. Restriction endonuclease mapping suggests the presence of multiple receptor interaction sites flanking the 5' terminus of the ovalbumin gene. One of these preferential binding sites was localized between -135 and -247 base pairs upstream from the start of transcription. This region contains an 18-base-pair A + T-rich sequence, a likely candidate for the binding site itself, because earlier studies had shown receptor A to have marked preference for A + T-rich DNA. PMID- 6571992 TI - Femtosecond photolysis of CO-ligated protoheme and hemoproteins: appearance of deoxy species with a 350-fsec time constant. AB - Photolysis of HbCO, MbCO, and CO-protoheme has been investigated by measuring transient differential spectra and kinetics of induced absorption after excitation with a 250-fsec laser pulse at 307 nm. Probing was performed by a part of a continuum pulse between 395 and 445 nm. Photodissociation of the three liganded species occurred within the pulse duration. By contrast, the formation of deoxy species appeared with a mean (+/- SD) response time of 350 +/- 50 fsec. This time constant was identical for the three species and independent of the presence or absence of the protein structure. Our results suggest the formation of a transient high-spin in plane iron (II) species which relaxes in 350 fsec to a high-spin stable state with concerted kinetics of CO departure and iron displacement. The spin transition is suspected to occur via liganded excited states which relax in part to non-reactive states with a 3.2-psec time constant. PMID- 6571994 TI - Indirect induction of erythroid differentiation in mouse Friend cells: evidence for two intracellular reactions involved in the differentiation. AB - The mechanism of in vitro erythroid differentiation in mouse Friend cells was studied by employing cell fusion between two genetically marked Friend cells and other nonerythroid cells, including BHK (baby hamster kidney) and FM3A (mouse mammary gland) cells. We were able to induce erythroid differentiation indirectly by fusing Friend cells that had been exposed briefly to dimethyl sulfoxide prior to fusion with nonerythroid cells that had been treated with ultraviolet light (or other DNA-damaging agents). The results suggest that two distinct reactions are involved in erythroid differentiation in Friend cells in vitro. One reaction, originating from the damaged DNA (or inhibition of DNA replication as a consequence), exhibits an inducible nature, is nonspecific to Friend cells, and is trans-acting. The other reaction is specific to Friend cells and most likely is cis-acting. We also present evidence from the cell fusion experiments that a typical tumor promoter, 12-O-tetradecanoylphorbol 13-acetate, inhibits erythroid differentiation by affecting the latter reaction. The biological significance of these findings is discussed. PMID- 6571993 TI - Immunological evidence for the in vivo occurrence of a crosslinked complex of poly(ADP-ribosylated) histone H1. AB - The poly(ADP-ribosylation) of histones, which occurs within a limited and functionally specific domain of chromatin, is a novel post-translational modification. However, in the past it has been difficult to study this process in living cells because the substrate of the reaction (NAD) does not permeate the plasma membrane. In the current study, antibodies specific for histone H1 and poly(ADP-ribose) were used to study the occurrence of poly(ADP-ribose)+ species of H1 in vivo. Perchloric acid-extracted proteins from synchronously growing HeLa cells were fractionated by electrophoresis and transferred to nitrocellulose, and the transferred moieties were allowed to react with the specific antibodies and then with 125I-labeled protein A. The results conclusively demonstrate the natural occurrence of poly(ADP-ribose)-crosslinked complexes of histone H1 (i.e., H1 dimer), at the S/G2 phase transition of the cell cycle. PMID- 6571995 TI - Behavior of cells at fluid interfaces. AB - We have cultured the murine cell lines 3T3-L1 and SV-T2 using as a substrate the layer of denatured protein that forms at the phase boundary between culture medium and fluorocarbon fluids. The growth patterns observed on these interfaces differ from those seen on conventional solid substrates. Depending on the cell strain and the composition of the fluorocarbon fluid, cells will tend to clump into isolated aggregates or form nearly confluent cell monolayers containing "lake-like" openings. We demonstrate that these growth patterns can be attributed to the ability of cultured cells to stress and break the protein monolayer on which they grow. PMID- 6571996 TI - Developmental regulation of mRNA in mouse heart. AB - The myocardium contains abundant translatable mRNAs that change during development. Maximal cell-free synthesis of [3H]leucine-, [35S]methionine-, and [35S]cysteine-labeled translation products directed by poly(A)-containing mRNAs from 12-, 14-, and 17-day fetal; 5-day-old neonatal; and 30-day-old adult mouse heart was determined by using one- and two-dimensional polyacrylamide gels. Three general developmental patterns of heart-specific mRNA translation products were observed: two translatable mRNAs were most abundant in 12-day fetal heart; five mRNAs were most abundant in 14- and 17-day fetal heart and occurred only at low concentrations in 12-day fetal and adult heart; four mRNAs, including mRNAs coding for actin, tropomyosin, and myosin light chains 1 and 2, were most abundant in the adult heart. Thus, differentiating cardiac muscle is characterized by a complex pattern of mRNA regulation. PMID- 6571998 TI - Cloning and expression of DNA sequences associated with the killer trait of Paramecium tetraurelia stock 47. AB - We have presented direct evidence that at least one of the traits associated with killing of paramecia by kappa particles is determined by an extrachromosomal genetic element. Plasmid DNA was isolated from Caedibacter taeniospiralis 47 (commonly known as 47 kappa), which is an obligate cytoplasmic endosymbiont of Paramecium tetraurelia. Fragments of pKAP47 DNA generated by Pst I digestion were inserted into pBR328 and then introduced into Escherichia coli 294 by transformation. Clones carrying recombinant plasmids were screened for toxicity toward sensitive strains of paramecia or for the ability to produce R bodies. None of the clones appeared to be toxic. However, three clones were found to have the ability to produce R bodies, which are proteinaceous ribbons (10-20 microns long, 0.5 microns wide, and 13 nm thick) rolled up inside the cell to form a hollow cylinder about 0.5 microns in diameter and 0.5 microns long. Each of these clones carry plasmids that contain the Pst I B fragment from pKAP47. Subclones of one of the recombinant plasmids, pBQ51, were constructed to determine the approximate location of DNA sequences necessary for R-body synthesis. The left hand boundary of the required sequences was found to occur within a 600-base-pair region, and the location of the right-hand boundary was determined to occur within a 700-base-pair region. The minimum and maximum sizes of sequences required for R-body synthesis are between 1,300 and 2,600 base pairs. PMID- 6571997 TI - Spontaneous H-2 mutants provide evidence that a copy mechanism analogous to gene conversion generates polymorphism in the major histocompatibility complex. AB - The analysis of H-2K products from spontaneously generated major histocompatibility complex (MHC) mutants and of the primary structure of other class I antigens suggests the genetic hypothesis that diversity in the MHC results from a copy mechanism analogous to gene conversion. The hypothesis was tested by making precise structural predictions about three partially characterized MHC mutants (bm1, bm3, and bm8). The predictions were based on consensus sequences among class I genes that differ from H-2Kb in the same region of the molecule as do the Kb mutants. In two cases (bm3 and bm8) we successfully predicted the correct amino acid substitution at positions known to be altered but for which the specific nature of the substitution had not been determined. In two additional cases (bm1 and bm8) we predicted and found both new mutation sites and the specific amino acid substitutions. The positions and identifications of the variant amino acids were determined by radiolabeled amino acid sequence analysis and DNA restriction endonuclease analysis. The interaction of MHC genes through a copy mechanism to generate diversity permits the introduction of multiple nucleotide base substitutions into class I sequences by a single genetic event. Such a mechanism may account in part for the large structural divergence among alleles of MHC loci and the high degree of MHC polymorphism among wild mice. PMID- 6572000 TI - Cloning of a human complement component C4 gene. AB - Six overlapping cosmid clones having an average insert size of 40 kilobase pairs were identified and isolated from a human genomic library by using a cDNA probe, Alu-7, specific for the amino acid sequence of C4d, a known region of the fourth component of human complement. Analysis of these genomic clones by restriction digestion and Southern blotting shows that all six probably contain the same complete C4 gene. Nucleotide sequence comparison of the genomic clone Cos-A and the cDNA clone Alu-7 shows an identical sequence except for the presence of a 1,500-base-pair intron in the genomic sequence. The amino acid sequence predicted from the nucleotide sequence agrees with the known C4d region amino acid sequence with one exception. PMID- 6571999 TI - Anti-HLA antibodies of predetermined specificity: a chemically synthesized peptide induces antibodies specific for HLA-A,B heavy chain. AB - A chemically synthesized dodecapeptide (Asp-Ala-Ala-Ser-Pro-Arg-Glu-Glu-Pro-Arg Ala-Pro), consisting of residues 39 through 50 of the HLA-B7 heavy chain sequence and containing a highly hydrophilic hexapeptide segment (Pro-Arg-Glu-Glu-Pro Arg), induced antibodies that bound specifically to free HLA-A, and HLA-B heavy chains and to the soluble dodecapeptide. Although these antibodies reacted with free HLA-A,B heavy chains in blots on nitrocellulose, they failed to immunoprecipitate the HLA-A,B-beta 2-microglobulin antigen complex solubilized from human lymphoblastoid cells by nonionic detergents. These observations suggest that the physical characteristics of this particular soluble hydrophilic dodecapeptide may closely resemble nonallotypic determinants expressed by free HLA-A,B heavy chains and that such antigenic sites may be modified by conformational changes in the native HLA-A,B heavy chain-beta 2-microglobulin complex. PMID- 6572001 TI - Identification and partial characterization of the secreted form of the fourth component of human complement: evidence that it is different from major plasma form. AB - Immunoprecipitation of human C4 from plasma followed by NaDodSO4/polyacrylamide gel electrophoresis under reducing conditions revealed the expected alpha, beta, and gamma chains as well as a smaller quantity of a molecule containing an alpha chain (p98) approximately equal to 5,000 daltons heavier than the normal alpha chain. Further studies on p98 indicated that it covalently incorporated methyl amine, was present at a concentration of approximately equal to 8% of the principal plasma form of the C4 alpha chain, and was found in highly purified C4 preparations. Hep G2, a human hepatoma-derived cell line, was found to secrete a C4 molecule in which the alpha chain had a molecular weight identical to that of the p98 protein found in plasma. The secreted C4 molecule possessed hemolytic activity. The 5,000-dalton difference in the alpha chain was localized to the COOH terminus and was attributed to an additional polypeptide. We propose that p98 is the alpha chain of the secreted form of C4, which is processed extracellularly by proteolytic cleavage to the principal C4 molecule found in plasma. PMID- 6572002 TI - Detection of sickle cell beta S-globin allele by hybridization with synthetic oligonucleotides. AB - Two 19-base-long oligonucleotides were synthesized, one complementary to the normal human beta-globin gene (beta A) and one complementary to the sickle cell beta-globin gene (beta S). The nonadecanucleotides were radioactively labeled and used as probes in DNA hybridization. Under appropriate hybridization conditions, these probes can be used to distinguish the beta A gene from the beta S allele. The DNA from individuals homozygous for the normal beta-globin gene (beta A beta A) only hybridized with the beta A specific probe; the DNA from those homozygous for the sickle cell beta-globin gene (beta S beta S) only hybridized with the beta S specific probe. The DNA from heterozygous individuals (beta A beta S) hybridized with both probes. This allele-specific hybridization behavior of oligonucleotides provides a general method for diagnosis of any genetic disease which involves a point mutation in the DNA sequence of a single-copy gene. PMID- 6572003 TI - Apolipoprotein E synthesis in human kidney, adrenal gland, and liver. AB - Human tissues were incubated in vitro with radiolabeled amino acids to determine whether plasma apolipoproteins are synthesized in human kidney. Subsequently, tissue extracts were screened with antisera directed against apolipoprotein E (apo E), apolipoprotein B (apo B), apolipoprotein AI (apo AI), and bulk apolipoproteins of high density lipoprotein (HDL). Newly synthesized apo E, but not apo AI or apo B, was identified in kidney and adrenal cortex. Estimates of relative rates of apo E synthesis in vitro suggest that a substantial portion of adrenal and kidney protein synthesis is committed to apo E synthesis. The relative rate of apo E synthesis was 4-6 times greater in kidney cortex than in kidney medulla. Analysis of immunoreactive apo E showed that kidney and adrenal apo E species have the same electrophoretic mobility in NaDodSO4/polyacrylamide gels as does plasma apo E. Further characterization by high resolution two dimensional gel analysis indicated that the isoforms of newly synthesized kidney and adrenal apo E correspond to specific isoforms of plasma apo E. These findings suggest that apolipoproteins arising from peripheral tissues may play an important role in lipid transport and metabolism. PMID- 6572004 TI - Metabolism and mechanism of action of formycin B in Leishmania. AB - Formycin B is a potent inhibitor of growth of the promastigote forms of Leishmania tropica, L. mexicana, L. braziliensis, and L. donovani. The metabolic products formed in these organisms are formycin B 5'-monophosphate and formycin A 5'-mono-, di-, and triphosphates, with formycin A 5'-triphosphate predominating. In addition, formycin A is extensively incorporated into RNA. From the metabolic profile, we conclude that formycin B is first converted to the 5'-monophosphate by the nucleoside phosphotransferase found in Leishmania and is subsequently converted to cytotoxic adenosine nucleotide analogs of formycin A that become incorporated into RNA. The metabolism and mechanism of formycin B appears to be qualitatively similar to that of allopurinol riboside, but quantitative differences and species selectivity suggest that these agents may have a different spectrum of activity as potential anti-leishmanial agents. PMID- 6572006 TI - Thermodynamic efficiency of microbial growth is low but optimal for maximal growth rate. AB - Thermodynamic efficiency of microbial growth on substrates that are more oxidized than biomass approaches 24%. This is the theoretical value for a linear energy converter optimized for maximal output flow at optimal efficiency. For growth on substrates more reduced than biomass, thermodynamic efficiencies correspond to those predicted for optimization to maximal growth rate (or yield) only. PMID- 6572005 TI - Competitive advantage of diferric transferrin in delivering iron to reticulocytes. AB - Radioiron- and radioiodine-labeled forms of human diferric and monoferric transferrin and apotransferrin, isolated by preparative isoelectric focusing, were used to define transferrin-iron uptake by human reticulocytes. In mixtures of human diferric and monoferric transferrin, the diferric molecule had a constant 7-fold advantage in delivering iron to reticulocytes, as compared with the 2-fold advantage when single solutions of mono- and diferric transferrins were compared. This was shown to be due to competitive interaction in iron delivery, probably at a common membrane-receptor binding site for transferrin. Apotransferrin did not interfere with the iron-donating process and its limited cellular uptake was inhibited in noncompetitive fashion by diferric transferrin. PMID- 6572007 TI - Isolation of genomic DNA clones spanning the entire fibronectin gene. AB - Overlapping recombinant clones that appear to encompass the entire fibronectin gene have been isolated by step-wise screening of a library of chicken genomic DNA fragments. The first genomic clone was isolated by using a cloned fibronectin cDNA hybridization probe. The remaining clones were obtained by using defined fragments of this and successive genomic clones as probes. Their relationships and overlaps were determined by electron microscopy, restriction mapping, and heteroduplex analysis. Based on electron microscopic analysis of hybrids between these clones and fibronectin mRNA, the gene is approximately 48 kilobases long, more than 5 times larger than the corresponding mRNA. This large gene contains at least 48 exons interrupted by introns of highly variable size. The total exon size as estimated by R-loop analysis is 8 kilobases, similar to the mRNA for fibronectin. With the exception of the 3'- and 5'-terminal exons, the exons are small and roughly similar in size. The average exon size is 147 +/- 37 base pairs, corresponding to a protein unit of 50 amino acids. The nucleotide sequence of one of these exons was determined. The deduced amino acid sequence has marked homologies with one type of repetitive protein sequence unit known to exist in bovine fibronectin. These results suggest that the gene for fibronectin may have arisen by multiple gene duplications of a primordial gene or genes approximately equal to 150 base pairs long. PMID- 6572008 TI - Structural features of a phased nucleosome core particle. AB - Chicken erythrocyte inner histones associate with a cloned 260-base-pair (bp) segment of Lytechinus variegatus DNA in a unique location. The fragment contains a 120-bp segment encoding 5S rRNA, a 90-bp flanking sequence to the 5' side of the transcribed segment, and a 50-bp downstream flanking sequence. Association of DNA, uniquely labeled at one end or the other and at either the 3' or the 5' terminus of a given strand, with histones at 0.1 M ionic strength leads to formation of a compact complex which sediments at about 13 S. Analysis of cutting of the complex by DNase I shows that protection from the nuclease is confined to a region beginning 20 bp from the left end of the segment and extending to about 165 bp from the left end. Within the protected region, the two DNA strands differ in their susceptibilities to the nuclease, the precise location of nuclease cutting sites and the spacing between these sites, and the relative susceptibilities of specific cutting locations. It seems that information present in DNA and the histone octomer is sufficient to create a precisely phased nucleosome in which interactions of the two DNA strands with histones are not the same. The structure of this unique nucleosome is not predicted by the intellectual model based on studies of mixed populations of nucleosome core particles. PMID- 6572009 TI - Alternate model for the cooperative equilibrium binding of myosin subfragment-1 nucleotide complex to actin-troponin-tropomyosin. AB - In this paper we introduce an alternate model for the equilibrium binding of S-l N (S-l, subfragment l of myosin; N, nucleotide) on the troponin-tropomyosin-actin complex, including the influence of Ca2+ on this binding. In our previous model [Hill, T. L., Eisenberg, E. & Greene, L. E. (1980) Proc. Natl. Acad. Sci. USA 77, 3186-3190], we assumed that each tropomyosin unit, including one troponin tropomyosin molecule and seven actin sites on the actin filament, could exist in two conformational states which presumably differed in the position of the tropomyosin on the actin. The binding of S-l-N or Ca2+ to the tropomyosin unit shifted the equilibrium between the two states but did not affect the intrinsic conformation of each state. In contrast, in the present model, we assume that tropomyosin can in principle occupy a continuum of positions on the actin filament. However, in any particular circumstance (N, Ca2+, salt, temperature), the tropomyosin occupies only a single position rather than existing in a dynamic equilibrium between two positions as in our earlier model. The binding of S-l-N or Ca2+ changes the position of tropomyosin on the actin filament and the exact position that the tropomyosin occupies depends on the nucleotide bound to S-l. PMID- 6572010 TI - Primary structures of bovine liver low molecular weight kininogen precursors and their two mRNAs. AB - By using a mixture of synthetic oligodeoxyribonucleotides as a probe, cloned cDNA sequences specific for low molecular weight (LMW) kininogen have been isolated from a cDNA library of bovine liver mRNA sequences. Nucleotide sequence analyses of cloned cDNA inserts have revealed that bovine liver LMW kininogens are encoded by at least two very similar but distinct mRNAs. The corresponding amino acid sequences show that the LMW kininogen precursors of the two types, composed of 436 and 434 amino acid residues, both contain two internally homologous sequences in the amino-terminal portion between a signal peptide and a bradykinin moiety. The two mRNAs exhibit 15 nucleotide substitutions and 6 nucleotide deletions/additions in their protein-coding regions. The replacement of 13 amino acid residues and the deletions/additions of 2 amino acid residues in the two LMW kininogen precursors are all localized within the internally homologous regions, implying that these regions may be biologically significant in relation to the existence of two LMW kininogens. The nucleotide changes in the two mRNAs also occur in the limited portions that principally encode the internally homologous amino acid sequences. This suggests that the mRNAs are transcribed from the same gene to generate two LMW kininogen precursors differing only in the internally homologous sequences. PMID- 6572012 TI - The hollow bulb obturator: its fabrication using one denture flask. PMID- 6572013 TI - An accurate method for obtaining an improved shade determination. PMID- 6572011 TI - A seven-base-pair deletion in an intron of the albumin gene of analbuminemic rats. AB - Analbuminemic rats, which genetically lack serum albumin, have a mutation affecting albumin mRNA processing. Serum albumin genes were cloned from analbuminemic and normal parental Sprague-Dawley rats. Structural analyses of the two albumin genes showed that the gene from analbuminemic rats had a seven-base pair deletion in an intron. The deletion extended from base 5 to base 11 from the 5' end of intron HI of the albumin gene. This deletion converted the sequence, G T-A-G-G-T, which is normally located at the 5' end of intron HI, to G-T-A-G-C-G. RNA blot hybridization of analbuminemic and normal rat liver nuclear RNA using a DNA fragment containing the intron HI as a probe showed that this intron sequence persisted in albumin mRNA precursors of analbuminemic rats. PMID- 6572015 TI - What you should expect from your independent accountant. PMID- 6572014 TI - The effect of surface treatment of dental stone with resins. PMID- 6572016 TI - Biotechnology: an overview. PMID- 6572017 TI - Protein engineering. AB - The prospects for protein engineering, including the roles of x-ray crystallography, chemical synthesis of DNA, and computer modelling of protein structure and folding, are discussed. It is now possible to attempt to modify many different properties of proteins by combining information on crystal structure and protein chemistry with artificial gene synthesis. Such techniques offer the potential for altering protein structure and function in ways not possible by any other method. PMID- 6572018 TI - Genetic manipulation of antibiotic-producing microorganisms. AB - The application of directed selection techniques and genetic engineering methods for manipulation of antibiotic-producing microorganisms is generating a new era in industrial microbiology. Modern methods, based on advances in the knowledge of the biosynthetic pathways and regulatory mechanisms involved in the induction and repression of genes involved in antibiotic synthesis, provide a means of increasing antibiotic activity. Hence, recombinant DNA and protoplast fusion methods are used to alter the genetics of antibiotic producers in a semirandom fashion for the development of novel hybrid antibiotics. Directed mutation and selection, protoplast fusion, and both semirandom and specific recombinant DNA methods are examples of alternative procedures for manipulating the biosynthetic pathways of microorganisms for strain improvement and for new hybrid antibiotic synthesis. PMID- 6572019 TI - [How to teach proper brushing force. Observation and diagnosis of used bristles]. PMID- 6572021 TI - [Dental education in Japan--some problems and their management]. PMID- 6572020 TI - [Application of thermodynamic wire to clinical orthodontics]. PMID- 6572022 TI - [Psychology of pain]. PMID- 6572023 TI - [Use of hydrocortisone solution for hemorrhagic shock in oral surgery]. PMID- 6572024 TI - [Team approach in the treatment of cleft lip and palate]. PMID- 6572025 TI - Observations on the significance of the thyroid gland to the dentist. PMID- 6572026 TI - Oral surgical consideration of the aged. PMID- 6572027 TI - Geriatric dentistry: a new specialty or a set of special skills for the general practitioner? PMID- 6572028 TI - A physiologic bitestick appliance for quadriplegics. PMID- 6572030 TI - Improving the quality of life for the elderly. PMID- 6572029 TI - Intraoperative autotransfusion in dentistry: review of the literature and report of a case. PMID- 6572031 TI - Prediction of sepsis in the multitraumatic patient by assays of lymphocyte responsiveness. AB - In vitro lymphocyte response to antigens, mitogens and in mixed lymphocyte culture were studied at intervals after injury in 31 patients with extensive trauma. Mean responses were significantly depressed up to 15 to 20 days. Responses were lower and the duration of suppression longer in those patients who become infected, and the suppression of response preceded the onset of infection. Extremely low responses were found in three patients who later died. This in vitro system is suitable for the serial monitoring of patients, as it reflects the extent of injury, infectious sequelae and prognosis. Its results are quantifiable and avoid the problems associated with repeated skin testing. PMID- 6572032 TI - Properdin factor B (Bf) and glyoxalase in Graves' disease. AB - Patients with Graves' disease were phenotyped for properdin factor B (Bf) and glyoxalase, which are coded for by genes mapping close to the HLA region on the sixth chromosome. Frequency data were analysed in relation to HLA-A, -B and -DR typing data. Diagnosis of Graves' disease was based on the usual criteria including elevated T3 and T4 levels and free T4 index and a homogeneous thyroid scan. Ninety-four patients with Graves' disease were phenotyped for properdin factor B (Bf) and 37 for red cells glyoxalase (GLO). HLA-A, -B and -DR antigens were typed in 94 patients using a lymphocyte microcytotoxicity assay. The frequency distribution of Bf and GLO alleles showed no significant differences from control subjects. This finding contrasts with the reports of an increased frequency of BfF1 in insulin-dependent diabetes mellitus. The difference in the two diseases which are both associated with an increased frequency of the antigen combination D8-DR3, is accounted for by linkage disequilibrium between B18 and BfF1. PMID- 6572033 TI - Low muscle levels of pyridoxine in McArdle's syndrome. AB - Pyridoxal phosphate is a covalently bound cofactor of glycogen phosphorylase. Phosphorylase is a major muscle protein and therefore represents a significant pool of pyridoxal phosphate. Muscle pyridoxine content was measured in three patients with myophosphorylase deficiency (McArdle's syndrome) in whom there was a marked diminution or absence of phosphorylase protein as determined by acrylamide gel electrophoresis. Total muscle pyridoxine in the patients with McArdle's syndrome (0.55 +/- 0.08 microgram/g wet weight, mean +/- SD) was markedly reduced compared with 11 human control subjects who had normal levels of muscle phosphorylase (total muscle B6 = 2.49 +/- 0.47). Despite such drastically low levels of muscle pyridoxine, these patients had no evidence of pyridoxine "deficiency." These results suggest that low muscle B6 in McArdle's syndrome represents the specific loss of pyridoxal phosphate normally bound to phosphorylase apoenzyme and imply that phosphorylase pyridoxal phosphate accounts for 75 to 80 percent of the total pyridoxine in normal human muscle. PMID- 6572034 TI - Acute leukemia after radiotherapy in a patient with Turcot's syndrome. Impaired colony formation in skin fibroblast cultures after irradiation. AB - Colonic polyposis and carcinoma developed in a woman with Turcot's syndrome at the age of 31 years; astrocytoma developed when she was 37. Her brother and sister had died of astrocytoma at the ages of 18 and 33 years, respectively. Progressive neutropenia developed in the patient three months after radiotherapy for her brain tumor and acute myelomonocytic leukemia 19 months after treatment. Three laboratories independently evaluated cultures of her skin fibroblasts for in vitro sensitivity to cell killing (loss of colony-forming ability) by x-rays. Survival assays consistently revealed slight but significant radiosensitivity in an early-passage (six to 10 doublings) fibroblast subculture. A later subculture (21 to 29 doublings) showed no abnormality, a possible effect of selective in vitro loss of radiosensitive cells. PMID- 6572035 TI - Leukemia and pregnancy. PMID- 6572036 TI - The activity of 3 beta-hydroxysteroid dehydrogenase and delta 4-5 isomerase in human follicular tissue. AB - The steroidogenic enzymes 3 beta-hydroxysteroid dehydrogenase and delta 4-5 isomerase (3 beta-HSD) that convert delta 5-hydroxysteroids to delta 4 ketosteroids were measured in human follicular tissue collected during the follicular phase of the menstrual cycle. This study was done in order to determine whether 3 beta-HSD enzyme activity fluctuated during the follicular phase of the menstrual cycle and, if so, whether these changes were reflected by the concentration of steroids in the follicular fluid. A microsomal fraction was prepared from each of 14 follicular-phase follicles, and 3 beta-HSD enzyme activity was estimated by the amount of androstenedione synthesized in the presence of excess substrate (dehydroepiandrosterone) and cofactor (nicotinamide adenine dinucleotide). Androstenedione, dehydroepiandrosterone, and progesterone were measured in the aspirated follicular fluid of each follicle. 3 beta-HSD enzyme activity was undetectable in the smallest (3 to 5 mm) follicles, increased in 5 to 6 mm follicles to 363.2 +/- 60 pmol of androstenedione per milligram per hour, and increased still further in 9 to 11 mm follicles to 5,000 +/- 200 pmol of androstenedione per milligram per hour. The increase in 3 beta-HSD enzyme activity was accompanied by an increase in the concentration of androstenedione in the follicular fluid as well as of progesterone in larger follicles. These data indicate that 3 beta-HSD activity increases during the follicular phase of the menstrual cycle. It is suggested that the primary product of the increased enzyme activity is androstenedione. Since androstenedione is the principal C19 steroid produced by the ovulatory follicle and serves as a substrate for estradiol production, this increase in 3 beta-HSD activity may be important for the associated changes in the late follicular phase that lead to ovulation. PMID- 6572037 TI - Erythroleukemia and leukemic retinopathy. PMID- 6572038 TI - Toothbrush pressures of orthodontic patients. AB - The intention of this study was to determine whether toothbrushing pressures varied significantly between groups of orthodontic patients who were good toothbrushers and those who were poor toothbrushers. Seventy-two patients undergoing full-banded orthodontic treatment were selected from the author's practice and were subjectively paired by him according to their habitual oral hygiene. One group of thirty-six patients who habitually displayed poor oral hygiene was compared to a group of thirty-six patients who habitually displayed good oral hygiene. A specially designed strain gauge with a force-averaging feedback mechanism was attached to each patient's manual toothbrush, and the force with which that patient brushed was averaged and recorded in pounds. The poor brushers averaged 0.20 pound, whereas the average pressure of the good brushers was 0.89 pound. The statistical evidence indicates that the difference between the two groups is highly significant and is unlikely to be due to chance alone. This study has shown that toothbrush pressures can be easily and accurately measured. The attempt to objectify a single characteristic of toothbrushing behavior in an orthodontic population is an effort to avoid the medical model explanation of behavior vis-a-vis the nonspecific and subjective word attitude. Future studies will determine whether poor toothbrushers can be changed into good toothbrushers through the progressive acquisition of greater toothbrushing forces. PMID- 6572039 TI - Maturation of untreated normal occlusions. AB - The dental casts of 65 untreated normal occlusions were evaluated to determine the nature and extent of the developmental maturation process of the normal dentition. Six dental parameters were examined in the mixed dentition (9 to 10 years), early permanent dentition (12 to 13 years), and early adulthood (19 to 20 years). Results showed decreases in arch length and intercanine width; minimal overall changes in intermolar width, overjet, and overbite; and increases in incisor irregularity. Females showed more severe changes than males. The individual changes found were not correlated to changes in any of the other parameters measured. No associations or predictors of clinical value were found. The changes found in a sample of untreated normals were similar in nature but lesser in extent than postretention changes found in a sample of treated cases. PMID- 6572040 TI - Third molars: a review. AB - The influence of the third molars on the alignment of the anterior dentition is controversial. There is no conclusive evidence to indict the third molars as being the major etiologic factor in the posttreatment changes in incisor alignment. Various aspects related to the management of thd molars are discussed, and specific situations in which third molar extractions are contraindicated are illustrated. PMID- 6572041 TI - Adaptation of head posture in response to relocating the center of mass: a pilot study. AB - Relationships have been established between head posture and craniofacial morphology in both adults and children. The determinants of head posture are not yet understood. Does posture dictate form, or vice versa? This pilot study investigates the short-term effect of artificial forward relocation of the center of the mass of the head on postural adaptation in the sagittal plane. The observed responses are not systematically uniform and, in fact, are characterized by a lack of consistency and a high degree of intra- and interindividual variability. PMID- 6572043 TI - Frankel appliance therapy: orthopedic or orthodontic? PMID- 6572042 TI - Recreational and social activities of orthognathic surgery patients. AB - The present study examined changes in recreational and social activities after orthognathic surgery. Because this is often an expectation of patients seeking surgery, it was hypothesized that activity levels would increase gradually after surgery, particularly for patients who become more extroverted and for unmarried patients. Information on the frequencies of recreational and social activities, and the persons with whom these activities were performed, were obtained from 53 patients in a self-administered questionnaire administered at least 2 days before surgery and again 3 weeks, 4 months, and 9 months after surgery. In addition, patients were assessed on introversion-extroversion before and after surgery. The results indicated that (1) for both married and single patients, recreational and social activities dropped immediately after surgery and gradually increased to a level similar to that prior to surgery at nine months after surgery; (2) contrary to expectations, the single patients over age 15 did not increase their recreational and social activities with friends of the opposite sex after surgery; and (3) the degree of change in introversion-extroversion after surgery was not associated with the degree of change in recreational and social activities performed with others. Implications for postsurgical adjustment of orthognathic patients and recommendations for future research are discussed. PMID- 6572044 TI - Lymphoblastic neoplasia in a homosexual patient with Kaposi's sarcoma. PMID- 6572045 TI - Nitrogenase reduction by electron carriers: influence of redox potential on activity and the ATP/2e- ratio. AB - The variation with redox potential of nitrogenase activity and the ratio of ATP hydrolyzed per two electrons transferred were measured using two systems: the dithionite/bisulfite couple at pH 7.4; and H2, hydrogenase, and ferredoxin at pH 8.5. In both cases, the variation in nitrogenase activity with redox potential followed a theoretical Nernst plot for a two-electron process with an apparent midpoint potential of about -470 mV. The ratio ATP/2e- was about 4 under highly reducing conditions. However, above the apparent midpoint potential, the ratio ATP/2e- increased drastically, reaching values as high as 20. These data imply that a low redox potential must be maintained for efficient nitrogen fixation in vitro and in vivo. PMID- 6572046 TI - Tuberculosis of the greater trochanteric bursa. PMID- 6572048 TI - A modification for self-threading dentine pins. PMID- 6572047 TI - Immunogenetic studies of juvenile dermatomyositis: HLA-DR antigen frequencies. PMID- 6572049 TI - Psoriatic arthritis of the temporomandibular joint. PMID- 6572050 TI - An enigmatic wisdom tooth. PMID- 6572051 TI - Deaths associated with dentistry. PMID- 6572052 TI - Anaesthetic deaths. PMID- 6572054 TI - Toothache and cracked cusps. PMID- 6572053 TI - Excessive fluoridation in Kenya. PMID- 6572055 TI - A community study of fluoride tablets for school children in Portsmouth. PMID- 6572056 TI - Towards a professional profession. PMID- 6572057 TI - Patient's charges. PMID- 6572058 TI - The role of the dental hygienist. PMID- 6572059 TI - An anhydrous zinc polycarboxylate cement. PMID- 6572060 TI - The cleaning of dental diamond burs. PMID- 6572061 TI - Oral aspects of Rubenstein--Taybi syndrome. PMID- 6572062 TI - Spontaneous fracture of the genial tubercles. PMID- 6572063 TI - Hypophosphatasia. PMID- 6572064 TI - Equine dentistry. PMID- 6572065 TI - Dental practice planning and design. PMID- 6572067 TI - Myeloid cell differentiation in lymphoid blast crisis of CML. PMID- 6572066 TI - Cellular heterogeneity in a tissue culture cell line derived from a human bladder carcinoma. AB - To study heterogeneity in a cell line derived from a human bladder carcinoma (EJ), 7 clones were isolated at low passage and examined for differences in culture behaviour, ability to grow in agar and tumorigenicity in nude mice. The parent EJ line had several distinct chromosome populations (both diploid and tetraploid), grew in agar and produced tumours in nude mice. Three of the clones had pseudodiploid modes and 4 had either hypo- or hypertetraploid modes. The 7 clones had 5 marker chromosomes in common but the combination of other marker chromosomes made each clone unique. No significant difference was found between the clones in the in vitro growth rate although analysis of in vitro culture behaviour showed heterogeneity in the pattern of cell movement on plastic substratum. Three clones were composed of static cells, one clone had very mobile cells; the other clones had rates of movement intermediate between the two. Differences were also found in the packing density of the cloned cells and in the cell size. All 7 clones grew in agar but heterogeneity was seen between the clones as shown by widely varying colony-forming efficiencies (0.5-13%). One clone had a high colony-forming ability in agar but failed to produce tumours in nude mice. The other clones were tumorigenic regardless of colony-forming efficiency in agar. Specific chromosome abnormalities were found to be associated with growth in agar and tumorigenicity but not with the growth pattern or the rate of movement of the cloned cells in culture. PMID- 6572068 TI - Environment and acute lymphatic leukemia. PMID- 6572069 TI - Induction of labour: a comparison of a single prostaglandin E2 vaginal tablet with amniotomy and intravenous oxytocin. PMID- 6572070 TI - Catalytic and molecular properties of a highly purified G type casein kinase from bovine lung tissue. AB - A preparation procedure has been worked out to obtain a highly purified G type (using GTP as well as ATP) casein kinase from large quantities of bovine lung tissue. It included ion-exchange (DEAE and phosphocellulose) and affinity (casein and ATP-Sepharose) chromatography combined with a flocculation step, and yielded an apparently homogeneous preparation with a 16% yield and a purification factor of more than 1400. The purified lung casein kinase used GTP (Km 16 microM) almost as well as ATP (Km 6.7 microM) and exhibited the major catalytic properties of the casein kinase G previously described in bovine adrenal cortex (Cochet, C., Job, D., Pirollet, F. and Chambaz, E.M. (1981) Biochim. Biophys. Acta 658, 191 201). Mg2+ (30-50 mM) and spermine (2 mM) were potent activators of lung casein kinase G activity, whereas the enzyme was inhibited by heparin and quercetin. The purified enzyme underwent self-phosphorylation in the presence of ATP or GTP, serine being the only target amino acid under these conditions, whereas both serine and threonine were phosphorylated by the enzyme in casein. Lung casein kinase G exhibited an apparent molecular weight between 140 000-160 000 upon gel filtration and appeared formed by the association of two different subunits upon SDS-polyacrylamide gel electrophoresis. The two subunits of Mr 38 000 (alpha) and 27 000 (beta) exhibited a 2:1 ratio upon quantitative scanning, suggesting an alpha 3 beta 2 combination in the oligomeric native enzyme structure. Peptide mapping of the two isolated subunits following 125I-labeling and papain digestion did not disclose any common fragment. The casein kinase catalytic activity was found associated with the alpha (38 kDa) enzyme subunit after recovery from gel electrophoresis in the presence of SDS, whereas the 27 kDa (beta) subunit was the major target of the enzyme self-phosphorylation reaction. alpha and beta subunits appeared strongly associated in the oligomeric enzyme and the possible role of the beta subunit in the casein kinase G activity remains to be examined. The purified casein kinase G, which can be obtained by the present procedure, should facilitate the study of the biological significance of this phosphorylation system in the intact cell. PMID- 6572071 TI - Gangliosides of human acute leukemia cells. AB - We characterized the gangliosides from cells of eight patients with different forms of acute leukemia (four lymphoblastic, four nonlymphoblastic) by thin-layer chromatography and high-performance liquid chromatography combined with glycosidase treatment. Our analysis indicated both quantitative and qualitative differences between the gangliosides of acute leukemia and those of normal leukocytes: 1, the absolute amount of ganglioside was decreased in the acute leukemia cells; 2, in general, acute leukemias had a more simplified ganglioside pattern in that they contained a greater proportion of the short-chain ganglioside, II3NeuAc-LacCer (GM#); 3, all of the acute leukemia cells contained reduced quantities of the ganglioside N-acetylneuraminosyl-lactotriaosylceramide, a compound previously found only in normal leukocytes; and 4, a disialylated ganglioside, II3(NeuAc)2-LacCer (GD3), which is not found in normal leukocytes, was isolated from the cells of one patient with acute nonlymphoblastic leukemia. These findings demonstrate important differences between the gangliosides of acute leukemia cells and normal leukocytes. PMID- 6572072 TI - Stimulation of the formation of 13,14-dihydroprostaglandin F2 alpha by gonadotropin in rat ovary. AB - Effects of pregnant mare serum gonadotropin and human chorionic gonadotropin on the formation of 13,14-dihydroprostaglandin F2 alpha, a biologically active compound, were investigated in rat ovarian homogenate. The mass number of the compound, which was formed prostaglandin F2 alpha via 13,14-dihydro-15 ketoprostaglandin F2 alpha in rat ovarian homogenate but was not produced in rat homogenate, accorded with that of the authentic 13,14-dihydroprostaglandin F2 alpha by negative ion chemical ionization mass spectrometry. In the present experiment, the radioactivity of [3H]prostaglandin F2 alpha added to ovarian homogenate was decreased linearly and immediately until the incubation time of 10 min. The formation of 13,14-dihydroprostaglandin F2 alpha was increased up to 60 min. The formation of 13,14-dihydroprostaglandin F2 alpha from prostaglandin F2 alpha was markedly increased by pregnant mare serum gonadotropin and human chorionic gonadotropin. However, there was no additive or synergistic effect of these hormones. The formation of 13,14-dihydroprostaglandin F2 alpha from 13,14 dihydro-15-ketoprostaglandin F2 alpha weas also greatly stimulated by pregnant mare serum gonadotropin and human chorionic gonadotropin. The formation of 13,14 dihydro-15-ketoprostaglandin F2 alpha steeply declined until 24 h after treatment with human chorionic gonadotropin in pregnant mare serum gonadotropin-primed rats. In contrast, the formation of 13,14-dihydroprostaglandin F2 alpha was markedly increased until 24 h after human chorionic gonadotropin treatment, and the level was about 2.5-fold higher than that at 0 h, 48 h after injection of pregnant mare serum gonadotropin. PMID- 6572073 TI - Factors affecting steroid and prostaglandin secretion by reproductive tissues of cycling and pregnant sows in vitro. AB - The secretion of prostaglandin E2 and prostaglandin F2 alpha by endometrial and corpus luteum tissues of cycling and pregnant sows in vitro has been measured and the effects of arachidonic acid and steroids on prostaglandin secretion studied. In general, both types of tissues in vitro exhibited a gradually increasing capacity to secrete prostaglandin as the cycle progressed, although the most significant increase was in prostaglandin F2 alpha secretion. An inverse relationship between prostaglandin and progesterone secretion was observed, and, while indomethacin inhibited prostaglandin secretion, it was without effect on progesterone. A much lower capacity for prostaglandin secretion was observed with tissues from pregnant sows. Prostaglandin secretion by endometrial and corpus luteum tissues of the cycle were stimulated by exogenous arachidonic acid which also stimulated prostaglandin E2 secretion in pregnant sows. This clearly suggests that phospholipase A2 activity which controls substrate availability is of considerable importance in pig reproductive tissues. The effects of steroid hormones on prostaglandin secretion by pig reproductive tissues was more complex although in general oestradiol appeared to be inhibitory while progesterone was stimulatory. PMID- 6572074 TI - Pregnenolone-binding components in the porcine adrenal gland. AB - The object of this study was to determine whether binding components for pregnenolone, analogous to those described in the adrenal cortex of guinea pigs and rats, were present in the porcine adrenal. A binding component for pregnenolone in the cytosolic fraction of porcine adrenal was demonstrated by sucrose density gradient centrifugation. It banded maximally at 9.6% sucrose (w/w) compared to 12.2% and 12.4% sucrose (w/w) for the plasma-binding component and serum albumin, respectively. At a pregnenolone concentration of 1 X 10(-5) M, specific cytosolic binding of 1 X 10(-8) M [3H]pregnenolone was decreased by 42%. The fractions from sucrose gradients which bound pregnenolone maximally contained 3 beta-hydroxysteroid dehydrogenase-isomerase. The cytosolic supernatant of porcine adrenal gland was resolved by chromatography on hydroxyapatite into eleven fractions, four of which bound added pregnenolone and three of which displayed enzymatic activity. Electrophoretic analysis of the enzymatically active fractions in polyacrylamide gel showed that two of them were of heterogeneous composition, whereas the third, most enzymatically active, fraction consisted principally of one band of high molecular weight. PMID- 6572075 TI - Purification and characterization of NADP-dependent 7 beta-hydroxysteroid dehydrogenase from Peptostreptococcus productus strain b-52. AB - An NADP-dependent 7 beta-hydroxysteroid dehydrogenase was purified 11.5-fold over the activity in crude cell extracts prepared from Peptostreptococcus productus strain b-52, by using Sephadex G-200 and DEAE-cellulose column chromatography. 7 beta-Dehydrogenation was the sole transformation of bile acids catalyzed by the partially purified enzyme. The enzyme preparation (spec. act. 2.781 IU per mg protein) had an optimum pH of 9.8. Lineweaver-Burk plots showed a Michaelis constant (Km) value of 0.05 mM for 3 alpha, 7 beta-dihydroxy-5 beta-cholanoic acid whereas higher values were obtained with 3 alpha,7 beta-dihydroxy-5 beta cholanoyl glycine (0.20 mM), and 3 alpha,7 beta-dihydroxy-5 beta-cholanoyl taurine (0.26 mM). NADP but not NAD could function as an electron acceptor, and had a Km value of 0.30 mM. A molecular weight of 64000 was determined by SDS polyacrylamide gel electrophoresis. The addition of 0.4 mM of either bile acid to the growth medium suppressed not only cell growth, but also the enzyme yield. PMID- 6572076 TI - A comparison of surface marker analysis and FAB classification in acute myeloid leukemia. AB - Surface marker analysis with rosette tests and a large panel of xenoantisera and monoclonal antibodies was done on the malignant cells of 55 patients with acute myeloid leukemia (AML). The diagnosis was made on morphological and cytochemical grounds, and the leukemias were classified according to the quantified FAB criteria. The marker tests included the E- and EA-rosette test, immunofluorescence with rabbit-polyclonal antisera against human Ig, kappa, and lambda light chains, thymocytes, granulocytes, erythrocytes, platelets, lysozyme, (leukemic) myeloblasts, the common ALL antigen, SB cell-line cells (anti-Ia), and a mouse anti-Ia serum. The monoclonal mouse antibodies applied were anti-T-cell antibody (3A1), two anti-granulocyte-monocyte antibodies (OKM1 and B2.12), four antigranulocyte antibodies (MI/N1, UJ 308, B4.3, and B13.9), an antiplatelet antibody (C17.28), anti-HLA heavy chains (w6/32.HLK), anti-Ia antigen (OKI1), and OKT10. AML cells from many patients lacked the expression of myeloid markers, and we found that a correlation existed between the relative maturity of the leukemia subtype and the extent of positivity for these markers. Surface marker analysis discriminated poorly between the "myeloid" and "monocytoid" subtypes; OKT10 and the "T-cell marker" 3A1 were often expressed on AML cells. In two cases of AML, there was an unexpected expression of platelet antigens with the monoclonal antiplatelet antibody. One of them, classified as M1, was ultrastructurally a megakaryoblastic proliferation with a positive reaction for platelet peroxidase. Only with the help of computerized analysis, was it possible to prove a clear correlation between the surface marker profile and the FAB classification. PMID- 6572077 TI - The effects of dexamethasone and tetradecanoyl phorbol acetate on plasminogen activator release by human acute myeloid leukemia cells. AB - This investigation was undertaken to examine the extent to which leukemic cell functions are susceptible to regulation in vitro and to investigate their heterogeneity in this regard. Since plasminogen activator release is known to be a modulatable cellular function that can be influenced by antiinflammatory steroids and tetradecanoyl phorbol acetate (TPA), the effect of these two compounds on the secretion of urokinase- or tissue-type enzymes by leukemic cells was studied. The release of both enzyme species could be stimulated or suppressed by these substances by mechanisms that were inhibitable by actinomycin-D and hence required transcription of new mRNA. Plasminogen activator release by cells from 41/45 patients with AML was either stimulated or inhibited by 10(-7) M dexamethasone, implying that most AML cells possess glucocorticoid receptors. In 26/45 cases, the enzyme was inhibited by this steroid to less than 25% of control values. Pronounced inhibition of this degree was not encountered with normal polymorphonuclear leukocytes. Plasminogen activator secretion by AML cells was profoundly inhibited in 20/41 cases by 1 ng/ml TPA and stimulated in 8/41 cases. Leukemic blasts varied considerably in their response to dexamethasone and TPA. Plasminogen activator release should prove a sensitive means of monitoring the responses of AML cells to biologically active compounds. PMID- 6572078 TI - The secretion of plasminogen activators by human myeloid leukemic cells in vitro. AB - Peripheral blood cell preparation from 23 normal subjects and 72 patients with acute and 32 patients with chronic myeloid leukemia were cultured in vitro and released plasminogen activators were analyzed. The quantity of plasminogen activator secreted by leukemic cells varied widely and could not be correlated with the clinical severity of the disease. Immunochemical and electrophoretic techniques have been used to show that normal peripheral blood granulocytes released exclusively urokinase-like plasminogen activator, whereas leukemic cells secreted either urokinase or a tissue activator-like enzyme. The molecular species of enzyme released by acute myeloid leukemic cells may serve as a diagnostic marker of relevance to the management of this disease, since patients with acute myeloid leukemia whose cells released only tissue plasminogen activator did not respond to combination chemotherapy. Tissue plasminogen activators released by leukemic cells may display an unusual electrophoretic pattern that resembles that shown by urokinase. Immunochemical procedures are therefore essential for the correct identification of these enzymes. PMID- 6572079 TI - Serial in vitro bone marrow fibroblast culture in human leukemia. AB - Human fibroblast colony formation from bone marrow was performed in liquid culture. Fetal calf serum was used as a stimulator of the fibroblast colony formation. The colony formation took place not only in normal donors, but also in patients with acute leukemia and chronic myelocytic leukemia. At the diagnosis of the disease, significant colony suppression was observed in most cases of acute leukemia, while the number of colonies increased in half of the cases of chronic myelocytic leukemia. However, there was no correlation between the colony-forming efficiency and the initial number of peripheral platelets or bone marrow megakaryocytes that contained growth-promoting factor. The number of colonies increased after chemotherapy, recovered at the stage of complete remission, and then decreased to low levels at relapse in the patients with acute leukemia; it decreased after treatment with busulfan in the patients with chronic myelocytic leukemia. This fibroblast culture method is useful for counting fibroblast colony forming cells in the bone marrow of human leukemia. PMID- 6572080 TI - Eosinophilic cytoplasmic inclusions in fetal leukocytes: are Auer bodies a recapitulation of fetal morphology? AB - Among the most striking morphological features of acute nonlymphoblastic leukemias (ANLL) is the occurrence of eosinophilic cytoplasmic inclusions known as Auer rods on Auer bodies. We examined immature myeloid cells from the peripheral blood of 9 human fetuses of 16-19 wk gestation for the presence of such structures. Five of these 9 samples contained cytoplasmic inclusions, which were identical to the Auer rods typically seen in blast cells from patients with ANLL. The incidence of positive cells was low (1-5 cells/10,000 cells surveyed). The inclusions were azurophilic with Wright-Giemsa staining and were cytochemically positive with peroxidase, acid phosphatase, and Sudan black staining. We observed no inclusions in identically prepared control myeloid cells from the bone marrow of 5 patients with acute lymphoblastic leukemia in remission and 3 patients with chronic myelogenous leukemia in stable phase. Nor were they present in peripheral blood myeloid cells of 10 normal adults. Myeloid precursors in long-term bone marrow culture from 2 normal adult donors did not develop the inclusions during 24 hr of incubation with prostaglandin F2 (the abortifacient). These observations suggest that Auer rod formation is an occasional but normal phenomenon in fetal hematopoiesis. PMID- 6572082 TI - The professional corporation is not dead. PMID- 6572081 TI - Effects of prostaglandin E2 on fast and slow components of the response of the rat vas deferens to field stimulation. AB - 1 The response of the rat vas deferens to field stimulation with single pulses is biphasic. The first, rapid component of the response is dominant at the prostatic end and is thought by some to be mediated by non-adrenergic, non-cholinergic neurotransmission. The second, slower component predominates at the epididymal end and has the usual properties associated with adrenergic responses. 2 Prostaglandin E2 (PGE2, 10(-8) to 10(-5) mol/l) inhibited the 'fast component' responses elicited by field stimulation of the prostatic vas from reserpine treated rats. The prostaglandin was more potent in the presence of 1.25 than 2.5 mmol/lCa2+. 3 PGE2 (10(-7) to 10(-5) mol/l) had similar effects on prostatic preparations from normal rats, but was less active on these. 4 PGE2 (10(-9) to 10(-5)mol/l) did not inhibit the 'slow component' responses resulting from field stimulation of the epididymal vas but rather, at the two highest concentrations used (5 x 10(-6) and 10(-5) mol/l), potentiated them. These high concentrations of the prostaglandin also potentiated the contractions of the epididymal vas elicited by exogenous noradrenaline. 5 These effects of PGE2 on the two components of the response of the rat vas deferens are not as might be expected from its inhibitory effects on the 'typical' adrenergic neurotransmission in several other sympathetically-innervated tissues. PMID- 6572084 TI - Canadian Council on Hospital Accreditation: worth watching. PMID- 6572083 TI - Taking in an associate. PMID- 6572085 TI - The flag sign of chemotherapy. AB - A case of horizontal pigmented bands developing within the hair of a patient on intermittent high-dose methotrexate chemotherapy is presented. PMID- 6572086 TI - Urinary 6-hydroxymethylpterin levels accurately monitor response to chemotherapy in acute lymphoblastic leukemia. AB - We have recently shown that the levels of urinary 6-hydroxymethylpterin are highly elevated (3 to 20 fold) in a variety of human malignancies as compared to its urinary excretion in patients with nonmalignant diseases or normal healthy subjects. In the subsequent studies, this parameter has been shown to be a reliable index for accurately monitoring the response of patients with acute myeloblastic leukemia (AML) during chemotherapy. In this study, the excreted urinary levels of 6-hydroxymethylpterin as well as the bone marrow lymphoblast values were measured simultaneously in four patients with acute lymphoblastic leukemia (ALL) during antileukemic therapy. Various drug regimens employed for treatment have also been indicated. A good correlation was seen between urinary pterin levels and % blasts during treatment, thus accurately monitoring remission or relapse of the disease in response to the antileukemic therapy. These results again conclusively show that the simple noninvasive determination of 6 hydroxymethylpterin provides a reliable index of the total tumor load in acute lymphoblastic leukemic cases undergoing treatment. PMID- 6572087 TI - Hypocholesterolemia as a manifestation of disease activity in chronic myelocytic leukemia. AB - A patient with chronic myelocytic leukemia and hypocholesterolemia displayed marked fluctuations in plasma cholesterol in response to several therapeutic maneuvers. During chemotherapy there was a reciprocal relation between low density lipoprotein (LDL) cholesterol levels and the degree of leukocytosis and splenomegaly. LDL cholesterol increased after splenectomy, but continued to cycle inversely with the leukocyte count. Receptor-mediated degradation of 125I-labeled LDL (125I-LDL) by mononuclear cells in vitro also showed cyclical changes which were unrelated to the number of immature myeloid cells in the population or the level of plasma cholesterol. 125I-LDL degradation rate was normal or slightly increased during relapse and after remission was achieved, but was greatly increased when tested during periods of remission induction. This patient illustrates that significant changes in plasma total and LDL cholesterol occur in chronic myelocytic leukemia in association with alterations in proliferative state. Tumor load, the presence of an enlarged spleen, and changes in lipid metabolism of circulating cells all appear to contribute to the reduction in LDL cholesterol levels. PMID- 6572088 TI - Acute febrile neutrophilic dermatosis (Sweet's syndrome) and myeloproliferative disorders. AB - Acute febrile neutrophilic dermatosis (ND) consists of the abrupt onset of red, tender, cutaneous plaques on the face, extremities, and upper trunk, accompanied by fever, malaise, and neutrophilic leukocytosis. Histologically, there are distinctive, dense, dermal infiltrates of neutrophils. Response to systemic steroids is dramatic. This report describes four patients with leukemia or preleukemia and ND (LND), reviews reports of 12 similar patients, and compares LND with ND in otherwise healthy individuals (idiopathic ND, IND). Although lesions of LND more frequently had vesiculobullous appearances or location on mucous membranes, this study showed no consistent difference between LND and IND with regard to cutaneous signs, symptoms, histologic findings, and response to therapy. The first episode of LND either preceded or followed documentation of the myeloproliferative disorder, and the most common associated hematologic conditions were acute myeloid or myelomonocytic leukemia. Moderate to severe anemia was present in nine of ten patients whose first episode of LND preceded the discovery of the hematologic condition by eight months or less. The presence of anemia is the most obvious and readily detectable difference between LND and IND. The possibility of an underlying myeloproliferative disorder should be considered in all patients with ND, and LND should not be confused with infectious complications in patients known to have myeloproliferative disorders. PMID- 6572089 TI - Successful medical management of neutropenic enterocolitis. AB - The medical management of neutropenic enterocolitis has been associated with a 100% mortality rate according to recent reports. This report describes two cases which were successfully managed without colonic resection. In one case, 67Ga radionuclide scanning was utilized as an aid in the diagnosis. The incidence, pathogenesis, diagnosis, and previously reported cases of medical management of neutropenic enterocolitis are reviewed, and the role of granulocyte transfusions and 67Ga scanning are discussed. PMID- 6572090 TI - t(15;17) in a promyelocytic form of chronic myeloid leukemia blastic crisis. AB - Two simultaneous translocations, t(15;17) and t(9;22), have been observed in a chronic myelogenous leukemia patient with acute promyelocytic blastic crisis. After remission obtention only karyotypes with t(9;22) were present. The occurrence of the two translocations in the same cell argues in favor of the specificity of t(15;17) versus acute promyelocytic differentiation. PMID- 6572091 TI - Involvement of chromosome No. 20 in a complex Ph1 translocation. PMID- 6572092 TI - A possible specific chromosome marker for monocytic leukemia: three more patients with t(9;11)(p22;q24) and another with t(11;17)(q24;q21), each with acute monoblastic leukemia. AB - An apparently balanced 9;11 reciprocal translocation with break points most likely at 9p22 and 11q24 was found in 3 patients with acute monocytic leukemia [M5 in the French-American-British (FAB) classification schema]. This translocation was not observed in 6 other patients with M5 acute nonlymphocytic leukemia (ANLL) or in chromosome studies on 143 patients with other types of ANLL. This study supports the previously published suggestion that such 9;11 translocations may be associated with some patients with M5 ANLL. In this report, we have also included a patient with M5 ANLL who had an 11;17 translocation with break points apparently at 11q24 and 17q21. Perhaps this is a variant translocation of chromosome No. 11, which may also be associated with monocytic leukemia. PMID- 6572093 TI - Hypotetraploidy in erythroleukemia. PMID- 6572094 TI - The clinical and cytogenetic significance of C-banding on chromosome #9 in patients with Ph1-positive chronic myeloid leukemia. AB - The C-band polymorphism of chromosome #9 in 18 patients with chronic myeloid leukemia (CML) with a Philadelphia chromosome (Ph1) translocation between chromosomes #9 and #22 was examined using C- and Q-banding techniques on the same metaphases and the classification proposed by Patil and Lubs [1]. The C-band polymorphism of chromosome #9 in CML was found not to differ in leukemic cells with the Ph1 and phytohemagglutinin-stimulated lymphocytes without the Ph1 and to have a clonal origin, i.e., to arise from a single cell in which the Ph1 translocation has taken place. A comparison of the C-band polymorphism of chromosome #9, survival after diagnosis of the disease, and abnormal chromosomes in addition to the Ph1 indicates some interesting aspects. Patients with the smallest C-band (level 1) on chromosome #9 not involved in the Ph1 translocation and with a relatively large C-band (level 2) on chromosome #9 with the Ph1 translocation (C9-1,2) tend to have no clonal evolution and short survival after diagnosis of the disease. On the other hand, patients with other types of C-band patterns tend to have evidence of clonal evolution and long survival. This study suggests that the C-banding pattern in Ph1-positive CML might be utilized as a prognostic parameter in the disease and that the C-segment might have biological activity. PMID- 6572095 TI - Monoclonal antibody against myeloid leukemia cell line (KG-1). AB - A murine monoclonal antibody (WI-5) was produced against a myeloid leukemia cell line (KG-1). The antibody was immunoglobulin G3K. It reacted only against KG-1 cells and failed to react against 33 other cell lines representing fibroblasts, solid tumors, and cells of myeloid and lymphatic origin. It also showed no reaction against normal red blood cells, granulocytes, platelets, monocytes, and T- and B-lymphocytes. Similarly, there was no reaction against lymphocytes transformed by mitogens. Peripheral blood and bone marrow samples from acute granulocytic and acute lymphocytic leukemia, chronic granulocytic leukemia, chronic granulocytic leukemia in blastic crisis, and chronic lymphocytic leukemia failed to react with WI-5. It was suggested that WI-5 detected a unique antigen on KG-1 cells. PMID- 6572096 TI - Cytidine triphosphate synthetase activity in lymphoproliferative disorders. PMID- 6572097 TI - Adenosine deaminase and terminal deoxynucleotidyl transferase: biochemical markers in the management of chronic myelogenous leukemia. AB - Serial determinations of adenosine deaminase (ADA) activity in 69 patients with chronic myelogenous leukemia provided a biochemical marker of disease activity. Eighty-nine % of patients in the accelerated phase had an elevation of ADA activity. This elevation was not a direct reflection of an increased absolute blast count. Furthermore, five of seven patients studied serially from the stable phase into the accelerated phase had an increase in ADA activity before the absolute blast count increased. This is the first investigation which clearly demonstrates the potential value of measuring serial ADA activities in a large number of patients with chronic myelogenous leukemia. PMID- 6572098 TI - Differential uptake of 1-(2-chloroethyl)-3-(trans-4-methylcyclohexyl)-1 nitrosourea and doxorubicin by Lewis lung carcinoma and Ridgway osteogenic sarcoma. PMID- 6572099 TI - Action of urea solutions on human enamel surfaces. PMID- 6572100 TI - Penetration of fluoride and chlorhexidine in human dental plaque in vitro. PMID- 6572101 TI - Distribution of fluoride in clinically sound enamel surfaces of permanent upper incisors. PMID- 6572102 TI - The association between dental caries incidence and two Streptococcus mutans populations in monkeys Macaca fascicularis. PMID- 6572103 TI - Anticariogenicity of dietary glycerol monolaurin in rats. PMID- 6572105 TI - Abstracts of papers presented at the 29th ORCA (European Organization for Caries Research) Congress. June 30-July 3, 1982, Annapolis, Md., USA. PMID- 6572104 TI - Lithium content, buffering capacity and flow rate of saliva and caries experience of Australian children. PMID- 6572106 TI - Crystallite diameters of enamel near the anatomical surface. An investigation of mature, deciduous and non-erupted human enamel. PMID- 6572107 TI - The regulated expression of beta-globin genes introduced into mouse erythroleukemia cells. AB - We have introduced a hybrid mouse-human beta-globin gene as well as the intact human beta-globin gene into murine erythroleukemia (MEL) cells and have demonstrated that these genes are appropriately regulated during differentiation of the MEL cell in culture. The addition of chemical inducers to cotransformed cells results in a 5 to 50 fold increase in the level of mRNA transcribed from the exogenous globin gene. S1 nuclease and primer extension analyses demonstrate that these mRNAs initiate and terminate correctly. Nuclear transcription experiments indicate that induction of hybrid mRNA results at least in part from the increase in the rate of globin gene transcription. Furthermore, the induction appears to be specific for globin genes within an erythroid cell. These results permit the study of expression of the globin gene during erythroid differentiation and suggest that the specific induction of the globin gene is an inherent property of DNA sequences within or flanking the beta-globin genes. Moreover, the fact that the human and hybrid globin genes are both inducible in MEL cells suggests that these regulatory sequences are conserved between mouse and human cells. PMID- 6572109 TI - To splint or not to splint: concepts and controversy. PMID- 6572108 TI - DNA synthesizing activity during induced differentiation in mouse myeloid leukemia (M1) cells. AB - Mouse myeloid leukemia (M1) cells were induced to differentiate in vitro by treatment with dexamethasone. After 8 h of treatment, induction of phagocytic and lysozymic activities and depression of DNA synthesis started at the same time and proceeded irreversibly. DNA synthesis in the nuclear system reflected primarily DNA replication rather than repair and this activity declined during M1 cell differentiation. PMID- 6572110 TI - China: a dental expedition to a legendary land. PMID- 6572111 TI - Individual practice associations: are they part of dentistry's future? PMID- 6572112 TI - Causes of severe morbidity/mortality cases. PMID- 6572113 TI - Congress zeroes in on professional corporations. PMID- 6572114 TI - Quantification of lipoprotein cholesterol in serum from children with different lipoprotein profiles: heparin-calcium precipitation and ultracentrifugation compared. AB - We compared the serum lipoprotein cholesterol concentrations in subgroups of children (n = 360), ages 5-17 years, as measured by the heparin-Ca2+ and preparative ultracentrifugation methods. Children were grouped from the total population on the basis of their previous results for serum beta- and pre-beta lipoprotein cholesterol (Group I: low beta- and low pre-beta-; Group II: high beta- and low pre-beta; Group III: high beta- and high pre-beta-; Group IV: low beta- and high pre-beta-). The values for very-low-density (VLDL) cholesterol by ultracentrifugation method were 44, 53, 15, and 10 mg/L greater than the values for pre-beta-lipoprotein cholesterol by the heparin-Ca2+ method in Groups I, II, III, and IV, respectively; the differences were not significant in Group IV. The values of low-density (LDL) cholesterol were 64, 137, 144, and 73 mg/L less than the values for beta-lipoprotein cholesterol in Groups I, II, III, and IV, respectively (p less than 0.005). On the other hand, high-density (HDL) cholesterol concentrations in the respective four groups were 10, 37, 93, and 52 mg/L greater than alpha-lipoprotein cholesterol concentrations; the differences were significant for Groups II, III, and IV (p less than 0.005). Overall, the values for LDL-cholesterol correlated highly with beta-lipoprotein cholesterol (r = 0.94), whereas correlations for VLDL- and HDL-cholesterol values with pre-beta lipoprotein cholesterol (r = 0.76) and alpha-lipoprotein cholesterol (r = 0.77) were somewhat lower. The differences between these two methods may result from their different operational definitions for measuring serum lipoproteins and the possibility that without appropriate corrections the values obtained by preparative ultracentrifugation do not serve as reference values. PMID- 6572116 TI - Computed tomographic findings in primary mandibular osteosarcoma. AB - Osteosarcoma of the mandible is a rare tumour. Two cases examined by computed tomography (CT) are presented. The osteolytic, osteoblastic and extra-osseous components are excellently shown by CT. The attenuation coefficient of calcified and non-calcified osteoid is extremely variable, with densities ranging from +19 to +320 EMI units. The extension of lesions into the pterygopalatine fossa, infratemporal fossa and cranial cavity are precisely defined on CT, information which is necessary for surgical and radiotherapy planning. PMID- 6572115 TI - Listerial brain abscess in a patient with leukemia: successful nonsurgical management. PMID- 6572117 TI - Supervised weekly rinsing with a 0.2% neutral NaF solution: results after 5 years. AB - The effect on caries prevalence of the permanent dentition was evaluated after 5 years of weekly rinsing (130 scheduled rinses) with a 0.2% neutral NaF solution. The program was conducted in the Three Village Central School District, New York, U.S.A. (F less than or equal to 0.1 part/10(6). First to sixth grade children who rinsed from 1 to 5 years respectively had a caries prevalence reduction of 45.3% (DMFT) and 47.4% (DMFS) compared to baseline scores of children who were examined before the rinsing program began. The highest caries reduction, 81.3%, was found on proximal surfaces. Two variables influenced the cariostatic benefits associated with fluoride rinsing. The younger that children entered the program and the longer that they rinsed, the greater were the accumulated benefits. PMID- 6572118 TI - Peer appraisal in Leicestershire Community Dental Service. AB - During the period 1976 to 1980 inclusively a form of staff appraisal amongst dental officers was introduced into the Community Dental Service in Leicestershire. The aim was to observe and review the output performance and potential of individual dental officers. In practical terms it was noticed that during this period there was a distinct change in work output and treatment patterns. Routine fillings and extractions showed a marked downward trend; the number of crowns per operator, the number of orthodontic appliances fitted, the number of root treatments performed, the patients radiographed and, above all, the total visits per full time equivalent dental officer all showed a noticeable and at times a highly pronounced increase. Although the downward trend in fillings and extractions reflects what now appears to be the overall tendency in developed countries, it is felt that the increase in other items was, to a large extent, due to peer appraisal. PMID- 6572119 TI - Utilization of the Danish Youth Dental Care Scheme among 1655 16-22-year-old males and females. AB - The present study attempts to establish operational criteria which can be used in the evaluation of the Youth Dental Care Scheme (YDCS) established in Denmark in 1965. The utilization of the YDCS is studied in a population of 1655 16-22-year old males and females all of whom had attended the Public Child Dental Care in the municipality of Aarhus. Data on enrollment and use of the YDCS were collected using an official data base established with the purpose of administering the YDCS and by a mailed questionnaire. The study showed that enrollment rate was approximately 80% for those individuals who had just left Public Child Dental Care. For individuals who had left Public Child Dental Care 4-5 years earlier, the enrollment rate was 74%. Enrollment rate at a given time did, however, prove not to be a valid measure for the utilization. The study thus showed that only 65% of the individuals had been constant users for 4-5 years after they had left Public Child Dental Care. Women were more frequently constant users than men. Individuals from the higher social groups were more frequently constant users than individuals from the lower social groups. PMID- 6572120 TI - Periodontal treatment need of the Finnish population aged 30 years and over. AB - A representative sample (n = 8000) was drawn from the population aged 30 years and over, registered as living in Finland. Periodontal disease status was recorded according to the modified Periodontal Treatment Need System (PTNS). Plaque retentions were examined separately. Of the subjects with four or more teeth 3.4% had a healthy periodontal status, while 10.2% of the jaw quadrants were healthy. Plaque retentions were found in 96.6% of the subjects and 90.9% of the jaw segments. Periodontal treatment need was calculated in three ways and was 195 +/- 111 (S.D.) min when the calculation was based on WHO recommendations (1978). Number of teeth, age, sex, caries and filling scores, and education explained about 30% of the treatment need when tested by multiple linear regression analysis. PMID- 6572121 TI - Evidence of the validity of a model of determinants of quality of restorative dental care. AB - A model describing the relationship between self-reported quality of restorative dentistry and dentist characteristics for 119 Montana general dentists is presented. The best predictors formed a significant model explaining 22% of the variance of the quality measure. Results are contrasted with a previous estimation of the model for 102 Washington general practitioners. Evidence for the external validity of the model is presented. PMID- 6572122 TI - Epidemiologic indices for pulp treatment and extraction of primary molars. AB - The purpose of the present study is to introduce and discuss four indices to be used in epidemiologic recording of pulp treatment and extraction of primary molars. The indices are constructed on the basis of the four combinations existing between pulp treatment/no pulp treatment and extraction/no extraction. The NPE-index (No Pulp treatment or Extraction) reflects the relative number of teeth which are neither extracted nor pulp treated. EPM-index (Extracted Primary Molars) reflects the relative number of teeth, which have been extracted. PPM index (Pulp treated Primary Molars) reflects the relative number of teeth which have been pulp treated. PNE-index (Pulp treatment No Extraction) reflects the relative number of pulp treated and not extracted teeth. PMID- 6572123 TI - Differentiating regular from irregular dental attenders of either sex by linear discriminant analysis. AB - The present article describes an attempt to improve the prediction of dental attendance, results by using an additional number of variables and performing discriminant analyses, done separately for men and women. It appears that regular and irregular dental attenders might be discriminated on the basis of mathematically combined variables and interactions. The (number of) variables selected by the analysis to differentiate regular from irregular male attenders differ(s) from those selected for female attenders. About 80% of all respondents can be classified correctly, but this is largely due to the assignment of actual regulars to classified regulars. The use of differing sets of prior probabilities affects the classification results, namely, either the classification of the regulars or that of the irregulars improves. In the discussion attention is given to the seemingly contradictory results of the Mann-Whitney tests per variable on the one hand and the discriminant analyses on the other. In this connection, the finding that 'education' plays a different role for men than for women is discussed. The validity of the variable 'last visit' is dubious. It is concluded that when differentiating regulars from irregulars, a division of the respondents according to sex makes sense because of the (number of) variables associated with their regular dental attendance. Furthermore, it seems warranted to say that the classification of the irregulars fails because the reversed scores on the variables with which the regulars are classified don't contain all information needed for the prediction of irregular dental attendance. Lastly, notwithstanding the use of more variables in the present study, the results are not better than those in the previous one, in which just three factors were used. PMID- 6572124 TI - Epidemiologic study of oral cancer in Fars Province, Iran. AB - From January 1962 to December 1978, 381 consecutive cases of oral cancer in Fars Province were analyzed and studied. The incidence of oral cancer was found to be 1.13/100 000. The male/female ratio was 5:1, the median age of oral cancer was 55 years. 97% of the oral cancer was squamous cell carcinoma. The most commonly affected oral site was the lower lip, next was the tongue. Tobacco smoking and opium addiction were more common among the affected compared with the control group. Dental sepsis and poor oral hygiene were common in both groups. Malnutrition, anemia and liver dysfunction were common in the examined sample and are thought to be possible causative factors especially in those with no smoking habits. The role of general dental practitioners was limited, they suspected and referred only 13 advanced cases. PMID- 6572125 TI - Malocclusion in Lagos, Nigeria. AB - 617 schoolchildren 10-19 years of age were examined in order to assess the prevalence of malocclusion in a population sample in Lagos. Class I occlusion accounted for 76.8%, followed closely by Class II malocclusion, 14.7%, and Class III malocclusion, 8.4%. Crowding was recorded in 15.1% of the cases, most of which occurred anteriorly. The present study shows some interesting differences in the prevalences of malocclusions compared to studies on Caucasian subjects. PMID- 6572126 TI - An epidemiologic survey of oral health in Swaziland. AB - An epidemiologic survey of oral health was conducted on 480 schoolchildren and 400 adults in Swaziland. Age groups 7, 14, 20-24 and 35-44 were selected, and nine sampling sites were chosen in various parts of the country. Oral hygiene was generally poor, visible soft deposits being prevalent in all age groups and calculus in adults. Advanced periodontal disease was present in most people over 35 years of age, and intense gingivitis was widespread in all age groups. Dental caries was found to be a common problem, affecting practically every person, in many cases quite severely. There was a tendency towards accumulation of the disease in children. Some geographic variation was found in the prevalence and severity of dental caries and periodontal disease. An additional sample of privileged children was examined, and among these children 14-year-olds showed significantly higher DMFS values than their age mates in the rest of the country. Tooth defects, including fluorosis, and oral mucosal diseases did not seem to constitute severe problems of oral health in Swaziland. On the basis of these data a public dental health program has been initiated which emphasizes prevention. PMID- 6572127 TI - Retrospective review of 350 patients referred to a TMJ clinic. AB - The records of 350 consecutive patients referred 2 1/2 years previously were examined retrospectively for clinical findings, diagnoses and observations related to treatment. There was a good correlation between the severity of symptoms reported by the patients in a questionnaire at the first visit and the clinical dysfunction index. The female patients had higher dysfunction index values than the men, while the occlusal index was equally distributed in both sexes. The most frequently used treatment methods were bite planes, occlusal adjustment and jaw exercises. There was a wide variation in the length of the treatment period and number of visits but the median values for these variables were 3 and 4 months, respectively, which is encouraging in view of the fact that the duration of the symptoms before the start of treatment was more than 6 months in two-thirds of the patients. Patients who had reported severe symptoms and those who were in a "poor social situation" had higher clinical dysfunction index values at the first visit, had more visits to the clinic and required a longer treatment period than others but they did not differ regarding the evaluation of the clinical situation at termination of treatment. PMID- 6572128 TI - Combined effects of a fluoride dentifrice and mouthrinse on the incidence of dental caries. AB - 751 14- and 15-year old children completed a 3-year, double-blind, caries preventive program. The effects of daily, supervised toothbrushing with an 0.76% sodium monofluorophosphate dentifrice, rinsing with a 0.05% sodium fluoride mouthrinse, and the combined effects of the two treatments were investigated. Both the dentifrice and mouthrinse reduced the incidence of dental caries, but their combined use at the same time had no greater effect than either used alone. PMID- 6572129 TI - An XX male with a single STS gene dose. AB - There is substantial evidence that many XX males arise from an X/Y interchange, so that a terminal Xp segment carrying the Xg locus, but not the neighboring steroid sulfatase (STS) locus, is replaced by part of the Y chromosome. We show here that one of the two X chromosomes of an XX male with low intracellular levels of STS does not express the STS gene. PMID- 6572130 TI - Computers in dentistry. Part 5. Software. PMID- 6572131 TI - The future of dentistry. Part I. PMID- 6572132 TI - [Prostaglandin distribution in 2-phase systems and their incorporation into liposomes]. PMID- 6572133 TI - Treatment of L-asparaginase allergic reaction. AB - The treatment of an allergic reaction to L-asparaginase is discussed in the presentation of a case of a 26-year-old man with chronic myelogenous leukemia who was undergoing methotrexate-L-asparaginase rescue therapy. The possible mechanism of action of L-asparaginase is reviewed, and precautions for use of L asparaginase in combination therapy with methotrexate are presented. PMID- 6572134 TI - [Acute leukaemic course of centroblastic-centrocytic non-Hodgkin lymphomas]. AB - Despite histologically limited malignancy blastic leukaemia developed in two patients with centroblastic-centrocytic malignant lymphoma. Blastic cells were peroxidase- and PAS-negative, whereas alpha-naphthylacetate-esterase was predominantly positive. In one case blastic acid phosphatase showed a positive reaction. Despite multiple therapeutic attempts remission of acute leukaemia could not be achieved. Centroblastic-centrocytic malignant lymphoma is thus not only endangered by the histologic transformation to higher malignancy but also by the development of blastic leukaemia. Among our 18 patients with centroblastic centrocytic lymphomas these two patients were the only to develop terminal blastic leukaemia. There was no leukaemic course in ten primarily centroblastic malignant lymphomas. The association of haematologic acute blastic leukaemia and simultaneous diffuse lymphnode swelling and enlargement of the spleen must lead to consideration of blastic leukaemia originating from a centroblastic centrocytic lymphoma. PMID- 6572135 TI - [Effect of geometric parameters on the magnitude and spatial distribution of thermal stresses in metal ceramic crowns]. PMID- 6572136 TI - [Biomechanics of the human temporomandibular joint (a study of the functional structures of the os temporale in the sagittal-vertical plane)]. PMID- 6572137 TI - [FGP (functionally generated path)--long-term therapy in chronic temporomandibular joint injuries following surgical intervention]. PMID- 6572138 TI - [Scattering of the readings of bite records by hand and by arrow point tracing]. PMID- 6572139 TI - [Projection-related measurement errors in axial pantography]. PMID- 6572140 TI - [Sagittal hinge axis movement and the temporomandibular x-ray picture]. PMID- 6572141 TI - [Recurrences after ramus osteotomy with different forms of osteosynthesis]. PMID- 6572142 TI - [Effects of preformed crowns on periodontal health in deciduous and mixed dentition]. PMID- 6572143 TI - [Tension relaxation in plastic dentures]. PMID- 6572144 TI - [Critical comments on the subject of gnathology]. PMID- 6572145 TI - Methods for the treatment of twin pregnancy in the mare. AB - Within a group of 130 mares which, in the event, carried twin pregnancies, 29 (22.3 per cent) produced their twins following diagnosis of a single palpable follicle at service and a single pregnancy 42 days later. The whole group of 130 twin-pregnant mares gave birth to only 17 live foals (13 per cent). Breeding results for the following season were available for 102 of these mares, when 38 (37 per cent) produced live foals. Thus over the two seasons an average 23 per cent of this group produced live foals. In a second group, comprising 70 mares, twin pregnancy had been diagnosed in all of them by rectal palpation. Five methods of treatment were then applied to five subgroups of mares and 20 (28 per cent) of the 70 mares produced live foals that season. Breeding results for the following season were available for 53 of these mares; 33 (61 per cent) then produced live foals. Thus over the two seasons an average 46 per cent of the treated group produced live foals. The administration of a prostaglandin analogue at less than 35 days of gestation was outstandingly successful as a method of treatment. PMID- 6572146 TI - Affinity labeling of arginyl residues at the catalytic region of estradiol 17 beta-dehydrogenase from human placenta by 16-oxoestrone. AB - 16-Oxoestrone inhibited competitively the activity of estradiol 17 beta dehydrogenase from human placenta against estradiol in phosphate buffer (pH 7.2), suggesting reversible binding of 16-oxoestrone to the substrate-binding site. 16 Oxoestrone irreversible inactivated the estradiol 17 beta-dehydrogenase in borate buffer (pH 8.5) in a time-dependent manner, following pseudo-first-order kinetics. The rate constant (k3) obtained for the inactivation by 16-oxoestrone was 8.3 x 10(-4) s-1. The rate of inactivation was significantly decreased by addition of estrone, estradiol, estriol, NAD(H) and NADP+. Also, the rate was reduced markedly by 2'AMP, 5'ATP and 2',5' ADP, but not by NMN(H) and 3 pyridinealdehyde adeninediphospho nucleotide. The inactivation by 16-oxoestrone was neither prevented by sodium azide nor influenced by light. From these data, 16-oxoestrone, an alpha-dicarbonyl steroid, was suggested to inactive estradiol 17 beta-dehydrogenase by modification of arginyl residues located around the substrate-binding site of the enzyme. Biphasic inactivation of the enzyme by 16 oxoestrone was observed with an increase of modified arginyl residues. The first phase of the inactivation was regarded as an affinity labeling of the arginyl residues at or near the substrate-binding site of the enzyme. Stoichiometry of the inactivation indicated that two arginyl residues were essential for maintenance of the enzyme activity. The second phase was considered as chemical modification of the arginyl residues outside of the catalytic region of the enzyme. PMID- 6572147 TI - Calmodulin stimulation of adenylate cyclase of intestinal epithelium. PMID- 6572148 TI - Bacteriocin and flow cytometry in laboratory diagnosis of leukemic peripheral blood lymphocytes and bone marrow cells. AB - The bacteriocin, colicin HSC10, produced by Escherichia coli HSC10, was studied as a laboratory tool for detection and differentiation of leukemic from normal lymphocytes in human peripheral blood. Flow cytometry studies detected DNA loss in bacteriocin-affected cells by computerized histograms. Differential analysis is given for the peripheral blood of 26 individuals using bacteriocin, cytochemistry and surface markers. Sensitivity to colicin was detected in 10 (83%) of the 12 patients with chronic lymphocytic leukemias and other leukemias with morphologically immature lymphocytes. Cells were lost from the G0/G1 phase and accumulated in the 'pre-G1' channels of the histogram, indicative of cells with reduced DNA content. The lymphocytes of 14 normals, however, were not or only slightly affected by the bacteriocin (P less than 0.001). Similarly, normal bone marrow cells exposed to bacteriocin remained unaffected (P greater than 0.2). Thus, immaturity per se was not recognized by bacteriocin. The bacteriocin effect was more discriminatory than other laboratory tests reported here and in most cases differentiated malignant from normal cells. PMID- 6572149 TI - Induction of differentiation of human acute non-lymphocytic leukemia cells in primary culture by inducers of differentiation of human myeloid leukemia cell line HL-60. AB - Leukemia cells from patients with acute non-lymphocytic leukemia were treated with various inducers of differentiation of the human promyelocytic leukemia cell line HL-60. All cells in 14 specimens tested underwent morphological, functional and histochemical changes after treatment with some inducers of differentiation of HL-60 cells, but the most effective inducer varied for different specimens. These results suggest that treatment with some inducers should be effective for inducing most acute myeloid leukemia cells to differentiate into morphologically and functionally mature granulocytes and macrophages. PMID- 6572150 TI - Rapid reduction in parvalbumin concentration during chronic stimulation of rabbit fast twitch muscle. AB - Chronic indirect stimulation of fast twitch rabbit muscle induced a rapid reduction in parvalbumin concentration. When compared to the unstimulated contralateral muscle, parvalbumins were reduced to 55% following 6 days of stimulation. Prolonged stimulation further reduced parvalbumins so that they were undetectable after 28 days. The time course of these changes appears to be related with the previously observed changes in the sarcoplasmic reticulum. PMID- 6572151 TI - Human luteal tissue prostaglandins, 17 beta-estradiol, and progesterone in relation to the growth and senescence of the corpus luteum. AB - Prostaglandins (PG) E2 and F2 alpha, the 13,14-dihydro-15-keto metabolite of PGF2 alpha, 17 beta-estradiol, and progesterone (P) were measured in luteal tissues obtained from 28 women undergoing abdominal hysterectomy for various benign gynecologic conditions. The highest concentration of PGF2 alpha was found in corpora lutea in the late luteal phase, in which the P concentration was lower than in corpora lutea from earlier phases of the cycle. In postovulatory corpora lutea, PGF2 alpha levels were low, while those of PGE2 and P were high. A positive correlation existed between concentrations of P and PGE2 in luteal tissues throughout the cycle. The results suggest that PGE2 may exert a trophic influence on luteal steroidogenesis and that PGF2 alpha is involved in human luteal regression. PMID- 6572152 TI - A dental insurance primer. PMID- 6572153 TI - Who carries out the garbage at the end of the day or the challenge of communicating effectively in the dental office. PMID- 6572155 TI - Investments to beat inflation. PMID- 6572154 TI - How to bring about radiography credentialing on the state level (part II). PMID- 6572156 TI - How safe are you from a malpractice suit? PMID- 6572157 TI - What dental hygienists think makes for a good (and bad) boss. PMID- 6572158 TI - How to translate production into practice income. PMID- 6572159 TI - Everything you always wanted to know about IRAs. PMID- 6572160 TI - Practicing patient dentistry. PMID- 6572161 TI - Decreased acquisition of glucocorticoid resistance in tetraploid human lymphoid cells. AB - Resistance to dexamethasone (1 microM) was measured in glucocorticoid-sensitive diploid and tetraploid clones of the human leukaemic cell line CCRF-CEM (clone C7) during continuous culture and after X-ray or chemical mutagenesis. In continuous culture resistant diploid cells accumulated at a rate of about one cell per 10(5) divisions, while the rate for tetraploid cells was less than one per 10(7) divisions. Chemical and X-ray mutagenesis caused a marked increase in the number of resistant diploid cells but had very little effect on tetraploid cells. These results are consistent with a mutational basis for the acquisition of the glucocorticoid-resistant phenotype in human lymphoid cells. PMID- 6572162 TI - Urinary thromboxane B2 and prostaglandin E2 in the hepatorenal syndrome: evidence for increased vasoconstrictor and decreased vasodilator factors. AB - Vasodilatory prostaglandins function to maintain renal perfusion in patients with cirrhosis and ascites. To evaluate the potential contribution of the vasodilator prostaglandin E2 and the vasoconstrictor metabolite thromboxane B2 to the development of the hepatorenal syndrome, we measured urinary excretion of these products in 14 patients with hepatorenal syndrome and in control populations with acute or chronic liver or kidney failure. Radioimmunoassay measurements were confirmed by bioassay and by mass spectrometry. Prostaglandin E2 was decreased compared with healthy controls (2.2 +/- 0.3 vs. 6.3 +/- 0.8 ng/h, p less than 0.01) and compared with acute renal failure (9.6 +/- 2.1 ng/h) and with alcoholic hepatitis (9.2 +/- 3.3 ng/h). Thromboxane B2 concentration was normal in patients with alcoholic hepatitis (0.12 +/- 0.02 vs. 0.15 +/- 0.03 ng/ml) and minimally increased in acute renal failure (0.18 +/- 0.15 ng/ml), but markedly elevated in hepatorenal syndrome (0.69 +/- 0.15 ng/ml, p less than 0.001). Urinary thromboxane B2 concentration fell with improved renal function in 3 patients who survived. These data suggest an imbalance of vasodilator and vasoconstrictor metabolites of arachidonic acid in patients with the hepatorenal syndrome. PMID- 6572163 TI - Demonstration of a pH gradient at the luminal surface of rat duodenum in vivo and its dependence on mucosal alkaline secretion. AB - The relationship between surface epithelial alkaline secretion and pH at the mucosal cell surface was studied in the duodenum of anesthetized rats. Alkaline secretion was measured by direct titration in situ using perfused segments of duodenum just distal to the Brunner gland area and devoid of pancreatic and biliary HCO3-. Mucosal surface pH was measured by advancing a pH-sensitive antimony microelectrode from the luminal solution to the mucosal cell surface during continuous recording of pH. Acidification of the luminal solution markedly stimulated epithelial alkaline secretion: a change of luminal pH from 7.60 to 5.00 by approximately 100%, and from pH 7.60 to 2.00 by approximately 600%. Maximal pH in the immediate vicinity of the (luminal) cell surface remained at or slightly above neutrality during exposure to both luminal acidities. Prostaglandins (E2, 16,16-dimethyl E2, and F2 alpha, 3-140 microM luminally) increased the rate of alkaline secretion, surface alkalinity, and thickness of the pH gradient. Acetazolamide (40-80 mg/kg, i.v.) was a much more potent inhibitor of prostaglandin or acid-stimulated secretion than of basal alkaline secretion and decreased surface pH in acid-exposed duodenum. Aspirin (30 mg/kg, i.v.) had no effect on basal alkaline secretion (titrated at luminal pH 7.60) but significantly inhibited secretion at luminal pH 2.00, resulting in a decrease of surface pH. These data suggest that endogenous prostaglandins may be involved in mediating the alkaline response to luminal acid. Furthermore, because it is quantitatively sufficient to maintain neutral pH at the mucosal cell surface at luminal acidities normally encountered within the duodenal bulb, epithelial alkaline secretion presumably has an important role in duodenal protection against acid. PMID- 6572164 TI - Isolation and preliminary characterization of human intestinal macrophages. AB - Methods for the isolation and culture of macrophages from normal human intestine are described. After disaggregation using sequential treatments of dithiothreitol, ethylenediaminetetraacetate, collagenase, and deoxyribonuclease, Percoll density gradients (1.064 SG) produced single cell suspensions from which macrophages were readily purified by adherence to plastic. Macrophages were characterized by morphology, phagocytosis, cytoplasmic staining for nonspecific esterase, presence of membrane Fc receptors, Ia-like antigens, and lysozyme synthesis and secretion. In 10 separate experiments, recovery of viable mononuclear cells was 2.9 +/- 0.6 x 10(6) cells/g of mucosa. Thirty percent of these cells were phagocytic. After adherence to plastic, the macrophage recovery was 1.05 +/- 0.2 x 10(6) cells/g mucosa and 90% +/- 0.4% of the adherent cells in the monolayer were phagocytic. Fifty-five percent of the adherent cells showed Fc receptors for immunoglobulin G, while 94% expressed the Ia-like antigen on their membrane. The successful isolation and culture of human intestinal macrophages in large numbers will allow detailed study of their role in the mucosal immune response in health and disease. PMID- 6572165 TI - Variations between individuals in cerebrovascular responsiveness. AB - 1. Despite extensive research no explanation has been put forward to account for the fact that cerebral arterial spasm complicates the course of disease of many but not all patients suffering from rupture of an intracranial aneurysm. Although vasoactive material in hemorrhagic cerebrospinal fluid (CSF) most probably is of major importance in the pathophysiology of delayed cerebral vasospasm, recent studies have failed to demonstrate a correlation between CSF vasoconstrictor activity and the development of delayed cerebral vasospasm. 2. In the present study the reactivity of isolated human pial arteries to various vasoactive agents [prostaglandin F2 alpha, noradrenaline, serotonin, human plasma and CSF from patients with aneurysmal subarachnoid hemorrhage (SAH)] was investigated. 3. There was a very marked variability in the spectrum of responses between arteries from different individuals with regard to the contractile responses to plasma, hemorrhagic CSF and amines. On the other hand, the contractions produced by prostaglandin F2 alpha and potassium were consistent. 4. The markedly individual profile in terms of reactivity toward vasoactive substances emphasizes the importance of a human cerebral vessel wall factor and may explain the capricious occurrence of cerebral vasospasm after aneurysmal SAH. PMID- 6572166 TI - Aortic coarctation: the in vitro response to noradrenaline, potassium and prostaglandin F2 alpha in intercostal arteries. PMID- 6572167 TI - Regional differences in the response of isolated human vessels to vasoactive substances. AB - 1. Crural, mesenteric and pulmonary vessels obtained during surgery were studied. Isometric tension was recorded and contractions were induced by potassium 127 mM (K), noradrenaline 18 microM (NA), prostaglandin F2 alpha 2.9 microM (F2 alpha), ergotamine 3.8 microM (Erg) or digoxin 1.0 microM (Dig). 2. Spontaneous myogenic activity was only observed in pulmonary veins. F2 alpha induced spontaneous activity in mesenteric arteries. 3. In all types of vessels, except in mesenteric arteries, the response to K+ had a greater amplitude than contractions developed by NA. Erg induced a slowly developing contraction in mesenteric veins but no contraction in mesenteric arteries. Dig induced a long-lasting monophasic response in arteries and a biphasic response in the veins. 4. After immersion for 30 min in a Ca-free medium the amplitudes to both NA and K+ were significantly reduced. The veins were more susceptible to the effects of Ca-deprivation than the arteries. PMID- 6572168 TI - Treating periodontitis. PMID- 6572169 TI - Nonsurgical periodontal treatment. PMID- 6572170 TI - Vesicles on the gingiva. PMID- 6572171 TI - Posterior mandibular radiolucency. PMID- 6572173 TI - Treating the horizontal root fracture. PMID- 6572172 TI - Lichen planus: three clinical variations. PMID- 6572174 TI - Using supplementary radiographs to detect common pathological lesions. PMID- 6572175 TI - Managing congenital absence of attached gingiva. PMID- 6572176 TI - Correction of an endodontic defect using a pedicle flap. PMID- 6572177 TI - Preportioned Dispersalloy: a follow-up report. PMID- 6572178 TI - Aesthetic treatment of an amalgam. PMID- 6572179 TI - Technique for a lingual, double-papilla sliding flap. PMID- 6572181 TI - In praise of performance appraisals. PMID- 6572180 TI - Combined ortho-endo treatment: a 14-year follow-up. PMID- 6572182 TI - Dental hygienists needed? PMID- 6572183 TI - JCAH standards provide new options for fire prevention. PMID- 6572184 TI - Forensic dentistry--dentistry and the law. PMID- 6572185 TI - Large mononuclear Ia-positive veiled cells in Peyer's patches. I. Isolation and characterization in rat, guinea-pig and pig. AB - The antigen presenting cell system in the skin is extensively studied, and is supposed to consist of Langerhans cells in epidermis and dermis, veiled cells in skin lymph and interdigitating cells in skin lymph nodes. In order to detect whether a similar cell system is present in the gut, we studied Peyer's patch cell suspensions. Mononuclear cells with long actively moving cytoplasmic veils were found in cell suspensions from Peyer's patches of rat, guinea-pig, and pig, and in cell suspensions from small intestinal villi of guinea-pig and pig, but not of rat. These veiled cells are strongly Ia-positive. Because of their Ia positivity, their enzyme cytochemical staining pattern, and their ultrastructure, these cells resemble the antigen presenting cells of the skin, skin lymph and lymph node. PMID- 6572187 TI - Localized soft tissue enlargement of the gingiva. PMID- 6572186 TI - A paradigm for identification of primary genetic causes of hypertension in rats. AB - A paradigm is developed for identifying the genes (and the biochemical physiological traits for which the genes code) that cause differences in blood pressure in inbred strains of rats. A biochemical-physiological trait which meets the following four criteria is one which can reasonably be accepted as causing genetic differences in blood pressure: 1) a difference in a biochemical or physiological trait between two strains must be demonstrated; 2) the trait must be shown to follow Mendelian inheritance; 3) the genes identified in criterion 2 must co-segregate with an increment in blood pressure which is significantly different from zero; and 4) there must be some logical biochemical and/or physiological link between the trait and blood pressure. Traits which do not show discrete phenotypes following Mendelian inheritance may correlate with blood pressure in segregating populations. In this case no rigorous cause and effect genetic argument is possible because such correlations could arise from complex primary genetic causes or as secondary effects of blood pressure on the biochemical-physiological trait. PMID- 6572188 TI - Limb preserving operation in the case of osteogenic sarcoma. PMID- 6572189 TI - Acute myelomonocytic leukemia in a dog. AB - Cytochemical stains and morphologic characteristics were essential in making the correct diagnosis in a dog with acute myelomonocytic leukemia, which initially was diagnosed as lymphoblastic leukemia. Response to a treatment regimen of cytosine arabinoside, thioguanine, vincristine, and doxorubicin, besides accomplishing complete remission, helped revise the initial diagnosis to acute myelomonocytic leukemia. After remission was achieved, the dog died of a fulminating viral infection. PMID- 6572190 TI - Phase II trial of aclacinomycin A in acute leukemia and various solid tumors. AB - Aclacinomycin A (ACM) is a new anthracycline antibiotic with a reduced cardiac toxicity in animal models. A phase II study was performed in a total of 25 patients, 23 of whom are evaluable for response. All suffered from recurrent and advanced tumors. Pretreatment consisted of at least four different chemotherapeutic agents (range: 4-9). Lung cancer patients (3/9) were irradiated to the mediastinum. Eighteen patients were pretreated with doxo- or daunomycin. The dose for solid tumors was 2-3 mg/kg given on 3 consecutive days every 3 weeks. Leukemia patients received a daily dose of 20 mg/m2, and standard response criteria were used. Marked reductions of leukocyte counts were achieved in leukemia patients. The overall response rate was about 15% in solid tumors, but major objective responses (CR + PR) have not been observed. Myelosuppression was commonly moderate in solid tumor patients, nausea and vomiting were rare, and alopecia was not induced. Cumulative cardiotoxicity was not evaluated in this trial. Treatment with ACM requires further investigation in acute leukemias and solid tumors, not pretreated with anthracycline antibiotics. PMID- 6572191 TI - Characterization of lymphoid cells by two-dimensional mini gel electrophoresis of proteins. AB - Cytosol proteins from normal lymphocytes, leukemic lymphocytes, and different cultured lymphoid cell lines were separated by two-dimensional mini gel electrophoresis. By staining with Coomassie blue, specific protein patterns were obtained. Very similar gel maps were produced by the cytosol proteins of chronic lymphocytic leukemia cells, hairy cells, and of in vitro grown B cells. Protein 36/6.2 (molecular weight/isoelectric point), consistently present in these cells, could not be demonstrated in normal lymphocytes. For the comparison of control Raji cells--an Epstein-Barr-Virus (EBV)-DNA carrying Burkitt's lymphoma cell line -with Raji cells induced for early antigen (EA) production, 35S-methionine labelled total cell lysates were analyzed. In the induced cells, an additional protein (100/5.5) was found; this might be one of the immunologically defined EBV associated antigens. These results demonstrate that two-dimensional mini gel electrophoresis can be useful for the characterization of leukemic cells in addition to the morphological, cytochemical, and surface marker analyses. PMID- 6572192 TI - Differentiation of promyelocytic (HL-60) cells into mature granulocytes: mitochondrial-specific rhodamine 123 fluorescence. AB - Rhodamine 123, a fluorescent dye which binds as a result of the transmembrane potential, was used to stain the mitochondria of HL-60 cells, a cell line established from human promelocytic leukemia cells. The DMSO-induced differentiation of promyelocytic cells into mature granulocytes caused a fourfold decrease in fluorescence intensity that paralleled the disappearance of S-phase and G2M cells. This suggests that upon myeloid differentiation whereby the cells enter an irreversible quiescent state, the mitochondrial mass of the cells has decreased. This suggestion is corroborated by electron microscopy, which shows a decrease in the number of mitochondria, and by decreases in total mitochondrial protein and cytochrome oxidase activity. The respiratory rate of isolated mitochondria did not change, suggesting that the transmembrane potential remained the same. Undifferentiated cells in exponential phase of growth exhibit an intracellular heterogeneity of fluorescence intensity. This heterogeneity appears to have a cell age basis, as late S/G2M cells, obtained by centrifugal elutriation, yielded twice the fluorescence intensity of early G1 cells. PMID- 6572193 TI - A comparison of peripheral blood and buffy coat smear examination for the prediction of bone marrow relapse of acute lymphoblastic leukaemia in childhood. AB - In an attempt to see if buffy coat smear examination might be an alternative to bone marrow aspiration for predicting relapse, 98 consecutive bone marrow aspirates from 96 children with acute lymphoblastic leukaemia were examined blind with buffy coat and peripheral blood from the same patients. The 28 bone marrow aspirates from children no longer on treatment were all normal, and routine aspirates would appear unjustified in these patients. Eight of the remaining marrows showed relapse, but only three were not predicted from the peripheral blood and buffy coat. In no case was buffy coat superior to peripheral blood in the detection of bone marrow relapse. Routine bone marrow aspirates are an inefficient way of diagnosing relapse in acute lymphoblastic leukaemia in childhood, despite their precision, and a prospective study is needed to determine their value. PMID- 6572194 TI - Measurement of conjugated and unconjugated serum bile acid concentrations using 3 alpha-hydroxysteroid dehydrogenase. PMID- 6572195 TI - Chronic neutrophilic leukaemia with enlarged lymph nodes and lysozyme deficiency. AB - A further case of chronic neutrophilic leukaemia is reported and compared to fourteen previously reported cases. The presence of enlarged lymph nodes as the first clinical sign and the existence of a relative lysozyme deficiency of the granulocytes were striking features. PMID- 6572196 TI - Evaluation of a new pulp capping agent in indirect pulp therapy. PMID- 6572197 TI - Elimination of thumbsucking through contingency management. PMID- 6572198 TI - Dental radiographic screening in children. PMID- 6572199 TI - Dental care needs and services for children: England, Wales, and United States compared. PMID- 6572200 TI - Formaldehyde vapor in the dental environment: absence of potential hazard. PMID- 6572201 TI - Dental findings in a child with Cockayne's syndrome. PMID- 6572202 TI - The role of snacking in the American diet. PMID- 6572203 TI - Infant feeding practices and nursing bottle caries. PMID- 6572204 TI - Divisional abstracts: International College of Dentists. From all divisional meetings other than the American. PMID- 6572205 TI - Treatment distributions in dental practice. AB - Dental educators have been urged to evaluate curricula using information from dental practice. This paper presents data from a variety of sources that describe the distribution of treatment effort in dental practice. The data indicate that most dental treatment consists of a narrow range of procedures, that the focus of dentists' treatment efforts is primarily reparative, and that practitioners may not be achieving the broad curriculum objective of providing needed comprehensive patient care. Considerations for curriculum evaluators are suggested, and implications for the future are discussed. PMID- 6572206 TI - Mirror-tracing and Embedded Figures tests as predictors of dental students' performance. AB - Recent studies of the Embedded Figures and Mirror-Tracing Tests as predictors of first-, second-, and third-year dental students' grades were extended to the fourth year, and the comparative utility of the experimental predictors were examined in groups of recent dental graduates categorized by their predental science GPAs and DAT scores. The experimental predictors proved to very strong in graduates whose grades were below average at admission and were the best overall predictors for students who entered dental school with a predental science GPA below 3.0 or a combined DAT score below 4.0. Neither the DATs nor the predental science GPAs contributed consistently as predictors in these below average students. However, the predental science GPA was the best single overall predictor for all graduates (when not categorized as described). the experimental predictors contributed significantly to the predictive utility of the predental science GPA. PMID- 6572207 TI - Evaluation of common predictors for selection of postdoctoral dental students. AB - Certain predictors are traditionally presumed to be reliable measures for selection of candidates for general dentistry training programs. The purpose of this study was to assess the relative value of academic standing, letters of recommendation, and personal interview impressions by comparing them with performance during training. Predictor data were collected from the application files of all postdoctoral trainees in the advanced general dentistry training program at the Eastern Dental Center of the past ten years (N = 154). However, only 102 postdoctoral students had information available for all three predictor criteria. Performance was rated subjectively on completion of training by two faculty members on a six-point rating scale. The highest correlations between predictors and performance were to academic achievement (r = 0.347). Weaker, though statistically significant, correlations were found for the personal interview (r = 0.206) and letters of recommendation (r = 0.192). Although these predictor criteria will continue to be used in the selection of candidates, administrators and selection committees must be aware of the limitations of such criteria in predicting performance. PMID- 6572209 TI - The didactic pyramid. PMID- 6572208 TI - A practicum for oral cancer teaching. AB - This article describes a hospital-based method for teaching oral cancer to general practice residents, which involves the use of patients for whom the residents are responsible. The residents present prepared cases of patients of the hospital dental department according to a predetermined protocol. These conferences begin with a talk on a subject germane to the cases being presented and include complete documentation of clinical history and laboratory findings, photographs, projection of microscope slides of the lesion, and a thorough discussion of therapy and rehabilitation. The residents have had significant contact with the cancer patients from the time of initial patient complaint to completion of therapy. The practicum is based on thorough case review and builds on didactic information provided in the undergraduate dental school curriculum. PMID- 6572210 TI - Fabrication of an improved natural tooth manikin. PMID- 6572211 TI - Increased importance of patient care income in the future. PMID- 6572212 TI - Assessing clinical operations. PMID- 6572213 TI - Budgeting techniques and dental school administration. PMID- 6572214 TI - A systems approach to solving patient flow problems. PMID- 6572215 TI - Responsibility center organization in dental clinic management. PMID- 6572216 TI - Model for cost-containment planning in dental clinics. AB - Cost-containment possibilities in dental clinics present complex challenges to dental clinic management in the 1980s. A hypothetical model using mean cost components has been presented, together with strategies for cost reduction. Although clinical cost management is a complex task, these costs are the most significant and manageable in the dental school. Clinical cost containment is related to curriculum, faculty ego, staff morale, and many other factors separate from clinic operations. Rational cost containment requires a thorough understanding of the relative value of various costs and of the interrelation of costs, as well as firm commitment to control these costs by responsible faculty, particularly the dean. The escalating effect of uncontrolled clinical costs may result in the financial downfall of some schools in the 1980s. The observation that in the average dental school costs exceed income by a factor of approximately 3.5:1 (with an estimated range of 2:1 to 30:1) suggests that cutting costs in many schools may be more effective than raising clinic income. With inflation, the effect of the predominant cost factor versus income becomes more significant over time. PMID- 6572217 TI - Managing a dental school in the context of a slow economy. PMID- 6572218 TI - School type and characteristics of dental school faculty, 1982-83. PMID- 6572219 TI - Case report - CT scan of dentigerous cyst. PMID- 6572221 TI - Bioethics in dentistry: birth...demise...renaissance. PMID- 6572220 TI - Part II. Everything you always wanted to know about x-rays (but were afraid to ask). PMID- 6572222 TI - Anachoresis of total joint arthroplasty secondary to dental manipulation. PMID- 6572223 TI - [Management of delivery under anesthesia]. PMID- 6572224 TI - Spinal subarachnoid hematoma after lumbar puncture causing reversible paraplegia in acute leukemia. Case report. PMID- 6572226 TI - Diagnosis and treatment of extensive odontogenic infection. PMID- 6572225 TI - Preoperative chemotherapy and surgical resection in the management of posterior paraspinal tumors. Report of three cases. AB - Three patients with posterior paravertebral tumors are presented to illustrate the value of preoperative chemotherapy prior to surgical resection. All three had massive tumors adjacent to the spine, extending over several vertebral segments, with myelographic evidence of epidural involvement in one patient. Tissue diagnosis by incisional biopsy confirmed the diagnosis of extraosseous osteogenic sarcoma in one, extraosseous Ewing's sarcoma in the second, and embryonal rhabdomyosarcoma in the third. All patients were treated with chemotherapy preoperatively. Marked regression in tumor size was noted, and surgical excision of the tumor along with involved segments of spine was easily accomplished. Histological examination following surgery revealed completely necrotic tumor in two patients. Preoperative chemotherapy for fully malignant tumors offers the following advantages: 1) extremely bulky and otherwise unresectable tumors can be reduced in size to enable complete surgical resection; 2) systemic chemotherapy is instituted earlier in the course of disease to prevent more effectively the appearance of metastases; and 3) the information gained regarding the sensitivity of the tumor to a particular chemotherapy regimen allows postoperative adjuvant chemotherapy to be used on a more rational basis. PMID- 6572227 TI - Double-contrast arthrotomography of the temporomandibular joint: introduction of an arthrographic technique for visualization of the disc and articular surfaces. AB - A technique for double-contrast arthrotomography of the temporomandibular joint was developed. Iodine contrast medium and air were injected into both joint compartments of 105 patients. Lateral tomography using a multi-film cassette was performed. The double-contrast arthrotomography depicted, with good definition, the configuration and position of the disc, its attachments, and the articular surfaces. Postarthrographically, the patients experienced transient discomfort, but there were no serious complications. Double-contrast arthrotomography facilitates the diagnosis of internal derangements by improving the radiographic image of the intra-articular anatomy. PMID- 6572228 TI - Bifid mandibular nerve as a possible cause of inadequate anesthesia in the mandible. AB - Failure to achieve complete mandibular anesthesia is a problem that often occurs. The explanations include faulty anesthetic solutions, faulty technique, and anatomic or physiologic variations. Bifurcation of the mandibular nerve, rarely mentioned in the literature, may be a cause of inadequate anesthesia in a small percentage of cases. PMID- 6572229 TI - Clincopatholigic conferences. Case 44, part I. PMID- 6572230 TI - Myxoma of the oral soft tissues. PMID- 6572231 TI - Recurrent aneurysmal bone cyst of the mandible. PMID- 6572232 TI - Localized eosinophilic myositis of the masseter muscle associated with actinomycosis. AB - A case of eosinophilic myositis of the masseter associated with pseudotumor and trismus is presented. Extensive eosinophilic infiltrates of the masseter are rarely observed in the absence of parasitic infection or the hypereosinophilic syndrome. This case is reported because of the rarity of the phenomenon and its importance to the surgeon from the standpoint of differential diagnosis and treatment. The pathogenesis of the condition and its relation to other lesions of muscle associated with eosinophilic infiltration are discussed. PMID- 6572233 TI - Acid trench effect of a surgical splint used following orthognathic surgery. PMID- 6572234 TI - Improved maxillary stability with modified Lefort I technique. AB - This modification of the LeFort I osteotomy places the horizontal bony cut higher and into the dense cortical bone of the maxillozygomatic complex. It gives greater stability and also provides a more solid bony base for intraosseous wiring of the mobilized segment. This usually eliminates the need for dento osseous or maxillomandibular fixation, and the segments appear to solidify more quickly. Over the last year, we have used this technique in 23 cases (four maxillary advancements, seven one-piece maxillary intrusions, and 12 segmental maxillary intrusions) with very favorable results. This modification has given us greater control and stability, especially in combined maxillary and mandibular osteotomies. PMID- 6572235 TI - Pin fixation of the proximal segment in intraoral oblique subcondylar osteotomy of the mandible. PMID- 6572236 TI - Occlusal relationship in patients with pain-dysfunction symptoms in the temporomandibular joints. AB - A total of 135 patients (thirty-three males, 102 females) seeking treatment for pain and dysfunction of the TMJ were divided into five subgroups using the clinical dysfunction index of Helkimo. No relation could be found between the number of occluding molars and premolars and the severity of the symptoms nor the evolution of the complaints. A weak correlation was found between the outcome of the treatment with the occlusal splint and occlusal adjustment, and the above mentioned occlusal parameters (r = 0.47). PMID- 6572237 TI - The influence of eye closure on muscle activity in the anterior temporal region. AB - In the experiments reported here the influence of eye closure upon the muscle tone in the region of the anterior temporal muscles was studied during mandibular rest in four patients with TMJ dysfunction and in four healthy subjects. The muscle activity as well as the cortical activity (EEG) of the patients was influenced by changes in visual stimulation. EMG (the anterior temporal region) and EEG (parieto-occipital region) were recorded with needle electrodes. Ongoing EMG activity was present in all patients when their eyes were open. Closure of both eyes reduced the muscle activity by 50-100%. Closure of one eye could also abolish all activity but the degree of this influence was variable. Opening of the eyes blocked the alpha rhythm in the EEG. Simultaneously, increased activity was observed in the region of the temporal muscle. The activity level in the temporal region of the healthy subjects was very low and could easily be reduced to noise level using ordinary relaxation manoeuvres without eye closure. The results reported here indicate that visual stimulation may increase muscle tone in the temporal region probably as part of an arousal reaction. It is, however, possible that the activity might stem not from the temporalis muscle but from the temporoparietalis. PMID- 6572238 TI - Subcutaneous tissue response in rats to an aluminoborate cement. AB - In the interests of producing an improved periodontal dressing material, adhesive cements are under consideration. A new glass ionomer system--aluminoborates- shows some potential in this respect, and a relatively soluble formulation was chosen for a simple biological test in rats, by means of implantation in polypropylene tubes. As a positive control, the widely used aluminosilicate cement Aspa was employed, and empty tubes were used as negative controls. A simple scoring system using interval measurements was employed, and showed no difference at the 5% level between the experimental cement and either control, although slight differences were discernible between controls. The study also indicated that the side of a filled tube is not the best control for assessment of reaction at tube ends. PMID- 6572239 TI - The masseteric silent period following experimental bruxism in subjects wearing acrylic anterior bite planes. PMID- 6572240 TI - A new laboratory method for evaluating the relative solubility and erosion of dental cements. AB - A method for accelerating the dissolution and erosion of 'acidic' dental cements has been developed which gave relative solubilities in accordance with in vivo observations, in contrast to the conventional test. It involves subjecting 24-h old specimens to a jet of dilute acid (lactic or citric) and determining weight loss. The relative ranking for 'acidic' cements in the apparatus and in vivo was: glass ionomer less than silicophosphate less than zinc phosphate less than polycarboxylate. The method was not valid for reinforced zinc oxide/eugenol/EBA cements. Of the two polycarboxylate cements studied, a brand which has the acid in the powder was found to be more soluble than the conventional material. It is proposed that the method be the basis of a new solubility/erosion test in national and international standards for 'acidic' dental cements. PMID- 6572241 TI - The effects of cyclic stress on dental polymethylmethacrylate. I. Thermal and environmental fluctuation. AB - Alternative resins to traditional denture base acrylic need to be assessed for both short- and long-term performance before their potential can be evaluated. Much dental materials testing is carried out on fresh material and a baseline of knowledge about the properties of aged material is incomplete. Studies have been carried out to examine the effects of thermal and environmental fluctuation on dental acrylic, with testing procedures reconsidered so as to resemble service conditions as closely as possible. Thermal cycling proved detrimental to the resin only when superimposed on intermittent partial drying out and resaturation. PMID- 6572242 TI - Tooth contact patterns and contractile activity of the elevator jaw muscles during mastication of two different types of food. AB - The pattern of molar and canine contacts and the contractile activity of the masseter and anterior temporal muscle were studied, through integrated electromyography, during right-sided mastication of banana and apple in ten healthy male subjects. Tooth contacts occurred on both the chewing and the non chewing side. This study does not support the clinical concept that non-chewing side contacts are necessarily detrimental to the jaw muscles and the temporomandibular joints. The activity of the elevator jaw muscles and the tooth contact patterns suggest that the mandible tilted around a sagittal axis, and rotated around a vertical axis, during the phase of elevation of a masticatory cycle. PMID- 6572243 TI - Frequency of bone marrow aspirates to monitor acute lymphoblastic leukemia in childhood. PMID- 6572244 TI - Hemorrhagic complications of L-asparaginase therapy. PMID- 6572245 TI - Oral habits: development and management. PMID- 6572246 TI - Cementation of stainless steel space maintainers. PMID- 6572247 TI - Unilateral mastication and facial formation. PMID- 6572248 TI - Comments on fluoride. PMID- 6572249 TI - The neutrophil: progression of disease: an update and critical review. PMID- 6572250 TI - Pulpal management by replantation for "nursing bottle" caries. PMID- 6572251 TI - A school-based caries-prevention program in Nigeria. PMID- 6572252 TI - Alveolar bone loss of school children in fluoridated and low-fluoride communities. PMID- 6572253 TI - Periodontal disease in five and six year old children. AB - The purpose of this study was to determine the prevalence and severity of gingivitis in a sample of primary school children. One hundred and twenty eight children with an average age of 6 years 0 months (SD +/- 4 months) were examined for oral hygiene status using the Plaque Index (Pl.I.) and the Calculus Index (C.I.). The periodontal status was assessed using the Gingival Index (G.I.) and recording gingival sulcus depths about selected teeth. The significance of factors associated with the G.I. was determined using multiple classification analysis. The incorporated factors were Pl.I., age and sex. The scores for Pl.I., and G.I., and Pl.I. and sulcus depth were significantly correlated. The majority of children had a maximum Pl.I. score of 2, a maximum C.I. score of 0, a maximum G.I. score of 1, and maximum sulcus depth of 2 mm. The regressands Pl.I. and age used in the multiple classification analysis explained only 28% of the variance in the G.I. data. Also, the analysis did not indicate the children's sex as a significant source of explanation for the variance of the G.I. PMID- 6572254 TI - The diagnosis and management of vertical bony defects. AB - Marginal periodontitis and pulpal disease often cause similar-appearing lesions in the periodontium. Successful therapy depends on correct diagnosis, which is sometimes difficult. Some bony defects caused by pulpal disease require surgical debridement in addition to standard endodontic therapy. With one exception three walled intrabony periodontal defects discussed in this report were managed by surgical debridement without any type of implant or graft. Long-term observation is required to determine the value of techniques used in the treatment of intrabony periodontal defects. PMID- 6572255 TI - Stimulated osteoperiosteal pedicle grafts in dogs. AB - This descriptive study compared the healing of mucoperiosteal and "stimulated" osteoperiosteal flaps for the treatment of surgically created periodontal recessions in dogs. Surgically created defects on the canine teeth of 10 healthy mongrel dogs were covered by specially designed, cemented copper bands for 4 weeks (Several maxillary premolar teeth were managed in the same way). A plaque and calculus-promoting diet was fed to the animals during this period. When the bands were removed the diet was altered and an intensive oral hygiene program was instituted. The contralateral tooth, chosen randomly, was utilized for placement of the mucoperiosteal lateral sliding flap and acted as the control. The experimental side was surgically stimulated 21 days prior to elevation of a "stimulated" osteoperiosteal flap for repositioning over the denuded roots. The animals were sacrificed with an overdose of Nembutal and block sections for histologic study were taken at periods ranging from 14 to 50 days. Histologic findings indicate that healing of the stimulated flaps was accompanied by the formation of a relatively short dentogingival epithelium, cementogenesis which varied in amount and type, and new connective fiber insertion into cementum. By contrast, the mucoperiosteal flaps healed with a long dentogingival epithelial relationship and no cementogenesis or connective tissue reattachment. PMID- 6572256 TI - The effects of citric acid on attachment of laterally positioned flaps. AB - Citric acid demineralization of root surfaces to enhance new attachment clinically appears to be successful, but histologic evidence of new attachment in humans is lacking. Two recession-like defects were surgically created on the facial aspect of mandibular incisors scheduled for extraction in five patients. Each patient had differing degrees of periodontal disease, but the control and experimental teeth of each were similarly involved. The roots were thoroughly planed and an apical reference notch was inscribed just coronal to crestal bone. One tooth served as the control, while the experimental tooth was treated with citric acid (pH 1) for two minutes. Two full-thickness laterally positioned flaps were done to cover the roots. After healing periods of 1, 2, 4, 12, and 20 weeks, the teeth were removed by block section for histologic evaluation. The type of attachment differed on the teeth with longer healing periods. The control teeth exhibited a long epithelial attachment with no evidence of cementogenesis, whereas the experimental teeth had a connective tissue attachment to newly formed cementum coronal to the reference notch. These observations provide evidence that demineralization of root surfaces may promote increased or accelerated connective tissue attachment of laterally positioned flaps. PMID- 6572257 TI - Commonsense dietary recommendations for geriatric dental patients. PMID- 6572258 TI - Burnished amalgam restorations: a two-year clinical evaluation. PMID- 6572259 TI - Gypsum casts as a potential source of microbial cross-contamination. PMID- 6572260 TI - Postinsertion care of the ocular prosthesis. PMID- 6572261 TI - Prosthetic requirements for selective placement of interstitial needles in the treatment of osteogenic sarcoma of the mandible. PMID- 6572262 TI - Dense apatite ceramic (DAC) implant systems: a preliminary report. PMID- 6572263 TI - Clinical evaluation of two hundred patients with temporomandibular joint syndrome. PMID- 6572264 TI - Transcranial radiographs in the evaluation of craniomandibular (TMJ) disorders. AB - To use a radiographic technique to evaluate patients, one must be aware of the limitations of the study. A TR can be used to show both structural and positional changes of the lateral third of the condyle and fossa. TR obtained at vertical angulations greater than 20 degrees will add significant distortion to the full open-mouth radiograph. The structural changes seen in the joints of patients with the TR who had further diagnostic studies were confirmed with tomography. The changes seen with tomography were either as severe or more extensive than those noted on the TR. Three patients who had extensive structural changes on both the condyle and fossa were shown by arthrography to have a perforation in the joint's soft tissues. While the lateral position of the condyle does not represent the entire joint, this study has shown that it may qualitatively serve as a positional indicator for the joint. The TR together with the rest of a patient's examination data can be used in the treatment. For the patient who has not responded to therapy or whose TR disagrees with the clinical examination, tomographic and arthrotomographic studies are suggested. In the group of 61 patients, 11 (18%) fell into this category. Further diagnostic studies were not felt to be necessary for the remaining 50 patients. PMID- 6572265 TI - Internal derangements of the temporomandibular joint: an assessment of condylar position in centric occlusion. AB - Subjects experiencing painful dysfunction of the TMJ and diagnosed by arthrography to have displacements of the meniscus were compared to normal or asymptomatic subjects to assess condyle-fossa relationships. The groups did not differ by linear or area determinations of the P/A ratio. The use of plain film alone is not adequate for diagnosis or assessment of treatment if abnormalities of meniscus function are the primary etiology. PMID- 6572266 TI - Using the Kinesiograph to measure mandibular movements during speech: a pilot study. AB - This study was a pilot investigation to determine a method of measuring mandibular movement during speech using the Kinesiograph. Some observations and trends were evident. 1. The Kinesiograph is an excellent instrument for measuring mandibular movement in three dimensions. 2. Production of the /s/ sound can occur anywhere within a three-dimensional range rather than at one position. 3. The distance between the upper and lower incisors during speech was much less than 1 mm and was consistent throughout the range used by each subject. 4. The functional angle of mandibular movement during speech to the maxillary occlusal plane was essentially the same as the angle of rest position to centric occlusion and appeared to be related to the cephalometric occlusal plane angle. It seems likely that rest position is the key to functional mandibular movement. 5. Three dimensional clinical studies of mandibular movement during speech using the Kinesiograph could lead to more precise answers to questions concerning mandibular function and occlusal dysfunction. PMID- 6572267 TI - An electromyographic study of mandibular position in response to changes in body position. PMID- 6572268 TI - The polymerization of acrylic resin orthodontic prostheses. PMID- 6572269 TI - An instrument for prosthesis removal. PMID- 6572270 TI - The hospital leadership. PMID- 6572271 TI - Discharge date setting: the physician's responsibility. PMID- 6572272 TI - Initial management of eye trauma. PMID- 6572273 TI - Use of a pulmonary function laboratory in central New Jersey. PMID- 6572274 TI - Surgical treatment of ulcerative colitis. PMID- 6572275 TI - Malignant melanoma of the anal canal. PMID- 6572276 TI - Surgical resection in symptomatic polycystic liver disease. PMID- 6572277 TI - The subject of impairment. PMID- 6572278 TI - Physician/patient relationships and premium discount programs. PMID- 6572279 TI - Percutaneous transtracheal ventilation: experimental and practical aspects. AB - Percutaneous transtracheal ventilation can be a lifesaving procedure when endotracheal intubation is not possible, but an understanding of the technique and necessary instruments is essential. This study, performed on adult sheep, defined the limited circumstances under which a 15-gauge needle, connected to oxygen at 50 pounds per square inch (psi), can provide an emergency transtracheal airway. There are situations, such as complete airway obstruction, when this combination is contraindicated. In addition, transtracheal ventilation might have to be performed using simpler equipment, such as a self-inflating resuscitation bag (AMBU-type) or with no equipment other than the transtracheal airway. A 3.0 mm I.D. cannula provided an adequate transtracheal airway under all circumstances examined. A 3.5-mm cannula is commercially available and physicians who deal with airway problems should be familiar with its use. PMID- 6572280 TI - Human adenovirus type 2 but not adenovirus type 12 is mutagenic at the hypoxanthine phosphoribosyltransferase locus of cloned rat liver epithelial cells. AB - Using resistance to the base analog 8-azaguanine as a genetic marker, we showed that adenovirus type 2, but not adenovirus type 12, is mutagenic at the hypoxanthine phosphoribosyltransferase locus of cloned diploid rat liver epithelial cells. Adenovirus type 2 increased the frequency of 8-azaguanine resistant colonies by up to ninefold over the spontaneous frequency, depending on expression time and virus dose. PMID- 6572281 TI - Vibrio vulnificus. A gastronomic hazard. PMID- 6572282 TI - Corynebacterium hemolyticum peritonsillar abscess mimicking diphtheria. PMID- 6572283 TI - Gastroesophageal reflux: an update. PMID- 6572284 TI - Short term inpatient treatment of children and adolescents. PMID- 6572285 TI - Finding malnourished patients in a community hospital: development of a nutritional assessment service. PMID- 6572286 TI - A conversation with Mike Overbey. PMID- 6572287 TI - Endodontic-periodontic relationships - a periodontic viewpoint. PMID- 6572288 TI - Endodontic-periodontic relationships - an endodontic viewpoint. PMID- 6572289 TI - Importance of orthodontic diagnosis to the general practitioner. PMID- 6572290 TI - Glucocorticoid agonist and antagonist activity of 17,21-acetonide steroids. PMID- 6572291 TI - Studies of the biochemical basis of steroid sulphatase deficiency--III. Phospholipid composition of microsomes from normal and steroid sulphatase deficient placentas. AB - The phospholipid composition has been determined for placental microsomes from 11 normal and eight pregnancies complicated by steroid sulphatase deficiency. Phosphatidylcholine, phosphatidylethanolamine and sphingomyelin were found to be the major phospholipids of normal placental microsomes, comprising respectively 41.6 +/- 4.6% (mean +/- SD). 30 +/- 5.7% and 22.5 +/- 4.9% of the total phospholipid content. There was no correlation between the steroid sulphatase activity of the microsomes and the content of any of the three phospholipids. Though their contents were significantly decreased. (P less than 0.001) phosphatidylcholine, phosphatidylethanolamine and sphingomyelin similarly constituted the major portion of the total phospholipids in sulphatase deficient microsomes, representing 36 +/- 4.2%, 34 +/- 6.1% and 22.4 +/- 6.7% respectively. Only the percentage of phosphatidylcholine was significantly different (P less than 0.02) from normal microsomes. The results show that the decreased phospholipid content of steroid sulphatase deficient placental microsomes reflects a lower content of all major classes of phospholipids, particularly phosphatidylcholine. PMID- 6572293 TI - Aha!!, The smell of bitter almonds....cyanide poisoning. PMID- 6572292 TI - Sexually transmitted diseases: treatment guidelines-Part II. PMID- 6572294 TI - An evaluation of Apgar scores as predictors of infant mortality. PMID- 6572295 TI - Marketing in practice management. PMID- 6572296 TI - [Our experience with the effectiveness and tolerance of ibuproxam in rheumatology]. AB - The tolerance and effectiveness of Ibuproxam were investigated in 54 patients with arthrosis, R.A., ankylosing spondylitis, and fibrositis. Statistically significant reduction of pain at the end of the treatment was accompanied by decreased limitation of joint movement and morning stiffness. Simultaneous investigation of clinical and biological tolerance showed that the drug is infrequently responsible for side-effects that are always of negligible importance. Oesophagogastroduodenoscopy in subjects with a prior history and/or signs of active pathology of the upper digestive tract did not reveal exacerbation or recrudescence of lesions, nor the appearance of acute lesions. PMID- 6572297 TI - Sexually transmitted diseases in the 1980s. PMID- 6572298 TI - The challenge of venous extension in malignant renal neoplasms. PMID- 6572299 TI - Surgical periodontal therapy. A brief overview. PMID- 6572300 TI - Nurse practitioner legislation in the United States. PMID- 6572301 TI - Electrocardiograms of the month: heart block. PMID- 6572302 TI - Triangular opacity right lower hemithorax. PMID- 6572303 TI - Chronic hemoptysis secondary to infected left ventricular pseudoaneurysm. PMID- 6572304 TI - Coccidioidal meningitis in rural Pennsylvania. PMID- 6572305 TI - Aluminium smelters and health. PMID- 6572306 TI - Children who survive. PMID- 6572307 TI - Legislation and practice in compulsory admission to a psychiatric hospital. PMID- 6572308 TI - Future development of primary medical care in New Zealand: a view from general practice. AB - The primary health care committee's activities should be the starting point for a real change in direction of government-supported health care. It must endeavour to start a real and continuing dialogue between providers, planners and consumers. This should be at both central and local levels--its theme should be flexibility. Effort must be put into progressively reorientating medical education by using the material and energy available in primary medical care at both undergraduate and postgraduate levels. An active exploration of alternative methods of funding and delivery of care should take place, all being continuously evaluated. Increasing emphasis on primary medical care is so much more cost effective than our present system that health funds must be urgently redirected to facilitate this move. Any decrease in funding will be short-sighted and put off real economies and future improvements in medical care. Funds for primary medical care must be increased; in the present situation this may mean by diversion from those at present allocated to hospital boards. This should be used to: (a) increase GMS as a holding exercise; (b) fund educational suggestions; (c) fund research suggestions; (d) fund formation of local primary health care committees and their planning activities; (e) supply costs of supportive practices; (f) support more extensive dialogue centrally between NZMA, Health Department etc and locally with health services development as seen in the recent SACHO exercises. PMID- 6572309 TI - Infant mortality in Tonga: what is available to the decision maker. PMID- 6572310 TI - Flucloxacillin dosage. PMID- 6572311 TI - Penicillin-resistant Streptococcus pneumoniae in New Zealand. PMID- 6572312 TI - Reintroduction of anti-inflammatory drug therapy after drug-associated gastrointestinal disturbances. PMID- 6572313 TI - A histological and serological study of persistent hepatitis B antigenaemia. AB - A population of persistent hepatitis B antigen positive persons was investigated in north Taranaki. Over a period of three years, 0.17 percent of blood donors and 7.7 percent of patients investigated for acute infection, possibly hepatitis, had a positive test for hepatitis B surface antigen (HBsAg). Repeat testing was performed at approximately four months in 65 persons and 18 (28 percent) remained positive and of these 15 were males. Liver biopsy in 17 of these patients revealed chronic persistent hepatitis in 30 percent, non-specific changes in 11 percent and in the remainder no significant abnormalities were found. There was no correlation of histology with a wide variety of hepatitis B serological markers. Forty-seven percent of the persistent carriers were Maoris and this group may be more susceptible to chronic hepatitis B infection. Long term follow up of HBsAg carriers is recommended to ascertain the prognosis of this condition. PMID- 6572314 TI - Intermittent high intensity physical training and plasma lipoprotein lipid levels in men. AB - Levels of plasma lipoprotein lipids and anthropometric and physical fitness measurements were followed in 12 normal men over a 16 month period including training for two marathon runs separated by one year. As judged from pulse rate at submaximal work, the physical fitness of the men increased during training for the marathons and also over the whole study. High density lipoprotein (HDL) cholesterol levels which had been raised by training for the first marathon, were at similar levels at peak training prior to the second marathon. Estimated alcohol consumption was significantly higher prior to marathon II compared to the level prior to marathon I but this did not result in increased plasma high density lipoprotein cholesterol levels. The trend towards increased low density lipoprotein (LDL) cholesterol levels early in the study continued until the levels were finally significantly higher than pretraining values. It is possible that plasma high density lipoprotein cholesterol levels in the men reached personal maximum levels after training for the first marathon and were unaffected by an apparent increase in aerobic fitness achieved after training for the second marathon. This study also indicated that the effects of long term training on plasma lipids and lipoproteins may differ from those observed following shorter periods of exercise. PMID- 6572315 TI - Asthma in New Zealand: a response. PMID- 6572316 TI - Asthma, air pollution and climate: a Christchurch study. AB - The relationship of hospital attendances for acute asthma attacks to air pollution levels in Christchurch was studied over the winter months of 1981. Attendances for acute asthma did not increase with increases in air pollution; indeed, higher pollution tended to be characterised by lower hospital attendances. This trend increased when multiple regression analysis was used to control the effects of climatic factors. PMID- 6572317 TI - The advisory role of the community pharmacist in self-medication. AB - A survey was carried out to determine the role of the community pharmacist in self-medication by the public. This included provision of advice on the use of medicines and on general health matters. Medicine sales during one trading day were recorded in 57 pharmacies in the Wellington area. 58.6 percent of customer requests for medicine or advice resulted in the sale of a medicine without additional advice. The remaining 41.4 percent of contacts were accompanied by advice from a pharmacist whether a medicine sale was made or not. Of the total advised contacts, 7.8 percent resulted in referral to seek medical advice and 9.8 percent were for general health advice with no sale of a medicine. The results of the survey suggest an important role for the community pharmacist as an adviser in self-medication and in the screening of minor illness. PMID- 6572318 TI - Ethnicity and health in Porirua: a comment on the relative-sufficiency of social medical research. PMID- 6572319 TI - Not a cot death? And plastic. PMID- 6572320 TI - Artificial insemination of donor sperm. PMID- 6572321 TI - Abortion. PMID- 6572322 TI - Antenatal education. PMID- 6572323 TI - Reexamining toothbrushing and dental caries. PMID- 6572324 TI - Incidence of caries in New York City school children--a pilot project. PMID- 6572325 TI - Problems in pediatric patient management. PMID- 6572326 TI - National survey describes the '80's! PMID- 6572327 TI - Organized dentistry is working on your behalf, says DSSNY president Theodore R. Lerner. PMID- 6572328 TI - To be young, a woman and a dentist. PMID- 6572330 TI - Female dental students and dentists: further information and commentary. PMID- 6572329 TI - Reflections of a woman orthodontist. PMID- 6572331 TI - Forty years and four careers. PMID- 6572332 TI - The dental specialist is a woman. PMID- 6572333 TI - Women in dentistry: an educator's view. PMID- 6572334 TI - The Pennsylvania experiment and dental futures. PMID- 6572336 TI - Is that all there is to endodontics? PMID- 6572337 TI - Help prevent "the final epidemic". PMID- 6572338 TI - Amalgam matricing: a simple custom technique. PMID- 6572335 TI - Cervical ripening with intravaginal prostaglandin E2 gel. AB - Ripening of the cervix by intravaginal application of a prostaglandin-containing gel is evaluated. Thirty patients with an unfavorable cervix needing labor induction were studied in a double-blind, prospective fashion. The prostaglandin gel proved superior to placebo in ripening the cervix (P less than .05), reducing induction failures (P less than .025), diminishing the oxytocin dosage necessary for induction (P less than .05), and lowering the rate of cesarean section (.05 less than P less than .1). One hundred fifty additional patients with varying Bishop scores and differing clinical situations were also studied. There were 35 cesarean sections (23.3%), nine failed inductions (6%), a spontaneous labor rate of 46%, and an average Bishop score change of 2.5. Twenty patients with premature rupture of the membranes and an unfavorable cervix received a modified gel containing 2.5 mg of prostaglandin E2. Average Bishop score change was 2.9, and there was a 55% incidence of spontaneous labor. PMID- 6572340 TI - Management companies--the most recent attack. PMID- 6572341 TI - Dental manpower: too many, too late. PMID- 6572339 TI - Splinting with cast resin-bonded retainers. PMID- 6572342 TI - Bilateral coronoid hyperplasia, a developmental defect. PMID- 6572343 TI - Evaluation of the reproducibility of two bitewing techniques by means of a microdensitometric recording method. AB - A new, simple, metal bitewing holder with a radiation dose-reducing collimator using principles suggested by Eggen is presented and recommended. The reproducibility of the bitewing holder technique was compared with that of the conventional bitewing loop technique. The material consisted of twenty seven sets (fifty four pairs) of radiographs. A microdensitometric method was developed and used to assess the reproducibility of the radiographs, and 108 pairs of microdensitometric tracings were produced to evaluate the two techniques. The results showed that the metal bitewing holder was significantly superior to the bitewing loop for obtaining radiographs with high reproducibility. The suitability of the microdensitometric method is discussed. PMID- 6572344 TI - Hemorrhagic cyst of the mandible in relation to horizontally impacted third molar. PMID- 6572345 TI - Experimental induction of an incomplete hard-palate cleft in the rat. AB - Incomplete clefts of the hard palate with soft-palate integrity are among the rarest malformations found in human beings. They appear as oval-shaped openings in the midline of the hard palate and do not extend along its whole length. The amniotic-sac-puncture technique was used to induce such clefts in 10 percent of a group of rat fetuses at day 15.3 of pregnancy. The upper jaws of such fetuses, either 17.3 or 21.3 days old, were examined in the scanning electron microscope and in serial Epon sections. At day 17.3 incomplete clefts of the hard palate were extending toward the soft palate, with the anterior portion of palatal shelves still in the vertical position and with the soft palate already fused. At day 21.3, the incomplete hard-palate clefts were smaller in both extension and width. These observations support the idea that fusion of the soft palate can occur independently of fusion in the hard-palate region. PMID- 6572346 TI - Oral mucosal changes in iron deficiency anemia in a Sri Lankan female population. AB - The oral mucosal changes in iron deficiency anemia were studied in a selected hospital population. A high incidence of oral lesions was present in the anemic group as compared to age- and sex-matched controls. Atrophic changes of the tongue were quite characteristic clinically, and a significant reduction in the mean epithelial thickness of the buccal mucosa was determined histologically. PMID- 6572347 TI - The effect of chronic beta-aminoproprionitrile intoxication on the periodontium of the rat. A light microscopic and histochemical study with review of the literature. AB - This histologic study of the periodontium of male white rats with chronic lathyrism demonstrates the appearance, progression, and persistence of certain pathologic changes caused by disordered collagen synthesis and maturation. Typical lesions were seen after 6 weeks. These include increased vascularity, especially in the periapical region, hyalinization and calcification of the transseptal fibers, alveolar bone and cementum resorption, interruption of the periodontal fibers with formation of typical hyaline zones surrounded by palisades of atypical fibroblasts, known as "lathyritic bodies," and an increase in mast cells. PMID- 6572348 TI - Verruciform xanthoma in a young male patient with a past history of pemphigus vulgaris. PMID- 6572349 TI - Carcinoma arising in erosive lichen planus in the midline of the dorsum of the tongue. PMID- 6572350 TI - Incidence of postoperative pain after single- and multiple-visit endodontic procedures. AB - A series of 359 endodontic cases were followed and evaluated by the frequency of reported postoperative pain. A statistical analysis of the data obtained attempted to identify a relationship between pain experienced and the anatomic location, the pulpal vitality as determined by hemorrhage, or the number of treatment visits used in completing the case. Data obtained indicated no relationship between pain experience and pulpal vitality, no statistically significant relationship to the anatomic location, and a significant relationship to the number of visits used. The data indicate a 2 to 1 higher frequency of pain reported following treatment completed in multiple visits as compared to that reported for those completed in one visit. PMID- 6572352 TI - Cervical resorption in bleached teeth. AB - A case of cervical resorption in a bleached, pulpless tooth is reported. The tooth has not been traumatized, and no other reason for the resorption could be found except the possible effects of a caustic bleaching agent. This case further supports the evidence in the literature that a cause-and-effect relationship exists between Superoxol bleaching and cervical resorption. PMID- 6572351 TI - Effective surface sterilization of gutta-percha points. AB - A bacteriologic investigation was conducted to determine the sterilizing effectiveness of various germicidal endodontic irrigants on gutta-percha points. It was found that most effective in surface sterilization was a 5-minute treatment using sodium hypochlorite, Zephiran, and hydrogen peroxide in concentrations of 4.50 percent, 0.53 percent, and 3.00 percent, respectively. These agents were potent against gram-positive and gram-negative bacteria as well as endospore-forming microorganisms. Fungal spores were killed only by the first two but not by the latter germicidal agents. On the other hand, ethanol, chloroform, eugenol, betadine, and Gram's iodine solution were found not to be effective for surface sterilization. PMID- 6572353 TI - Filling root canals with silver-percha cones: a clinical study. PMID- 6572354 TI - The antibacterial effects of calcium hydroxide apexification pastes on Streptococcus sanguis. AB - Four calcium hydroxide-based apexification pastes were tested for their antibacterial effects on Streptococcus sanguis. Their zones of growth inhibition on blood agar plates were measured at 2, 4, 6, and 8 days. Only the camphorated parachlorophenol and the metacresylacetate pastes showed zones of inhibition. Both of these zones of inhibition decreased with time; however, the zones of inhibition for the parachlorophenol paste decreased at a slower rate. PMID- 6572355 TI - Defective galactose oxidation in a patient with glycogen storage disease and Fanconi syndrome. AB - Carbohydrate metabolism was studied in a child with atypical glycogen storage disease and Fanconi syndrome. Massive glucosuria, partial resistance to glucagon and abnormal responses to carbohydrate loads, mainly in the form of major impairment of galactose utilization were found, as reported in previous cases. Increased blood lactate to pyruvate ratios, observed in a few cases of idiopathic Fanconi syndrome, were not present. [1-14C]Galactose oxidation was normal in erythrocytes, but reduced in fresh minced liver tissue, despite normal activities of hepatic galactokinase, uridyltransferase, and UDP-glucose 4-epimerase in homogenates of frozen liver. These data suggest a defect in hepatic galactose metabolism not so far identified. PMID- 6572356 TI - Various sulfatase activities in leukocytes and cultured skin fibroblasts from heterozygotes for the multiple sulfatase deficiency (mukosulfatidosis). AB - In heterozygotes for multiple sulfatase deficiency (MSD), several sulfatase activities including arylsulfatases A, B1, B2, and C, and cholesterol sulfatase were 40-50% of normals in cultured skin fibroblasts and 70-80% of normals in leukocytes. In MSD patients, these enzyme activities were deficient or reduced. DEAE-Sepharose column chromatographic patterns of 4-methylumbelliferyl sulfatases A, B1, and B2 in leukocytes and cultured skin fibroblasts from MSD patients and heterozygotes were also consistent with the above data. These data indicate that several sulfatase activities in heterozygotes of MSD exhibited intermediate activities as observed in the heterozygote state of other autosomal recessive inherited diseases. PMID- 6572357 TI - 45,X/46,XX mosaicism in discordant monozygotic twins. AB - Monozygotic twins discordant for Turner's syndrome were both mosaic for 45,X/46,XX in the blood with the same low frequency of 2% to 3% 45,X cells. However, the fibroblasts of the abnormal girl were all uniformly 45,X whereas her normal twin had only 46,XX cells. Monozygosity was confirmed by genetic markers, chromosome variants, and a single monochorionic placenta with a shared vascular circulation. The mechanism by which this disparate pair developed from a single zygote is suggested. PMID- 6572359 TI - Accountability: health quality assurance. PMID- 6572358 TI - Wrinkled DNA. AB - The B form of poly d(GC):poly d(GC) in orthorhombic microcrystallites in oriented fibers has a secondary structure in which a dinucleotide is the repeated motif rather than a mononucleotide as in standard, smooth B DNA. One set of nucleotides (probably GpC) has the same conformations as the smooth form but the alternate (CpG) nucleotides have a different conformation at C3'-O3'. This leads to a distinctive change in the orientation of the phosphate groups. Similar perturbations can be detected in other poly d(PuPy):poly d(PuPy) DNAs such as poly d(IC):poly d(IC) and poly d(AT):poly d(AT) in their D forms which have tetragonal crystal environments. This suggests that such perturbations are intrinsic to all stretches of duplex DNA where purines and pyrimidines alternate and may play a role in the detection and exploitation of such sequences by regulatory proteins. PMID- 6572360 TI - Early changes in ornithine decarboxylase activity and polyamines during erythroid differentiation of Friend leukemia cells. AB - Induction of cytosolic L-ornithine decarboxylase (ODC) activity in cultures of Friend erythroleukemia cells by seeding in fresh medium was suppressed by treatment with several differentiation inducers. The levels of suppression after 3 h treatment were about 60% at 20 mM nicotinamide, 30% at 1.5% dimethyl sulfoxide (DMSO), and 20% at 5 mM hexamethylene bisacetamide (HMBA). Tracer experiments using [3H]ornithine to determine newly accumulated polyamines including putrescine revealed that the accumulation was suppressed by treatment (18 h) with the inducers. Furthermore, results of polyamine determination by high pressure liquid chromatography showed that the cellular polyamine content in differentiation-induced cells was lower than those of uninduced cells in early (18 h after inducer treatment) stages of differentiation. Accordingly, it is suggested that cytosolic ODC levels virtually represent the rate of accumulation of intracellular polyamines in the early period of differentiation. PMID- 6572361 TI - Role of mRNA competition in regulating translation: further characterization of mRNA discriminatory initiation factors. AB - Host and reovirus mRNAs compete with one another for translation in infected cells. Kinetic analysis has suggested that the site of competition is a message discriminatory initiation factor which must bind to the mRNA before it can interact with the 40S ribosomal subunit. The present communication describes an in vitro assay which can detect message discriminatory activities. A competitive situation is established by using reovirus and globin mRNAs, and then the specificity with which this competition is relieved by added components is measured. Among the various initiation factors surveyed with this assay, two have the properties expected of the mRNA discriminatory factor. These are eukaryotic initiation factor 4A and a "cap binding protein" complex. Inasmuch as the cap binding protein complex contains a subunit similar or identical to the initiation factor eIF-4A, it seems likely that only one form of the latter factor may be active in vivo. In vitro, both factors relieve competition among both capped and uncapped reovirus mRNAs according to similar hierarchies. These results suggest that some feature other than the m7G cap, such as nucleotide sequence or secondary structure, is recognized by the discriminatory factor. PMID- 6572363 TI - Rapid similarity searches of nucleic acid and protein data banks. AB - With the development of large data banks of protein and nucleic acid sequences, the need for efficient methods of searching such banks for sequences similar to a given sequence has become evident. We present an algorithm for the global comparison of sequences based on matching k-tuples of sequence elements for a fixed k. The method results in substantial reduction in the time required to search a data bank when compared with prior techniques of similarity analysis, with minimal loss in sensitivity. The algorithm has also been adapted, in a separate implementation, to produce rigorous sequence alignments. Currently, using the DEC KL-10 system, we can compare all sequences in the entire Protein Data Bank of the National Biomedical Research Foundation with a 350-residue query sequence in less than 3 min and carry out a similar analysis with a 500-base query sequence against all eukaryotic sequences in the Los Alamos Nucleic Acid Data Base in less than 2 min. PMID- 6572362 TI - Transport and direct utilization of gamma-glutamylcyst(e)ine for glutathione synthesis. AB - Administration of gamma-glutamylcystine or of gamma-glutamylcysteine disulfide to mice leads to significantly increased levels of glutathione in the kidney as compared to controls given glutamate plus cysteine (or cystinylbisglycine). Studies with gamma-glutamylcystine selectively labeled with 35S in either the internal or external S atom indicate preferential utilization of the gamma glutamylcysteine moiety of this compound for glutathione synthesis. Mice depleted of glutathione by treatment with buthionine sulfoximine do not significantly use the disulfides gamma-glutamylcystine or gamma-glutamylcysteine disulfide but do use gamma-glutamylcysteine for glutathione synthesis. These findings suggest a pathway in which gamma-glutamylcystine, formed by transpeptidation between glutathione and cystine, is transported and reduced by transhydrogenation with glutathione to cysteine and gamma-glutamylcysteine; the latter is used directly for glutathione synthesis. The findings show transport of gamma-glutamyl amino acids, indicate an alternative pathway of glutathione synthesis, and demonstrate a means of increasing kidney glutathione levels. PMID- 6572364 TI - Dynamics of heme iron in crystals of metmyoglobin and deoxymyoglobin. AB - The 57Fe gamma-ray resonance absorption spectra have been measured in crystals of metmyoglobin and deoxymyoglobin over a wide range of temperatures. Above a critical temperature common to both proteins (220 K), the dynamics of heme iron display a dramatic change, in that two kinds of thermal fluctuations come into play--a fast fluctuation associated with a steep decrease of the total fluctuation of characteristic time 10(-8) sec, associated with bounded diffusive motion. By using both discrete jump and continuous diffusion models, the latter based on the Brownian motion of an overdamped harmonic oscillator, the essential parameters of the iron motion (mean square displacement and jump frequency or diffusion constant) can be derived as a function of temperature. Thus, for deoxy Mb at 288 K, the mean square displacement for the fast fluctuation is about 6 X 10(-2) A2 and for the diffusive motion is 1.6 X 10(-2) A2; the diffusion constant is 4 X 10(-10) cm2/sec. The diffusive process is associated with an activation energy of about 0.75 kcal/mol. Although the same general kinds of phenomena are observed in crystals of MetMb and deoxy Mb, significant differences in behavior are found, which suggest that the main dynamical phenomenon observed reflects internal large-scale motions of the protein. PMID- 6572365 TI - X-ray scattering from the superhelix in circular DNA. AB - This communication presents measurements, made with a newly constructed position sensitive detector, of the small-angle x-ray scattering from the first-order superhelix of native COP608 plasmid DNA. This instrument measures intensities free of slit effects and provides good resolution in the region of interest. The reported observations, made both in the presence and in the absence of intercalator, closely fit the scattering patterns calculated for noninterwound helical first-order superhelices. These results are consistent with a toroidal helical structure but not with interwound conformations. The pitch angle alpha and contour length per turn c are reported for the native molecule at several concentrations of the platinum intercalating compound. From these parameters, the best-fitting toroidal helix is constructed and its geometry is investigated. The specific linking difference of the native molecule is estimated to be delta Lk/Lk0 approximately equal to -0.055. If the best-fitting toroidal helix is taken to be the actual structure, the partitioning of superhelicity between twist and writhe occurs in the approximate ratio of 2:1. PMID- 6572366 TI - Adiabatic compressibility of globular proteins. AB - The adiabatic compressibility of several globular proteins has been measured by using an ultrasonic technique in the frequency range 0.5 to 10 MHz. The contributions to the measured compressibility from the protein matrix and from surface processes involving ionization of side chains and solvation effects are discussed. The internal protein compressibility is very low, indicating the existence of "dynamic domains" which are tentatively assigned to secondary structure elements. PMID- 6572367 TI - Calcium/calmodulin-dependent phosphorylation of vimentin in rat sertoli cells. AB - Ca2+-dependent protein phosphorylation and the role of calmodulin in this process was investigated in subcellular fractions of primary cultures of rat Sertoli cells. Significant Ca2+/calmodulin-dependent protein phosphorylation in Sertoli cells was restricted to the cytosol fraction. The calmodulin dependence of these effects was confirmed by using the calmodulin inhibitor trifluoperazine. One of the Ca2+/calmodulin-dependent phosphoproteins was identified as the intermediate filament protein vimentin, based on the following criteria: (i) migration pattern in two-dimensional polyacrylamide gels, (ii) Ca2+/calmodulin-dependent phosphorylation of a 58-kilodalton protein present in detergent-insoluble intermediate filament protein extract of Sertoli cells, and (iii) peptide mapping of the phosphoprotein. These data support a role for Ca2+/calmodulin-dependent protein phosphorylation in the modulation of Sertoli cell cytoskeletal components. PMID- 6572368 TI - Structural and biological characteristics of connective tissue activating peptide (CTAP-III), a major human platelet-derived growth factor. AB - Connective tissue activating peptides (CTAPs) extracted from leukocytes and platelets stimulate glycolysis and synthesis of glycosaminoglycan and DNA in cultured human connective tissue cells. CTAP-III, isolated from fresh or outdated human platelets, is a low molecular weight single-chain protein with an isoelectric point of 8.5 that markedly stimulates DNA synthesis and multiple aspects of glycosaminoglycan and proteoglycan metabolism. This report presents a definitive comparison of CTAP-III prepared by two methods [one designated (A), alternative] with similar platelet proteins described by others, beta thromboglobulin (beta-TG) and low-affinity platelet factor 4 (LA-PF-4). CTAP-III, CTAP-III(A), LA-PF-4, and beta-TG have common antigenic determinants documented by immunoprecipitation and radioimmunoassay. CTAP-III, CTAP-III(A), and LA-PF-4 are biologically active in that they stimulate DNA and glycosaminoglycan synthesis by human synovial cells; beta-TG is inactive. Carboxyl-terminal digestion gave identical terminal sequences for CTAP-III, CTAP-III(A), and beta TG. Amino-terminal sequence data indicate that CTAP-III and CTAP-III(A) (also LA PF-4) are identical and differ from beta-TG only by an additional amino-terminal tetrapeptide (Asn-Leu-Ala-Lys-). The biologically active molecule, CTAP-III, may be proteolytically converted to its inactive degradation product (beta-TG) in the course of platelet aging, platelet storage, release from the platelets, or initiation of biological activity. PMID- 6572370 TI - Quantitative correlation of homogeneously stained regions on chromosome 10 with dihydrofolate reductase enzyme in human cells. AB - Gene amplification may be visualized within a chromosome as a homogeneously stained region (HSR) and HSRs have rarely been reported in human tumor cells with identification of the amplified gene. A parental line and seven clones derived from KB cells resistant to methotrexate (MTX) contain dihydrofolate reductase (DHFR; tetrahydrofolate dehydrogenase; EC 1.5.1.3), ranging from 0.007 unit/mg in the parent to 0.369 unit/mg in clone 7A with a 13,000-fold increase in resistance to MTX. The enzyme is identical to DHFR from other human sources, including that from leukemic patients. A HSR localized to the long arm of chromosome 10(q26) is present in clones selected at or above 2.5 microM MTX. Increase in number of 10q per cell, increase in number of HSR, and increasing amounts of DHFR correlate well. The chromosome change is stable with time as is enzyme production even in the absence of selection by MTX. No clone has shown double minutes. The gene copy number is low. The stability and low gene copy in the presence of large HSRs differ from the pattern described for murine tumors. A human gene for DHFR may be associated with the long arm of chromosome 10. PMID- 6572369 TI - Isolation of a cDNA clone for human X-linked 3-phosphoglycerate kinase by use of a mixture of synthetic oligodeoxyribonucleotides as a detection probe. AB - We have obtained a cDNA clone encoding most of human X-linked 3-phosphoglycerate kinase (PGK; ATP:3-phospho-D-glycerate 1-phosphotransferase, EC 2.7.2.3). Total mRNA was prepared from human adenocarcinoma-derived cell line LS174T and used for cDNA preparation. Double-stranded cDNA was inserted, after tailing with oligo(dC), into the plasmid vector pBR327 and cloned in Escherichia coli K-12. Transformants were screened by colony hybridization with a mixture of 32P-labeled oligodeoxyribonucleotides. A pool of hexadecamers complementary to all 32 possible sequences encoding amino acids 291-296 of X-linked PGK was used for the initial screen. One clone among 2,500 gave a strong positive signal. Plasmid DNA from this clone was purified and characterized by hybridization first to the hexadecamer probe mixture and then to an undecamer probe consisting of a mixture of four sequences. The cloned fragment hybridizes preferentially to DNA from human cells with five X chromosomes. DNA sequence analysis has established that the 1.2-kilobase-pair fragment encodes PGK from amino acid 121 through the COOH terminus. PMID- 6572371 TI - High-frequency mutation at the adenine phosphoribosyltransferase locus in Chinese hamster ovary cells due to deletion of the gene. AB - Evidence for a two-step model to explain the high-frequency expression of the recessive phenotype at the autosomal adenine phosphoribosyltransferase (APRT; EC 2.4.2.7) locus in Chinese hamster ovary (CHO) cells was given by Simon et al. [Simon, A. E., Taylor, M. W., Bradley, W. E. C. & Thompson, L. (1982) Mol. Cell. Biol. 2, 1126-1133]. This model proposed a high-frequency event, leading to allelic inactivation or a loss of gene function, and a low-frequency event, causing a structural alteration of the APRT protein. Either event could occur first, resulting in two classes of heterozygotes. We have analyzed the low frequency event that gave rise to the class 2 aprt heterozygote D416 and the high frequency event that led to APRT- cells derived from D416. Genomic Southern blots of Msp I- or Hpa II-digested DNA from wild-type CHO, aprt heterozygote D416, and two APRT- cell lines derived from D416 indicate a loss of a specific Msp I/Hpa II recognition sequence at one aprt locus in the heterozygote that correlates with the production of the electrophoretically altered APRT protein found in D416. The APRT- mutants are homozygous for the loss of this Msp I/Hpa II site. By using an additional CHO gene as an internal control, it was determined that the APRT- mutants contain only a single copy of the altered aprt gene. Thus, the high frequency event that produces APRT- mutants derived from D416 is not an inactivation event but rather a deletion of the wild-type aprt gene. PMID- 6572372 TI - A unitary mechanism of calcium antagonist drug action. AB - [3H]Nitrendipine binding to drug receptor sites associated with calcium channels is allosterically regulated by a diverse group of calcium channel antagonists. Verapamil, D-600 (methoxyverapamil), tiapamil, lidoflazine, flunarizine, cinnarizine, and prenylamine all reduce [3H]nitrendipine binding affinity. By contrast, diltiazem, a benzothiazepine calcium channel antagonist, enhances [3H]nitrendipine binding. All these drug effects involve a single site allosterically linked to the [3H]nitrendipine binding site. Inhibition of [3H]nitrendipine binding by prenylamine, lidoflazine, or tiapamil is reversed by D-600 and diltiazem, which alone respectively slightly reduce or enhance [3H]nitrendipine binding. Diltiazem reverses the inhibition of [3H]nitrendipine binding by D-600. Our prediction that drugs allosterically regulating [3H]nitrendipine binding should be calcium antagonists is confirmed by calcium antagonism in guinea pig ileum observed with the antihistamine dimethindene, the neuroleptics thioridazine and mesoridazine, and the anticholinergic biperiden. PMID- 6572373 TI - Human hypoxanthine (guanine) phosphoribosyltransferase: an amino acid substitution in a mutant form of the enzyme isolated from a patient with gout. AB - We have investigated the molecular basis for a deficiency of the enzyme hypoxanthine (guanine) phosphoribosyltransferase (HPRT; IMP:pyrophosphate phosphoribosyltransferase, EC 2.4.2.8) in a patient with a severe form of gout. We reported in previous studies the isolation of a unique structural variant of HPRT from this patient's erythrocytes and cultured lymphoblasts. This enzyme variant, which is called HPRTLondon, is characterized by a decreased concentration of HPRT protein in erythrocytes and lymphoblasts, a normal Vmax, a 5-fold increased Km for hypoxanthine, a normal isoelectric point, and an apparently smaller subunit molecular weight. Comparative peptide mapping experiments revealed a single abnormal tryptic peptide in HPRTLondon. Edman degradation of the aberrant peptide from HPRTLondon identified a serine-to leucine amino acid substitution at position 109. This substitution can be explained by a single nucleotide change in the codon for serine-109 (UCA leads to UUA). Thus a mutation at the HPRT locus has now been defined at the molecular level. PMID- 6572374 TI - Influence of diet on vascular lesions in autoimmune-prone B/W mice. AB - Autoimmune-prone B/W mice, which are known to develop severe glomerulonephritis and vasculitis, also are found to develop arteritis and proliferative and fatty proliferative lesions of the aorta and its branches as well as renal inflammatory lesions. High intake of saturated fat in the diet enhances the development of these atherosclerotic and autoimmune lesions significantly in female mice, whereas restriction of dietary calories and fat inhibits their development. Ad lib feeding of laboratory chow, high in fiber and low in fat, does not foster development of vascular lesions but does permit the development of autoimmune renal disease. PMID- 6572375 TI - Phosphorylation of parathyroid secretory protein. AB - The phosphorylation of proteins released into the medium of bovine parathyroid gland slices or isolated cells incubated with 32Pi has been investigated. The primary protein phosphorylated had a Mr of 68,000 and coeluted with newly synthesized parathyroid secretory protein (PSP) on Bio-Gel chromatography and on polyacrylamide gel electrophoresis. Isoelectric focusing of double-labeled samples ([35S]methionine and 32Pi) revealed comigration of the two radioactive markers at a pH of 4.6, which was similar to that of purified PSP. Phosphorylation of the Mr 68,000 protein was also demonstrated in cell homogenates incubated with [gamma-32P]ATP; the Mr 68,000 protein was the predominant labeled protein. Increasing quantities of calcium, with and without added EGTA, caused a progressive decrease in phosphorylation of the protein. These studies demonstrate that PSP is readily phosphorylated in parathyroid cells, that the degree of phosphorylation is inversely proportional to calcium concentration, and that PSP is the major phosphorylated protein released from the gland. The relationship of phosphorylation to the potential physiologic importance of PSP remains to be determined. PMID- 6572376 TI - Polyploid nuclei in human artery wall smooth muscle cells. AB - Although polyploid nuclei have long been known to be present in many adult human tissues, the ploidy of smooth muscle cells in human artery wall has never been determined. We measured DNA content in individual smooth muscle cell nuclei of artery wall specimens by two means: Feulgen microdensitometry and flow microfluorimetry. A significant percentage of nuclei were polyploid; most of these were tetraploid, although higher levels were also found. The frequency of polyploidy varied with age from less than 1% at birth to a mean of 7% in adult aortic, carotid, and iliac vessels. Atherosclerotic plaques had a lower tetraploid content than the underlying media, whereas normal intima was similar to the corresponding media. The increase in frequency of hyperploid smooth muscle cell nuclei correlates with the normal growth, development, and aging of human artery wall. We suggest that the regular existence of a subset of polyploid smooth muscle cells may indicate an important functional role for this phenotype. PMID- 6572377 TI - Identification and localization of amino acid substitutions between two phenobarbital-inducible rat hepatic microsomal cytochromes P-450 by micro sequence analyses. AB - Two isozymes of rat liver microsomal cytochrome P-450--P-450b and P-450e--were compared by micro sequence analyses of their NH2 termini and tryptic fragments. These two phenobarbital-inducible hemoproteins, which are immunochemically indistinguishable with antibody against cytochrome P-450b, have extensive sequence homology. Automated Edman degradation of the native proteins revealed identical amino acids for the first 35 residues. Sequence determinations of the tryptic peptides, which constitute approximately 75% of each protein molecule, have thus far shown 10 amino acid differences between the two isozymes. Results of our amino acid sequence analyses established that two of the cDNAs, pcP-450pb1 and pcP-450pb4, reported by Fujii-Kuriyama et al. [Fujii-Kuriyama, Y., Mizukami, Y., Kamajiri, K., Sogawa, K. & Muramatsu, M. (1982) Proc. Natl. Acad. Sci. USA 79, 2793-2797] encode cytochrome P-450b whereas pcP-450pb2, a third cDNA whose nucleotide sequence differed slightly from that of the other two (six amino acid substitutions), encodes cytochrome P-450e. In addition to establishing the identity of these cloned cDNAs we provide direct evidence for seven additional amino acid differences between cytochromes P-450b and P-450e that occur beyond the region (Arg358) encoded by the cloned cDNA for cytochrome P-450e. Together, the amino acid sequences determined by micro sequence analysis and recombinant DNA techniques reveal 13 amino acid differences between these two isozymes. This report highlights the complementary nature of two different molecular approaches to elucidation of the amino acid sequences of isozymes with extensive structural homology. PMID- 6572378 TI - DNA-mediated alteration of the reversion frequency of transformed NIH/3T3 cells. AB - Cell selection immediately after DNA-mediated transfection of whole-cell DNA into mammalian cells has been used to select for specific DNA sequences that cause a phenotypic effect. Whole-cell mouse or human DNA was cleaved into a distribution of lengths (0.4-25 kilobase pairs) and transfected into anchorage-independent spontaneously transformed NIH/3T3 cells. Immediately after transaction, anchorage dependent serum concentration-dependent reverents were selected. The Hirt supernatant, containing extrachromosomal DNA resulting from the transfection, was isolated from the revertants and transfected with high molecular weight carrier DNA into a second population of transformed cells; revertants were again selected. After five to seven cycles of transfection of Hirt supernatant DNA (obtained from revertants selected at the previous cycle) into new populations of transformed cells at each cycle, the reversion frequency had become 5-15 times greater than the spontaneous reversion frequency measured for several subclones of nontransfected or mocktransfected transformed NIH/3T3 cells. When nonmammalian genomic DNAs were used in transfecting a first population of cells, there was no effect on the reversion of frequency even after six cycles of selection. The reversion-enhancing activity of sixth-cycle Hirt supernatant DNA resulting after transfection at the first cycle with mouse or human sequences was destroyed by EcoRI but not by BamHI or Sal I. Sequences resembling human Alu I sequences were found in mouse whole-cell DNA isolated from sixth-cycle revertants generated after transfection of human sequences at the first cycle. PMID- 6572379 TI - Stability of erythrocyte ghosts: a gamma-ray perturbed angular correlation study. AB - The structural integrity of erythrocyte ghosts made by the preswell and slow dialysis techniques has been studied in vitro by use of gamma-ray perturbed angular correlation (PAC) techniques and also by standard in vitro leakage methods employing sequestered labeled markers. Complexes of 111In3+ and nitrilotriacetate were encapsulated in ghosts made from human, rabbit, rat, and mouse erythrocytes, and their leakage was monitored by both methods. In addition, 125I-labeled bovine serum albumin was encapsulated, and ghost integrity was monitored by conventional leakage measurements. With the PAC technique the percentage of material released from human ghosts was determined quantitatively, and the results were equivalent to those obtained by the conventional method. In addition, at various times after intravenous injection, tissue distribution of the ghosts in the mouse was studied. The percent injected dose per gram of tissue of the labeled surface proteins of erythrocyte ghosts in circulation approximated that of the entrapped labeled albumin. This suggests that the ghost membrane and contents are strongly associated in vivo. Large 125I-labeled bovine serum albumin molecules and small 111In3+-nitrilotriacetate complexes were delivered in high quantitites to the lung initially, and to the liver and spleen. Because erythrocyte ghosts have the ability to entrap a wide range of substances and deliver them to specific organs, ghosts may be preferable to other drug carriers or drug therapy for treatment of certain disorders. PMID- 6572380 TI - Synthetic peptide with cell attachment activity of fibronectin. AB - Four synthetic peptides that together constitute the cell attachment domain of fibronectin [Pierschbacher, M.D., Ruoslahti, E., Sundelin, J., Lind, P. & Peterson, P. (1982) J. Biol. Chem. 257, 9593-9597] were constructed and tested for their ability to induce cell attachment and spreading. One of these peptides, consisting of the 30 amino acid residues nearest the COOH terminus of the domain, contained all of the cell attachment activity of the whole domain. Under suitable conditions the peptide was approximately as active as intact fibronectin on a molar basis. The activity could be demonstrated by binding the peptide to polystyrene directly, or via albumin, or by coupling it to agarose beads. This synthetic peptide will be useful in the elucidation of the molecular details of the attachment of cells to fibronectin and could allow manipulation of the adhesive properties of cell culture surfaces and prosthetic materials. PMID- 6572381 TI - Polypeptide chain initiation in eukaryotes: reversibility of the ternary complex forming reaction. AB - In the last step of polypeptide chain initiation in eukaryotes, the interaction of the 40S preinitiation complex eIF-2.GTP.Met-tRNAi.40S [the complex between the 40S ribosomal subunit and the ternary complex containing equimolar amounts of eukaryotic initiation factor 2 (eIF-2), GTP, and eukaryotic initiator methionyl tRNA (Met-tRNAi)] with a 60S ribosomal subunit in the presence of mRNA, cap binding protein (with "capped" messengers), ATP, and the initiation factors eIF 3, eIF-4a, -4b, -4c, and eIF-5, results in the formation of an 80S initiation complex (Met-tRNAi.80S.mRNA) with concomitant hydrolysis of GTP and liberation of eIF-2 for recycling in subsequent initiation events. However, at physiological Mg2+ concentrations, GDP is known to have approximately equal to 100-fold greater affinity than GTP for eIF-2 and eIF-2 is believed to be released in the form of an eIF-2.GDP complex. Previously, we have shown that initiation factor SP (for eIF-2-stimulating protein) promotes the exchange of eIF-2-bound GDP for GTP and catalyzes ternary complex formation in the presence of Met-tRNAi. Binding of GDP by eIF-2 is indeed so tight that, as we now show, homogeneous preparations of eIF 2 contain upward of 0.5 mol of GDP/mol of eIF-2. We further show that, in the presence of Mg2+ and catalytic amounts of SP, ternary complex formation conforms to the overall reversible reaction eIF-2.GDP + GTP + Met-tRNAi in equilibrium eIF 2.GTP.Met-tRNAi + GDP. PMID- 6572382 TI - Rates of enzyme-catalyzed exchange determined by two-dimensional NMR: a study of glucose 6-phosphate anomerization and isomerization. AB - The application of two-dimensional (2D) Fourier-transform NMR to the determination of rate constants of complex enzyme-catalyzed reactions in the steady state is described. The yeast phosphoglucose isomerase (EC 5.3.1.9) catalyzed anomerization of glucose 6-phosphate (Glc-6-P) as well as its isomerization to fructose 6-phosphate (Fru-6-P) was chosen as an example. The 2D technique permitted the simultaneous monitoring of the time course of the anomerization and isomerization steps, from which the various reaction rates were determined. The results obtained in the steady state demonstrate the usefulness of the 2D technique by confirming that the anomerization of Glc-6-P is enzyme catalyzed and that the isomerization of the alpha anomer of Glc-6-P to Fru-6-P is at least 10 times faster than the isomerization of the beta anomer of Glc-6-P. These results are compared with reaction rates obtained by rapid-quench methods and the mechanistic implications are discussed. Extrapolation of these results suggests that the 2D Fourier-transform NMR method should be applicable in intact biological tissues. PMID- 6572383 TI - Antibodies of predetermined specificity detect two retroviral oncogene products and inhibit their kinase activities. AB - Oligopeptides predicted from the nucleotide sequence of the oncogene v-fes of feline sarcoma virus (FeSV) were synthesized chemically and used to generate specific antibodies. Antisera against a 12-amino-acid-long oligopeptide (12-mer) located 42 residues from the carboxyl terminus of the v-fes coding sequence efficiently recognized the transforming proteins encoded by Snyder-Theilen (ST) and Gardner-Arnstein (GA) strains of FeSV. This 12-mer also contains 10 amino acid residues homologous in order and position to those predicted from the nucleotide sequence of the oncogene v-fps of avian Fujinami sarcoma virus (FSV). The anti-12-mer immunoprecipitated the FSV-specific transforming protein molecules from FSV-transformed cells. Binding of these antipeptide antibody molecules to the v-fes and the v-fps gene products inhibited their associated tyrosine-specific protein kinase (EC 2.7.1.37) activities. The ability to generate such site-specific antisera to the products of related oncogenes will be valuable in the molecular characterization of retroviral transforming proteins and their normal cellular homologs. PMID- 6572384 TI - Promoter-proximal pausing by RNA polymerase II in vitro: transcripts shorter than 20 nucleotides are not capped. AB - We have synthesized RNA from cloned adenovirus 2 late promoter DNA in an in vitro transcription extract under UTP-limiting conditions. Under these circumstances, almost all of the alpha-amanitin-sensitive RNA produced is shorter than 20 nucleotides; most of these short transcripts are present in four species, 6, 7, 13, and 17 nucleotides. These short RNAs are initiated at the adenovirus 2 promoter, as judged by partial sequence analysis and by the abolition of their synthesis upon cleavage of the template DNA at sites which also abolish the production of full-length transcripts. All of the short transcripts can be chased, with excess UTP, into 197-base run-off transcripts; thus, these RNAs are precursors of full-length transcripts and not synthetic "dead ends." Significantly, none of these short RNAs is capped or 2'-O-methylated. However, 79 base run-off transcripts synthesized from this promoter with nonlimiting NTP levels are fully capped. PMID- 6572385 TI - Unwinding associated with synapsis of DNA molecules by recA protein. AB - In the presence of adenosine 5'-[gamma-thio]triphosphate, a nonhydrolyzable analog of ATP, Escherichia coli recA protein extensively unwinds duplex DNA in a reaction that is strongly stimulated by either homologous or heterologous single stranded DNA [Cunningham, R.P., Shibata, T., DasGupta, C. & Radding, C.M. (1979) Nature (London) 281, 191-195]. In the presence of ATP and homologous circular single-stranded DNA, recA protein also unwinds circular duplex DNA that is nicked at a heterologous site. When DNA ligase seals this nick, the product is a highly negatively superhelical molecule that can be relaxed by E. coli topoisomerase I. This unwinding requires a high degree of homology since phi X174 single-stranded DNA does not serve as a cofactor in the unwinding of G4 DNA, even though these molecules are 70% homologous. Like synapsis itself, and unlike strand exchange which follows synapsis, unwinding is sensitive to inhibition by ADP. Because recA protein unwinds duplex DNA when neither the single-stranded DNA nor the duplex DNA has a free end in the region of homology, unwinding can be initiated or mediated by a synaptic structure that differs from that of a simple D loop. The paired circular single strand in the synaptic structure behaves like one strand of an under-wound helix because E. coli topoisomerase I can interwind it with its complement. PMID- 6572386 TI - Endogenous inhibitors of lysosomal proteinases. AB - Specific inhibitors of three lysosomal proteinases are present in the cytosolic and lysosomal compartments of rabbit liver. The cytosolic inhibitors, purified by chromatography on DEAE-Trisacryl and Sephadex G-75, show specificities toward cathepsin M, cathepsins B and L, and fructose 1,6-bisphosphatase converting enzyme (CE), respectively, and are designated IM, IB/L, and ICE. Inhibitors with similar specificities have been isolated from the intralysosomal compartment. Two of these inhibitors, IM and ICE, are also present in the lysosomal membranes. The lysosomal distribution parallels that of the respective proteinases. The inhibitors are polypeptides with molecular weights of 5,000-10,000 for the two forms of IB/L, 12,500 for IM, and 10,000-40,000 for the ICE species. PMID- 6572388 TI - Construction and characterization of cDNA clones for four respiratory syncytial viral genes. AB - Cytoplasmic poly(A)-containing RNA from respiratory syncytial virus-infected cells was used as a template to synthesize oligo(dT)-primed cDNAs. Discrete size classes of single-stranded cDNAs, resolved by alkali agarose gel electrophoresis, were used separately to construct double-stranded cDNAs that were subsequently inserted into the plasmid vector pBR322 at the Pst I site by means of oligo(dG)oligo(dC) tailing. After transfection of Escherichia coli, recombinant plasmids were screened mostly by serial rounds of hybrid selection of mRNAs from virus-infected cells and subsequent in vitro translation of the selected mRNAs. Comparative peptide mapping of the translation products with those of authentic virion proteins served to establish the viral origin of the cDNA recombinants. In this manner, four distinct classes of recombinant plasmids were identified. These encode sequences corresponding to those of respiratory syncytial virus nucleocapsid protein, matrix protein, phosphoprotein, and a nonstructural protein. PMID- 6572387 TI - Mechanism of action of glycopeptide hormones and cholera toxin: what is the role of ADP-ribosylation? AB - The cultured murine Leydig tumor cell line MLTC-1 and the normal rat thyroid strain FRTL have adenylate cyclase activities that are stimulated by human chorionic gonadotropin (hCG) and thyrotropin, respectively. Both cell types also respond to choleragen. Activation of adenylate cyclase in membranes by choleragen required NAD whereas stimulation of the enzyme by hormones did not. With [alpha 32P]NAD as a donor, ADP-ribosylation of membrane proteins was determined under the same conditions used to assay adenylate cyclase activity. Under these conditions, choleragen, but not the hormones, caused the ADP-ribosylation of subunits of the regulatory component (G/F) of adenylate cyclase in both FRTL and MLTC-1 membranes. In the absence of any effectors, several membrane proteins became labeled but the hormones did not cause the specific labeling of these or any other membrane proteins. Pretreatment of intact MLTC-1 cells with hCG did not block the ability of choleragen to ADP-ribosylate G/F in isolated membranes; labeling was actually enhanced in a manner related to the length of exposure to hCG. In contrast, pretreatment of the cells with choleragen inhibited ADP ribosylation of G/F by the toxin in isolated membranes. Extracts of membranes from untreated, hCG-treated, and choleragen-treated MLTC-1 cells were used to reconstitute adenylate cyclase activity in membranes from the cyc- variant of S49 lymphoma cells which lacks a functional G/F. Toxin but not hormone treatment caused an increase in the basal activity of adenylate cyclase in the reconstituted system. Our results indicate that ADP-ribosylation of the regulatory component of adenylate cyclase is required for choleragen action but not for hormone action. PMID- 6572389 TI - alpha-Radiation dose at bronchial bifurcations of smokers from indoor exposure to radon progeny. AB - Synergistic interactions of indoor radon progeny with the cigarette smoking process have been evaluated experimentally. Smoking enhances the air concentration of submicron particles and attached radon decay products. Fractionation in burning cigarettes gives rise to the association of radon progeny with large particles in mainstream cigarette smoke, which are selectively deposited in "hot spots" at bronchial bifurcations. Because smoke tars are resistant to dissolution in lung fluid, attached radon progeny undergo substantial radioactive decay at bifurcations before clearance. Radon progeny inhaled during normal breathing between cigarettes make an even larger contribution to the alpha-radiation dose at bifurcations. Progressive chemical and radiation damage to the epithelium at bifurcations gives rise to prolonged retention of insoluble 210Pb-enriched smoke particles produced by tobacco trichome combustion. The high incidence of lung cancer in cigarette smokers is attributed to the cumulative alpha-radiation dose at bifurcations from indoor radon and thoron progeny--218Po, 214Po, 212Po, and 212Bi--plus that from 210Po in 210Pb-enriched smoke particles. It is estimated that a carcinogenic alpha radiation dose of 80-100 rads (1 rad = 0.01 J/kg = 0.01 Gy) is delivered to approximately equal to 10(7) cells (approximately equal to 10(6) cells at individual bifurcations) of most smokers who die of lung cancer. PMID- 6572390 TI - Quantitative spatial distributions of calcium, phosphorus, and sulfur in calcifying epiphysis by high resolution electron spectroscopic imaging. AB - Electron spectroscopic imaging, a new technique that permits the quantitative detection of the spatial distributions of atomic elements at high resolution, has been applied to the epiphyseal zone of hypertrophy in the mouse for the visualization of calcium, phosphorus, and sulfur. Longitudinally sectioned epiphyseal growth plates reveal a developmental sequence in the longitudinal septum leading from a noncalcified matrix to a calcified matrix. During the early stages of this transition, matrix granules containing highly localized concentrations of P (200-400 atoms/nm2) are found spatially separate from Ca containing sites. These Ca localizations displayed a concentration range of 20 350 atoms/nm2 and a complete spatial overlap with sulfur. At these sites, S levels range from 10 to 200 atoms/nm2. At a later stage, and therefore more proximal to the zone of provisional calcification, the usual scattered, irregularly shaped mineral deposits are found. These sites contain a virtual superposition of Ca with both P and S. The Ca/P and Ca/S ratios of these mineral deposits are predominantly 1.0 with only minor, locally varying ratios present. PMID- 6572391 TI - Potassium-dependent increases in cytosolic pH stimulate metabolism and motility of mammalian sperm. AB - Sperm cytosolic pH, determined by the spectral properties of intracellular carboxyfluorescein, is decreased rapidly by the diffusion and subsequent dissociation of the uncharged weak acids pyruvic, lactic, or hydroxybutyric and is increased by diffusion and subsequent intracellular protonation of the weak base NH3. Metabolic and kinetic activity increases dramatically when intracellular pH is elevated above 6.8-6.9 by addition of 50 mM NH4Cl to sperm suspended in a 120 mM NaCl medium. Respiratory stimulation is not observed upon comparable additions of 50 mM Li+ or K+ or when the pH of the medium is increased from 6.5 to 8.2. However, increases of the external pH to 7.8-8.2 in medium employing 120 mM KCl result in increased metabolic and kinetic activity, comparable to the maximal stimulation induced by the phosphodiesterase inhibitor caffeine. An increase in cytosolic pH from 6.3-6.6 to 6.8 occurs concomitant with the respiratory stimulation induced by KCl in alkaline media. No change in cytosolic pH follows addition of caffeine. Cyclic AMP-dependent protein kinase activity ratios, determined in cellular extracts, are increased by caffeine treatment but are not elevated by 120 mM KCl, by alkaline pH, or by their combination. These observations indicate that cytosolic pH plays a role in the regulation of motility and metabolism of mammalian sperm that is not mediated by cyclic AMP but that may be under control of a plasma membrane voltage-dependent proton channel. However, H+ fluxes across vesicles prepared from sperm membranes are unaffected by variation in the magnitude of the transvesicular K+ concentration gradient. PMID- 6572392 TI - Membrane 126-kilodalton phosphoglycoprotein associated with human carcinomas identified by a hybridoma antibody to mammary carcinoma cells. AB - A large number of hybridomas producing antibodies to the membrane fraction of a human mammary carcinoma cell line have been produced. Among those hybridoma antibodies that bound to exposed surface membrane epitopes on the human mammary carcinoma cell line BT-20, one has been found to bind to all tested breast carcinoma cell lines as well as to a number of other human carcinomas by solid phase radioimmunoassay. This hybridoma antibody, designated 10-3D2, does not bind to normal mammary epithelium, a variety of control cell lines, or selected normal human tissue homogenates. The 10-3D2 hybridoma antibody identifies by immunoprecipitation a membrane 126-kilodalton protein which is indistinguishable in different tumor cells. It is glycosylated by reference to incorporation of [3H]glucosamine and also is phosphorylated by reference to incorporation of 32P. It is present in a finely granular pattern on the cell surface of mammary carcinoma cells with concentration at the sites of apparent cell-cell contact. This 126-kilodalton phosphoglycoprotein, which we have consistently been unable to identify by immunoprecipitation of intrinsically labeled normal cells, may represent a heretofore unrecognized tumor-associated marker for human mammary carcinomas as well as certain other types of human neoplasms. PMID- 6572393 TI - Low molecular weight microtubule-associated proteins are light chains of microtubule-associated protein 1 (MAP 1). AB - Microtubule-associated protein 1 (MAP 1; Mr = 350,000) was analyzed by column chromatography of microtubule protein obtained from calf brain gray and white matter. Two low molecular weight proteins (LMW MAPs; Mr 28,000 and 30,000) were found to cochromatograph with MAP 1 under all conditions examined. MAP 1 and the LMW MAPs were purified from calf brain white matter as a complex containing approximately equimolar amounts of the three species. Urea (6 M) was used to remove the LMW MAPs from MAP 1. Binding of MAP 1 to microtubules was unaffected by urea and occurred with or without the LMW species. Electron microscopy of microtubules composed of purified tubulin and either MAP 1 preparation revealed that, like MAP 2, MAP 1 has the appearance of a filamentous arm on the microtubule surface. PMID- 6572394 TI - Dynamics of pyrimidine deoxynucleoside triphosphate pools in relationship to DNA synthesis in 3T6 mouse fibroblasts. AB - The 3H-labeled nucleosides cytidine, deoxycytidine, and thymidine are rapidly incorporated into DNA via dCTP or dTTP pools. Between 30 and 60 min after addition of tracer amounts of a labeled nucleoside to the medium of rapidly growing 3T6 cells, dNTP pools attained a constant specific activity resulting from a steady-state equilibrium between incorporation of nucleoside, de novo synthesis, and linear incorporation of isotope into DNA. Removal of labeled deoxycytidine or thymidine depleted the dNTP pools of isotope within a few minutes and incorporation into DNA stopped. When de novo synthesis of dTTP was blocked with amethopterin, the intracellular dTTP pool rapidly reached the specific activity of thymidine of the medium and isotope incorporation into DNA then measured absolute rates of DNA synthesis. In experiments with and without amethopterin, we found no kinetic evidence for the existence of more than one dTTP pool and the decay of the pool suggested that all dTTP served as precursor of DNA. In contrast, experiments with deoxycytidine and cytidine suggested the presence of separate dCTP pools with preferential DNA synthesis from the pool labeled from cytidine. PMID- 6572395 TI - Antibody-targeted liposomes: increase in specific toxicity of methotrexate-gamma aspartate. AB - Liposomes conjugated with anti-H2Kk antibody associate with L929 murine fibroblasts in 6- to 20-fold greater amount than do nonspecific liposomes. The ability of methotrexate-gamma-aspartate to inhibit L929 growth is increased 10 fold when encapsulated in targeted liposomes but is decreased to 50% when encapsulated in liposomes with no specificity for the target cells. Ammonium chloride inhibits the effects of the encapsulated but not the free drug. Soluble antibody does not inhibit the efficacy of targeted vesicles, but empty targeted vesicles do inhibit the efficacy. The compound in both targeted and nontargeted vesicles has a minimal effect on BALB/c3T6 fibroblasts. These results demonstrate the potential of antibody-targeted liposomes and the importance of selecting liposome-dependent cytotoxic agents. PMID- 6572396 TI - Evolution, development, and the units of selection. AB - The "Modern Synthesis" forms the foundation of current evolutionary theory. It is based on variation among individuals within populations. Variations within individuals are believed to hold no phylogenetic significance because such variation cannot be transmitted to the germ line (i.e., Weismann's doctrine). Weismann's doctrine, however, does not apply to protists, fungi, or plants and is an entirely unsupported assumption for 19 phyla of animals. This fact requires that the Modern Synthesis be reexamined and modified. PMID- 6572397 TI - Unusual structure of the chicken embryonic alpha-globin gene, pi'. AB - We report the DNA sequence of the globin locus encoding the chicken embryonic alpha-globin, pi'. The structure differs significantly from that of the two chicken adult alpha-globin genes, alpha A and alpha D, as well as from that of previously studied adult alpha-globin genes in that the introns of the pi' gene are substantially larger than those in adult alpha-globin loci. In contrast, the pi' introns are structurally similar to the only other expressed embryonic alpha globin gene reported to date, the human zeta gene. While completing the sequence of the pi' gene, we determined that only one chromosomal locus within the chicken genome hybridizes to a pi' central exon probe. These data lead to the conclusion that if the equimolar chicken embryonic alpha-globin polypeptides, called pi and pi', are indeed independently transcribed, then that transcription occurs from alleles of the same gene; however, we favor the possibility that the pi gene does not actually exist. This conclusion is drawn from the observation that the two chromosomal alleles of embryonic alpha-globins (represented by recombinant bacteriophage lambda CaG5 and lambda CaG7) both encode pi'. PMID- 6572398 TI - Recessive lethal deletion on mouse chromosome 7 affects glucocorticoid receptor binding activities. AB - The hormone binding activity of glucocorticoid receptors is decreased by approximately equal to 75% in the livers of mice homozygous for c14CoS, one of several overlapping radiation-induced deletions on chromosome 7. These deletions have been shown previously to map at and around the albino (c) locus and to act as recessive lethals. They are associated with intractable hypoglycemia, ultrastructural abnormalities in certain liver cell membranes, and deficiencies of specific liver proteins and enzymes that are induced by insulin or glucocorticoids, or both. Scatchard analysis of [3H]dexamethasone binding to receptors in control and mutant liver extracts revealed that the glucocorticoid binding constants were similar; however, the control extracts bound approximately equal to 4 times as much steroid as did mutant extracts. Analysis by DNA cellulose column chromatography demonstrated that the ability of activated glucocorticoid receptors to form complexes with DNA appears to be unaltered in the mutants; both mutant and control cytosols contain glucocorticoid receptors that elute from DNA-cellulose columns at two different salt concentrations. Sucrose density gradient centrifugation revealed the glucocorticoid receptors in mutant livers to have approximately the same sedimentation coefficient as receptors in control livers. The decrease in glucocorticoid binding activity in mutant liver cell extracts is comparable in degree to that previously reported for insulin binding activity. The gene sequences deleted in the homozygous deletion mutants appear to be instrumental in the regulation rather than the structural determination of both glucocorticoid and insulin receptors. PMID- 6572399 TI - Identification of a second class I antigen controlled by the K end of the H-2 complex and its selective cellular expression. AB - Immunoprecipitates obtained from [35S]methionine-labeled spleen cells by using monoclonal antibodies specific for H-2Kd and H-2Dd have been separated by two dimensional polyacrylamide gel electrophoresis. Analysis of these gel patterns revealed the presence of an additional product of the K end of the H-2d complex, designated here as H-2K'. To determine whether H-2K' is a unique protein or a differentially glycosylated form of the previously characterized H-2Kd histocompatibility antigen, nonglycosylated molecules labeled in the presence of tunicamycin were examined. The results showed that both H-2K and H-2K' have distinct nonglycosylated polypeptide precursor forms. The approximate molecular weight differences between the fully glycosylated and nonglycosylated molecules also indicated the presence of three oligosaccharide side chains on H-2K', as is the case with H-2Kd, whereas H-2Dd has only two oligosaccharide units. The cellular expression of H-2K' was also investigated. Comparison of H-2 antigens immunoprecipitated from normal spleen cells and from thioglycollate-induced adherent peritoneal exudate cells cultured in the presence or absence of supernatant fluids from concanavalin A-stimulated spleen cells revealed that H 2K' was not expressed on the adherent peritoneal cells. This indicates that H-2K' is expressed in a tissue-specific manner, unlike the classical histocompatibility antigens H-2K and H-2D. PMID- 6572400 TI - Functional role for vasoactive intestinal polypeptide in the caudate nucleus: a 2 deoxy[14C]glucose investigation. AB - The quantitative autoradiographic 2-deoxy-[14C]glucose technique has been used with conscious rats to investigate the functional consequences (reflected as alterations in local rates of glucose utilization) of unilateral intrastriatal administration of vasoactive intestinal polypeptide. Intrastriatal administration of vasoactive intestinal polypeptide (20 pmol) significantly increased local glucose utilization in the injected striatum, where the increased use was localized in small punctate areas (100-500 microns wide in coronal sections) scattered throughout the nucleus at considerable distances (up to 4 mm) from the injection site. Significantly increased glucose utilization after intrastriatal injection of vasoactive intestinal polypeptide was observed in a number of regions (e.g., substantia nigra pars compacta, entopeduncular nucleus, lateral habenular nucleus, entorhinal, pyriform cortices, and amygdala) with known primary or secondary neuronal connections with the caudate nucleus. These alterations in glucose utilization were highly focal in nature, with the majority (40 of the 50 examined) of brain regions displaying unaltered rates of glucose utilization. The data provide evidence, obtained in conscious animals, that vasoactive intestinal polypeptide can modify functional processes in the caudate nucleus. PMID- 6572401 TI - Reward learning in normal and mutant Drosophila. AB - Hungry fruit flies can be trained by exposing them to two chemical odorants, one paired with the opportunity to feed on 1 M sucrose. On later testing, when given a choice between odorants the flies migrate specifically toward the sucrose paired odor. This appetitively reinforced learning by the flies is similar in strength and character to previously demonstrated negatively reinforced learning, but it differs in several properties. Both memory consolidation and memory decay proceed relatively slowly after training with sucrose reward. Consolidation of learned information into anesthesia-resistant long-term memory requires about 100 min after training with sucrose compared to about 30 min after training with electric shock. Memory in wild-type flies persists for 24 hr after training with sucrose compared to 4-6 hr after training with electric shock. Memory in amnesiac mutants appears to be similarly lengthened, from 1 hr to 6 hr, by substituting sucrose reward for shock punishment. Two other mutants, dunce and rutabaga, which were isolated because they failed to learn the shock-avoidance task, learn normally in response to sucrose reward but forget rapidly afterward. One mutant, turnip, does not learn in either paradigm. Reward and punishment can be combined in olfactory discrimination training by pairing one odor to sucrose and the other to electric shock. In this situation, the expression of learning is approximately the sum of that obtained by using either reinforcement alone. After such training, memory decays at two distinct rates, each characteristic of one type of reinforcement. PMID- 6572402 TI - PGE2 and angiogenesis. AB - The angiogenic capability of PGE2 was tested by implanting pellets of an ethylene vinyl acetate slow release polymer containing PGE2 on the chorioallantoic membrane of 8-day-old chicken embryos. Elvax pellets releasing approximately 0.2, 2.0, or 20 ng/day PGE2 were found to induce neovascular responses. In contrast, pellets releasing 2.0 or 20 ng/day of either PGA2, PGF2, or TXB2 did not appear to be angiogenic when compared with PGE2. These release rates of PGE2 are similar to those reported for a variety of tumors, activated macrophages, inflammatory exudates, and rheumatoid synovia, suggesting that PGE2 may be a key factor in various neovascular reactions. PMID- 6572403 TI - The local edemogenic effects of leukotriene C4 and prostaglandin E2 in rats. AB - Leukotriene C4 (LTC4) and prostaglandin E2 (PGE2) have been studied for their effects on vascular permeability in rats. LTC4 and/or PGE2 were dissolved in 0.3% ethanol and were administered subcutaneously (0.1 m1) in the plantar surface of one of the hind paws of different series of rats. The changes in vascular permeability were measured by the radioactive marker (HSA.I125) method. LTC4 administered in dose of 2 X 10(-8) M produced marked increase (77 and 133%) in the vascular permeability (local edemogenic effect). PGE2 administered in a dose of 10(-6) M also produced significant increase (38 and 40%) in the vascular permeability. However, PGE2 in the same dose either administered along with LTC4 or administered at 30 minutes after the injection of LTC4 (2 X 10(-8) M) did not have any potentiating effect on the edemogenic response of LTC4. PMID- 6572404 TI - Levels of plasma 6-keto-PGF1 alpha in normotensive and essential hypertensive males with and without a family history of hypertension. AB - Prostacyclin may act physiologically as an antihypertensive hormone. It remains uncertain, however, whether prostacyclin may be involved in the etiology of primary hypertension. As an index of prostacyclin production, we measured the levels of venous plasma 6-keto-PGF1 alpha by specific radioimmunoassay after silicic acid column chromatographic purification in 31 normotensive and 36 hypertensive males. The subjects were grouped according to the presence or absence of a family history of hypertension, and matched for age and blood pressure. Levels of 6-keto-PGF1 alpha in normotensive males with a family history of hypertension (12.0 +/- 1.7 pg/ml; mean +/- SEM; n = 18) were lower than in normotensive males without a family history of hypertension (17.7 +/- 2.0 pg/ml; n = 13) (p less than 0.01). Levels of plasma 6-keto-PGF1 alpha in hypertensive males with a family history of hypertension (10.2 +/- 1.2 pg/ml; n = 15) were lower than in hypertensive males without a family history of hypertension (20.5 +/- 1.5 pg/ml; n = 21) (p less than 0.005). The levels of plasma 6-keto-PGF1 alpha in males with a family history of hypertension may be decreased genetically. The decrease in production of prostacyclin in males with a family history of hypertension may be a factor in the etiology of hypertension. PMID- 6572405 TI - Endogenous prostaglandins do not modulate the hindquarters vascular responses to adrenergic stimulation in rats. AB - The purpose of this study was to examine whether endogenous prostaglandins (PGs) modulate vascular responsiveness to adrenergic stimuli in the hindquarters of stroke-prone Spontaneously Hypertensive Rats (SHR-sp) and Wistar-Kyoto rats (WKY). Previously we have shown that synthesis of endogenous PGs in blood vessels in the rat hindquarters was greater in SHR-sp than in WKY and that high salt diet increased the level of endogenous PGs in SHR-sp but not in WKY. Vascular responses to norepinephrine (NE) and sympathetic nerve stimulation (SNS) were examined before and after indomethacin (IND), 2 mg/kg, administered intravenously. NE was administered intraarterially into the autoperfused hindquarters. Hindquarters vascular responses to these vasoconstrictor stimuli were not altered by IND in SHR-sp and WKY at the different level of endogenous PGs. These results indicate that hindquarters vasoconstriction in response to adrenergic stimuli were not altered by IND even when vascular synthesis of endogenous PGs was augmented. The results suggest that endogenous PGs do not modulate the hindquarters responses to adrenergic stimulation in rats. PMID- 6572406 TI - Excretion of 6-keto-PGF1 alpha and PGE2 in rats with hereditary hypothalamic diabetes insipidus. AB - We measured the urinary excretion of a stable metabolite of prostacyclin, 6-keto PGF1 alpha, and of PGE2 in homozygous Brattleboro rats, a strain with hereditary hypothalamic diabetes insipidus. Excretion of both prostaglandins was largely increased compared to both heterozygous Brattleboro rats and Long-Evans rats. These results are in contrast to previously published observations demonstrating a subnormal excretion of PGE2 in Brattleboro rats. It is suggested that prostaglandin synthesis may be under tonic inhibitory control by vasopressin both in the kidney and in the endothelial cells of blood vessels. The findings further support the view that prostaglandins play an important role in the regulation of water excretion and in the pathogenesis of polyuric conditions. PMID- 6572407 TI - Analgesic consultation. PMID- 6572408 TI - Radiation absorbed-dose estimates for the liver, spleen, and metaphyseal growth complexes in children undergoing gallium-67 citrate scanning. AB - Quantitative conjugate-view external counting techniques were applied to estimate the radiation dose to the liver, spleen, and metaphyseal growth complexes (distal femur and proximal tibia) for ten pediatric patients undergoing gallium-67 scanning procedures. The effective half-life of Ga 67 in these organs was approximately 78 hours. The dose per unit of administered activity for the liver and spleen was between 0.3 and 4.0 rad/mCi (0.08 to 1.08 Gy/GBq) and 0.5 and 7.0 rad/mCi (0.13 to 1.89 Gy/GBq), respectively. For the metaphyseal growth plates, the range was 2.3 to 14.3 rad/mCi (0.62 to 3.86 Gy/GBq). PMID- 6572409 TI - [Dental fractures and fissures: diagnosis, treatment and presentation of a prevention index]. PMID- 6572410 TI - [Comparative study of mercury loss from predosed disposable amalgam capsules and from bulk amalgamators]. PMID- 6572411 TI - Regional muscle tension and pain ("fibrositis"). Effect of massage on myoglobin in plasma. AB - In thirteen patients, all women, with regional muscle tension and pain ("fibrositis") plasma myoglobin concentration was measured before and after massage. A significant increase was observed in the plasma myoglobin concentration reaching a maximum three hours after the start of massage treatment (median 133 micrograms/l). A positive correlation was found between the degree of muscle tension and the increase in plasma myoglobin concentration. After repeated massage treatment a gradual decline could be demonstrated in the increase of the plasma myoglobin concentration in coincidence with the efficacy of the treatment. Opposed to this only normal levels of myoglobin were found in plasma when muscles without tenderness and pain were treated with massage. The observed increase of myoglobin in plasma after massage indicates a leak of myoglobin from the muscle fibres, which suggests that regional muscle tension and pain is associated with disorders in the muscle fibres. PMID- 6572412 TI - [Microsurgical and musculocutaneous flap plastic repair in reconstruction in the maxillofacial area]. PMID- 6572413 TI - [Early education and motivation for oral prophylaxis]. PMID- 6572414 TI - [Positioning device for taking serial, reproducible intraoral radiograms]. PMID- 6572415 TI - [Relative gnotobiosis: the planning of periodontitis experiments on rats]. PMID- 6572416 TI - Polypeptide transforming growth factors isolated from bovine sources and used for wound healing in vivo. AB - Transforming growth factors, which are polypeptides that induce the transformed phenotype in nonneoplastic cells, have been isolated in bulk amounts from bovine salivary gland and kidney. In experiments in which wound healing chambers were implanted subcutaneously in the backs of rats, these bovine transforming growth factors accelerated the accumulation of total protein, collagen, and DNA in treated chambers. These studies thus show an effect of an isolated transforming growth factor in vivo. PMID- 6572417 TI - The two faces of genetic engineering in man. PMID- 6572418 TI - Bulimia: diagnostic clues. AB - Bulimia is an eating disorder characterized by the ingestion of large amounts of food, usually followed by self-induced vomiting or laxative abuse. Although sometimes a symptom of obesity or anorexia nervosa, bulimia is often associated with borderline weight and nutritional status and thus may be difficult to detect. Since secrecy and shame accompany this syndrome, patients are reluctant to seek treatment. We present ten diagnostic clues for identifying bulimic patients: (1) preoccupation with weight, (2) gastrointestinal complaints, (3) dental and oropharyngeal changes, (4) salivary gland enlargement, (5) edema and bloating, (6) amenorrhea, (7) dermatologic complaints, (8) substance abuse, (9) laboratory changes, and (10) serious consequences. A case study illustrates the major features of the disorder and its treatment. PMID- 6572419 TI - Esophageal perforation associated with combined use of the Thumper Resuscitator and esophageal airway. AB - Esophageal perforation is an uncommon but catastrophic complication of resuscitation with the esophageal obturator airway. Three cases of esophageal perforation are reported associated with combined use of an obturator airway and Thumper mechanical resuscitator. The possibility of increased risk when these devices are used together has not been previously discussed in the literature. This risk may be reduced by using lower balloon volumes, less aggressive compressor settings, and obturator airways modified for nasogastric drainage. PMID- 6572421 TI - Perceived and actual attitudes of periodontal patients regarding periodontal therapy. PMID- 6572420 TI - Oral prostaglandin E2 in the management of pulmonary atresia. PMID- 6572423 TI - [Dynamics of morphological tissue changes in the cheek after cryogenic action]. PMID- 6572422 TI - [Regeneration of bone tissue after laser osteotomy of the mandible]. PMID- 6572424 TI - [Use of sodium mefenamine in dentistry]. PMID- 6572425 TI - [Dynamics of the indices of the nonspecific protective factors of the saliva and blood serum in periodontitis as affected by local therapeutic measures]. PMID- 6572427 TI - [Experience with the use of an endodontic drill bit]. PMID- 6572426 TI - [Hyperbaric oxygenation in the combined therapy of periodontosis]. PMID- 6572428 TI - [Use of helium-neon laser in treating periodontal diseases]. PMID- 6572429 TI - [Use of helium-neon laser radiation in treating the Melkersson-Rosenthal syndrome]. PMID- 6572430 TI - [Characteristics of the postoperative course in tooth extraction in diabetics]. PMID- 6572431 TI - [Laser therapy in the combined treatment of mandibular fractures]. PMID- 6572432 TI - [Mechanical and mathematical analysis of the forces developing at the sites of a fixation device and bone contact during osteosynthesis]. PMID- 6572433 TI - [Use of anti-inflammatory radiation therapy for treating nontumorous salivary gland diseases]. PMID- 6572434 TI - [Sialic acid content of the blood in phlegmon of the maxillofacial area]. PMID- 6572435 TI - [Effect of CO2-laser radiation on tooth enamel]. PMID- 6572436 TI - [Evaluation of chlorhexidine effectiveness in treating acute inflammatory processes of the maxillofacial region]. PMID- 6572437 TI - [Hygienic status of the oral cavity during radiation treatment of malignant maxillofacial tumors]. PMID- 6572438 TI - [Effect of haloperidol premedication on the cardiovascular system of dental patients before the operation]. PMID- 6572439 TI - [Protection of the dentin surface in preparing teeth for crowns]. PMID- 6572440 TI - [Electromyographic characteristics of maxillofacial muscle function in dysfunctions of the temperomandibular joint]. PMID- 6572441 TI - [Hygienic assessment of noise and vibration in the work of orthodontists and dental technicians]. PMID- 6572442 TI - [Secondary plastic repair of residual deformities in patients operated on for unilateral cleft upper lip]. PMID- 6572443 TI - [Maxillofacial muscle function before and after orthodontic treatment of children with a prognathic deep bite and tooth crowding laterally]. PMID- 6572444 TI - [Ethnic aspects of the pathogenesis of dental caries]. PMID- 6572446 TI - [Optimization of the teaching of dentistry in the therapeutics department of a medical institute]. PMID- 6572445 TI - [Changes in hard dental tissues and pulp in exposure to microdoses of mercury vapors]. PMID- 6572447 TI - [Recurrent herpetic stomatitis in a child with leukemia]. PMID- 6572448 TI - [Case of acute myelomonoblastic leukemia in a dentist's practice]. PMID- 6572449 TI - [Indices of the normal values for the opening of the mouth]. PMID- 6572451 TI - [Retention cyst as a consequence of sialolithiasis of a minor salivary gland]. PMID- 6572450 TI - [Retractor for the reduction of mandibular dislocations]. PMID- 6572452 TI - [Racemose facial hemangioma with multiple phleboliths]. PMID- 6572453 TI - [Protective device for the tip of the dental jet injector (BI-8)]. PMID- 6572454 TI - [Biological adaptation of the supporting structure of the periodontal tissues]. PMID- 6572455 TI - [The measurement of contact separating pressure of the teeth using the pressure measuring sheet "Prescale"]. PMID- 6572456 TI - [The effect of N2O on the isometric contraction force of the left ventricular papillary muscles of rats]. PMID- 6572457 TI - [Comparative studies on exfoliated cells from the oral mucosa using light and scanning electron microscopy]. PMID- 6572458 TI - [Cutting procedures for composite resins, especially posterior composite resins]. PMID- 6572459 TI - [Studies on the non-collagenous proteins of bovine periodontal membrane]. PMID- 6572460 TI - [An electromyographic study on functional development of mastication in children with IIA stage dentition]. PMID- 6572461 TI - [An experimental study on the distribution of pressure at the tissue-denture base interface]. PMID- 6572462 TI - [The curing characteristics of visible light-cured composite resins and the irradiation properties of the light emitter]. PMID- 6572463 TI - [Osteogenic sarcoma of the kidney]. PMID- 6572464 TI - Sexual problems associated with oral and facial infirmities. PMID- 6572465 TI - [Preparation and restoration of Class V cavity with gold foil fillings]. PMID- 6572466 TI - [Histocompatibility antigens and remissions in schizophrenia: relation to clinical parameters]. AB - The character of the distribution of the HLA system antigens was studied in 61 schizophrenic patients. The phenotype of patients with good-quality remissions was characterized by the presence of the antigens HLA-A1, HLA-B8, or their combination. PMID- 6572467 TI - Prostaglandin F2 alpha in blood plasma and milk of non-pregnant and pregnant buffaloes (Bubalus bubalis). AB - Radioimmunoassay of prostaglandin F2 alpha (PGF2 alpha) was standardised for sufficient precision, accuracy, sensitivity and specificity. The changes of PGF2 alpha were monitored in peripheral blood plasma and milk of 28 Murrah buffaloes. There were considerable individual variations of PGF2 alpha concentration in blood plasma (27.6 to 110.8 pg/ml) and milk (80.3 to 180.4 pg/ml). A non significant increase of PGF2 alpha concentration (P greater than 0.05) was observed at the end of the cycle of non-pregnant animals in both fluids but no such increase was observed in pregnant animals. The concentration of PGF2 alpha in milk was significantly higher (P less than 0.01) than that of blood plasma and was positively correlated in non-pregnant (r = 0.738) and pregnant animals (r = 0.385). PMID- 6572468 TI - 3rd International Thyroid Symposium. Thyroid cancer. Innsbruck, Austria, September 13-15, 1982. Abstracts. PMID- 6572469 TI - Growth characteristics of human malignant tumours and cell lines in serial passages in nude mice. AB - Two osteosarcoma cell lines, one fibrosarcoma and one undifferentiated mesenchymal tumour obtained at operation, all of human origin, were transplanted in serial passages in athymic nude mice. The growth rate was analysed and the morphologic appearance compared both with the original tumours and after each passage. All tumours retained their morphologic characteristics during the transplantation and passaging in the nude mice with only minor alterations in structure. The growth rates of the tumours showed great variability even in the same passage of each tumour, although the growth rates became somewhat more regular and predictable after some passages. PMID- 6572470 TI - Phase II evaluation of aclacinomycin A (ACM-A, NSC208734) in patients with metastatic colorectal cancer. AB - Thirty-two patients with measurable metastatic colorectal cancer refractory to 5 fluorouracil-containing regimens received aclacinomycin A (ACM-A) on a single dose I.V. schedule administered over 4 hours every 3 weeks. Good-risk patients received ACM-A at the starting daily dose of 100 mg/m2 while patients who had had therapy with radiation or myelosuppressive drugs such as mitomycin C or a nitrosourea compound received an initial daily dose of 80 mg/m2. There were no complete or partial remissions in this study. Twelve of 30 evaluable patients had disease stabilization. Nausea and vomiting were the dose-limiting toxic effects; myelosuppression was moderate, with neutropenia more severe than thrombocytopenia. Other toxic effects included diarrhea (in 53% of the treatment courses), phlebitis (36%), and mucositis (27%). Alopecia was rare and occurred in 3% of treatment courses, while none of the patients developed clinical manifestation of cardiac toxicity. Aclacinomycin-A administered by the single dose schedule as used in this study is not effective against colorectal cancer. PMID- 6572472 TI - The dependence of mandibular dysfunction in children on functional and morphologic malocclusion. AB - The influence of dental status, occlusal interference, occlusal anomalies, and general background variables on bruxism and subjective symptoms and clinical signs of mandibular dysfunction has been studied in children. Three samples of children, aged 7, 11, and 15 years, were included. The interrelations were analyzed by rank-correlation and stepwise multiple regression. In the rank correlation analyses, dental wear and age were significantly correlated to all of the dysfunction variables. Bruxism (reported by the subjects) was not found to be significantly correlated to any of the independent variables in the regression analysis. Subjective symptoms of dysfunction could be explained to a small extent by the independent variables, of which dental wear and sucking habits were found to be the most important. Recurrent headache was, to a certain extent, dependent upon age and sex. TMJ clicking was positively correlated with dental wear and unilateral contact in the retruded contact position but was most influenced by age and sex; TMJ clicking increased with age and was more common in girls than in boys. The clinical dysfunction index of Helkimo and tenderness of the masticatory muscles on palpation were explainable, although to a minor degree, by the influence of a combination of age, occlusal interference, motor activity, and psychological factors. Functional malocclusion (occlusal interference) is more important than morphologic malocclusion in explaining the existence of mandibular dysfunction. Nevertheless, morphologic malocclusion such as Class II and Class III occlusion, frontal open-bite, and cross-bite, when associated with functional malocclusion, may create a predisposition to mandibular dysfunction. The study confirms the multifactorial etiology of mandibular dysfunction. PMID- 6572471 TI - Unfavorable prognostic significance of hand mirror cells in childhood acute lymphoblastic leukemia. A report from the childrens Cancer Study Group. AB - The prognostic significance of hand mirror cells (HMCs) in childhood acute lymphoblastic leukemia was determined by quantifying the percentage of these cells in the diagnostic bone marrow aspirates of previously untreated children entered on the Childrens Cancer Study Group protocol 141. Of 664 examinable patients, 39 (5.9%) had greater than 10% HMCs, and only four (0.6%) had greater than 30% HMCs. Compared with the entire study population, a greater proportion of children with more than 10% HMCs were older than 10 years of age, had hemoglobin levels greater than 10 g/dL, and had undifferentiated lymphoblast morphology. The children with more than 10% HMCs had a higher rate of bone marrow relapse, poorer disease-free survival, and shorter survival than patients with less than 10% HMCs. By multivariate analysis, HMC morphology was an independent, unfavorable prognostic factor. PMID- 6572473 TI - Operational performance of the Reflex Metrograph and its applicability to the three-dimensional analysis of dental casts. AB - The purpose of the present study was to investigate the applicability of a new instrument (the Reflex Metrograph) to the three-dimensional analysis of dental casts. In this system, a dental cast, placed in front of a semireflecting mirror, creates an identical image behind the mirror. The measurement of a point is made by aligning a light source behind the mirror in coincidence with the image of a specific point on the object. The light source is carried on a three-dimensional slide system, and coordinates are digitized for sampling by the computer. Measurement accuracy of the instrument was evaluated for three measuring points determined on a maxillary dental cast placed in six different locations. In addition, differences in the performance skills of ten operators were evaluated. The results indicate that digitization of a point in three planes of space can be undertaken without direct contact of the object and that a consistent measurement accuracy can be obtained, regardless of differences in the location of the cast relative to the mirror or in the anatomic shape of the measured areas. In addition, operators with no previous experience can determine specific points to an accuracy of +/- 0.1 mm, with a minimal amount of training. Finally, measurement by the same operator for a pooled sample is recommended in order to avoid interoperator measurement error when determining linear distances. PMID- 6572474 TI - The geometry of craniofacial growth invariants. AB - In the description of craniofacial growth it is crucial to identify constant geometric relations. The search leads to complex manipulations of coordinate data from cephalograms. In the regularities that he finds, the clinician must be aware of the difference between empirical contingency and geometric necessity. For instance, common procedures for identifying centers away from which growth proceeds radially (the "polar phenomenon") ignore theorems about the indeterminacy of such centers. The scan for growth invariants in configurations of landmarks should be based on the method of tensor analysis. Any shape change may be summarized in terms of two directions in each triangle of landmarks. The directions are at 90 degrees in each triangle both before growth and after; one of them bears the greatest percent rate of change of length of all directions in the triangle, and the other bears the least. From a diagram of these axes one comes immediately to strict invariants of the shape change--specific angles and proportions along segments defined by relations between the triangle and the axes -linked to other specific angles and proportions which change most rapidly. It is simple to adapt this machinery so that it can deal with average shape changes in populations. Included here are two examples of the technique: (1) extracting the statistically most stable definition of "growth axis" (displacement of menton from cranial base) in children aged 6 to 14 years and (2) describing the shape change of the rat calvarium between the ages of 7 days and 150 days. Such descriptions should be the first step in designing any cephalometric analysis. PMID- 6572475 TI - Primate models in surgical orthodontics. AB - Between 1969 and 1980, 22 studies using nonhuman primates for experimental research in surgical orthodontics were published in the American Journal of Orthodontics, Angle Orthodontist, Journal of Oral Surgery, or International Journal of Oral Surgery. The most common species used was the rhesus monkey, Macaca mulatta. As laboratory animals, monkeys are relatively expensive and difficult to obtain. These problems have limited the design of experimental studies. Sample sizes are often too small for statistical analysis, control groups are small or omitted, and it has frequently been necessary to pool animals of different ages and sexes. These compromises might be appropriate if monkeys are the best available experimental model for humans, but there is little evidence that this is the case. Monkeys do not fill the usual role of good experimental models, which is to simplify a complex system. The monkeys used for craniofacial surgery have normal craniofacial function and morphology for their species, unlike human clinical patients. Cephalometric radiographs and skull measurements taken on monkeys of the five most common experimental species indicate that all experimental animals are much more prognathic than humans, and sex differences in prognathism are small. However, because many species have a large sex difference in canine size, females are a better experimental model than males for some questions. Considering recent federal legislative interest in animal research and the decreasing financial support for research, it is essential that the choice of experimental animals be justifiable and cost effective. It would be worthwhile to consider alternatives to primates as the species of choice for experimental research in surgical orthodontics. PMID- 6572476 TI - Propositions and hypotheses: both can be rejected, only hypotheses must be tested. PMID- 6572477 TI - Use of monoclonal antibodies to isolate cortical collecting tubule cells: AVP induces PGE release. PMID- 6572478 TI - [Effect of 15-me-prostaglandin F2 alpha on the release of endogenous prostaglandin F2 alpha and the concentration of estrogen and progesterone receptors in the human endometrium]. PMID- 6572479 TI - Technology of recombinant DNA techniques. PMID- 6572480 TI - An unexpected disconnection of the gas supply to a Cape Waine 3 ventilator. PMID- 6572481 TI - Accidental disconnection and pulmonary barotrauma. PMID- 6572482 TI - Failure to use 02 analyzers to prevent hypoxic accidents. PMID- 6572483 TI - The cluttered anesthesia machine--a cause for hypoxia. PMID- 6572484 TI - Survey of teaching pain and anxiety control on the predoctoral level. PMID- 6572485 TI - Acupuncture analgesia in conservative dental treatment. PMID- 6572486 TI - Survey of general anesthesia residency training for dentists - update. PMID- 6572487 TI - Genetic markers in chronic air-flow limitation. A genetic epidemiologic study. PMID- 6572488 TI - [Emergency cytapheresis in 4 children with acute hyperleukocytic leukemia]. PMID- 6572489 TI - Long-term efficacy of surgical cordotomy in intractable non-malignant pain. AB - Our results show that about 40% of patients who have cordotomies for non malignant pain gain a prolonged and worthwhile period of relief, allowing a return to work and normal living. The available evidence, though scanty, suggests that the decline in the analgesic efficacy of cordotomy tends to 'plateau' with the passage of time, though the exact pattern of this change remains undefined. We conclude that, while the complication rate of cordotomy is undoubtedly high, and its effectiveness far from ideal, it may nevertheless have a place in the treatment of carefully selected patients with intractable pain due to non malignant causes. PMID- 6572490 TI - Pharmacokinetics of cefotetan in normal subjects and patients with impaired renal function. AB - The elimination kinetics of cefotetan (YM09330), a new parenteral semisynthetic cephamycin derivative, were studied in eight healthy volunteers and 41 patients with renal insufficiency after the administration of a single 500-mg dose intravenously. Concentrations of cefotetan in serum and urine were determined by both bioassay and high-pressure liquid chromatography. The pharmacokinetic parameters for cefotetan were calculated on the basis of a two-compartment open model. Serum concentrations of cefotetan immediately after administration were approximately 180 micrograms/ml in all subjects regardless of function; however, serum concentrations during the beta-phase increased directly with the degree of renal impairment. The mean serum half-life during the beta-phase was 3.0 h in normal subjects as compared with 13.1 h in hemodialysis patients. There was a linear correlation (P less than 0.0001) between the elimination rate constant of cefotetan and creatinine clearance. The mean cumulative urinary recovery of cefotetan in the 24-h urine was 83.3% of the administered dose in normal subjects and decreased with reduced renal function. PMID- 6572492 TI - Biological activity of 24,24-difluoro-1 alpha, 25-dihydroxyvitamin D3 and 1 alpha, 25-dihydroxyvitamin D3-26,23-lactone in inducing differentiation of human myeloid leukemia cells. AB - Vitamin D compounds added to the culture medium induce differentiation of human myeloid leukemia cells (HL-60 cells) by binding to a specific cytosol receptor protein. This system provides a biologically relevant and technically simple assay to examine the relationship between molecular structure and biological activity of vitamin D compounds. Using this culture system, the biological activity of 24,24-F2-1 alpha,25(OH)2D3 and 1 alpha,25(OH)2D3-26,23-lactone was assayed. 24,24-F2-1 alpha,25(OH)2D3 was four to seven times more potent than 1 alpha,25(OH)2D3 in inducing phagocytosis and C3 rosette formation of HL-60 cells, though both compounds bound equally well to the cytosol receptor, suggesting that the defuorination at the 24-carbon position may stimulate membrane permeability of the compound. 1 alpha,25(OH)2D3-26,23-lactone, on the other hand, was only 1/200th as active as 1 alpha,25(OH)2D3. The binding affinity of the lactone for the cytosol receptor was identical with that of 1 alpha (OH)D3, suggesting that the lactone formation between the 26 and 23 positions masks the function of the 25-hydroxyl group. The binding affinity of vitamin D3 derivatives to the specific cytosol receptor of HL-60 cells was well correlated with that of intestinal cytosol protein specifically bound to 1 alpha,25(OH)2D3. PMID- 6572491 TI - 7 alpha-Dehydroxylation of bile acids by resting cells of an unidentified, gram positive, nonsporeforming anaerobic bacterium. AB - Transformation of bile acids by washed whole cells of strain HD-17, an unidentified gram-positive anaerobic bacterium isolated from human feces, was studied. 7 alpha-Dehydroxylase was produced only during adaptive growth on medium containing 7 alpha-hydroxy bile acids. Both the extent of hydroxylation and the state of conjugation of the bile acids had marked effects on the induction of the enzyme, and the order of the enzyme induction was conjugated cholic acid much greater than cholic acid greater than taurochenodeoxycholic acid greater than or equal to chenodeoxycholic acid. The addition of excess glucose to the growth medium appreciably reduced the enzyme level. The induced enzyme required strict anaerobic conditions for activity and had an optimal pH range of 6.5 to 7.5. In contrast with the induction of the enzyme, the induced enzyme showed a low degree of substrate specificity between cholic acid and chenodeoxycholic acid, with some preference for the former. In addition, the organism contained 3 alpha-, 7 alpha , and 12 alpha-hydroxysteroid dehydrogenases, and the addition of bile acids to the medium somewhat enhanced the production of the oxidoreductases. The dehydrogenations were obviously stimulated by oxygen as a terminal electron acceptor. The organism also contained bile salt hydrolase. PMID- 6572493 TI - Neonatal chronic myeloid leukaemia with prolonged survival. PMID- 6572494 TI - Isolated testicular relapse in acute lymphoblastic leukaemia of childhood. Report on behalf of the Medical Research Council's working party on leukaemia in childhood. PMID- 6572495 TI - Chemotherapy of sarcomas. PMID- 6572496 TI - Gilles de la Tourette's syndrome in identical twins. AB - The problem we studied relates to the inheritance of Gilles de la Tourette's syndrome. The method was the investigation, including blood studies, of a pair of twins who both were affected with the syndrome. It was concluded that the twins were identical and this added to the evidence of the heritability of the disorder. The twins were affected with other but related problems of behavior; considerable similarities were found in their behavior and behavioral problems. No family history of this or tic-like disorders could be obtained. Reduction of tics occurred when haloperidol treatment began. PMID- 6572497 TI - Experience with diagnostic peritoneal lavage in blunt abdominal trauma. AB - Fifty-one patients who had suffered blunt abdominal trauma were assessed clinically and with diagnostic peritoneal lavage. The latter has been shown to be a safe, accurate means of determining the presence or absence of haemoperitoneum. Furthermore, in patients with disturbed conscious states, the initial clinical assessment has been found to be inaccurate and the performance of diagnostic peritoneal lavage has resulted in a statistically significant increase in diagnostic accuracy (P = 0.006). However, in patients with a normal conscious state, the improvement in diagnostic accuracy achieved by the performance of diagnostic peritoneal lavage was not statistically significant. The technique of diagnostic peritoneal lavage is discussed in detail. PMID- 6572498 TI - Inguinal hernias: a preliminary study on a technique of repair based on the keel principle. AB - Most adult hernias have a defect in the posterior wall of the inguinal canal even though the initial defect, in an indirect hernia, is the presence of a sac at the internal ring. It is imperative to strengthen the posterior wall without disturbing the normal shutter mechanism of the inguinal canal. A technique is described which achieves this by applying the keel principle to the repair. Data regarding 215 such repairs done during the last five years is presented. The follow-up available however does not satisfy the standard critical criteria and as such this is presented only as a preliminary report and a rational idea. PMID- 6572499 TI - The management of malignant oesophago-airway fistulae. AB - Gastric bypass was performed for eight patients with advanced oesophageal cancer complicated by an established oesophago-airway fistula. There was one operative death. Seven patients could be discharged from hospital with complete relief from aspiration and eating a normal solid diet. The preoperative preparation, anesthetic management and operative technique is described. Gastric bypass is compared to other methods of palliation for malignant oesophago-airway fistulae. PMID- 6572500 TI - Causes of death after blunt chest injury. AB - During the 10 years from 1968 a total of 1119 patients with chest and associated injuries were admitted to the Royal Newcastle Hospital (RNH); 530 of these needed ICU treatment and fifty-nine died. Common causes of death included irreparable associated injuries to brain and exsanguination due to major vessel injury. However, the commonest cause encountered was refractory respiratory failure due to pulmonary sepsis. This condition was associated with hypovolaemic shock, intra abdominal injuries, failure of conservative treatment and injuries in the older age groups. PMID- 6572501 TI - Surgical management of benign oesophago-pleural fistula. AB - Three cases of oesophago-pleural fistula are presented. Two resulted from foreign body perforation of the oesophagus and one followed left lower lobectomy for bronchiectasis. All three presented late; the time lapse ranged from 6 days to 2 months. An initial course of conservative treatment was given to all three patients. Alimentation via nasogastric tube feeding, gastrostomy or total parenteral nutrition was carried out. The pleural fluid grew the anaerobe, Bacteriodies melaninogenicus, in all three cases. Gram-negative aerobes, Escherichia coli and Proteus mirabilis, were also cultured. Closed intercostal drainage and a course of appropriate antibiotics were instituted. The patients were subjected to surgery after the infection had been brought under control. Simple repair was performed in two patients. Exclusion of the oesophageal leak with drainage and later reconstruction was carried out in the third patient. Although all three patients recovered, the morbidity was considerable. The duration of hospital stay ranged from 2 to 4 months. PMID- 6572502 TI - The use of ultrasonography in elucidating the problem of imperforate vagina. PMID- 6572503 TI - Penile sleeve rotation in urethral fistula: repair and second stage urethroplasty. PMID- 6572504 TI - A grooved table-spoon for tongue-tie release and hernial neck transfixion. PMID- 6572505 TI - Postlaryngectomy voice reconstruction. AB - A simple one staged technique for voice reconstruction after total laryngectomy is described. A section of posterior tracheal wall is preserved and converted into a tracheo-oesophageal shunt. Results in nine patients are described. PMID- 6572506 TI - Nasogastrointestinal intraluminal tube stenting in the prevention of recurrent small bowel obstruction. AB - Nasogastrointestinal intraluminal tube stenting using a Dennis tube (Sherwood Medical St Louis, Missouri, USA) was performed on 25 patients. Two intubations were for midgut volvulus, 13 for small intestinal obstruction after extensive adhesolysis, and 10 as an adjunct to the operative management of enterocutaneous fistulae following extensive adhesolysis, resection and anastomosis. No patient developed recurrent small bowel obstruction for periods up to three years after operation. Use of an intraluminal tube stent in preventing recurrent small bowel obstruction due to adhesions is safe and effective when used on appropriately selected patients. Its effectiveness should be more widely recognized. PMID- 6572507 TI - Hangman's fracture: nonoperative management with the halocast. PMID- 6572508 TI - Analysis of mortality of extradural haematoma in a general surgical unit. AB - Extradural haematoma complicating head injury still has a formidable mortality despite recent advances in neurological surgery. The experience of 60 cases of extradural haematoma treated in a general surgical unit was reviewed retrospectively. The mortality was 35%. Analysis of the 21 deaths showed that 13 (62%) of them were possibly avoidable. Lack of index of suspicion, delay in instituting surgical treatment and inadequate surgical intervention were the main causes of the avoidable mortality. PMID- 6572509 TI - Appendicectomy audit. AB - Of 200 consecutive appendicectomies performed at Royal Prince Alfred Hospital the indications for operation were suspected acute appendicitis (65%), chronic or recurrent appendicitis (11.5%), interval appendicectomy (3%) and appendicectomies incidental to other operations (20.5%). Of those operated upon for suspected acute appendicitis, the appendix revealed acute inflammation pathologically in 64% of patients. Pathological changes occurred with the same frequency in both the incidental appendicectomy group and the chronic appendicitis group. Within the group with a provisional diagnosis of acute appendicitis there were marked variations in the documentation of peroperative symptoms, signs and investigations. On average 11.5 hours passed between the time these patients presented and when appendicectomy was performed. The patients spent an average of 6.4 days in hospital and only 33% had any documentation follow-up in the hospital records. Auditing systems can only be instituted in Australia if the structure of medical services is borne in mind. Adoption of overseas systems based on different patterns of medical care will add little to patient care. PMID- 6572510 TI - Anaesthetic deaths. PMID- 6572511 TI - Toothache and cracked cusps. PMID- 6572512 TI - A modification for self-threading dentine pins. PMID- 6572513 TI - Acute fluoride toxicity. PMID- 6572514 TI - Complications of automated root canal treatment. PMID- 6572515 TI - The need for panoral radiographs. PMID- 6572516 TI - The geographical distribution of recently qualified dental graduates (1975-1980) in England, Scotland and Wales. PMID- 6572517 TI - Frequency of accidental intravascular injection of local anaesthetics in children. PMID- 6572518 TI - Cleaning silver-tin amalgam alloy. PMID- 6572519 TI - Hepatitis B as a potential hazard to dental patients. PMID- 6572520 TI - Thermal diffusion through composite restorative materials. PMID- 6572521 TI - The high-pressure periodontal ligament injection. PMID- 6572522 TI - Psychology in the dental curriculum. PMID- 6572523 TI - Sarcoid gingivitis. PMID- 6572524 TI - Chronic granulomatous disease with associated oral lesions. PMID- 6572525 TI - Anaesthetic deaths. PMID- 6572526 TI - The role of the dental hygienist. PMID- 6572527 TI - Administration of local anaesthestics via the periodontal membrane. PMID- 6572528 TI - Prophylaxis of infective endocarditis. PMID- 6572529 TI - Use of prostaglandin E2 in management of transposition of great arteries before balloon atrial septostomy. AB - Fifteen infants with transposition of the great arteries and severe hypoxaemia were treated with prostaglandin E2 infusions before atrial septostomy was performed. Twelve patients had simple transposition and three had small ventricular septal defects. The infusion resulted in a highly significant increase of PaO2 from 22 +/- 3 mmHg to 37 +/- 5 mmHg within one to two hours. Only one patient did not respond to treatment. PaO2 remained constantly above 30 mmHg throughout prostaglandin infusion. After balloon atrial septostomy prostaglandin administration was stopped. Only two patients required reinfusion within 24 hours after septostomy because of a decrease of PaO2 below 25 mmHg. At angiocardiography before balloon septostomy the ductus was of aortic size in eight, and of about half the aortic diameter in six patients. In one infant the ductus was closed. One infant had to undergo early ductus ligation because of heart failure. In 10 of 11 infants who have undergone total correction the initially large ductus had closed spontaneously. PMID- 6572530 TI - Prognostic value of in vitro growth pattern of colony forming cells in adult acute leukaemia. PMID- 6572531 TI - Testicular infiltration in acute lymphoblastic leukaemia. PMID- 6572532 TI - [Effect of prostaglandin F 2 alpha on the functional state of the tissue component of blood coagulation and fibrinolysis in albino rats with disorders of protein metabolism]. AB - Experiments were made on 80 white rats to examine hemostatic and fibrinolytic properties of the liver, kidney, small intestine and skeletal muscle tissue and subcellular fractions (nuclei, mitochondria, nuclear supernatant liquid containing lysosomes, ribosomes, microsomes and with no mitochondria) during prostaglandin F2 alpha administration in the presence of upset protein metabolism induced by experimental toxic hepatitis and protein deficiency. It was shown that intravenous injection of prostaglandin F2 alpha leads to an increase in hemostatic properties and reduction of fibrinolytic activity of all the test tissues with the exception of gastric wall tissue which showed a different line of changes. Variation of hemostatic properties of whole tissues was followed by appropriate changes in hemocoagulation potential of subcellular fractions. PMID- 6572533 TI - Monoclonal antiglycophorin as a probe for erythroleukemias. AB - A monoclonal antibody (LICR.LON.R10) specific for the major sialoglycoprotein of the erythroid cell membrane, glycophorin A (alpha), has been used to test the possibility that "cryptic" erythroleukemia may be diagnosed as acute lymphoblastic leukemia (ALL) or acute myeloblastic leukemia (AML). In addition to 27 overt erythroleukemias, 724 leukemias, including 329 ALL (103 in relapse), 205 AML, and 109 blast crises of Ph1-positive chronic myeloid leukemia, were analyzed. Twenty cases with a significant proportion of glycophorin-A-positive (gA+) cells were found; 8 of these (5 AML and 3 blast crises of chronic myeloid leukemia, CML) had an obvious erythroid component, but 12 others were diagnosed as AML (2), AMML (1), CML in myeloid blast crisis (4) or megakaryoblastic blast crisis (1), acute megakaryoblastic leukemia (2), or acute lymphoblastic leukemia (2). The latter two patients had no immunologic evidence supporting a diagnosis of ALL and were resistant to chemotherapy. We conclude that AML and ALL only very rarely express gA, and these are probably genuine "cryptic" erythroleukemias. Other gA+ leukemias (megakaryoblastic and CML blast crises) may arise from bi- or pluripotent stem cells and contain distinct and separable blast cell populations. PMID- 6572534 TI - Granulocytes and cultured human fibroblasts express common acute lymphoblastic leukemia-associated antigens. AB - We have investigated the expression of the common acute lymphoblastic leukemia antigen (cALLA) by nonlymphoid cells, using a new murine monoclonal antibody (designated 24.1), specific for cALLA. This antibody completely blocks the binding of monoclonal anti-cALLA antibody J-5. Furthermore, antibody 24.1 binds to cALLA with greater affinity and induces a greater degree of antigenic modulation than antibody J-5. With antibody 24.1, we have demonstrated that normal cultured marrow and skin fibroblasts and mature granulocytes express cALLA. By immune precipitation and polyacrylamide gel electrophoresis, cALLA from fibroblasts has a slightly lower molecular weight and cALLA from granulocytes a slightly higher molecular weight than cALLA from cultured human leukemic cell lines. Quantitative studies indicate, however, that cALLA expression is approximately 3-fold and 20-fold lower, respectively, on normal granulocytes and skin fibroblasts than on NALM-6 cells. cALLA may be expressed by cells with widespread distribution in multiple organ systems. These findings emphasize that differentiation markers that appear to be tumor or tissue specific may be found on cells of diverse origin. PMID- 6572535 TI - Basophil/mast cell precursors in human peripheral blood. AB - Semisolid (methylcellulose) hemopoietic cultures revealed the presence of histamine-containing granulocyte colonies derived from precursors (CFU-C) present in human peripheral blood. Light microscopy and histochemical studies of cells in individual histamine-containing colonies demonstrated homogeneous populations of metachromatic basophil/mast cells (BMC) at various stages of maturation. By inverted microscopy, pure BMC colonies were more often found to have the overall appearance of the previously described "eosinophil" (type II), rather than "neutrophil-macrophage" (type I), colony type. Histamine-positive colonies constituted 58% (50/86) of all (type I and type II) granulocyte colonies in repeated cultures from a patient with systemic mastocytosis (SM), and 19% (13/67) of colonies in cultures from 8 patients with chronic myeloid leukemia (CML); this was in contrast to 8% (12/153) of colonies in cultures from 4 patients with urticaria pigmentosa (UP) and 6 normal controls (p less than 0.0001). Calculated frequency of BMC CFU-C was approximately 1 per 2 X 10(6) in normal and 1 per 2 X 10(5) nucleated cells in SM peripheral blood. Taking colony size into account, histamine content per cell in histamine-positive type II colonies in SM cultures was 1.1 +/- 0.19 pg, compared to 0.29 +/- 0.08 pg in CML and less than or equal to 0.10 in normals and UP. Electron microscopy (EM) of individual colonies revealed electron-dense granules with ultrastructural features of BMC in histamine-positive, but not histamine-negative, colonies. Use of these methods may help to further clarify the nature of BMC precursors and the regulation of their proliferation in bone marrow disorders and allergic states. PMID- 6572536 TI - Therapeutic and prognostic value of initial chromosomal findings at the blastic phase of Ph1-positive chronic myeloid leukemia. AB - To assess parameters of therapeutic response and of survival after the onset of the blastic phase (BP) in 64 patients with Ph1-positive chronic myeloid leukemia (CML), a number of clinical, hematologic, and cytogenetic data at the BP were evaluated. Among 10 parameters checked, only the chromosomal findings correlated with the therapeutic response and survival after the onset of the BP. The patients were divided into three groups on the basis of the chromosome findings in the bone marrow, blood, and spleen: (1) those with only a Ph1 (PP), (2) those having two types of clones, i.e., one clone with only a Ph1 and another with additional karyotypic changes (AP), and (3) those with only abnormal clones in addition to the Ph1 (AA). The number of patients in each group was 29 in PP, 15 in AP, and 20 in AA. The results were as follows. (1) The percentage of patients with a good therapeutic response was 79% (23/29) in PP, 53% (8/15) in AP, and 30% (6/20) in AA. (2) The median survival after the onset of the BP was 171 days (5.7 mo) in PP, 146 days (4.9 mo) in AP, and 74 days (2.5 mo) in AA. Statistically, there was a significant difference between the AA and the other two groups (p less than 0.05). For further study, the AA and AP patients were divided into 4 subgroups each: those with 48 or more chromosomes, those with 47 chromosomes, those with pseudodiploidy, and those with hypodiploidy. A subgroup with 48 or more chromosomes in the AA patients had a very short survival (median, 25 days; 0.8 mo) and a poor therapeutic response (1/9, 11%). Our observations suggest that the lack of a clone with only a Ph1 (AA), particularly with more than 48 chromosomes, at the acute crisis or shortly after the onset of the BP indicates an unfavorable therapeutic response and a poor prognosis after the onset of the BP. PMID- 6572537 TI - Hand-mirror forms in AUL: cytochemistry and ultrastructure. PMID- 6572538 TI - Publicity and bulimia nervosa. PMID- 6572539 TI - Autonomic arousal in eating disorders: further evidence for the clinical subdivision of anorexia nervosa. AB - Autonomic arousal, measured by skin conductance level and response, was examined in 36 female patients with eating disorders (anorexia nervosa and bulimia nervosa) and 32 control subjects. No differences were found between the control group and anorexics who lost weight solely through dieting (restricting anorexics). Patients with a diagnosis of bulimia nervosa and anorexics with bulimic features, however, showed fewer spontaneous skin conductance responses and were faster to habituate to 85 dB tones than either controls or restricting anorexic patients. The pattern of findings supports recent views concerning the clinical subdivision of anorexia nervosa. PMID- 6572540 TI - Endogenous prostaglandin F2 alpha in the hyperdynamic state of severe sepsis in man. AB - Nine surgical patients underwent haemodynamic and respiratory monitoring during the course of severe sepsis. Endogenous PGF2 alpha levels in mixed venous and arterial plasma were measured. Results indicate pulmonary net release of PGF2 alpha, since arterial levels (1252 +/- 119 pg/ml) are significantly higher than mixed venous ones (824 +/- 89 pg/ml) in full-pronounced hyperdynamic septic shock. By contrast, the inactive metabolite KH2PGF2 alpha was found in lowest concentrations during shock (368 +/- 72 pg/ml) which suggests impaired pulmonary degradation. It is concluded that circulating PGF2 alpha is a marker of stimulated prostaglandin production in severe human sepsis. PMID- 6572541 TI - Treatment of erythroleukemia with anthracycline antibiotics and cytosine arabinoside. AB - The introduction of the anthracycline antibiotics and cytosine arabinoside have significantly improved the remission induction rate for patients with acute nonlymphocytic leukemia. Erythroleukemia (M6 by French-American-British classification) has long been considered to be resistant to chemotherapy. Since 1973 we have treated 14 patients with erythroleukemia with daunorubicin 45 mg/m2 or doxorubicin 30 mg/m2 for three days and cytosine arabinoside 100 mg/m2 by continuous infusion for 7 to 10 days. Six complete remissions (43%) were obtained with remission durations of 3+, 4+, 9, 13, 29+, and 35 months. While this remission rate is somewhat lower than that obtained with other types of acute nonlymphocytic leukemia, the combination of anthracycline antibiotics and cytosine arabinoside is clearly effective against erythroleukemia. Five patients treated before mid 1976 died soon after remission induction therapy was started. Four of these five patients were treated for 6 to 9 months with prednisone, halotestin, and/or splenectomy before remission induction chemotherapy was started and three of these patients died of systemic fungal infection, suggesting that these modalities of treatment may interfere with patient tolerance to remission induction therapy. It is suggested that erythroleukemia should be treated with intensive chemotherapy soon after the diagnosis is made. PMID- 6572542 TI - Pulmonary fibrosis subsequent to high doses of CCNU for chronic myeloid leukemia. AB - Two patients treated for chronic myeloid leukemia with high doses of CCNU (1100 mg/m2 and 1240 mg/m2, respectively) developed a fatal pulmonary fibrosis. This side effect has never been reported for this nitrosourea but only for BCNU and methyl-CCNU. The responsibility of CCNU in the pathogenesis of pulmonary fibrosis seems very likely. The possibility that the underlying disease or other chemotherapeutic agents may increase the risk of pulmonary toxicity can, however, be discussed. In addition, 13 other adults treated for chronic myeloid leukemia with various doses of CCNU were reviewed. No respiratory symptoms appeared in the ten patients who were given less than 950 mg/m2. Three patients who received more than 1100 mg/m2 developed pulmonary symptoms with the same clinical and radiologic pattern as in the two cases with pathologic documents, and two of them died from acute respiratory failure. Although lung specimens were lacking from these three patients, it is suggested that the pulmonary toxicity of CCNU may be dose-related. PMID- 6572543 TI - Thyroid carcinoma and acute lymphoblastic leukemia in childhood. AB - A 12-year-old boy with T-cell ALL was found to have occult papillary thyroid carcinoma at autopsy. This patient was treated with chemotherapy but no radiotherapy was utilized. Family history was not contributory. Because of short latent period (14 months) and no history of radiotherapy, an intrinsic factor might have played a major role in developing this second malignancy. Currently 11 solid tumors have been reported as second malignant neoplasms after ALL in childhood. Four (including this case) of 11 were thyroid carcinoma. Two of them did not receive any radiotherapy. Special interrelation between ALL and thyroid carcinoma may be considered. And this interrelation should be taken into account in following the patients with ALL in the future. PMID- 6572544 TI - Radioactive-induced tumors by phosphorus-32 as colloidal compound. AB - Chromic colloidal phosphate labeled with 32P, which has been proposed for the treatment of several articular diseases, was injected intra-articularly in the knee joint of adult Wistar rats. After a 270 days minimum latent period, tumors began to appear in the injected zone, to a 70% frequency. Ten lung metastases were detected. In five cases, squamous cell carcinomas were induced in the injected area. The relevance of a sound evaluation of the risk involved in treatments with radioactive isotopes, is discussed. PMID- 6572545 TI - An unusual instance of leukemic infiltrate. Diagnosis and management of periapical tooth involvement. AB - The clinical course of an adult patient with relapsed acute myelogenous leukemia and leukemic infiltrate periapical to the dentition is described. While the oral symptoms were indicative of pulpal disease requiring dental therapy to resolve the patient's complaint, roentgenographic, dental pulp testing, and histologic analysis revealed extramedullary infiltrate apical to a mandibular molar. The findings developed coincident with relapse of leukemia; the medical and dental testing described above were essential in establishing an accurate diagnosis. While most oral leukemic infiltrates affect the gingiva, in this patient the infiltrate involved periapical tissue which was not clinically observable. PMID- 6572546 TI - Chronic myelogenous leukemia with a Philadelphia chromosome resulting from a complex translocation (2; 9; 22), following an undifferentiated acute leukemia. AB - This case report concerns a patient with acute leukemia considered at diagnosis to be undifferentiated. Unfortunately, because of the failure of the culture, a cytogenetic evaluation was not possible at that stage. A full remission was induced, but 17 months after the onset of the disease the patient developed chronic myelogenous leukemia. The karyotypes prepared at that time and during the follow-up revealed the presence of a Philadelphia chromosome (Ph1) in all examined cells. This Ph1 resulted from a complex translocation involving chromosomes No. 2, 9, and 22. PMID- 6572547 TI - "Masked" Ph1 chromosome in a complex three-way translocation. AB - A patient with myelofibrosis was found to have a 46,XX,del(1)(q24),del(11)(p11), 22,+mar karyotype in unstimulated peripheral blood (PB) and spleen cells. On detailed cytogenetic examination it was determined that this patient had an apparently "masked" Ph1 chromosome contained in a complex three-way translocation. Since phytohemagglutinin (PHA)-stimulated PB and spleen cells were essentially normal, the masked Ph1 chromosome was assumed to be an acquired cytogenetic abnormality. The portion missing from the masked Ph1 chromosome was apparently translocated onto del(1). Thus, the detailed karyotype was 46,XX,t(1;11;22)(q24;p11;q11 or q12),t(1;22)(q24;q11 or q12). This complex rearrangement was present primarily in cells belonging to the granulocyte macrophage cell lineage, whereas E-rosetting cells, and presumably T lymphocytes, had normal karyotypes. PMID- 6572548 TI - Nonrandom cytogenetic changes in New Zealand patients with acute myeloid leukemia. AB - Bone marrow clones with abnormal chromosomes were observed in 56% of 66 patients with forms of acute myeloid leukemia [French-American-British (FAB) M1-M6]. Acute myeloblastic leukemia (AML, M1 and M2) was the most common form, and 65% of these patients showed chromosomal abnormalities compared with 41% of patients with acute myelomonocytic leukemia (AMMoL, M4). The recognized nonrandom chromosomal abnormalities found were trisomy 8, monosomy 5 or 7, trisomy 1q, t(6;9), t(8;21), t(15;17), and abnormalities in 17q. There was also a strong involvement of chromosome No. 11: Abnormalities were found in eight patients when their leukemia was diagnosed and in a further three patients during the course of karyotypic evolution. Six of these patients had AMMoL or AMoL. Complex or multiple clones were found in 37% of AML patients at diagnosis. Our AML patients had a reduced frequency of abnormalities in chromosome No. 5 or 7 and an increased frequency of abnormalities in chromosome No. 8 compared with studies reported in other countries (p = 0.01). This difference suggests that in New Zealand AML might be caused by factors different from those operating in more industrialized centers. PMID- 6572549 TI - Acute lymphoblastic leukemia in two children with a congenital chromosome anomaly: familial inv(11)(p15q13) in one and ring chromosome No. 21 in the other. AB - A congenital chromosome abnormality was found in two unrelated children with acute lymphoblastic leukemia (ALL). In the first case, a pericentric inversion of chromosome No. 11, inv(11)(p15q13), was observed and discovered to be familial, being present in five other members of the family over two generations. In the second case, the presence of a congenital ring chromosome No. 21, 46,XX,r(21), was considered to be the result of a de novo mutation. The possible relation between these congenital chromosome anomalies and a predisposition to neoplasia is discussed and could be explained by different mechanisms: (1) amplification of oncogenic determinants by gene duplication, and/or (2) alteration of the effects of wildtype alleles through deletion or changes in position. PMID- 6572550 TI - A case of chronic myeloid leukemia without Ph1 translocation. AB - A case of chronic myeloid leukemia (CML) with a short survival (11 months) is described. Cytogenetic peculiarities of the bone marrow cells analyzed by G banding consisted of a Ph1 chromosome with no translocation and a translocation t(5;13). Hematological characteristics were marked leukocytosis and massive splenomegaly. After treatment with busulfan complete hematological remission was achieved, followed by the appearance of a normal clone. However, 6 months later the patient entered the blastic crisis and a hyperdiploid clone appeared. The usual chemotherapy was given, but the patient responded only partially and died with a prevalence of pathologic myeloblasts in the bone marrow, corresponding to progression of the hyperdiploid clone. PMID- 6572552 TI - Masked Philadelphia chromosome caused by translocation (9;11;22). AB - In a patient with chronic myelocytic leukemia (CML), chromosome analysis revealed a translocation involving chromosomes No. 9, 11, and 22, with three break points, thus giving origin to a so-called "masked" Philadelphia chromosome (Ph1). A review of similar cases reported in the literature indicates that a masked Ph1 is very rare, that the chromosomes involved vary from case to case, and that in most cases the pattern of the rearrangement is quite different from that of two- and three-chromosome variant Ph1 translocations. PMID- 6572551 TI - Genetic linkage analysis in a high-risk cancer family: HLA and 24 other markers. AB - Family Pi is a high-risk cancer family in which more than 40% of the members of two generations have had cancer, mostly breast, endometrial, and gastrointestinal. An analysis of over 30 polymorphic genetic markers for possible genetic linkage to a gene increasing susceptibility to cancer revealed positive LOD scores to markers within or near the major histocompatibility complex [HLA A,B (0.639), properdin B (Bf) (0.162), glyoxylase-1 (GLO-1) (0.166)] as well as to acid phosphatas (0.566) and MNSs (0.449). While no LOD score is statistically significant in the linkage analyses of this family alone, the data are compatible with the hypothesis that a cancer-susceptibility gene(s) (CSG) may be located on chromosome 6p, 2p, or 4q. Analyses of additional families with a similar cancer syndrome are warranted to resolve this ambiquity. PMID- 6572553 TI - Prostaglandin D2 inhibits the proliferation of human neuroblastoma cells. AB - The cytotoxic action of prostaglandin (PG) D2, E1 and F2 alpha was examined on human neuroblastoma cells (NB-1 cell line), and PGD2 was found to be the most effective. PGE1, thought to be the most effective among all PGs in the therapy of neuroblastoma, was much less effective than PGD2. PGF2 alpha did not show any inhibitory effect on the proliferation of NB-1 cells. When PGD2 was added, the cytoplasma became microscopically larger, then the cells gradually died off. PGD2 also exerted a dose-dependent inhibition of DNA and RNA syntheses. These results strongly suggest an antineoplastic activity of PGD2 for human neuroblastoma. PMID- 6572554 TI - Effects of the epipodophyllotoxin VP-16-213 on cell cycle traverse, DNA synthesis, and DNA strand size in cultures of human leukemic lymphoblasts. AB - Serial studies of human leukemic lymphoblasts (CCRF-CEM line) cultured with 0.25 to 2.5 microM VP-16-213 for 0 to 6 hr indicated that the mechanism of cytotoxicity of this compound involves a primary effect on DNA. The most striking early change shown by flow cytometry in VP-16-213-treated cells was a delay in S phase transit before arrest of cells in G2. Coinciding with this S-phase delay was a selective inhibition of thymidine incorporation into DNA as well as concentration-dependent scission of DNA strands. Using alkaline elution methods, we were able to detect DNA breakage at concentrations of VP-16-213 well below the level required to demonstrate kinetic effects or inhibition of DNA synthesis. These data suggest that DNA strand scission is the initial event in the sequence of kinetic and biosynthetic changes leading to growth inhibition and death of VP 16-213-treated cells. Inhibition of replicon initiation due to strand scission is a plausible explanation for the cytotoxic action of this podophyllotoxin derivative. PMID- 6572555 TI - Inhibition of human malignant melanoma colony-forming cells in vitro by prostaglandin A1. AB - The direct effect of continuous exposure to prostaglandins on the cloning efficiency and proliferative capacity of human malignant melanoma colony-forming cells in soft agar was evaluated. Prostaglandin A1 (PGA1) and prostaglandin E1 (PGE1) effected a dose-dependent inhibition of colony formation and proliferative capacity. PGA1 at a concentration of 5 microgram/ml reduced colony formation of cells from human melanoma cell strains C8054, C8130, and C822 by at least 85%. PGA1 also inhibited colony formation of cells obtained directly from biopsies of melanoma tissues from eight patients by greater than 70% at a concentration of 5 microgram/ml. A steep dose-response curve was evident by the little effect of PGA1 on colony formation at a concentration of 0.5 microgram/ml. The mean 50% inhibitory doses for PGA1 and PGE1 were 1.25 and 4.25 microgram/ml, respectively. Prostaglandin A2 was much less effective than PGA1 in inhibiting melanoma colony formation. The related prostaglandins (prostaglandin B1, prostaglandin F1 alpha, and prostaglandin E2 alpha) had little or no effect on colony formation. Overall, these results suggested that the presence of a carbonyl group at position 9 of the cyclopentane ring may be required for inhibitory activity as prostaglandins of the A and E series inhibited human melanoma cell growth. PGA1 and PGE1 did not effect a rise in cyclic adenosine 3':5'-monophosphate levels in C8054 and C8130 cells. However, while alpha-melanocyte-stimulating hormone and prostaglandin F2 alpha did generate a rise in adenosine 3':5'-monophosphate levels in C8054 cells, these hormones had no effect on colony formation. These results are consistent with the notion that the PGA1 and PGE1 inhibition of melanoma colony-forming cells occurs via a noncyclic nucleotide mechanism. PMID- 6572556 TI - Degradation of the subendothelial matrix by tumor cells. PMID- 6572557 TI - Establishment and characterization of a differentiating myeloid cell line obtained from a rat myelomonocytic leukemia. AB - A long-term suspension culture line (c-WRT-7) was successfully established from a transplantable myelomonocytic leukemia induced by a neonatal injection of Rauscher leukemia virus in a WKA/Hok rat. A c-WRT-7 cell line was capable of being transplanted into syngeneic rats, and when transplanted, increased numbers of macrophage-like cells were observed in the peripheral blood of rats after i.v. injection. In in vitro culture, about 10% of the c-WRT-7 cells naturally differentiated into macrophage-like cells, which adhered to the bottom of a culture flask, and also possessed phagocytic activity. By means of cytological examination, about 30% of the c-WRT-7 cells were observed to be monoblastic with alpha-naphthyl butyrate esterase activity. The nature of these c-WRT-7 cells as a myelomonocytic leukemia line was constant during in vitro passages of more than 30 generations. In vitro treatment of c-WRT-7 cells with lipopolysaccharide, 12-O tetradecanoylphorbol-13-acetate, or retinoic acid increased the numbers of differentiated cells with phagocytic activity to 80%. Treatment of the c-WRT-7 cells with the inducers also induced 15 to 20% of the cells to differentiate into metamyelocytes and segmented neutrophils. The Fc receptor and the complement receptor both became detectable on the surface of c-WRT-7 cells after treatment with lipopolysaccharide, 12-O-tetradecanoylphorbol-13-acetate, or retinoic acid. However, rosette-forming activity of sheep erythrocytes pretreated with neuraminidase which has been known as a marker of normal rat macrophages was not induced in c-WRT-7 cells. This shows that differentiated leukemic cells are not exactly identical with normal macrophages. PMID- 6572558 TI - Evidence of a treatment dose response in acute nonlymphocytic leukemias which occur after therapy of non-Hodgkin's lymphoma. AB - We evaluated the occurrence of second cancers among 517 patients with non Hodgkin's lymphoma (NHL) treated at the National Cancer Institute. Nine cases of acute nonlymphocytic leukemia (ANL) were observed compared to 0.08 cases expected (ratio of observed to expected cases, 105; 95% confidence limits, 48; 199). The excess risk of ANL was 4.1 cases per 1000 patients per year; the cumulative risk of ANL at 10 years was 7.9 +/- 3.2% (S.E.). A case-control study within the NHL cohort revealed that patients treated with both radiation and chemotherapy were at greater risk of ANL than were patients who received single-modality therapy (relative risk, 6.0; p less than 0.05), especially if the therapy included total body or hemibody radiation. A positive correlation between cumulative radiation dose to the bone marrow and risk of ANL was demonstrated, independent of chemotherapy duration. A similar correlation between chemotherapy dose and risk of ANL was suggested but could not be proven with the available data. An apparent association between ANL risk and indolent NHL histological subtypes was due to the significantly larger amounts of potentially leukemogenic therapy to which these patients were repeatedly exposed. Only one case of ANL occurred among NHL patients whose initial therapy produced a durable complete remission. Our data are compatible with a multistep model of leukemogenesis and also underscore the need for curative NHL treatment regimens which minimize the duration and quantity of therapy required for optimum patient management. PMID- 6572559 TI - Epithelial tissue-derived growth factor-like polypeptides. AB - SW-13 cells, derived from a human adenocarcinoma of the adrenal cortex, formed only a few small colonies when suspended in soft agar at low cell densities. The number and size of colonies increased dramatically following stimulation with serum-free medium conditioned by SW-13 cells, indicating the possibility of autostimulation in these malignant cells. Evidence is presented suggesting that SW-13 cells form progressively growing soft agar colonies upon stimulation by epithelial tissue-derived growth factor-like polypeptides. Both acid-ethanol extracts and conditioned media from three human carcinoma cell lines (A431, D562, and A549) caused similar increases in colony number and size of SW-13 cells. Extracts from 26 of 32 freshly excised human carcinomas and five freshly excised nonneoplastic human kidneys and one human lung stimulated soft agar growth of SW 13 cells as well. None of the nine extracts from nonepithelial human solid malignant tumors stimulated SW-13 cells. However, a benign nonepithelial tumor (uterine leiomyoma) caused a low level of soft agar growth of SW-13 cells. Cell extract from A204 human sarcoma cells and both conditioned medium and acid ethanol cell extract from A375 human melanoma cells lacked SW-13 activity, whereas medium conditioned by A204 cells stimulated soft agar growth of SW-13 cells. Chemical and physical treatment data indicated that the epithelial tissue derived growth factor-like substances are acid- and heat-stable polypeptides with disulfide bonds. The major peak of this activity had an apparent molecular weight of 20,000 to 22,000 and was clearly separable from transforming growth factors reported previously which stimulate colony formation by nontransformed mouse AKR 2B and rat NRK cells. The major peaks of SW-13, NRK, and AKR-2B activity could be separated by high-performance liquid chromatography. This SW-13 activity induced irreversible anchorage-independent growth of SW-13 cells and an increase in DNA synthesis as measured by [3H]thymidine incorporation. PMID- 6572560 TI - Prominent glutamine oxidation activity in mitochondria of hematopoietic tumors. AB - Well-coupled mitochondria of hematopoietic tumors were isolated from mouse erythroleukemia and rat chloroma tumors grown in male DBA/2J mice and Long-Evans rats, respectively. We used erythroleukemia and chloroma mitochondria to determine their ability to utilize glutamine as an energy source for adenosine triphosphate formation. Oxypolarographic tests showed the following. (a) Presence of a prominent glutaminase activity in erythroleukemia and chloroma mitochondria is evidenced by their active glutamine-supported respiratory state 3. (b) Glutamine oxidation is mediated through a nicotinamide adenine dinucleotide linked reaction inhibited by rotenone. (c) Under similar conditions, mitochondria isolated from rabbit bone marrow have shown a feeble glutamine oxidation activity, while in mitochondria from rat liver the activity was not detectable and in those from rat kidney it was prominent as expected. (d) The determination of apparent Km and Vmax values for substrate-supported adenosine triphosphate formation has shown 8- to 10-fold lower Km values for glutamine oxidation as compared to that of glutamate, with virtually the same Vmax for each substrate in each mitochondria. These results clearly show the presence of a high glutamine oxidation activity in erythroleukemia and chloroma mitochondria and suggest that one of the glutamine hydrolysis products in those mitochondria may have an important role in supplying adenosine triphosphate in the corresponding malignant cells. PMID- 6572561 TI - Development of a cell kinetic approach to curative therapy of acute myelocytic leukemia in remission using the cell cycle-specific drug 1-beta-D arabinofuranosylcytosine in a rat model. AB - The timing of sequentially administered antineoplastic drugs is one determinant of toxicity and therapeutic benefit. We have conducted a series of studies with 1 beta-D-arabinofuranosylcytosine (ara-C) in the rat model (Lewis X brown Norway F1 hybrid rats bearing brown Norway myelocytic leukemia) for human acute myelocytic leukemia to examine the factors determining optimum timing of sequential administration of this cell cycle DNA synthesis phase-specific drug. Late-stage disease in this model is not curable with ara-C, but the maximum survival is achieved by rats given serial 2-day courses of ara-C 6 days apart. ara-C given in 2- or 4-day-interval sequences to rats with late-stage disease is more toxic and not more effective. However, Lewis X brown Norway F1 hybrid rats bearing brown Norway myelocytic leukemia in early complete remission are curable with ara-C given in optimum timed sequence. In these experiments, groups of rats in early complete remission were given a 2-day course of ara-C in every-8-hr s.c. injections, and then a second 2-day course was given after 2-, 4-, 6-, 8-, 10-, or 12-day intervals. The best cure rate of rats surviving toxicity was achieved when sequentially administered 2-day courses of ara-C were given at 2- to 4-day intervals to rats in early complete remission. In the minimal residual disease state, as in late-stage disease, 2- and 4-day-interval sequencing was the most toxic. No significant number of cures of minimal residual disease could be obtained by even the maximum tolerated dose of ara-C given in longer than 6-day interval sequences or by various continuous or intermittent schedules. The fact that the Lewis X brown Norway F1 hybrid rats bearing brown Norway myelocytic leukemia, while relatively refractory to ara-C, are curable with this drug when used in optimum timed sequence in early remission is encouraging for similar clinical trials in humans and suggests some principles for the design of such trials. PMID- 6572562 TI - Pharmacokinetics of oral methotrexate in children. AB - The absorption and disposition kinetics of p.o. methotrexate were studied in 15 children. Serum levels and urinary excretion of methotrexate, as measured by the dihydrofolate reductase inhibition assay, were monitored following a routine p.o. dose (6.3 to 28.1 mg/sq m) administered after an overnight fast. Significant interindividual variability was noted in peak levels (range, 0.27 to 1.1 microM), time to peak (1 to 5 hr), area under the serum concentration-time curve (1.08 to 5.00 microM . hr), and the fraction of the dose absorbed (23 to 95%). Patients taking doses greater than 12 mg/sq m had a more prolonged absorptive phase and absorbed a smaller fraction of their dose, indicating that the mechanism of absorption may be saturable in some patients within the commonly administered dosage range. Urinary excretion was rapid, and the mean renal clearance of methotrexate was 1.6 times greater than was creatinine clearance, consistent with renal tubular secretion of the drug. While the marked degree of variability observed suggests a potential role for therapeutic drug monitoring in optimizing p.o. methotrexate therapy, the critical time points to monitor, the therapeutic and toxic ranges, and the intrapatient consistency of absorption must be defined before it will be practical and useful. PMID- 6572563 TI - Clinical correlations of leukemic clonogenic cell chemosensitivity assessed by in vitro continuous exposure to drugs. AB - This study was performed to assess the value of prolonged, as opposed to short pulse, in vitro exposure of leukemic cells to chemotherapeutic drugs in leukemic clonogenic assay for prediction of clinical response. In 21 patients with acute nonlymphocytic leukemia treated with intensive combination chemotherapy based on an anthracycline and 1-beta-D-arabinofuranosylcytosine infusion, chemotherapy sensitivity of leukemic clonogenic cells was assessed in comparison with that of normal myeloid clonogenic cells by the in vitro continuous exposure to drugs throughout the entire culture period. Analysis of these in vitro data in terms of prediction of achieving clinical complete remission was carried out in comparison with data on 22 cases in which in vitro sensitivity was assessed by the pulse 1 hr exposure. The in vitro sensitivity index, expressed as a log odds ratio, was positive (greater than 0) in 8 of 11 patients achieving complete remission and negative (less than 0) in 7 of 10 patients failing to achieve complete remission, with an overall correlation of 71%. This is at least as good as the pulse exposure method, which has a correlation of 68%. If sensitivity indexes of marginal magnitudes (--1.0 approximately +1.0) are excluded, the correlation increases to 92% (12 of 13 patients). The correlation appears to improve especially for 1-beta-D-arabinofuranosylcytosine by the continuous exposure method (71%) as compared with the pulse method (57%). This study establishes the feasibility of an in vitro chemotherapy sensitivity testing of leukemic clonogenic cells by continuous in vitro drug exposure and suggests that the continuous exposure method may be better than the pulse method for antimetabolites such as 1-beta-D-arabinofuranosylcytosine. The data also suggest that simulation of the in vivo drug schedule may be important in this in vitro test. PMID- 6572564 TI - Intermittent high-dose aclarubicin in patients with advanced cancer: a phase I study with special reference to cardiac toxicity. AB - Aclarubicin was given iv every 3 weeks to 21 patients with a variety of solid tumors. Four dose levels were tested: 80, 100, 120, and 140 mg/m2. The median cumulative dose was 270 mg/m2 (range, 80-900). No objective responses were observed. Hematologic toxicity was dose-limiting. All patients experienced moderate to severe gastrointestinal toxicity. Five of 13 patients evaluable for cardiac function showed clinical signs and ECG changes suggestive of cardiac dysfunction. The suggested maximum dose for phase II trials is 120-140 mg/m2 iv given in an intermittent 3-week schedule. PMID- 6572565 TI - Dantrolene and potentially fatal hyperthermia secondary to L-asparaginase. PMID- 6572566 TI - Induction of cytotoxic effector activity in the HL-60 promyelocytic cell line by incubation with phorbol myristate acetate: a model system of human spontaneous monocyte-mediated cytotoxicity. AB - In an attempt to develop a constant and reproducible in vitro system for a detailed analysis of cytotoxic effector mechanisms of nonimmune mononuclear phagocytes, the HL-60 promyelocytic cell line was studied for its cytotoxic action on chicken erythrocyte target cells. HL-60 cells cultured in complete medium were found to be noncytotoxic for chicken erythrocytes in an 18-hr 51Cr release assay. These cells have been shown to acquire several characteristics of mature macrophages upon incubation with phorbol myristate acetate (PMA), and when PMA was included in the medium during the assay, the HL-60 cells became strongly cytotoxic to the target cells in the absence of exogenous antibody, lectin, or serum complement. Freshly isolated peripheral blood monocytes also became cytotoxic in the presence of PMA, whereas peripheral blood lymphocytes and the U937 histiocytic cell line did not. Detectable target lysis was observed between 4 and 8 hr after HL-60 stimulation with PMA, and HL-60 cells prestimulated with PMA for 24 hr retained their cytotoxic activity following washing and assay in PMA-free medium. Cytotoxic HL-60 cells developed after exposure to 10(-6) to 10( 9) M PMA, and significant target cell lysis occurred at effector:target cell ratios as low as 0.5:1. The PMA-induced HL-60-mediated cytotoxic response was markedly inhibited by blockers of protein synthesis, inhibition of microfilament function, and depletion of cellular superoxide and hydrogen peroxide. Interestingly, cytotoxicity of HL-60 cells for chicken erythrocyte targets was modulated by the direct addition of certain simple saccharides to the assay in a fashion similar to that observed with spontaneously cytotoxic mononuclear cells from several vertebrate and invertebrate species. Thus, the cytolytic effector function induced in HL-60 cells by incubation with PMA presents a useful model for the study of cellular cytotoxic mechanisms as well as the mechanisms utilized by nonimmune cells in the recognition of non-self. PMID- 6572567 TI - Granulocytic sarcoma of the jaw. PMID- 6572568 TI - Autoradiographic study using 3H-thymidine on rat incisal pulp cells in vitro. AB - An autoradiographic study using 3H-thymidine (3H-TdR) was carried out to investigate which cells migrate from the pulp explant of the rat incisor in vitro. The cells close to the arterioles (perivascular cells) were especially labeled after 3H-TdR incubation following the dissection of the pulp explant. In tracing these 3H-TdR-labeled perivascular cells, about 15 per cent of the outgrowth cells were the perivascular cells after 2 days of culture and these perivascular cells had a high mitotic activity in vitro. On the other hand, it was ascertained that the odontoblasts in the pulp explant underwent necrotic changes and that the odontoblasts had no ability to migrate from the pulp explant. PMID- 6572569 TI - Subcutaneous infusion of cytosine arabinoside. A practical alternative to intravenous infusion. AB - The administration of cytosine arabinoside (araC) by continuous IV infusion requires the patient to be in hospital and have prolonged IV cannulation. In this study the pharmacokinetics of araC during continuous IV infusion were compared with those of continuous SC infusion in six patients with acute myelogenous leukaemia. Each patient acted as his own control. The mean plasma levels of araC reached a plateau within 2 h and the plasma concentrations and the area under the curve were similar for both methods of administration. The mean area under the curve (AUC) was 1147 +/- 230 ng/ml for the IV infusion and 1017 +/- 238 ng/ml for the SC infusion. The plasma araC concentrations showed wide interpatient variation, and there was also considerable variability in the plasma concentrations of araC within the individual patients after a plateau had apparently been reached. Subcutaneous infusion was well tolerated by the patients without any local discomfort or excoriation and SC infusion of araC is thus a feasible alternative to IV infusion. It allows the patients the benefits of being at home, while avoiding unnecessary thrombophlebitis. PMID- 6572570 TI - Electrocardiogram abnormalities induced by amsacrine. PMID- 6572571 TI - Velopharyngeal orifice area prediction during aerodynamic simulation of fricative consonants. AB - The present work examined the predictive nature of modeled velopharyngeal orifice area calculations obtained using the hydrokinetic equation (Warren and DuBois, 1964) during conditions simulating voiceless fricative production. Results indicated that accurate estimates of velopharyngeal orifice area can be obtained during aerodynamic events like those known to exist during fricative production. These findings were interpreted to lend support to the view that aerodynamic assessment incorporating hydrokinetic principles provides a useful, noninvasive method for clinical testing and research investigation of velopharyngeal function. PMID- 6572572 TI - Stability of velopharyngeal competency. PMID- 6572573 TI - Tomographic assessment of craniofacial structures: cleft lip/palate. AB - The purpose of the investigation was to develop software and hardware modifications for computed tomography to provide high-resolution thin sections for the assessment of craniofacial anomalies in the pediatric population. Modifications were undertaken on an EMI 5005 head scanner. Section thickness of two millimeters and resolution of greater than ten lines per centimeter were achieved. Since this study was concerned with reduction of slice thickness and increase in resolution, radiation dose was not of immediate concern, but would be addressed subsequent to achievement of desired initial results. Initial results on investigation of a full-term human fetus with bilateral cleft lip, cleft of the posterior palate, and micrognathia are presented. The interrelationships of the affected structures are shown clearly. Soft tissues are visualized which cannot be seen by conventional tomography. PMID- 6572574 TI - Origin of hydrocortisone induced orofacial clefts in the chick embryo. AB - The growth and fusion of facial processes were studied in White Leghorn chicken embryos treated with hydrocortisone. This treatment results in complete bilateral cleft beak in 80-100% of cases. The frontonasal complex of the experimental embryos exhibited marked hypoplasia prior to cleft manifestation. During the critical period for cleft beak formation, the maximum mitotic activity was concentrated in the medial nasal processes, which thus became vulnerable to the mitosis inhibiting effect of corticoids. Primary hypoplasia of the facial processes was documented as a causative factor of corticoid-induced cleft beak which is analogous to mammalian cleft lip/palate. PMID- 6572575 TI - Familial hemifacial microsomia. AB - Hemifacial microsomia, a relatively distinct clinical form in the Facio-Auriculo Vertebral Spectrum is generally thought to be a sporadic event, although infrequent familial occurrences have been reported. In this communication, we describe a family with three males and two females in two successive generations affected with hemifacial microsomia. The pedigree is most compatible with autosomal dominant inheritance, although X-linked dominant or multifactorial inheritance cannot be excluded. PMID- 6572576 TI - What else to look for in a child born with a cleft of the lip and/or palate. PMID- 6572578 TI - Why are they so normal? PMID- 6572577 TI - Pharyngeal wall motion in prosthetically managed cleft palate adults. AB - Fiberoptic nasoendoscopy was used to evaluate the activity in the lateral and posterior pharyngeal walls of five adults with cleft palate, each of whom had worn a prosthetic speech appliance for more than 20 years. Activity during speech was greatest in the area of the levator veli palatini muscle and Passavant's ridge, while no gross activity was observed in the area of the auditory tube superiorly. Activity was variable within and between subjects. Apparent medial movement of the auditory tube seemed to be secondary to the influence of the levator muscle on the pharyngeal wall soft tissues. PMID- 6572579 TI - Different? I'm not different. Am I? PMID- 6572580 TI - Monocyte PGE2 secretion in Hodgkin's disease and its relation to decreased cellular immunity. AB - The secretion of PGE2 from monocytes of newly diagnosed patients with Hodgkin's disease (HD) was compared to that of patients in remission, who were not receiving either chemotherapy or radiotherapy, and normal controls. We found that monocyte monolayers of some patients, both newly diagnosed and those in remission, secreted markedly elevated levels of PGE2. The lymphocyte proliferative response to PHA was increased to a similar extent in both newly diagnosed patients and those in remission when cultured in the presence of indomethacin. PGE2 concentrations in the medium of mononuclear cultures correlated with the lymphocyte proliferative response to PHA (P less than 0.05). However, no correlation of monocyte PGE2 production with decreased E rosette forming lymphocytes, anergy or clinical stage could be demonstrated. We suggest that PGE2 secretion by monocytes is indicative of an 'activated' state of these cells. It is, however, unlikely that PGE2 is the only molecular species responsible for the decreased cellular immune function in HD. 'Activated' monocytes may be part of the immune response in this disease and may be responsible for the decreased cellular immunity. PMID- 6572581 TI - Differentiation of posterior pararenal space infection from psoas abscess by gallium imaging. AB - Three of four patients whose cases fit the clinical description of psoas abscess proved on gallium imaging to have infection in the posterior pararenal space sparing the psoas muscle. This space provides a route for spread of infection connecting the spine, the anterior abdominal wall, the scrotum, the anterior thigh, and the gluteal region as demonstrated by the cases presented. Clinical differentiation between posterior pararenal space infection and psoas abscesses is difficult and CT studies may not demonstrate the process when the psoas space is not involved. PMID- 6572582 TI - Microsomal incubation test of potentially hemolytic drugs for glucose-6-phosphate dehydrogenase deficiency. AB - The in vitro metabolizing method was modified and its ability to correctly identify eight known hemolytic and nine known nonhemolytic drugs of glucose-6 phosphate (G6PD)-deficient erythrocytes was evaluated. The technique is based on inducing in vitro drug metabolism by incubation of red cells and drug with a reduced NADP-generating system in the presence of phenobarbital-induced mouse liver microsomes. Thus, this system provides a model for in vivo metabolic function. The hemolytic potential of tested drugs is indicated by the extent of loss of reduced glutathione of G6PD-deficient erythrocytes during 60-min incubations. Complete agreement between the test and literature for nonhemolytic compounds was observed. The test also correctly identified six of the eight known hemolytic drugs and failed to identify two known hemolytic drugs (acetanilide and sulfacetamide). The test was also applied to 14 drugs about which there is uncertainty regarding hemolytic potential. Of the latter, DL-alpha-methyldopa; alpha-naphthol; beta-naphthol; 2,3, dimercaptopropanol; phenacetin; and menadione were found to react positively. We conclude that this in vitro assay system will be useful in predicting which new drugs will be hemolytic in G6PD-deficient patients. PMID- 6572583 TI - Transtracheal high frequency jet ventilation prevents aspiration. AB - Aspiration is a potentially fatal complication of artificial ventilation. A cuffed tube is generally used now to prevent aspiration; however, it may lead to serious complications and has several disadvantages. High frequency jet ventilation (HFJV) is an innovative technique to prevent aspiration. The trachea of 6 anesthetized, paralyzed dogs was exposed and a catheter for jet ventilation introduced between the 1st and 2nd tracheal ring. Another catheter was used for measuring intratracheal pressure. An endoscope was inserted into the trachea about 2 inches lower down and directed upwards to give a view of the vocal cords from below. A mixture of saliva, saline, and cardiogreen was introduced into the mouth so as to form a pool. When observation confirmed that HFJV prevents aspiration at frequencies of 100/min and ratios of inspiration/expiration (I:E) equalling 1:1, observations were repeated at I:E, 1:2 and 1:3 and at rates of 60/min and 200/min. The depth of the pool was gradually increased to between 2 and 31/4 inches and observations were repeated. Endoscopy alone was used in 4 animals and endoscopic film in 2 to evaluate the efficacy of HFJV. The results showed convincingly that: (1) HFJV can prevent fluid from entering the larynx from above; (2) this effect is unreliable when the frequency is decreased to 60/min or inspiration becomes shorter than 33% of the cycle; (3) intratracheal end-expiratory pressures show values slightly higher than the fluid level above the cords; and (4) the cords are separated and the gas mixture bubbles through the fluid. We conclude that (a) valve mechanisms cannot account for our observations; and (b) at rates above 60/min and with duration of expiration of 66% or less, HFJV will prevent aspiration by causing a continuous gas flow outward through the larynx. This is associated with a low continuous positive airway pressure and excellent blood gases. PMID- 6572584 TI - Pressure-time relationships of pressure-limited neonatal ventilators. AB - A pressure-limited ventilator (Bourns BP-200, Anaheim, CA) and a simple, manually operated constant flow ventilator were studied using a commercially available infant lung simulator (Bourns LS-130, Anaheim, CA). The characteristics of inspiratory pressure-time relationships during ventilation with these ventilators were analyzed. The analytic properties of the inspiratory phase of the pressure time curve were related to simulator resistance and compliance. A mathematical model was constructed relating the initial rapid rise of the pressure curve to simulator resistance and the subsequent slope of the curve to simulator compliance. Qualitatively similar tracings were obtained with the BP-200 during normal ventilation, with simulated airway obstruction and thoracic restriction. These findings suggest that monitoring pressure-time relationships may be useful in the qualitative assessment of resistance and compliance during pressure limited ventilation of neonates. PMID- 6572585 TI - The future of dentistry. Part 2. PMID- 6572586 TI - "Do you want to keep the P.C.?". PMID- 6572587 TI - Computers in dentistry. Part 6. Digital equipment's dental practice management system. PMID- 6572588 TI - The sequential addition of ribosomal proteins during the formation of the small ribosomal subunit in Friend erythroleukemia cells. AB - Nucleolar '80-S' and '40-S' preribosomes (containing 45-S and 21-S pre-rRNA, respectively), as well as cytoplasmic ribosomes, were isolated from Friend erythroleukemia cells. The presence of structural ribosomal proteins in the isolated particles was studied by using antisera against individual rat liver small ribosomal subunit proteins. The analysis is based on the established crossreactivity between rat and mouse ribosomes [F. Noll and H. Bielka (1970) Mol. Gen. Genet. 106, 106-113]. The identification of the proteins was achieved by two independent immunological techniques: the passive haemagglutination test and the enzyme immunoassay of electrophoretically fractionated proteins, blotted on nitrocellulose. All 17 proteins tested are present in cytoplasmic ribosomes. A large number of proteins (S3a, S6, S7, S8, S11, S14, S18, S20, S23/24 and S25) are present in the '80-S' preribosome. Only two proteins (S3 and S21) are added during the formation of the '40-S' preribosome in the nucleolus. Four proteins (S2, S19, S26 and S29) are added at later, possibly extranucleolar, stages of ribosome formation. The results obtained provide evidence for the sequential addition of proteins during the formation of the small ribosomal subunit in Friend erythroleukemia cells. PMID- 6572589 TI - Echocardiographic features in the cardiac type of glycogen storage disease II. AB - Clinical and echocardiographic findings of a six-month-old female with the cardiac variety of glycogen storage disease II type (Pompe's disease) are described. Obviously thickened right and left ventricular walls were detected with both M-mode and two-dimensional echocardiography. Echocardiographic features were similar to those seen in extreme hypertrophic cardiomyopathy. In combination with the clinical and biochemical features, this echocardiographic technique may be helpful in the early diagnosis of cardiac involvement in generalized glycogenosis. PMID- 6572590 TI - Inhibition of enkephalin metabolism by, and antinociceptive activity of, bestatin, an aminopeptidase inhibitor. AB - In the presence of thiorphan an 'enkephalinase' inhibitor, bestatin an aminopeptidase inhibitor of bacterial origin potently inhibited the hydrolysis of [3H][Leu5]enkephalin by slices from rat striatum with an IC50 value of about 0.2 microM whereas puromycin was approximately 1000 times less potent on this preparation. In vivo bestatin or thiorphan (but not puromycin) significantly protected [3H][Met5]enkephalin administered intracerebroventricularly to mice from hydrolysis and co-administration of these two peptidase inhibitors resulted in a strong reduction in the appearance of hydrolysis products in brain. In a parallel fashion the antinociceptive activity of [Met5]enkephalin in the mouse hot-plate test was additively potentiated by bestatin and thiorphan but not by puromycin. Finally both bestatin and thiorphan themselves displayed antinociceptive properties on either the hot-plate jump test or the phenyl-benzo quinone writhing test. It is concluded that a bestatin-sensitive aminopeptidase activity together with the 'enkephalinase' activity plays a critical role in the inactivation of both exogenous and endogenous enkephalins. PMID- 6572591 TI - DOM-stimulus generalization to LSD and other hallucinogenic indolealkylamines. AB - Stimulus generalization studies were conducted using rats trained to discriminate 1.0 mg/kg of the phenalkylamine hallucinogen 1-(2,5-dimethoxy-4-methylphenyl)-2 aminopropane (DOM) from saline in a two-lever operant procedure. The results suggest that certain indolealkylamine hallucinogens, including LSD and several alpha-methyltryptamine, N,N-dialkyltryptamine and beta-carboline derivatives, are capable of producing stimulus effects similar to those produced by DOM. Furthermore, for twelve agents where human data are available, a significant correlation exists between discrimination-derived ED50 values and hallucinogenic potency. PMID- 6572592 TI - Effect of leukotriene C4 on the release of secretory products by elicited populations of rat peritoneal macrophages. PMID- 6572593 TI - Normal and abnormal growth of the mandible. A synthesis of longitudinal cephalometric implant studies over a period of 25 years. PMID- 6572594 TI - A longitudinal study of the development of the posterior nasopharyngeal wall between 3 and 16 years of age. PMID- 6572595 TI - The effect of the perforated vestibular screen on nasal respiration. PMID- 6572596 TI - The effect of partial resection of the cartilaginous nasal septum on the osteogenic cells of the facial bones in rats. [3H]-thymidine incorporation study. PMID- 6572597 TI - Stability of deep overbite correction. PMID- 6572598 TI - Chromosome-mediated gene transfer with the Chinese hamster ovary cell line. AB - Using an improved method of chromosome-mediated gene transfer, we have investigated transfer of the codominantly expressed methotrexate-resistant dihydrofolate reductase (MtxRIIIdhfr) gene into Chinese hamster ovary (CHO) cell recipients. The frequency of dhfr gene transfer with CHO cells varied considerably from clone to clone, ranging from 4 X 10(-7) to 5 X 10(-5). Using appropriate cell recipients we were able to test for linkage of several genetic markers available in the CHO cell line. For example, the mutation resulting in the auxotrophic glyB-CHO cell line has been reported by others to be linked to the dhfr gene. However, we could not demonstrate cotransfer of these two markers when glyB- recipient cells were treated with MtxRIII chromosomes and transformant clones were selected for either methotrexate-resistance (MtxR) or glycine prototrophy. We conclude that these two genes are not closely linked in the hamster genome. However, the genes for thymidine kinase (tk) and galactokinase (gk), which are known to be linked in mammalian genomes, were found to cotransfer into CHO recipients with a frequency of about 50%. PMID- 6572599 TI - Inhibition of DNA synthesis in erythroleukemic cells by a liver protein fraction. PMID- 6572601 TI - [Mortality rate, ratio and average age at death in regions with different fluoride concentrations in drinking water]. PMID- 6572600 TI - Induction of ovulation and spawning in the catfish, Clarias batrachus (L.) by prostaglandin F2 alpha. AB - Administration of low doses of prostaglandin F2 alpha (PGF2 alpha), i.e. 10 and 100 ng/g b.wt, was ineffective in inducing ovulation and spawning in mature catfish. However, doses of 200 ng/g b.wt of PGF2 alpha elicited partial response, and 500 ng/g b.wt of PGF2 alpha induced profuse ovulation and spawning similar to that induced by administration of human chorionic gonadotropin (HCG). PMID- 6572602 TI - [A case of branchiogenic cyst in an aged patient]. PMID- 6572603 TI - [Clinical experience with the Nitinol orthodontic arch]. PMID- 6572605 TI - [Amalgams without gamma-2 phase]. PMID- 6572604 TI - [Follow-up examination of single-piece silver-palladium bridges]. PMID- 6572606 TI - [Incidence of oral mycoses in wearers of partial or total prostheses]. PMID- 6572607 TI - Symposium on dental photography. PMID- 6572608 TI - Dental photography in the graduate teaching program: educational and clinical applications. AB - Photography is a major educational and documentary tool in dental specialty training. The requirements of a dental clinician's photographic equipment and supplies have been outlined. Photographic documentation of the oral structures in health, disease, and the various stages of therapy offer unequalled opportunities for keeping accurate records and conveying information to students, faculty, colleagues, and patients. PMID- 6572609 TI - The application of photography in forensic dentistry. AB - Certainly, not all of these photographs and procedures are necessary for documentation. In the past, the dental charting and word of the forensic dentist on identification have been readily accepted and rarely challenged in court. However, in an era when technology has made quality photography accessible to all dentists, these techniques permit improvement of a procedure. Adding a photographic record to a written postmortem dental chart promotes accuracy and reproducibility of detail and is desirable and logical for a technique whose value is predicated upon its scientific nature. PMID- 6572610 TI - Photography: its uses in dental practice, lectures, and the home. PMID- 6572611 TI - Photography in dentistry: equipment and technique. PMID- 6572612 TI - Role of "third-look" laparotomy in the guidance of ovarian cancer treatment. AB - Twenty-seven patients with Stage III epithelial ovarian carcinoma received a "third-look" celiotomy. Each patient received a minimum of an additional 12 courses of chemotherapy after persistent tumor had been documented at a "second look" procedure. Twelve of the twenty-seven patients have died. No tumor associated deaths occurred in patients with grade 1 neoplasms. Of the patients with microscopic disease at the second-look procedure who came to third-look laparotomy, none had died secondary to tumor growth. The survival time of patients with microscopic disease at third-look is greater than that of patients with macroscopic disease (P = 0.0009). In patients who had effective tumor reductive surgery performed at second-look, the third-look findings were highly predictive as to survival. Long-term chemotherapy had a significant incidence of related mortality. Four of the twenty-seven patients died as a direct result of the chemotherapeutic toxicity. The patients receiving melphalan for at least 24 courses appeared to be at greatest risk, with 23% dying from either aplastic bone marrow changes or leukemia. The morbidity associated with third-look laparotomy was not excessive. Many factors need careful review prior to planning a third look laparotomy. This retrospective study demonstrates that patients with either a grade 1 neoplasm or only microscopic disease at the second-look procedure do well regardless of the third-look findings. PMID- 6572613 TI - New gene assignments in the rabbit (Oryctolagus cuniculus). Comparison with other species. AB - Nineteen cell hybrids were obtained by fusing rabbit (Oryctolagus cuniculus, OCU) fibroblasts and a Chinese hamster cell line HGPRT-. Eleven enzymatic markers were previously investigated (Soulie and Grouchy 1982); seven of these could be assigned (LDHA, LDHB, TPI, PEPB, NP, ITP, and G6PD). Two assignments were uncertain (MDH2 and GUK). Two markers could not be assigned (MDH1 and PGD). Seven further markers were investigated and are the subject of this report. Six could be assigned: GALT to chromosome OCU1, GAPD to OCU4, GPX and ACY to OCU9, PGM1 to OCU13, and GSR to OCU19. One could not be assigned (GPI). MDH2 and GUK were previously considered uncertain. Now MDH2 was found impossible to assign and GUK was mapped on OCU15. These assignments were compared with those known in man, Cebus capucinus, Microcebus murinus, cat, and mouse. It was impossible to assign any enzymatic marker belonging to the ten linkage groups known in the rabbit. The esterase locus could not be investigated since the rabbit enzyme migrates in the same position as the hamster enzyme. PMID- 6572614 TI - Identification of new cryoprotective agents for cultured mammalian cells. AB - Thirty-one compounds have been identified that act as cryoprotective agents for cultured mammalian cells. Eight compounds were comparable to dimethylsulfoxide (DMSO) in cryoprotective effectiveness. Many of the cryoprotective compounds studied also (a) promote cell fusion and (b) induce cell differentiation in erythroleukemia and other cell systems. Thus, previously unrecognized effects on the differentiated state of cells may occur when cells are treated with cryoprotective agents. PMID- 6572615 TI - Brain Ia antigens have a bone marrow origin. AB - Our results, using radiation-induced bone marrow chimeras, demonstrate that the Ia antigen found in the brains of such animals is produced by cells having precursors in the bone marrow. These cells are not immediately blood borne since no IgM is detected in these brains. This rules out the obvious possibility of B lymphocyte contamination as the source of Ia in the brain cell preparations. It thus appears that the central nervous system, like many other nonlymphoid organs, has a source of Ia-positive cells that are derived from bone marrow precursors. PMID- 6572616 TI - Studies of leukotoxin from Actinobacillus actinomycetemcomitans using the promyelocytic HL-60 cell line. AB - The promyelocytic HL-60 cell line was examined for susceptibility to leukotoxin from Actinobacillus actinomycetemcomitans. Strains of A. actinomycetemcomitans which caused lysis of human peripheral blood polymorphonuclear leukocytes also lysed HL-60 cells as determined by release of intracellular lactate dehydrogenase. The killing of HL-60 cells by A. actinomycetemcomitans was dose dependent and temperature dependent, reached maximal levels after 45 min of incubation, and was inhibited by rabbit antisera to A. actinomycetemcomitans. Of 100 oral isolates of A. actinomycetemcomitans from 55 subjects, 16% from 11 healthy subjects, 43% from 13 adult periodontitis patients, 75% from 4 insulin dependent diabetics, 66% from 2 generalized juvenile periodontitis patients, and 55% from 25 localized juvenile periodontitis patients produced leukotoxin. The same subject could harbor both leukotoxin-producing and -nonproducing isolates. The significantly higher proportion of leukotoxin-producing isolates in the disease groups compared with the healthy group is consistent with the hypothesis that leukotoxin from A. actinomycetemcomitans is an important virulence factor in the pathogenesis of certain forms of periodontal disease. PMID- 6572617 TI - Long-term maintenance of reduced intraocular pressure by daily or twice daily topical application of prostaglandins to cat or rhesus monkey eyes. AB - Substantial evidence indicates that a single topical application of prostaglandins (PGs) can reduce intraocular pressure (IOP) in the eyes of several species. However, earlier literature, dealing with ocular hypertensive and inflammatory responses, shows the development of tachyphylaxis to subsequent doses of PGs. If similar tolerance developed to the ocular hypotensive effects of PGs, it would preclude the use of these agents in the treatment of chronic glaucoma. The present study shows, however, that although tachyphylaxis to the ocular hypotensive effects of PGs develops in rabbits, this is not a typical response among mammals. Significant IOP reduction was maintained in cats for up to 9 months by topical application of PGE2 at 12-, 24-, or 48-hr intervals. The IOP reduction was jeopardized seriously only when the PG was applied every other day for several days or when, on a few occasions, 3 days were allowed to elapse between PGE2 applications. Ocular hypotension was also maintained during the course of topical treatment of rhesus monkey eyes with PGF2 alpha. Short periods of pupillary constriction followed the application of each dose of PGF2 alpha to cat eyes, but the miotic response of rhesus monkeys to PGF2 alpha and cats to PGF2 was negligible. Other apparent side effects were noted, but none of these were severe or progressive. These results clearly demonstrate that tachyphylaxis, or tolerance, is not expected to present an obstacle to the development of eicosanoids and/or their derivatives as therapeutic agents for the long-term treatment of ocular hypertension and chronic glaucoma. PMID- 6572618 TI - Noninvasive observations on eyes of cats after long-term maintenance of reduced intraocular pressure by topical application of prostaglandin E2. AB - Daily or twice daily prostaglandin E2 (PGE2) application to cat eyes was shown to maintain a reduced intraocular pressure (IOP) for several months without causing substantial flare or cellular response. We report now on detailed ophthalmic examinations performed on these cats after 5-9 months of such treatment (ie, after 150 to 250 unilateral PGE2 applications; 100 micrograms/treatment per eye). A comparison of the treated and contralateral control eyes revealed no differences in the axial length of ocular compartments, in the biomicroscopic appearance of the lens, vitreous, retina, or optic nerve head, in the rate of light-induced pupillary constriction or in the wave form of the electroretinogram. The cell density of the corneal endothelium was not decreased, but the endothelial surface did contain a few small "dark spots." A slight iridial heterochromia was generally apparent. In three of the cats PGE2 application had a sialagogic effect that became a conditioned reflex. Cats tended to keep their lids closed after each treatment; lid closure was more prolonged in the PGE2-treated eye than in the contralateral eye that received the same volume (50 microliters) of vehicle solution. It is concluded that daily treatment with PGE2, in doses sufficient to cause a maintained reduction in IOP, does have some side effects. However, none of these side effects are of sufficient importance to exclude the use of eicosanoids as potential anti-glaucoma agents. PMID- 6572619 TI - Effects of testosterone metabolites and of anabolic androgens on the bone marrow and thymus in castrated female mice. AB - Effects of metabolites of testosterone and of anabolic androgens on bone marrow and thymus of ovariectomized mice were studied. Steroids contained in capsules made of silastic tubing were implanted on the day of castration or were injected at the day of castration (Noralone and T.P.), lymphatic organs were examined two weeks later. It was found that testosterone, 5 alpha-DHT, 3 alpha-diol, Dianabole, T.P., and Noralone caused increases in the relative number of large cells and in activity of 20 alpha SDH in bone marrow. Concomitantly, these steroids caused a marked reduction in thymus cell number and an increase in the responsiveness of the thymus cells to Con A and PHA. The steroid 3 beta-diol increased marrow cell 20 alpha SDH activity but did not affect the thymus cell number. Other steroids tested, Ad-dione 3 alpha or 3 beta-androsterone, 5 beta DHT, epitestosterone, and progesterone had no effect on thymus or bone marrow. PMID- 6572620 TI - Cytofluorometric analysis of major histocompatibility antigens on human monocytes using monoclonal antibodies. AB - The expression of HLA-A, B, C, and DR antigens was investigated on monocyte preparations by flow cytometry using various monoclonal antibodies. Essentially all human monocytes, either freshly isolated or after culture for several days, were stained for HLA-A, B, C, and DR antigens. When monocytes were incubated with Con-A-stimulated lymphocyte supernatants, an increase in HLA-A, B, C, and DR staining was observed. No increase was noted when two other monoclonal antibodies against non-HLA-related monocyte antigens (63D3 and 61D3) were studied under the same culture conditions. These results indicate that soluble factor(s) present in Con-A-stimulated lymphocyte supernatants modulate the expression of the major histocompatibility antigens on the surface of human monocytes. PMID- 6572621 TI - Epidemic and endemic HLA-B and DR associations in mucocutaneous lymph node syndrome. AB - HLA-A,B and DR antigens were evaluated in 51 patients with mucocutaneous lymph node syndrome (Kawasaki disease) during both endemic and epidemic periods in the Boston area. Although 80% of patients were HLA-B5 (70% HLA-Bw51) during endemic periods, there were no HLA-B5 individuals during the epidemic period. There was, however, an increased incidence of HLA-Bw44 during the Boston epidemic. Such different associations in endemic versus epidemic periods suggest possible different, as yet unknown, inciting agents. PMID- 6572622 TI - Hyperthermic potentiation of doxorubicin and 4'-epi-doxorubicin in a transplantable neurogenic rat tumor (BT4A) in BD IX rats. AB - The combined effect of hyperthermia and doxorubicin on the neurogenic rat cell line BT4C was found to be synergistic in vitro. The present investigation was initiated to study if this synergistic effect also could be obtained in vivo. An enhanced effect occurred when doxorubicin and 4'-epi-doxorubicin 7 mg/kg body weight were given 30 minutes prior to local water bath hyperthermia (one hour at 44.0 degrees C). The local side effects of the combined treatment did not increase above that of hyperthermia alone. Therefore, local hyperthermia may become a useful modality for enhancement of the effect of anthracyclines on tumors with marginal drug sensitivity or bulky tumors with poor drug penetration. PMID- 6572623 TI - Studies on the differentiation inducers of myeloid leukemic cells. II. citrinin, a new inducer of the differentiation of M1 cells. PMID- 6572624 TI - Computer-assisted chromosome mapping by protoplast fusion in Staphylococcus aureus. AB - Protoplasts of genetically marked derivatives of Staphylococcus aureus NCTC 8325 were fused with polyethylene glycol and regenerated without selection. Recombinants possessing one specific resistance marker from each parent were selected from the regenerated population and scored for seven or eight unselected markers. The results of these 9- and 10-factor crosses were entered directly into a programmed microcomputer from prescored replica plates. The data then were condensed into an array of phenotypes, together with the frequency with which each occurred. Further analyses by computer included the calculation of coinheritance frequencies for all possible pairs of markers; after entering a proposed order for the markers being analyzed, the minimum number of crossover events required to generate each phenotypic class was calculated. The linkage relationships of markers, based on the protoplast fusion data, were entirely consistent with the linkage relationships of markers already known to exist within each of the three linkage groups previously defined by transformation. The fusion data defined an arrangement of the three linkage groups into a circular chromosome map and predicted the approximate location of four previously unmapped markers (tet-3490, fus-149, purC193::Tn551, and omega [Chr::Tn551]42) on this map. PMID- 6572625 TI - Confirmation of protoplast fusion-derived linkages in Staphylococcus aureus by transformation with protoplast DNA. AB - Transformation provided definitive evidence for linkage between tyrB282::Tn551 ermB321 and omega (Chr::Tn551)34, and thus between the separate large linkage groups containing these markers, in Staphylococcus aureus NCTC 8325. Transformation also defined the chromosomal loci for the purC193::Tn551 and omega (Chr::Tn551)42 markers and the linkage of a tetracycline resistance marker (tet 3490) with a fusidic acid resistance marker (fus-149). The use of DNA isolated from protoplasts under conditions that reduced hydrodynamic shear greatly facilitated the demonstration of most of these linkages. These results provide direct evidence confirming several of the linkages predicted by a microcomputer assisted protoplast fusion analysis in a previous study (M. L. Stahl and P. A. Pattee, J. Bacteriol. 154:395-405, 1983); those markers whose predicted linkages were not confirmed by transformation are probably separated by chromosomal distances that exceed the limits of detection by transformation, even with protoplast DNA. PMID- 6572626 TI - Rotation-plasty for childhood osteosarcoma of the distal part of the femur. PMID- 6572627 TI - Immobilized 3 alpha-hydroxysteroid dehydrogenase and dansyl hydrazine as a pre labeling reagent for high-performance liquid chromatography with fluorescence detection of bile acids. AB - A high-performance liquid chromatographic method with fluorescence detection is described for the determination of bile acids and their conjugates. After enzymatic conversion of bile acids to 3-oxo-bile acids using the immobilized 3 alpha-hydroxysteroid dehydrogenase reactor column, 3-oxo-bile acids were extracted with a Sep-Pak C18 cartridge, labelled with dansyl hydrazine and then separated by high-performance liquid chromatography on a reversed-phase column. The eluate is monitored by a fluorophotometer at 365 nm (excitation) and 520 nm (emission). Reactions proceed quickly under mild conditions to give fluorescent derivatives. Linearity of the fluorescence intensity (peak height) with the amounts of various bile acids and their conjugates was obtained above 0.5-1.0 pmol. The method is sensitive, reliable and useful for the simultaneous determination of bile acids in biological samples. PMID- 6572628 TI - The cytoreceptor assay for 1,25-dihydroxyvitamin D and its application to clinical studies. PMID- 6572629 TI - Type III glycogenosis presenting as liver disease in adults with atypical histological features. AB - Two cases of type III glycogen storage disease are reported in adults; the occurrence of cirrhosis in one case illustrates the potential development of chronic liver disease in this condition. The other was the oldest patient with this condition found in a review of published reports. Electron microscopy of peripheral blood leucocytes to demonstrate excess glycogen was found to be a quick and useful aid to diagnosis. Histology of these adult cases showed a distribution of hepatocyte vacuolation which has not been previously recorded. PMID- 6572630 TI - Use of metronidazole as a probe in the study of human periodontal disease. PMID- 6572631 TI - Periodontal pocket measurements with a modified Plast-o-Probe and a metal probe. AB - Two types of periodontal probes used to measure pocket depths, i.e. a modified Plast-o-Probe (PoP) and a metal probe (MP), were compared. Periodontal pocket depths in 5 volunteers were determined by 5 clinically trained investigators using each of the probes. The average periodontal pocket depth was found to be the same for both probes and was independent of the degree of gingival inflammation and the localisation of probing. The results obtained by 1 of the 5 investigators were influenced by the type of probe. 4 investigators found that PoP permitted a 2.8-11.0% greater degree of reproducibility while MP exhibited a 0.9-12.2% higher inter-investigator agreement. In vivo and in vitro radiological and histometrical analysis on another group of patients showed a similar degree of penetration into the connective tissue zones with both probes. The investigators considered PoP a precise instrument but suggested that its readability should be improved for routine clinical use. PMID- 6572632 TI - Use of chlorhexidine as a plaque control measure following surgical treatment of periodontal disease. AB - Chlorhexidine mouth rinsing was compared with regularly performed professional tooth cleaning as a plaque control measure during healing following periodontal surgery. 14 patients were selected for the study. A Baseline examination included assessment of oral hygiene status, gingival condition, probing depth and attachment level. In each patient, scaling and root planing was carried out in conjunction with the modified Widman flap procedure including recontouring of alveolar bone irregularities in 2 jaw quadrants. The same procedures without osseous surgery were performed in contralateral jaw quadrants. 7 patients rinsed their mouth with a solution of 0.2% chlorhexidine digluconate twice a day, 2 min each time, for the first 6 months after therapy (healing phase). During the same period the remaining 7 patients were recalled every 2 weeks for professional tooth cleaning ad modum Axelsson & Lindhe (1974). Following reexamination after 6 months, all 14 patients were placed on a maintenance care program which included mechanical prophylaxis once every 3 months for 18 months (maintenance phase). Reexaminations were performed 6, 12 and 24 months after completion of initial therapy. The results revealed that professional tooth cleaning was somewhat more effective as a plaque control measure during healing following surgery than chlorhexidine mouth rinsing. At the end of the healing phase (1) there was a higher frequency of sites with pockets deeper than 4 mm in the patients who rinsed with chlorhexidine, (2) less gain of attachment occurred following chlorhexidine rinsing in pockets with an initial probing depth of greater than 4 mm, and (3) attachment loss in initially shallow pockets was somewhat more pronounced in the patients who rinsed with chlorhexidine. The differences in the effect of the 2 methods of plaque control, however, were small and in most respects diminished in the course of the maintenance phase. It was concluded that mouth rinsing with chlorhexidine is a proper alternative to plaque control during healing following periodontal surgery. PMID- 6572634 TI - Relative effects of plaque control and instrumentation on the clinical parameters of human periodontal disease. AB - The healing events of 7 patients with generalized chronic periodontitis were monitored clinically during 3 consecutive phases of treatment: 1) tooth brushing and flossing, 2) subgingival use of the Perio-Aid, and 3) supra and subgingival instrumentation. The clinical parameters evaluated were plaque score, bleeding score, probing pocket depth, probing attachment level, and gingival recession. Each phase continued until maximum effects were achieved (5, 3, and 9 months respectively) determined by minimal or no changes in bleeding scores and probing pocket depths between 3 successive examinations. The results showed limited improvement in the bleeding scores and probing pocket depths with tooth brushing and flossing only (Phase 1). During use of the Perio-Aid (Phase 2), there was no additional improvement, but the initial limited gains made during Phase 1 were maintained. By the end of Phase 2, however, a slight loss of probing attachment level was noticeable. After instrumentation (Phase 3), there was further and more pronounced improvement in bleeding scores and probing pocket depths, as well as a reversal of the probing attachment loss. The results of this study indicate that significant improvement in periodontal pockets should not be expected following home care procedures alone, and that instrumentation may account for the bulk of improvement seen following a combined therapy of plaque control and instrumentation. PMID- 6572633 TI - A radiographic study of chronic periodontitis in 15 year old Queensland children. AB - A retrospective study was carried out to determine the frequency of early periodontal bone loss in 15 year olds as seen in bite-wing radiographs. A total of 468 radiographs of 15 year olds was examined, 246 from 1970-74 and 222 from 1978-80. The alveolar bone crest on the mesial and distal of the first permanent molar teeth was examined for radiographic evidence of early chronic periodontitis. The condition of the adjacent proximal tooth surfaces was also recorded. No significant difference was found between the two groups; 39% of the 1978-80 and 43% of the 1970-74 group showed radiographic evidence of early chronic periodontitis (P less than 0.05). Males and females showed a similar frequency of periodontal disease levels. The mesial interproximal space of the first molars had significantly higher frequencies of radiographic evidence of chronic periodontitis than the distal interproximal spaces in the two groups examined. Fewer proximal restorations with overhangs were noted in the 1978-80 group, however more proximal subgingival calculus was found in this group than the 1970-74 group. PMID- 6572635 TI - Evaluation of various feedback mechanisms in relation to compliance by adult patients with oral home care instructions. AB - The purpose of the present study was to examine the effect on oral hygiene and gingival health of plaque scoring and the performance of a 'tooth brushing test" at each visit during initial periodontal treatment. A total of 63 adult periodontal patients (22-67 years of age) was allocated to 4 matched groups: Brushing test group (B), open scoring group (O), minimal feedback group (M) and control group (C). The oral hygiene instruction for groups B, O and M was provided by handing out a self-educational manual on oral home care, while the patients of control group (C) received a short brochure describing the Bass brushing technique and the use of toothpicks. Feedback on the improvement of oral hygiene performance was delivered to groups B and O by scoring of plaque and gingival bleeding by probing while this feedback was avoided in the 2 other groups (M, C). The patients of group B performed a tooth brushing test at each of 3 visits. After 3 months the plaque scores of groups B (27%) and O (22%) had improved more than those of the 2 other groups (35%). However, the improvement in gingival bleeding scores was similar in all 4 groups (from 55% initially to 17% at 3 months). At later examinations only minor differences in plaque and gingival bleeding scores were recorded between the various groups. The findings show that, irrespective of the mode of instruction, a considerable improvement occurs and that this improvement is not related to open scoring of plaque or the tooth brushing test. PMID- 6572636 TI - Comparison of plaque accumulation after topical application and mouth rinsing with chlorhexidine gluconate. AB - This study measured plaque accumulation on anterior teeth after topical or mouth rinse application of 0.2% chlorhexidine gluconate. Compared with water plaque scores were highly significantly reduced. There was no significant difference in plaque scores between topical application or mouth rinsing. The importance of locally adsorbed chlorhexidine is emphasised and the relevance of an oral reservoir effect questioned. PMID- 6572637 TI - Blastogenic responsiveness of peripheral blood mononuclear cells from individuals with various forms of periodontitis and effects of treatment. PMID- 6572638 TI - Effect of toothpaste rinses compared with chlorhexidine on plaque formation during a 4-day period. PMID- 6572639 TI - Responses to "The Psychiatrist as Mind Sweeper": eating disorders and antidepressants. PMID- 6572640 TI - Dentistry and the elderly. PMID- 6572642 TI - Patient management: the ultimate in interpersonal skill building. PMID- 6572643 TI - Assertion training: one approach to interpersonal skill training in dentistry. PMID- 6572641 TI - Should you disincorporate in 1983? PMID- 6572644 TI - Use of a small interactive discussion program for modifying dental students' attitudes. PMID- 6572645 TI - Development of a computer-assisted behavioral skill training system. PMID- 6572646 TI - Barriers to effective interpersonal communication: causes and effects of health alienation. PMID- 6572647 TI - Use of video vignettes in empathy training. PMID- 6572648 TI - Using videotapes to develop managerial assertiveness. PMID- 6572649 TI - Improving clinical teaching by videotaping performance. PMID- 6572650 TI - Teaching interpersonal skills in the oral hygiene care of the bedridden geriatric patient: a videotape. PMID- 6572651 TI - School size and characteristics of dental school faculty, 1982-83. PMID- 6572652 TI - Proceedings: National Conference on Applied Behavioral Science. Cleveland, Ohio, October 5-6, 1981. PMID- 6572653 TI - Implementation of interpersonal skill training in dental schools. PMID- 6572654 TI - Use of experimental techniques in interpersonal skill training. PMID- 6572655 TI - The need for new knowledge in behavioral science. PMID- 6572657 TI - A suggested model for interpersonal skills training in dentistry. PMID- 6572656 TI - Behavioral and social science research support from the National Institute of Dental Research. PMID- 6572658 TI - Interpersonal skills training in a dental setting: a group interaction approach. PMID- 6572659 TI - Iatrosedation: the treatment of fear in the dental patient. PMID- 6572660 TI - Development of an introductory course in periodontics with a strong behavioral orientation. PMID- 6572661 TI - Interpersonal skills training for dental students in an interdisciplinary core curriculum. PMID- 6572662 TI - Diet and dental caries. PMID- 6572663 TI - Keyes technique. PMID- 6572664 TI - Base metal hazards. PMID- 6572665 TI - Simpler method. PMID- 6572666 TI - SBE prophylaxis. PMID- 6572667 TI - Understanding alcoholism. PMID- 6572668 TI - Dental marketing. ADA's program to assist members with practice development. PMID- 6572669 TI - Dental services in England, Wales, and the United States: a comparison of national survey data. AB - As stated at the outset, the review of the two systems was not intended to determine which approach to provide dental services is better. Rather it has provided an opportunity for both systems to learn from the activities of the other. Thus, the continuing decrease in dental caries rates in the United States, no doubt associated with the extensive fluoridation programs, provides direction for efforts in England and Wales. Similarly, the pronounced changing attitudes to extractions and "wedding present dentures" in England and Wales offer our country some understanding of the needs to change general population attitudes if we are to expand dental services in this country to increasing segments of the nation. PMID- 6572670 TI - Transportation problems and dental care of nursing home residents. PMID- 6572671 TI - Risk of hepatitis B in dental care providers: a contact study. PMID- 6572672 TI - Patient response to participation in a quality review program conducted in private dental offices. AB - A sample of largely well-educated affluent, and youthful dental patients drawn from 11 private dental offices participated in a quality assurance project that included clinical review examinations conducted at a special appointment. More than 90% of patients were willing to participate at no cost to them, and examinations were conducted on 225 patients. Attitudinal measurements were taken on all the patients both before and after their involvement. Patients responded well to this mechanism. Patients responded well to this mechanism of quality assurance and expressed increased trust and confidence in their dentists' care after experiencing reviews. Issues concerning the confidentiality of dental records were addressed. Of the participants, approximately 75% believed clinical examinations by visiting dentist/examiners would increase the quality of American dentistry. Generally, patients were willing to have the examinations repeated periodically, although few were willing to pay for this review. The potential for quality assurance to increase patient confidence in dental care was verified. PMID- 6572673 TI - The dentist as a referral source of first episode head and neck cancer patients. AB - This analysis was conducted to shed more light on the role of the dentist in the detection and referral of patients with head and neck cancer. No other study of the referral practices of dentists has examined the characteristics of these patients in contrast to those referred by physicians to understand the selection of pathways to care. The findings reported here indicate that: "anatomical provinces" exist for both types of practitioners that are well recognized by the lay community and perhaps reinforced by the health field; advanced stage referrals on the parts of physicians may occur because patients delayed seeking care until symptoms required medical attention; and dentists as a group may b better prepared to detect oral cavity lesions, but not lesions at other head and neck sites. The findings of this study, as well as those of Adams and others and Pogrel, suggest the need for improved educational programs about head and neck cancer directed to the public as well as physicians and dentists. The public should be aware not only of the etiology of head and neck cancers and the associated signs and symptoms, but also of the availability of the dentist, as well as the physician, as a diagnostic resource. Furthermore, educational programs should be developed in dental and medical schools to teach and reinforce detection and diagnostic skill including soft-tissue examination procedures; the use of the indirect mirror for examination of the base of the tongue, larynx, and the lower posterior pharyngeal wall; and biopsy techniques. PMID- 6572674 TI - Allergic contact stomatitis from a gold alloy--fixed partial denture. AB - Allergic contact stomatitis to gold is rare. To our knowledge, seven cases caused by dental restorations have been previously reported. Each of the patients was female. This report documents an allergic reaction to gold in a fixed prosthesis. A female patient, previously sensitized to gold earrings, experienced an itching and burning pain sensation and ulceration of the oral tissues adjacent to the gold restoration. Patch tests confirmed the allergy to gold. The dentist needs to be aware of the symptoms that are characteristic of the allergic manifestations of gold. Inquiries about allergies to metals and jewelry should be a part of the medical history. Any patient experiencing pain, itching, burning, and ulceration of the mucosa adjacent to a cast gold restoration should be suspected of an allergic contact stomatitis. PMID- 6572675 TI - Impacted supernumerary teeth: a survey of 50 cases. AB - Supernumerary teeth are considered one of the most significant dental anomalies during the primary and early mixed dentition stages. A total of 50 patients, ranging in age from 16 months to 17 years, were studied before, during, and after the surgical removal of their supernumerary teeth. Early removal of such teeth is recommended if they impede the eruption of adjacent permanent teeth, appear inverted or rudimentary, or if they are associated with certain pathological conditions. Complications associated with early removal are infrequent and seem minor in nature. PMID- 6572676 TI - Firm, asymptomatic nodule in the upper lip. PMID- 6572677 TI - Hepatitis B and dental personnel: transmission to patients and prevention issues. AB - Hepatitis B virus (HBV) infection is considered an occupational risk for dental professionals. The Centers for Disease Control have participated in eight investigations regarding dental professionals who were suspected of transmitting HBV infection to their patients. This article summarizes the findings of the investigations, the postulated mechanism of transmission of HBV, control measures suggested, and follow-up of the dental practice for those dentists who were chronic carriers of hepatitis B surface antigen. The approach by the centers for managing dental professionals who are HBsAg positive and those dental professionals who are HBsAg positive and implicated as transmitting HBV infection to patients are outlined. If HBV transmission cannot be interrupted, by suggested measures, then more restrictive measures should be decided on by state or local health officials, or both. These could include removal of the practitioner's license. HBV-infected dental personnel can transmit HBV infection to their patients. The measures suggested for the HBV carrier are designed to allow the dental practitioner to continue practice, but, at the same time, give maximum protection to the patient. PMID- 6572679 TI - Conserving scarce materials. PMID- 6572678 TI - Status report: the periodontal ligament injection. Council on Dental Materials, Instruments, and Equipment. PMID- 6572680 TI - Mechanisms of suppression of mouse mesangial cell proliferation by macrophage supernatants. AB - The monocyte/macrophage has been identified as an effector cell infiltrating the glomerulus in human and experimental nephritis. To clarify the role of the macrophage in this context, an in vitro system was developed in which mouse mesangial cell cultures were maintained. Macrophage supernatants were obtained from peritoneal macrophages harvested from either resident or endotoxin stimulated C57BL/6J male mice cultured for 24 hr. Incubation of mesangial cell cultures with macrophage supernatants resulted in depression of mesangial cell metabolism as indicated by incorporation of (3H)-thymidine; the effect was more marked when supernatants of endotoxin-treated mice were used. The molecular mechanisms by which suppression was obtained was clarified by experiments fractionating macrophage supernatants by G-100 column chromatography. By this means, two fractions were obtained with different molecular and physiologic properties. One fraction, a molecular size of 14,600 to 29,000 daltons, was shown to mediate the suppressive effect by stimulating endogenous mesangial cell PGE synthesis; additionally, a novel molecular species was identified, which was biologically active at higher concentrations of macrophage supernatants, had a larger molecular size (29,000 to 68,000 daltons), exerted its suppressive effect by an independent mechanism, and accounted for the inability of indomethacin pretreatment of mesangial cells to abrogate completely the suppressive effect of macrophage supernatant at higher concentrations. PMID- 6572681 TI - Urinary excretion of modified nucleosides in chronic myelogenous leukemia. AB - Urinary excretion of modified nucleosides was measured in 15 patients with Philadelphia chromosome-positive CML to determine the correlation with activity of this disease. Resolution and quantitation of seven nucleosides were accomplished with reversed-phase HPLC. Patients in the stable phase of CML had excretion levels one to two times normal, whereas patients in the blastic phase showed elevations up to 12 times normal. The nucleosides showing the most significant differences in excretion between stable phase and blastic phase were 1-methylinosine, pseudouridine, and N2,N2-dimethylguanosine (p less than 0.01, p less than 0.001, and p less than 0.01, respectively). Nucleoside excretion was also determined in patients with bacterial pneumonia and urinary tract infection for comparison. Serial nucleoside determinations were made in two patients with CML and found to correlate closely with disease activity. The degree of elevation and the correlation with disease activity suggest the potential value of urinary nucleoside quantitation in monitoring patients with CML; in particular, nucleoside excretion may be useful in detecting early blastic transformation. PMID- 6572682 TI - Low density lipoprotein metabolism in the normal to moderately elevated range of plasma cholesterol: comparisons with familial hypercholesterolemia. AB - Low density lipoprotein (LDL) metabolism was investigated using a pulse injection of 125I-labeled LDL in 20 subjects who did not have familial hypercholesterolemia (FH) (plasma cholesterol 160-297 mg/dl) and in 9 subjects who did have heterozygous FH (plasma cholesterol 273-501 mg/dl). Subjects were also injected with 131I-labeled LDL chemically modified with cyclohexanedione. This technique permitted a calculation of the amount of apoLDL removed via receptor-mediated and receptor-independent pathways. In subjects without FH, 40% (range 25-49%) of LDL was cleared via receptor-mediated pathways and in subjects with FH this figure was 22% (range 3-33%). In nonfamilial hypercholesterolemia there was clear evidence of defective removal of LDL via receptor-independent pathways in association with some overproduction of apoLDL. In heterozygous FH there was evidence of defective removal of LDL via receptor-mediated pathways, while some subjects also showed evidence of overproduction of apoLDL. It is suggested that LDL catabolism via receptor-independent pathways plays a major role in regulating plasma cholesterol levels in the normal to moderately elevated range. PMID- 6572683 TI - Verrucous hyperplasia or verrucous carcinoma. An analysis of 27 patients. AB - 27 patients with verrucous lesions of the oral mucosa were studied with reference to the validity of a separation of the entity verrucous hyperplasia from verrucous carcinoma, based on an exophytic or an endophytic growth pattern of the hyperplastic epithelium. The occurrence of other mucosal lesions in these patients was also recorded. It is concluded that verrucous hyperplasia probably represents a morphological variant of verrucous carcinoma. In 37% of the patients, squamous cell carcinoma was found as a coexisting or separately occurring disease and in 26% epithelial dysplasia was also present. It is postulated that the existence of a verrucous carcinoma must be considered to be an expression of an ubiquitous premalignant change in the whole oral mucous membrane. Finally, some notes are made on the entities florid oral papillomatosis and chronic hyperplastic candidosis in relation to oral verrucous carcinoma. PMID- 6572684 TI - Osteosynthesis of subcondylar fractures in the adult. Central medullary "up and down" pinning via a temporal approach. PMID- 6572685 TI - The prognostic relevance of various factors at the time of the first admission of the patient. Retrospective DOSAK study on carcinoma of the oral cavity. AB - In a retrospective study, on a sample of 1021 patients with carcinoma of the lips, oral cavity and oropharynx, the clinically available factors at the time of the patient's first admission are analysed with reference to their prognostic relevance. Prognostically relevant factors are determined by both univariate and multivariate analyses. Of the 18 factors analysed, the following seven finally proved to be prognostically relevant: tumour size, degree of infiltration, degree of histological differentiation and site by organ of the primary tumour, the combination of evidence + clinical appearance + degree of fixation of the regional lymph nodes, age of the patient, and evidence of distant metastases. On the basis of these results it will be possible to create a prognostic index. This prognostic index should be eligible for use in clinical practice, as opposed to usual classification models. PMID- 6572686 TI - Immediate management of severe facial war-injuries. AB - The immediate treatment of severely war-wounded maxillo-facial patients is presented. The cases are of avulsion injuries of the face suffered by Iraqi soldiers where means of reduction, stabilization and immobilization were difficult. Kirschner wire was adapted successfully for immobilization in cases of anterior mandibular segment loss. The application of the Kirschner wire is presented for bridging of bony mandibular defects, preservation of soft tissue position; and making use of small and large pieces of denuded bone. PMID- 6572687 TI - Temporomandibular ankylosis. A report of 15 cases. PMID- 6572688 TI - Effect of internal jugular vein ligation on resorption of cerebrospinal fluid. AB - The influence of jugular vein ligation on CSF resorption was examined experimentally by means of a manometric ventricular infusion test in dogs. Capacity of CSF absorption was decreased in a stepwise manner according to whether unilateral or bilateral ligation of jugular veins was performed. Interestingly, in addition to rises in ICP, dural sinus pressure was predominantly elevated after bilateral jugular ligation, often exceeding the ICP level. The CSF malresorption observed was considered to be closely related to the lowered pressure gradients between ICP and intracranial sinus pressure. PMID- 6572689 TI - Primary tuberculous osteomyelitis of the mandible. PMID- 6572690 TI - Co-operation of progesterone and prostaglandins in ovulation induced by human chorionic gonadotrophin in immature rats primed with pregnant mare serum gonadotrophin. AB - Serial injections of a mixture of prostaglandin (PG) E2 and F2 alpha 0, 2, 4, and 6 h after simultaneous injection of human chorionic gonadotrophin (hCG) and indomethacin incompletely restored the ovulation that would have been blocked by indomethacin in immature rats treated with pregnant mare serum gonadotrophin followed by hCG. Serial injections of another mixture of PGE2 and PGF2 alpha 6, 8, 10 and 12 h after simultaneous injection of hCG and indomethacin similarly reversed, in part, the inhibitory effects of indomethacin on hCG-induced ovulation. In contrast, serial injections of the mixtures of PGE2 and PGF2 alpha 0, 2, 4, 6, 8, 10 and 12 h after simultaneous injection of hCG and indomethacin completely restored the indomethacin-blocked ovulation, suggesting that the prostaglandins mediate the action of hCG on ovulation both in the earlier and later stages of the preovulatory process. Six hours after simultaneous injection of hCG and indomethacin serial injections of a mixture of PGE2 and PGF2 alpha reproduced the acute and temporary increase in concentrations of progesterone and testosterone in plasma which would have been abolished by indomethacin. Progesterone given concurrently with hCG and indomethacin partially antagonized the inhibitory action of indomethacin on ovulation. Serial injections of a mixture of PGE2 and PGF2 alpha 6, 8, 10 and 12 h after concurrent administration of progesterone with hCG and indomethacin completely restored the indomethacin blocked ovulation, suggesting that progesterone can substitute the action of prostaglandins injected serially in the first half of the preovulatory process. It was concluded that the co-operation of progesterone in the earlier stage and of prostaglandins in the later stage of the preovulatory interval is required to mediate the action of hCG on ovulation. PMID- 6572691 TI - Bone repair in the mandible: a histologic and biometric comparison between rigid and semirigid fixation. PMID- 6572692 TI - Muscle reorientation following superior repositioning of the maxilla. AB - In facial reconstructive surgery the importance of the orofacial muscles on form, function, and esthetics must be recognized. Once this fact is acknowledged, these muscles may be manipulated to advantage by the surgeon; thus, undesirable effects in the perioral area following superior repositioning of the maxilla can be avoided. A V-Y advancement-closure of the horizontal maxillary vestibular incision is advocated. This successfully repositions the lip muscles in a predictable manner and maintains normal lip form pout, and amount of exposed vermilion. Alar width and unesthetic widening of the alar bases may also be controlled by the proper repositioning of the transverse nasalis muscles. The validity of these surgical procedures is supported by a statistical analysis of the lip and nasal structures in patients whose dentofacial deformities were corrected by superior repositioning of the maxilla and concomitant facial muscle reorientation. PMID- 6572693 TI - Facial injuries in automobile crashes. AB - In automobile accidents, the facial area is the most frequently injured body region in passenger car occupants. Laboratory studies have indicated that the tolerance of facial bones to impact is relatively low. Most of these facial injuries are rated as minor. The windshield, steering wheel, and instrument panel are the major points of contact. Restraints, lap belts, and lap-shoulder belts reduce the frequency of facial injuries at all levels of severity and also reduce the more severe and serious injuries to other body regions. PMID- 6572694 TI - Temporomandibular joint condylar prosthesis: a ten-year report. PMID- 6572695 TI - Respiratory obstruction following vestibuloplasty and lowering of the floor of the mouth. PMID- 6572696 TI - Simultaneous maxillary advancement and closure of bilateral alveolar clefts and oronasal fistulas. PMID- 6572697 TI - Airway obstruction with the Rae endotracheal tube. PMID- 6572699 TI - Vein graft repair of a chronic parotid duct fistula. PMID- 6572698 TI - Squamous cell carcinoma developing in conjunction with a mandibular staple bone plate. PMID- 6572700 TI - Case 44, Part II: xanthoma of the mandible. PMID- 6572701 TI - Increased hemostasis in temporomandibular joint surgery by use of the DeBakey bulldog vascular clamp. PMID- 6572702 TI - Transpositional flap vestibuloplasty of the maxilla. PMID- 6572703 TI - Opinions regarding the treatment of periodontitis. PMID- 6572704 TI - Osteoradionecrosis: a new concept of its pathophysiology. AB - The classic sequence in the pathogenesis of osteoradionecrosis of the jaws has been accepted as radiation, trauma, and infection. This paper challenges this sequence and offers a new one more accurately describing the biochemical and cellular pathology. The clinical data are based on 26 consecutive cases of osteoradionecrosis from which 12 en bloc resection specimens were cultured and stained for microorganisms. Review of the histories and treatments, as well as the microbial assays, indicates that microorganisms play only a contaminant role in osteoradionecrosis and that trauma is only one mechanism of tissue breakdown leading to the condition. The sequence suggested by this study is as follows: (1) radiation, (2) hypoxic-hypocellular-hypovascular tissue, (3) tissue breakdown, and (4) chronic non-healing wound. PMID- 6572705 TI - Modified LeFort II procedure for simultaneous correction of maxillary and nasal deformities. AB - An approach to correction of nasomaxillary dysplasia is described. Where midfacial hypoplasia is managed by surgical anteropositioning of the affected skeletal parts, this technique permits management of the associated nasal dysmorphia as well. The one-stage correction is performed with the midfacial skeleton entirely degloved, under direct vision. Details are described, and diagnostic and treatment considerations of two patients are given. PMID- 6572706 TI - A retrospective analysis of 327 mandibular fractures. AB - The cases of 372 mandibular fractures are reviewed with respect to treatment, including the indications for extraction of teeth in the line of fracture, complications, and duration of maxillomandibular fixation. It was found that, in general, teeth can be maintained in the line of fracture, although there appeared to be an increased rate of complications associated with fractures when teeth are in the line of injury. In addition, a four-week period of maxillomandibular fixation appears to be an appropriate guideline for treatment. PMID- 6572707 TI - An assay of mononuclear cell dynamics in various subcutaneous cranial sites. AB - Although polymorphonuclear leukocyte kinetics at sites of tissue injury have been well documented, analogous mononuclear cell data have yet to be reported because of the lack of suitable assay techniques. In this study, counts of mononuclear cells adherent to nitrocellulose filter discs implanted in four subcutaneous sites for nine consecutive days showed a greater degree of cellular accumulation in the temporalis than in the frontalis region, the data for the masseter and submandibular regions being similar and intermediate. This type of assay may prove useful in elucidating the role of mononuclear cells in wound healing and the effect of antiinflammatory agents on mononuclear cell kinetics. PMID- 6572708 TI - Flap design and the LeFort III osteotomy: blood flow investigation. AB - The effect on local blood flow of flap design in a LeFort III osteotomy was examined in this study. The radioactive microsphere technique was used to make serial flow determinations in two groups of macaque monkeys. The use of seven skin and mucosal incisions was compared with a coronal flap procedure. Significant blood flow reductions to the midface segment where measured when a coronal incision was the sole access in performance of the osteotomies. The findings indicate that the multiple incision approach is more biologically sound than the coronal incision approach in the LeFort III osteotomy. Important information about the surgical techniques can be determined from the data and applied to a more successful performance of the LeFort III osteotomy. PMID- 6572709 TI - Case 45, part I. PMID- 6572710 TI - A recurrent ulcerating lymphohistiocytic lesion of the oral cavity. PMID- 6572711 TI - Elimination of the "V" in vestibuloplasty. AB - A minor modification of an existing vestibuloplasty technique, which will enhance the short-term and long-term results, is described. Prosthetic rehabilitation can begin in the third or fourth postoperative week. The loss of vestibular depth in the early postoperative period will be eliminated. Oral hygiene is enhanced by the more natural contour of the vestibule. The patient will experience exceptional retention, and that is a benefit for the surgeon, the prosthodontist, and the patient. PMID- 6572712 TI - Serum inhibitor of phytohemagglutinin-induced lymphocyte proliferation in Bartter syndrome. AB - Serum from four patients with Bartter syndrome inhibited the response to phytohemagglutinin of autologous and homologous (healthy donor) lymphocytes. The abnormal response was normalized in three patients by the administration of indomethacin (2 mg/kg/day), a known inhibitor of prostaglandin synthesis. The serum prostaglandin E2 concentration of these patients before indomethacin therapy was significantly increased (P less than 0.02), as compared with that in controls. The serum PGE2 concentration measured in two of three patients undergoing indomethacin therapy was normal. Because PGE2 is known to inhibit the response of lymphocytes to phytohemagglutinin, we postulate that PGE2 may mediate the reduced blastogenic response observed in patients with Bartter syndrome. PMID- 6572713 TI - Hydrocephalus and abnormal digits after failed first-trimester prostaglandin abortion attempt. PMID- 6572714 TI - Thrombosis and hemorrhage during L-asparaginase therapy. PMID- 6572715 TI - Effect of liquid protein diet on collagen metabolism of the gingiva of young rats. AB - The effects of liquid protein diet (LPD) on gingival collagen metabolism were evaluated in young rats. Experimental animals received a LPD, while pair-fed and ad libitum groups received a 20% casein diet. Prior to sacrifice at days 23, 35 and 48 post-partum, animals from each group were injected with C14-proline. Gingival tissues from the palate were excised and analyzed for collagen content and collagen synthesis. Results of body-weight changes at day 48 showed a 20% decrease in the LPD group, while pair-fed and ad libitum groups increased 47% and 267%, respectively. Collagen content per gram of gingiva was not significantly different among the three groups. Gingival collagen synthesis, however, did show significant differences among the three groups. It was concluded that while LPD effects on the overall body condition were profound, LPD exerts minimal effect on gingival collagen metabolism in young rats. PMID- 6572716 TI - Intraoral melanoacanthoma. AB - Two cases of melanoacanthoma occurring on oral mucous membranes are presented. Melanoacanthoma is considered to be a benign mixed tumor of keratinoacytes admixed with pigment-laden dendritic melanocytes. All intraoral melanoacanthomas reported thus far have been pigmented lesions of the buccal mucosa and have occurred in young to middle-aged black females. These tumors may grow rapidly and therefore they often mimic the radial growth phase of an intraoral melanoma. Because melanocanthomas have no distinguishing clinical features, biopsy is mandatory. PMID- 6572717 TI - A periodontal attachment mechanism without alveolar bone. Case report. AB - A 22-year-old black male was referred for periodontal therapy because of radiographic evidence of advanced bone loss associated with the posterior teeth. Clinical examination revealed gingivitis, normal sulcus depths, and minimal loss of clinical attachment. Complete blood counts, serum chemistry, and neutrophil function were within normal limits. Histological, histochemical and ultrastructural analysis of an extracted tooth revealed no loss of attachment; large areas of the cementum were collagen-poor and, ultrastructurally, resembled afibrillar cementum. It is proposed that the periodontal attachment mechanism present in this case was associated with a localized failure in normal periodontal development. PMID- 6572718 TI - Ultrastructural study of cultured human gingival fibroblasts exposed to endotoxin. AB - Our current concept of periodontal disease is that some mediators found in the gingival sulcus are able to penetrate the epithelial barrier and produce tissue destruction in the periodontium. Endotoxin, one such mediator, recently has been the subject of considerable study. The purpose of this investigation was to substantiate the role of endotoxin in the pathogenesis of periodontal disease by ascertaining its action on cellular and subcellular components. In order to accomplish this, cultured human gingival fibroblasts were exposed to media containing either 300 micrograms/ml or 500 micrograms/ml of endotoxin and untreated medium for a period of 24 hours. Cells were harvested and prepared for electron microscopy by conventional methods. Electron microscopic examination revealed alterations in mitochondria, Golgi apparatus, lysosomal-like bodies, cytofilaments and plasma membrane. Relationship of these alterations to pathologic processes is discussed. PMID- 6572719 TI - The effect of electrosurgery on alveolar bone. AB - The facial marginal alveolar bone of dogs was exposed with a full-thickness flap and touched by an activated electrosurgery electrode for periods of 0, 1, 5 and 10 seconds. Microscopic results were evaluated after periods ranging from 0 hours to 28 days. Various electrode exposure times produced similar changes in bone and periodontal ligament. The extent of the destruction was greater than that found in surgical areas not exposed to electrosurgery; healing and remodeling phases were also delayed in the electrosurgical sites. PMID- 6572720 TI - Effects of calcium and nifedipine on noradrenaline- and PGF-2 alpha-induced activity of the ampullary-isthmic junction of the human oviduct in vitro. AB - From 22 women undergoing hysterectomy at various stages of the menstrual cycle, strip preparations were dissected from the outer, longitudinal and the inner, circular smooth muscle layers of the ampullary-isthmic junction (AIJ). The strips were mounted in organ baths, and isometric tension was recorded. Spontaneous contractions were recorded mainly in circular muscle strips. Contractions were elicited by 127 mM-K+, 10(-6) M-noradrenaline and 10(-6) M-PGF-2 alpha. Potassium induced biphasic responses that were slightly different in the two tissues. In circular muscle strips, noradrenaline and PGF-2 alpha induced phasic contractions superimposed on a rise in tone. In longitudinal muscle specimens, the two compounds produced tonic responses. All types of mechanical activity were inhibited by removal of extracellular calcium. K+-induced responses and phasic contractions produced by noradrenaline and PGF-2 alpha could be abolished by 10( 6) M-nifedipine whereas the tonic contractions in the circular and longitudinal muscle were more resistant to the calcium antagonist. The results suggest that K+ induced responses in circular and longitudinal muscle of the human AIJ, and the phasic contractions in circular muscle, depend on calcium influx via potential sensitive membrane channels. Receptor-operated calcium channels seem to be involved in the tonic contractions observed mainly in the longitudinal smooth muscle. PMID- 6572721 TI - In-vitro prostanoid production by the rat vas deferens. AB - Prostaglandins (PGs), E-2, F-2 alpha, 6-keto-F-1 alpha and thromboxane B-2 (TXB 2), produced in vitro by the vas deferens of rats at different stages of sexual maturation (10, 35 and 100 days of age), were estimated by radioimmunoassay. Reversed-phase high-performance liquid chromatography was used to evaluate the RIA and to give a more complete profile, after incubation of the vas deferens with [14C]arachidonic acid. The amount of PGE-2 released into the medium after incubation at 37 degrees C for 5 min increased with age, and was the predominant prostanoid in the adult vas deferens. In prepubertal organs, 6-keto-PGF-1 alpha predominated. TXB-2 was always a minor product. The addition of exogenous arachidonic acid (10 micrograms/ml/20 mg tissue), provoked a higher production of the four compounds. PGE-2 and PGF-2 alpha levels were reduced after castration or hypophysectomy and were re-instated after treatment with testosterone propionate. PGE-2 was much more sensitive to hormonal deprivation than PGF-2 alpha. The production of 6-keto-PGF-1 alpha was not significantly affected by the above treatments. PMID- 6572722 TI - Activity of peroxidase and delta 5-3 beta-hydroxysteroid dehydrogenase in the ovary of LH-treated cyclic female rats. AB - Rats were treated with LH at 08:00 h on the first day of dioestrus or on Days 1 and 2 of dioestrus. Peroxidase activity increased within 3 h in females injected with LH on Day 1 and was associated with a depletion of ascorbate that lasted until the afternoon of Day 1. Values of both substances then returned to basal values by the morning of Day 2. A second LH injection on Day 2 produced effects similar to those seen after LH on Day 1. Females treated with LH did not display greater delta 5-3 beta-HSD activity than did controls on Day 1 after one LH injection, but did on Day 2 after two LH injections. Nonetheless, the changes were only modest by comparison with those of peroxidase. The peroxidase-ascorbate system appears to be involved in the mechanism responsible for the increased secretion of ovarian progesterone resulting from LH stimulation. PMID- 6572724 TI - Monocyte-mediated bone resorption involves release of nondialyzable substances in addition to prostaglandin. AB - Human monocytes were stimulated by lectins to release prostaglandin and other factor(s) that induce bone resorption in vitro. High concentrations of indomethacin failed to inhibit production by stimulated monocytes of most of the bone-resorbing activity. This activity was retained in culture supernatants after extensive dialysis. These data demonstrate that monocytes are capable of the simultaneous production of prostaglandins and nondialyzable bone-resorbing factor(s). This (these) factor(s) may mediate localized bone resorption associated with certain chronic inflammatory diseases. PMID- 6572723 TI - Suppressor alveolar macrophages in experimentally induced uremia. AB - The effect of uremic alveolar macrophages (AM phi) on the response of control nonadherent (NA) spleen cells to mitogens was examined. Alveolar macrophages purified from experimentally induced uremic rats were found to be significantly more suppressive than alveolar macrophages purified from control rats. When studying the characteristics of uremic AM phi, it was found that neither indomethacin nor anti-Ia antibody reverses their suppressive activity. In addition, uremic AM phi are shown to suppress via a suppressor factor released to the supernatant over an 18-hr incubation. The enhanced suppressive activity of uremic AM phi may have relevance to the severely suppressed cell-mediated immunity, the increased rate of infections, and the common presence of uremic pneumonitis in humans with chronic renal failure. PMID- 6572725 TI - Prostaglandin biosynthesis by a human macrophage-like cell line, U937. AB - The human macrophage-like cell line, U937, produced significant amounts of prostaglandin (PG) E2 when incubated with exogenous arachidonic acid (AA). The synthesis of PGE2 was completely inhibited by pretreatment with indomethacin (20 micrograms/ml). Another major metabolite, unidentified, which was released during incubation with AA, was not inhibited by indomethacin, but was decreased by nordihydroguaiaretic acid (NDGA) (10(-5)M) or BW755C (10(-4)M). These results confirm the presence of cyclooxygenase and perhaps lipoxygenase activities in this macrophage-like cell line. Challenge of U937 cells with zymosan, opsonized zymosan, phorbolmyristate acetate (PMA), heat-aggregated human IgG (AHG), or calcium ionophore A23187 failed to stimulate synthesis and release of either PGE2 or the above mentioned metabolite. The inability of U937 cells to release endogenous AA from cell lipid for PG synthesis constitutes an important functional difference between these cells and normal macrophages. PMID- 6572727 TI - Death and dying. PMID- 6572726 TI - The cry spectrogram: an aid for analysis. PMID- 6572729 TI - Diaphragm pacer for high spinal cord injury. PMID- 6572728 TI - Pediatric team approach to violent early bereavement. PMID- 6572730 TI - Prevention of impairment. PMID- 6572731 TI - Early renal involvement in acute lymphoblastic leukemia and nonHodgkin's lymphoma in children. AB - Clinical manifestations of kidney disease, particularly renal failure, caused by malignant infiltration in patients with acute lymphoblastic leukemia or nonHodgkin's lymphoma have been described rarely. We report 1 case of acute lymphoblastic leukemia and 3 cases of nonHodgkin's lymphoma in which renal disease was the only or one of the presenting manifestations of malignancy. Of these patients 2 had rapidly progressive renal failure with nephromegaly, 1 presented with bilateral abdominal masses caused by severe nephromegaly and with microscopic hematuria, and 1 had microscopic hematuria without nephromegaly. In all 4 patients kidney biopsy revealed malignant infiltration. In the 2 patients who presented with renal failure kidney function promptly returned to normal after chemotherapy and irradiation of the kidneys. Prompt and correct diagnosis of nephropathy, when it is the only or one of the presenting signs of acute lymphoblastic leukemia or nonHodgkin's lymphoma, is necessary to expedite initiation of specific antitumor therapy. PMID- 6572732 TI - The influence of renal prostaglandins on urinary calcium excretion in idiopathic urolithiasis. AB - Hypercalciuria is well recognized as an important factor in the cause of idiopathic calcium stone disease. Identification of the exact mechanism for the renal tubular handling of calcium has proved elusive, hence, treatment methods to alter the concentration of urine calcium in hypercalciuric stone formers have hitherto been non-specific. It is now well established that renal prostaglandins influence intrarenal hemodynamics and tubular electrolyte excretion. As the renal handling of sodium and calcium is intimately related, the possibility that the mechanism underlying hypercalciuria may be prostaglandin mediated was considered. Experiments were performed in conscious Sprague-Dawley rats (n = 10) to determine the changes in calcium excretion following prostaglandin synthetase inhibition with indomethacin. Calcium excretion was significantly reduced (p less than 0.01), compared with control animals (n = 10). Further experiments were performed in anesthetized monkeys (Macaca fascicularis) to see if the inhibitory effect of indomethacin was reversible. Exogenous prostaglandin (PGE2) infusion resulted in a marked calciuretic response without producing changes in glomerular filtration rate or blood pressure. Forty-three hypercalciuric patients were treated with a prostaglandin inhibitor for periods ranging from 2 to 4 weeks, and all showed a significant fall in urinary calcium excretion to within the normal range. This clinical and experimental study suggests that prostaglandin (PGE2) is a hormone which determines the renal handling of calcium by influencing renal tubular function. PMID- 6572733 TI - Essential function deficiency as the result of tumor promotion and the establishment of biological autarchy. PMID- 6572734 TI - Cancer and other causes of death among female beauticians. AB - A retrospective cohort study was done of the mortality between 1953 and 1977 among 7,736 Japanese female beauticians who were registered from 1948 to 1960 in Fukuoka Prefecture, Japan. Mortalities from tuberculosis, heart disease, accidents, and all causes were significantly decreased as compared with the mortalities of general population in the prefecture. Observed deaths from all cancers combined were almost equal to those expected (148 observed vs. 139.26 expected). Among site-specific cancers studied, only slightly increased mortality from stomach cancer was statistically significant (61 observed vs. 45.59 expected). No measurable excess mortality was observed for the other sites of cancer. PMID- 6572735 TI - Establishment of a Ph1-positive human cell line (BV173). AB - A new cell line (BV173) derived from a patient with Philadelphia chromosome (Ph1) positive acute leukemia was compared with the Ph1-positive K562 and NALM-1 lines, which display the phenotypic characteristics of erythroid and pre-B cells, respectively. BV173 cells retained the Ph1 chromosome and had the morphologic and cytochemical features of undifferentiated blast cells. They lacked the membrane characteristics of mature B- or T-lymphocytes and did not react with monoclonal antibodies to the myelomonocytic cell lineage. Although they reacted with anti glycophorin A antiserum, they failed to produce hemoglobin after butyric acid treatment. This line was similar to NALM-1 in that it bore common acute lymphoblastic leukemia antigen and la-like antigen, reacted with monoclonal antibodies directed against early stages of hematopoietic cell differentiation, and presented the nuclear enzyme terminal deoxynucleotidyl transferase. However, it differed from NALM-1 because it did not express cytoplasmic IgM, a marker of pre-B-cells. The new line can be considered a clonal expansion of leukemia cells blocked at an earlier differentiation stage than that for the other Ph1-positive cell lines. PMID- 6572736 TI - Implications of the multistage theory of carcinogenesis applied to occupational arsenic exposure. AB - The multistage theory of carcinogenesis and its implications for evaluating the effect of exposure to carcinogens in the workplace are described. This theory predicts different relationships between excess carcinogenic risk and duration of exposure, age at initial exposure, and follow-up time since exposure stopped. These relationships are shown to depend on the stage of the carcinogenic process affected by the carcinogen, i.e., action at an early stage or a later stage. The patterns of excess lung cancer mortality were examined for a cohort of copper smelter workers exposed to atmospheric arsenic and other contaminants. Under this multistage hypothesis, the results indicate that arsenic appears to exert a definite effect on a late stage of the carcinogenic process, although an additional effect at the initial stage cannot be conclusively ruled out. Other factors, such as exposure to sulfur dioxide in the environment, calendar year at start of employment, and the potential bias resulting from incomplete exposure histories are also discussed as well as the implications of these results to experimental animal studies. PMID- 6572737 TI - Uterine tumors in old female mice exposed prenatally to diethylstilbestrol. AB - Pregnant strain CD-1 mice were treated with diethylstilbestrol (DES) or vehicle. Their female offspring were raised to old age and autopsied when terminally ill. Squamous metaplasia and adenomyosis were more common in uteri of these old mice exposed prenatally to DES than in control mice. Tumors of the uterine horns were seen in 17 of 143 DES-exposed mice and in 3 of 64 control mice. The controls had only leiomyomas, whereas 14 of the DES-exposed mice had adenocarcinomas. There were 5 cervical adenocarcinomas and 1 vaginal adenocarcinoma among treated mice but none in the control mice. Thus the effects of prenatal exposure to DES interacted with the effects of aging to produce a relatively high frequency of uterine adenocarcinoma. PMID- 6572739 TI - Long-term cyclophosphamide treatments against primary mammary tumors in C3H/He mice. AB - Tumor-free inbred female C3H/He mice were given weekly injections of cyclophosphamide to prevent or delay the expected occurrence of spontaneous mammary carcinomas. Chemotherapy was started at an age when the mice would already have developed preneoplastic hyperplastic alveolar nodules and tumors were likely to appear within a few weeks. Treatments were given for periods ranging from 10 to 50 weeks with various schedules and doses. The mice were observed for the development of tumors until they died or were killed. Tumors were excised as they appeared. Treatments were most effective in reduction of the number of primary tumors when started early and given continuously. Longer term, low-dose treatments gave better results than short-term, high-dose treatments, although the total dose given was the same. The prophylactic effect of the drug appeared to be by the destruction of occult, drug-sensitive tumors, rather than by delay of their appearance. The toxicity of moderate, continuous drug administration was well tolerated with no mortality and only minor transient weight loss. PMID- 6572738 TI - Blocking of cell-mediated immunity to Moloney murine sarcoma virus-transformed cells by lactate dehydrogenase virus-antibody complex. AB - The enhancement of Moloney murine sarcoma virus (M-MuSV) tumor growth in BALB/c mice previously infected with lactate dehydrogenase virus (LDV) was shown to depend on the timing of the inoculations. Mice infected with LDV either 3 or 4 days prior to the M-MuSV inoculations demonstrated enhanced tumor growth, whereas mice infected simultaneously with LDV and M-MuSV or with LDV 30 days prior to M MuSV challenge did not demonstrate M-MuSV tumor enhancement. Circulating immune complexes (CIC) were isolated from serum pools of LDV-infected mice. IgM containing CIC were isolated only between 3 and 9 days post LDV infection. CIC containing IgG1 were isolated only between days 6 and 13, whereas IgG2- containing CIC were not detected until 18 days post LDV infection. Coincubation of isolated immune complexes (IC) with M-MuSV-sensitized cytotoxic lymphocyte transformed and M-MuSV-transformed target cells produced a 56% reduction in M MuSV-specific cytotoxicity, with LDV-antibody IC isolated from the sera of mice 11 days post LDV infection. CIC isolated from the sera of mice 5 days and 25 days after infection with LDV demonstrated 11 and 9% reductions in M-MuSV cytotoxicity, respectively. LDV-antibody IC composed of IgG1 antibody may act as blocking factors to M-MuSV-sensitized lymphocytes in vitro and may be responsible for the transient M-MuSV tumor enhancement observed in dually infected mice. PMID- 6572740 TI - Sister chromatid exchanges and chromosome aberrations induced by radiosensitizing agents in bone marrow cells of treated tumor-bearing mice. AB - The frequency of sister chromatid exchanges (SCE) in vivo and chromosome aberrations and/or alterations were analyzed from the bone marrow cells of the treated dbrB tumor-bearing DBA/1J inbred mouse host. The results were compared with analogous data obtained from the bone marrow cells of untreated tumor bearing mice for evaluation of the "indirect," i.e., somatic stress, effect on the normal host cells following triple-agent therapy intended for a mammary adenocarcinoma. Misonidazole (MIS), which is a known radiosensitizing drug, microwave hyperthermia (delta), and X-radiation (X) were used as therapeutic agents. Significant (P less than 0.05) numbers of SCE were induced in the bone marrow cells of the mice whose tumors received these triple-agent treatments (MIS + delta + X) simultaneously as compared with values of SCE per cell noted in bone marrow cells of untreated tumor-bearing control mice. The highest number of chromosome aberrations and alterations, including an increase in heteroploidy, was also noticed in the bone marrow cells of the mice whose tumors were treated simultaneously with MIS + delta + X. The triple-agent therapy on dbrB tumor also resulted in an unusually high polyploid metaphase plate in the bone marrow cell consisting of 320 chromosomes, indicating that this mode of therapy may act directly on the genetic material of the tumor-bearing host cells, inducing cytogenetic abnormalities as a side effect. PMID- 6572741 TI - Incidence of chromatoblastomas in aging goldfish (Carassius auratus). AB - The incidence of chromatoblastomas in aging goldfish, Carassius auratus, was observed for 2 successive years. Tumors first appeared in fish at 5 years of age, and the tumor frequency increased with increasing age of the fish. The cumulative incidence rate of chromatoblastomas and the mean number of tumors per fish were estimated for each age. The mean number of tumors per fish fitted a straight line with a slope of approximately 3 on a double logarithmic graph against age. Thus tumor incidence seemed proportional to about the third power of age, and tumor appearance seemed dependent on some mutational events. PMID- 6572742 TI - Methylated DNA adducts in the large intestine of ICR/Ha and C57BL/Ha mice given 1,2-dimethylhydrazine. AB - The site-specific incidence of 1,2-dimethylhydrazine (DMH)-induced neoplastic changes in intestinal segments of ICR/Ha mice correlates with the persistence of O6-methylguanine (O6MGua) after a single carcinogen injection. Six hours after the injection, the amount of O6MGua in four anatomic (proximal to distal) segments was 16.0, 20.8, 37.5, and 52.8 mumol/mol guanine, respectively. Correlation between the incidence of neoplasms and the amount of alkylation was also observed 14, 40, and 96 hours after DMH treatment. Similar levels of O6MGua were found in the corresponding colon segments of C57BL/Ha mice. After repeated treatment (5 wk) with unlabeled DMH, the amount of O6MGua still correlated with the incidence of neoplasms in ICR/Ha mice. However, in each strain the level of O6MGua was significantly lower in pretreated mice than in mice without DMH pretreatment. Furthermore, the amount of adducts in DNA isolated from different crypt depths showed that within a few hours of the DMH injection the amount of adducts was independent of DNA synthetic activity. Although ICR/Ha and C57BL/Ha mice have different susceptibility to DMH-induced colon cancer, this interstrain difference is not reflected in the amounts or persistence of the miscoding base O6MGua. PMID- 6572743 TI - Membrane lipids of hepatic tissue. I. Neutral lipids from subcellular fractions of liver and hepatoma 7288CTC. AB - Enriched subcellular fractions of nuclei, mitochondria, endoplasmic reticulum (ER), plasma membrane, and cytosol were prepared from liver and hepatoma 7288CTC taken from male inbred BUF rats. Purity was established by marker enzyme activities and distribution of DNA, RNA, sialic acids, total phospholipids, and cholesterol. The subcellular fractions of hepatoma differed from those of liver: 5'-Nucleotidase activity was elevated in ER and mitochondria, cytosol RNA was increased, and cholesterol was elevated in all hepatoma subcellular fractions. Neutral lipid classes of hepatoma subcellular fractions differed quantitatively from those of liver: Hepatoma nuclei and mitochondria contained elevated levels of free fatty acids (FFA) and triglycerides (TG). Generally, the fatty acid profiles of FFA, TG, and sterol esters from hepatoma subcellular fractions were more uniform and showed less organelle specificity than did liver. Hepatoma FFA and TG contained lower percentages of palmitate and higher percentages of stearate in all subcellular fractions than did liver. The sterol esters from most hepatoma subcellular fractions compared to those from liver were characterized by much higher levels of long-chain fatty acids of 20 carbon atoms or longer. The oleate-to-vaccenate ratio in FFA of liver subcellular fractions exhibited some specificity, but not that of hepatoma subcellular fractions. The oleate-to vaccenate ratio in the acyl chains of liver and hepatoma TG did not reveal organelle specificity. PMID- 6572745 TI - Postsurgical follow-up of colorectal cancer patients monitored by the leukocyte migration test. AB - Blood samples from more than 1,000 patients with colorectal cancer were tested in the leukocyte migration test (LMT) and by a radioimmunoassay for carcinoembryonic antigen (CEA) for evaluation of: 1) the correlation of LMT response to the status of disease and 2) the use of LMT and CEA determination in the monitoring of patients after surgical removal of the primary tumor. A total of 320 patients, which were tested repeatedly, constituted the key group of the investigation: Of these, 56 patients developed recurrences or metastases whereas 217 patients showed no sign of reactivated disease. The group of patients with persistent absence of disease showed test profiles of either persistent negativity (50%) or conversion of one or both parameters; persistently positive profiles were rarely encountered. Patients with recurrences and metastases showed either positive profiles or conversion of positivity; only 3 patients were negative in both tests. However, despite significant disease-related response of the LMT, the test is not recommended as an adjunct to postsurgical monitoring, because of its technical complexity. PMID- 6572744 TI - Membrane lipids of hepatic tissue. II. Phospholipids from subcellular fractions of liver and hepatoma 7288CTC. AB - Phospholipids from homogenate, nuclei, mitochondria, endoplasmic reticulum (ER), plasma membrane (PM), and cytosol of liver and hepatoma 7288CTC (from inbred male BUF rats) were analyzed for their concentrations, fatty acid compositions of individual lipid classes, and levels of octadecenoate positional isomers. The phospholipid concentrations of hepatoma mitochondria and ER were less than 60% of liver values. Sphingomyelin concentrations were elevated dramatically in hepatoma nuclei, mitochondria, and PM. Hepatoma nuclei and mitochondria contained only 25% or less the concentrations of phosphatidylethanolamine (PE) as those of liver, whereas ER, PM, and cytosol fractions of hepatoma contained equal or greater concentration of PE than did the corresponding liver fractions. The fatty acid profiles of the individual lipid classes were somewhat characteristic of liver organelles but not of hepatoma. Lipid classes thought to be located preferentially on the outer bilayer of liver PM contained lower percentages of polyunsaturated fatty acids than did hepatoma PM. For hepatoma generally the lipid classes tended to exhibit a more uniform fatty acid profile among organelles, the polyunsaturated fatty acid percentages were decreased, and the octadecenoate percentages were increased. Octadecenoates isolated from individual lipid classes of organelles contained high levels of cis-vaccenate, in addition to oleate, and some class and organelle specificity was observed in liver. In contrast, hepatoma octadecenoates exhibited little class or organelle specificity, and much higher oleate concentrations were found in PM phosphatidylcholine, PM PE, and ER PE in hepatomas than in liver. PMID- 6572746 TI - Incidence of childhood tumors in Shanghai, 1973-77. AB - Data of the Shangai Tumor Registry were analyzed for incidence of cancer in children under 15 years of age, 1973-77. The incidence of all malignant neoplasms combined was 104.7 per million boys and 89.2 per million girls. Leukemia, brain tumors, and lymphomas comprised 70% of all childhood tumors in Shangai. Compared with U.S. whites, Shangai children had higher rates of myeloid leukemia and liver cancer and lower rates of lymphoid cancers and tumors of the kidney, eye, soft tissue, and testis. Effects of migration on tumor rates among Chinese children are largely unknown and merit additional study. PMID- 6572748 TI - Arsenic and respiratory cancer in humans: follow-up of copper smelter employees in Montana. AB - As a follow-up to an earlier study concerned with the role of arsenic in human carcinogenesis, the mortality experience during 1938-77 of 8,045 white male smelter employees in Montana exposed to arsenic trioxide was compared to that of the white male population of the same region. The excess mortality among smelter employees was due largely to respiratory cancer and diseases of the heart. Respiratory cancer mortality was analyzed with reference to period of first employment, length of employment, and degree of exposure to arsenic trioxide and sulfur dioxide. The excess in respiratory cancer was seven to eight times that expected among men first employed prior to 1925 who were heavily or moderately exposed to arsenic trioxide; it was more than four times that expected among men heavily exposed and first employed in 1925-47, and it decreased in direct proportion to degree of arsenic trioxide exposure. Inhaled arsenic trioxide was strongly implicated as the primary agent associated with the excess respiratory cancer, with sulfur dioxide perhaps enhancing the effect. PMID- 6572747 TI - Cancer in mothers of dizygotic twins. AB - For the determination of whether mothers of dizygous (DZ) male-female twins or other polyzygous (unlike sexed) multiple births have cancer incidence different from that of controls, a cohort study was conducted with the use of the records of the Connecticut Twin Registry and the Connecticut Tumor Registry (CTR). A total of 3,982 women born between 1885 and 1935 who had borne DZ (male-female) twins or who had experienced other polyzygous multiple births in Connecticut during 1925-59 and a control group of 3,982 women, matched pairwise on year of childbirth, age, number of previous children, race, and national origin, were searched in the CTR for the incidence of cancer of all sites. Women who have DZ twins have a higher level of gonadotropins than women in the general population. A hypothesis that mothers of DZ twins may have a higher incidence of breast cancers than other women was investigated; the results did not support the hypothesis. There was, however, an excess incidence of cancer of the pancreas among mothers of twins. The relative risk was 3.2 (P = 0.026, exact two-tail probability) with exact 95% confidence limits (1.12, 11.16). These results are consistent with findings from autopsy data which suggested that among women but not among men with pancreatic duct cell carcinoma, there is excessive gonadotropic activity. These results are also consistent with early findings of high follicle-stimulating hormone (FSH) in the urine of diabetics and high FSH in the urine of postmenopausal women. PMID- 6572749 TI - Relationship of cigarette smoking and radiation exposure to cancer mortality in Hiroshima and Nagasaki. AB - Cancer mortality among 40,498 Hiroshima and Nagasaki residents was examined in relation to cigarette smoking habits and estimated atomic bomb radiation exposure level. Relative risk (RR) models that are either multiplicative or additive in the two exposures were emphasized. Most analyses were directed toward all nonhematologic (ANH) cancer, stomach cancer, lung cancer, or digestive tract cancer other than stomach cancer, for which there were, respectively, 1,725, 658, 281, and 338 deaths in the follow-up period for this study. Persons heavily exposed to both cigarette smoke and radiation were found to have significantly lower cancer mortality than multiplicative RR models would suggest for ANH cancer, stomach cancer, and digestive tract cancer other than stomach cancer. Surprisingly, the RR function appeared not only to be submultiplicative for some of these cancer site categories but also may be subadditive. The lung cancer RR function could not be distinguished from either a multiplicative or an additive form. The number of deaths was sufficient to permit some more detailed study of ANH cancer mortality: RR functions appeared to be consistent between males and females, though a paucity of heavy smoking females limits the precision of this comparison. The submultiplicative nature of the RR function mentioned above was particularly pronounced among persons who were relatively young (less than or equal to 30 yr of age) at the time of radiation exposure. The RR function for these younger subjects depends strongly on both radiation and cigarette smoke exposure levels. Even light smoking (approximately 5 cigarettes/day) for an extended period of time was associated with a large estimated RR. Implications of these findings are discussed in relation to human carcinogenesis models. As a byproduct, cancer mortality of several sites is significantly related to radiation exposure in this population, after accommodation for the possible confounding effects of cigarette smoking. PMID- 6572750 TI - Characteristics of colon cancer patients reported in population-based tumor registries and Comprehensive Cancer Centers. AB - The characteristics of colon cancer tumors diagnosed in patients seen at hospitals participating in the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) Program and at Comprehensive Cancer Centers (CCC's) belonging to the Centralized Cancer Patient Data System (CCPDS) are compared. There were identified among cases diagnosed between July 1, 1977 and December 31, 1978, the first 18 months of registration for the CCPDS centers. A higher proportion of CCPDS colon tumors were diagnosed in black patients, 15.4% versus 6.8% for SEER, reflecting the urban location of many CCC's. The CCPDS has proportionally fewer patients aged 75 years or older, and a median age of 67.5 years versus 70 years for the SEER cases. Although surgery alone was the major form of therapy for both CCPDS and SEER patients with colon tumors, higher percentages of CCPDS patients than SEER patients were treated by chemotherapy alone or by modalities other than surgery, chemotherapy, and radiotherapy, particularly those with later stages of the disease. Few disagreements existed between the 2 groups in distribution by segment of the colon, stage, and histologic type. Few differences were found that would render invalid future comparative analyses of patient survival between the two data systems once adequate follow-up information is available. Such an evaluation may be a valuable instrument in measuring whether improvements in cancer patient management being developed at CCC's are, in fact, "filtering down" to the general series of colon cancer patients. PMID- 6572751 TI - Trends in cancer incidence in Cali, Colombia. AB - Trends in cancer incidence from 1962 to 177 provided by the cancer registry of Cali, Colombia, are presented. A decline in rates of cancer of the oral cavity, esophagus, and larynx, has coincided with an increase in the rates of lung cancer in women of all ages and in men over 65 years of age. No such rise in lung cancer has been detected in young males. Colon cancer incidence has increased, and a larger proportion of tumors in later years is concentrated around the sigmoid colon. Cervical cancer incidence has declined, but carcinoma in situ of the cervix is being more frequently diagnosed probably as a consequence of vaginal cytology screening programs. Similarities of these findings with those of Puerto Rico and contrasts with trends in the United States and Europe are discussed. PMID- 6572752 TI - A new human breast carcinoma cell line (PMC42) with stem cell characteristics. I. Morphologic characterization. AB - A new human breast carcinoma cell line (PMC42) was established from a pleural effusion from a woman with metastatic breast cancer. The cells were significantly pleomorphic even after 3.5 years in continuous culture. Eight different cell types could be characterized morphologically in monolayer culture. Cells cloned in agar and replated in monolayer culture were equally heterogenous. Cells also grew in suspension in papillary clusters that structurally resembled glandular organoids. Electron microscopy confirmed the differentiated structure of these cells in which many of the features of lactating breast tissue were evident. It is proposed that this is a culture derived from a malignant breast stem that has retained its ability to differentiate in vitro. PMID- 6572753 TI - Surveillance, epidemiology, and end results lung cancer data applied to the World Health Organization's classifications of lung tumors. AB - Less than 1% of the lung cancer cases from the Surveillance, Epidemiology, and End Results (SEER) Program changed categories as a result of the World Health Organization's revision of histologic classifications of lung tumors. Of the 28,119 microscopically proved lung cancers reported to SEER in 1977-79, 32% were squamous cell carcinoma, 16% were small cell and/or oat cell carcinoma, 27% were adenocarcinoma, 8% were large cell carcinoma, and 5% were other specified types. A further 12% (approximately 3,500 cases) were reported with such nonspecific terms as bronchogenic carcinoma, carcinoma of the lung, and undifferentiated or anaplastic carcinoma. The magnitude of the use of these nonspecific terms showed the need for greater precision in reporting and recording data. PMID- 6572754 TI - Complementation of the tumorigenic phenotype in human cell hybrids. AB - Several combinations of human tumor cell lines were fused together. Hybrid populations formed from fusions between carcinoma x carcinoma and carcinoma x lymphoblastoid remained highly tumorigenic. However, suppression of tumorigenic potential was seen in carcinoma x sarcoma and carcinoma x melanoma hybrid populations. These results suggest that complementation of the tumorigenic phenotype can occur and that at least 2 different complementation groups may be involved. PMID- 6572755 TI - Diet and gastric cancer: nutrition survey in a high-risk area. AB - A nutrition survey was done in four Colombian villages situated in the rural area of Narino, previously identified as exhibiting different levels of risk for gastric cancer and its precursor lesions. The survey was based on personal visits by trained interviewers to a random sample of families in each village. The major findings of the survey reflected a higher consumption of fava beans in villages with high indices of gastric cancer risk and a higher consumption of fresh fruits and vegetables in villages where such indices were lower. Excessive salt intake and lower potassium intake in villages with a high risk of gastric cancer were suggested, but further work is required to test this preliminary observation. A generally low intake of animal proteins and a high intake of cereals in Narino did not discriminate between villages at different levels of risk to gastric cancer and its precursors. PMID- 6572756 TI - Human blood group isoantigen expression on normal and malignant gastric epithelium studied with anti-A and anti-B monoclonal antibodies. AB - Variation in human blood group isoantigen expression on normal and malignant gastric epithelium was demonstrated with monoclonal antibodies to blood groups A and B in an indirect immunoperoxidase technique. The expected isoantigen expression was demonstrated on endoscopic biopsy specimens of normal gastric mucosa from 11 patients. Of 17 patients with gastric carcinoma (blood group A, 15; blood group AB, 2), complete loss of isoantigen expression was noted in 6 (35%). In these 6 patients, blood group isoantigen remained both in the adjacent uninvolved mucosa and at the margin of resection. The loss of isoantigen did not appear to be related to the degree of differentiation within the tumor, to the secretor status of the patient, or to the blood subgroup. Lymph node metastases reflected the isoantigen status of the primary tumor, being positive in 5 of 6 expression in all 17 patients or in an additional 15 patients studied with blood group O. These findings were discussed in the light of previously reported work on the localization of blood group isoantigens on malignant and nonmalignant gastric epithelium with the use of conventional antisera and a variety of immunohistologic techniques. PMID- 6572757 TI - Diet in the epidemiology of carcinoma of the prostate gland. AB - In vivo, in vitro, prospective, and retrospective epidemiologic inquiries have suggested that retinoids inhibit cancer, and fats have been hypothesized to enhance and ascorbic acid to reduce cancer risk. Comparison of 260 patients from Buffalo with cancer of the prostate gland was made with two different control series of similar size and age distribution. Regardless of the control group, risk of prostate cancer gained with increases in ingestion of retinoids, animal fats, and vitamin C. These anomalous findings may be due to peculiarities in methodology. From the possible specificity of effect of the nutrients studied, as shown in experimental animals and in vitro, a hypothesis could be made that a substance like vitamin A or C, which may inhibit certain cancers, also may enhance risk of other cancer types or have neither effect. PMID- 6572758 TI - Cancer patient survival: Surveillance, Epidemiology, and End Results Program, 1973-79. AB - Data from the Surveillance, Epidemiology, and End Results (SEER) Program of the National Cancer Institute were used in the evaluation of cancer patient survival experience for almost 10% of the U.S. population. This first report contains actuarial (life table) survival analysis on 368,263 patients with first primary cancer diagnosed in 1973-79 from nine SEER areas: the entire States of Connecticut, Iowa, New Mexico, Utah, and Hawaii and the metropolitan areas of Atlanta, Detroit, San Francisco, and Seattle. Both observed and relative survival rates were shown for whites and blacks, sex, age, primary site, and time period (each yr, 1973-78). The largest racial difference in survival was for cancer of the corpus uteri: 87% 5-year relative survival rate for white females versus only 54% for black females. Survival rates varied considerably by primary site. For most sites, as age increased the relative and observed survival rates decreased. Analysis of relative survival rates by ech year of diagnosis, 1973-78, and for each year following diagnosis suggested increasing rates for cancers of the colon, lung, and prostate gland, whereas there were no definite increases for cancers of the female breast and corpus uteri. A dramatic increase in survival from acute lymphocytic leukemia was found for children under 15 years of age, with the 4-year relative survival rate increasing from 51% among those diagnosed in 1973-75 to 65% for those diagnosed in 1976-78. PMID- 6572759 TI - Prognostic factors in feline mammary carcinoma. AB - Feline mammary carcinoma and canine mammary cancer were evaluated as models for future experimental therapy. Those tumor characteristics known to be of special prognostic significance in human mammary cancers were tested for their prognostic significance in the cat and were compared with those in the dog. The statistical analysis presented is based on a prospective follow-up study of 202 cats treated surgically by mastectomy and by block dissection. Thirty-five factors (general, anamnestic, clinical and histologic data, and data on therapy) were analyzed for relationships with survival, with local recurrence, and with each other. Of the 17 significant relationships found between survival and the direct factors, only 7 remained significant after correction. The factors that related to survival independently of each other were age, diameter of the primary tumor, presence of tumor-positive lymph nodes as judged by microscopic examination, number of mitotic figures, necrosis of the primary tumor, and histologic verification of completeness of surgical treatment. The value of statistical analysis for use in prospective studies of human mammary cancer is discussed. PMID- 6572760 TI - Increased erythropoietin sensitivity after in vitro transformation of hematopoietic precursors by RNA tumor viruses. AB - Two strains of Friend virus differ in their in vivo actions in that one strain induces anemia (FVA), while the other induces polycythemia (FVP). This study characterizes differences in the in vitro effects of these viruses on hematopoietic cells of (BALB/c x DBA/2)F1 mice. Both variants induced erythroid bursts that proliferated and differentiated without added erythropoietin (EPO). However, while the bursts induced by FVP were well "hemoglobinized" (i.e., most cells contained hemoglobin), the cells of FVA-induced bursts contained little or no hemoglobin. The nonhemoglobinized bursts, induced by FVA, were established to be erythroid by cytochemistry, electron microscopy, and hormone sensitivity. FVA induced cells appeared to be hypersensitive to EPO, since small concentrations of the hormone produced marked increases in hemoglobin production--even when the hormone was added to the culture 3 days post infection. Time-lapse photography documented that EPO stimulated hemoglobin synthesis in virally transformed cells rather than uninfected erythroid precursors. This observation of FVA-induced hypersensitivity prompted the reexamination of the hormone requirements of FVP induced bursts--previously considered to be EPO-independent. Reduction of the serum in the cultures allowed the demonstration that FVP-induced erythroid cells also were hypersensitive to EPO. Thus FVA and FVP can be readily distinguished in vitro by the relative EPO sensitivity of virus-induced bursts. From these findings, a hypothesis is drawn: i.e., oncogenic transformation may result from increased sensitivity of progenitor cells for natural, physiologic regulators, and transformation is not necessarily accompanied by a block in differentiation. In addition, since hypersensitive virus-induced bursts could be recognized and picked from the cultures, these studies provide a method for obtaining highly purified erythroid precursors for the study of the regulation of terminal differentiation by EPO and other regulatory factors. PMID- 6572761 TI - Efficacy of chemotherapeutic treatment of guinea pig hepatoma reflected in host's serum lipid composition. AB - A correlation was found between the highly polar phospholipid (HPPL) content of serum lipids and the growth and metastasis of the line-10 hepatoma in strain 2 guinea pigs. Animals whose tumors were treated by intralesional injection of decarbazine (DTIC) or saline showed progressive tumor growth and metastasis resulting in death within 120 days of tumor implantation. The percent HPPl in the serum lipids of these animals rose to 40% by 80 days and remained elevated above 20-25% until death. Animals whose tumors were treated by intralesional injection of adriamycin were either cured of their tumors (67%) or showed little or no tumor growth. The percent HPPL in the serum lipids of these animals remained between 3 and 12% at all times. Adriamycin or DTIC injected into non-tumor bearing animals resulted in an HPPL content of serum lipids that was not significantly different from that of control, saline-inoculated animals. PMID- 6572762 TI - Basic lead acetate: promoting effect on the development of renal tubular cell tumors in rats treated with N-ethyl-N-hydroxyethylnitrosamine. AB - The development of renal tubular cell tumors by the end of experimental week 32 was studied in inbred Wistar male rats fed a diet containing 1,000 or 500 ppm N ethyl-N-hydroxyethylnitrosamine (EHEN) for 2 weeks and then given 1,00 ppm basic lead acetate (LA) for 20 weeks. A low dose of LA enhanced the development of renal tubular cell tumors in rats treated with EHEN and increased the number and size of the tumors. The incidence of renal tubular cell tumors at the end of week 32 was 50% in rats treated with 1,000 ppm EHEN for 2 weeks and 100% in rats treated with 1,000 ppm EHEN for 2 weeks and then given 1,000 ppm LA for 20 weeks. The incidences of renal tumors of more than 3 mm in diameter were 70% in rats treated with 1,000 ppm EHEN plus LA and 0% in rats treated with EHEN or LA alone. The low dose of LA showed the enhancing effect of the development of renal tubular cell tumors in rats treated with a subthreshold dose of 500 ppm EHEN. PMID- 6572763 TI - Immunoprophylaxis of an ocular solid malignant tumor in cattle. AB - Individual Hereford cows bearing benign precursor lesions of ocular squamous cell carcinoma were treated by intralesional injection of mycobacterial cell walls in an oil-in-water emulsion in an attempt to interrupt neoplastic progression. Thirty-one months after treatment, statistical analysis of data indicated that intralesional BCG cell wall vaccine can interrupt this process and provides effective immunoprophylactic prevention of malignant disease. PMID- 6572764 TI - A ten year community hospital experience with abdominal aorta aneurysms. PMID- 6572765 TI - Coronary heart disease and stroke mortality in South Carolina: geographical and temporal trends. PMID- 6572766 TI - Clonorchiasis/opisthorchiasis in South Carolina. PMID- 6572767 TI - Fine needle aspiration cytology. PMID- 6572768 TI - The effect of cell damage on the density and steroidogenic capacity of rat testis Leydig cells, using an NADH exclusion test for determination of viability. AB - The ability of cells to exclude pyridine nucleotides was found to be a more sensitive index of cell viability than trypan blue. The three nucleated cell bands obtained by centrifugation of crude rat testis cells on Percoll density gradients contained different proportions of viable and damaged cells. Band III, the steroidogenically active Leydig cell band was mainly viable cells, whilst bands I and II contained 70 and 35% damaged cells respectively. Leydig cells damaged by freezing were shown to have a lower density than viable Leydig cells and did not produce testosterone after stimulation with LH. It is concluded that the methods used to prepare and purify rat testis Leydig cells contribute to the apparent Leydig cell "heterogeneity". PMID- 6572769 TI - Purification of a pregnenolone-binding protein in the soluble fraction of the guinea-pig adrenal cortex: differentiation from pregnenolone sulfotransferase. AB - A pregnenolone-binding protein has been purified from the 235,000 g soluble fraction of the guinea-pig adrenal cortex. The binding protein had an apparent molecular weight of 34,000 when analyzed by sodium dodecyl sulfate-polyacrylamide gel electrophoresis. Since the functional status of the pregnenolone-binding protein is not known, a search for intrinsic catalytic activity was made. Because the binding protein is known to be a soluble protein consideration of a soluble enzyme activity was made which led to an investigation of the enzyme 3B-steroid sulfotransferase. Pregnenolone sulfotransferase activity, however, which was present in the soluble fraction, was found to be distinguishable from the pregnenolone-binding protein. Although the physicochemical distinction between these two factors was consistently noted with numerous experiments, it is speculated that there may exist a specific functional interaction between them. It was particularly interesting that both factors were concentrated in the inner cortical zone. PMID- 6572770 TI - Cloning of "marker" cDNA's: perspectives in clinical and experimental endocrinology. PMID- 6572771 TI - Skip metastases in osteosarcoma: recent experience. AB - Osteosarcoma associated with a skip metastasis (SM) is a rare occurrence. The impact of modern chemotherapy on this entity has not been previously reported. This paper presents three cases treated by primary amputation and postoperative chemotherapy. All patients developed typical pulmonary and subsequent bony metastases. The average disease-free interval was 6.7 months. None appeared to benefit either from intensive chemotherapy or thoracotomy. The disease disseminated extensively in all three patients without radiologic or clinical response to the varied chemotherapeutic or additional surgical procedures. We conclude that a SM is a grave prognostic sign despite modern adjuvant modalities and suggest that a different therapeutic strategy is required. PMID- 6572772 TI - Terminal deoxynucleotidyl transferase in acute myeloid leukaemia. AB - Between January 1980 and May 1981, 1966 marrow or blood samples from leukaemia patients were tested for terminal deoxynucleotidyl transferase (TdT) using nuclear immunofluorescence. The cells were also tested with a panel of immunological markers including monoclonal antibodies. Of 869 TdT positive cases detected, 555 were diagnosed as ALL and 32 as blast crisis of CGL; 226 were provisionally diagnosed as 'acute leukaemia' and finally diagnosed as ALL partly on the basis of immunological data; 56 TdT+ cases were provisionally diagnosed as acute non-lymphocytic or myeloid leukaemia; 266 cases of AML and 177 cases of CGL in blast crisis were TdT negative. Eleven of the above 'AML' cases were anti cALL+ as well as TdT+ and were re-diagnosed and treated successfully as cALL. The remaining 45 were anti-cALL negative and finally diagnosed and treated, at least initially, as AML. Eleven of these cases had only 5-10% TdT+ cells which could have been normal, non-myeloid cells. Twenty cases had 11-50% TdT+ cells and 14 cases had 50-100% TdT+ cells. Of these latter two groups, details on 28 patients were available for evaluation. Three cases on review had no definitive myeloid cytochemistry and were haematologically AUL with a null-ALL phenotype (TdT+ DR+ cALL-). In 14 cases there was a large overlap (greater than 75%) of the proportion of cells with myeloid cytochemistry (Sudan black, peroxidase or esterases) and TdT; individual blast cells were therefore expressing these markers concurrently. In the remaining cases, mixtures of TdT negative myeloid and TdT+ (lymphoid?) cells may have coexisted although this was not proven unequivocally. Twenty-two cases of newly diagnosed TdT+ 'AML' received induction chemotherapy for AML (DAT regime) and only six (37%) obtained a complete remission. It is concluded that TdT positive 'myeloid' leukaemias do occur, albeit infrequently (approx. 5%) and may have a relatively poor prognosis. PMID- 6572773 TI - Recognition of drug resistance during remission induction therapy for acute non lymphocytic leukemia: utility of day 6 bone marrow biopsy. AB - While the majority of patients under 70 years of age with acute non-lymphocytic leukemia enter remission when treated with a combination of cytosine arabinoside and an anthracycline antibiotic, 20-45% of patients do not. The reasons for treatment failure in these patients vary from drug resistant disease to death from infection or bleeding shortly after remission induction therapy is initiated. Clearly, more intensive remission induction therapy should be administered only to those patients for whom the therapy being employed is of insufficient intensity. Bone marrow biopsies after six days of therapy have been performed on 53 patients who received 65 courses of remission induction therapy. Eighty-eight per cent of the remissions occurred in patients whose marrow cellularity was less than 62.5% on day 6 while 78% of patients who had drug resistant disease had day 6 marrow cellularities which exceeded 62.5%. Hence, a bone marrow biopsy performed after six days of therapy permits the recognition of the majority of patients who will enter complete remission or alternatively who need more aggressive therapy. PMID- 6572774 TI - Osteosarcoma of extragnathic craniofacial bones. AB - Osteosarcomas of extragnathic craniofacial bones--those bones of the skull excepting the jaw bones--are rare lesions, constituting fewer than 2% of all osteosarcomas. In our series of 21 patients (12 male and 9 female), the ages ranged from 6 to 77 years, and 10 patients were in the third or fourth decade of life. At least six patients had predisposing conditions: Paget's disease of bone in three and prior regional irradiation in three. Most of these tumors were high grade lesions, and most were extensive when treated. There were 11 osteoblastic, 6 fibroblastic, and 1 small cell variant; 2 lesions had features resembling malignant fibrous histiocytoma. One tumor, originally interpreted as grade 4 osteosarcoma, was unavailable for variant classification. Surgical removal, irradiation, and chemotherapy were used in treatment, alone or in combination. Only two patients survived 5 years, and one of these patients died of her disease after 65 months. Almost half of our patients died within 1 year after diagnosis. The one long-term survivor (12 years) underwent a radical surgical procedure when her tumor was small; this was the only patient in this series who had a low-grade lesion. Because of the characteristics described, osteosarcoma of extragnathic craniofacial bones must be considered a distinct disease. PMID- 6572775 TI - "How i do it"--head and neck and plastic surgery. A targeted problem and its solution. Automatic ventilation for suspension laryngoscopy. PMID- 6572776 TI - Autoreceptor-mediated inhibition of 3H-5-hydroxytryptamine release from rat brain cortex slices by analogues of 5-hydroxytryptamine. AB - Rat brain cortex slices preincubated with 3H-5-hydroxytryptamine (3H-5-HT) were superfused with physiological salt solution containing paroxetine, an inhibitor of 5-hydroxytryptamine (5-HT) uptake. The effects of various indolethylamines on the electrically evoked tritium overflow (containing 66.3% unmetabolized 3H-5-HT) were investigated (the percentage of unmetabolized 3H-5-HT was not altered by the indolethylamines or metitepin). 6,7-Dihydroxytryptamine (6,7-DHT) did not affect the stimulation-evoked tritium overflow, whereas the latter was inhibited by the other tryptamine derivatives investigated; when the compounds were compared to each other on the basis of their inhibitory potencies the following rank order was obtained: unlabelled 5-HT greater than 5-methoxytryptamine greater than 4-HT greater than 6-HT greater than 5,6-DHT greater than tryptamine greater than 7-HT greater than 5,7-DHT. The inhibitory effects of these compounds were antagonized by metitepin. It is concluded that the indolethylamines inhibit the stimulation evoked 3H-5-HT release by activating the presynaptic 5-HT autoreceptors on the 5 HT neurones of the rat brain cortex. Similarities may exist between these receptors and the postsynaptic 5-HT1 binding sites of this brain area. PMID- 6572777 TI - Prolonged second remissions in childhood acute lymphocytic leukemia: a report from the Childrens Cancer Study Group. AB - To date, median duration of second and subsequent remissions in childhood acute lymphocytic leukemia (ALL) has been short, with most studies reporting median remission duration less than 6 months. In May 1979, the Childrens Cancer Study Group (CCSG) undertook a pilot study to assess the efficacy of a vincristine, methotrexate, and L-asparaginase regimen (modified Capizzi) for maintenance in children with ALL in second or subsequent remission. Thirty patients were treated with this maintenance regimen. By life table analysis, predicted median duration of hematologic remission was 57 weeks. Ten patients (33%) were in continuous hematologic remission at 1 year and three (10%) continue in remission greater than 2 years from maintenance onset. Major toxicity included leukoencephalopathy in four patients, three of whom had experienced at least one central nervous system relapse prior to study entry. Allergic reactions to Escherichia coli L asparaginase were common. Nine of 30 patients experienced at least one CNS relapse during therapy. We conclude that a modified Capizzi regimen is the most effective regimen reported to date for maintaining second and subsequent remission in childhood ALL. CCSG is currently utilizing this regimen in an ongoing open study. PMID- 6572778 TI - Growth in children with acute lymphocytic leukemia: a Pediatric Oncology Group study. AB - We have studied 127 children from 5 participating institutions as to the effect of acute lymphoblastic leukemia (ALL) or the therapy used in the treatment of ALL on growth, growth hormone concentrations, and somatomedin activity. The study (SWOG No. 7581) was initiated in December 1975 and was closed to new entry in September 1979 and to data collection in February 1981. Heights, weights, and blood samples for growth hormone and somatomedin activity were obtained at the time of initial diagnosis and at intervals during the 55 months of observation. The percentage of boys less than 4 years of age below the 50th percentile is significantly greater than the expected 50% for both initial and final height (P less than 0.01). Girls less than 4 years appeared to have significantly different percentile height distribution from the normal for their final height measurement (P less than 0.05) but not for their initial height measurement. No other significant differences in the percentile height distribution were found. When growth rate, since time of diagnosis of ALL, is compared to the expected growth of normal children of the same age by linear regression analysis, there is a difference in the slope of the lines. Children with ALL are significantly shorter. The mean initial growth hormone and somatomedin concentration, 6.2 ng/ml and 1.3 micrograms/ml, respectively, vs mean remission growth hormone and somatomedin of 2.5 ng/ml and 1.1 micrograms/ml, respectively, were different. This was significant at P less than 0.01. The slope of the computed regression lines for multiple analysis of growth hormone and somatomedin were negative for more than 60% of the patients when compared to the initial concentration. These data suggest that a significant number of the children less than 4 years of age are short prior to the onset of therapy, and this persists throughout the course of their disease. Second, there is a reduction in growth rate during intensive therapy or the first year of the disease, with a normal growth rate thereafter. Third, growth hormone and somatomedin concentrations appear to be higher at the time of onset of the disease and decrease while on therapy. PMID- 6572779 TI - Results of treatment of high risk childhood acute lymphoblastic leukemia. AB - Sixteen children with high risk acute lymphoblastic leukemia (ALL) who had one or more of the following risk factors: white cell count over 50 X 10(9)/liter, mediastinal mass, age under 2 or over 10 years, extramedullary involvement, or T cell markers, were treated by a new protocol. All attained complete remission and 11 are still in their continuous first remission for 6-53 months. High activity of adenosine deaminase (ADA) in the leukemic cells seems to be an independent risk factor, as in the high ADA level group, 4 out of 7 patients relapsed and died, while none of the 8 patients with low ADA levels relapsed or died. PMID- 6572780 TI - A new chromosomal abnormality in a patient with acute myelomonocytic leukemia. AB - We report a 15-month-old boy with acute myelomonocytic leukemia [French-American British classification M4 (FAB-M4)] whose leukemic cells demonstrated a translocation 46,XY, t(9;11)(p24;q12) that has not been described previously. PMID- 6572781 TI - Treatment of adult acute lymphoblastic leukemia with adriamycin, vincristine, and prednisone. AB - At the present time, it is possible to achieve up to a 95% complete remission in childhood acute lymphoblastic leukemia, using the combination of vincristine and prednisone. Nevertheless, it has not been possible to reproduce these results in the adult. For this reason, a third drug, in this case adriamycin in a low dose, was added to the vincristine-prednisone combination in the treatment of adult acute lymphoblastic leukemia (ALL). Complete remission was achieved in 45 of the 50 patients (90%). The median duration of remission was 23 months and the median survival time in this group was 31 months. The complications were minimal and the tolerance was good. From the point of view of our results and others reported in the literature, we consider that the combination of vincristine, prednisone, and adriamycin is a useful method for induction of remission of adult ALL. PMID- 6572782 TI - Therapeutic leukapheresis for hyperleukocytosis in acute myelocytic leukemia. AB - Twenty-two patients with newly diagnosed acute myelocytic leukemia (AML) and white cell counts (WBC) greater than 100,000/microliters received one, two, or three leukaphereses prior to induction chemotherapy with cytosine arabinoside (Ara-C) and daunorubicin (DNR). Fifteen of 22 (68%) achieved a complete remission. Greater than a 30% decrease in initial WBC was found to be an important predictor of response. Fifteen of 17 patients (88%) with greater than 30% reduction of initial WBC achieved remission, while none of 5 patients with less than a 30% reduction responded (P = 0.001). PMID- 6572783 TI - Intermittent combination chemotherapy with or without bacillus Calmette-Guerin for treatment of acute lymphoblastic leukemia of childhood. AB - Seventy-four children ranging in age from 6 months to 17.5 years with acute lymphoblastic leukemia newly diagnosed between 1976 and 1979 were entered on a study incorporating intermittent chemotherapy with or without the addition of bacillus Calmette-Guerin (BCG). The chemotherapy program consisted of induction with vincristine, dexamethasone, and intrathecal methotrexate, intensification with adriamycin and asparaginase, central nervous system treatment with cranial irradiation and intrathecal methotrexate, and continuation treatment with 5-day courses of combination chemotherapy administered every three weeks. The first phase of continuation therapy incorporated vincristine, adriamycin, 6 mercaptopurine, and dexamethasone. In the second phase, oral methotrexate was substituted for the adriamycin in non-T-cell patients; in T-cell patients, cytosine arabinoside or cyclophosphamide and methotrexate in alternating cycles were substituted for the adriamycin and asparaginase was added. Total duration of therapy was approximately 2.5 years. Connaught BCG was administered by Heaf gun on days 8 and 15 of each 3-week cycle for the first 8 months of treatment in approximately one-third of the patients. Actuarial disease-free survival with a median follow-up of 59 months shows no difference in outcome between the BCG and non-BCG poor-risk patients. However, there is an improvement in disease-free survival of BCG-treated good- and average-risk girls (P = 0.04). While patients were actively receiving BCG there was also a trend toward the development of fewer significant infections than when patients were not receiving BCG (P = 0.85). Toxicities from BCG administration included satellite rashes, local tenderness, lymphadenopathy, secondary infection, and residual scars. Overall disease-free survival by actuarial analysis is 60% at 6 years; for patients with unfavorable prognostic features it is 40%. In this trial the addition of BCG prolonged the disease-free survival of girls with good- and average-risk prognostic features and also may have decreased the susceptibility to infection while it was being administered. However, the benefit does not appear sufficient to warrant its routine use, especially in view of the toxicities encountered. PMID- 6572784 TI - Transcriptional and post-transcriptional regulation of globin gene accumulation in murine erythroleukemia cells. AB - The mechanism responsible for the accumulation of newly synthesized alpha- and beta-globin mRNA in the cytoplasm of induced murine erythroleukemia cells was examined by nuclear mRNA nascent chain elongation (run-off transcription). Hexamethylenebisacetimide, a potent inducer of murine erythroleukemia cell differention, induced high levels of both alpha- and beta-globin gene transcription within 48 to 72 h in culture. Butyric acid, a modest inducer of murine erythroleukemia cells, induced a somewhat lower level of globin gene transcription. With both inducers, alpha-globin transcriptional rates exceeded those of beta-globin. Hemin, on the other hand, showed no detectable increase over the basal rate observed in uninduced cells, even at a time (48 h) when newly synthesized globin mRNA was accumulating in the cytoplasm. These results suggest that there are at least two mechanisms responsible for regulating alpha- and beta globin structural gene expression in induced murine erythroleukemia cells and that the mechanisms involved are inducer dependent. Hexamethylenebisacetimide and butyric acid increase the rate at which globin genes are transcribed, but hemin appears to allow constitutive levels of transcripts to accumulate. PMID- 6572786 TI - Variable bioavailability of oral mercaptopurine. Is maintenance chemotherapy in acute lymphoblastic leukemia being optimally delivered? PMID- 6572787 TI - US recombinant DNA. Green light for plant field-trials. PMID- 6572788 TI - An interdisciplinary approach for consultation on multiproblem patients. PMID- 6572789 TI - Successful pediatric primary care in a public health setting. PMID- 6572785 TI - Effect of estrogen/progestin potency on lipid/lipoprotein cholesterol. AB - We studied 374 women taking oral contraceptives, 284 women taking estrogen preparations after menopause, and 1086 women taking no hormones, to determine the relation of plasma lipids and lipoprotein cholesterol concentrations to various types of estrogen/progestin formulations. Premenopausal women, using oral contraceptives containing a relatively low dose of estrogen combined with a medium or high dose of progestin (Norlestrin, Ovral, or Demulen) had a 24 per cent higher median concentration of low-density-lipoprotein cholesterol than did those not using hormones (P less than 0.05). Women using oral contraceptives that are high in estrogen and low in progestin (Enovid or Oracon) had significantly higher concentrations of high-density-lipoprotein cholesterol than did nonusers; those using Ovral, a low-estrogen and high-progestin formulation, had significantly lower levels of high-density-lipoprotein cholesterol. In postmenopausal women the use of estrogen was associated with concentrations of low-density-lipoprotein cholesterol that were 11 to 19 per cent below the levels in postmenopausal women who did not use hormones. The effects of estrogen progestin balance on low-density and high-density lipoproteins may underlie the increased incidence of stroke and myocardial infarction in women of childbearing age who take oral contraceptives. PMID- 6572790 TI - Sterilization and the mentally handicapped person. PMID- 6572791 TI - Toxic encounters of the dangerous kind. "Yes, Virginia, there is no tooth fairy"- clonidine poisoning. PMID- 6572792 TI - [Social factors leading to total tooth loss. A description of the case procedure in a public dentistry study]. PMID- 6572793 TI - [New directives for endocarditis prophylaxis]. PMID- 6572794 TI - [Vertical ramus osteotomy]. PMID- 6572795 TI - [The influence of the occlusion on jaw positions]. PMID- 6572796 TI - [The development of a new dental curriculum at the Free University]. PMID- 6572797 TI - [Oral photography for general practice]. PMID- 6572798 TI - The flush syndrome: an expression of systemic mastocytosis with increased prostaglandin D2 production. PMID- 6572799 TI - Reversible coma due to hypokalaemia in a patient treated for acute leukaemia. PMID- 6572800 TI - Pressor responses to central angiotensin II, prostaglandin E1 and prostaglandin E2. Effects of ovarian steroids. AB - The effects of ovarian steroids on baseline blood pressure and on changes of mean arterial pressure in response to centrally administered angiotensin II, prostaglandin E1, and prostaglandin E2 were examined. Ovariectomized rats treated with estradiol or progesterone showed no change of resting blood pressures relative to oil-treated, ovariectomized controls. Intracerebroventricular injections of prostaglandin E1, prostaglandin E2 or angiotensin II produced significant elevations of arterial pressure of oil-treated rats. Either estradiol or progesterone treatment significantly attenuated pressor responses to prostaglandin E1 but not to prostaglandin E2 or angiotensin II injections. The duration of the blood pressure increase of estradiol-treated rats in response to angiotensin II was reduced when the animals did not have access to drinking water during the pressure monitoring session but not when water was available. These results suggest that the effects of ovarian steroids in modulating pressor responses are dependent on the particular factors which initiate the pressure increases. Possible mechanisms underlying this ovarian-steroid action are discussed. PMID- 6572801 TI - Quadriplegia secondary to hematoma after lateral C-1, C-2 puncture in a leukemic child. AB - Epidural, subdural, and intramedullary hemorrhage developed after lateral cervical (C-1, C-2) puncture in a thrombocytopenic patient with meningeal leukemia and increased intracranial pressure. Aggressive platelet support before the procedure did not prevent the hemorrhagic complication. Complete recovery from total motor paralysis with respiratory arrest followed immediate surgical decompression and continuing platelet support. The potential dangers of otherwise minor procedures in compromised patients are reiterated. Neurological recovery as seen here argues for immediate surgical intervention with the development of such potentially life-threatening events. PMID- 6572802 TI - Age-based nursing units for children in hospital: viewpoint. PMID- 6572803 TI - The effect of the accident compensation scheme on claims for damages against doctors and nurses. PMID- 6572804 TI - Toxic shock syndrome in male. PMID- 6572805 TI - Compliance with mammography referrals. Implications for breast cancer screening. PMID- 6572806 TI - The quality of life in patients with cancer. A survey at one treatment center. PMID- 6572807 TI - Transduodenal endoscopic decompression of obstructed bile ducts. PMID- 6572808 TI - Unilateral asterixis. Clinical significance of the sign. PMID- 6572809 TI - Medical problems at a summer camp. PMID- 6572810 TI - Summer research training program in biomedical sciences. PMID- 6572811 TI - West Indian patients. Care in United States a challenge. PMID- 6572812 TI - Electrocardiograms of the month: atrial fibrillation and myocardial infarction. PMID- 6572813 TI - Mass in left hemithorax. PMID- 6572814 TI - Oropharyngeal tularemia. PMID- 6572815 TI - The return of the perilous prune pit. PMID- 6572816 TI - Mucoid impaction of bronchus proximal to bronchogenic carcinoma. PMID- 6572817 TI - Fibromuscular dysplasia of internal carotid arteries. With Doppler ultrasonic studies. PMID- 6572818 TI - Moyamoya disease. PMID- 6572819 TI - Primary lymphoblastic lymphoma of the ileocecal valve. Manifesting as an ileocecal intussusception. PMID- 6572820 TI - Fibrosing mediastinitis. Causing pulmonary artery and vein obstruction with hemoptysis. PMID- 6572821 TI - Hemolytic disease of newborn due to anti-Duffy (Fya). PMID- 6572822 TI - Mortality attributable to smoking in New Zealand. AB - Relative risks for mortality due to various smoking related diseases were derived from a review of the literature on the epidemiology of smoking related illness. These were used, together with the New Zealand 1976 census data on smoking habits and the National Health Statistics mortality data, to derive the proportion of deaths which can be attributed to cigarette smoking. The results indicate that about 15 percent of deaths in New Zealand (3693 deaths annually) are attributable to smoking. This is comprised of 19 percent of all male deaths and 8 percent of all female deaths in 1976. PMID- 6572823 TI - Mortality associated with alcoholism in New Zealand. AB - Rates of mortality were determined in patients attending an alcoholic assessment centre. The study group comprised 1068 patients, studied for a mean of 1.5 years after referral. A total of 50 deaths occurred, being four times the expected death rate in the general population. Significantly increased mortality rates were found for deaths from cirrhosis, other digestive disease, cardiovascular disease, neoplasms, trauma and alcoholism. In 15 patients death was due to definite alcohol-related causes. PMID- 6572824 TI - Cirrhosis of the liver following therapy with perhexiline maleate. AB - Two patients developed cirrhosis of the liver following therapy with perhexiline maleate. Liver failure and polyneuropathy caused death in one patient who had received 300 mg daily for three years. Cirrhosis was an unexpected finding in the other patient whose perhexiline dose was 200 mg daily for five years. Perhexiline should be prescribed cautiously and discontinued if liver function tests become abnormal. Monitoring of blood levels may lead to a reduction of toxicity. PMID- 6572825 TI - Caesarean birth. PMID- 6572826 TI - Compliance failure and counselling in paediatric drug therapy. AB - Compliance-failure with expected drug therapy was recognised at interview in 56 percent of non-counselled and 24 percent of counselled paediatric patients returning to medical out-patient clinic at Princess Mary Hospital. Default from prescribed treatment was more common in Polynesians than caucasians and more often due to patient error than non-compliance. Drug counselling was more effective in minimising compliance-failure due to patient error than non compliance. Failure to take drugs as intended was due to doctor generated causes in 8 percent of patients. PMID- 6572827 TI - Peer review: central specialist committee statement. PMID- 6572828 TI - Peer review: central education committee statement. PMID- 6572829 TI - Multidisciplinary team. PMID- 6572830 TI - Health economics. PMID- 6572831 TI - Antenatal education. PMID- 6572832 TI - Hepatitis B vaccine. PMID- 6572833 TI - Staphylococcal septicaemia and silicon coated urinary catheters. PMID- 6572834 TI - Computer assessment of alternative rubella vaccination strategies in New Zealand. AB - Results from a dynamic computer model of rubella vaccination programmes indicate that consideration should be given to vaccinating all one-year-old girls and boys and revaccinating all girls at about 11 years of age, as well as continuing with the programme for susceptible women in the childbearing age group. With vaccine induced immunity decaying at about 1% annually, the vaccination of 80 to 95% of all one-year-olds, 95% of 11 year old girls, and 5% of women aged 15 to 33 annually is expected to reduce congenital rubella syndrome deformities to less than 5% of the 1980 incidence by 1994, and to negligible levels thereafter. In comparison, continuation of the present scheme may reduce deformities to only 69% of 1980 levels by 1994 with a slow decline to 25% in 2010. (The 1980 levels used were computer generated to eliminate short-term fluctuations, and do not apply to actual figures from that year.) For convenience and better compliance, measles vaccine and the initial rubella vaccine may be given in combined form at 15 months without altering the effect of either. The rate of decay of immunity after vaccination is critically important in congenital rubella syndrome prediction, so that further accurate monitoring of immune status and congenital rubella incidence is essential. PMID- 6572835 TI - Hepatitis B carriage in children. AB - Prevalance of hepatitis B surface antigen carriage amongst children in the Bay of Plenty was high, with rates in Maoris five times that found in Europeans. (12.0% versus 2.6%). Carrier rates were highest in children aged 6-10 years. This age group also had the peak incidence of acute hepatitis B. Infectivity was greatest amongst younger children and diminished with age. Transmission between children within family units may be a major route of spread of hepatitis B. PMID- 6572836 TI - Is neonatal intensive care effective? PMID- 6572837 TI - Who is the author? PMID- 6572838 TI - Obstetric ultrasound: uses and limitations. PMID- 6572839 TI - A counselling skills workshop for family medicine trainees. AB - Experience with a workshop designed to teach practical consulting, communication and counselling skills to family medicine vocational trainees is described. Responses to self-report questionnaires immediately (71 percent response rate), and one to two years after the workshop (62 percent rate), are reported. A high percentage of respondents agreed that the workshop had been effective in imparting basic counselling and communication skills, and had influenced them to change their consulting style. These changes commonly persisted at one to two year follow up. PMID- 6572840 TI - A preliminary evaluation of the use of an automatic impedance tympanometer in the diagnosis of otitis media with effusion in children: a report from the Dunedin Multidisciplinary Health and Development Research Unit. AB - Microscopic examination by two trained examiners, conventional impedance tympanometry by a trained audiometrist, automatic impedance tympanometry by a person with minimal training and puretone audiometry by trained audiometrists were compared in 468 ears, studied blind. There was complete examiner agreement in microscopic examination in 465 (99.3%) ears, minor disagreement in three (0.7%) ears. There was a more complex relationship between examination methods, with microscopic evidence of effusion being present in 88.2% of ears showing B tympanograms to conventional tympanometry and in 66.7% of ears to automatic tympanometry. Automatic tympanometry provides a reasonably accurate method of detecting middle ear effusion, but tends to overdiagnose this condition compared to alternate methods. PMID- 6572841 TI - A country fit for heroes. PMID- 6572842 TI - Children in bed. PMID- 6572843 TI - Rubella immunity. PMID- 6572844 TI - Therapeutic trials. PMID- 6572845 TI - A betablocker nightmare. PMID- 6572846 TI - Toxic shock syndrome. PMID- 6572847 TI - Dangers of rapid tranquillisation. PMID- 6572848 TI - Putting a spouse on the payroll can save taxes. PMID- 6572849 TI - Presenting the obvious: dentists treat patients not teeth. PMID- 6572850 TI - Composites in dentistry. PMID- 6572851 TI - ADA, ADHA provide insight into concerns of dental hygienists. PMID- 6572852 TI - A prescription for better investing. PMID- 6572853 TI - Practice Act update. PMID- 6572854 TI - The effect of second dentition on children's dental anxiety and impulsivity reflectivity. PMID- 6572855 TI - Child abuse: who is involved? PMID- 6572856 TI - Oral health and treatment needs of school children in New York State. PMID- 6572857 TI - The dental educational commission--New York City's partner in education. PMID- 6572858 TI - The state boards for dentistry--now and in the future. PMID- 6572859 TI - The state boards for dentistry--considerations for the future. PMID- 6572860 TI - Chemotherapy-associated oral infections in adults with solid tumors. AB - The frequency of chemotherapy-associated oral infections in adult inpatients with solid tumors was determined in 825 subjects with carcinoma, 60 with sarcoma, and 115 with lymphoma. The total number of documented oral infections in the 1,000 patients was 97 (9.7 percent), with frequency rates of 8.4 percent, 11.7 percent, and 18.3 percent for the patients with carcinoma, sarcoma, and lymphoma, respectively. All but six of the infections were caused by a single organism. Microbiologically, 68.9 percent of the infections were ascribable to fungi, 10.7 percent to gram-negative bacilli, 10.7 percent to herpes simplex, and 9.7 percent to gram-positive cocci. The patients with solid tumors were less than one third as prone to oral infections as adults with acute leukemia treated in the same hospital. Among the solid tumor group, those with lymphoma were almost twice as likely to develop infections of the mouth during chemotherapy as those with carcinoma or sarcoma. The oral infection experience in the previously reported patients with acute leukemia and in the present series of patients with solid tumors strongly suggests that the more aggressive the malignancy and the more potent the chemotherapy, the greater the tendency to stomatologic infections. PMID- 6572861 TI - Temporomandibular joint arthrography: negative pressure, nontomographic techniques. AB - The injection of contrast material through a catheter under direct fluoroscopic vision seems to be more informative than blind injection technique. Injection of a controlled amount of Renografin can diminish the likelihood of overfill and allow more complete opening of the mouth. If overfilling is suspected, after waiting approximately 15 minutes for absorption, the patient will then be able to move his condyle more freely. The use of a 100 mm. camera will provide good films and eliminate the need for tomograms. A catheter is preferred over a steel needle, and its position is more accurately assessed by using the negative pressure technique. Catheterization of the superior joint space is not done if the lower compartment injection shows obvious anterior subluxation of the meniscus. In certain borderline cases, the upper compartment filling may yield more positive diagnotic information. It is within the scope of this article to present a technique, not to indicate the usefulness or necessity of TMJ arthrography or tomography. The role of arthrography in the diagnosis and subsequent decision as to whether surgical or nonsurgical modalities should be performed will become evident only when the state of the art is defined. PMID- 6572862 TI - Nevoid basal cell carcinoma syndrome associated with renal cysts and hypertension. AB - A case of nevoid basal cell carcinoma syndrome with a coincidental finding is presented. In addition to the odontogenic cysts, hypertelorism, scapula deformity, rib fusion, dural calcification, and short fourth metacarpal bones of the syndrome, the patient had cystic disease of both kidneys with a large cyst of the right kidney. This case also illustrates that the presence of painful jaw lesions may lead the patient with this syndrome to seek treatment initially. PMID- 6572863 TI - Deep neck infection complicated by diabetes mellitus. Report of a case. AB - A poorly controlled diabetic patient who developed a life-threatening deep neck infection from a periodontal abscess is presented. Despite treatment reflecting the current surgical and medical approach to management of this infection, he failed to show the consistent improvement that would be expected in a nondiabetic patient. The physiologic differences in the defense systems of the diabetic versus the nondiabetic host are discussed, and general guidelines for identification of the diabetic patient are offered. PMID- 6572864 TI - Salivary gland dysfunction following radioactive iodine therapy. AB - Radioactive iodine is used extensively for the treatment of thyrotoxicosis and thyroid carcinoma. Iodine is actively taken up by the salivary glands and, following its use, salivary dysfunction may result as a consequence of radiation damage. The literature is reviewed and a case is reported in which a patient presented with a significant increase in caries rate attributed to salivary dysfunction following radioactive iodine therapy for a thyroid carcinoma. PMID- 6572865 TI - The elderly patient. AB - Elderly patients' age affects various bio-psycho-social parameters of their diseases. A patient's old age itself often evokes a multiform recoil in dentists, directly opposite to the required therapeutic attitude. The essential principle in gerodontics is dentist-patient cooperation, attainable only if the latter is approached in a holistic and respectful manner. PMID- 6572866 TI - The oral blue nevus: histogenetic implications of its ultrastructural features. AB - Three cases of oral blue nevus are presented. A comparison of the ultrastructural features of blue nevus cells with those of schwannoma cells indicates that, among other similarities, both exhibit a surrounding external lamina (basement membrane). The significant difference is that blue nevus cells are capable of synthesizing melanin as evidenced by the presence of the entire melanosome maturation sequence within their cytoplasm, a feature not seen in the cells of schwannomas. This fundamental difference suggests that blue nevus cells are more closely related to melanocytes, although they possess some of the characteristics of Schwann cells. PMID- 6572867 TI - Follicular lymphoid hyperplasia of the hard palate: a benign lymphoproliferative process. AB - Follicular lymphoid hyperplasia of the hard palate is a reactive lymphoid proliferation which closely simulates the palatal lymphomas, both clinically and histologically. It is therefore imperative that the pathologist be familiar with the features that separate these two conditions. In equivocal cases like the present one, immunologic analysis would seem to be indicated to determine whether the lesion is monoclonal (neoplastic) or polyclonal (reactive). PMID- 6572868 TI - Gingival salivary gland choristoma: an extremely rare phenomenon. AB - An unusual case of a gingival salivary gland choristoma in a 9-year-old girl is presented. Clinically, the lesion appeared as a tumorlike mass of the maxillary incisor region. Histologic examination of the lesion revealed the presence of pure mucous glandular elements within the connective tissue. The possible mechanisms of its development in this unusual location and the nature of this lesion are discussed. PMID- 6572869 TI - Bilateral blind epithelized tracts associated with the inferior labial frenum. AB - Examination of a 45-year-old man disclosed, bilateral, blind, epithelium-lined tracts on the alveolar mucosa in proximity to the inferior labial frenum. These structures were excised surgically and examined histologically. This article represents the first report of blind mucosal pits in this location. The mechanism responsible for development of these structures is not clear, but they most likely result from entrapment or persistence of epithelium during embryogenesis. PMID- 6572870 TI - Influence of bony resorption on endodontic treatment. AB - A review of prognosis studies has examined success rates between samples of teeth, both with and without radiolucent lesions, treated conventionally. The presence of a lesion predisposes the endodontic case to a lower success rate. On the basis of experimental data on the use of calcium hydroxide, investigation of increasing success with placement of calcium hydroxide in the canals of teeth with periapical lesions for 3 to 10 months prior to conventional filling is proposed. PMID- 6572871 TI - The effect of autoclave sterilization on endodontic files. AB - This study evaluates the effect of cyclic autoclave sterilization and simulated clinical usage on a mechanical property of one brand of stainless steel endodontic files. The angular deflection moments were measured by a torque apparatus approved by the American Dental Association for such purposes. Comparisons of values for sterilized and nonsterilized files were made. 1. A significant decrease in angular deflection values exists for stainless steel endodontic files having undergone ten cycles of autoclave sterilization versus files having undergone only two or five similar cyclings. 2. All file sizes (15, 20, 25, 30, 35, 40) tested in torsion were detrimentally affected by the autoclave sterilization. 3. Of the files investigated, sizes 35 and 40 were the most adversely affected by the steam-under-pressure sterilization. 4. The angular deflection values of those files subjected to repeated autoclavings were not decreased below the minimum value accepted by the American Dental Association for resistance to torquing forces. It can therefore be concluded that repeated sterilization of a stainless steel endodontic file does result in a significant reduction in the torque resistance of that file. This reduction of the metal property is not significant clinically, however. PMID- 6572872 TI - The calcified facial artery. A report of the panoramic radiographic incidence and appearance. PMID- 6572873 TI - Radiographic appearance of root fracture caused by a bend on the radiograph. PMID- 6572874 TI - "Ghost images" in the panoramic radiograph. PMID- 6572875 TI - Periodontal ligament injection: distribution of injected solutions. AB - In a simulation of the clinical technique, a radiopaque solution and a colloidal carbon suspension were injected into the periodontal ligament in dogs by means of a standard syringe. The colloidal carbon method was superior and demonstrated that the injected material was found in soft tissue and adjacent hard structures and in the vessels of the pulps of the immediate and adjacent teeth. The distribution of the dye did not relate to the injection volume and needle location but was consistently more widespread when injections were given under moderate to strong pressure. The technique appears to be a form of intraosseous injection. PMID- 6572876 TI - Tonsillar calculi. Report of a case and review of the literature. AB - A large tonsillar calculus in a 77-year-old demented woman with a history of chronic oral infections and multiple episodes of pneumonia is reported. Earlier literature describes these calcium-laden tonsilloliths as occurring in adolescence following chronic tonsillitis. Improvement in health care of the young and antibiosis militate against tonsilloliths as a serious problem in the young patient. Conversely, an ever-increasing aged population, with impaired self care abilities or diminished cerebral function, many of whom populate nursing care facilities, and increased routine oropharyngeal screening of the aged may add significantly to the number of reported cases. In view of the potential for continuous oropharyngeal disease and the possibilities of swallowing disturbances, pneumonia, or food or liquid aspiration, which may result in lethal complications the authors urge the clinician to assess masses or calcified objects viewed on physical examination or radiographs, explore their etiology, evaluate them for removal, and not dismiss them as clinically insignificant. PMID- 6572877 TI - Effect of indomethacin on postsurgical edema in rats. AB - The effectiveness of intramuscular indomethacin was compared with that of hydrocortisone succinate for the control of edema resulting from experimentally induced surgical trauma in rats. Both drugs produced a significant reduction in tissue water, but no difference could be detected between the effects of the two drugs. These findings indicate the advisability of clinical trials of indomethacin in the control of postsurgical swelling and pain. PMID- 6572878 TI - Treatment of maxillary hemangioma with a sclerosing agent. AB - This article reports the case of a patient with a reasonably large maxillary hemangioma involving bone and overlying mucosa. A dramatic shrinkage of the lesion over a 4-week period was noted when sodium morrhuate was used as the sclerosing agent. Four and one half years following therapy, no recurrence of the tumor was noted. Radiographically, the area of involvement had become significantly more dense, with an increase in size and calcification of phleboliths in the area. PMID- 6572879 TI - Induction of osteoarthrosis in the guinea pig knee by papain. AB - The main purpose of this investigation was to develop a model for experimental induction of osteoarthrosis. A previously described method using papain was tried on guinea pig knee joints. Eighteen adult guinea pigs were given papain intra articularly in the right joints; the left joints were used as controls. The animals were killed after 6 hours, 1 week, 2 weeks, 2 months, 4 months, 6 months, 8 months, and 10 months. Specimens of the articular cartilage were removed for histologic and histochemical investigation. Microscopic surface irregularities could be observed in the animals after 6 hours, 1 week, and 2 weeks, and again after 8 and 10 months. Histochemical examination of the sections from the experimental joints indicated a loss and degradation of the sulfated glycosaminoglycans. This loss was evident after 6 hours, 1 week, 2 weeks, and 8 months. The first osteoarthrotic changes were observed macroscopically after 8 months. Radiographic changes in the experimental joints could be observed in all animals killed after 10 months. It was concluded that osteoarthrosis similar to that occurring in humans can be induced by this method. PMID- 6572880 TI - Fibrous hyperplasia of the gingiva: a side effect of cyclosporin A therapy. PMID- 6572882 TI - Morphometric analysis of chronic inflammatory periapical lesions in root-filled teeth. AB - The cell distribution and the tissue composition of chronic inflammatory periapical lesions were analyzed from seventeen biopsies of root-filled maxillary canines and incisors. The specimens, which included the root tip, the soft granulation tissue, and portions of the surrounding alveolar bone, were subjected to a stereologic analysis based on morphometric point-counting procedures. Plasma cells and lymphocytes were found in large numbers (about 40 percent of the tissue volume) in areas close to the apical foramen. The number of fibroblasts and blast cells was comparatively low in this zone. Neutrophils, monocytes/macrophages, and mast cells accounted each for 1 to 2 percent of the infiltrated tissue volume. With increasing distance from the apex, the tissue examined harbored a decreasing number of inflammatory cells but an increased volume of noninfiltrated connective tissue. It was concluded that long-standing periapical lesions of root-filled teeth had many features in common with those of advanced inflammatory lesions of the marginal periodontium. PMID- 6572881 TI - Dentinogenesis imperfecta with dens in dente. AB - An uncommon case of dentinogenesis imperfecta with dens in dente was studied by light microscopy, microradiography, and electron-microprobe analysis. Numerous canals and cellular inclusions were found in the coronal portion of the dentin where the tubules were sparse and irregularly distributed. In the radicular portion of the molar, large canals ran parallel to each other down to the apical region. The cementum was thinner and the Tomes granular layer greater in amount than usual. A dens in dente occurred in the radicular portion of the molar. It was located in a cavity and consisted of a mineralized cap of enamel, a spherical dentinal mass, and cellular cementum, located outside the cavity and in the "cervical" portion of the dens in dente. PMID- 6572883 TI - Clinical and radiologic re-examination of apicoectomized teeth. AB - Healing after periapical surgery was studied clinically and radiologically in 108 patients in whom apicoectomy had been performed on 174 teeth. Histologic diagnosis was used to determine healing results; teeth with periapical granuloma tend to heal less successfully than teeth showing inflammation or cysts. Postoperative treatment played an important role in the healing process. In making a prognosis one must include preoperative status (including periodontal status), operating method, and postoperative treatment. The age of the patient also has some influence on healing. PMID- 6572884 TI - Bacteriologic evaluation of the effect of 0.5 percent sodium hypochlorite in endodontic therapy. AB - The antibacterial effect of 0.5 percent sodium hypochlorite solution as root canal irrigant was studied in fifteen single-rooted teeth. Each tooth was treated at five appointments, and the presence of bacteria in the root canal was studied on each occasion. No antibacterial intracanal dressings were used between the appointments. When 0.5 percent hypochlorite was used no bacteria could be recovered from twelve of fifteen root canals at the fifth appointment. This should be compared with eight of fifteen root canals when saline solution was used as irrigant. These results suggest that 0.5 percent sodium hypochlorite solution is more effective than saline solution as a root canal irrigant. PMID- 6572885 TI - Drywall construction as a dental radiation barrier. AB - Six typical forms of drywall construction have been tested as barriers against primary and secondary dental x-radiation. It is concluded that this widely used type of wall construction is generally effective for this purpose, but with a heavy workload two thicknesses of wallboard on each side of the wall are required to provide a sufficient barrier. In general, no lead need be incorporated in the walls. PMID- 6572886 TI - Tooth in coronoid process. PMID- 6572887 TI - Drills in dente. PMID- 6572888 TI - Odontoma within a tooth follicle. PMID- 6572889 TI - [Pseudo-Perthes' disease caused by acute lymphatic leukemia]. AB - A two year old boy was seen in the orthopedic clinics because of typical symptoms of Legg-Perthes disease, a scintigraphy with Technetium99m showed a distinct deficiency of nuclear activity in the femoral head which is characteristic of the early stage of Legg-Perthes disease. A routine blood count lead to the diagnosis of acute lymphoblastic leukemia. The boy was treated according to the Austrian cooperative leukemia protocol and complete remission was achieved. No orthopedic treatment of the femur head necrosis was done, after eight weeks of treatment with multiagent chemotherapy the boy started to walk again and subsequently became free of all symptoms of Legg-Perthes disease. A scintigraphy done eight weeks after the initial scintigraphy showed that the deficiency of radionuclear activity of the femoral head was nearly vanished. This case illustrates the variability of bone involvement in acute lymphoblastic leukemia, which often is the most prominent symptom at an early stage of the disease. PMID- 6572891 TI - Nursing care plan: plan for action. PMID- 6572890 TI - Post-traumatic syringomyelia: the results of surgery. AB - Between 1973 and 1982 twenty-seven patients with post-traumatic syringomyelia had operations performed to drain the cyst. Three types of operation were performed, cord transection, tube syringostomy to the sub-arachnoid space and tube syringostomy to the peritoneal cavity. Five patients developed proven blockage of their catheters. The results are presented. Pain was dramatically and gratifyingly improved in 14 patients. Motor power showed the most consistent improvement in 14 patients. Only eight patients showed the most consistent improvement in 14 patients. Only eight patients showed sensory improvement; this was the least likely to improve. The progress of the condition could be arrested in the majority of cases, but a small number continued to deteriorate and required further operations. PMID- 6572892 TI - Gemfibrozil in combination with other drugs for severe hyperlipidemia. Preliminary study comprising four cases. AB - In this very early report, Dr Nash shares his insights into a newly developing approach to hyperlipidemia therapy. Four severely hyperlipidemic patients in whom maximum dietary therapy had proved ineffective showed a dramatic reduction in cholesterol and triglyceride levels when treated with multiple drugs, including gemfibrozil. These cases demonstrate that maximally effective polypharmacy can have striking results in selected patients. These provocative findings should encourage other investigators to verify or refute them. PMID- 6572893 TI - Consequences of UMP synthase deficiency in cattle. AB - Several dairy cows have been identified as partially deficient in UMP synthase. Although erythrocytes of normal cows contained 2.54 units of enzyme per ml, four cows were discovered with only 1.08 units per ml. Cows deficient in UMP synthase secreted milk with abnormally high levels of orotate, 300-1,000 micrograms of orotate per ml compared to 80 micrograms/ml for normal cows. The deficiency also was accompanied by a lactation-induced orotic aciduria. Although bovine urinary orotate was generally less than 10 micrograms/ml, the urine of the deficient cows, when lactating, contained 20-200 micrograms/ml. Their plasma orotate also was elevated. Genetic transmission of the condition was suggested by a common bull in the pedigrees of all deficient animals. Indeed, these cows, with half the normal level of UMP synthase, are probably heterozygotes with a 50% chance of passing the deficient allele to their progeny. For these putative heterozygotes, the condition is apparently benign because longevity and production were unaffected. However, the existence of a gene for UMP synthase deficiency in the dairy cow population poses a hazard with respect to the conception of homozygotic, deficient animals. These, in analogy with a comparable human condition, would be expected to exhibit high perinatal morbidity and mortality. PMID- 6572894 TI - Physiological and x-ray studies of potential antisickling agents. AB - Several aromatic compounds have been found to inhibit the gelling of sickle cell hemoglobin. We have tried to correlate the antigelling activity of such compounds with the stereo-chemistry of their binding sites in the hemoglobin molecule. This approach led to the discovery that two known antilipoproteinemia drugs, clofibrate and gemfibrozil, have antigelling activity. X-ray analysis showed that three pairs of molecules of clofibric acid, the active metabolite of clofibrate, bound to the walls of the internal cavity of deoxyhemoglobin A; only one pair bound to a quite different site, between helices A, E, and H of the alpha chains of carbon monoxide hemoglobin A. Unlike other antigelling agents, clofibric acid and related compounds decrease rather than increase the oxygen affinity of hemoglobin. PMID- 6572895 TI - Characterization of a calmodulin-binding protein that is deficient in trifluoperazine-resistant variants of the macrophage-like cell line J774. AB - A calmodulin-binding protein is present in extracts of the macrophage-like mouse cell line J774 and in extracts of thioglycollate-stimulated mouse peritoneal macrophages; it is deficient in variants of J774 resistant to trifluoperazine and in resident peritoneal macrophages. The calmodulin-binding protein [CaMBP (J7)0.5] was purified from J774 and resolved from endogenous cyclic nucleotide phosphodiesterase and protein kinase activities. The protein has an apparent native Mr of 125,000-150,000 and binds calmodulin in a calcium-dependent manner with a Kd of 20 nM. It inhibits the ability of calmodulin to activate phosphodiesterase. Its sedimentation constant in glycerol gradients containing calmodulin was dependent upon the relative concentrations of calmodulin and the calmodulin-binding protein. PMID- 6572896 TI - In vivo 31P NMR study of the metabolism of murine mammary 16/C adenocarcinoma and its response to chemotherapy, x-radiation, and hyperthermia. AB - (31)P NMR spectroscopy with surface coils has been used to monitor, in vivo, the phosphate metabolism of subcutaneously implanted mammary 16/C adenocarcinoma in C3H/He mice. This model tumor was studied during untreated tumor growth and after treatment with adriamycin, hyperthermia, and x-radiation. The mammary 16/C tumor exhibited a Gompertzian growth pattern. Levels of high-energy phosphate metabolites-phosphocreatine and ATP-decreased with increases in tumor mass. There was a concomitant increase in the level of P(i) and a decrease in the apparent pH of the tumor. These spectral changes appear to reflect changes in tumor vascularization that accompany tumor growth, the tumor becoming progressively more hypoxic. Partial response of this tumor to chemotherapy with adriamycin was reflected in a small but measurable increase in the phosphocreatine resonance, a decrease in P(i), and a return of the intra-tumor pH to neutral. Hyperthermia resulted in progressive conversion of the (31)P NMR spectrum to that of a dead tumor (high levels of P(i), small levels of residual sugar phosphates and pyridine dinucleotides, and acidic pH). X-irradiation (14.0 Gy) led to disappearance of the phosphocreatine peak within 15 min of treatment. Subsequently, this resonance grew back beyond its pretreatment level. As the tumor receded, its spectrum reflected the characteristics of aerobically metabolizing tissue (high levels of phosphocreatine and ATP and low levels of P(i) and sugar phosphates). PMID- 6572897 TI - Isolation of cDNA sequences coding for a part of human tissue plasminogen activator. AB - We have isolated a cDNA sequence coding for a part of human tissue plasminogen activator. mRNA coding for tissue plasminogen activator was partially purified, copied into double-stranded cDNA, and cloned into Escherichia coli. Two sets of partially overlapping oligodeoxynucleotide mixtures corresponding to all possible coding sequences for a known portion of the tissue plasminogen activator gene were prepared. One set was used as a probe to screen cDNA containing bacterial clones and both were used as probes in hybridization against purified plasmid DNA. Of 4,200 bacterial clones examined, 1 carried a plasmid that hybridized to both sets of oligonucleotides. This plasmid contained a 370-base-pair cDNA insert, which was shown by nucleotide sequence analysis to code for the cleavage site region in the one-chain form of the human tissue plasminogen activator. PMID- 6572898 TI - On the state of aggregation of newly secreted procollagen. AB - Procollagen and partially processed procollagen from cultures of primary chicken embryo tendon cells appeared as segment-long-spacing (SLS)-like aggregates when drops of medium were negatively stained and examined by electron microscopy. Similar aggregates were obtained after negative staining of medium partially purified by gel filtration and also after staining thin sections of fixed, dehydrated, and embedded pellets formed by prolonged ultracentrifugation of whole culture medium. In contrast to results from electron microscopy, analysis by velocity density gradient sedimentation or sedimentation equilibrium indicated the exclusive presence of procollagen or partially processed procollagen monomers in solution. These contradictory data can be reconciled if procollagen exists in monomeric form when greatly diluted (as in culture medium), and in specific aggregated form (SLS) at high concentration. We believe that cells in vivo secrete procollagen in high, local concentration packaged in the SLS form. We propose that such zero-D arrayed packages are the precursors of native collagen fibrils. PMID- 6572899 TI - Effect of titration charge on the diffusion of bovine serum albumin. AB - Quasi-elastic light scattering studies were performed on purified bovine serum albumin sample under conditions of high and low ionic strength and pH. Two relaxation modes were observed in all cases. The apparent diffusion coefficient obtained in the asymptotic time window (T) limit T leads to 0-i.e., Dapp(T leads to 0)-was found to be approximately equal to 6.1 X 10(-7) cm2/sec under conditions that minimized electrical forces (100 mM KCl at pH 4.5). As the ionic strength was lowered to 0.1 mM KCl (pH 4.5) or the pH was raised to 10 (100 mM KCl), Dapp(T leads to 0) increased to 7.2-7.5 X 10(-7) cm2/sec. These observations for Dapp(T leads to 0) are interpretable in terms of small-ion polyion coupled modes in accordance with the theory of Lin et al. regarding dynamic Donnan effects [Lin, S.-C., Lee, W. I. & Schurr, J. M. (1978) Biopolymers 17, 1041-1064] without having to invoke direct polyion-polyion interactions. These direct interactions may be important at extreme ionic strength and pH conditions (0.1 mM KCl at pH 10). Concomitant with an increase in Dapp(T leads to 0), under appropriate changes in solvent conditions, is an increase in the relative amplitude and relaxation time of the slow decay mode. PMID- 6572900 TI - Isolation of actin-containing transmembrane complexes from ascites adenocarcinoma sublines having mobile and immobile receptors. AB - The molecular nature of the cell surface-cytoskeleton interaction in microvilli isolated from ascites 13762 rat mammary adenocarcinoma sublines with immobile (MAT-C1) and mobile (MAT-B1) receptors was investigated by extraction and fractionation studies on the microvillar membranes. Extraction of membranes from MAT-C1 cells with Triton X-100-containing buffers gave insoluble residues showing three major components by NaDodSO(4)/polyacrylamide gel electrophoresis: actin, a 58,000-dalton polypeptide, and a cell surface glycoprotein of 75,000-80,000 daltons. The ratio of these components in Triton X-100-insoluble residues, as determined by scintillation counting of bands from gels of [(3)H]leucine-labeled microvillar membranes, approached equimolar, suggesting a specific complex of the components. The three components of the putative complex cosedimented on sucrose density gradients of Triton X-100/buffer-treated membranes. Gel filtration on Sepharose 2B gave a peak included in the column that contained only the glycoprotein, actin, and 58,000-dalton polypeptide by one-dimensional NaDodSO(4) electrophoresis and by two-dimensional isoelectric focusing/NaDodSO(4) electrophoresis. The glycoprotein-actin association could be disrupted only under strongly denaturing conditions. Complex prepared from MAT-B1 microvillar membranes by Sepharose 2B gel filtration in Triton X-100-containing buffers contained actin and the glycoprotein but no 58,000-dalton polypeptide. From these results we propose that the cell surface-cytoskeleton interactions in the 13762 tumor cell microvilli involve direct association of actin with the cell surface glycoprotein. We further suggest that the 58,000-dalton polypeptide stabilizes the association of this complex with the microfilaments in the MAT-C1 microvilli, thereby stabilizing the microvilli and restricting cell surface receptor mobility. PMID- 6572901 TI - Relationship between number of spleen colonies and 125IdUrd incorporation into spleen and femur. AB - Graded numbers of bone marrow (BM) cells were injected into fatally irradiated mice. Eight days later the mice were given 3.0 microCi (1 Ci = 3.7 X 10(10) Bq) of 125IdUrd to label proliferating cells in the spleen and BM. On day 9 the mice were killed and the spleens and femurs were removed for splenic colony assay and measurement of radioactivity in the spleen and femurs. The number of splenic colonies shows a linear relationship with dose of marrow cells injected from 10(4) to 10(5) cells. The slope of the curve of spleen colonies versus number of cells injected is less than 1, implying that the fraction seeded in spleen decreases with number of cells injected. Above 10(5) and below 10(4) there is a striking departure from the simple linearity. Below 2 X 10(3) cells injected, the logarithm of the observed colony yield is linear with logarithm of the number of cells injected. Poisson calculation of the average number of pluripotent stem cells that should be present with numbers of marrow cells injected below 2 X 10(3) followed closely the actual observations. The data show that there is no detectible proliferation in the BM until the dose of marrow cells exceeds 3.5 X 10(4) cells. Induction of cells into cycle increases the seeding into the BM, and thymidine cytocide drastically reduces seeding in the BM, leading us to conclude that the BM is repopulated almost exclusively by stem cells in DNA synthesis. PMID- 6572902 TI - Diffusely distributed acetylcholine receptors can participate in cluster formation on cultured rat myotubes. AB - On aneurally cultured rat primary myotubes, 10% of the acetylcholine receptors (AcChoR) are found to be aggregated and immobilized in endogenous clusters while the remainder are diffusely distributed and partially mobile. This paper reports that AcChoR in clusters can be gathered from AcChoR in diffuse areas during the course of normal myotube development. AcChoR were fluorescently labeled with rhodamine-conjugated alpha-bungarotoxin, and all existing clusters in a circumscribed region of the culture dish were irreversibly photobleached by a slightly defocused laser beam, the movement of which was controlled by a lens mounted on a joystick translator. This procedure leaves intact only the fluorescent label on the diffusely distributed AcChoR. Observation of the myotubes after several hours of incubation revealed cluster fluorescence redevelopment. This cluster fluorescence must have consisted of AcChoR that previously were diffusely distributed. The majority (but not all) of cluster fluorescence redevelopment occurred in the location of a previously bleached cluster. About half of the redeveloped clusters have an annular shape. The major conclusions of this study are (i) diffusely distributed AcChoR can become clustered; (ii) endogenous clusters appear to form, at least in part, by "trapping" receptors as they diffuse in from surrounding regions; (iii) cluster formation is an ongoing process in cultured rat myotubes; and (iv) colchicine (a microtubule-disrupting agent) inhibits cluster formation. PMID- 6572903 TI - Human ferritin gene is assigned to chromosome 19. AB - Ferritin is the intracellular iron storage protein. Tissue ferritin stores are markedly increased in hemochromatosis, a disease of iron overload that has been linked to chromosome 6. In order to provide further information concerning the genetics of ferritin synthesis and to determine if the structural gene for ferritin was on chromosome 6, studies were performed to identify the human chromosome that contains the ferritin gene. Ferritin immunoassays were performed on extracts of Chinese hamster ovary somatic cells that were hybridized with human lymphocytes and fibroblasts and contained various human chromosomes in different combinations. None of the 13 cell lines that lacked immunoreactive human ferritin contained chromosome 19, and all 9 of the cell lines that produced human ferritin contained chromosome 19. No other human chromosome shared this association with human ferritin. In studies of subclones of ferritin-positive cell lines, immunoreactive ferritin consistently segregated only with chromosome 19. Immunoprecipitation studies performed on cells that had been incubated with 59Fe-containing transferrin indicated that chromosome 19-containing cells incorporated iron into intact and functional molecules of human ferritin. The necessary and exclusive association of chromosome 19 with human ferritin indicates that a defect in the structural gene for human ferritin cannot account for the abnormalities of hemochromatosis. Moreover, this hamster-human hybrid cell system should prove useful in further studies of regulation of ferritin concentration and composition. PMID- 6572904 TI - Evolution of altruistic behavior by kin selection: an alternative approach. AB - The evolution of altruistic and selfish behavior by kin selection has been analyzed previously by asking which types of behavior are favored by natural selection. A type of behavior is defined as a given cost/benefit ratio, c/b, in terms of Darwinian fitness. An alternative approach is to consider c/b itself as a quantitative character subject to natural selection and evolving toward an equilibrium. This approach allows consideration of a continuum of behavioral options as opposed to just two alternatives as in the previous work. Environmental restrictions on the availability of opportunities for fitness transactions are imposed so that the total benefit an individual can provide for or take from his relatives increases with his c/b ratio. General conditions for stable equilibria are derived. These depend only on the coefficient of relationship between donor and recipient (r) and the function describing the availability of benefit. They are independent of the heritability and variance in the population. Under weak selection, the equilibrium c/b ratio will be r/2 for altruistic behavior and 1/(2r) for selfish behavior. By contrast, standard theory predicts that all altruistic acts with c/b ratios less than r will be favored, and no equilibrium can be predicted except under certain special conditions where only two behavioral options are available. In general, these results show that evolution of the donor's behavior (altruism) tends to maximize the quantity rb- c, and evolution of the recipient (selfish behavior) maximizes b--rc. PMID- 6572905 TI - Monoclonal antibody and an antibody-toxin conjugate to a cell surface proteoglycan of melanoma cells suppress in vivo tumor growth. AB - A monoclonal antibody directed against a cell surface chondroitin sulfate proteoglycan of human melanoma cells, 9.2.27, and its diphtheria toxin A chain (DTA) conjugate were investigated for their effects on in vitro protein synthesis and in vivo tumor growth of human melanoma cells. The 9.2.27 IgG and its DTA conjugate display similar serological activities against melanoma target cells but only the conjugate can induce consistent in vitro inhibition of protein synthesis and toxicity in M21 melanoma cells. However, both 9.2.27 IgG and its DTA conjugate effect significant suppression of M21 tumor growth in vivo in an immunotherapy model of a rapidly growing tumor in athymic nu/nu mice, suggesting that other host mechanisms may mediate monoclonal antibody-induced tumor suppression. PMID- 6572906 TI - Treatment of familial hypercholesterolemia by portacaval anastomosis: effect on cholesterol metabolism and pool sizes. AB - Measurements of the key parameters of cholesterol homeostasis and the mass of the body pools of cholesterol were carried out in two patients with familial hypercholesterolemia (FH), one homozygote and one heterozygote, before and 28 and 18 months, respectively, after portacaval anastomosis (PCA). In both patients the procedure significantly reduced the plasma concentrations of total and low density lipoprotein cholesterol and the daily rate of whole body cholesterol and bile acid synthesis. In addition, PCA caused a net efflux of accumulated tissue cholesterol as demonstrated by reductions in the rapidly exchangeable and total exchangeable masses of body cholesterol. Shunt patency was verified by demonstration of increased bile acids in serum from fasting patients and from patients 2 hr after a meal and by increased plasma glucagon before and after arginine infusion. Other than a persistently increased level of serum alkaline phosphatase, liver function tests have fallen within the normal range in both patients; there has been no evidence of hepatic encephalopathy. In the homozygous patient there has also been a striking resolution in xanthoma size and distribution. These multiple effects on cholesterol homeostasis and pool sizes strongly suggest that PCA can reverse the progressive accumulation of cholesterol in body tissues of FH patients. PMID- 6572907 TI - Heat shock protein in mammalian brain and other organs after a physiologically relevant increase in body temperature induced by D-lysergic acid diethylamide. AB - A physiologically relevant increase in body temperature from 39.7 to 42.5 degrees C, which was generated after the intravenous injection of D-lysergic acid diethylamide (LSD), caused the induction of synthesis of a 74,000-dalton heat shock protein in the brain, heart, and kidney of the young adult rabbit. A marked increase in the relative labeling of a 74,000-dalton protein was noted after analysis of both in vivo labeled proteins and cell-free translation products of isolated polysomes. A temporal decrease in the synthesis of this protein was noted as LSD-induced hyperthermia subsided. The 74,000-dalton protein, which is induced in various organs of the intact animal at a body temperature similar to that attained during fever reactions, may play a role in homeostatic control mechanisms. PMID- 6572908 TI - Characterization of the monoamine carrier of chromaffin granule membrane by binding of [2-3H]dihydrotetrabenazine. AB - [2-3H]Dihydrotetrabenazine (2-hydroxy-3-isobutyl-9, 10-dimethoxy-1,2,3,4,6,7 hexahydro-11b-H-benzo [a]-quinolizine), a derivative of the neuroleptic tetrabenazine, binds to the membrane of purified bovine chromaffin granules. Specific binding was characterized by Kd and Bmax values of 3.1 nM and 62 pmol/mg of membrane protein, respectively. It was reversible, with association and dissociation rate constants of 0.22 x 10(6) M-1 s-1 and 1.8 x 10(-3) s-1, respectively. Binding sites were present in extracts of medulla but not in corticoadrenal extracts; in the medulla they were restricted to chromaffin granule membranes, [2-3H]Dihydrotetrabenazine binding occurred on the catecholamine carrier of the chromaffin granule membrane because it was clearly correlated with inhibition of norepinephrine uptake. In addition, inhibitors and substrates of the uptake reaction displaced [2-3H]dihydrotetrabenazine from its binding sites, and their potency as displacers was qualitatively correlated with their IC50 or Km. These results suggest that use of [2-3H]dihydrotetrabenazine binding might be an interesting technique in the study of the vesicular monoamine carrier. PMID- 6572909 TI - Calculation of volume fluctuation for globular protein models. AB - The extent of volume fluctuation is calculated for two simple geometrical models of globular protein molecules subjected to a potential that is proportional to the surface area freshly generated by the thermal breathing motion. The proportionality constant, gamma, has the unit of surface tension. The calculated values are compared with estimates made from the compressibility measurements. After an approximate correction for the hydration effect, the experimental values are found to be between those calculated by using gamma values of 25 and 46 cal/mol/A2 (1 cal = 4.184 J). These values bracket previously reported independent estimates of interfacial tension that presumably operates at the interface between a nonpolar molecule and water. This result appears to indicate that the solvent water plays a significant role in determining the extent of volume fluctuation of globular proteins and that the concept, and the actual value of the estimate, of the interfacial tension around a nonpolar molecule in water may, in fact, be useful in some applications. PMID- 6572910 TI - Model for mammalian metallothionein structure. AB - The results of physicochemical studies of mammalian metallothioneins are summarized and used to propose a model of the protein. The primary structures of all mammalian metallothioneins are very homologous; there are 38 invariant residues and 20 of them are cysteines. The results of UV and CD optical studies indicated that all 20 cysteines are involved in the ligation of 7 mol of metal per mol of metallothionein and that the protein does not contain any alpha-helix structure. A theoretical analysis by the Chou-Fasman method has predicted 11 beta bends, each one involving at least one cysteine residue. The most significant structural data, provided by 113Cd NMR, demonstrated that the 7 mol of bound Cd2+ are arranged in two separate metal clusters, one containing four metal ions and the other containing three, with all Cd2+ tetrahedrally coordinated to cysteine thiolate ligands. The 11 cysteine residues of the carboxyl-terminal portion of the metallothionein chain (residues 30-61) are ligated to the 4-metal cluster as shown by 113Cd NMR of this enzymatically cleaved fragment. The remaining cysteine residues from the amino-terminal polypeptide portion (residues 1-29) form the 3 metal cluster. Such a division of the chain is consistent with the presence of an intron in the mouse metallothionein-1 gene corresponding to residue 32 in the polypeptide chain. A two-domain molecular model has been constructed based on an analysis of all the available data and is described in detail. The accuracy of this model was tested by 1H NMR at 500 MHz and the data are in agreement with our proposed structure. PMID- 6572911 TI - Peptide antibody specific for the amino terminus of skeletal muscle alpha-actin. AB - The NH2-terminal peptide of skeletal muscle alpha-actin (S alpha N peptide), which contains a primary sequence unique to this actin isozyme, was used to prepare an isozyme-specific peptide antibody. S alpha N peptide was purified from chicken breast muscle actin by preparative reverse-phase HPLC and was coupled to hemocyanin. This complex was used to immunize rabbits in order to elicit actin antibodies specific for the skeletal muscle alpha-actin isozyme. The antibody obtained, called S alpha N antibody, was reactive with S alpha N peptide and with skeletal muscle alpha-actin as well as with cardiac muscle alpha-actin. S alpha N antibody did not react with either of the actin isozymes present in smooth muscle (smooth muscle alpha and gamma) or in brain (nonmuscle beta and gamma). S alpha N antibody was used to detect muscle-specific actin in differentiating mouse and human myoblasts by using immunoblots of myoblast extracts and immunofluorescent staining of fixed cells. PMID- 6572912 TI - Identification of a cDNA clone for mouse apoprotein A-1 (apo A-1) and its use in characterization of apo A-1 mRNA expression in liver and small intestine. AB - A cDNA clone for mouse apoprotein A-1 (apo A-1), the major apoprotein of plasma high density lipoproteins, has been identified. In addition to structural and physiological evidence, a genetic polymorphism for mouse plasma apo A-1 has been used to confirm that this DNA sequence corresponds to the apo A-1 gene. Use of this clone in molecular hybridization studies has shown that the concentration of apo A-1 mRNA is similar in liver and small intestine and is constant along the entire length of the small intestine. We provide evidence that the same apo A-1 gene is expressed in both liver and small intestine. Apo A-1 mRNA is also present in the stomach and esophagus at 10-15% the concentration found in small intestine but is undetectable in other tissues (such as large intestine, pancreas, heart, kidney, spleen, and brain). Finally, we show that there is a differential effect of a diet high in saturated fat and cholesterol on apo A-1 mRNA levels in liver and small intestine. PMID- 6572913 TI - Overproduction of a Mr 92,000 protomer of 3-hydroxy-3-methylglutaryl-coenzyme A reductase in compactin-resistant C100 cells. AB - We describe a cell line, designated C100, that displays a 100-fold increase in the major regulatory enzyme of the cholesterol biosynthetic pathway, 3-hydroxy-3 methylglutaryl-coenzyme A reductase [HMG-CoA; mevalonate:NADP(+) oxido-reductase (CoA-acylating), EC 1.1.1.34]. Immunoprecipitation of [(35)S]methionine-labeled enzyme from C100 microsomal membranes prepared in the presence of the protease inhibitors phenyl-methylsulfonyl fluoride and leupeptin revealed two up regulated proteins: a major band of M(r) 92,000 and a minor band of M(r) 63,000. We conclude that the M(r) 92,000 protein is probably the intact form of HMG-CoA reductase protomer based on the following criteria. (i) It is a highly up regulated microsomal membrane protein that coincides with the increase in HMG-CoA reductase specific activity in this cell line. (ii) It is recognized by a specific HMG-CoA reductase antiserum under a variety of stringencies. (iii) Isolation and solubilization of [(35)S]methionine-labeled C100 microsomal membranes in the absence of protease inhibitors resulted in the disappearance of the M(r) 92,000 protein and the appearance of two proteins of M(r) 52,000 and 38,000. (iv) Analysis of cells labeled for 30 min with [(35)S]methionine, well under the half-life of HMG-CoA reductase, revealed only the M(r) 92,000 protein to be present in total cell extract. (v) The previously reported single immunoprecipitation polypeptide for HMG-CoA reductase of M(r) 62,000 [Chin, D. J., Luskey, K. L., Anderson, R. G. W., Faust, J. R., Goldstein, J. L. & Brown, M. S. (1982) Proc. Natl. Acad. Sci. USA 79, 1185-1189] can be isolated and appears to be the result of both proteolysis and sample preparation for NaDodSO(4) gel electrophoresis. Analysis of C100 cells labeled with [(35)S]methionine for 24 hr indicates that the predominant steady-state form of the enzyme is the M(r) 92,000, rather than the M(r) 63,000, protein, further suggesting that the two proteins do not have a classical precursor-product relationship. PMID- 6572914 TI - Inactivation of key metabolic enzymes by mixed-function oxidation reactions: possible implication in protein turnover and ageing. AB - Several mixed-function oxidation systems catalyze the inactivation of Escherichia coli glutamine synthetase. Inactivation involves modification of a single histidine residue in each enzyme subunit and makes the enzyme susceptible to proteolytic degradation. We show here that 10 key enzymes in metabolism are inactivated by a bacterial NADH oxidase and by an oxidase system comprised of NADPH, cytochrome P-450 reductase, and cytochrome P-450 isozyme 2 from rabbit liver microsomes. Most of the inactivatable enzymes require a divalent cation for activity and all but one (enolase) possess a nucleotide binding site. Glutamine synthetase, pyruvate kinase, and phosphoglycerate kinase are protected from inactivation by their substrates; substrate protection of other enzymes was not tested. We propose that inactivation involves mixed-function oxidization system catalyzed synthesis of H(2)O(2) and reduction of Fe(III) to Fe(II) followed by oxidation of enzyme-bound Fe(II) by H(2)O(2) to generate oxygen radicals that attack a histidine (or other oxidizable amino acid) at the metal binding site of the enzyme. This is supported by the following: (i) most of the inactivation reactions are inhibited by EDTA and by catalase, (ii) both mixed-function oxidation systems reduce Fe(III), and (iii) H(2)O(2) together with Fe(II) catalyzes nonenzymic inactivation of glutamine synthetase. In view of the fact that inactivation of glutamine synthetase makes it susceptible to proteolytic degradation, it is possible that mixed-function oxidation system-catalyzed inactivation of enzymes is a regulatory step in enzyme turn-over. In addition, the implication of oxidative inactivation reactions in ageing is suggested by the fact that many of the enzymes inactivated by mixed-function oxidation systems are known to accumulate as inactive forms during ageing. PMID- 6572915 TI - Heavy metals induce rapid calcium release from sarcoplasmic reticulum vesicles isolated from skeletal muscle. AB - Micromolar concentrations of mercury, silver, and other reagents known to react with sulfhydryl groups are shown to stimulate ATPase activity and inhibit active calcium uptake in sarcoplasmic reticulum vesicles derived from rabbit fast skeletal muscle. These effects are caused by a dramatic increase in the calcium permeability of the sarcoplasmic reticulum. Measurements of Ca2+ permeability were made using both isotopes and by spectrophotometric techniques using the Ca2+ indicator arsenazo III. Air oxidation of a sulfhydryl group to a disulfide group also leads to a large increase in the calcium permeability of the sarcoplasmic reticulum. PMID- 6572916 TI - Biosynthesis of tetrahydrobiopterin by de novo and salvage pathways in adrenal medulla extracts, mammalian cell cultures, and rat brain in vivo. AB - Mammalian cells and tissues were found to have two pathways for the biosynthesis of tetrahydrobiopterin (BH4): (i) the conversion of GTP to BH4 by a methotrexate insensitive de novo pathway, and (ii) the conversion of sepiapterin to BH4 by a pterin salvage pathway dependent on dihydrofolate reductase (5,6,7,8 tetrahydrofolate: NADP+ oxidoreductase, EC 1.5.1.3) activity. In a Chinese hamster ovary cell mutant lacking dihydrofolate reductase (DUKX-B11), endogenous formation of BH4 proceeds normally but, unlike the parent cells, these cells or extracts of them do not convert sepiapterin or 7,8-dihydrobiopterin to BH4. KB cells, which do not contain detectable levels of GTP cyclohydrolase or BH4 but do contain dihydrofolate reductase, readily convert sepiapterin to BH4 and this conversion is completely prevented by methotrexate. In supernatant fractions of bovine adrenal medulla, the conversion of sepiapterin to BH4 is completely inhibited by methotrexate. Similarly, this conversion in rat brain in vivo is methotrexate-sensitive. Sepiapterin and 7,8-dihydrobiopterin apparently do not enter the de novo pathway of BH4 biosynthesis and may be derived from labile intermediates which have not yet been characterized. PMID- 6572917 TI - Tunicamycin inhibits ganglioside biosynthesis in neuronal cells. AB - The antibiotic tunicamycin blocks the transfer of GlcNAc-1-P from UDP-GlcNAc to dolichol phosphate, thereby blocking the synthesis of N-linked oligosaccharide chains on glycoproteins. Its effect on the biosynthesis of gangliosides has not been reported. We report that tunicamycin caused a 70-80% reduction in incorporation of [(3)H]GlcN into gangliosides and neutral glycosphingolipids of the neuroblastoma-glioma hybrid cell line NG 108-15 at antibiotic concentrations that caused a 90% reduction of the radiolabel incorporation into glycoproteins. The effect of tunicamycin on ganglioside biosynthesis was apparent after only 4 hr of incubation, and maximum inhibition was seen within 6 hr. When control or tunicamycin-treated (5 mug/ml) cells were collected and fractionated to separate glycoproteins, neutral glycosphingolipids, gangliosides, and nucleotide sugar precursor pools, the following results were obtained: (i) UDP-GlcNAc and UDP GalNAc pool sizes increased >3-fold, and specific activities decreased 50% upon treatment with tunicamycin; (ii) when corrected for this value, the percentage inhibition of GlcN incorporation into various glycoconjugates by tunicamycin in these cells was 82% for glycoproteins, 54% for neutral glycosphingolipids, and 50% for gangliosides; and (iii) the different gangliosides were affected differentially, with the most striking inhibition apparent in GM(3) biosynthesis, which was decreased 78% in the presence of tunicamycin. These data suggest that the effects of tunicamycin on glycosphingolipids as well as on glycoproteins must be considered when interpreting its effects on intact cells and organisms. PMID- 6572918 TI - Total synthesis of human beta-lipotropin. AB - The total synthesis of human beta-lipotropin has been accomplished by the new segment-coupling method in aqueous solution. The peptides Ac-Arg-beta-lipotropin (61-89) (I) and [GlyS60]-beta-lipotropin-(1-60) (II) were synthesized by the solid-phase method. Reaction of peptide I with citraconic anhydride followed by brief digestion with trypsin to remove the acetylarginyl group, gave Ia. Reaction of peptide II with citraconic anhydride gave the citraconyl peptide IIa. Ia and IIa were coupled together in 50% dimethylformamide by reaction with silver nitrate/N-hydroxysuccinimide. After removal of the citraconyl groups in 25% acetic acid, a 10% yield of synthetic beta-lipotropin could be isolated. The synthetic product was shown to be identical to native human beta-lipotropin by paper electrophoresis, isoelectric focusing, HPLC, lipolytic activity in isolated rabbit fat cells, and radioimmunoassay. PMID- 6572919 TI - Purification and characterization of sheep brain cold-stable microtubules. AB - The isolation of cold-stable microtubules in high yields, described previously only from rodents, was extended to the brain of higher animals. Under optimal conditions, yields of 30 mg of cold-stable microtubles per 100 g of sheep brain could be obtained routinely. Material purified by two polymerization cycles displayed the same stability to cold temperature or to millimolar concentrations of calcium and the same lability to calmodulin and to ATP as did the purified material obtained from the rat [Job, D., Rauch, C.T., Fischer, E.H. & Margolis, R.L. (1982) Biochemistry 21, 509]. Furthermore, DE-52 chromatography of this material yielded a fraction that restored cold stability when added to cold labile microtubules. Known to bind to calmodulin and to enhance microtubule assembly, tau proteins had no cold-stabilizing activity. Protein profiles of the cold-stabilizing fraction from sheep and rat brain were similar to one another but showed no protein bands corresponding to the tau proteins. PMID- 6572920 TI - Band patterns seen by electron microscopy in ordered arrays of bovine and human fibrinogen and fibrin after negative staining. AB - When fibers of fibrin clots or fragments of fibrinogen pellets are negatively stained they exhibit in the electron microscope characteristic patterns of cross striations or bands. Those found in pellet material are indistinguishable from those seen in thrombin-induced fibrin fibers. The pattern seen in fibrin from bovine sources contains three equally spaced faint bands between every two of the broad prominent ones, spaced 23 nm apart. Human material shows a different pattern, one wherein no central faint band is seen, whereas the two remaining ones are broader. Its character is unaffected by crosslinking following fiber formation and preceding negative staining. The bovine pattern, however, is converted by such crosslinking to one that closely resembles the human. It is suggested that the striation pattern in human fibrin is due to juxtapositions of E domains of the parallel-aligned fibrin monomers with tightly coiled COOH terminal regions of beta and gamma polypeptide chains, with no discernible contribution to the pattern from the alpha chain. In negatively stained untreated fibers of bovine fibrin, however, it is proposed that the COOH-terminal region of the alpha chain becomes tightly coiled, thereby contributing the faint central striation to the band pattern. Crosslinking prevents this conformational change in the alpha chain. PMID- 6572921 TI - Human coagulation factor Va is a cofactor for the activation of protein C. AB - During blood clotting in vitro, protein C is converted in part to protein Ca, Protein Ca, in turn, inactivates factor Va. This is evidenced by the rapid inactivation of factor Va coagulant activity after clot formation which is associated with the cleavage of the Mr 110,000 peptide of factor Va. When exogenous factor Va is added to serum, it is inactivated only after a lag of 10 20 min. Using purified coagulation factors in the presence of EDTA, we demonstrated that factor Va enhances the rate of protein C activation by thrombin by 50-fold. The Km for factor Va in the reaction is 14 nM, 100 times higher than its Km for accelerating platelet surface prothrombin activation by factor Xa. By this mechanism, factor Va can act as a procoagulant as well as limit dissemination of the coagulation process through the activation of protein C and the subsequent inactivation of both factor Va and factor VIIIa. PMID- 6572922 TI - Evidence for an altered adenovirus DNA polymerase in cells infected with the mutant H5ts149. AB - The N complementation group of adenovirus (Ad) serotype 5 mutants, which are temperature sensitive for viral DNA synthesis in vivo, has been used to study a 140,000-dalton DNA polymerase (Pol) that copurified with the 80,000-dalton terminal protein precursor (pTP). Extracts prepared from HeLa cells infected with the N group mutant H5ts149 at nonpermissive temperature were unable to synthesize viral DNA. The defect in these extracts was specifically reversed by addition of the Pol purified from wild-type Ad-infected cytosol. Addition of the pTP, free of the Pol, did not restore replicative activity to H5ts149 extracts. The reactions studied depend on the presence of the DNA template and include the initiation reaction (the covalent attachment of dCMP to the pTP) and the selective replication of Ad DNA restriction endonuclease fragments containing the origin sequences. Glycerol gradient sedimentation showed that a replicative activity representing the pTP-Pol complex was greatly reduced in H5ts149 extracts as compared with wild-type extracts, suggesting some alteration in the mutant. A pool of pTP free of Pol was detected on these gradients in extracts from both wild-type and H5ts149-infected cells. In addition, the initiation and elongation of Ad DNA catalyzed by H5ts149 extracts prepared from cells grown at permissive temperatures was more labile to urea inactivation than extracts prepared from cells infected with wild-type virus. These results, considered together with the mapping of the H5ts149 mutation within an open reading frame approximately large enough to code for the 140,000-dalton DNA polymerase [Gingeras, T. R., Sciaky, D., Gelinas, R. E., Bing-Dong, J., Yen, C. E., Kelly, M. M., Bullock, P. A., Parsons, B. L., O'Neill, K. E. & Roberts, R. J. (1982) J. Biol. Chem. 257, 13475 13491; Alestrom, P., Akusjarui, G., Pettersson, M. & Pettersson, U. (1982) J. Biol. Chem. 257, 13492-13498], suggest that the Pol is a virally encoded protein, as is the pTP. PMID- 6572923 TI - Structure of nuclear ribonucleoprotein: heterogeneous nuclear RNA is complexed with a major sextet of proteins in vivo. AB - Mouse erythroleukemia cells were pulse-labeled with [3H]uridine and irradiated with 254-nm light to produce covalent crosslinks between RNA and proteins in close proximity to one another in vivo. Nuclear ribonucleoprotein particles containing heterogeneous nuclear RNA were isolated and digested with nucleases, and the resulting proteins were subjected to gel electrophoresis. Proteins carrying covalently crosslinked [3H]uridine nucleotides were identified by fluorography. The results demonstrate that heterogeneous nuclear RNA is complexed in vivo with a set of six major proteins having molecular weights between 32,500 and 41,500. Analysis of chromatin fractions indicates that nascent heterogeneous nuclear RNA chains assemble with these six proteins as a very early post transcriptional event. These data, and other results [Nevins, J. R. & Darnell, J. E. (1981) Cell 15, 1477-1493], lead us to propose the usual order of post transcriptional events to be: heterogeneous nuclear RNA-ribonucleoprotein particle assembly leads to poly(A) addition leads to splicing. PMID- 6572924 TI - In vivo carbon-13 nuclear magnetic resonance studies of heart metabolism. AB - Guinea pig heart metabolism was studied in vivo by 13C NMR at 20.18 MHz. High quality proton-decoupled 13C NMR spectra with excellent signal-to-noise ratios and resolution could be obtained in 6 min. Natural-abundance spectra showed resonances that could be assigned to fatty acids, but glycogen was not seen. During intravenous infusion of D-[1-13C]glucose and insulin, the time course of myocardial glycogen synthesis was followed serially for up to 4 hr. Anoxia resulted in degradation of the labeled glycogen within 6 min and appearance of 13C label in lactic acid. Infusion of sodium [2-13C]acetate resulted in incorporation of label into the C-4, C-2, and C-3 positions of glutamate and glutamine, reflecting "scrambling" of the label expected from tricarboxylic acid cycle activity. Examination of the 31P NMR spectrum of the guinea pig heart in vivo demonstrated no change in the high-energy phosphates during the time periods of the 13C NMR experiments. Our studies indicate that 13C NMR is a unique non destructive tool for the study of heart metabolism in vivo. PMID- 6572925 TI - Headgroup interactions in mixed phospholipid bilayers. AB - (2)H NMR methods have been used to study how bilayer-forming phospholipids interact with each other at the membrane surface. Aqueous dispersions of dimyristoyl-sn-phosphatidylcholine (Myr(2)-PtdCho), dimyristoyl-sn phosphatidylethanolamine (Myr(2)-PtdEtn), and dimyristoyl-sn-phosphatidyl-3 glycerol, specifically deuterated at different positions in their headgroups, give well-resolved (2)H NMR powder spectra. These spectra are characteristic of a lipid bilayer with quadrupole splittings that are sensitive to the amplitude of headgroup motion. In binary mixed bilayers of deuterated lipids with an unlabeled component, all parts of the deuterated headgroup monitor the presence of the second lipid from changes in the measured quadrupole splittings. The headgroups of the charged lipids, dimyristoyl-sn-phosphatidylserine and dimyristoyl-sn phosphatidyl-3-glycerol, interact to the largest extent with the choline moiety of Myr(2)-PtdCho and the ethanolamine moiety of Myr(2)-PtdEtn, whereas a somewhat smaller but still marked alteration in headgroup motion was observed in Myr(2) PtdCho/Myr(2)-PtdEtn mixtures. The large changes in the deuterium quadrupole splittings for the zwitterionic lipids after addition of a charged lipid suggest that either a strong perturbation in the hydrogen bonding occurs or changes take place in the water structure at the membrane surface, or possibly both. PMID- 6572926 TI - Fibrinogen and fibrin structure and fibrin formation measured by using magnetic orientation. AB - Accurate birefringence measurements show that fibrinogen orients to a small degree in high magnetic fields. This effect can be explained as due to the molecule having about 30% (by weight) alpha-helix oriented relatively parallel to the long axis. Birefringence measurements on fully oriented fibrin suggest that aligned alpha-helical content is less than that estimated for fibrinogen. But because of limitations in the analysis this difference must be viewed with caution. Highly oriented fibrin results when polymerization takes place slowly in a strong magnetic field. Low-angle neutron diffraction patterns from oriented fibrin made in the presence of EDTA, made in the presence of calcium, or stabilized with factor XIIIa are very similar, showing that the packing of the molecules within the fibers is the same or very similar in these different preparations. The induced magnetic birefringence was used to follow fibrin formation under conditions in which thrombin was rate limiting. The fiber network formed by approximately the gelation point constitutes a kind of matrix or frame that is largely built upon during the remaining approximately 85% of the reaction. After gelation the reaction is pseudo-first order. PMID- 6572927 TI - Mechanism of estrogen action: indirect effect of estradiol-17 beta on proliferation of quail oviduct cells. AB - Experimental data were collected to test whether the effect of estrogens required a direct action of the steroid on their target cells for induction of (i) cell multiplication and (ii) cell-type-specific protein synthesis. Ovariectomized quails were perfused for 24 hr with several doses of estradiol-17beta (E(2)) (0.05-6.8 ng/min) through either the jugular vein or the portal vein. E(2) plasma concentrations increased progressively when the perfusion rate through the jugular vein was 0.5 ng/min and higher. With the portal vein, by contrast, E(2) plasma concentrations increased over the concentration in unperfused ovariectomized animals only when the perfusion rate was above 2 ng/min. An increase in DNA concentration per oviduct was observed regardless of the route of administration and the rate of perfusion, starting at 0.5 ng/min. Nuclear estrophilins increased when E(2) was perfused through the jugular vein at rates of 0.5 ng/min or greater. This same parameter was not increased in oviducts of quail perfused through the portal vein even at a perfusion rate of 2.0 ng/min. Progestophilins were induced in the oviducts of quail perfused through the jugular vein at rates of 2 ng/min and above; on the other hand, progestophilins were induced in birds perfused through the portal vein at rates above 2 ng/min. Ovalbumin was not induced in quail oviducts at any rate and route of perfusion. The induction of the synthesis of cell-type-specific protein (progestophilins, in this case) seems to require, however, the direct action of E(2). The E(2) concentrations effecting the induction of progestophilins were higher than those necessary to effect the proliferation of oviduct cells. These results suggest that the E(2) effect on cell proliferation is indirect, it involves an intermediary step at the liver, and it does not require increased concentration of nuclear estrophilins. PMID- 6572928 TI - Involvement of spectrin in cell-surface receptor capping in lymphocytes. AB - Human and mouse lymphocytes of T- and B-cell lineages express a protein (Mr, 240,000) that crossreacts with antibodies raised against chicken erythrocyte alpha-spectrin as judged by immunofluorescence, immunoprecipitation, and immunoautoradiography; by the same criteria, antibodies raised against chicken erythrocyte beta-spectrin do not react with any lymphocyte polypeptide. In all T and B cells analyzed, before surface-directed ligand challenge with concanavalin A and surface immunoglobulins the polypeptide antigenically related to erythrocyte alpha-spectrin is distributed diffusely at the plasma membrane. Upon challenge, the redistribution of this polypeptide is concurrent with that of the cell-surface receptors initially in patches and then in a cap. Immunoprecipitation of NaDodSO4-solubilized lymphocytes with erythrocyte alpha spectrin antiserum shows that in all cases a polypeptide with the same apparent molecular weight as erythrocyte alpha-spectrin is precipitated. Variable amounts of another polypeptide (Mr, 235,000) are also coimmunoprecipitated. Immunoprecipitations and subsequent immunoautoradiography show that the lymphocyte polypeptide doublet has a composition similar to that of (brain) fodrin, a polypeptide doublet that previously has been found mainly in the cells of nervous tissue. PMID- 6572929 TI - Senescent cell antigen is immunologically related to band 3. AB - IgG autoantibodies in human serum selectively bind to a glycopeptide antigen that appears on senescent and damaged cells in situ. We identified the membrane protein from which the senescent cell antigen is derived by using a phagocytosis inhibition assay and immunoautoradiographic gel staining and electroblotting techniques. Results of the phagocytosis-inhibition assay revealed that only the purified transmembrane glycoprotein designated "band 3" and senescent cell antigen inhibited the phagocytosis of erythrocytes induced by IgG eluted from senescent erythrocytes. Purified spectrin, syndein, band 4.1, actin, glycophorin A, and intact or desialylated sialoglycoprotein periodic acid/Schiff (PAS) staining bands 1-4 containing glycophorins A, B, and C did not inhibit phagocytosis. Specific antibodies against the senescent cell antigen and erythrocyte band 3 were used to identify the membrane protein from which the senescent cell antigen is derived. Band 3-related polypeptides (MrS approximately equal to 60,000, 42,000, and 18-26,000) were identified in erythrocyte ghosts prepared in the presence of diisopropyl fluorophosphate, phenylmethylsulfonyl fluoride, and EDTA by immunoautoradiography with antiband 3. Antibodies to senescent cell antigen reacted with band 3 and the same lower Mr band 3-related polypeptides. Thus, the senescent cell antigen is immunologically related to band 3. PMID- 6572930 TI - Dialyzable factor in human serum of platelet origin stimulates endothelial cell replication and growth. AB - Porcine aortic endothelial cells were isolated and maintained in Dulbecco's modified Eagle's medium (DME medium)/10% citrate-treated human plasma. They were stimulated by DME medium/10% human serum to grow from a density of 10,100 +/- 500 per well to a final density of 83,000 +/- 1,800 per well over a 9-day period. On the other hand these cells grew poorly (11% increase) in DME medium/10% human platelet-poor plasma prepared without chelating agents and containing platelet factor 4 at 18 ng/ml by radioimmunoassay. Dialysis of the human serum (M(r) cutoff, 3,500) eliminated all the stimulatory activity. The activity recovered from the dialysate stimulated growth when added to endothelial cultures in conjunction with either dialyzed serum or platelet-poor plasma alone. The dialyzable factor could be obtained directly from platelets; both acetic acid extracts and boiled NaCl extracts stimulated porcine aortic endothelial cell replication. Gel filtration chromatography on Sephadex G-15 showed that the endothelial growth factor had a molecular weight of 700. Partially purified material induced a concentration-dependent stimulation of porcine aortic endothelial cell replication in the presence of DME medium alone; however, simultaneous incubation with platelet-poor plasma resulted in a much greater response. Fibroblast growth factor isolated from bovine brain was found to be mitogenic only in the presence of nondialyzed serum or of the dialyzable factor together with plasma. In the absence of this serum factor, fibroblast growth factor had no effect. We conclude that human serum contains a potent endothelial cell mitogen of platelet origin. Human plasma that is devoid of platelet content does not stimulate endothelial cell growth. This growth factor may be an important stimulant of the endothelial cell response to vascular wall injury. PMID- 6572931 TI - Biology of Langerhans cells: selective migration of Langerhans cells into allogeneic and xenogeneic grafts on nude mice. AB - A major question challenging immunobiologists relates to those mechanisms that control the selective movement of cells involved in immune and inflammatory processes at various tissue sites such as the skin. Little is known about those influences that control the selective migration of macrophage-like Langerhans cells (LC) to normal epidermis, where it is uniformly distributed. Mechanistically, this includes the interaction of blood-borne LC precursors with the vascular endothelium of the skin and those factors that control the migration of the LC into the avascular epidermal component of the skin. By using (i) monoclonal antibodies specific for I-region associated Ia antigens found on LC from various inbred strains of animals and (ii) the congenitally athymic (nude) mouse as an immunologically compromised recipient of allografts and selected xenografts, we developed a model system to study the factors that restrict LC migration into the epidermis. Using this model, which excludes the need to lethally x-irradiate graft recipients, we established that: (i) the ingress of LC does not show major histocompatibility complex restriction [LC of the nude host are capable of migrating into the epidermis of allogeneic and certain xenogeneic (rat) skin grafts]; (ii) host LC are incapable of migrating into the epidermis of guinea pig or human skin grafts; (iii) the ingress of host LC into the epidermis of the graft is not accompanied by an overgrowth of the graft by host epidermis; and (iv) LC or LC precursors are capable of dividing in the skin or, alternatively, represent an extremely long-lived cell population. The specificity of this model system provides a powerful tool to help understand many aspects of LC biology. Grafting human skin to the nude mouse not only provides a biologic support system for the graft but also is, by design, a system that is devoid of contaminating circulating precursor cell types. Manipulation of the experimental conditions is quite easy and provides a highly specific means to investigate many parameters of LC function. PMID- 6572932 TI - YAC-1 variant clones selected for resistance to natural killer cytotoxic factors are also resistant to natural killer cell-mediated cytotoxicity. AB - The possible involvement of natural killer cytotoxic factors (NKCF) in the lytic mechanism of natural killer (NK) cell-mediated cytotoxicity (CMC) was investigated by studying the mechanism of NK resistance of variant clones of the YAC-1 cell line. The NK-resistant YAC-1 (YAC-R) clones were generated by prolonged culture of the initially NK-sensitive YAC-1 cell line in the presence of NKCF. The YAC-R clones were resistant to lysis by NKCF as well as lysis by NK cells in a CMC assay. The defect was specific for NK CMC because the YAC-R clones could still be lysed by alloimmune cytotoxic T lymphocytes. Experiments to determine the mechanism of NK resistance of the YAC-R clones indicated that they still possessed the NK recognition structures because they formed a normal number of conjugates with murine spleen cells. In addition, the YAC-R clones, like the parental YAC-1 cell line, were able to stimulate the release of NKCF during co culture with spleen cells. However, the YAC-R clones, in contrast to YAC-1 cells, were unable to adsorb NKCF from cell-free supernatants of such cultures. Thus, it appears that the YAC-R clones are NK resistant due to a deficiency of NKCF binding sites. The present studies demonstrate that a NK-sensitive target cell must not only be recognized by the NK cell and stimulate release of NKCF but it must also bind NKCF for cell lysis to ultimately result. These findings support our model for the mechanism of NK CMC in which it is proposed that target cell lysis is mediated by NKCF released from the effector cell. PMID- 6572933 TI - Polymorphism of human erythrocyte C3b/C4b receptor. AB - The human erythrocyte receptor for the major activation fragments of the third and fourth components of complement (HuE-C3bR) was isolated from individual donors. Erythrocytes were surface labeled with 125I and solubilized in Nonidet P 40.HuE-C3bR was purified by using C3-Sepharose affinity chromatography and analyzed by autoradiography of NaDodSO4/polyacrylamide gels. Three distinct receptor patterns were demonstrated. Type a had a single major band with Mr of 190,000, type b had a single major band with Mr of 220,000, and type c had two major bands of Mr 190,000 and 220,000. In all three types, a minor band accounting for less than 25% of the total radioactivity was usually observed at a Mr 15,000 greater than that of each major band. Identical autoradiographic patterns were obtained by affinity chromatography using methylamine-inactivated C4-Sepharose or by immunoprecipitation of solubilized membranes with a monoclonal antibody against HuE-C3bR. All three types were distinct after reduction and alkylation, although the apparent Mr uniformly increased by approximately equal to 30,000. Characterization of HuE-C3bR types in 33 unrelated individuals demonstrated that 23 had type a, 1 had type b, and 9 had type c. Family studies provide evidence for transmission by two codominant alleles. Thus, in the normal population two alleles appear to control expression of HuE-C3bR phenotypes and account for the polymorphism of this integral membrane glycoprotein. PMID- 6572934 TI - Naturally occurring infection of Pekin duck embryos by duck hepatitis B virus. AB - We tested the hypothesis that duck hepatitis B virus (DHBV) is a naturally occurring congenital infection of Pekin duck embryos. Of 219 embryos, 5-25 days after being laid, sera from 30 were found to be positive for endogenous DNA polymerase activity characteristic of hepatitis B-related viruses. The presence of the duck virus was confirmed by hybridization with cloned DHBV DNA. Viral DNA was also found in the livers of embryos incubated for 12 or 18 days. Electrophoretically different forms of DHBV DNA were identified in liver extracts that were not present in serum. These additional liver forms probably represent viral replication intermediates. These observations suggest that the vertical route is a major pathway of DHBV transmission and that viral replication may be initiated by the 12th day of embryonic life. PMID- 6572935 TI - Inhibition of the growth and differentiation of erythroid precursor cells by an endotoxin-induced mediator from peritoneal macrophages. AB - Conditioned medium from cultures of mouse macrophages incubated with endotoxin in a serum-free medium contains an inhibitor of the growth and differentiation of erythroid precursor cells of mouse Friend virus-transformed erythroleukemia cells. Endotoxin itself has no inhibitory effect. The endotoxin-induced macrophage mediator inhibits the growth and differentiation of dimethyl sulfoxide , hexamethylenebisacetamide-, butyric acid-, and hypoxanthine-induced cells but has no effect on hemin-induced cells. The conditioned medium has its maximal inhibitory effect on committed erythroid precursor cells, a decreased effect on uncommitted stem cells, and no effect on fully differentiated erythroid cells. These results demonstrate that endotoxin stimulation of macrophages leads to the production of a humoral factor(s) which is critical for the growth and differentiation of erythroid precursor cells. PMID- 6572936 TI - Prostaglandin D2, a cerebral sleep-inducing substance in rats. AB - We continuously monitored the circadian sleep patterns of unrestrained rats for more than 96 hr and infused various prostaglandins into their third ventricles for 10 hr to study the effects on inducing sleep. Prostaglandin D2 at 6 fmol/min had no effect on either slow wave sleep or paradoxical sleep. However, prostaglandin D2 at as little as 60 fmol/min caused a significant amount of excess slow wave sleep as compared with the control level during saline infusion. Paradoxical sleep was induced by prostaglandin D2 at doses greater than 600 fmol/min. Prostaglandin D2 (600 fmol/min) increased slow wave sleep by 33% and paradoxical sleep by 56%. Although prostaglandin F2 alpha (600 fmol/min) increased the amount of slow wave sleep, its activity was less than that of the same amount of prostaglandin D2. Prostaglandin E2 (600 fmol/min) had no effect on increasing the amounts of both slow wave sleep and paradoxical sleep. During the infusion of prostaglandin D2, rats were easily aroused by clap sound stimulation and their sleeping and waking postures remained normal. Further, their sleep was episodic, as observed in the physiological sleep of rats. PMID- 6572937 TI - Immunocytochemical localization of actin and microtubule-associated protein MAP2 in dendritic spines. AB - To determine whether dendritic spines contain actin, we evaluated the immunocytochemical localization of actin in the hippocampal formation and cerebral cortex of the rat. Monoclonal hybridoma antibodies were prepared against adult quail breast muscle actin. The culture supernatant of two cell lines (QAB1 and QAB2) was examined. Both antibodies bound only actin in crude brain homogenates, and neither exhibited species specificity. Electron microscopic analyses of sections reacted with QAB1 revealed staining of postsynaptic densities and dendritic microtubules but little staining of the cytoplasmic compartment of spines. However, sections reacted with QAB2 exhibited staining at the cytoplasmic compartment of spines as well as the sites stained by QAB1. We also evaluated the immunocytochemical distribution of beta-tubulin and high molecular weight microtubule-associated protein (MAP2) utilizing monoclonal antibodies. MAP2 was found in the dendritic spine as well as in the parent dendrite. However, beta-tubulin was found only in the postsynaptic density and in the microtubules of the parent dendrite. The combined results indicate that actin is present in the spine along with MAP2 and that there is a difference in the actin (or the state of actin) in the spine in comparison with other neuronal compartments. PMID- 6572938 TI - Do tissues other than the kidney produce 1,25-dihydroxyvitamin D3 in vivo? A reexamination. AB - Recent experiments have shown that 1,25-dihydroxyvitamin D3-like material is produced in cultured nonrenal cells and may be present in the sera of anephric patients. We reexamined the question of whether 1,25-dihydroxyvitamin D3 can be synthesized extrarenally in the rat in vivo. To intact, sham-operated, ureter ligated, or acutely nephrectomized vitamin D-deficient rats raised on a diet normal in calcium and phosphorus, we gave a physiologic dose of high-specific activity 25-hydroxy-[3H]vitamin D3 (3.6-3.8 microCi; approximately equal to 25 pmol per rat). Twenty-four hours later we examined their tissues and plasma for the presence of radiolabeled 1,25-dihydroxyvitamin D3. Large amounts of radioactivity that behaved chromatographically as identical with authentic 1,25 dihydroxyvitamin D3 were present in the plasma, bone, and intestine of the intact, sham-operated, or ureter-ligated rats. However, no radioactivity eluting in a manner similar to 1,25-dihydroxyvitamin D3 was found in plasma, bone, or intestine of acutely nephrectomized rats. We conclude that, in the acutely nephrectomized living rat, 1,25-dihydroxyvitamin D3 is not present in plasma, bone, or intestine in quantities detectable by the sensitive techniques we have used. No conversion of 25-hydroxyvitamin D3 to 1,25-dihydroxyvitamin D3 was observed during a 24-hr period after nephrectomy of vitamin D-deprived rats. This fact casts doubt upon the significance of the in vitro production of 1,25 dihydroxyvitamin D3 by nonrenal cells as an in vivo phenomenon. PMID- 6572939 TI - beta-Hydroxyaspartic acid in vitamin K-dependent protein C. AB - Previous work has shown that the light chain of protein C, an anticoagulant plasma protein, contains an unusual amino acid [Fernlund, P. & Stenflo, J. (1982) J. Biol. Chem. 257, 12170-12179]. To determine the structure of this amino acid a heptapeptide, CMCys-Ile-X-Gly-Leu-Gly-Gly (residues 69-75 in the light chain), was isolated from enzymatic digests of the light chain. According to automatic Edman sequence analysis, 1H NMR spectroscopy, and mass spectrometry the heptapeptide had beta-hydroxyaspartic acid in its third position, which corresponds to position 71 in the light chain of protein C. Analysis of acid and aminopeptidase M hydrolysates of the heptapeptide showed the beta-hydroxyaspartic acid to be the erythro form. Acid hydrolysis of protein C released approximately equal to 1 mol of beta-hydroxyaspartic acid per mol of protein. The function of this amino acid, which, to the best of our knowledge, has not been found previously in proteins, is unknown. PMID- 6572940 TI - Crystalline aspartate aminotransferase: lattice-induced functional asymmetry of the two subunits. AB - The enzymic activity of crystalline mitochondrial aspartate aminotransferase (L aspartate:2-oxoglutarate aminotransferase, EC 2.6.1.1) was determined in suspensions of noncrosslinked microcrystals in 30% (wt/vol) polyethylene glycol. The crystals (average dimensions, 22 x 5 x 0.8 micron) were small enough to preclude diffusional rate limitation. They had the same habit as the triclinic crystals used for the determination of the spatial structure of the enzyme by x ray crystallographic analysis [Ford, G. C., Eichele, G., and Jansonius, J. N. (1980) Proc. Natl. Acad. Sci. USA 77, 2559-2563]. Determination of the Michaelis Menten parameters showed that the packing of the enzyme dimer into the crystal lattice not only decreases its activity but also induces a functional nonequivalence of the two subunits that behave identically in solution. The crystalline enzyme possesses a high-affinity subunit with Km values similar to those of the enzyme in solution (K'm = 0.5 mM for aspartate and 1.2 mM for 2 oxoglutarate) and a low-affinity subunit (K'm = 5.5 mM and 14.5 mM, respectively). The catalytic activity of the high-affinity subunit is 3% and that of the low-affinity subunit is 15% of the activity of the enzyme in solution. The functional asymmetry of the crystalline enzyme dimer could also be demonstrated by selective mechanism-based modification of either type of active sites. In view of the apparently identical conformation of the two subunits in the crystalline enzyme, its decreased catalytic efficiency and its functional asymmetry likely are due to constraints exerted by the crystal lattice on the conformational adaptability of the two subunits. In triclinic crystals the two subunits of the enzyme dimer have dissimilar lattice contacts. PMID- 6572941 TI - In vitro synthesis of thymosin beta 4 encoded by rat spleen mRNA. AB - Thymosin beta 4, containing 43 amino acids and acetylated at the NH2 terminus, is synthesized in vitro in a rabbit reticulocyte lysate or in a yeast protein synthesis system in the presence of mRNA from rat spleen. The product formed was identified as beta 4 by immunoprecipitation by a specific anti-beta 4 antiserum, comigration with authentic beta 4 in NaDodSO4/polyacrylamide gel electrophoresis and in HPLC, and identity of peptide fragments. The immunoprecipitable product generated in the wheat germ protein-synthesizing system emerged slightly ahead of beta 4 in HPLC and appeared to lack the NH2-terminal acetyl group. There was no evidence for formation of a larger polypeptide precursor of beta 4 in any of the three systems used. In sucrose density gradient centrifugation, the mRNA coding for beta 4 was recovered in the 7-8S mRNA fraction. PMID- 6572942 TI - The distribution of interspersed repeats is nonuniform and conserved in the mouse and human genomes. AB - We investigated the genomic distribution of mouse and human repeated sequences by assessing their relative amounts in the four major components into which these genomes can be resolved by density gradient centrifugation techniques. These components are families of fragments that account for most or all of main-band DNAs, range in dG + dC content from 37% to 49%, and are derived by preparative breakage from long DNA segments (greater than 300 kb) of fairly homogeneous composition, the isochores. The results indicate that the short repeats of the B1 family of mouse and of the Alu I family of man are most frequent in the heavy components, whereas the long repeats of the BamHI family of mouse and of the Kpn I family of man are mainly present in the two light components. These results show that the genomic distribution of repeated sequences is nonuniform and conserved in two mammalian species. In addition, we observed that the base composition of two classes of repeats (60% dG + dC for short repeats; 39% dG + dC for long repeats) is correlated with the composition of the major components in which they are embedded. Finally, we obtained evidence that not only the short repeats but also the long repeats are transcribed, these transcripts having been found in mouse poly(A)+ mRNA. PMID- 6572943 TI - The sequence (dC-dA)n X (dG-dT)n forms left-handed Z-DNA in negatively supercoiled plasmids. AB - Z-DNA-specific antibodies have been used to demonstrate the formation of left handed Z-DNA in sequences of (dC-dA)32 X (dG-dT)32 in negatively supercoiled plasmids. Z-DNA was found to form at physiological negative superhelical densities (sigma = -0.05) in the absence of high salt concentration or chemical modifications. The binding site of the antibody to the DNA sequences was demonstrated by crosslinking experiments. (dC-dA)n X (dG-dT)n sequences are widespread in eukaryotic DNA, and possible roles for such Z elements in chromatin activation or genome rearrangements are suggested. PMID- 6572944 TI - Reversible interconversion between sulfo and desulfo xanthine oxidase in a system containing rhodanese, thiosulfate, and sulfhydryl reagent. AB - The desulfo form of milk xanthine oxidase (xanthine: oxygen oxidoreductase, EC 1.2.3.2) was reactivated by incubation with rhodanese (thiosulfate: cyanide sulfurtransferase, EC 2.8.1.1), thiosulfate, and sulfhydryl reagent; 50% of full activity was recovered. No further reactivation occurred with additional incubation. It was also found that native enzyme in the sulfo form with full activity was inactivated by incubation with the same system, down to half of full activity and no further inactivation occurred. After these incubations the enzyme was found to be a mixture of functional and nonfunctional enzymes based on spectral changes with xanthine, on [14C]oxipurinol equilibration, and on steady state kinetics. The 35S of [35S]thiosulfate was incorporated into desulfo xanthine oxidase in parallel with an increase in catalytic activity. Most of the 35S was cyanolysable but was protected from cyanolysis by pretreatment with allopurinol. The 35S was released from 35S-labeled reconstituted xanthine oxidase upon incubation with the rhodanese system containing unlabeled thiosulfate. However, catalytic activity remained unchanged, indicating that the sulfur atom was exchanged during the incubation. PMID- 6572945 TI - Isolation and sequence characterization of a cDNA clone of human antithrombin III. AB - A human liver cDNA library was constructed by using poly(A)-containing RNA isolated from a human liver biopsy specimen. This library is comprised of 40,000 independent transformants with an average inserted DNA length of 1,200 base pairs. By using the previously cloned baboon antithrombin III cDNA as a specific hybridization probe, greater than 30 human antithrombin III cDNA clones were identified from this library. The clone with the longest DNA insert was selected for sequence analysis. This antithrombin III cDNA clone contains 1,479 base pairs of inserted human DNA and was designated phATIII 113. It contains DNA sequences that code for a signal peptide and the entire mature antithrombin III protein which is comprised of 432 amino acid residues. PMID- 6572947 TI - 5S rRNA gene transcription factor IIIA alters the helical configuration of DNA. AB - Relaxation of Xenopus 5S plasmid DNA (pX1o8) in the presence of transcription factor (TF) IIIA reduces the linking number of the DNA. Parallel experiments with plasmid pMB9 or cloned hepatitis B viral DNA indicate a degree of non-specific unwinding by TF; however, 60% of the effect observed for pX1o8 is due to specific interaction of TF IIIA with the 5S rRNA gene internal promoter sequence. The extent of unwinding (0.2-0.4 helical turn per TF IIIA binding site) is not consistent with the complete denaturation of the 50-base-pair TF binding site; however, it is consistent with a change in helix rotation, denaturation of 2-4 nucleotides per binding site, or DNA wrapping about a protein core. We show that proteins other than TF IIIA (bovine serum albumin and RNase) have no effect on the linking number of DNA when present during relaxation and that the unwinding activity associated with TF is heat labile. These results suggest that TF IIIA may facilitate transcription by altering the helical configuration of 5S DNA. PMID- 6572946 TI - Histone mRNA concentrations are regulated at the level of transcription and mRNA degradation. AB - The levels of histone mRNA are rapidly reduced after treatment of cultured cells with hydroxyurea or cytosine arabinonucleoside. The histone mRNA for the replicative histone variants is destroyed rapidly, with a half-life of 10-15 min. The levels of mRNA coding for the replacement histone variant H3.3 were unchanged after treatment with DNA synthesis inhibitors. In addition to the rapid destruction of histone mRNA, there was a reduction to 1/5th in the rate of transcription of the histone genes. Lymphoma cells (S49) arrested in G1 by cyclic AMP produce and contain significant levels of histone mRNA. Hydroxyurea reduces the rate of transcription and the levels of histone mRNA in the G1-arrested cells. PMID- 6572948 TI - In vitro translation and characterization of a unique histidine-rich protein mRNA in the avian malaria parasite Plasmodium lophurae. AB - The histidine-rich protein (HRP) of the avian malaria parasite Plasmodium lophurae contains 70% histidine. It is found in dense cytoplasmic granules and during the erythrocytic cycle it accumulates to represent 10% of the dry weight of the parasite. In the present work the HRP mRNA was studied by in vitro translation and by the use of a polyhistidine oligonucleotide probe. The HRP mRNA contains 2,000-2,100 nucleotides encoding a protein with an apparent molecular weight of 50,000. In addition a HRP of molecular weight 35,000-40,000 is also produced in vitro, probably as a result of proteolytic cleavage of the molecular weight 50,000 polypeptide which corresponds to in vivo labeled and purified HRP. The HRP represents a much larger proportion of the in vitro products synthesized in the homologous cell-free system compared to the rabbit reticulocyte system, and it reflects more closely the pattern of protein synthesis seen in vivo. In addition, HRP mRNA is more abundant in polysomes isolated from young parasites than in polysomes from mature schizonts. These results indicate that the HRP accumulates as a result of amplified translation of its mRNA at certain stages of its erythrocytic cycle. PMID- 6572949 TI - Modulation of the kinetics of cholesterol side-chain cleavage by an activator and by an inhibitor isolated from the cytosol of the cortex of bovine adrenals. AB - Two modulators of sterol side-chain cleavage activity have been detected in the cytosol from the cortex of bovine adrenals. One is an inhibitor of side-chain cleavage which increases the Km of a purified and reconstituted mitochondrial side-chain cleavage system for both cholesterol and cholesterol sulfate. It also lowers the Vmax of cleavage when cholesterol sulfate is the substrate. The other modulator is a low molecular weight protein which in the reconstituted system increases the Vmax of cleavage for both substrates but does not affect the Km of either. Side-chain cleavage activity was also found in bovine adrenocortical cytosol and this appears to differ from that present in mitochondria. PMID- 6572950 TI - Bathorhodopsin intermediates from 11-cis-rhodopsin and 9-cis-rhodopsin. AB - Bathorhodopsin-rhodopsin difference spectra of native 11-cis-rhodopsin and regenerated 9-cis-rhodopsin were measured at room temperature with a double-beam laser spectrophotometer after excitation at 532 nm. A detailed analysis of data obtained at 85 psec after excitation suggests that the bathorhodopsins generated from 11-cis- and 9-cis-rhodopsin differ in their extinction coefficients and that their absorption maxima are shifted in wavelength by about 10 nm from one another. The ratio of quantum yields for photochemical production of the 11-cis bathorhodopsin and the 9-cis-bathorhodopsin approximates 1. Implications that the early photochemical processes in vision are more complex than previously considered are explored. PMID- 6572951 TI - Inhibitors of endocytosis perturb phospholipid metabolism in rabbit neutrophils and other cells. AB - Dansylcadaverine, amantadine, and rimantadine, which have been shown to inhibit the endocytosis of alpha 2-macroglobulin, epidermal growth factor, and vesicular stomatitis virus [Schlegel, R., Dickson, R. B., Willingham, M. C. & Pastan, I. (1982) Proc. Natl. Acad. Sci. USA 79, 2291-2295], were found to decrease phosphatidylcholine synthesis, chemotaxis, and internalization of a formylated peptide but to stimulate the incorporation of inositol into phosphatidylinositol in rabbit neutrophils. Dansylcadaverine decreased phosphatidylcholine synthesis by both the CDP-choline and transmethylation pathways and also inhibited the synthesis of phosphatidylethanolamine by the CDP-ethanolamine pathway. Dansylcadaverine had no effect on the phosphocholine, CDP-choline, or S-adenosyl L-homocysteine pools but increased 2-fold the S-adenosyl-L-methionine pool. These results suggest that dansylcadaverine in some manner inhibited the condensation of CDP-choline with diacylglycerol to form phosphatidylcholine. Dansylcadaverine also inhibited phosphatidylcholine synthesis in human neutrophils, human fibroblasts, chicken embryo fibroblasts, rat hepatocytes, osteosarcoma cells, and neuroblastoma cells. It did not stimulate phosphatidylinositol synthesis in chicken embryo fibroblasts. PMID- 6572952 TI - Cells injected with guanosine 5'-[alpha, beta-methylene]triphosphate, an alpha, beta-nonhydrolyzable analog of GTP, show anomalous patterns of tubulin polymerization affecting cell translocation, intracellular movement, and the organization of Golgi elements. AB - Injection of the alpha, beta-nonhydrolyzable GTP analog, guanosine 5'-[alpha, beta-methylene]triphosphate (pp[CH2]pG) into PtK2, A549, and Swiss 3T3 cells produced dramatic changes in the normal pattern of long radiating microtubules displayed by the cells before injection. Injection of pp[CH2]pG into cells growing in normal medium resulted in the formation of microtubule bundles resistant to depolymerization by Colcemid and calcium. Cells injected with pp[CH2]pG after incubation with Colcemid for 2 hr showed polymerization of tubulin into long wavy ribbons within 2 hr after injection. Removal of Colcemid 1 hr after the injection of pp[CH2]pG resulted in assembly of tubulin into short single randomly oriented microtubules. All cells injected with pp[CH2]pG showed impeded translocation and restriction or absence of intracellular movement. pp[CH2]pG also prevented the fragmentation of Golgi elements in A549 cells treated with Colcemid. Cells first treated with Colcemid and then injected with pp[CH2]pG failed to reassemble the Golgi elements after the removal of Colcemid. Cells in intimate membrane contact with cells injected with pp[CH2]pG showed similar changes in microtubule polymerization, cell movement, and organization of Golgi elements. PMID- 6572953 TI - Stabilization of erythrocyte membranes by polyamines. AB - Using a laser diffraction technique, we have studied the effects of putrescine, spermidine, and spermine, the three physiologic polyamines, on the deformability and mechanical stability of human erythrocyte membranes. Ghosts resealed with polyamines were subjected to high fluid shear stress in an ektacytometer. All polyamines increased the membrane shear modulus (decreased deformability) in a concentration- and time-dependent manner. The order of effectiveness was spermine greater than spermidine greater than putrescine. At 10 microM, spermine appreciably decreased membrane deformability. For the measurement of membrane mechanical stability, resealed ghosts were subjected to constant high shear stress in the ektacytometer and deformability was continuously recorded as the deformable ghosts fragmented into rigid spherical vesicles. Polyamines, especially spermine, caused a noticeable increase in the t1/2 for fragmentation. These effects could not be ascribed to proteolysis or Ca2+-induced transglutamination. That the effects of polyamines were specific and not simply due to their positive charge was demonstrated by the finding that Ca2+ and Mg2+ destabilized the erythrocyte membrane as evidenced by decreasing the t1/2 for fragmentation. Extracellular polyamines were not effective except under conditions that caused significant accumulation inside the cell. The data indicate that intracellular physiologic polyamines, especially spermine, decrease erythrocyte membrane deformability and stabilize the membrane skeleton, making it more resistant to fragmentation. PMID- 6572954 TI - Novel B family sequence from an early chorion cDNA library of Bombyx mori. AB - A cDNA library has been constructed from transcripts present during the early stages of choriogenesis in the silk-moth, Bombyx mori. Clones representing novel sequences were selected by screening the library with (i) homotypic cDNA, (ii) rDNA and typical chorion probes of the A and B multigene families and (iii) selected clones from the library, which were positive in step (i) but negative in step (ii); this third step identified clones that hybridized to distinct subsets of the library. The sequence of one such clone was determined and shown to represent a novel subfamily of the B chorion multigene family, exclusively expressed during the early choriogenic period. PMID- 6572955 TI - Evolution: questions for the modern theory. AB - The blind spot of the present generation of evolutionists is failure to see the consequences and limits of natural selection. Darwinian natural selection is a costly process of differential elimination of individuals. The widely accepted misdefinition of natural selection as differential reproduction mistakenly hides the Darwinian process and its cost. And current theories of selfish genes, inclusive fitness, and kin selection are incompatible with Darwinian selection. Implicitly, if not explicitly, they postulate genes that favor themselves but reduce the Darwinian fitness of the individuals carrying them. Such genes would not survive; they would eliminate themselves by causing the selective elimination of their carriers. Critical questions that evolutionists should be asked are suggested. My own "unhappy conclusion" is that, because most biologists have forgotten what natural selection is, much current evolutionary and sociobiological theory presented by the most influential evolutionists is mistaken and dangerous. Anthropologists and sociologists are wise to distrust it. PMID- 6572956 TI - Modular structural units, exons, and function in chicken lysozyme. AB - By the application of the same algorithm for finding compact structural units encoded by exons as applied previously to hemoglobin, five units, M1-M5, were identified in chicken egg white lysozyme. They consist of residues 1-30, 31-55, 56-84, 85-108, and 109-129, respectively. I call these compact structural units "modules." As in hemoglobin, modules thus identified correspond well to exons- i.e., modules M1, M2 plus M3, M4, and M5 correspond to exons 1, 2, 3, and 4 of the lysozyme gene, respectively. Localization of the catalytic sites glutamic acid-35 and aspartic acid-52 on the module M2 suggests that this module might have worked as a functional unit in a primitive lysozyme. The good correspondence between exons and modules reinforces the idea of "proteins in pieces," which was derived from the fact of "genes in pieces." The evolutionary origin of the introns in globins and lysozyme is discussed. PMID- 6572958 TI - Paradox of the evolution of communication and of social interactivity. AB - Communication between individuals of a species is likely to increase the capacity to acquire skills useful for survival and propagation and thus may confer important selective advantages. Since interaction occurs between two or more individuals, the selective process is frequency dependent, and the analysis shows that communication cannot initially increase at a reasonable rate when it is limited to random unrelated individuals, so that it is likely to abort for stochastic reasons. However, this bottleneck is removed if the communication process takes place in the nuclear family or among close relatives or if aggregation of communicators occurs because of assortative mating or meeting. Use of the individual conditional fitnesses we have introduced earlier permits an exact analysis. We show that, in general, the initial rate of increase can be geometric if and only if, in the class of selective models considered, the conditional probability of a communicator interacting with another contains a positive constant term. In our discussion of communication, cost factors for the act of communication have been omitted. However, the model has been generalized to include cooperativeness, and also altruism, or competition, by introducing costs. There is a close relationship among these situations, and the same considerations about the initial bottleneck and its resolution also extend to them. The models given here are for haploids but they extend to diploids and the conclusions are similar. PMID- 6572957 TI - Cellular myc oncogene is altered by chromosome translocation to an immunoglobulin locus in murine plasmacytomas and is rearranged similarly in human Burkitt lymphomas. AB - Molecular cloning has recently established that the 15;12 chromosome translocations in murine plasmacytomas fuse DNA from chromosome 15 to the immunoglobulin heavy (H) chain locus, usually within the switch recombination region near the alpha constant region gene. We show here that the incoming DNA bears the cellular gene (c-myc) homologous to the oncogene (v-myc) of avian retrovirus MC29. In human Burkitt lymphomas bearing an 8;14 translocation, c-myc was also rearranged, apparently (in at least two cases) to an H chain switch recombination region (mu or alpha), and both products of a reciprocal chromosome exchange were detectable. Both the murine and human c-myc genes contain two exons homologous to v-myc, and additional 5' and 3' murine genomic segments (apparent exons) were defined by hybridization to c-myc mRNAs. In plasmacytomas, chromosome breakpoints fall near or within the 5' exon and apparently disrupt the normal c myc transcriptional unit, because plasmacytoma c-myc mRNAs differ from the mRNA in lines without c-myc rearrangement. The translocated gene presumably has lost its normal 5' regulatory sequences and may well encode an altered myc polypeptide. We propose that altered expression of the c-myc gene, induced by translocation to an immunoglobulin locus, is a critical oncogenic event for these B lymphoid tumors. Two events may be required, because the plasmacytoma oncogene capable of transforming fibroblasts is not c-myc. PMID- 6572959 TI - Generation of human monoclonal antibodies reactive with cellular antigens. AB - Human lymphocytes from lymph node, peripheral blood, spleen, and tumor specimens have been fused with the LICR-LON-HMy2 (LICR-2) or SKO-007 human cell lines or the NS-1 mouse myeloma line. Over 75 fusions with the three myeloma lymphoblastoid lines have been performed. Several factors appeared to improve the fusion outcome, including maintenance of the myeloma-lymphoblastoid lines in logarithmic phase growth at greater than or equal to 95% viability, a delay of 24 hr in the introduction of aminopterin to the fused cells, and preselection of the fetal calf serum used in the medium. For a given number of lymphocytes, fusions with NS-1 produced 5-20 times more clones than fusions with LICR-2 or SKO-007, and LICR-2 produced 4 times as many clones as SKO-007. The percentage of clones secreting human immunoglobulin, the range of immunoglobulin production, and the proportion of IgM, IgA, and IgG secretors were comparable for clones derived from the three myeloma-lymphoblastoid lines. Stable Ig-secreting clones were isolated with approximately equal frequency from LICR-2 and NS-1 fusions. A number of stable clones producing human monoclonal antibodies reacting with cell-surface, cytoplasmic, or nuclear antigens have been isolated from tumor-bearing patients and normal individuals. A surface antigenic system present on normal and malignant cells has been defined with a human monoclonal antibody derived from a patient with breast cancer. Techniques for producing human monoclonal antibody now appear to be sufficiently advanced to initiate a serological dissection of the humoral immune response to cancer. PMID- 6572960 TI - Macrophage activation: dissociation of cytotoxic activity from Ia-A antigen expression. AB - Peritoneal macrophages were obtained from DBA/2 mice that were untreated or after the injection of bacillus Calmette-Guerin (BCG), thioglycollate broth, proteose peptone broth, or gamma-irradiated P-815 tumor cells. These macrophages were "activated" to become cytotoxic for a fibroblast cell line (L 929) by the addition of lymphokines (LKs), lipopolysaccharide (LPS), or fibroblast interferon (IFN-beta), and the expression of I region-associated antigens (Ia-Ad) on the macrophages was examined both before and after activation. Thioglycollate elicited macrophages became Ia-A+ when activated by LKs, but they remained Ia-A- when activated by LPS or IFN-beta. Resident macrophages and proteose-peptone elicited macrophages remained Ia-A- when activated with LKs. Macrophages from BCG infected mice were both Ia-A+ and cytotoxic for tumor cells without further treatment. In contrast, macrophages from mice injected with gamma-irradiated P 815 mastocytoma cells were Ia-A+ but not cytotoxic, and these macrophages could not be made cytotoxic by incubation with LKs. The cultured macrophage-like cell lines P388D1 and WEHI-3 became Ia-A+ after incubation with LKs, and this treatment amplified the cytotoxicity of both cell lines. We conclude that a number of factors are important in determining whether Ia-A expression accompanies macrophage activation and that Ia-A is irrelevant as a surface marker for macrophage activation. PMID- 6572961 TI - Dopamine stimulation of phosphatidylcholine (lecithin) biosynthesis in rat brain neurons. AB - Rat brain synaptosomes contain enzymes, phosphatidylethanolamine N methyltransferase(s) (EC 2.1.1.17), that catalyze the methylation of endogenous phosphatidylethanolamine to form its mono-, di-, and trimethyl (i.e., phosphatidylcholine) derivatives. We observe that the activity of these enzymes is enhanced when synaptosomes are incubated with catecholamines: 0.1 mM dopamine increases incorporation of [3H]methyl groups into monomethylphosphatidylethanolamine, dimethylphosphatidylethanolamine, and phosphatidylcholine by factors of 1.7, 1.3, and 2.1, respectively, and 0.1 mM norepinephrine increases [3H]methyl incorporation into monomethylphosphatidylethanolamine and dimethylphosphatidylethanolamine by factors of 1.6 and 2.1, respectively. Stimulation by dopamine, which is observed at concentrations as low as 1 microM, is blocked by haloperidol. PMID- 6572962 TI - Complete mRNA coding sequence of the acetylcholine binding alpha-subunit of Torpedo marmorata acetylcholine receptor: a model for the transmembrane organization of the polypeptide chain. AB - A 1,350-base-pair-long cDNA clone, named p alpha-2, was isolated by hybridization to the previously characterized clone p alpha-1 and found to be specific for the alpha-subunit of the Torpedo marmorata acetylcholine receptor. The nucleotide sequences of both cDNA inserts were analyzed and the sequence of the complete coding region and part of the 5' and 3' untranslated regions of the alpha-chain mRNA was determined. The complete amino acid sequence of the alpha-chain precursor is presented and used to develop a model for the transmembrane organization of the polypeptide. PMID- 6572963 TI - Chemical evidence that catecholamines are transported across the chromaffin granule membrane as noncationic species. AB - Catecholamines are transported into chromaffin granules by a Mg2+/ATP-driven process under conditions in which the substrate exists primarily as a positively charged or neutral species. In order to distinguish between these two states, we studied the transport properties of a permanently charged quaternary analogue of epinephrine, (R,S)-dimethylepinephrine. We found that this compound was a classical competitive inhibitor of (R)-[3H]norepinephrine uptake, with a Ki of 3.8 mM for the racemic form, or 1.9 mM for the R form. However, the [3H]dimethylepinephrine was not transported at all into granules. Our control for steric hindrance as an explanation for deficient translocation was analysis of the transport properties of isoproterenol, a secondary catecholamine with an isopropyl group around the amine residue. (R)-Isoproterenol was an effective competitive inhibitor of (R)-[3H]norepinephrine transport, with a Ki of 91 microM. In contrast to dimethylepinephrine, (R,S)-[3H]isoproterenol was clearly translocated across the granule membrane, with a Km of 123 microM, or 61.5 microM for the R isomer. Thus, the positive charge on dimethylepinephrine and not the size of the amine moiety appeared to be responsible for the lack of translocation. We interpret these data to indicate that, although the positively charged species can interact with the transport site, an uncharged species is the one actually transported. PMID- 6572964 TI - Three human transforming genes are related to the viral ras oncogenes. AB - Three distinct transforming genes present in human tumor cell lines are all related to the viral oncogenes of Harvey and Kirsten murine sarcoma viruses, designated v-H-ras and v-K-ras, respectively. The transforming gene of a bladder carcinoma cell line has been shown to be a human homolog to v-H-ras [Parada, L. F., Tabin, C. J., Shih, C. & Weinberg, R. A. (1982) Nature (London) 297, 474-478; Santos, E., Tronick, S. R., Aaronson, S. A., Pulciani, S. & Barbacid, M. (1982) Nature (London) 298, 343-347]. The transforming gene common to one colon (SK-CO 1) and two lung carcinoma (SK-LU-1 and Calu-1) cell lines is the same human homolog of v-K-ras as is the transforming gene previously identified in a lung carcinoma cell line Lx-1 [Der, C. J., Krontiris, T. G. & Cooper, G. M. (1982) Proc. Natl. Acad. Sci. USA 79, 3637-3640]. The transforming gene of SK-N-SH neuroblastoma cells is weakly homologous to both v-H-ras and v-K-ras. NIH 3T3 cells transformed with the SK-N-SH transforming gene contain increased levels of a protein serologically and structurally related to the protein products of the v H-ras and v-K-ras genes. Therefore, it represents a third member of the ras gene family, which we have called N-ras. Based on the homology with the v-ras genes, we have established the orientation of transcription and approximate coding regions of the cloned human K-ras and N-ras genes. PMID- 6572965 TI - Cloning of cDNA encoding the pre-beta subunit of mouse thyrotropin. AB - Double-stranded cDNA was synthesized from sucrose gradient-purified poly(A)+ mRNA from a mouse thyrotropic tumor, inserted into the Pst I site of plasmid pBR322 by using poly(dC) . poly(dG) homopolymeric extensions, and cloned in Escherichia coli RRI. Plasmids containing cDNA sequences coding for the beta subunit of thyrotropin (TSH) were identified by cell-free translation of hybrid-selected mRNA and immunoprecipitation with specific antibody to TSH beta subunit. Determination of the nucleotide sequence of one cDNA, 595 base pairs in length, allowed us to deduce the entire amino acid sequence of the mouse TSH beta subunit. The pre-beta subunit contains a 20-amino acid amino-terminal signal sequence followed by a 118-amino acid mature TSH beta subunit. There is 85-90% homology in amino acid sequence between mouse TSH beta subunit and subunits from man, pig, and cow; however, the mouse subunit contains an additional 5 or 6 amino acids at its carboxyl terminus compared to the bovine or human and pig subunits, respectively. TSH beta-subunit mRNA from mouse thyrotropic tumor was estimated to be 750 nucleotides in length by hybridization with labeled TSH beta-subunit cDNA. PMID- 6572966 TI - Overproduction of a bifunctional thymidylate synthetase-dihydrofolate reductase and DNA amplification in methotrexate-resistant Leishmania tropica. AB - Leishmania tropica promastigotes that are highly resistant to methotrexate, a dihydrofolate reductase inhibitor, have been developed. Organisms resistant to 1 mM methotrexate have a 40-fold increase in dihydrofolate reductase which is associated with thymidylate synthetase, and they contain amplified regions of DNA that may be directly visualized on stained gels of restriction digests. The amplified DNA in these organisms is about 56 kilobases in length, has a copy number about 80-fold higher than that of wild-type organisms, and constitutes about 10% of the nuclear DNA. When the methotrexate-resistant L. tropica are propagated in drug-free medium, the dihydrofolate reductase-thymidylate synthetase protein and the amplified DNA decrease in a parallel fashion until they are indistinguishable from the levels in wild-type organisms. However, when these apparent revertants are again challenged with 1 mM methotrexate, enzyme overproduction and DNA amplification occur rapidly. As in mammalian cells, it appears that drug resistance in parasitic protozoa may be mediated by gene amplification. PMID- 6572967 TI - Cooperative model for the binding of Xenopus transcription factor A to the 5S RNA gene. AB - 7S particles containing 5S RNA and the transcription regulatory protein factor A have been purified to near homogeneity from Xenopus laevis oocytes. The binding of the transcription factor to the Xenopus borealis somatic 5S RNA gene has been monitored by quantitating the DNase I protection patterns of the protein-DNA interaction. Under stoichiometric binding conditions--i.e., when all added DNA binds to the factor--two protein molecules are required to saturate the 5S RNA gene. Under equilibrium binding conditions, titration of the 5S RNA gene with factor A results in a sigmoidal binding isotherm suggesting a cooperative interaction; half-saturation of binding is observed at a free factor A concentration of 1 nM. Cooperative binding between factor A and the 5S RNA gene may contribute to the stability of the transcription apparatus and its maintenance during cell division. PMID- 6572968 TI - Genes for catecholamine biosynthesis: cloning by expression and identification of the cDNA for rat dopamine beta-hydroxylase. AB - mRNA for dopamine beta-hydroxylase [3,4-dihydroxyphenylethylamine, ascorbate:oxygen oxidoreductase (beta-hydroxylating), EC 1.14.17.1] has been partially purified from poly(A)+ mRNA isolated from a rat pheochromocytoma cell line. Shared antigenic determinants between tyrosine hydroxylase and dopamine beta-hydroxylase allowed us to obtain enriched fractions of dopamine beta hydroxylase mRNA by immunoprecipitating translated mRNA products with tyrosine hydroxylase antisera. The enriched dopamine beta-hydroxylase mRNA was used to synthesize the corresponding cDNAs, which were then cloned in the Pst I site of pBR322. Recombinant colonies were characterized by an in situ colony immunoassay and hybrid-selected translation. In vitro translation of the mRNA selected from one recombinant clone produced a protein of 75,000 daltons that comigrated with authentic dopamine beta-hydroxylase. Partial proteolysis of both authentic dopamine beta-hydroxylase and the protein encoded by the recombinant clone produced identical peptide patterns. PMID- 6572969 TI - Regulation of catabolism of microinjected ribonuclease A requires the amino terminal 20 amino acids. AB - RNase A introduced into the cytoplasm of IMR-90 human diploid fibroblasts by erythrocyte-mediated microinjection is degraded with a half-life of approximately equal to 75 hr in the presence of fetal bovine serum. In response to serum deprivation the degradative rate of microinjected RNase A is enhanced 2-fold. RNase S protein (amino acids 21-124) is degraded with a half-life similar to that of RNase A in the presence of serum, but its catabolism is not increased during serum withdrawal. Reconstitution of RNase S protein with RNase S peptide (amino acids 1-20) restored full enzymatic activity to the S protein as well as the ability of fibroblasts to increase its catabolism during serum deprivation. Finally, RNase S peptide microinjected alone shows the full 2-fold increase in degradative rate during serum withdrawal. These results show that recognition of RNase A for enhanced breakdown during serum deprivation is based on some feature of its amino-terminal 20 amino acids. Furthermore, our results indicate that the enhanced protein catabolism during serum deprivation can be highly selective. PMID- 6572970 TI - Sequence dependence of hydrogen exchange kinetics in DNA duplexes at the individual base pair level in solution. AB - The kinetics for hydrogen exchange at individual base pairs in self-complementary deoxydodecanucleotide duplexes have been estimated from NMR saturation recovery measurements on the resolved imino protons as a function of temperature. The imino protons of dA . dT base pairs in the center of the fully alternating d(C-G C-G-T-A-T-A-C-G-C-G) duplex exchange a factor of 2- to 3-fold faster than the corresponding protons at the same positions in the partially alternating d(C-G-C G-A-A-T-T-C-G-C-G) duplex. These exchange parameters are a direct measure of the rate constants for transient opening of individual dA . dT base pairs in the dodecanucleotide duplexes and demonstrate faster opening kinetics for the "TATA" box region compared to the related "AATT" segment. PMID- 6572971 TI - Cloning and sequence analysis of cDNA for rat angiotensinogen. AB - A mixture of tetradecamer oligodeoxyribonucleotides complementary to the codons specifying the carboxyl-terminal sequence, Ile-His-Pro-Phe-His, of angiotensin was chemically synthesized as two pools and used for the isolation of a cDNA clone specific for angiotensinogen from a cDNA bank of rat liver mRNA sequences. The two pools (oligo 1 and oligo 2), each containing 24 oligodeoxyribonucleotides, were first used as primers to initiate reverse transcription of rat liver mRNA. One of the pools (oligo 1) was found to prime a specific 32P-labeled cDNA of approximately 160 nucleotides that contained the anticoding sequence corresponding exactly to the amino acid sequence of rat angiotensin. This cDNA, in turn, was used to rescreen cDNA clones that were isolated by initially selecting the rat liver cDNA bank by hybridization with the oligo 1 mixture. One clone thus obtained, designated pRag16, was subjected to nucleotide sequence analysis and verified to contain a nearly full-length cDNA sequence coding for rat angiotensinogen precursor. The deduced amino acid sequence indicates that the precursor molecular consists of angiotensinogen of 453 amino acid residues and a putative signal peptide of 24 amino acid residues. The predicted molecular weight and amino acid composition of angiotensinogen agree well with those determined by using the purified protein. An angiotensin moiety is located at the amino-terminal part of angiotensinogen, preceded directly by the signal peptide and followed by a large carboxyl-terminal sequence that contains two internally homologous sequences and three potential glycosylation sites. PMID- 6572972 TI - Regulation of the pro-opiomelanocortin mRNA levels in rat pituitary by dopaminergic compounds. AB - Dopamine-containing neurons directly innervate the intermediate lobe of the pituitary and dopaminergic compounds exert inhibitory effects on the secretion and the content of alpha-melanocyte-stimulating hormone and beta-endorphin in this tissue. In this study, we have investigated the effects of dopamine receptor agonists and antagonists on the level of pro-opiomelanocortin (POMC) mRNA in rat pituitary. RNAs isolated from neurointermediate pituitary (NIP) or anterior pituitary were spotted on nitrocellulose filters and the levels of POMC mRNA were quantified by hybridization to a POMC-specific complementary DNA probe coupled with autoradiography and densitometry. Administration of a dopamine receptor antagonist, haloperidol (2 mg/kg per day), to adult female rats resulted in a 3- to 5-fold increase in POMC mRNA level in the NIP. Treatment with the dopamine agonist 2-Br-alpha-ergocryptine (1 mg/kg per day) decreased significantly the content of POMC mRNA in the NIP. These drugs had no apparent effect on the POMC mRNA levels in the anterior pituitary. The effect of haloperidol and ergocryptine on POMC mRNA in the NIP is time- and dose-dependent. The elevation of POMC mRNA content in the NIP by haloperidol can be observed as early as 6 hr after treatment. These effects of dopaminergic compounds can also be demonstrated in adult male and ovariectomized female rats. The beta-endorphin content of the NIP, as measured by radioimmunoassay, and the de novo synthesis of POMC, as determined by radioactive amino acid labeling and two-dimensional gel electrophoresis analysis, also show negative regulation by dopaminergic compounds. PMID- 6572973 TI - Total synthesis of insulin-like growth factor I (somatomedin C). AB - Human insulin-like growth factor I (somatomedin C) with 70 amino acid residues and three disulfide bridges has been synthesized by the solid-phase method. The synthetic product behaves as a pure polypeptide in paper electrophoresis, isoelectric focusing, and high-performance liquid chromatography, Its elution behavior in Sephadex G-50, isoelectric point, amino acid composition, and growth stimulating activity in bovine adrenal cortical cells or granulosa cells are comparable to those reported for the natural product. In radioimmunoassay, the synthetic product is indistinguishable from the natural hormone when either synthetic or natural product is used as the labeled ligand. PMID- 6572974 TI - Nanosecond absorption spectroscopy of hemoglobin: elementary processes in kinetic cooperativity. AB - A nanosecond absorption spectrometer has been used to measure the optical spectra of hemoglobin between 3 ns and 100 ms after photolysis of the CO complex. The data from a single experiment comprise a surface, defined by the time-ordered set of 50-100 spectra. Singular value decomposition is used to represent the observed spectra in terms of a minimal set of basis spectra and the time course of their amplitudes. Both CO rebinding and conformational changes are found to be multiphasic. Prior to the quaternary structural change, two relaxations are observed that are assigned to geminate recombination followed by a tertiary structural change. These relaxations are interpreted in terms of a kinetic model that points out their potential role in kinetic cooperativity. The rapid escape of CO from the heme pocket compared with the rate of rebinding observed for both R and T quaternary states shows that the quaternary structure controls the overall dissociation rate by changing the rate at which the Fe--CO bond is broken. A comparable description of the control of the overall association rates must await a more complete experimental description of the kinetics of the quaternary T state. PMID- 6572975 TI - Immunospecific vesicle targeting facilitates microinjection into lymphocytes. AB - Antibody-directed targeting of vesicles to cells dramatically enhances polyethylene glycol-mediated fusion and microinjection. Sealed erythrocyte ghosts, containing fluorescent bovine serum albumin, were targeted to murine spleen and thymus cells, and to lymphocyte, monocyte, and fibroblast cell lines. In all cases, targeted cell populations showed substantial levels of microinjection, whereas populations treated with the fusogen in the absence of targeting were not significantly microinjected. To achieve attachment of vesicles to selected cells, the cells were first labeled with biotin-modified antibody then treated with sealed ghosts prepared from avidin-coupled erythrocytes. This procedure should prove useful when the injection of specific cell populations is desired, or with cell types such as lymphocytes that are difficult to fuse, or when the use of limited reagents necessitates high injection efficiencies. PMID- 6572976 TI - Decreased de novo synthesis of glomerular proteoglycans in diabetes: biochemical and autoradiographic evidence. AB - The experimental model of streptozotocin-induced diabetes in rats was utilized to determine the biosynthetic and biochemical alterations in the proteoglycans of the glomerular extracellular matrices (glomerular basement membrane and mesangial matrix) in diabetic nephropathy. Isolated kidneys from diabetic and control groups of animals were radiolabeled in an organ perfusion apparatus with [35S]sulfate of high specific activity (greater than 1,200 Ci/mmol; 1 Ci = 3.7 x 10(10) Bq) and processed for electron microscopic autoradiography, and the proteoglycans of the glomerular extracellular matrices were characterized. The results indicate that [35S]sulfate incorporation into glomerular extracellular matrices of diabetic animals was 30-40% less than that of the control group; however, no differences in the biochemical properties of the de novo synthesized proteoglycans from either group were observed. The relevance of the decreased de novo synthesis of sulfated proteoglycans of glomerular extracellular matrices is discussed in terms of increased glomerular permeability to plasma proteins and reduction in the glomerular filtration rate. PMID- 6572977 TI - Erythroleukemia cells: variants inducible for hemoglobin synthesis without commitment to terminal cell division. AB - Murine erythroleukemia cells (MELC) are virus-transformed erythroid precursors that appear to be blocked at an erythroid precursor stage comparable to the erythroid colony-forming unit (CFU-e). These cells are useful in examining factors regulating terminal differentiation. Induced MELC are characterized by a coordinated program of gene expression, including commitment to terminal cell division, accumulation of globin mRNAs and corresponding hemoglobins, and accumulation of several other proteins, including the chromatin-associated protein H1(0). Two cloned variant cell lines, DR10 and R1, have been developed from inducer-sensitive DS19 cells by selection for inducer resistance. DR10 and R1 cells fail to display commitment to terminal cell division when cultured with dimethyl sulfoxide (Me2SO), hexamethylene bisacetamide (HMBA), or butyric acid. Both cell lines are induced by all three agents to accumulate H1(0). DR10 cells are resistant to Me2SO-mediated accumulation of hemoglobin but are sensitive to HMBA- or butyric acid-mediated accumulation. R1 cells are resistant to Me2SO- and HMBA-mediated accumulation of hemoglobin but are sensitive to butyric acid mediated accumulation. Both DR10 and R1 are commitment-negative MELC variants, displaying variable responses to inducers with respect to other features of terminal erythroid cell differentiation. PMID- 6572978 TI - "Silent" nucleotide substitution in a beta+-thalassemia globin gene activates splice site in coding sequence RNA. AB - A beta+-thalassemia globin gene was isolated from the genome of a Black individual by molecular cloning. DNA sequence analysis revealed only a single difference between this gene and the normal human beta-globin gene--adenine is substituted for thymine in the third position of codon 24. Codon 24 in both the normal gene (GGT) and the beta+-thalassemia gene (GGA) encodes glycine. The function of this beta+-thalassemia gene was compared to the function of the normal human beta-globin gene in monkey kidney cells by using plasmid expression vectors. The codon 24 substitution activates a 5' splice site that involves the guanine-thymine dinucleotide present in codon 25, 16 nucleotides upstream from the normal exon 1-intron I boundary. The splice, involving the abnormal 5' site in codon 25, is completed with the normal 3' splice site at the end of intron I. This splicing abnormality leads to a 75% decrease in the accumulation of normally processed beta-globin mRNA, thereby causing the beta+-thalassemia phenotype. PMID- 6572980 TI - Autologous and allogeneic typing of human leukemia cells: definition of surface antigens restricted to lymphocytic leukemia cells. AB - Serum from a patient (CO) with acute lymphoblastic leukemia was reactive in immunoadherence assays with autologous leukemia cells but not with autologous blood lymphocytes or bone marrow cells during complete remission. Extensive absorption tests with an array of leukemia cells and normal cells were performed in order to define the specificity of the reaction. The autologous leukemia reactivity was either completely or partially absorbed with acute lymphoblastic leukemia cells obtained from 10 of 14 patients but not with acute nonlymphoblastic leukemia cells or normal hematopoietic cells. Some cultured lymphocytic leukemia lines also showed expression of the antigen. The absence of alloantibodies in CO's serum detectable in our assay allowed direct testing of CO's serum on allogeneic target cells. The results of these tests correlated with the results of absorption tests, indicating that small populations of antigen positive cells were not missed with absorption tests. In addition, absorption tests with CO-positive allogeneic leukemia target cells showed the same pattern of antigen distribution as tests with autologous targets. CO reactivity was not removed by absorption with cell lines expressing human T-cell leukemia virus, nor did CO's serum react with adult T-cell leukemia cells from three patients. PMID- 6572979 TI - Cultured hepatocytes from mouse strains expressing high and low levels of the fourth component of complement differ in rate of synthesis of the protein. AB - Primary hepatocyte cultures prepared from the livers of inbred strains of mice show different rates of synthesis for the fourth component of complement (C4). The relative amounts of C4 synthesized by hepatocyte cultures correspond to the relative plasma levels of C4 among strains, a trait determined by the S region of the H-2 major histocompatibility complex. There is no evidence for increased intracellular catabolism of C4 in hepatocyte cultures from a strain with a low level of plasma C4. Processing and secretion of C4 proceed very slowly in vitro relative to other hepatocyte proteins. PMID- 6572981 TI - Prothrombinase complex assembly on the platelet surface is mediated through the 74,000-dalton component of factor Va. AB - The blood coagulation protein factor Va forms the receptor for the serine protease factor Xa on the platelet surface. This membrane-bound complex of factor Va and factor Xa plus Ca2+ comprises the prothrombinase complex, the enzyme that catalyzes the proteolytic conversion of prothrombin to the clotting enzyme thrombin. Factor Va is a two-subunit protein composed of component D (Mr = 94,000) and component E (Mr = 74,000); subunit interaction is Ca2+ dependent. Factor Va bound to platelets consists of three peptides: component D, component E, and component D'(Mr = 90,000) which appears as the result of a platelet associated protease cleavage of component D. The present studies were undertaken to determine which peptide(s) mediates the binding of factor Va to the platelet membrane surface and which peptide(s) serves as the binding site for factor Xa. These interactions were assessed by direct measurements of radiolabeled factor Va and factor Xa binding to platelets as well as autoradiographic visualization of the factor Va peptides associated with the platelet. Experiments were performed to determine the interaction of components D and E with platelets under reaction conditions in which components D and E were present as either the intact, functional two-subunit protein or as nonfunctional discrete peptides dissociated by the addition of Na2EDTA. The results suggest that component E mediates the binding of factor Va to the platelet and also serves as the binding site for the interaction of factor Xa with platelet-bound factor Va. PMID- 6572983 TI - Heterogeneity in schizophrenia: a cluster-analytic approach. AB - Despite agreement that chronic schizophrenia is clinically heterogeneous, no system of subclassification has received general acceptance. Most methods for defining subgroups have relied either on course or symptom type alone. Using cluster analysis on patients rated on a broad range of items derived from commonly employed explicit diagnostic criteria, we were able to define two reasonably distinct groups. The first and larger group was characterized by later onset, good premorbid adjustment, and well-organized delusions; the second by poor premorbid adjustment, early onset, family history of schizophrenia, and symptoms such as bizarre behavior, incoherent speech, and blunted effect. Two different clustering programs yielded similar profiles. Analysis of computer simulated data indicated that such good agreement would occur by chance less than one time in a hundred. Furthermore, the groupings remained stable when extra cases were added to the sample, and affected family members showed a significant tendency to occur in the same cluster. Although an etiological distinction between the subtypes cannot be inferred, we suggest that this form of classification provides a potentially useful starting point for further biological and genetic research. PMID- 6572982 TI - Neuronal production, migration, and differentiation in a vocal control nucleus of the adult female canary brain. AB - The vocal control nucleus designated HVc (hyperstriatum ventrale, pars caudalis) of adult female canaries expands in response to systemic testosterone administration, which also induces the females to sing in a male-like manner. We became interested in the possibility of neurogenesis as a potential basis for this phenomenon. Intact adult female canaries were injected with [3H]thymidine over a 2-day period. Some birds were given testosterone implants at various times before thymidine. The birds were sacrificed 5 wk after hormone implantation, and their brains were processed for autoradiography. In parallel control experiments, some birds were given implants of cholesterol instead of testosterone. All birds showed considerable numbers of labeled neurons, glia, endothelia, and ventricular zone cells in and around HVc. Ultrastructural analysis confirmed the identity of these labeled neurons. Cholesterol- and testosterone-treated birds had similar neuronal labeling indices, which ranged from 1.8% to 4.0% in HVc. Thus, neurogenesis occurred in these adults independently of exogenous hormone treatment. Conversely, both glial and endothelial proliferation rates were markedly stimulated by exogenous testosterone treatment. We determined the origin of the thymidine-incorporating neurons by sacrificing two thymidine-treated females soon after their thymidine injections, precluding any significant migration of newly labeled cells. Analysis of these brains revealed no cells of neuronal morphology present in HVc but a very heavily labeled ventricular zone overlying HVc. We conclude that neuronal precursors exist in the HVc ventricular zone that incorporate tritiated thymidine during the S phase preceding their mitosis; after division these cells migrate into, and to some extent beyond, HVc. This ventricular zone neurogenesis seems to be a normally occurring phenomenon in intact adult female canaries. PMID- 6572984 TI - Trace acid levels in the plasma and MAO activity in the platelets of violent offenders. AB - The plasma concentrations of the unconjugated and conjugated so-called "trace acids," phenylacetic acid (PAA), m- and p-hydroxyphenylacetic acid (mHPA, pHPA), and platelet monoamine oxidase (MAO) activity were measured in 103 male prisoners detained in a psychiatric institution. Twenty-three had been convicted of violent crimes, 18 of sexual offenses, 24 of armed robbery, 27 of nonviolent property offenses, and 11 of miscellaneous nonviolent offenses. Unconjugated pHPA and conjugated PAA were found to be significantly reduced in the violent offenders when compared with those of the "nonviolent" groups. The levels of pHPA were also found to be low in sexual offenders. Platelet MAO activities to phenylethylamine, tryptamine, and p-tyramine between any of the categories of prisoners were not significantly different. PMID- 6572985 TI - Seasonal cycling in a bipolar patient. PMID- 6572986 TI - Serotonin uptake in blood platelets and the dexamethasone suppression test in depressed patients. AB - Two putative biological markers of some forms of depressive illness, the dexamethasone suppression test (DST) and the Vmax of serotonin (5 hydroxytryptamine, 5-HT) uptake in blood platelets, were studied in 40 unipolar, bipolar, and schizoaffective depressed patients. The Vmax levels in those whose cortisol levels suppressed normally after dexamethasone (n = 25) were not significantly different from those of the nonsuppressors (n = 15). When a criterion of Vmax greater than or equal to 8.5 pmoles/10(7) platelets/minute of 14C-5-HT uptake was used as the lower limit of normal, 18 patients had Vmax values lower than normal, only four of whom were nonsuppressors. There was a tendency for the incidence of lower than normal Vmax levels in nonsuppressors (4/15, 26.7%) to be less than that of the suppressors (14/25, 56.0%). These results suggest that the two abnormalities are independent of each other but tend to support the hypothesis that decreased Vmax may be an adaptive response which restores serotonergic function to normal. Twenty-nine of the 40 patients (72.5%) had one or both abnormalities, a finding which suggests that determination of both parameters would significantly increase the proportion of depressed patients who could be diagnosed by these biological tests. PMID- 6572987 TI - Increased sensitivity of the dexamethasone suppression test in depressed female patients based on multisteroid analysis. AB - The dexamethasone suppression test (DST) based on multisteroid analysis was administered to 22 female patients with primary major depressive disorder (12 endogenous, 10 nonendogenous) and 12 healthy control subjects. Cortisol, its biosynthetic precursor 11-deoxycortisol, and cortisone were measured. Calculating cortisol/11-deoxycortisol ratios allows the assessment of the activity of 11 beta hydroxylase, which depends on the mean secretion rate of adrenocorticotropic hormone. Preliminary findings indicate that the sensitivity of the DST is remarkably increased when based on a cortisol/11-deoxycortisol ratio instead of plasma cortisol or cortisone concentrations. PMID- 6572988 TI - Response to dexamethasone in psychotic depression. AB - The utility of the dexamethasone suppression test (DST) in the diagnosis of psychotic depression was examined by comparing the responses of 11 psychotic and 18 nonpsychotic depressed inpatients. Nine of 11 psychotic patients (81.8%) and 10 of 18 nonpsychotic patients (55.6%) showed nonsuppression (nonsignificant). Using the 0800h cortisol level alone, we found that significantly more psychotic patients (7 of 11; 63.6%) than nonpsychotic patients (3 of 18; 16.7%) showed nonsuppression. Nonsuppression at 0800h postdexamethasone may be a useful biologic marker for patients with psychotic depression. Implications of these data for the nosologic status of psychotic depression are discussed. PMID- 6572989 TI - Increased REM eye movement density in self-rated depression. AB - Zung depression scores were positively related to eye movement density in a sample of 19 noncomplaining young adult males. The subjects were not clinically depressed and had average scores on the Depression Scale of the Minnesota Multiphasic Personality Inventory. There was no relation of Zung depression to rapid eye movement (REM) latency, stage 3 and stage 4 sleep, or REM in the first third of the sleep period. The finding is consistent with the hypothesis of a disinhibition or phase lead of REM sleep phasic events in depression. PMID- 6572990 TI - Platelet MAO and family history of schizophrenia: some methodological considerations. PMID- 6572991 TI - Platelet MAO and family history of schizophrenia: method and madness. PMID- 6572993 TI - [Periodontal instruments (II)]. PMID- 6572992 TI - [Dental administrative assistant]. PMID- 6572994 TI - [Drug problem in dental practice - danger in the future?]. PMID- 6572995 TI - [Pricing for restorations - Bema-Nr. 18a/b]. PMID- 6572996 TI - [Hygiene in dental practice (III)]. PMID- 6572997 TI - [Anesthesia in dental practice]. PMID- 6572998 TI - [Clefts of the lip, jaw and palate]. PMID- 6572999 TI - [Situation of the dental assistant in Germany]. PMID- 6573000 TI - [Basic knowledge: clinical caries]. PMID- 6573002 TI - [Education of dental assistants]. PMID- 6573001 TI - [Impressions of a visitor to a dental hygiene school in Zurich]. PMID- 6573005 TI - [Rational office administration]. PMID- 6573003 TI - [Prevention for the small child]. PMID- 6573004 TI - [Office gallery]. PMID- 6573006 TI - [Dental calculus removal]. PMID- 6573007 TI - [Impression dimensions]. PMID- 6573008 TI - [An unusual orthodontic patient]. PMID- 6573009 TI - [Functional improvement of the open U-bow activator]. PMID- 6573010 TI - College quizzes group on genetic manipulation. Spotlight on a brave new world. PMID- 6573011 TI - Acute gastric dilatation associated with viral hepatitis-A. PMID- 6573013 TI - Rhode Island's aging population and the use of medical care, 1980-2020. PMID- 6573012 TI - Problem of vague academic evaluations in selection of residents: a case study. PMID- 6573014 TI - Case record: Rhode Island Hospital. PMID- 6573015 TI - Child abuse and neglect update. PMID- 6573016 TI - Megakaryocytes in cubital venous blood in patients with chronic myeloproliferative diseases. AB - 33 patients with chronic myelo-proliferative disease were investigated for megakaryocytes in cubital venous blood. 6 Patients had chronic myeloid leukaemia, 11 polycythaemia vera and 16 myelofibrosis. In all patients, a significantly higher number of megakaryocytes than in normal adult humans was found. In patients with chronic myeloid leukaemia and myelofibrosis, an increased number of intact megakaryocytes was found, indicating thrombopoiesis in the peripheral part of the upper extremity. 2 patients with myelofibrosis showed a % of intact megakaryocytes greater than 25, as found in blood from the inferior vena cava in normal adults. In patients with chronic myeloid leukaemia, some of the megakaryocytes were smaller than normal, whereas in myelofibrosis, some of the megakaryocytes were larger than normal, with increased lobulation of nuclei. Active thrombopoiesis in the peripheral part of the extremities can be of great importance, when splenectomy is considered in treatment of myelofibrosis. PMID- 6573017 TI - Concentration of carprofen in the serum and the synovial fluid in rheumatoid arthritis patients. AB - Concentrations of carprofen in the serum and the synovial fluid were determined in 13 patients with classical or confirmed rheumatoid arthritis. Four hours after the oral administration of 100 mg of carprofen, as one capsule, concentrations in the synovial fluid were found to be between 3.5 micrograms/ml and 9.7 micrograms/ml, with a mean value (+/- SD) of 6.2 +/- 1.4 micrograms/ml, and concentrations in the serum were between 4.7 micrograms/ml and 14.8 micrograms/ml, with a mean value of 9.8 +/- 2.9 micrograms/ml. The carprofen concentrations in synovial fluid varied from 36.3 to 103.0% of those in serum, with a mean value of 65.0 +/- 14.4%. There is a highly significant correlation between carprofen concentrations in the serum and the synovial fluid. PMID- 6573018 TI - [Use of Luhr's compression plate system in treating mandibular fractures and mandibular reconstruction via the oral approach]. PMID- 6573019 TI - [16 years of caries prophylaxis in Aarau: scope and outcome]. PMID- 6573020 TI - [Studies on the abrasiveness of toothpastes]. PMID- 6573021 TI - Department of Health. PMID- 6573022 TI - Eleven year old Caucasian male with fever and cervical lymphadenopathy. PMID- 6573023 TI - Stimulation of prostaglandin biosynthesis by urine of the human fetus may serve as a trigger for parturition. AB - Urine of the human fetus stimulated prostaglandin biosynthesis in vitro by increasing the conversion of arachidonic acid into prostaglandins. The stimulatory activity in urine from fetuses delivered at term after labor of spontaneous onset was greater than that in urine from fetuses delivered by cesarean section at term before the onset of labor. Such stimulation of prostaglandin biosynthesis by the fetal membranes, by way of a substance released into the urine and thence into amniotic fluid, could serve as a signal for the initiation of parturition. PMID- 6573024 TI - Inhibition of gastric acid secretion in the gastric brooding frog, Rheobatrachus silus. AB - The female gastric brooding frog Rheobatrachus silus broods its young in its stomach. A substance that inhibits gastric acid secretion in a toad stomach preparation in vitro appears to be secreted by the developing young. This substance has been identified as prostaglandin E2. Rheobatrachus silus may thus have developed a mechanism whereby prostaglandin secreted by the larvae inhibits acid secretion in the stomach of the female until the larvae have completed development and emerged as juvenile frogs by way of the female's mouth. PMID- 6573025 TI - The status of the school nurse in South Dakota. PMID- 6573026 TI - RNA from rat hepatoma cells can activate phenylalanine hydroxylase gene of mouse erythroleukemia cells. AB - Mouse erythroleukemia (MEL) cells do not synthesize any detectable level of phenylalanine hydroxylase and thus do not grow in Tyr- medium. Rat hepatoma cells that constitutively express phenylalanine hydroxylase were treated prior to fusion with MEL cells with biochemical inhibitors to inactivate different macromolecular components of the cells, and the fusion products were selected in Tyr- medium. Continuously growing populations of cells resembling the parental MEL cells and expressing mouse phenylalanine hydroxylase were obtained only when rat hepatoma cells treated with mitomycin or iodoacetamide, which inactivate DNA and SH proteins, respectively, were fused with MEL cells. Fusion of MEL cells with UV-treated rat hepatoma cells did not result in the activation of the mouse phenylalanine hydroxylase gene. UV treatment damages both DNA and RNA. These data suggested that RNA was involved in the regulation of phenylalanine hydroxylase gene. Additional evidence for the role of RNA in the phenylalanine hydroxylase gene regulation was obtained from RNA transfection studies. RNA only from cells which express phenylalanine hydroxylase, such as rat hepatoma cells and MEL cybrids, when introduced into MEL cells by the CaPO4 coprecipitation method, resulted in the permanent activation of the mouse phenylalanine hydroxylase gene. PMID- 6573027 TI - [A study of the prenatal growth and development of the temporomandibular joint (TMJ)]. PMID- 6573028 TI - [Microscopic observation of the adherence of Streptococcus mutans]. PMID- 6573029 TI - [How to publish an article in Tandlaegebladet]. PMID- 6573030 TI - [Sugar metabolism in the mouth]. PMID- 6573031 TI - [Adult Dane population dental care behavior]. PMID- 6573032 TI - [Tooth erosion in a worker exposed to sulfuric acid]. PMID- 6573033 TI - [A report on Danish dental care for children]. PMID- 6573034 TI - [Effect of dental experiences on adult Danes' current dental behavior and dental status]. PMID- 6573035 TI - [Type I allergy to chloramine]. PMID- 6573036 TI - [Treatment of patients with lesions in the oral cavity due to systemic diseases - a few reflections]. PMID- 6573037 TI - [Mercury poisoning]. PMID- 6573038 TI - [Risks from amalgam]. PMID- 6573039 TI - [Prostaglandins and chronic circulatory failure]. PMID- 6573040 TI - The effects of tooth colored filling material on the dental pulp. PMID- 6573041 TI - HLA-A, B and C markers in the Portuguese population. PMID- 6573043 TI - [New aspects of prevention and human genetic counseling in clefts of the lip, jaw and palate]. PMID- 6573042 TI - Granulocyte specific cytotoxic antibodies in pregnancy and multitransfused sera. AB - The myeloid cell line K562 was used to screen for specific antibodies in sera obtained from pregnant women and multitransfused patients. The alloantisera thus procured reacted with random granulocytes in a pattern suggestive of a polymorphic system. Some antibodies were found to react only in the cold. A simple reproducible method for the simultaneous separation of granulocytes and lymphocytes for microcytotoxicity is described. PMID- 6573044 TI - [Seminars for parents of children born with cleft lip, and jaw and/or palate]. PMID- 6573045 TI - [The evaluation of cleft lip, jaw and/or palate patients and the assessment of their disability]. PMID- 6573046 TI - [Experiences from psychologic work with cleft children and their parents from 1970 to 1980]. PMID- 6573047 TI - [How does one qualify parents of children with congenital cleft lip, jaw and/or palate for speech training?]. PMID- 6573048 TI - [Tongue thrust: diagnostic and therapeutic problems]. PMID- 6573049 TI - [The external action of fluorides: their antibacterial and plaque-inhibiting importance. 2: Clinico-microbiological studies]. PMID- 6573050 TI - [Radiodiagnosis of diseases of the dental hard tissues - its possibilities and limits]. PMID- 6573051 TI - [Views expressed by mothers during informational group talks and their relevance to the care of cleft patients]. PMID- 6573052 TI - Localization of major histocompatibility complex (HLA-ABC and DR) antigens in 46 kidneys. Differences in HLA-DR staining of tubules among kidneys. AB - Biopsies from 46 kidneys that were subsequently transplanted were examined with monoclonal antibodies and the peroxidase-antiperoxidase technique to localize HLA ABC and DR antigens. There was no variation in the expression of HLA-ABC which was present on all cells of the renal parenchyma. HLA-DR was found consistently on the endothelium of glomeruli and of intertubular capillaries but was only weakly expressed, or not expressed at all, on the endothelium of large vessels. The mesangium of glomeruli also stained for HLA-DR. But there was a striking variation in the expression of HLA-DR by proximal renal tubular cells in the 46 kidneys. HLA-DR was absent from tubules in 11 of 46 kidneys (23%) and probably absent or very weakly expressed in a further 8 kidneys (17%). The expression of HLA-DR in tubular epithelium was not related to the donor's age, sex, blood group, or ischemia times. However, the frequency of HLA-DR3 increased (55%) in donors of kidneys with tubular DR-negative kidneys, as compared with a frequency of 15% in donors of tubular DR-positive kidneys. Although this difference was not significant after a correction for the number of comparisons made, it suggests a genetic influence on the expression of tubular DR. The survival of tubular DR negative kidneys was better at 1 year than that of tubular DR-positive kidneys (70% vs. 57%--not significant), and tubular DR-positive grafts may have had a higher rate of delayed function when transplanted in cases with a donor-specific positive B cell crossmatch. There was no obvious variation in the number of dendritic cells stained with antibodies to HLA-DR and the leukocyte common antigen despite prior administration of high doses of steroids to some donors before nephrectomy. PMID- 6573053 TI - The major histocompatibility complex (MHC). PMID- 6573054 TI - [Chromosome abnormalities and chronic myeloid leukemia: Sherbrooke's experience]. PMID- 6573055 TI - Osteosarcoma in a phthisical feline eye. AB - Eight years ago a cat sustained injury to the left globe and phthisis bulbi ensued. Two months prior to presentation, a firm intraorbital and periorbital mass developed and enucleation was done; histologic examination revealed osteogenic sarcoma. This is the first histologically documented report of osteosarcoma occurring in association with phthisis bulbi. PMID- 6573056 TI - [Recurrent peritonsillar abscess and relapse of chronic tonsillitis in military personnel (clinico-etiological and immunological differences)]. PMID- 6573057 TI - [Rare morphological variants of the malignant degeneration of chrondromatosis of the bones]. PMID- 6573058 TI - Separation of hypereosinophilic syndrome from acute lymphoblastic leukemia with reactive eosinophilia. PMID- 6573059 TI - [Pre-treatment in periodontal surgical measures]. PMID- 6573060 TI - Schistosoma mansoni infection of Syrian golden hamsters: the host humoral immune response in relation to the adult worm burdens after primary infection. AB - Seven-week-old female Syrian golden hamsters (Mesocricetus auratus) showed different degrees of susceptibility to Schistosoma mansoni, as assessed by the percentage of cercariae recovered as adult worms 6 weeks after infection. Plasma of the low (A), medium (B) and high (C) susceptibility groups were tested immunochemically. No differences were observed in the concentrations of albumin, alpha 1-, alpha 2-, beta- and gamma-globulins as measured by cellulose acetate electrophoresis. However, a significantly higher percentage of animals in groups A and B than in group C had an S. mansoni specific "beforked" IgG precipitin band and specific antibodies against a worm tegumental antigen preparation (AWT). Conversely, more animals in group C made antibodies against a "denuded" worm-body antigen preparation (AWB) than in groups A and B. However, by using the enzyme linked immunosorbent assay, no significant differences in antibody titres against AWT, AWB and a total worm antigen (AVA) were observed in the animals in groups A, B and C. Upon consideration of the immunochemical data in relation to the distribution pattern of susceptibility to infection, we propose that the intensity of S. mansoni infection in the hamster is a polygene-controlled phenomenon and depends upon the presentation of differing parasite antigenic component(s) to the host. PMID- 6573061 TI - [Nutrition and dentistry]. PMID- 6573062 TI - [From dentist to nutrition researcher and entrepreneur. A ZWR interview with Dr. Johann Georg Schnitzer]. PMID- 6573063 TI - [An information group on oral hygiene and nutrition behavior. Symposiums, scientific information and the press as methods for nutrition discussion. A ZWR interview with Ms. Beate von Muhlen]. PMID- 6573064 TI - [Systematic treatment planning]. PMID- 6573065 TI - [Light-optic evidence of elastic deformation of a parallel cutting tool due to differences in working pressure]. PMID- 6573066 TI - [The pharmacological effect on the intraoral mucosal epithelium of astringents experimental (animal study)]. PMID- 6573067 TI - [A dental-philatelic exhibit]. PMID- 6573068 TI - [Does mass prevention reduce the responsibility of the parents?]. PMID- 6573069 TI - [The dental art and caries prevention]. PMID- 6573070 TI - [Enzymes increase the defense function of saliva]. PMID- 6573071 TI - [Injuries of the maxillofacial region including the eye socket]. PMID- 6573072 TI - [Evidence of corrosion products deposited in the tissue from mandibular resection plates]. PMID- 6573073 TI - [Intraarterial and intravenous chemotherapy in combination treatment]. PMID- 6573074 TI - [Definitive defect care in oral surgery]. PMID- 6573075 TI - [Results of a case of giant cell granuloma with regenerative properties]. PMID- 6573076 TI - [Methods and chances of individual caries prevention]. PMID- 6573077 TI - [Neoplastic pathology in maxillofacial region including the eye cavity]. PMID- 6573078 TI - [Titanium: from ore to implant]. PMID- 6573079 TI - [Ultramicroscopic structure of tissue around implants]. PMID- 6573080 TI - [A problem case from the psychosomatic viewpoint]. PMID- 6573081 TI - [The stomatognathic system]. PMID- 6573082 TI - [Stomatognathic system. 2]. PMID- 6573083 TI - ["Foetor ex ore" - causes and cure. 1]. PMID- 6573084 TI - [Use of transformation for the chromosome mapping of Pseudomonas pseudomallei]. AB - The mapping of the chromosome sections in P. pseudomallei, responsible for the synthesis of histidine, has been carried out with the use of two- and three factor crossing. Two new groups of marker linkage have been found: his 522 with ilv 658 and his 37 with asp 37 glu 37. The linkage of some of the existing histidine mutations with locus his 37 has been revealed and the relative position of the markers in this linkage group has been shown. PMID- 6573085 TI - Cytologic atypias in the uterine fluid of intrauterine contraceptive device users. AB - A peculiar cell pattern, characterized as an atypical glandular cell cluster (AGCC), was found in the uterine fluid from women using intrauterine contraceptive devices (IUDs). This atypia can mimic adenocarcinoma. Since the atypical cells were present in much higher frequency in the uterine fluid than in the cervical mucus, it is suggested that they originated in the endometrium. PMID- 6573086 TI - Coarse needle biopsy versus fine needle aspiration biopsy in the diagnosis of focal lesions of the liver. Ultrasonically guided needle biopsy in suspected hepatic malignancy. AB - In 55 patients with ultrasonically demonstrated suspected hepatic malignancy, a fine needle aspiration biopsy and a coarse needle biopsy of the same focal lesion were performed under ultrasonic guidance. In 41 of 48 cases with proven malignancy, both biopsies were positive. In the remaining seven cases, only the fine needle aspiration biopsy yielded malignant cells. Tumor typing was possible in 2 primary and 33 metastatic tumors by examination of either the cytologic or the histologic specimen; an additional 6 metastatic tumors could be typed only by evaluation of the histologic specimen. Grading of six adenocarcinomas was performed with higher accuracy in the histologic than in the cytologic specimen. Exact determination of the primary site was not possible in metastatic tumors by use of either type of needle biopsy specimen. Since the less traumatic fine needle aspiration biopsy requires fewer prebiopsy precautions and has other advantages, the coarse needle biopsy should be restricted to the few cases in which the former does not yield sufficient information. PMID- 6573087 TI - Fine needle aspiration cytology of intraocular malignant melanoma. AB - The techniques used for fine needle aspiration biopsy of 19 intraocular tumors clinically suspected to be malignant melanomas are described. Aspirates of 16 tumors yielded adequate material for the cytologic diagnosis of malignant melanoma. Malignant cells of the epithelial type and of a spindle shape were found in the smears. The main cytologic features of the epithelial-type cells were eccentrically located nuclei, distinct nucleoli, binucleation and multinucleation. The spindle-shaped cells, dispersed or arranged in clusters, were characterized by centrally placed, oval or rodlike nuclei, with or without nucleoli. Three types of smears were distinguished: (1) those with a predominance of epithelial-type cells, (2) those with a predominance of spindle-shaped cells and (3) those with mixed epithelial-type and spindle-shaped cells. Our observations prove that precise morphologic diagnosis of intraocular malignant melanoma and its cellular types can be established by fine needle aspiration biopsy. However, we do not advocate fine needle aspiration biopsy as a routine diagnostic procedure in all intraocular melanomas. This method should be reserved for only cases that cannot be definitely diagnosed by conventional techniques or in which the cellular type of melanoma must be defined in order to choose the proper method of treatment. PMID- 6573088 TI - Fine needle aspiration of thoracic extramedullary hematopoiesis. AB - Thoracic manifestations of extramedullary hematopoiesis (EMH) are well known clinically, radiologically and pathologically; it is generally confirmed histologically by open biopsy or postmortem examination. We report a case of EMH diagnosed by percutaneous fine needle aspiration (FNA) in a patient with long standing, acquired, sideroblastic anemia. The aspirate was very cellular and composed of normal bone marrow elements with an erythroid to myeloid cell ratio of 3 to 1. Megakaryocytes were abundant but constituted less than 1% of the total cell population. This case illustrates that the diagnosis of EMH is possible by FNA and that thoracotomy for diagnostic purposes can be circumvented. PMID- 6573089 TI - Cytopathologic aspects of leiomyoblastoma in fine needle aspiration biopsy. Report of two cases. AB - The cytopathologic features of the fine needle aspiration biopsy of two cases of malignant peripheral leiomyoblastoma are presented. Aspirated tumor cells occurred singly, not in clusters. They were pleomorphic, varying in size and shape and showing eosinophilic to amphophilic cytoplasm. Many tumor cells had a vacuolated cytoplasm. Multinucleated large tumor cells were seen in one case; their nuclei were hyperchromatic and round to oval, with chromatin clumping and prominent nucleoli. The cytologic findings suggested a malignant mesenchymal tumor. Histology demonstrated the diagnosis of leiomyoblastoma. PMID- 6573090 TI - Aspiration cytology and cytochemistry of coccygeal chordoma. A case report and review of the literature. PMID- 6573091 TI - Hurthle-cell tumor arising in the mediastinal ectopic thyroid and diagnosed by fine needle aspiration. Light microscopic and ultrastructural features. AB - The light microscopic and ultrastructural features of a Hurthle-cell tumor arising in the ectopic mediastinal ectopic thyroid and diagnosed by fine needle aspiration are presented. Although it lacked clear-cut cytologic features of malignancy, the tumor was clinically malignant, having metastasized to the lungs. Hurthle-cell tumors of the thyroid are unpredictable in their biologic behavior, and the absence of clinical and/or pathologic evidence of malignancy at the time of diagnosis is no guarantee of a benign outcome. PMID- 6573092 TI - Cytology of giant-cell glioblastoma. AB - A case is presented in which smears and touch imprints of a parietal tumor in a 58-year-old female revealed two distinct and easily recognizable cellular populations. The first was predominant and consisted of densely packed cells of an astroglial nature. The other was made up of unusually large giant cells with highly malignant features. The cytology of these combined cell types allowed the correct diagnosis of giant-cell glioblastoma at the time of surgery. Their cytomorphology, which has seldom been reported, supported the interpretation of an astroglial nature of this tumor. PMID- 6573093 TI - Mycosis fungoides. The importance of pulmonary cytology in the diagnosis of a case with systemic involvement. AB - A patient with cutaneous mycosis fungoides developed pulmonary lesions while under radiation therapy. Bronchial cytologic specimens demonstrated malignant lymphocytes, which open lung biopsy confirmed to be mycosis cells. We believe this is the first report to document pulmonary involvement of mycosis fungoides by the use of bronchial cytology. PMID- 6573094 TI - Barr body frequency in esophageal cancer in Indian women. AB - In a retrospective study, Barr body frequency was analyzed in 50 consecutive cases of esophageal cancer in females. The majority (95%) of the tumors had less than 20% Barr body frequency (of which 80% showed less than 10%), while normal controls showed 30% to 45% Barr body frequency. The mechanism(s) involved in lowering the frequency is not known at present. PMID- 6573095 TI - Transthoracic fine needle aspiration cytology. PMID- 6573096 TI - Fine needle aspiration cytology in veterinary medicine. PMID- 6573097 TI - Cytologic diagnosis of pulmonary tuberculosis by bronchoalveolar lavage. PMID- 6573098 TI - Thyroid autoimmunity in siblings: a population study. AB - Familial occurrence of thyroid autoantibodies and elevated TSH levels was investigated among siblings from a middle-aged rural population in Finland. The initial sample consisted of 801 subjects representing 311 sibling groups. Paired sera taken at a five-year interval were available for testing from most of them. Thyroglobulin antibodies were detected in 26% of the siblings of probands with thyroglobulin antibodies, compared with 11% among siblings of probands who did not have these antibodies. The corresponding figures for thyroid microsomal antibodies were 32% and 11%, respectively. The frequency of positive test results among the siblings was about the same irrespective of the antibody titre of the proband. When the proband had only thyroid microsomal antibodies, most (66%) of the autoantibody-positive siblings were positive in this system only. When the proband had only thyroglobulin antibodies, the pattern among siblings was less clear. Nearly half of the cases with elevated TSH level but negative in the thyroid autoantibody tests were in families in which other members had evidence of thyroid autoimmunity. The findings are compatible with the concept that a few major genes affect susceptibility to thyroid autoimmune diseases. PMID- 6573100 TI - Program of main sessions and advance abstracts of short papers. 27. Symposium Deutsche Gesellschaft fur Endokrinologie. Frankfurt/Main, March 2-5, 1983. PMID- 6573099 TI - 25 year follow-up of the Aland thyroid study of 1956. Thyroid status and incidence of rheumatoid arthritis. AB - In 1956, a study of the iodine metabolism in endemic goitre was made on a group of inhabitants of the Aland Islands, an autonomous province of Finland. The number of Alanders studied was 130. In a follow-up study 25 years later, 101 still living subjects from the original study could be traced. 17 of them had become hyperthyroid, 7 had been operated on for non-toxic goitre, and 4 had become hypothyroid. There was no correlation between thyroid hormone excretion values in 1956 and subsequent hyperthyroidism. Rheumatoid arthritis was overrepresented in the goitre group compared with the group without goitres, as well as compared with statistical figures on the frequency of rheumatic disease among the population in general of Aland and of Finland as a whole. PMID- 6573101 TI - Intensive monitoring of intractable seizures. PMID- 6573102 TI - The patient with recently diagnosed epilepsy - medical aspects. PMID- 6573103 TI - The patient with recently diagnosed epilepsy - psychological and sociological aspects. PMID- 6573104 TI - The estimation of working capacity in epileptic patients. PMID- 6573105 TI - Rehabilitation of epileptic patients. PMID- 6573106 TI - Relapse rate after cessation of therapy in childhood leukemia. A material from the five Nordic countries. AB - The experience of four hundred and ninety children from the Nordic countries who had their antileukemic therapy stopped prior to January 1981 is presented. The observation times after stopping therapy were between 1 month and 19 years. One hundred and five children (21.4%) relapsed before January 1981. No children relapsed later than four years after cessation of therapy. The calculated long term relapse rate is 28%. PMID- 6573107 TI - Acute mycotic thyroiditis. PMID- 6573108 TI - Cushing's syndrome with bilateral multinodular adrenal hyperplasia. Ultrastructural, histochemical, and immunohistochemical study. AB - An unusual case of Cushing's syndrome of a 59-year-old man with bilateral multinodular adrenal hyperplasia and microadenoma of the pituitary gland is presented. Failure to suppress plasma cortisol with large doses of dexamethasone may suggest autonomous growth of hyperplastic nodules of the adrenals, which were at first induced by prolonged stimuli of ACTH from the microadenoma of the pituitary gland. ACTH could not be detected in the microadenoma cells on paraffin sections, while Crooke's cells were strongly positive for ACTH. The interrelation between bilateral multinodular adrenal hyperplasia and pituitary microadenoma is discussed. PMID- 6573109 TI - Treatment approaches in depression. PMID- 6573110 TI - Classification and diagnosis of depression. AB - There is no general consensus how to classify and diagnose depressive disorders. The main reason is disagreement regarding etiology. This is reflected in the several theoretical models of depression which has been proposed. On the other hand, a reliable way of characterizing groups of patients that can be used by both clinicians and researchers, is necessary both for communication and progress of research. Facing this situation, the inclusion of etiological theories in classification of depression obviously would be an obstacle to the use of such a classification system by clinicians of various theoretical orientation at current. Thus, a classification system which describes the clinical features of the mental disorders comprehensively and at the lowest order of inference necessary to identify the disorder in a reliable way is needed. The third edition of the Diagnostic and Statistical Manual of Mental Disorder (DSM-III) represents such a classification system. By providing operational diagnostic criteria for each diagnosis, DSM-III represents a major achievement of classification in clinical psychiatry and research. This paper will present the classification of depression and the problem of differential diagnosis as outlined in DSM-III. Further, the validity of the DSM-III classification of depression will be discussed with reference to some recent research findings on biopsychosocial and treatment aspects of depressive disorders. PMID- 6573111 TI - Advances with antidepressants; clinical experiences with mianserin. PMID- 6573112 TI - Antidepressant poisoning. PMID- 6573113 TI - Leukocyte locomotion and chemotaxis. 1st International Conference on Leukocyte Locomotion and Chemotaxis, Gersau, May 16-21, 1982. PMID- 6573115 TI - Characterising a kinesis response: time averaged measures of cell speed and directional persistence. PMID- 6573114 TI - Adherence and regulation of leukotaxis. AB - PMNs upon stimulation by a chemoattractant adhere to a substratum and then in amoeboid fashion migrate toward the source of the attractant. We have studied molecular events in both adherence and migration and have arrived at the following conclusions: 1) PMNs, like other motile cells such as highly metastatic tumor cells, can use laminin to attach to Type IV basement membrane collagen. PMNs may use this anchoring mechanism in their emigration from the vasculature. 2) Attached cells may be stimulated to migrate as a result of the chemo attractant-induced inactivation of lipomodulin, a natural inhibitor of phospholipase A2, an enzyme that may be essential for chemotaxis. 3) The substrate for this enzyme is generated by both the CDP-choline and transmethylation pathways. These pathways may be regulated by another enzyme, transglutaminase (TGase). 4) Natural substrates of TGase, such as uteroglobin, inhibit leukocyte chemotaxis, again suggesting a regulatory role for TGase in chemotaxis. 5) Tumor cells also produce inhibitors of chemotaxis. In addition to protecting the tumor from the host's phagocytes, these inhibitors may be related to normal modulators of cell motility. Therefore, determination of their mode of action could increase our understanding of this type of cell behavior. PMID- 6573116 TI - Biological and chemical characterization of eosinophil chemotactic factors from human leukocytes. PMID- 6573117 TI - The C5a receptor of neutrophils and macrophages. PMID- 6573118 TI - The effect of the local anesthetic tetracaine on the migration of guinea pig granulocytes. PMID- 6573119 TI - Adhesion and the locomotion of neutrophils on surfaces and in matrices. PMID- 6573120 TI - Contact guidance of locomotion of human leukocytes. PMID- 6573121 TI - Clinical and morphologic cardiac findings after anthracycline chemotherapy. Analysis of 64 patients studied at necropsy. AB - The relation between clinical evidence of and histologic signs of anthracycline cardiotoxicity was evaluated by reviewing the clinical and morphologic findings in 64 patients studied at necropsy, all of whom had received doxorubicin or daunorubicin chemotherapy during life. Of the 64 patients, 20 (31%) had documented clinical toxicity consisting of impaired left ventricular systolic performance; in 7 (35%) of these 20 patients, histologic signs of toxicity were absent. In the remaining 13 patients with clinical toxicity, histologic signs of toxicity ranged from mild to severe. Of the 44 (69%) patients without clinical signs of drug toxicity, 21 (48%) had no histologic sign of cardiotoxicity; in 23 (52%) of the patients without clinical toxicity, however, morphologic signs of cardiotoxicity were nevertheless present--mild in most patients, but extensive in 4. Signs of extensive histologic toxicity (19 [30%] of 64 patients) were associated with large doses (greater than 450 mg/m2) of the drug, mediastinal irradiation, and age greater than 70 years. This study suggests that attempts to monitor cardiotoxicity by serial evaluation of cardiac histology in patients undergoing anthracycline chemotherapy may be seriously limited by the fact that clinical evidence of toxicity may be present without histologic signs of toxicity; likewise, histologic signs of anthracycline toxicity may be present without clinical evidence of toxicity. PMID- 6573122 TI - Investigation in the role of surgery, chemotherapy, and radiation in a murine osteosarcoma model. PMID- 6573124 TI - Clinical evaluation of a new anthracycline antibiotic, aclacinomycin-A, in patients with advanced malignant lymphoma. PMID- 6573123 TI - Osteosarcoma--a complication of chemotherapy for Hodgkin's disease in children. PMID- 6573126 TI - Paroxysmal nocturnal hemoglobinuria terminating in TdT-positive acute leukemia. AB - A case of paroxysmal nocturnal hemoglobinuria (PNH) which developed terminal transferase (TdT)-positive leukemia 5 years after the diagnosis of PNH was studied. Most of the leukemic cells were suggestively lymphoid by cytochemistry and electron microscopy, and TdT-positive by immunofluorescence studies. The development of acute lymphoblastic leukemia during the course of PNH suggests that in PNH the clonal abnormality may involve lymphoid cells as well as myeloid cells, thus raising the possibility of the disease being a disorder of the pluripotential stem cell. PMID- 6573125 TI - Granular acute lymphoblastic leukemia. AB - Granules in blasts are most typical of acute myeloblastic leukemia. However, there have been scattered reports of patients with acute lymphoblastic leukemia (ALL) that have lymphoblasts with azurophilic cytoplasmic granules. These reports do not describe immunologic markers or cytogenetics. We report five additional cases with detailed cytologic, immunologic, and cytogenetic studies. At diagnosis one of these patients had central nervous system disease, while the others had no unusual features. Four of the five patients attained remission. The blasts of all five patients contained distinct cytoplasmic azurophilic granules. The granules were negative for peroxidase and chloroacetate esterase and positive for PAS, acid phosphatase, alpha-naphthyl acetate esterase incompletely fluoride inhibited, alpha-naphthyl butyrate esterase, and in one case, Sudan black B. In the one patient studied by electron microscopy, characteristic lymphoblasts contained membrane-bound electron lucent inclusions, which stained positively with non-specific esterase. Immunologic markers showed a common ALL phenotype. Different cytogenetic abnormalities were seen in all cases. It is important to recognize the characteristics of this morphologic subtype of ALL in order to avoid a misdiagnosis of acute nonlymphocytic leukemia. PMID- 6573127 TI - The in vitro effects of vincristine on peripheral blood leukocyte progenitor cells (CFU-C) in patients in blast crisis of chronic granulocytic leukemia: correlation with clinical response. AB - The in vitro sensitivity of circulating progenitor cells (CFU-C) of 20 patients in blast crisis of chronic granulocytic leukemia (CGL) to vincristine was correlated with the clinical response to vincristine in vivo. Eleven patients who achieved either a good or partial clinical response displayed a reduction in the number of colonies or clusters formed by their peripheral blood leukocytes in a double layer agar culture assay following incubation with vincristine. The CFU-C of five of six patients who failed to respond clinically to vincristine and prednisone were not suppressed following incubation with up to 12 microM vincristine. Three additional patients were not evaluable due to early post treatment deaths. In vitro assay of the effects of vincristine on CFU-C appears to have predictive value for in vivo response in blast crisis of CGL. PMID- 6573128 TI - Heterozygous expression of insulin-dependent diabetes mellitus (IDDM) determinants in the HLA system. AB - HLA phenotypes of cases with insulin-dependent diabetes mellitus (IDDM) and identity by descent of HLA haplotypes in affected sib-pairs support an intermediate model in which morbid risk is increased by one HLA-linked IDDM determinant, and greatly increased by two determinants, which may be qualitatively different in DR3 and DR4 haplotypes. Linkage analysis allowing for gametic disequilibrium reveals no recombination in pedigrees with a DR3/DR4 propositus, but spurious recombination in the remaining pedigrees. This evidence favors interaction of unlinked IDDM determinants to produce affection in a small proportion of heterozygotes for an HLA-linked determinant. Partition of data by HLA type of the propositus (ideally by DR and the complement types jointly) is a powerful method to resolve etiological heterogeneity for HLA-associated diseases. PMID- 6573129 TI - Evidence for a dosage effect at the X-linked steroid sulfatase locus in human tissues. AB - Steroid sulfatase (STS) is an X-linked enzyme whose locus escapes X inactivation in human somatic cells. STS activity was determined in human fibroblasts varying in X-chromosome number from one to four. Greater STS activity was detected in 2X cell strains when compared to 1X cell strains; however, increased STS activity was not found in 3 and 4X strains as compared with the 2X strains. Greater STS activity was also observed in female hair follicles when compared with male hair follicles. These data provide evidence of a gene dosage effect at the STS locus in human tissues. PMID- 6573130 TI - Evaluating pedigree data. I. The estimation of pedigree error in the presence of marker mistyping. AB - Pedigrees used in the analysis of genetic or medical data are usually ascertained from sources subject to a variety of errors including misidentification of individuals, faults in historical documents or record linkage, nonpaternity, and unidentified adoption. Genetic markers can be used to verify putative family and pedigree data through the search for inconsistencies, or genetic exclusions, between putative parents and offspring. The probability of observing an exclusion given the occurrence of an error depends upon the gene frequencies at the loci under study and the forms of error. In addition, inconsistencies can arise from laboratory errors in marker determination. Together, these problems make the proper statistical analysis of such data desirable. Here we give a model that specifies the combined effects of various kinds of pedigree error along with genetic marker error. This model allows the maximum-likelihood estimation of the rates of various forms of pedigree error and laboratory error from genetic marker data collected on putative families. The method is illustrated by applying it to data obtained from a South Pacific island population, Tokelau. From the observed distribution of genetic marker inconsistencies between the parents and offspring of putative families, derived from the extensive genealogy of this population, we are able to estimate that the error of a paternal link is 4%, the error of a maternal link is zero, and the overall system typing error is 1%. PMID- 6573132 TI - Clinical and laboratory features of the myeloid and lymphocytic leukemias. AB - This paper reviews the pertinent presenting features (clinical and laboratory) in the myeloid and lymphocytic leukemias, with emphasis on findings in the blood smear. Cell counts and their diagnostic significance are discussed. Data reported are derived from a study of patients seen at the University of Rochester Medical Center between 1970 and 1982. PMID- 6573131 TI - Linkage between a marker locus and a quantitative trait of sibs. AB - Several variations of a method for detecting linkage between a marker locus and a quantitative trait in full sib families are presented along with computational details. All variations are based on contrasts within qualifying families of three or more sibs. The empirical powers of the various test statistics, evaluated by simulation, were very similar, and also similar to that of Smith. These single-generation tests are likely to be successful only for many families and relatively tight linkage. PMID- 6573133 TI - Blood and marrow morphology in acute leukemia patients receiving chemotherapy: a photo-essay. AB - Acute leukemia patients are often treated with drugs which have effects upon bone marrow cell production roles and which can alter the morphology of blood cells. In this paper some typical morphology findings in the marrow and blood are illustrated; the causes of the altered cellular appearances are discussed. PMID- 6573135 TI - Hematology problem: chronic neutrophilic leukemia. PMID- 6573134 TI - Hemopoietic stem cell disorders. AB - The hemopoietic stem cell diseases are the result of an injury to a primitive cell pool which may function as the stem cell pool for blood cell production. The wide variability in the morphologic expression (phenotype) of hemopoietic stem cell diseases is related to the intrinsic capabilities of stem cells to take various commitment pathways and proceed through many levels of differentiation and maturation. PMID- 6573136 TI - Blood groups, immunoglobulin allotypes and dermatoglyphic features of patients with amyotrophic lateral sclerosis and parkinsonism-dementia of Guam. AB - Blood group frequencies, immunoglobulin allotypes, and dermatoglyphic patterns were determined on patients with amyotrophic lateral sclerosis (ALS) and parkinsonism-dementia (PD), two chronic, degenerative, neurologic disorders of unknown cause found commonly among the Chamorros of the Mariana Islands, in an attempt to identify a specific genetic or phenetic marker associated with either disorder. With the exception of the Kidd system, no significant differences were found in blood group frequencies nor in immunoglobulin allotypes between ALS patients, PD patients, and unaffected controls. The dermatoglyphic analysis demonstrated that ALS patients had higher frequencies of palmar patterns and accessory triradii in the IV interdigital area, and PD patients had significantly higher frequencies of complete simian creases and of palmar patterns in the thenar/I interdigital area than unaffected controls. The frequencies of the remaining dermatoglyphic traits showed no significant differences. We conclude that none of the marker systems tested show a particular pattern of association in patients and controls or a genetic predisposition to either disorder, and that early identification of at-risk individuals remains elusive. PMID- 6573137 TI - Search for a red cell enzyme or serum protein marker in amyotrophic lateral sclerosis and parkinsonism-dementia of Guam. AB - Frequency distributions were determined for 24 red cell enzyme and four serum protein systems, in an attempt to identify a genetic marker associated with either amyotrophic lateral sclerosis (ALS) or parkinsonism-dementia (PD), two progressive and fatal neurological disorders of unknown cause found with unusually high incidence among the Chamorros of Guam and the Northern Mariana Islands. No striking associations were identified between either disorder and any of the gene markers tested. Thus, no genetic cause is known for either disease; local environmental factors are most likely involved in pathogenesis. PMID- 6573138 TI - Aspirin therapy in vernal conjunctivitis. AB - Prostaglandin D2 is a secondary mast cell mediator that causes redness, chemosis, mucous discharge, and eosinophil chemotaxis in the eye. It may play an important role in allergic ocular disease. Although histamine is a key mediator of allergic inflammation, antihistamine therapy provides only symptomatic relief. We added aspirin therapy to the treatment regimen of three patients with vernal conjunctivitis. Aspirin acetylates the enzyme cyclooxygenase, thereby preventing the formation of prostaglandin D2. Within two weeks after initiation of aspirin therapy, we noted dramatic improvement in conjunctival and episcleral redness and resolution of keratitis and limbal infiltration. We recommend a trial of oral aspirin as adjunctive therapy for intractable cases of vernal conjunctivitis. PMID- 6573139 TI - Quality assurance requirements of the Joint Commission on Accreditation of Hospitals. PMID- 6573140 TI - Orthodontic management of mandibular canine-incisor transposition. AB - This article presents five cases of an unusual dental anomaly--transposition of mandibular canine and lateral incisor. While every one of the presented cases had its individual characteristics, there are certain common traits. For instance, deciduous canines are usually retained, and the anomaly is found concurrent with other dental problems, such as congenital absence of teeth or peg-shaped lateral incisors. Many transposition cases also have a severe arch length discrepancy, which in itself may be an etiologic factor. In two of our cases orthodontic management included extraction of the transposed lateral incisor, whereas in the remaining three cases teeth were left in their transposed positions. On the basis of the longitudinal records of one of our cases, we speculate that there are early signs of transposition in the making, signs which should be recognized and which could possibly make transposition preventable. PMID- 6573141 TI - An American Board of Orthodontics case report. AB - A case report of a Class II, Division 2 malocclusion with a deep anterior overbite, mandibular first premolars lingual to the maxillary first premolars in centric occlusion, and a functional shift on closure, accompanied by moderate facial convexity with a deficient mandible anteriorly and vertically, treated to the standards of the American Board of Orthodontics, is presented. PMID- 6573142 TI - Adjunctive orthodontic therapy in the treatment of juvenile periodontitis: report of a case and review of the literature. AB - Historically, the patient with juvenile periodontitis (periodontosis) presented as somewhat of an unknown entity to the orthodontist. With uncertainties concerning etiology still present, the orthodontist may be hesitant to undertake orthodontic treatment for the juvenile periodontitis patient. The literature pertaining to proposed etiologic factors and treatment modalities for juvenile periodontitis is briefly reviewed. Current evidence indicates that juvenile periodontitis patients have a compromised host response which allows an exaggerated susceptibility to certain gram-negative organisms. The disease is characterized by rapidly progressing bone loss, which is not associated with marked local irritation or gingival inflammation. Early diagnosis and conservative periodontal treatment have demonstrated good results. However, cases of advanced lesions or those cases that also involve malocclusion and potential occlusal traumatism may benefit from adjunctive orthodontic therapy. Successful management of a case involving multiple tooth loss along with a moderate degree of malocclusion is presented, with emphasis on the coordination of periodontic, orthodontic, and prosthodontic care. Orthodontic movement of teeth into previously affected areas was quite successful after a short healing period following extractions. A suggested protocol for the combined orthodontic, periodontic, and fixed prosthodontic management of the juvenile periodontitis patient is presented. Once the disease process has been arrested, the prognosis of each tooth is evaluated and possible rehabilitations, including orthodontic treatment and fixed prostheses, are planned. Periodontal evaluations are scheduled concurrently with orthodontic appointments to monitor the condition as tooth movement occurs. PMID- 6573143 TI - An examination of treatment changes in children treated with the function regulator of Frankel. AB - Two groups of patients, one with a Class II, Division 1 malocclusion and the other with a Class III malocclusion, were treated with the Frankel appliance. Lateral cephalometric radiographs were taken before and after correction of the arch relationship. An examination of the head films with the use of a digitizer and a computer suggests strongly that the principal changes produced by the appliance are dentoalveolar. The need for a randomized controlled clinical trial is emphasized. PMID- 6573144 TI - Studies on the efficacy of implants as orthodontic anchorage. AB - The abilities of two types of small cylindrical endosseous implant to resist movement when loaded with constant forces of orthodontic magnitudes were tested. Pairs of Bioglass-coated implants and pairs of Vitallium implants of the same size were implanted into the femurs of twelve rabbits. After a 28-day healing period, these implants were loaded with forces of 60 grams, 120 grams, and 180 grams. Analysis of implant movement after 28 days revealed that no statistically significant movement occurred at any of the three force levels for either type of implant. Histologic evaluation revealed a connective tissue encapsulation with the Vitallium implant and an implant-bone bond with the Bioglass implant. No histologic evidence of implant movement was observed for either implant type at any force level. PMID- 6573145 TI - Mandibular rest position in subjects with high and low mandibular plane angles. AB - Studies have explored the relationship between different facial morphologies and mandibular posture; however, few conclusions can be drawn. The purpose of this study was to explore the effects of contrasting facial morphologies on both clinical and electromyographic rest positions of the mandible. Electromyographic and clinical rest positions were recorded in 10 subjects whose Frankfort horizontal-to-mandibular plane angles were less than 20 degrees (low-angle group) and in 10 whose angles were greater than 30 degrees (high-angle group). The vertical dimension of clinical rest position was recorded from soft tissue markings on the nose and chin after subjects wet their lips, swallowed, and pronounced Mississippi. Electromyographic rest was defined as the interincisal vertical dimension of minimal muscle activity as determined with an Enting Model 220 EMG integrator and the Myotronics K-5 kinesiograph. Head posture was held constant to the subject's visual axis. The vertical dimension of clinical rest position was significantly greater in the low-angle group (X = 4.6 mm., S.D. = 1.4) than in the high angle group (means = 3.1 mm., S.D. = 1.1); however, no differences were observed in the EMG rest positions, which were 9.9 and 9.7 mm., respectively, for the low- and high-angle groups. These results do not support a simple mechanical explanation of jaw posture; however, these measurements need to be repeated with subjects selecting their preferred head inclination. PMID- 6573146 TI - Combined surgical and orthodontic treatment of bimaxillary protrusion. AB - Bimaxillary protrusion can be treated effectively in growing patients and in adults with conventional orthodontic therapy. In the adult patient, however, combined surgical and orthodontic treatment modalities may offer distinct advantages over such conventional therapy. Treatment time and possible adverse effects of lengthy and extensive orthodontic therapy may be reduced and optimum esthetic improvement may be facilitated. Those cases that exhibit severe skeletal discrepancies in the vertical, transverse, or sagittal dimensions in addition to dentoalveolar protrusion may be best treated in this manner to simultaneously correct all existing problems and obtain optimal esthetic and functional results. This article delineates the rationale for such therapy and tridimensional diagnostic and treatment-planning considerations from both the orthodontic and surgical standpoints. Case reports illustrate clinically the results obtainable with such treatment. PMID- 6573147 TI - Mouth breathing in allergic children: its relationship to dentofacial development. AB - While there are many claims that abnormal breathing patterns alter facial growth, there are limited controlled data to confirm this. We evaluated forty-five North American Caucasians of both sexes, ranging in age from 6 to 12 years. Thirty chronically allergic mouth-breathing subjects were selected from a pediatric allergy practice, and fifteen nonallergic nose breathers were selected from a general pediatric practice. Each subject underwent an intraoral clinical examination and a cephalometric radiograph analysis. Various skeletal and dental relationships were evaluated for statistical differences related to mode of breathing and age. The upper anterior facial height and the total anterior facial height were significantly larger in the mouth breathers. Angular relationships of the sella-nasion, palatal, and occlusal planes to the mandibular plane were greater in the mouth breathers, and their gonial angles were larger. The mouth breathers' maxillae and mandibles were more retrognathic. Palatal height was higher, and overjet was greater in the mouth breathers. Maxillary intermolar width was narrower in the mouth breathers and was associated with a higher prevalence of posterior cross-bite. Over all, mouth breathers had longer faces with narrower maxillae and retrognathic jaws. This supports previous claims that nasal airway obstruction is associated with aberrant facial growth. Longitudinal studies are needed to evaluate the effectiveness of early intervention in preventing these growth alterations. PMID- 6573149 TI - Portable ventilators under field conditions. AB - Twenty-eight field rescue units using mechanical ventilators were questioned about the incidence of practical difficulties encountered with their equipment. Eleven (39%) had used the equipment in an emergency. Sixty-one separate incidents were recorded, in 48 oxygen therapy alone was given but in 13 the equipment was used to ventilate the patients' lungs. Seven units (25%) experienced some sort of practical difficulty. Six units complained of trouble with servicing, five of which were frustrated by delays with replacement oxygen cylinders. PMID- 6573148 TI - Incisor position in Scandinavian children with ideal occlusion. A comparison with the Ricketts and Steiner standards. AB - A cephalometric study, with particular emphasis on incisor pattern, was carried out on thirty Norwegian children with clinically excellent occlusion in the young permanent dentition. The material was selected from a sample of all 12-year-old children within a particular geographic area (Nittedal) of Oslo. The frequency of ideal occlusion was 5.3 percent. A computer-based method of cephalometric analysis was used. The findings indicated that persons with untreated ideal occlusion tended to have a particular facial morphology and dental pattern. More precisely, they were likely to be brachyfacial (horizontal), with somewhat procumbent incisors and a small interincisal angle. Only one patient had dolichofacial (high-angle) characteristics. On average, the lower incisors were 2.5 mm. in front of the APo plane (S.D. 1.7). Remarkably, the lower incisors were not behind the APo plane in any single case with ideal occlusion. Clearly, the lower incisors were clinically significantly more protruded and proclined than those described in previous studies on Scandinavian children and were, in fact, even slightly more procumbent than the Ricketts and Steiner standards. The similarity, with regard to both incisor position and skeletal pattern, of the present findings to some recent studies on American Caucasian children with normal occlusion is stressed. The significance of the observations is discussed in relationship to considerations in orthodontic treatment planning. PMID- 6573150 TI - Blistering of epoxy material of Narco Airshields ventilator. PMID- 6573151 TI - Advantages of standing bellows ventilators and low-flow techniques. PMID- 6573152 TI - Standards setting and the Joint Commission on Accreditation of Hospitals: the right and the responsibility of medicine. PMID- 6573153 TI - Clinical implications of receptor sensitivity modification. PMID- 6573154 TI - Genetic linkage data for the Dombrock blood group locus relative to chromosome 1 and chromosome 4 loci. PMID- 6573155 TI - Absence of close linkage between Hereditary spherocytosis (SPH) and 24 genetic marker systems including HLA and GM. AB - A total of 250 individuals belonging to 19 different families, identified through established propositi were simultaneously screened for hereditary spherocytosis (SPH), using stringent criteria, and 27 well-known polymorphic genetic marker systems. The segregation analysis indicated that the pattern of inheritance of SPH in these families, being autosomal and dominant, had a 100% penetrance. A statistical analysis, using the LIPED computer program of Ott (1974), revealed the absence of close linkage between SPH and ABO, ACP1, ADA, AK1, C3, DIA2, ESD, FY, GC, GLO1, GM, GPT1, HLA, HPA, JK, K, KM, MNS, P, PGD, PGM1, PGP, PI, and RH. Since an earlier study by other investigators had convincingly suggested a linkage between SPH and GM, we subjected the data to further analysis and found no significant heterogeneity in our recombination values of linkage between SPH and GM, or any of the other informative loci. PMID- 6573156 TI - Pharmacokinetics and tolerance of N-formimidoyl thienamycin (MK0787) in humans. AB - The pharmacokinetics of intravenously administered N-formimidoyl thienamycin (MK0787) were studied in 14 healthy male subjects in a single-dose study, in which the volunteers received N-formimidoyl thienamycin with and without probenecid, and in a multiple-dose study, in which the subjects were given 250 or 500 mg every 8 h for 10 doses. High dose-related plasma concentrations of N formimidoyl thienamycin were achieved; co-administration with probenecid resulted in only minor increases in these concentrations. No accumulation in plasma was seen after multiple doses. The plasma half-life of N-formimidoyl thienamycin was slightly less than 1 h and did not increase significantly with the coadministration of probenecid. The urinary recovery of N-formimidoyl thienamycin varied between 6.0 and 38.4% of the dose with a marked intersubject variability. Variations in individual subjects were small, however, when the urinary recoveries after repeated doses were compared. These results were in agreement with previous animal studies showing a renal metabolism of N-formimidoyl thienamycin. Probenecid administration resulted in a marked decrease in N formimidoyl thienamycin urinary recovery. In vitro experiments showed that the decay of N-formimidoyl thienamycin in spiked pretreatment urine samples was 2 to 5%/h with more rapid degradation at acidic than at basic pH. PMID- 6573157 TI - Urinary recovery of N-formimidoyl thienamycin (MK0787) as affected by coadministration of N-formimidoyl thienamycin dehydropeptidase inhibitors. AB - N-Formimidoyl thienamycin (MK0787) undergoes renal metabolism by a dipeptidase, dehydropeptidase I, located on the brush border of the proximal tubular cells. The effects of two inhibitors (MK-789 and MK-791) of dehydropeptidase I on the pharmacokinetics of N-formimidoyl thienamycin were studied in 41 healthy subjects receiving various combinations of N-formimidoyl thienamycin and MK-789 or MK-791. Both inhibitors affected the plasma kinetics of N-formimidoyl thienamycin only to a small extent. Plasma concentrations and the area under the plasma concentration curve increased about 20% with a proportional decrease in plasma clearance. Plasma half-life was not altered significantly. Coadministration of MK-789 or MK 791 resulted in uniform and marked increases in urinary recovery and renal clearance of N-formimidoyl thienamycin. Thus, at an N-formimidoyl thienamycin/MK 791 ratio of 1:0.25 or higher, the urinary recovery was about 72% in all subjects, whereas it varied between 7.7 and 43% when N-formimidoyl thienamycin was given alone. The ratio of the N-formimidoyl thienamycin and MK-791 doses affected response. At relatively higher doses of MK-791, significant increases of N-formimidoyl thienamycin urinary recovery, renal clearance, and urine concentrations occurred during the later part of the 10-h observation period after each administration. At a 1:1 ratio of the two drugs, the inhibition of renal metabolism of N-formimidoyl thienamycin was maintained for at least 8 h, whereas renal clearance declined as soon as 4 h after the administration of a 1:0.25 ratio. The results indicated that MK-789 and MK-791 alter the renal excretion of N-formimidoyl thienamycin from glomerular filtration plus tubular secretion to glomerular filtration only, possibly by competitively inhibiting the penetration of N-formimidoyl thienamycin into the proximal tubular cells. PMID- 6573158 TI - Interaction of ribulose bisphosphate carboxylase/oxygenase with 2-carboxyhexitol 1,6-bisphosphates. AB - 2-C-Carboxy-D-glucitol 1,6-bisphosphate (CGBP) and 2-C-carboxy-D-mannitol 1,6 bisphosphate (CMBP) have been synthesized, isolated, and the structures of these compounds and the derived lactones elucidated by NMR spectroscopy and periodate oxidation. Both carboxyhexitol bisphosphates, which are homologs of the transition state analog 2-C-carboxy-D-arabinitol 1,5-bisphosphate, exhibit competitive inhibiton of ribulose bisphosphate carboxylase/oxygenase (EC 4.1.1.9) isolated from spinach (Spinacia oleracea), with respect to ribulose 1,5 bisphosphate. CMBP was a more potent inhibitor (100-fold) displaying an inhibition constant (Ki at pH 8.0 and 30 degrees C) of 1-2 microM with enzymes from spinach, barley (Hordeum vulgare), and Chromatium vinosum. In contrast the Rhodospirillum rubrum enzyme was inhibited about 40-fold more weakly (Ki = 53 microM at pH 8.0 and 30 degrees C). Both CGBP and CMBP potentiated activation of RuBP carboxylase from spinach and R. rubrum. PMID- 6573159 TI - Pulmonary artery growth during treatment with oral prostaglandin E2 in ductus dependent cyanotic congenital heart disease. AB - Growth of the pulmonary arteries was assessed in 11 patients with cyanotic congenital heart disease treated with oral prostaglandin E2. Each patient was dependent on patency of the ductus arteriosus for maintenance of the pulmonary circulation. Measurements were made initially from angiographic data obtained in the neonatal period. Subsequent assessments were made at the time of surgery after an interval of 2-8 months, during which time all the infants had gained weight normally. Comparisons were made with data obtained from 13 normal necropsy specimens. In only 4 of the 11 patients had the pulmonary arteries grown appreciably during the treatment period. In 2 patients no growth occurred, while in 5 patients the pulmonary arteries had actually become smaller. It had been hoped that the pulmonary arteries would grow in all 11 patients during this period, facilitating later surgical intervention. In patients with ductus dependent cyanotic congenital heart disease, the prolonged use of oral prostaglandin E2 should be restricted to patients in whom the pulmonary arteries are too small to allow a palliative operation to be performed initially. PMID- 6573160 TI - Hyperlipidemia in the Pacific Northwest Bell Telephone Company Health Survey. Part 2. Lipoprotein lipid interrelationships. AB - The relationships of lipoprotein cholesterol and triglyceride among lipoprotein fractions have potential significance for understanding atherogenesis and distinguishing among different classes of hyperlipidemia. We have compared these relationships in normolipidemic, hypercholesterolemic, hypertriglyceridemic, and combined hyperlipidemic participants in the Pacific Northwest Bell Telephone Company Health Survey. The cholesterol/triglyceride ratio in each lipoprotein fraction was moderately higher (1% to 26%) in hypercholesterolemia but significantly lower (20% to 50%) in hypertriglyceridemia, compared to normolipidemia. In combined hyperlipidemia, the very low density lipoprotein ratios were lower than in normolipidemia, but larger than in hypertriglyceridemia. These changes were directionally the same, but differed quantitatively, in both men and women. Correlation coefficients between cholesterol and triglyceride within each fraction varied by gender and sex hormone use. The largest correlations were seen in combined hyperlipidemic men for very low density lipoproteins, normolipidemic men for low density lipoproteins, and combined hyperlipidemic women taking hormones for high density lipoproteins. The correlation of very low and low density lipoprotein cholesterol was generally negative and was strongest for hormone users (r = -0.81) and weakest for nonusers (r = -0.06). Very low density lipoprotein triglyceride and high density lipoprotein cholesterol correlations were generally negative and were strongest in hypertriglyceridemic women not taking hormones (r = -0.55) and weakest in normolipidemic hormone users (r = -0.10). This correlation was positive for hypertriglyceridemic and combined hyperlipidemic hormone users. PMID- 6573161 TI - Influence of weight reduction on plasma lipoproteins in obese patients. AB - To determine the influence of weight reduction on plasma lipoproteins, studies were carried out in 15 nondiabetic patients of varying degrees of obesity and four obese insulin-dependent diabetics. All studies were carried out on a metabolic ward and patients underwent three dietary periods: Period I, 4 to 5 weeks of weight maintenance in the obese state; Period II, caloric restriction to 1000 kcal/day to a weight loss of within 10% of ideal body weight; and Period III, again weight maintenance for 4 to 5 weeks near ideal body weight. Similar results were obtained for both nondiabetics and diabetics. Many patients had mildly elevated plasma triglycerides in Period I; they fell to the normal range in Period II and remained low in Period III. Total cholesterol levels decreased early in Period II, but levels began to rise near the end of caloric restriction, and in Period III, they were similar to Period I. Low density lipoprotein cholesterol levels followed a pattern similar to that of total cholesterol. High density lipoprotein cholesterol was relatively low in Period I (38 +/- 2 mg/dl +/ SEM); throughout weight loss, levels tended to rise, and in Period III, the average high density lipoprotein cholesterol was significantly higher (46 +/- 2 mg/dl). PMID- 6573162 TI - A study of the apolar interaction of the enzyme rhodanese with octyl substituted agarose gel. PMID- 6573164 TI - Occlusion and restorative dentistry for the general practitioner. PMID- 6573163 TI - [Value of liver puncture-biopsy for diagnosis, classification and treatment of chronic hepatitis]. AB - In the assessment of chronic hepatitis, the liver biopsy serves the following purposes: 1) to confirm the fact that it is chronic. 2) to evaluate its degree of activity. 3) to check if there is cirrhosis or not. 4) to seek morphological proofs for the presence of viral, drug-induced or other aetiological agents. 5) to follow the evolution (in the natural course or during treatment) of the disease by comparing repeated liver biopsies. The initial classification of chronic hepatitis--proposed in 1968--has been reviewed by numerous authors; at the moment, it seems necessary, in order to correlate clinical and histological results better, to emphasize two important facts: 1) the spreading of liver necrosis if there is chronic active hepatitis. 2) the presence--or not--of cirrhosis. Some morphological arguments could be useful in order to diagnose the aetiology of chronic hepatitis. Empirical and specific immunological methods have become available for demonstrating HBsAg. If a chronic active hepatitis with multisystem involvement and/or abnormal serum antibodies is diagnosed, corticosteroid therapy is indicated. In others cases, especially those with virus B disease, the treatment differs according to medical teams. PMID- 6573166 TI - The role of the dental hygienist. PMID- 6573165 TI - Anaesthetic deaths. PMID- 6573167 TI - An enigmatic wisdom tooth. PMID- 6573168 TI - Hazard of UV-cured composites? PMID- 6573169 TI - Dentistry at the crossroads. PMID- 6573170 TI - The treatment of a severe class II division 2 malocclusion utilising a removable appliance to effect maxillary incisor root torque. PMID- 6573171 TI - The modified Z-spring. PMID- 6573172 TI - Unintentional transplantation. PMID- 6573173 TI - Lofgren's syndrome. PMID- 6573174 TI - Advice for those organising meetings. PMID- 6573175 TI - Why not run your next conference on a computer? PMID- 6573176 TI - The Shetland Islands: longitudinal changes in alcohol consumption in a changing environment. PMID- 6573177 TI - Controlling alcohol abuse in Australia: from treatment to prevention. PMID- 6573178 TI - The Piccadilly drug scene. PMID- 6573179 TI - Minimizing alcohol related offences by enforcement of the existing licensing legislation. PMID- 6573180 TI - A comparative study of the amount of smoke absorbed from low yield ('less hazardous') cigarettes. Part 2: Invasive measures. PMID- 6573181 TI - Development of a questionnaire to measure alcohol dependence. PMID- 6573182 TI - Involvement of prostaglandins in vasopressin stimulation of the human uterus. AB - The involvement of prostaglandins (PG) in the vasopressin (VP) action on the human uterus was investigated in healthy women during three menstruations. Intrauterine pressure was recorded and total pressure area measured. Repeated plasma samples were taken for estimations of arginine(A)- and lysine(L)-VP, 15 keto-13,14-dihydro-PGF2 alpha and 11-ketotetranor PGF metabolites. During the first menstruation LVP was infused in a dose of 0.08 micrograms/min. During the second menstruation the infusion of LVP was repeated with the same dose, but 70 min before infusion the women received an oral dose of 500 mg of naproxen. During the third menstruation PGF2 alpha was administered intravenously in a dose of 25 micrograms/min. LVP infusion per se caused a significant increase in uterine activity and plasma levels of LVP and PG metabolites. When the women were pretreated with naproxen practically the same uterine activity was induced and closely similar plasma levels of LVP were obtained, but the levels of PG metabolites decreased significantly in comparison with the first series of experiments. Infusion of PGF2 alpha caused an increase in uterine activity but no change in the plasma levels of AVP. The results indicate that uterine stimulation with VP is possible without an obligatory last step of PG synthesis and release. The results also support the concept that an elevated VP level in primary dysmenorrhoea may be of aetiological importance and is not just released as a 'stress'-hormone because of the dysmenorrhoeic pain. PMID- 6573183 TI - The versatility of the lateral tongue flap in the reconstruction of defects of the oral cavity. AB - The full thickness, posteriorly based, lateral tongue flap is described and the excellence of the blood supply is emphasised. The surgical technique is discussed and the application of the flap in the reconstruction of defects of the palate, cheek and floor of the mouth is illustrated. The versatility of the method is stressed, together with advantages over regional skin flaps when used for the same purpose. PMID- 6573184 TI - Do lingual flaps interfere with speech and eating? PMID- 6573185 TI - A modified flap for apicectomy. AB - A modified flap for apicectomy is described which is of considerable value for apicectomy performed where there is advanced crown and bridge work and extensive apical pathology. It eliminates many of the major disadvantages of other standard flaps. This is a technique which is designed to deal with cases which for one reason or another are not suitable for routine apical surgery. It ensures an adequate layer closure with deep support to the suture line. PMID- 6573186 TI - Stomatitis and recurrent oral ulceration: is a full blood screen necessary? AB - A full haematology screen was carried out on 398 patients under investigation for recurrent oral ulceration or stomatitis. Thirty-three patients were found to have lowered serum folate and/or red cell folate levels without iron deficiency. Of these only six were found to have a mean corpuscular volume (MCV) outside normal limits or to have recognisable erythrocyte abnormalities. No correlation was found between serum or red cell folate levels and the MCV. Eighteen patients were found to have lowered serum B12 levels without iron deficiency, of these seven were found to have a MCV outside normal limits. A significant negative correlation was found between serum B12 levels and the MCV. It is concluded that haematological screening in these cases should include estimations of serum folate, red cell folate and serum B12 levels even in the face of an apparently normal peripheral blood film. PMID- 6573187 TI - Multisystem sarcoid presenting with gingival hyperplasia. AB - A case is reported in which granulomatous gingival hyperplasia was the presenting feature of generalised sarcoidosis. Treatment with oral prednisolone resulted in resolution of both the granulomatous lesion of the gums, and of proteinuria. It is pointed out that although on histological examination sarcoidosis in this site cannot be distinguished from Crohn's disease, the clinical appearance in this patient (and the only similar case in the literature) was quite different from that seen in oral Crohn's disease. PMID- 6573188 TI - Surgical access to a complex composite odontome by sagittal splitting of the mandible. PMID- 6573189 TI - Cancellous osteoma of the coronoid process: report of a case. PMID- 6573190 TI - Squamous cell carcinoma arising in the lining of an odontogenic cyst. PMID- 6573191 TI - Central cavernous haemangioma of an edentulous maxilla. PMID- 6573192 TI - Facial sinus caused by a foreign body in the submandibular salivary duct. PMID- 6573193 TI - Children's perceptions of their own malocclusions. AB - Recognition by a parent or child of an occlusal abnormality is one of the many factors which may influence a desire for orthodontic treatment. Non-orthodontists may not estimate the severity of malocclusion reliably and may use different criteria from orthodontists for the process. The present study therefore sought to examine the reliability of parents' and children's perceptions of the children's own malocclusions with rating scales under two anchoring conditions and to test the discrepancy between their estimates and those of a panel of orthodontists. The children's and parents' assessments had limited test-retest reliability but instead of making guesses about the severity of their malocclusions they consistently gave low estimates. These effects were not influenced by the additional anchoring stimuli. PMID- 6573194 TI - The management of class III and class III tendency occlusions using headgear to the mandibular dentition. AB - The use of extra-oral traction to the lower arch in the treatment of Class III malocclusion is described. The results of the treatment of 43 consecutive cases employing both removable and fixed appliances are analysed and compared with an untreated control group of 15 further cases. It was found that the Class III malocclusion in the study fell into three groups, the characteristic of each group giving an indication of the recommended treatment approach. PMID- 6573195 TI - Proximal caries increment in connection with orthodontic treatment with removable appliances. AB - The progression of proximal caries on canines, premolars and molars has been studied among 129 children treated with removable orthodontic appliances. The registration of carious lesions was performed on posterior bitewing radiographs taken before and after the orthodontic treatment. The children in this investigation showed a higher proximal caries progression than children treated with fixed orthodontic appliances where bands had been used. However, in comparison with caries data from epidemiological investigations in children of similar ages from the same area no difference was noted. PMID- 6573196 TI - Orthodontic movement of a horizontal root fractured tooth. PMID- 6573197 TI - The reliability of contour photography for facial measurements. AB - Contour photography is a light sectioning technique for three-dimensional facial measurement in which telecentric lenses are used to eliminate divergence. In this paper the reproducibility of the technique is assessed using firstly an inanimate object and then a sample of 12 carefully posed mature subjects. The problems inherent in the technique are discussed and its use as an alternative to stereophotogrammetry for three-dimensional facial measurement is evaluated. PMID- 6573198 TI - The effects of nasal trauma during childhood upon growth of the nose and midface. AB - Cephalometric radiographs from a group of adults who had suffered nasal trauma during childhood were compared with random controls. Significant differences were found between mean measurements for the two groups, which indicated aberrations in the growth of the midface in patients from the study group. The vertical component of facial development was also altered, being increased in the study group. PMID- 6573199 TI - Epidemiological survey of occlusion in North India. PMID- 6573200 TI - A new method of attaching headgear to upper removable appliances. PMID- 6573201 TI - The effect of the supra-alveolar soft tissue on the relapse of orthodontic treatment. AB - Orthodontic closure in cases of aplasia as also in patients with spaces of other genesis is often associated with problems of relapse. In this study ten patients were treated orthodontically in order to close unacceptable interdental spaces. Five patients had paired aplasia. The remaining five patients had interdental spaces of different genesis. Supra-crestal connective tissue fibres were surgically removed in all patients but only on one side of the jaw in the children with paired aplasia. The non-operated side of these children served as a control side. The stability of the orthodontic treatment was acceptable. No definite difference between the operated and the control side was recorded. The histological analysis of the removed tissue did not reveal anything unexpected but a rich infiltration of inflammatory cells. It is suggested that inflammation might aid the reorganization of the connective tissues in this area. PMID- 6573202 TI - A comparative occlusal and cephalometric study of dental and skeletal anteroposterior relationships. PMID- 6573203 TI - Direct enzyme-catalyzed reduction of anthracyclines by reduced nicotinamide adenine dinucleotide. PMID- 6573204 TI - Identification of the catalytic subunit of an oligomeric casein kinase (G type). Affinity labeling of the nucleotide site using 5'-[p (fluorosulfonyl)benzoyl]adenosine. AB - Identification of the catalytic subunit of a G type [using guanosine 5' triphosphate (GTP) as well as adenosine 5'-triphosphate (ATP) as phosphate donor], oligomeric, cyclic nucleotide independent casein kinase purified from bovine lung was carried out after reaction with 5'-[p-(fluorosulfonyl) benzoyl]adenosine (FSBA) and isolation of the subunit components of the enzyme. FSBA exhibited the major characteristics of an affinity label reacting at the nucleotide (ATP, GTP) site of the casein kinase. FSBA acted as a competitive inhibitor of ATP (and GTP), led to complete inactivation of the enzyme in a reaction showing two kinetic steps, and became irreversibly bound to the protein. After being labeled with FSBA, the casein kinase (apparent molecular weight of 140 000) was separated into its two monomeric components of apparent molecular weights 38 000 (alpha) and 27 000 (beta), respectively, after sodium dodecyl sulfate-polyacrylamide gel electrophoresis. Use of radioactive FSBA showed that specific affinity labeling was limited to the alpha casein kinase subunit. This result was in agreement with the fact that casein kinase activity was found associated with the alpha monomer after electrophoretic separation of the alpha and beta subunits. It may thus be concluded that the largest (alpha) subunit contains the catalytic site of the casein kinase G. Electrophoretic analysis of purified protein kinase under denaturing conditions suggested an alpha 3 beta 2 combination for an apparent molecular weight of 130 000-140 000. However, a maximum of 2 mol of FSBA could be specifically bound to the alpha subunit per mol of enzyme, with a concomitant complete inactivation. These data would be in agreement with an alpha 2 beta 2 subunit composition for casein kinase G, as proposed by other research groups for a similar type of protein kinase of different sources. These observations suggest that the alpha subunits are functionally similar, each of them containing a nucleotide (ATP, GTP) binding site. The possible role of the beta subunit in the enzyme activity remains to be established. PMID- 6573205 TI - Reversibility of the phosphate transfer between ATP and phosphoproteins catalysed by a cyclic nucleotide independent (G type) casein kinase. AB - Purified casein kinase G was found able to catalyse the synthesis of [gamma 32P]ATP in the presence of ADP, phosphocasein (previously 32P-labeled by the forward kinase reaction) and magnesium. Apparent Km values of approx. 0.5 mM for phosphocasein and 7.5 mM for ADP were calculated, these values indicating low affinities for the substrates as compared to those exhibited for casein and ATP in the forward reaction. The reverse casein kinase G activity appeared to prefer ADP and GDP as phosphate acceptors. Whereas the casein kinase G reverse reaction could be supported by casein, phosvitin and histone previously phosphorylated by the enzyme, the same proteins could not serve as a phosphate source when previously phosphorylated by the cAMP-dependent protein kinase. Forward and reverse casein kinase G reactions exhibited different optimal pH values (8.5 and 7.2, respectively) and a different sensitivity to Mg2+. Spermine, which activated the kinase activity, blocked the reverse reaction at millimolar concentrations. Although the biological significance of the casein kinase G reverse activity remains to be assessed in intact cell, the process may be useful as a tool in the characterization of phosphorylatable sites in phosphoproteins. PMID- 6573206 TI - A reliable method for isolating endometrial epithelial cells from rabbits, and preliminary studies of prostaglandin uptake. AB - Endometrial epithelial cells were isolated enzymatically from intact, everted uteri of mature rabbits and then by sedimentation at unit gravity. Electron microscopic examination of these cells taken from estrous and pseudopregnant animals showed that the preparation contained almost pure endometrial cells in the form of "plaques" with little contamination with other cell types. The cells were judged viable on the basis of the trypan blue exclusion test and the presence of motile cilia. It was observed that pinocytotic activity was greatest at estrus, and declined thereafter, while release of secretory granules increased during pseudopregnancy. There was also a marked increase in the number of free ribosomes and mitochondria as pseudopregnancy progressed (estrus less than 4 day less than 6 day less than 7 day). The cisternae of the rough endoplasmic reticulum were least at 6 days and the Golgi stacks greatest in size and number at 7 days. The uptake of prostaglandin (PG) E2 and F2 alpha by epithelial cells isolated from rabbits at estrus and at 4, 6, and 7 days of pseudopregnancy was then determined. The magnitude of PG accumulation was found to vary among the different groups. At low extracellular concentrations, accumulation of both PGE2 and PGF2 alpha was greatest in the estrous state, much less at 4 days, and least at 6 days of pseudopregnancy. At 7 days of pseudopregnancy, the uptake of PGs was similar to those values obtained at 4 days. These studies indicate that both PGE2 and PGF2 alpha are accumulated by epithelial endometrial cells as a result of a mechanism(s) that is more complex than a saturable, specific receptor-dependent binding system. PMID- 6573207 TI - Cancer and secondary leukemia. AB - Acute myeloid leukemia or one of its variants is being reported with increasing frequency as a second neoplasm in patients being treated for multiple myeloma, Hodgkin's disease, non-Hodgkin's lymphoma and a variety of other primary neoplasms and non-neoplastic diseases. Although many of these patients were treated with both chemotherapy and radiotherapy, many received no radiotherapy at all. Drugs most frequently implicated in the causation of acute leukemia and other second neoplasms are the alkylating agents, procarbazine and the nitrosoureas. The frequency of this syndrome varies from less than 1 per cent to 7 per cent in many reported series of patients. There could develop a reluctance to use cytotoxic agents to treat malignant neoplasms for fear of inducing acute leukemia. Although one has to consider this complication, one should not, however, withhold these drugs from a patient with a neoplasm or other potentially fatal disease in whom such therapy is the treatment of choice. We seem to be faced with the paradox that patients benefiting most from chemotherapy may be at highest risk of suffering its undesirable consequences. Although the risk of leukemogenesis or carcinogenesis in man may be small, these drugs should be used with caution in patients with indolent non-neoplastic diseases such as rheumatoid arthritis. PMID- 6573208 TI - The views of the medical profession. PMID- 6573209 TI - Struggle for the assurance of access to health care. 1982 Annual Health Conference, The New York Academy of Medicine. Concluding remarks. PMID- 6573210 TI - The views of business. PMID- 6573211 TI - The medical aspects of alcoholism. PMID- 6573212 TI - Interactions between hospitals and the Division of Alcoholism and Alcohol Abuse. PMID- 6573213 TI - Patterns of general hospital utilization for the diagnosis of uncomplicated alcoholism. PMID- 6573214 TI - Third party reimbursement for alcoholism services. PMID- 6573215 TI - Alcoholics in emergency rooms. PMID- 6573216 TI - Comprehensive model of alcoholism treatment in a general hospital. PMID- 6573217 TI - Alcoholism consultation and liaison in a general hospital. PMID- 6573218 TI - Prevention and alcoholism: the employee assistance program in health care institutions. PMID- 6573219 TI - Management of a demented patient. PMID- 6573220 TI - Immediate verbal communication following laryngectomy. PMID- 6573221 TI - Microwave oven burn. PMID- 6573222 TI - Position on nuclear weaponry. The New York Academy of Medicine. PMID- 6573223 TI - Hepatitis B--a ten day "cure". A personal history. PMID- 6573224 TI - Family history study of anorexia nervosa and bulimia. AB - The 420 first-degree relatives of 14 patients with anorexia nervosa, 55 patients with bulimia, and 20 patients with both disorders were evaluated for the presence of psychiatric illness, using DSM-III criteria, by the family history method. The morbid risk for affective disorder in the families of the eating disorder probands was similar to that found in the families of patients with bipolar disorder; but was significantly greater than that found in the families of patients with schizophrenia or borderline personality disorder. These results add to the growing evidence that anorexia nervosa and bulimia are closely related to affective disorder. PMID- 6573225 TI - Binge-eating and self-induced vomiting in the community. A preliminary study. AB - This study examined by questionnaire the prevalence of binge-eating and self induced vomiting among a sample of 369 consecutive attenders at a family planning clinic. 20.9 per cent reported current episodes of uncontrollable and excessive eating ('binges'), 2.9 per cent currently induced vomiting as a means of weight control; and 4.9 per cent reported using laxatives. Binge-eating and self-induced vomiting were strongly associated with disturbed attitudes to food, eating, body weight and shape; and with psychiatric disturbance. Menstrual dysfunction was not associated with either body weight or binge-eating; it was however associated with psychiatric state. Applying conservative rules, 1.9 per cent appeared to fulfil diagnostic criteria for the recently described syndrome bulimia nervosa. PMID- 6573226 TI - Meningeal relapse in Ph1-positive acute lymphoblastic and lymphoid blast crisis of chronic granulocytic leukemia. Is CNS-prophylaxis indicated? AB - Two cases of Ph1-positive acute lymphoblastic leukemia (ALL) and one case of lymphoid blast crisis (LyBc) of chronic granulocytic leukemia (CGL) treated with standard chemotherapy for ALL are presented. Hematologic remissions lasting 6, 12, and 15 months were achieved in all cases. Meningeal relapse occurred in all three, terminating remission in two cases and occurring immediately after systemic relapse in the third. No CNS-prophylaxis was given to the patient who relapsed at six months. Methotrexate (MTX) alone or combined with cranial irradiation formed the prophylaxis given in the other cases. Experience of these patients together with an analysis of reported cases of Ph1 ALL and CGL-LyBc suggests CNS-prophylaxis may prolong first remission. A large scale trial of this appears indicated. PMID- 6573227 TI - Ascending myeloencephalopathy due to intrathecal vincristine sulfate. A fatal chemotherapeutic error. AB - A case of fatal myeloencephalopathy secondary to accidental intrathecal administration of vincristine is reported in a 16-year-old boy. He underwent a progressive ascending chemical meningoencephalitis leading to coma, and died 36 days after the injection. Multiple samples of cerebrospinal fluid (CSF) and serum were assayed for vincristine sulfate. CSF levels of vincristine were consistently much higher than serum levels. At autopsy, all regions of the brain that had been in direct contact with the CSF were necrotic. The spinal cord was likewise necrotic throughout its length. Microscopically there was total neuronal loss with tissue destruction in the affected regions. The presence of numerous gemistocytic astrocytes, some in arrested mitosis, was a conspicuous feature in these areas. Three previous reports of intrathecal vincristine instillation are reviewed. No treatment for this devastating iatrogenic error exists, underscoring the importance of preventive measures in chemotherapy administration. PMID- 6573228 TI - A summary of cytogenetic studies on 534 cases of chronic myelocytic leukemia in Japan. AB - Cytogenetic and clinical data on 534 patients with chronic myelocytic leukemia (CML) were collected from 10 institutions in Japan. The results of the analysis of the data were in substantial accord with those of the First International Workshop on Chromosomes in Leukemia and other published data, but certain differences were noted in the frequency of Philadelphia chromosome (Ph1)-negative cases, unusual and complex Ph1 translocations, and additional chromosome changes. Some of the findings are discussed with respect to the origin of unusual and complex Ph1 translocations, the relationship between chromosome abnormalities and survival, and geographic differences in chromosome abnormalities. PMID- 6573230 TI - West African chewing sticks. PMID- 6573229 TI - Human spontaneous lymphocyte-mediated cytotoxicity (SLMC) against malignant and normal tissue-derived target cell lines tested in autologous and allogeneic combinations by the microcytotoxicity assay. AB - Effector cell types and effector mechanisms of human spontaneous lymphocyte mediated cytotoxicity (SLMC) were studied in a 44-h microcytotoxicity titration assay. Peripheral blood lymphocytes from cancer patients and controls were used as effector cells either unfractionated or after fractionation by rosetting techniques or affinity chromatography. The possible immunoglobulin dependency of the reactions was studied by incorporation of specific Fab fragments of rabbit anti-human IgG antibodies in the incubation mixtures. Twelve different target cell lines of either high or low sensitivity to SLMC and with or without easily detectable HLA antigens were used. Most of the target cells were cell lines derived from transitional cell carcinoma of the urinary bladder (TCC). Both allogeneic and autologous lymphocyte target cell combinations were tested. Although high- and low-sensitivity target cells differed significantly in susceptibility to lysis, the predominating SLMC was displayed by Fc-receptor positive lymphocytes in both allogeneic and autologous combinations. Addition of the Fab anti-immunoglobulin reagent to the incubation mixtures resulted in strong inhibition of cytotoxicity regardless of the type of target cells used and in allogeneic as well as in autologous lymphocyte target cell mixtures. However, in some combinations no inhibition was seen and inhibition was usually not complete, suggesting that both immunoglobulin-dependent (i.e., ADCC-like) and immunoglobulin-independent mechanisms were involved in the cytotoxicity reactions. The results of the microcytotoxicity assay were compared with those obtained with aliquots of the same lymphocytes and target cells in an 18-h 51Cr release assay. While similar results were obtained with high-sensitivity target cells, with low-sensitivity targets and in some autologous combinations the two assay systems registered lymphocyte/target cell interactions which differed with regard to specificity, effector cell type, and immunoglobulin dependency. PMID- 6573231 TI - The significance of consciousness during sedation techniques. PMID- 6573232 TI - Augmentation of prostaglandin and thromboxane production in vitro by monocytes exposed to histamine-induced suppressor factor (HSF). AB - A possible mechanism to explain the suppression of mitogen-induced lymphocyte proliferation in vitro by histamine-stimulated mononuclear cells was investigated. In initial experiments, the inhibitory action of histamine-induced suppressor factor (HSF) on lymphocyte proliferation was documented to be reduced by the addition of indomethacin (1 microgram/ml). Moreover, the addition of exogeneous PGE2 (10(-7)-10(-8) M) to mononuclear cell cultures reconstituted HSF activity in the presence of indomethacin. In order to ascertain the nature of the target cell responding to HSF, control and suppressor supernatants were incubated with human lymphocytes or monocytes (5 X 10(6) cells/ml) for 24 hr. Following incubation, the supernatants were assayed for their content of prostaglandin E2, F2 alpha, and thromboxane B2. Monocytes (but not lymphocytes) incubated with supernatants containing HSF increased their production of prostaglandin E2, F2 alpha, and thromboxane B2 by 169, 53, and 49%, respectively. Suppressor supernatants were generated with histamine or an H-2 agonist (dimaprit) and chromatographed by gel filtration on Sephadex G-100. The elution profiles for the factor(s) inducing suppression of lymphocyte proliferation (25-40,000 daltons) and augmenting PGE2 production (25,000 daltons) overlapped but were not identical. Collectively, these data suggest that HSF-mediated inhibition of lymphocyte proliferation may occur in part through the augmented production of prostaglandins and/or thromboxane B2 by human monocytes. PMID- 6573233 TI - Hexosaminidase isoenzyme profiles in leukemic cells. AB - The isoenzyme profiles of hexosaminidase in leukemic cells from 39 patients were examined with DEAE-Sephadex chromatography. There was a clear difference in the isoenzyme composition between normal lymphocytes and granulocytes. In acute non T/non-B lymphocytic leukemia (ALL) a characteristic alteration was found in the intermediate forms of hexosaminidase (Hex I), which was significantly higher than those of normal lymphocytes (p less than 0.001). Subtypes of Hex I (Hex i1-i4) and the heterogeneity of their abnormal expression in ALL was demonstrated. There was no type-specific alteration of the isoenzyme profiles in T-cell leukemia. Leukemic cells of acute myelocytic leukemia (AML) had significantly higher Hex P component than granulocytes (p less than 0.01) and ALL cells (p less than 0.01). The increase of Hex P was evident in childhood AML. There was a significant difference in Hex P level between childhood AML and adult myelo(mono)genous leukemia (p less than 0.001). Chronic myelo(mono)genous leukemia showed similar isoenzyme compositions to normal granulocytes. The isoenzyme profiles in acute undifferentiated leukemia differed from those in other types of leukemia. Isoenzyme analysis might be useful for probing the nature and the intrinsic biochemical abnormality of leukemic cells. PMID- 6573234 TI - Applicability of multiple covariance analysis in caries studies. AB - The relationship between pre- and posttreatment DMFS measures in clinical trials of dentifrices may be quadratic rather than linear and, if linear, the slope may differ from one. Given either of these eventualities the traditional DMFS increment measurement does not utilize all the information available in the pre DMFS baseline score. If nonlinearity is present, analysis of multiple covariance with parameters derived from a polynomial regression is indicated. PMID- 6573235 TI - Reliability of a self-administered questionnaire for screening for medical problems in dentistry. AB - The importance of a medical history to identify potential problems in dental management is self-evident but the means of collecting medical data vary widely. This study has assessed the reliability of a self-administered questionnaire (SAQ) used by 292 randomly selected adult dental out-patients (mean age 41.7 years) attending the oral medicine clinic of a dental teaching hospital. Results of the SAQ were compared with the history taken by receiving surgeons. Significant discrepancies were revealed not only in the SAQ but also in the history taken by the receiving surgeon, although the latter produced a more comprehensive record. Maximum yield of information regarding known medical problems was only produced by using the self-administered questionnaire with a check of this by the receiving surgeon. PMID- 6573237 TI - Co-twin control study of the relationship between smoking and some periodontal disease factors. AB - The study was based on 164 twin pairs from the older cohort of the Swedish twin registry. The main purpose of the study was to analyze previously recorded data concerning gingival bleeding in members of twin pairs with differing smoking exposure. Other periodontal disease factors analyzed were plaque index, alveolar bone index and tooth loss. It was found that the degree of alveolar bone loss and the number of teeth lost were greater in twins with a high life-time smoking exposure than in their twin partners with a low life-time exposure. Contrary to expectation, it was found that gingival bleeding propensity was less prevalent in the high exposure group. It is concluded that the validity of gingival bleeding as a sign and a symptom of inflammatory periodontal disease may be reduced as a consequence of smoking. PMID- 6573236 TI - Dose-response relationship between water fluoride levels and the category of questionable dental fluorosis. AB - There is a dose-response relationship between the prevalence of the questionable category of dental fluorosis as reported by various authors and the drinking water fluoride level. While the possibility that chance could have produced this trend cannot be conclusively ruled out, a distinct pattern of increasing prevalence with increasing water fluoride level can be discerned. Such a pattern is not compatible with the concept of a threshold level for the action of fluoride ion on the enamel organ. PMID- 6573238 TI - Prevalence of retained roots in the Finnish adult population. AB - The prevalence of retained roots among Finnish adults was evaluated by examining a representative sample of 8000 Finnish adults aged 30 or older. The participation percentage was 89.6. Retained root was recorded when more than half the height of the tooth surfaces had been destroyed by caries. The reproducibility coefficient (kappa) for clinical recordings of retained roots was 0.79 for intraexaminer cases and 0.65 for interexaminer cases. Fifteen percent of the subjects had one or more retained roots. Prevalence was twice as great among males as among females. The mean number of retained roots was 0.4 per subject. Of all teeth in the mouth, 4.4% had only the roots left. On the population level, some 343000 adult Finns were estimated to have at least one retained root. PMID- 6573239 TI - Traumatic dental injuries in preschoolchildren from Santo Domingo. AB - The purpose of this retrospective study was to analyze, by age and sex, 1) the prevalence of traumatic injuries to primary incisors and canines, and 2) their distribution according to type in preschoolchildren from the city of Santo Domingo, in the Southern part of the Dominican Republic, which is located in the Caribbean Archipelago. The sample consisted of 800 children aged 3-5 years enrolled in 24 public and private preschools. The prevalence of injuries was 35% (32.8 in boys and 37.2 in girls). The largest number of injuries was presented by the 5-year-old children. More girls suffered traumatic injuries than boys (not significantly) with a boy-to-girl ratio of 0.9:1. Combining both sexes, the most common type of injury was the enamel-dentin fracture (32.6%), followed by enamel fracture (31.2%) and concussion (23.5%). PMID- 6573240 TI - Epidemiology of dental caries in Finland and the Soviet Union--a joint study. AB - A study was begun in order to describe the epidemiology of dental caries among children 9 and 12 years old in Finland and the Soviet Union. In addition, the effectiveness of caries prevention will be evaluated. The study is to be done in three towns in Finland and five towns in the Soviet Union. PMID- 6573241 TI - Non-compliance in patients with temporomandibular joint dysfunction. AB - In a series of 367 patients complaining of temporomandibular joint dysfunction (TMJD) 78 individuals did not attend after their first or third visits. These non complaint patients (subjects) were compared with patients completing treatment (controls) by means of a questionnaire. The results suggest that the reasons for non-compliance were a reluctance to wear an appliance particularly at night. The effect of excluding such patients from the analysis of clinical data is noted. PMID- 6573242 TI - Effect of fluoridated milk on caries: 3-year results. AB - The effect of fluoridated milk consumption has been investigated in a follow-up study of 269 children aged 3-9 years. Children consumed 200 ml of milk daily, fluoridated in the groups 3-5 years with 0.4 mg F-, and in those aged 6-9 years with 0.75 mg F-, for 300 days yearly. The caries data were analyzed with special regard to changes in the DMF values of the permanent first molars, the yearly examination data of the corresponding age groups compared and correlated with the length of fluoridated milk consumption. Statistical analysis of the permanent first molar data showed significant negative correlation between DMF means and length of fluoridated milk consumption in children 5-6 years old at the time of evaluation. The caries reduction after 3 years was 74% and statistically significant (P less than 0.001). In children 7-9 years old the caries reduction of the permanent first molars was less, and statistically not significant. A slight reduction of DMFS mean values in the front teeth of this group could be observed. PMID- 6573243 TI - Effects of oral hygiene on periodontal tissues in a town in Yugoslavia. AB - We examined 1316 pupils, average age 16.6 years, in a small town in Serbia. The purpose of this study was to find out the effects of the oral hygiene on the condition of the periodontal tissues and the frequency of gingivitis and periodontal disease and their severity in this age group. The presence and quantity of dental plaque were registered according to the Silness & Loe Plaque Index. The amount of dental calculus was determined according to the Greene & Vermillion method. The condition of periodontal tissues was evaluated by Ramfjord's method. It was found that only 5.3% of the examined pupils had a clinically healthy periodontium. Gingivitis was discovered in 60.6%, and periodontal disease (with periodontal pockets) in 34.1% of the examined pupils. The average PDI was 1.8. We revealed great quantities of soft and hard deposits on the teeth of examined pupils. The average Plaque Index was very high (1.9). PMID- 6573244 TI - Utilization of dental services and its relation to the periodontal status in a group of South Australian employees. AB - The pattern of dental service utilization, the perception of periodontal disease, and the oral hygiene habits among 642 industrial employees were evaluated using a self-administered questionnaire against background variables of age, sex, and socioeconomic strata. Of the study population, 50.5% had their most recent dental visit within the previous 12 months and 42.5% claimed to seek regular check ups. There was no significant association between time intervals since the last dental visit and age, sex, occupation, income or education. Regular visits were made more often by subjects in the higher occupation and income level. Multivariate analyses of the number of missing teeth simultaneously considering age, sex, socioeconomic level, regularity and frequency of dental visits revealed that except for age and sex, no other factors were significant. The most common reason for not seeing a dentist in the previous 12 months was an assumption that "nothing was wrong". A large majority of the group surveyed were unaware of the presence of periodontal disease or the need for its treatment, despite the high prevalence in all subgroups. Periodontal status was not significantly associated with sex, socioeconomic levels, regularity of frequency of dental visits, but there was a significant regression on age. The study population's pattern of service utilization was found to be similar to that reported for the general population, and it was anticipated that the hygiene habits of the group was representative of the total community. If that assumption is true the high prevalence of periodontal disease of the study population probably exists in the general community. PMID- 6573245 TI - Association between TMJ dysfunction and sick leaves. AB - Presence of clinically diagnosed TMJ dysfunction and the length of sick leaves were significantly associated in a sample of 599 male Finnish shipyard workers. Neglect of dental health care did not seem to be an explanatory factor, because the amount of untreated caries and the regularity of dental care did not differ significantly between the orthofunction and dysfunction groups. Although the association is no proof for a causal relationship, TMJ dysfunction may explain at least a part of the increase in days on sick leave, because dysfunction was found to be common and at best symptomatically treated in the population studied. PMID- 6573246 TI - Dental health education through home visits to mothers with young children. AB - In the course of a recent experiment a group of 314 mothers with very young children were visited at home by a dental health educator on three occasions. Mothers were given advice about dental health for their children and were offered a free supply of fluoride drops. Results drawn from questionnaires completed at each home visit suggested that dental health education given in this way was able to influence maternal attitudes and behaviour. Virtually all mothers accepted the offer of fluoride drops for their children and after 14-16 months, 65% of the group were still using the supplements. PMID- 6573247 TI - Production of cyclooxygenase products by alveolar macrophages in pulmonary sarcoidosis. PMID- 6573249 TI - The future of dentistry. Part 3. PMID- 6573248 TI - Fibroblasts: important producers and targets of inflammatory prostaglandins in the lungs. PMID- 6573250 TI - [107th meeting of the German Society for Dentistry and Oral Medicine in Garmisch Partenkirchen]. PMID- 6573251 TI - [Calcium phosphate ceramics]. PMID- 6573252 TI - [Flowability of casting materials]. PMID- 6573253 TI - [Comparative studies on the setting expansion of investment compounds]. PMID- 6573254 TI - [Practice-related studies of the disinfection of impression materials based on a standardized model experiment]. PMID- 6573255 TI - [Functionally stressed ceramic implants and tissue reactions. A long-term experimental animal and clinical study]. PMID- 6573256 TI - [Toxicity tests of filling materials in the rat implantation test]. PMID- 6573257 TI - [Effect of different treatment intervals on the oral health of patients with fixed dentures--results after 2 years]. PMID- 6573258 TI - [Scanning electron microscopic studies of the Retzius' lines in the healthy enamel]. PMID- 6573259 TI - [Open bite with congenital enamel hypoplasia]. PMID- 6573260 TI - A case of generalized sarcoidosis. PMID- 6573261 TI - Cardiovascular responses to central and peripheral prostaglandins in the anesthetized rat. PMID- 6573262 TI - Dopamine receptors in human basilar arteries. AB - After phenoxybenzamine (10(-5) M), pretreatment, and in the presence of propranolol (10(-6) M) and indomethacin (2.8 X 10(-6) M), dopamine caused a marked concentration-dependent relaxation of isolated strips of human basilar artery contracted with PGF2 alpha. This effect was mimicked by apomorphine, 6,7 ADTN and SK&F 38393, but N,N-diethyl dopamine, N,N-di-n-propyl-dopamine and 5,6 ADTN caused only slight relaxation. (+)-Butaclamol, cis-alpha-flupenthixol, fluphenazine and haloperidol competitively antagonised the relaxant effects of dopamine, but sulpiride was ineffective in concentrations as high as 1.3 X 10(-4) M. These findings show that the dopamine receptors in the human basilar artery closely resemble those in the smooth muscle of the rabbit isolated mesenteric and splenic arteries, and the dog renal and mesenteric arteries in vivo, but differ from those located presynaptically on sympathetic nerve terminals. PMID- 6573263 TI - Iron metabolism of established human hematopoietic cell lines in vitro. AB - Three malignant hematopoietic cell lines were used in studies on cellular iron metabolism. Our results show that iron-carrying transferrin became bound to specific dimeric cell surface receptors. Iron accumulated within the cell with time, whereas intact transferrin was released back to the medium. Chloroquine and NH4Cl, known as pH-raising agents in vesicles of the lysosomal system, inhibited iron accumulation and transferrin binding in a dose-dependent manner. This suggests that the acid pH in endosomes leads to the cleavage of the iron transferrin bonds. Transferrin degradation was not found, which leads us to suggest a process of 'acid flushing' for the dissociation of iron from transferrin without the involvement of endosome-lysosome fusion. Taken together, the data agree with the concept of receptor-mediated endocytosis, as described for many macromolecules. Iron was stored in ferritin in the cell types tested. Only a minor part (less than 15%) of the iron was bound in hemoglobin in the K 562 cell line. The relationship between iron stores and exogenously added iron in heme synthesis was investigated using a double labelling (55Fe/59Fe) technique. The results showed that exogenous iron was preferentially used before the iron stored in ferritin. The results are discussed in relation to various hypotheses on cellular iron uptake and transport. PMID- 6573264 TI - The effect of glutathione on HL-60 treated with dimethylsulfoxide, butyric acid or 12-O-tetradecanoylphorbol-13-acetate. AB - HL-60 promyelocytic leukemic cells can be induced to differentiate into granulocytes or macrophages. Reduced glutathione lyses undifferentiated HL-60 cells but has minimal effect on their differentiated counterparts. The addition of reduced glutathione to HL-60 promyelocytic leukemic cells retards cell growth and lyses cells. HL-60 cells can be induced to differentiate into granulocytes with dimethylsulfoxide butyric acid or into macrophages with 12-O tetradecanoylphorbol-13-acetate. After treatment of HL-60 cells with these inducing agents the HL-60 cells become unresponsive to the effects of glutathione. PMID- 6573265 TI - [Necrotizing fasciitis]. PMID- 6573266 TI - [Permanent germless second molars]. PMID- 6573267 TI - [Comparative study of the leverage of the mandible in man and mammals]. PMID- 6573268 TI - [Congenital facial pseudohemiatrophy]. PMID- 6573269 TI - [Delayed sequelae of tooth injury localized in the dental pulp]. PMID- 6573270 TI - [Composite odontoma on an erupting tooth causing facial pain]. PMID- 6573272 TI - An overview of the dental hygiene National Board examination. PMID- 6573271 TI - Ethical reasoning in dental hygiene practice. PMID- 6573273 TI - Preliminary evaluation of oral lesions: what is this radiopacity? PMID- 6573274 TI - The child patient. New strategies for an old problem. PMID- 6573275 TI - Detect the warning signals sent by suit-prone patients. PMID- 6573277 TI - Newsletter helps keep practice healthy. PMID- 6573276 TI - The direct approach. Get the most out of your mailings. PMID- 6573278 TI - The mythology of dental stress. PMID- 6573279 TI - How to stay on target. A recall system that really works. PMID- 6573281 TI - Actions not always louder than words. PMID- 6573280 TI - Through which filter do you view the world? PMID- 6573282 TI - The removable appliance: the Cinderella of British orthodontics? Part 1. PMID- 6573283 TI - The value of prenatally administered fluoride. PMID- 6573284 TI - The prevention of hepatitis B by vaccine. PMID- 6573285 TI - HLA antigens and peptic ulcer disease. AB - The aim of this study was to investigate the association of HLA antigens with chronic duodenal and gastric ulcer. 104 patients with chronic peptic ulcer, 52 with duodenal ulcer, and 52 with gastric ulcer were studied, and HLA antigens of the A, B and DR series were sought using the microlymphocytotoxicity test. In duodenal-ulcer patients, no significant differences were observed. In the gastric ulcer group, Bw49 was increased in both sexes, with an adjusted odds ratio of 10.2. However, when corrected for the number of comparisons made, this difference failed to reach statistical significance. It is concluded that if HLA antigens make any contribution to the aetiology of ulcer disease, this contribution is small and the proportion of cases of gastric ulcer that can be explained by the presence of HLA antigen Bw49 is less than 10%. PMID- 6573286 TI - HLA and complement allotypes in Type 1 (insulin-dependent) diabetes. AB - A group of patients with Type 1 (insulin-dependent) diabetes mellitus was investigated for HLA-A, B and DR antigens as well as C4 and factor B polymorphism. A significant excess of DR3/DR4 heterozygotes was observed (27% versus 17% by Hardy-Weinberg expectation). The factor B allele BfF1 was present in 13% of patients with Type 1 diabetes (gene frequency of 0.08 versus 0.01 in control subjects). A rare C4 B allele, C4 B2.9, was found in 18% of patients with Type 1 diabetes (n = 63) compared with 1.1% of control subjects (n = 176). Total C4 deficiency at the C4 A locus (C4 AQ0,0) was present in 10% of patients with Type 1 diabetes compared with 0% of control subjects. Examination of HLA, C4 and Bf phenotypes in patients with Type 1 diabetes suggested that three high risk supratypes, HLA-A1 B8 BfS C4 AQ0 C4 B1 DR3; HLA-B18 BfF1 C4 A3 C4 BQ0 DR3; HLA-A2 CW3 BW62 BfS C4 A3 C4 B2.9 DR4 are markers for susceptibility alleles. PMID- 6573287 TI - [Proliferative activity of leukemic cells taking into account the aggressive development of chronic myeloleukemia]. PMID- 6573288 TI - [Evaluation of the results of splenectomy in chronic myeloleukemia]. PMID- 6573289 TI - [Metabolic and kinetic characteristics of blast cells in acute leukemias in the initial period and during relapse]. PMID- 6573290 TI - [Determination of the concentration of defects in the DNA secondary structure in the blood cells of children with acute lymphoid leukemia]. PMID- 6573291 TI - Effect of PGF2 alpha on the contractile activity of the hen oviduct. PMID- 6573292 TI - Evidence for X-linkage of steroid sulfatase in the mouse: steroid sulfatase levels in oocytes of XX and XO mice. AB - The steroid sulfatase (STS) levels in mature oocytes of XX and XO mice were assayed along with lactate dehydrogenase (LDH), an autosomal marker, and glucose 6-phosphate dehydrogenase (G6PD), a known X-linked gene. LDH levels in XX and XO oocytes were equal, whereas STS and G6PD levels were approximately twice as high in XX oocytes as in XO oocytes. These results indicate that the STS gene is X linked in the mouse just as it is in humans. Assays of STS in kidney tissue of XX and XO mice indicated dosage compensation for the gene, which is different from that observed in humans. PMID- 6573293 TI - [Neurocutaneous syndrome of ulcero-mutilating sensory neuropathies]. PMID- 6573294 TI - Massive blastic infiltration of the liver: a cause of fulminant hepatic failure. AB - The clinical and pathological findings in four cases of fulminant hepatic failure due to massive infiltration of the liver by acute leukemia or lymphoma are reported. Liver abnormalities were found simultaneously with or led to the discovery of hematologic malignancies, and consisted of marked hepatomegaly and severe hepatocellular insufficiency associated with hyperlactatemia. The blood malignancies were peculiar in their fast cellular growth and large tumor mass. Evolution was rapidly fatal in all these cases. In another patient, marked hepatomegaly and hyperlactatemia revealed the presence of a widespread lymphoma before the appearance of hepatocellular insufficiency. Immediate chemotherapy was instituted, and complete remission without hepatic complication was obtained. It is suggested that malignant hematological diseases with fast cellular growth may present as fulminant hepatic failure. In order to avoid a rapidly fatal outcome secondary to liver failure and metabolic disorders, early recognition of these malignancies is necessary so as to assure prompt administration of appropriate chemotherapy. PMID- 6573296 TI - Paternity exclusion and the paternity index for two linked loci. AB - Algebraic expressions for the average exclusion frequency and the paternity index are derived for two linked loci, each with two alleles segregating in a population. The effects of recombination and gametic disequilibrium on these two statistics are discussed. As long as recombination is known to exist, the average exclusion frequency is similar for different recombination fractions. The paternity index, on the other hand, depends very much on both the recombination fraction and gametic disequilibrium. The effects of multiple alleles and dominance on these statistics are also briefly discussed. PMID- 6573295 TI - Complete or partial trisomy for the long arm of chromosome 1 in patients with various hematologic malignancies. AB - This study contains data obtained from a cytogenetic investigation of six patients with acute and chronic leukaemia. The karyotypes of bone marrow or blood cells of these patients showed a partial or complete trisomy for the long arm of chromosome 1. Three observations revealed a pronounced resistance of cell clones with 1q+ towards cytostatic therapy, and a comparatively short life span of patients after detection of 1q+. The importance of these changes for the role of some chromosomes and chromosome loci in leukaemogenesis is discussed. PMID- 6573297 TI - A note on positive identification of paternity by using genetic markers. AB - To see the efficiency of the statistical methods for positive identification of fathers using genetic markers, the statistical properties of the paternity index are studied algebraically and numerically. It is found that the currently used statistical methods are not powerful enough to discriminate between true fathers and non-excluded non-fathers, and, more often than not, may lead to false attributions of paternity. It is, therefore, suggested that exclusion of paternity is the only conclusive evidence that can be accepted by courts of law until better methods are devised. PMID- 6573298 TI - Distribution of red cell enzyme polymorphisms in South-West Poland. PMID- 6573299 TI - Transplacental carcinogenesis with radioactive phosphorus. AB - 1 An attempt was made to produce a model of osteogenic sarcoma using 32P transplacentally. 2 Fetal tissues appeared to be resistant to irradiation as no tumour was induced at an increased frequency in treated animals. 3 Tumours that normally occur in our strain (Sprague-Dawley rats) showed a clear tendancy to occur earlier in post-natal life in treated animals compared with controls. PMID- 6573300 TI - Enhancement of immune function and tumor growth inhibition by antibodies against prostaglandin E2. AB - Mice bearing a Lewis lung carcinoma (LLC) were passively immunized against prostaglandin E2 (PGE2) by administration of rabbit serum containing anti-PGE2 antibodies. The effect of PGE2-immune serum on the suppressed immunity of LLC bearing mice was examined. Treatment of tumor-bearing mice with anti-PGE2 prevented the suppression of lymphocyte mitogenesis and the alterations in macrophage migration which typically occur in LLC-bearing mice. Furthermore, tumor growth was reduced in LLC-bearing mice which received antibodies directed against PGE2 rather than a placebo treatment. PMID- 6573301 TI - Generalized cutaneous mastocytosis and acute myelogenous leukemia. PMID- 6573302 TI - Decreased food intake in response to cholecystokinin (pancreozymin) in wild-type and obese mice (genotype ob/ob). AB - Cholecystokinin decreased food intake more effectively in obese mice than in wild type mice. Following a 23-h fast and 10 min after an ip injection of 0, 30, 60 or 90 U/kg. CCK in physiological saline, eating, drinking and rearing rates were measured for a period of 20 min. Thirty units affected neither group, 60 U slowed the eating rate of obese mice significantly, and 90 U that of both groups, particularly the obese mice (P less than 0.001). Drinking and rearing rates remained unchanged. Obese mice were not hyperphagic under the conditions of the experiment and showed an increase in the latency period which preceded eating, compared with wild-type mice. The enhanced responsiveness to CCK, both in and out of the hyperphagic state, may be associated with low endogenous levels of satiety hormones in the obese mouse. PMID- 6573303 TI - Successful treatment of invasive pulmonary aspergillosis in a patient with acute leukaemia. PMID- 6573304 TI - Bloom's syndrome: case report. PMID- 6573305 TI - Histochemical detection of thiosulphate sulphurtransferase (rhodanese) activity. AB - A histochemical method is described by which the activity of thiosulphate sulphurtransferase (E.C. 2.8.1.1., rhodanese) can be detected. The method gives an easy and quick determination of enzyme activity. The basis of the detection is the reducing effect of sulphite (SO 2/3) ions resulting from the enzyme reaction. Nitro-blue tetrazolium chloride can be used as an indicator and N methylphenazonium-methosulphate as an accelerator for increasing electron transport. In mammals rhodanese is localized in the mitochondria. PMID- 6573306 TI - "Bare lymphocytes" without immunodeficiency. AB - "Bare lymphocytes," which cannot be typed for the HLA-A,B, and C antigens were observed in two siblings, nine and six years of age. The elder child presented with aplastic anemia and was being considered for bone marrow transplantation. The younger child was healthy. The inability to phenotype both children for these three gene products persisted throughout the 21-month period of observation. The DR antigens were demonstrable which rendered it possible to deduce their A, B, and C genotype from the typing of the other four family members. Although alloantisera failed to detect the antigens on peripheral blood lymphocytes, monoclonal antibodies demonstrated reduced amounts of the HLA-A,B, and C antigens on the cells. The reduced level was confirmed following EBV transformation of the cells. After prolonged culture, HLA antigens immunoprecipitated from the cell extracts were normal in amount, molecular weight, and polypeptide composition. Southern blot analysis did not reveal gross genomic rearrangements. A regulatory defect leading to the expression of these Class I antigens is postulated. PMID- 6573307 TI - Anorexia nervosa and bulimia: a spectrum of eating disorders. PMID- 6573308 TI - Fibroblastic tumor of the premaxilla in two horses. AB - In 2 horses with rapidly growing, locally destructive tumors of the premaxilla, there was major disruption and displacement of some incisor teeth, with radiographic evidence of disruption of the premaxilla at the base of the tumors. In horse 1, most of the tumor was removed by incising it at its base, and the tumor bed was treated cryosurgically with 3 freeze-thaw cycles, using liquid nitrogen. The area healed by 2nd intention. The tumor was found to be a benign fibroblastic tumor, possibly a fibroma. After 4 years, there has been no recurrence. Horse 2 was euthanatized on the basis of a tentative biopsy diagnosis of osteogenic sarcoma. Postmortem studies supported a diagnosis of fibrosarcoma without metastasis. PMID- 6573309 TI - Cefotetan: a new cephamycin. PMID- 6573310 TI - In-vitro activity of cefotetan and other cephalosporins against multiresistant strains of Enterobacteriaceae. AB - The activity of cefotetan against multiresistant strains of Escherichia coli and Klebsiella aerogenes was comparable with that of cefotaxime and ceftazidime, the mean MICs being 0.11 and 0.06 mg/l, respectively. Multiresistant strains of Enterobacter cloacae showed a high level of resistance to cefotetan in common with other cephalosporins such as cefuroxime, cefamandole and cefoxitin, but were sensitive to ceftazidime and cefotaxime. PMID- 6573311 TI - Inhibitory activity of cefotetan and other beta-lactams against anaerobes. PMID- 6573312 TI - Activity in vitro of cefotetan against non-sporing anaerobes: a comparative study. PMID- 6573313 TI - The interactions of [14C]cefotetan with penicillin binding proteins of a wide variety of Gram-positive and gram-negative species. AB - Membrane preparations were made from a number of Gram-positive and Gram-negative bacterial strains. The ability of the membrane-bound penicillin-binding proteins (PBP) in these preparations to bind [14C]cefotetan has been studied. Increasing amounts of unlabelled benzylpenicillin were added and subsequently [14C]cefotetan was introduced to determine its ability to bind to additional proteins or to displace the pre-bound benzylpenicillin. In the Gram-positive series some quantitative binding differences between the two labelled compounds could be seen. However, in the majority of Gram-negative organisms tested cefotetan exhibited greatest affinity for PBP 3 and none for PBP 2. No new PBPs were detected using [14C]cefotetan, suggesting that the compound exerts its antibacterial effect by a mechanism similar to the other cephamycins. The high minimal inhibitory concentrations (MICs) of cefotetan found for the Gram-positive genera tested are reflected in only one organism by the failure to bind of some of its PBPs. In the majority of cases, permeability is assumed to play the dominant role in the relatively low sensitivity of these organisms to cefotetan. PMID- 6573314 TI - Animal pharmacokinetics and toxicology of cefotetan--a new cephamycin antibiotic. AB - In animal pharmacokinetic studies the biological half-lives of cefotetan were 13.0 min in mice, 15.9 min in rats, 30.5 min in rabbits, 55.5 min in dogs and 77.9 min in rhesus monkeys. The acute intravenous LD50 values (g/kg) were 6.4 and 5.0 in male and female mice, respectively, and 8.5 and 6.8 in male and female rats, respectively. Six-month repeated dose studies of 30 to 1000 mg/kg per day intraperitoneally in rats and 100 to 600 mg/kg per day intravenously in rhesus monkeys showed no notable organ toxicity. A teratogenicity study in rats indicated that cefotetan had no adverse effects on fetal and postnatal development. The nephrotoxicity of cefotetan in rabbits was considerably less than that of cefazolin. PMID- 6573315 TI - Pharmacokinetics and tolerance of single intravenous doses of cefotetan disodium in male Caucasian volunteers. AB - Cefotetan, a third generation cephalosporin, in doses of 0.25, 0.5, 1.0 and 2.0 g was administered intravenously as the disodium salt to ten healthy male Caucasian volunteers and its pharmacokinetics and tolerance determined. The elimination half-life was 3.3 h. The drug was 88% plasma protein bound and 67% was recovered unchanged in the urine. HPLC and bioassay techniques for cefotetan plasma concentration determinations gave virtually identical results. Cefotetan was well tolerated although half of the volunteers experienced transient mild to moderate diarrhoea. It is concluded that the pharmacokinetic disposition of cefotetan is similar in Caucasian and Japanese subjects and that the long elimination half life, lack of detectable metabolism and high urinary excretion will result in plasma and urine concentrations in excess of the MIC of sensitive bacteria on a twice daily dosing regime. PMID- 6573316 TI - Pharmacokinetics and tolerance of a 24-h infusion of cefotetan disodium (with and without loading dose) in normal Caucasian volunteers. AB - Cefotetan disodium has been given by zero order intravenous infusion at 75.8 mg/h to four healthy male volunteers over a 24-h period. Plasma concentrations rose until by 12 hs a mean steady state value of 37.5 mg/l was attained. In an additional four volunteers a loading dose of 0.5 g cefotetan was given immediately prior to a similar infusion. In these subjects concentrations in excess of the final steady-state value of 36.2 mg/l were achieved immediately and concentrations never fell below this value for the entire 24-h period of the study. The dose was well tolerated with the exception of an incidence of diarrhoea (2/8 mild and 1/8 severe). The pharmacokinetic findings are in good agreement with theoretical predictions based on single intravenous bolus doses of cefotetan and suggest that a loading dose, followed by an infusion would be suitable regime for cases of severe infection. PMID- 6573317 TI - Pharmacokinetics of single intravenous and intramuscular doses of cefotetan in normal human volunteers. AB - The pharmacokinetic parameters of cefotetan were determined in six healthy adults after intramuscular (im) and intravenous (iv) administration of a single dose. After an iv bolus injection of 1 g cefotetan the mean peak serum level was 179.6 mg/l (S.E.M. +/- 14.2 mg/l) at 2 min. The apparent volume of distribution was 10.29 l (S.E.M. +/- 0.66 l). After im injections of 500 mg and 1 g of cefotetan the mean peak levels were 35 mg/l (S.E.M. +/- 1.6 mg/l) and 74 mg/l (S.E.M. +/- 3.6 mg/l) at 82 and 97 min respectively; the level at 12 h was 4.5 mg/l after 500 mg and 10.4 mg/l after 1 g. Cefotetan was slowly eliminated. The serum half-life was about 3.1 h after 1 g iv injection and varied from 3.4 to 3.7 h after the 500 mg and 1 g im injections. About 75% of the dose was excreted in the urine during the first 24 h after 1 g iv bolus injection; after 500 mg and 1 g im injection 60 to 65% of the dose was recovered in the urine during the same time period. PMID- 6573318 TI - Pharmacokinetics and tolerance of single intramuscular doses of cefotetan in normal Caucasian volunteers. AB - Cefotetan, a third-generation cephalosporin, is extremely well tolerated by healthy Caucasian volunteers when given by intramuscular injection. It gives rise to prolonged high plasma antibiotic concentrations. Lignocaine (0.5%), when used as a diluent, had no effect on the pharmacokinetic parameters of cefotetan. Two grams of cefotetan given as the disodium salt 12 hourly by the intramuscular route gives plasma levels that are likely to be clinically effective in the treatment of infections due to a very wide range of Gram-positive and Gram negative aerobes and anaerobes. The validity of this prediction however can only be established by subsequent clinical trials. PMID- 6573319 TI - Cefotetan elimination in patients with varying degrees of renal dysfunction. AB - The pharmacokinetics of cefotetan following a 0.5 g intravenous dose were studied in 15 patients with varying degrees of renal failure. In patients with glomerular filtration rates (GFR) greater than 50 ml/min the serum half-life was between 3 and 5 h. The half-life increased to 15 h as the GFR fell to 10 ml/min. When the GFR was less than 10 ml/min the serum clearance of cefotetan was very variable, the half-life being between 15 and 50 h. Cefotetan was eliminated almost entirely by the kidneys. It is suggested that cefotetan 0.5 g 12-hourly is appropriate for patients with GFRs greater than 20 ml/min. For patients with GFRs between 10 and 20 ml/min 0.5 g every 24 h should avoid gross accumulation. PMID- 6573320 TI - The pharmacokinetics of cefotetan excretion in the unobstructed biliary tree. AB - Cefotetan excretion was studied in 17 patients undergoing biliary or pancreatic surgery. The antibiotic was detected in bile taken from the common bile duct within 15 min of a 1 g iv bolus and therapeutic plasma levels were found up to 10 h after administration. Even higher concentrations of cefotetan were measured in the bile from functioning gall bladders, despite the presence of gall stones. Concentrations of cefotetan in bile from the common bile ducts and functioning gall bladders were greater than the plasma concentrations at all times. These concentrations exceed the in-vitro minimum inhibitory concentrations (MIC) for most common biliary tract pathogens. PMID- 6573321 TI - Cefotetan in complicated urinary tract infections--clinical experience. AB - Cefotetan was evaluated to determine the efficacy and safety of a 1 g dose administered intravenously twice daily in the treatment of complicated urinary tract infections (UTI). Sixty patients entered and 58 patients completed the study. Duration of treatment ranged from 7 to 16 days with a mean of 10.1 days. A satisfactory clinical response was observed in 85%. Eradication of the infecting organisms was prompt and complete in 45 patients. Relapse, reinfection or superinfection occurred in seven patients and in six patients the infecting organisms did not respond to treatment. Cefotetan was well tolerated but two patients had treatment withdrawn because of macular rash. It is concluded that cefotetan is highly effective in treating complicated UTIs. PMID- 6573322 TI - Clinical evaluation of cefotetan in the treatment of lower respiratory tract infections. AB - Cefotetan, a new cephamycin antibiotic, was evaluated for the treatment of lower respiratory tract infections. Intravenous cefotetan (2 g every 12 h) was administered for 4 to 8 days (mean, 5.8 days) to 56 hospitalized adult patients. Of the 41 evaluable patients, the clinical response was satisfactory in 38 (93%) and the bacteriological response was satisfactory in 36 (88%). The drug was well tolerated, and there were minimal complaints or changes in clinical laboratory values. From these preliminary results, cefotetan appears to be safe and effective for the treatment of lower respiratory tract infections. PMID- 6573323 TI - Cefotetan: comparative study in vitro against 226 Gram-negative clinical isolates. AB - The activity in vitro of the new cephamycin, cefotetan, was compared with that of cephalothin, cefoxitin, cefuroxime and cefotaxime against 226 recently isolated Gram-negative pathogens (207 Enterobacteriaceae and 19 Acinetobacter). Cefotetan was consistently more potent than cephalothin, cefoxitin and cefuroxime. Cefotaxime and cefotetan were essentially similar in activity against the Enterobacteriaceae with the singular exception of Enterobacter spp. which were markedly more susceptible to the former drug. None of the five agents was especially active against acinetobacter but cefotaxime was the best. Limited tests of bactericidal activity showed that the MBC differed from the MIC by a factor of 4 at most. Increasing the inoculum tested from 10(2) to 10(8) per ml had little adverse effect on the MIC of cefotetan. If the recommendations of the National Committee for Clinical Laboratory Standards for susceptibility to cephalosporins are applicable to cefotetan and the breakpoint criteria of less than or equal to 10 mg/l (sensitive) and greater than or equal to 32 mg/l (resistant) are acceptable, then only a few of the Enterobacteriaceae in this study were resistant. These resistant organisms were amongst Enterobacter spp. and Citrobacter spp. PMID- 6573324 TI - Susceptibility of bacterial pathogens to cefotetan judged by MIC and disc tests. AB - The activity of cefotetan was tested against 683 bacterial strains by measuring the minimum inhibitory concentrations. Comparisons were made with cefoxitin, cefotaxime, moxalactam, cefoperazone and piperacillin. In addition, a regression line analysis was made with cefotetan discs (30 micrograms) using the ICS technique. Cefotetan was noted to have a broader spectrum of activity than cefoxitin and its antibacterial activity was comparable to that of cefotaxime and moxalactam. According to the regression line analysis a cefotetan inhibition zone diameter of greater than or equal 19 mm is interpreted as sensitive in agar diffusion tests. PMID- 6573325 TI - In-vitro antibacterial activity of cefotetan. AB - The in-vitro activity of cefotetan, a recently developed cephamycin, was investigated under various experimental conditions. The compound showed moderate activity against Staphylococcus aureus and Streptococcus pyogenes, no activity against Pseudomonas aeruginosa and Streptococcus faecalis, but a high activity against Enterobacteriaceae, including beta-lactamase-producing strains. Haemophilus influenzae also was fairly susceptible. The MBC was usually equal to or two- or fourfold higher than MIC. Medium composition, pH and inoculum size had minimal influence on its activity. About 50% of recent clinical isolates of Bacteroides fragilis were susceptible to cefotetan, but some were highly resistant. Killing curves of cefotetan against different bacterial strains indicated that it was rapidly bactericidal at concentrations equal to MIC or two- to fourfold higher. However, some strains showed regrowth after initial inhibition. Combination of cefotetan with aminoglycosides, or with cefazolin, cefotaxime, moxalactam or piperacillin resulted either in synergy, addition or indifference according to the bacterial strain and the nature of the combination. Antagonism was never observed. Human serum protein binding varied from 75 to 86% according to the assay method. Binding with horse serum protein was about 28%. PMID- 6573326 TI - In-vitro activity of cefotetan, other beta-lactams and netilmicin. AB - In-vitro activity of cefotetan was compared to that of other cephalosporins netilmicin. Cefotetan at very low concentrations inhibited Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis and Serratia marcescens. Poor activity was seen for all beta-lactams against Enterobacter and Citrobacter spp. Activity of cefotetan against Staphylococcus aureus was comparable to that of ceftazidime and moxalactam. Netilmicin was the only agent equally active against all Gram negative bacilli and Staph. aureus tested. Under conditions simulating serum levels cefotetan demonstrated rapid and long-acting bactericidal activity and bacteria exposed to these concentrations required up to 10.2 h to recover from the effect of the antibiotic. Six out of 15 strains did not recover fully. PMID- 6573327 TI - Comparative susceptibilities of organisms isolated in Sicily to cefotetan and other antibiotics. AB - In recent years there has been a gradual increase in the number of infections caused by Klebsiella, Enterobacter and Serratia and non-fermentative bacilli such as Pseudomonas, Alcaligenes and Acinetobacter. The object of this investigation was to evaluate the antibacterial properties of the cephalosporins cefoxitin, cefoperazone, cefotaxime and of gentamicin, in comparison with cefotetan, a new cephamycin with a high degree of stability to beta-lactamases. The cefotetan MIC was not affected either by size of the bacterial inoculum, or the culture medium and the serum protein binding of cefotetan was 85%. Cefotetan showed only moderate antibacterial activity, similar to that of the other cephalosporins tested, against the Gram-positive cocci, whereas it was very active against fermentative and non-fermentative Gram-negative bacilli, except for Pseudomonas aeruginosa. The remarkable activity of cefotetan against Klebsiella, Enterobacter and Serratia is of particular interest. PMID- 6573328 TI - The in-vitro activity of cefotetan against Serratia spp. and Enterobacter spp. in comparison with other cephalosporins. PMID- 6573329 TI - Susceptibilities of gentamicin-resistant Gram-negative aerobic bacilli to cefotetan and other beta-lactams. AB - The activity of the 7 alpha-methoxycephalosporin, cefotetan was determined against 365 infecting isolates of gentamicin- and multiply-resistant Gram negative aerobic bacilli, and compared with those of cefuroxime, cefoxitin, cephradine, cefotaxime, ceftriaxone and ceftazidime. All proteus (4), providencia (6) salmonella (3) and serratia (2) were susceptible to 8 mg/l of cefotetan, as were respectively 90 and 81% of 42 Escherichia coli and 16 citrobacter isolates. The intrinsic activity of cefotetan was high against 237 klebsiellae (38 different serotypes), only 4 being relatively insusceptible (MICs 16- greater than 32 mg/l). Activity against pseudomonas (10 isolates) acinetobacter (15 isolates) and enterobacter (30 isolates) was poor. Overall, the activities of cefotetan were similar to those of cefotaxime, ceftriaxone and ceftazidime but ceftazidime was also active against the majority of pseudomonas, acinetobacter and enterobacter. Cefotaxime was less active than cefotetan against some cefuroxime-resistant klebsiellae. Much greater numbers of isolates were insusceptible to either cefuroxime or cefoxitin. Cephradine was the least active. PMID- 6573330 TI - Sarcoma complicating Paget's disease of bone. A clinicopathological study of 62 cases. AB - Out of 21 900 cases filed at the Latin-American Registry of Bone Pathology between April 1940 and July 1981, there were 987 with Paget's disease (4.51 per cent); 62 of these (6.28 per cent) were complicated by sarcoma and two were associated with giant-cell tumours of bone (osteoclastoma) without signs of malignancy. There was a slight predominance of men and the ages ranged from 45 to 87 years, with an average of 66 years. The most frequent sites were the femur (23 cases), the humerus (nine), the pelvis (10), and the tibia (nine). The low incidence of vertebral involvement (five cases) is noteworthy and is in sharp contrast to uncomplicated Paget's disease. The most common tumour type was osteosarcoma (39 cases), followed by fibrosarcoma (15 cases); other varieties (chondrosarcoma, malignant fibrous histiocytoma and reticulum-cell sarcoma) were much rarer. Most of the sarcomata occurred when the Paget's disease was polyostotic. Tumours often developed simultaneously, or at short time intervals, in the same or different bones; these bones had, in all cases, been affected by Paget's disease. The histological features of the osteosarcomata were characteristic, with large numbers of osteoclast giant cells, alternating with atypical osteoblasts, thus exaggerating the anarchic remodelling process of Paget's disease. The neighbouring areas of the pagetic bone showed an increased number of osteoclasts. These facts suggest a possible pathogenetic relationship between sarcoma and Paget's disease; the possibility of both processes having a viral aetiology is discussed. PMID- 6573331 TI - Determination of all-trans- and 13-cis-retinoic acids by two-phase, two dimensional thin-layer chromatography in creams and by high-performance thin layer chromatography in gel formulations. PMID- 6573332 TI - Group practice. PMID- 6573333 TI - JCO/interviews Robert J. Schulhof on functional appliance results. PMID- 6573334 TI - Canine extrusion auxiliary. PMID- 6573335 TI - Lingual orthodontics: a status report. Part 5. Lingual mechanotherapy. PMID- 6573336 TI - Lymphoma-like presentation of acute monocytic leukaemia. AB - Four patients in whom a diagnosis of acute monocytic leukaemia (M5) was subsequently made presented with extramedullary disease clinically resembling lymphoma. In all patients histological sections were initially misinterpreted as showing malignant lymphoma or anaplastic carcinoma. The diagnosis of M5 leukaemia was subsequently made on the basis of morphological and cytochemical studies of peripheral blood and bone marrow. The histological diagnosis of the soft tissue lesions of M5 leukaemia (monocytic sarcoma) is difficult, although features such as abundant cytoplasm and the presence of some reniform nuclei are helpful. If there is no peripheral blood or bone marrow involvement and only fixed paraffin embedded tissues are available, demonstration of lysozyme by an immunoperoxidase technique may confirm the diagnosis but results are not invariably positive. An early diagnosis of M5 leukaemia has therapeutic implications since the disease evolves through a progressive leukaemia phase and systemic therapy is essential. PMID- 6573337 TI - Leukaemia/lymphoma cells in cerebrospinal fluid. PMID- 6573338 TI - Embryogenesis of the gingival cyst. AB - The embryogenesis of gingival cysts derived from the dental lamina was studied histologically in paraffin prepared sections of 10 pairs of human fetal jaws and in individual celloidin sections of human fetal skulls. Cystic degeneration in the dental lamina was noted as early as 10 weeks in utero prior to the separation of the developing tooth bud. Rapid proliferation and growth of such cysts was seen in 15-20 week old embryos during the morphodifferentiation stage of tooth development after fragmentation of the lamina had occurred. Islands, strands and nests of dental lamina epithelium were dispersed into extraosseous locations and demonstrated histomorphologic characteristics similar to odontogenically related epithelium seen in adult gingiva. Dental lamina epithelium appears to have a particular predisposition for cystic degeneration and is probably the source of other neoplasms and hamartomas seen in the gingiva. PMID- 6573339 TI - Non-steroidal anti-inflammatory drugs in the reduction of human alveolar bone loss. AB - Aspirin (ASA) and indomethacin are inhibitors of prostaglandin synthesis and reduce bone resorption in tissue culture stimulated by preparations obtained from human gingival tissue. In a retrospective study, we attempted to determine whether ASA or ASA plus indomethacin exert a bone resorption inhibiting effect on human alveolar bone. Dental radiographs of 75 patients with a history of arthritis and long-term ingestion (greater than 5 years) of ASA were compared with dental radiographs of 75 healthy male volunteers from the VA Dental Longitudinal Study (DLS). Proximal bone loss was measured using a Schei Ruler graded on a 10-point scale. The data indicated that the ASA population presented with significantly fewer sites of 10% or greater mesial and distal bone loss than the healthy control population (P less than 0.05). Mean percentage bone loss for the entire dentition was also lower in the ASA group, although the difference was not statistically significant. As there is no evidence to suggest that inhibition of alveolar bone loss is a natural concomitant of the arthritic process, we conclude that the inhibition of bone loss found in this study was due to the chronic ingestion of ASA or ASA and indomethacin. PMID- 6573340 TI - Plaque-host imbalance in severe periodontitis. A discussion based on two cases. AB - One child and one adult with severe periodontitis were investigated for relevant systemic factors and predominant periodontal pocket bacteria. The child had a chronic neutropenia, the adult late yaws, a chronic iron deficiency and possibly rheumatoid arthritis. The predominant organisms in both pocket floras were gram negative cocci showing occasional filament formation and resembling strains of Bacteroides asaccharolyticus and possibly Actinobacillus actinomycetemcomitans described by others. There were indications that the flora was determined by the host response rather than vice versa and that thorough systemic investigation may aid the efficient diagnosis and treatment of patients with severe periodontitis. PMID- 6573341 TI - Significance of frequency of professional tooth cleaning for healing following periodontal surgery. PMID- 6573342 TI - Surface coatings on dental cementum incident to periodontal disease. I. A scanning electron microscopic study. AB - Root surfaces of extracted human teeth with advanced periodontal disease were studied by the apically migrated junctional epithelium, the topography characteristic of uninvolved cementum was frequently masked by a surface coating. The thickness of the coating increased in a coronal direction where it often blended with calculus. The observations indicate that this surface coating may originate from the inflammatory exudate and corresponds to the dental cuticle. The findings also indicate that the coating may be mineralized and may contain exogenous substances. These observations illustrate a need for further study and reexamination of the rationale for removal of tooth substance during scaling and root planing. PMID- 6573343 TI - Stannous fluoride and subgingival chlorhexidine irrigation in the control of plaque and chronic periodontitis. AB - The purpose of this study was to investigate the possible benefits of stannous fluoride dentifrice (SnF2) and once daily chlorhexidine (CH) in the control of chronic periodontitis, following a single course of scaling and root planing. 14 adult patients with pockets 4 mm or deeper received a thorough scaling and root planing, followed by instruction in the irrigation of those pockets with CH. They were given either SnF2-containing or a placebo dentifrice, and a new multituft toothbrush, but no instruction in routine oral hygiene. Plaque Index (PII), Sulcus Bleeding Index (SBI) and pocket depth were recorded prior to scaling on day 0. The same parameters and gingival shrinkage were recorded at weeks 1, 2, 4, 8 and 12. CH irrigation was discontinued at day 28. Both groups showed highly significant improvements in all parameters except gingival shrinkage after 28 days. PII was significantly less at all stages in the SnF2 group. It reached baseline values by day 56 in the placebo and day 84 in the SnF2 group. Periodontitis as assessed by SBI remained reduced significantly below baseline values in both groups at the end of the study. At this time there was no significant difference between the groups as regards SBI. It was concluded that a single course of thorough scaling and root planing followed by once daily subgingival irrigation with CH for 1 month, produced a reduction in periodontitis still apparent 2 months after cessation of irrigation. This regime allows a 3 month interval between oral hygiene visits. SnF2-containing dentifrice had a plaque control effect additional to that produced by the regime but had no effect on periodontitis as assessed by SBI. PMID- 6573344 TI - Effect of citric acid on soft tissue healing in the rat palate. AB - The present study was carried out to determine the effects of citric acid (pH 1) on soft tissue healing. Standardised circular wounds were created in the palates of 24 rats using a modified trephine. Test animals had citric acid (pH 1) applied to the wounds for 3 min followed by rinsing with saline. In the control animals saline alone was applied for a similar time which was again followed by rinsing. Animals were sacrificed at 0, 1, 4 and 24 h, the palates dissected out and fixed in either neutral formalin, formol-sucrose for histochemical analysis or had epithelial sheets prepared for ATPase staining of Langerhans cells. At 0, 1 and 4 h less enzyme activity (non-specific esterase and acid phosphatase) was observed in the epithelium in the edge of the citric acid treated wounds compared to the controls. This was not seen at 24 h. No morphological difference was noted between the citric acid treated wounds and the controls at any of the time intervals. The morphology and distribution of ATPase positive Langerhans cells did not differ between the test and control wounds. These results indicate that the application of citric acid (pH 1) has little effect on the short-term healing of soft tissue wounds in the rat palate. PMID- 6573345 TI - Repair of periodontal tissues in vivo and in vitro. AB - Repair of experimental cavities in dental roots and of periodontal wounds was studied in vivo and in vitro. Incisors from monkeys were extracted and experimental cavities were made in the roots. The teeth were either replanted immediately or cultured for 1-12 weeks in tissue culture medium. After 8 weeks the tissue reaction around the replanted teeth was evaluated on demineralized histological sections and undecalcified freeze-sections incubated for histochemical demonstration of certain enzymes. The cultured teeth were evaluated on decalcified histological sections. In the experimental cavities of the replanted teeth reparative cementum was found. It was frequently separated from the denuded dentin while a firm attachment was always established to the intermediate cementum and dental cementum at the periphery of the cavities. The reparative cementum was also firmly attached to some small areas on the exposed dentin surface where resorption had taken place. The activity of alkaline and acid phosphatase was lower in the connective tissue in the experimental cavities than in the surrounding PDM, suggesting an incomplete regeneration of the periodontal membrane in these areas. A loose connective tissue devoid of demonstrable collagen fibers was found in the cavities in vitro. The reparative cementum did not fill the experimental cavities in the replanted teeth. The alveolar bone extended into the experimental cavities and made the width of the PDM normal also in the experimental cavities. Epithelial and endothelial cells were numerous in the connective tissue separating the reparative cementum from the alveolar bone in the experimental cavities. It is possible that they contribute to the integrity of the PDM and prevent resorption of the dental root. PMID- 6573346 TI - Periodontal status associated with chronic neutropenia. AB - A case of chronic neutropenia in a 12-year-old boy is reported. The patient presented with severe gingival inflammation and alveolar bone loss. Immunologic analysis of the patient's serum revealed the presence of precipitating antibodies against antigenic components of Actinobacillus actinomycetemcomitans Y4 and 652. It was also found that the serum neutralized the leukotoxic activity of Actinobacillus actinomycetemcomitans Y4. The etiology and the pathogenesis of periodontal disease in neutropenic patients are discussed in view of these findings. PMID- 6573347 TI - Effect of appointment time, age, and gender on children's behavior in a dental setting. PMID- 6573348 TI - Fear of dentistry: a discussion of its usefulness to certain child dental patients. PMID- 6573349 TI - Anterior crossbite correction in the primary dentition using reversed stainless steel crowns. PMID- 6573350 TI - Orofacial manifestations of childhood malignancy: clinical and microbiological findings during remission. PMID- 6573351 TI - Dental radiographic screening in children. PMID- 6573352 TI - Bilateral three-rooted mandibular first primary molars: report of case. PMID- 6573353 TI - Mucosal perforation by a primary canine root: report of case. PMID- 6573354 TI - Nutrition and growth-patterns of young children. PMID- 6573355 TI - Chromium: an essential micronutrient. AB - A balanced, varied and "prudent" diet is likely to furnish the chromium requirement, whereas a high-fat, high-sugar, high-alcohol diet would not. A "prudent" diet will confer health benefits in addition to those derived form the adequacy of chromium intake, and it will obviate the need for supplementation with chromium compounds that are commercially available, but not scientifically proven to be effective. Chromium supplementation, other than by dietary means, should be used only when advised by and under the supervision of a physician. PMID- 6573356 TI - Diet and hypertension: an update on recent research. PMID- 6573357 TI - Fluorides in mechanically deboned chicken. PMID- 6573358 TI - The treatment of nursing bottle caries. PMID- 6573359 TI - Behavioural principles underlying effective dietary instruction. PMID- 6573360 TI - Physical metallurgy of dental amalgams. 2. Microstructure. PMID- 6573361 TI - The efficacy of self-prescribed analgesics in the treatment of toothache. PMID- 6573362 TI - Properties of a Fe-Cr-Mo wire. PMID- 6573363 TI - The effects of process variables on levels of residual monomer in autopolymerizing dental acrylic resin. PMID- 6573364 TI - Effect of pH upon sucrose and glucose catabolism by the various genogroups of Streptococcus mutans. AB - Sucrose and glucose catabolism by seven strains of Streptococcus mutans belonging to six serotypes was assayed at pH's 6.5, 5.0, 4.5, and 4.0 with a radioisotopic tracer assay. The strains differed in their patterns of metabolic stimulation and inhibition at the different pH levels, falling into groups corresponding to the genetic groups described by Coykendall. The genogroup I (serotypes c and e) strains were the most acid-tolerant, having a pH optimum for lactic acid production at pH 5.0. These data furnish additional metabolic confirmation of the distinctiveness of these S. mutans subgroups. PMID- 6573365 TI - The ultrastructure of dentinal tubules from erupted human premolar teeth. AB - Different regions of crown dentin from erupted human premolars were examined ultrastructurally to determine the contents of the dentinal tubules. Odontoblast processes were limited to inner dentin, and nerve fibers were not observed in any tubules examined. PMID- 6573366 TI - Effect of indomethacin on the blood flow of the rabbit submandibular gland. AB - Effects of the stimulation of the chorda tympani and acetylcholine infused into the artery of the gland were studied on the blood flow and saliva secretion of the rabbit submandibular gland before and after indomethacin treatment. The enhancement of blood flow and saliva secretion was less apparent after indomethacin than before. Results suggest that endogenous prostaglandins are also involved in the mechanism of the augmentation of blood flow and saliva secretion produced by the stimulation of the chorda tympani in the rabbit submandibular gland. PMID- 6573367 TI - Fluoride uptake by artificial caries lesions from fluoride dentifrices in vivo. AB - Artificial caries lesions were implanted in removable dentures and were brushed for two wk or two mo with several fluoride-containing dentifrices. An analysis of thin layers of enamel removed from the lesions showed that more fluoride was deposited after two mo of brushing, and that fluoride deposition from the sodium monofluorophosphate was similar to deposition from the sodium fluoride dentifrice. PMID- 6573368 TI - Volume and composition of pilocarpine- and isoproterenol-stimulated submandibular saliva of early postnatal rats. AB - Submandibular saliva was collected from early postnatal rats by cannulation of the main excretory duct of individual glands after i.p. injections of pilocarpine (10 mg/kg body weight) or isoproterenol (10 mg/kg body weight). With this method of saliva collection, a secretory response to pilocarpine was observed at two wk of age. The average weight of 40 glands was 35.6 +/- 1.6 mg, and the average volume of saliva secreted in 60 min was 32 +/- 2.2 microliters. By three wk of age, the gland had approximately doubled in size (average weight of 39 glands = 61.9 +/- 3.1 mg), and the average total volume of saliva secreted in 60 min was more than three times larger (120.4 +/- 10.5 microliters) than that secreted by two-week-old rats. The relationship between electrolyte (Na+, K+, Ca++) and protein concentrations and rate of flow was similar to that observed in pilocarpine-stimulated adult saliva, and did not differ appreciably in the saliva of two- and three-week-old animals. A measurable secretory response to isoproterenol was observed at three wk of age when saliva was collected by duct cannulation. The average total volume of saliva secreted in 60 min was 48 +/- 3.1 microliters, and salivary Na+ and K+ concentrations, and their relationship to flow rate, were similar to those of isoproterenol-stimulated adult saliva. Saliva Ca++ and protein concentrations were also generally similar to those of isoproterenol-stimulated adult saliva. Total protein output (in 60 min) was 2 1/2 times greater in three-week-old rats with isoproterenol stimulation (compared to pilocarpine stimulation), but was significantly smaller than that of isoproterenol-stimulated adult glands. It is concluded that the submandibular gland of early postnatal rats is capable of secreting saliva in vivo following cholinergic and beta-adrenergic stimulation, and that this ability corresponds with the appearance of the corresponding autonomic receptors, but precedes cytodifferentiation. Ductal transport of electrolytes is well-developed at this stage of postnatal development, but fluid and protein output is smaller than in adult glands and requires full morphological maturation of acinar cells. PMID- 6573369 TI - Acute tissue irritation of polysulfide rubber impression materials. AB - The acute toxic reaction to 14 polysulfide rubber impression materials certified by the ADA was measured after injection into the oral mucosa of two baboons for 48 h, and the inflammatory response was evaluated quantitatively. Two materials were significantly more toxic than the others. Although light-bodied materials were less toxic and contained less lead, toxicity was not strongly related to lead content. PMID- 6573370 TI - A comparative study of salivary lysozyme in caries-resistant and caries susceptible adults. AB - Lysozyme concentration was quantitated immunochemically in parotid and submandibular-sublingual saliva of 46 caries-resistant and 17 caries-susceptible adults. There was essentially no difference between the two groups. The concentration of lysozyme was three times higher in the submandibular-sublingual than in the parotid secretion, and was significantly higher in unstimulated submandibular saliva than in secretions stimulated with 1, 2, or 4% citric acid. There were no significant differences in flow rate between caries-resistant and susceptible subjects. Salivary lysozyme concentration is not a critical determinant of resistance or susceptibility to caries. PMID- 6573371 TI - Cutaneous sensory thresholds from skin overlying masseter and forearm in MPD patients and controls. AB - Cutaneous sensory thresholds from skin overlying both masseters and right ventral forearm were measured in a group of 12 MPD patients and an appropriately matched group of non-patients. No significant differences were found between the two groups, nor were there significant differences between symptomatic and contralateral asymptomatic sites in the patients. There does not appear to be evidence for differences in sensory characteristics in the cutaneous afferent pathway of MPD patients. PMID- 6573372 TI - Tooth wear rates among contemporary Australian Aborigines. AB - Most reports of Aboriginal tooth wear have been descriptive, and few have dealt with the question of wear rate. This study records cusp heights of dental casts taken from individuals during a growth study of Aboriginal children from ages six to 18. Their rates of wear were greater than those of Europeans, and the most rapid rate was recorded among Aboriginal males. These differences are due to the quantity of dietary abrasives. PMID- 6573373 TI - Occlusal forces in normal- and long-face adults. AB - Using both quartz- and foil-based piezo-electric force transducers, occlusal forces during swallow, simulated chewing, and maximum effort were evaluated in 19 long-face and 21 normal individuals. Forces were measured at 2.5 mm and 6.0 mm molar separation. Long-face individuals have significantly less occlusal force during maximum effort, simulated chewing, and swallowing than do individuals with normal vertical facial dimensions. No differences in forces between 2.5- and 6.0 mm jaw separation were observed for either group. PMID- 6573374 TI - Occlusal forces in normal- and long-face children. AB - In children aged from six to 11 yr, forces of dental occlusion during swallowing, simulated chewing, and hard biting are similar for normal- and long-face individuals. Forces in the normal- and long-face children are similar to those in long-face adults, but are about half those in normal adults. It appears that individuals with the long-face pattern fail to gain strength normally in the mandibular elevator muscles. PMID- 6573375 TI - Prednisolone clearance: a possible determinant for glucocorticoid efficacy in patients with oral vesiculo-erosive diseases. AB - The pharmacokinetics of prednisolone were determined in 12 patients with oral vesiculo-erosive diseases. The bioavailability of prednisone in these patients exhibited a low intersubject variability, while the metabolic clearance rate of total and of unbound prednisolone varied considerably from patient to patient. PMID- 6573377 TI - Prediction of color of an esthetic restorative material. AB - The color of a composite of several thicknesses with a highly chromatic background was predicted successfully from reflectance spectra of the material of a known thickness with dark and light achromatic backgrounds by applying the Kubelka-Munk theory. The infinite optical thickness of the composite increased as wave-length increased. PMID- 6573376 TI - A study of productivity and participation at IADR and AADR annual meetings from 1970 to 1981. AB - An analysis was conducted of the scientific research productivity and participation in the International Association for Dental Research and the American Association for Dental Research annual meetings between 1970 and 1981. The study was designed to describe the overall level of participation, most productive institutions by year, and percent change in total research productivity of participating institutions and countries from 1970 to 1981. The results indicate that a total of approximately 687 different institutions representing 49 countries participated during the 12-year period. The total number of presentations increased by 77%, while the total number of participating institutions increased by 63%. The top 20 most productive institutions in any given year accounted for between 38 and 51% of all research presented. Of these top 20 participating institutions, approximately 83% were universities. An analysis by year and most productive institutions from 1980 to 1981 is presented. PMID- 6573378 TI - Mechanism of adhesion of polyelectrolyte cements to hydroxyapatite. AB - The interaction between polyacrylate ions and hydroxyapatite was examined using extraction techniques and infra-red spectroscopy. These studies have shown that polyacrylate ions become irreversibly attached to the surface of hydroxyapatite by displacing existing phosphate ions. The mechanism is not one of simple ion exchange, since calcium ions are displaced by the phosphate ions. PMID- 6573379 TI - Analysis of thermally-induced stresses in porcelain-metal systems. AB - An analysis of the stresses which develop during air cooling and shock testing of a simulated porcelain-metal crown is presented. Strain gauges were used to experimentally determine porcelain surface stresses during shock testing. The finite element method was used to calculate stress patterns throughout the simulated crown. This study indicates that the previously reported high degree of correlation between dilatometry-derived compatibility index values and delta T values may be related to porcelain tensile strengths and defect density. PMID- 6573380 TI - International Association for Dental Research. IADR abstracts 1983. PMID- 6573381 TI - The role of research in dental education. Proceedings of a national conference. Minneapolis, Minnesota, October 11-13, 1982. PMID- 6573383 TI - Periodontal research: implications for the future of academic dentistry. PMID- 6573382 TI - Research on dental caries: implications for the future of academic dentistry. PMID- 6573385 TI - II. Fostering research activity in academic dentistry. Comments on the national scene. PMID- 6573384 TI - Research on craniofacial genetics and developmental biology: implications for the future of academic dentistry. AB - The literature of biology abounds in awe-inspiring acts of iridescent genius. Although a law of nature is phrased in abstract language and is itself devoid of passion and sensibility, the history of its discovery may be an epic worthy of Homer, every page of which bears the stamp of the personality of people. Clearly, scientific truth can be defended by dispassionate logic, but its discovery cannot be promoted this way. The human factor in the creative equation is an important aspect. The discovery of the principles that now form the foundation of developmental craniofacial biology is a story of irony and paradox. Although much progress has been made in many scientific endeavors, many questions regarding craniofacial growth and development remain unanswered. One of the main problems encountered in studies of mammalian growth and development, specifically those dealing with developmental craniofacial biology, has been the apparent lack of application of advances in parallel fields of scientific endeavor. The time seems appropriate for commingling clinical problems with the recently acquired principles of cellular, molecular, and developmental biology. PMID- 6573386 TI - Interhealth science relationships in fostering dental research. PMID- 6573387 TI - Fostering research activity in academic dentistry. Perspectives on research support. PMID- 6573388 TI - Fostering research activity in academic dentistry. Relations between the university and industry. PMID- 6573389 TI - Fostering research activity in academic dentistry. Planning and conducting research activities. PMID- 6573390 TI - Decreased prevalence of dental caries: influence on curriculum design. PMID- 6573391 TI - Decreased prevalence of dental caries--influence on curriculum design: commentary. PMID- 6573393 TI - Research issues in dental education: report on the workshops. Faculty development: commentary. PMID- 6573392 TI - Research issues in dental education: report on the workshops. Faculty development. AB - Research should have a prominent place in dental education. The expectation that all dental faculty will engage in research to some extent is consistent with the objectives of predoctoral dental education. In setting this expectation for faculty members, schools must recognize the limitations of the dental faculties' formal education in research and provide for growth through faculty development programs. A clear statement of expectations can facilitate this process. Schools of dentistry can promote research by giving high priority to teacher training, setting priorities for allocation of research development resources, and providing for the interaction of faculty within and outside the school. PMID- 6573394 TI - The value of research experience for undergraduate dental students. PMID- 6573395 TI - The value of research experience for undergraduate dental students: commentary and discussion summary. PMID- 6573396 TI - Innovative nontraditional approaches to the support of research activities in dental schools. PMID- 6573397 TI - Innovative nontraditional approaches to the support of research activities in dental schools: commentary and discussion summary. PMID- 6573398 TI - Education, research, and service: the priority of research. PMID- 6573399 TI - Education, research, and service--the priority of research: commentary and discussion summary. PMID- 6573400 TI - The role of research in dental education: summary and conclusions. PMID- 6573401 TI - Dental editors I have enjoyed. PMID- 6573402 TI - An overview of orthognathic surgery. PMID- 6573403 TI - The physiologic nature of caries susceptibility. Part II. Interactions between plaque, bacteria and the tooth. PMID- 6573404 TI - Sugar intake and dental caries. PMID- 6573405 TI - Anesthetics and methylparaben. PMID- 6573406 TI - Hair analysis. PMID- 6573407 TI - NIDR 1983. New directions for improving the nation's dental health. PMID- 6573408 TI - Dentistry's prospects for the future: a personal perspective. PMID- 6573409 TI - Final evaluation of tolonium chloride rinse for screening of high-risk patients with asymptomatic squamous carcinoma. PMID- 6573410 TI - Dentists' behavior management as it affects compliance and fear in pediatric patients. PMID- 6573411 TI - Saccharin inhibits tooth decay in laboratory models. PMID- 6573412 TI - Effect of school water fluoridation on dental caries: results in Seagrove, NC, after 12 years. PMID- 6573413 TI - Technical performance on amalgam restorations by dentists and auxiliaries in private practice. PMID- 6573414 TI - Cavernous sinus thrombosis: report of case. PMID- 6573415 TI - Healing of an iatrogenic root defect without treatment: report of a case. PMID- 6573416 TI - Clinical management of an unusual case of dens evaginatus in a maxillary central incisor. PMID- 6573417 TI - Maxillary root resections--tooth preparation and biologic restorations. PMID- 6573418 TI - Airborne particles from alginate powders. PMID- 6573419 TI - Dental supplies and equipment price index, update to 1982. Bureau of Economic and Behavioral Research. PMID- 6573420 TI - Accredited dental schools. Commission on Dental Accreditation. PMID- 6573421 TI - Soft, painless, nonulcerated mass in the lower lip. PMID- 6573422 TI - Dentistry on stamps. PMID- 6573423 TI - The physiologic aspects of eating disorders. PMID- 6573424 TI - Eating disorders in infancy and early childhood. PMID- 6573425 TI - An overview of anorexia nervosa, bulimia, and obesity in children and adolescents. PMID- 6573426 TI - Persistent cutaneous cellular immune responsiveness in a nursing home population. AB - Mantoux-type skin tests were applied to 29 elderly residents of an intermediate care floor of a nursing home. Eight antigens were used with each resident, and the size of the reactions was measured at 6, 24, 48, and 72 hours. All but one resident had at least one response greater than or equal to 3 mm at 48 or 72 hours, and most had more than one response of that size. At 48 compared with 72 hours, there was one more responder and the mean size of the reactions to each antigen was greatest. However, there were two responders at 72 hours who did not react at 48 hours, and the total number of reactions in the group was greater at the later reading. Only one resident did not produce any response at either 48 or 74 hours. The minimum number of antigens needed to identify all responsive subjects was five (PPD-Avian, coccidioidin, histoplasmin, streptokinase streptodornase, and trychophytin). The purified protein derivative of tuberculin skin test was repeated on subjects who had an initial response less than 10 mm, and one increase of more than 6 mm was observed in a resident who was initially unresponsive to that antigen. PMID- 6573427 TI - Ulcerative colitis and sensorineural hearing loss: relevance of prostaglandins? PMID- 6573428 TI - The major histocompatibility complex of rhesus monkeys, RhLA: XV. Chemical characterizations of DR locus antigens and antigen 48. AB - Immunoprecipitation studies of the rhesus monkey major histocompatibility system have shown that the RhLA-DR locus codes for class II antigens with molecular features that are homologous to the class II antigens coded for by the human HLA DR locus. The product of another alloantigenic RhLA-linked locus of the rhesus monkey, called '48', is provisionally characterized as a class I system. PMID- 6573429 TI - Histocompatibility leukocyte antigens in patients with toxic-shock syndrome. PMID- 6573431 TI - Conventional endodontics. "The state of the art". PMID- 6573432 TI - High frequency ventilation--an overview. PMID- 6573430 TI - Effect of poly I:C/poly-L-lysine (poly ICL) on the development of murine osteogenic sarcoma. AB - Poly I:C/poly-L-lysine (poly ICL) was effective in preventing or delaying the development of osteogenic sarcoma (OGS) in mice. C57BL/6J mice were inoculated subcutaneously with 5 X 10(4) OGS cells and treatment was evaluated by palpable tumor development and subsequent day of death. A significant antitumor effect resulted from injection of 150 microgram of poly ICL into the tumor site starting immediately after tumor implant and followed by four subsequent treatments. Seventy percent of treated animals remained tumor free at 50 days, a time at which 70% of placebo treated animals had died as a result of tumor development. A similar treatment regimen of mice inoculated with 2 X 10(5) OGS cells resulted in a significant delay of time to tumor and subsequent day of death. Treatments with poly ICL were ineffective if they were initiated after development of palpable tumor or if they were administered at a nontumorous site on the animal. These findings indicate that the optimal therapy resulted from repeated intratumor treatment prior to development of extensive tumor burden. PMID- 6573433 TI - Chromosomal instability in Streptomyces glaucescens: mapping of streptomycin sensitive mutants. AB - Streptomyces glaucescens strain GLAO (=ETH 22794) produces hydroxystreptomycin and has a high natural resistance to hydroxystreptomycin, dihydrostreptomycin and streptomycin. The wild-type strain gives rise spontaneously to streptomycin sensitive (StrS-) variants at a frequency of 0 . 2 to 1 . 4%. These mutants lack streptomycin phosphotransferase activity responsible for the wild-type resistance to streptomycin group antibiotics and are unable to produce detectable amounts of hydroxystreptomycin. Mapping experiments showed that the strS marker lies between the chromosomal markers lys-2 and ura-3 on the linkage map of S. glaucescens. The molecular basis for instability of this marker is as yet unknown. PMID- 6573434 TI - A technique for periodontal dressing retention on an isolated tooth. PMID- 6573435 TI - Drug prescribing preferences of Nebraska dentists. PMID- 6573436 TI - Gilles de la Tourette's syndrome in monozygotic twins. AB - Concordance is reported of Gilles de la Tourette syndrome in a male twin pair in whom phenotyping revealed a >98.7% probability that they were monozygotic. The development and extent of the illness differed markedly in the two subjects. Our findings are compatible with the view that there is a genetic form of Gilles de la Tourette syndrome. PMID- 6573438 TI - Stress and the dentist. PMID- 6573439 TI - Dental student stress as measured by life event change. PMID- 6573437 TI - Effects of subarachnoid haemorrhage on intracranial prostaglandins. AB - Prostaglandins E2, F2 alpha, 6 oxo F1 alpha and thromboxane B2 increased in cisternal CSF following mock subarachnoid haemorrhage in dogs, particularly PGE2 (X25.5). Concentrations were increased also in lumbar CSF of five patients some 8 days after subarachnoid haemorrhage. Subarachnoid haemorrhage did not alter the production of prostaglandins by dog whole cortex or choroid plexuses in vitro, but production by pooled dissected cerebral arteries of PGE2 was increased and of 6 oxo F1 alpha was decreased. Intravenous indomethacin decreased prostaglandin production by cerebral tissues, and caused a marked decrease in the prostacyclin metabolite in CSF. The implications of our findings for the aetiology of cerebral vasospasm are discussed. PMID- 6573440 TI - Oral manifestations of lupus erythematosus. PMID- 6573441 TI - Office manual construction made simple. PMID- 6573442 TI - Current status of the attack against dental caries. PMID- 6573443 TI - Guidelines for recommending fluoride supplements in New Jersey. PMID- 6573445 TI - Critical issues in H.I.S. selection. PMID- 6573444 TI - Guidelines for computer literacy curriculums in a school of nursing. PMID- 6573446 TI - H.I.S. implementation approach. PMID- 6573447 TI - Nursing education and practice: idealism and reality. An educator's viewpoint. PMID- 6573448 TI - Nursing education and practice: idealism and reality. A practitioner's viewpoint. PMID- 6573449 TI - Nursing education and practice: idealism and reality. An educator's reaction. PMID- 6573450 TI - Nursing education and practice: idealism and reality. A nursing director's reaction. PMID- 6573451 TI - Computer literacy: the challenge of the '80s. PMID- 6573452 TI - Heart rates in fire fighters using light and heavy breathing equipment: similar near-maximal exertion in response to multiple work load conditions. AB - Intense exertion is an occupational hazard inherent to fire fighting. This study was designed to look at the exertion levels that fire fighters attain during a fire fighting exercise when using (1) no self-contained breathing apparatus (SCBA), (2) light SCBA, and (3) heavy SCBA. Exertion levels were measured as a function of the heart rate increase relative to the maximum predicted heart rate determined by a standard treadmill exercise test. Five fire fighters wore electrocardiographic monitors during a routine fire fighting exercise. Heart rates increased rapidly to 70% to 80% of maximum within the first minute and then plateaued at 90% to 100% until the attack on the fire was completed. There was no significant difference between exertion levels when using no SCBA, light SCBA, and heavy SCBA (split-plot analysis of variance, p greater than .25). These results suggest that fire fighters attain an intense level of physical activity quickly and maintain that level as long as they are actively engaged in fighting fire. These results also suggest that regardless of the weight of the SCBA, if employed, fire fighters exert themselves from 85% to 100% of their maximum and adjust their work output to maintain that near-maximal level. PMID- 6573453 TI - Zinc supplementation and taste in head and neck cancer patients undergoing radiation therapy. PMID- 6573454 TI - Focal epithelial hyperplasia in a Sudanese girl. PMID- 6573455 TI - An adenomatoid odontogenic tumor simulating globulo-maxillary cyst. PMID- 6573456 TI - Papillary and verrucous lesions of oral mucous membranes. PMID- 6573457 TI - Verrucous carcinoma invading the orbit: report of a case. PMID- 6573458 TI - Lipomas of the oral cavity. Report of three cases. PMID- 6573459 TI - The prevalence of oral tori in Malaysians. PMID- 6573461 TI - The chloride corrosion behaviour of four orthodontic wires. AB - Potentiodynamic cyclic polarization of four orthodontic alloys (wires), namely Permachrome, Elgiloy, a beta-titanium alloy and Nitinol in a 1% NaCl solution within -500 mV and +300 mV (SCE) indicated the first three alloys to be passive whereas breakdown of passivity was observed on Nitinol. The SEM examination of the pre- and post-polarized alloy surfaces provided evidence which was consistent with the electrochemical measurements, in that the first three alloys exhibited no appreciable corrosion damage whereas pitting corrosion was observed on Nitinol. The results obtained from X-ray analysis of the pitted surface indicated that this pitting could be due to selective dissolution of nickel from Nitinol. PMID- 6573460 TI - Correlations between EMG jaw muscle activity and facial morphology in complete denture wearers. AB - In a sample of fifteen partially edentulous subjects assigned for immediate complete denture treatment, a correlation analysis was performed between pre extraction facial morphology determined from lateral cephalograms, and EMG activity of the anterior temporal and masseter muscles in maximal clench and tapping of teeth. Marked correlations observed between vertical and sagittal jaw relations and mean voltages of the jaw-closing muscles indicated strong biting activity in subjects with a square facial type. No significant associations were observed between biting strength and the age of the subjects. Correlations between facial morphological changes and changes in EMG biting activity after denture insertion and during 1 year of denture wear indicated that the anterior temporal muscles were extremely sensitive to sagittal changes in anterior occlusion. The masseter muscles were less sensitive, but responded in some instances to changes in vertical jaw relationship. PMID- 6573462 TI - The use of biofeedback to obtain jaw-muscle relaxation in denture-wearing subjects. AB - A group of ten edentulous patients, who had experienced persistent soreness of the mucous membrane underlying their lower dentures, have been shown to exhibit a tendency towards greater activity of the temporal muscle while ostensibly at rest, compared with a number of normal subjects. A biofeedback technique, based on electromyography, proved effective in teaching the patients to relax during an experiment of approximately 20 min duration. In contrast relatively little change could be achieved by the normal subjects. It is concluded that the results support the hypothesis that muscle tension may contribute to lower denture discomfort, and suggest that biofeedback muscle relaxation training may be a useful method of treatment in such cases. PMID- 6573463 TI - The effects of cyclic stress on dental polymethylmethacrylate. II. Flexural fatigue. AB - Mechanisms of fatigue failure in polymers and the aims of fatigue testing have been examined, and factors affecting testing summarized. In the light of available work in several fields, parameters have been suggested for realistic flexural fatigue testing of denture base resins. A testing machine has been developed, with which the changes in properties of acrylic resin after fatigue in different environments can be studied. These changes developed gradually after 10(4) cycles and were related to the development of bulk crazing rather than to thermal effects. The amount of decay in the elastic modulus was not such that the material could have been said to have "failed". PMID- 6573464 TI - The abrasion of acrylic resin by cleaning pastes. AB - The physical removal of plaque from dentures by brushing is important in the maintenance of oral health. However, there is a danger that brushing will abrade acrylic resin. A machine using a rotary brushing action was therefore utilized for laboratory tests of possible cleaning pastes, employing a toothbrush with good access and adaptability to denture surfaces. Crest toothpaste produced the most abrasion on acrylic resin, Dentu-Creme the least. An experimental paste produced an appreciably lower abrasion rate. Self-cured specimens wore more than heat-cured ones. The rate of abrasion decreased as the temperature was raised. Brushing with water alone, or with a 10% solution of soap, did not produce detectable wear. The wear produced by proprietary cleaners when hand brushing the lingual flanges of dentures and flat blanks of heat-cured acrylic was also measured. Boots denture cleaning paste produced the greatest abrasion, Dentu Creme the least. The wear measured by reference to a glass plane was at least twice that recorded by the decrease in depth of a groove. The machine did not quantitatively produce the same abrasion as hand brushing, nor did it qualitatively rank the pastes in the same order of abrasiveness. The clinical relevance of these results is discussed. PMID- 6573465 TI - Assessment and treatment of stress in myofascial pain-dysfunction syndrome: a model for analysis. AB - Myofascial pain dysfunction (MPD) syndrome has received widespread attention in the dental and psychological literature. The present paper considers issues concerning a stress-related muscular hyperactivity theory of MPD syndrome. A review of the empirical evidence as well as methodological problems evident in these studies has been noted. In addition, definition aspects of stress and a conceptual model of stress in clinical use is presented. A functional analysis of the problem components will help determine a proper treatment protocol for patients suffering from stress-related myofascial pain. A discussion of the conceptual model for assessment and treatment purposes is presented and its implications for future research noted. PMID- 6573466 TI - Marketing a dental practice. PMID- 6573467 TI - Lichenoid. PMID- 6573468 TI - Congenital sensory neuropathy with skeletal dysplasia. PMID- 6573469 TI - Attachment, growth and synthesis by human gingival fibroblasts on demineralized or fibronectin-treated normal and diseased tooth roots. AB - Regeneration of a fibrous attachment to tooth roots previously exposed to periodontal pockets requires interaction between the root surface and fibroblasts. Experiments were designed to assess whether or not fibroblasts will attach, grow and synthesize normally on tooth roots and determine the efficacy of various treatments of diseased root surfaces on these activities. Extracted teeth were collected, washed and stored frozen until used. The roots were sectioned and the surface area determined. All roots were thoroughly planed to remove most of the cementum and some were then treated with fibronectin or citric acid. Each root was placed in a Linbro well and a suspension of fibroblasts in Dulbecco Vogt medium with 10% fetal calf serum added. After cell attachment, each root was transferred to a fresh well and incubated. Some roots were examined by scanning electron microscopy. Attachment and growth were assessed by harvesting and counting cells after various incubation times. The pattern of protein synthesis was determined by preparing fluorographs from cultures pulse labeled with radioactive S35-methionine. Cells attach and grow on planed root surfaces. The number that attach to normal and diseased roots is greatly enhanced by pretreatment with fibronectin or citric acid. By day three, the cells become confluent at approximately 20,000/cm2. The pattern of proteins produced is comparable to that seen in cultures maintained in petri dishes. After root planing, cells attach, grow and synthesize equally well on diseased and normal roots. PMID- 6573470 TI - Fibrin linkage: a precursor for new attachment. AB - Previous studies indicated that connective tissue attachment to the root surface appeared to be dependent upon a chronologic healing sequence related to fibrin and collagen interactions. It was the purpose of the present study to try and substantiate this hypothesis by using histologic techniques designed to differentiate between fibrin and collagen during healing at the root surface interface. In four squirrel monkeys, 24 normal teeth were extracted and reimplanted after either (i) surgically denuding the coronal root surface of connective tissue fibers and cementum by root planing or, (ii) surgical denudation followed by topical application of citric acid (pH = 1; 3 minutes). Three specimens were available for histological analysis 1, 3, 7 and 21 days after reimplantation. Mallory's phosphotungstic acid hematoxylin staining technique was used to differentiate between fibrin and collagen. Epithelium migrated rapidly along the denuded, non-acid-treated, root surfaces, had reached the alveolar crest at 3 days, and was within the ligament space to the level of root denudation at 21 days. Epithelium did not migrate apically along denuded root surfaces treated with citric acid. At 1 and 3 days, inflammatory cells were enmeshed in a fibrin network which appeared to be attached to the root surface by arcade-like structures. At 7 and 21 days, the region had repopulated with connective tissue cells, and collagen fibers had replaced the fibrin. It was concluded that collagen fiber attachment to the root surface was preceded by fibrin linkage, and that the linkage process occurred as an initial event in the wound healing response. PMID- 6573471 TI - The formation and healing of osseous lesions in a patient with localized juvenile periodontitis. Case report. PMID- 6573472 TI - The use of six selected teeth in population measures of periodontal status. AB - Selected teeth have been used to represent the entire dentition in many epidemiological and clinical investigations. The present study sought to assess the relationship between the six selected teeth described by Ramfjord and the entire dentition for the Plaque Index, Gingival Index, Calculus Index and Loss of Attachment. The computations were performed on measurements obtained in investigations of the natural history of periodontal disease in Norway and Sri Lanka. A consistently strong correlation was observed between the tooth subset and whole mouth for all indices in both populations. This relationship persisted even though single members or pairs of the subset of teeth were removed from the calculations. Some bias, however, was observed with all indices. Plaque and gingival indices obtained from the six teeth underestimated whole mouth scores in the low range (less than 1.0) and overestimated scores in the high range (greater than 2.0). Use of the tooth subset for calculus and loss of attachment consistently overestimated scores for the entire dentition. PMID- 6573473 TI - A method to measure pain associated with hypersensitive dentin. AB - Pain associated with dental hypersensitivity has been difficult to assess. An electronic threshold measure was developed to increase the degree of objectivity in a subject's response to a cold thermal stimulus. The apparatus consisted of a miniature thermistor connected to a medical multichannel recorder with a hand held event recorder. The thermistor was placed adjacent to the hypersensitive area for an accurate temperature measure of the point at which the subject first reported pain. Room temperature air was gently blown on the hypersensitive area, dropping the surface temperature evenly from intraoral temperature to room temperature. Results indicated that this method of assessment provided consistent and reproducible data. The apparatus can detect changes in sensitivity and offers an objective approach to sensitivity studies. PMID- 6573474 TI - Purification and characterization of galactosephilic component present on the cell surfaces of Streptococcus sanguis ATCC 10557. AB - Previous studies have indicated that a galactosephilic component present on the bacterial cell surfaces of Streptococcus sanguis ATCC 10557 may be responsible for the salivary glycoprotein-mediated binding of the cells. The purpose of this study was to investigate the purification and characterization of galactosephilic cell surface component from S. sanguis ATCC 10557. A galactosephilic component involving fibrils on the cell surfaces was isolated by the techniques of freezing and thawing, and purified by an affinity chromatography on beta-D-galactose binding-Bio-Gel P-2 followed by gel filtrations on Bio-Gel P-150 and on Bio-Gel P 30. Both disk gel electrophoresis and sodium dodecyl sulfate-polyacrylamide gel electrophoresis showed that the purified product was homogeneous. The isoelectric point of the purified sample was 8.5 to 9.0. Treatment of the purified sample with pronase E reduced remarkably either the hemagglutinating activity or the precipitation reaction with proline-rich glycoprotein in human parotid saliva, suggesting that the active site may be present on the peptide moieties. When sugar specificity was examined by hemagglutination-inhibition test, D-galactose was the strongest inhibitor. The results of this study suggest that the galactosephilic component may be a bacterial lectin. PMID- 6573475 TI - Peripheral ameloblastoma: a case report. PMID- 6573476 TI - Conditioned oral scurvy due to megavitamin C withdrawal. PMID- 6573477 TI - Transport of prostaglandins through normal and diabetic rat hepatocytes. AB - Transport of alprostadil (prostaglandin E1) and dinoprost (prostaglandin F2 alpha) was studied in enzymatically dispersed normal and streptozocin-treated rat hepatocytes prepared by collagenase perfusion. Cell suspensions incubated at 37 degrees were sampled at time intervals for a period of 5 min and the supernatant analyzed for prostaglandins after centrifugation. The data analysis employed a theory and a model for solute transfer at the cell membrane-water interphase. Biophysical parameters such as the effective partition and the apparent permeability constants were used to define the transport mechanism. The apparent permeability coefficient of alprostadil and dinoprost transfer through normal hepatocytes was calculated to be 5 X 10(-3) and 3 X 10(-3) cm/sec with a mean partition coefficient of 1345 and 764 for both solutes, respectively. The permeability coefficient of alprostadil and dinoprost transfer through diabetic hepatocytes were 3 X 10(-3) and 2 X 10(-3) cm/sec with partition coefficient of 572 and 206, respectively. The results showed differences in prostaglandin transport between normal and diabetic hepatocytes, resulting from morphological and lipid alteration in the cytoplasmic membrane. PMID- 6573478 TI - Active versus passive adaptation: an acoustic study of vowels produced with and without dentures. PMID- 6573479 TI - Protective effect of polystyrene liners for composite resin restorations. AB - The main purpose of lining cavities before insertion of composite resin restorations is to prevent bacterial contamination at the cavity walls. A thin film of polystyrene liner dissolved in ethyl acetate applied to all surfaces by compressed air provided good protection against bacteria on cavity walls under composite resin restorations. An antibacterial primer in an alcohol solution applied prior to the liner may improve this protection. This procedure had no detectable injurious effect on the pulp. PMID- 6573480 TI - Intraligamentary anesthesia: a clinical study. PMID- 6573481 TI - The influence of shelf life and storage conditions on some properties of composite resins. AB - This study demonstrated that the rate of strengthening and the ultimate strength of composite resins depend on the storage record of the material before polymerization. It is likely that both properties are related to the concentration of an effective initiator at the moment of use. For dental practice a somewhat delayed setting is inconvenient but acceptable. A decrease of ultimate strength, however, is an indication of less effective polymerization. Thus, premature disintegration may be expected from such material. Because no specification offers a measure for the shelf life of a composite resin, a reduction of the diametral tensile strength (for example, 20%) may be a useful test to indicate decomposition. PMID- 6573482 TI - Surgical considerations in the prosthetic treatment of ocular and orbital defects. PMID- 6573483 TI - Two-piece orbital prosthesis. PMID- 6573484 TI - A tongue-shielding radiation stent. AB - This article describes a simple technique for fabricating stents to protect the lateral border of the tongue during therapeutic radiation therapy delivered to a unilateral region such as used in treating parotid or retromolar trigone lesions. The technique requires materials that are readily available and expertise that is possessed by all dentists. The use of radiation-protective stents markedly minimizes the treatment sequelae from therapeutic irradiation. The use of these protective stents is appreciated by patients and radiation therapists alike. PMID- 6573485 TI - Craniomandibular (TMJ) disorders--the state of the art. Part II: accepted diagnostic and treatment modalities. PMID- 6573486 TI - A 21/2-year follow-up of changes in headache and mandibular dysfunction after stomatognathic treatment. AB - A 21/2-year follow-up of the treatment results in 52 patients with mandibular dysfunction and recurrent headache has been compared with pretreatment and 1-year follow-up findings. It was shown that (1) the clinical and subjective improvement observed after 1 year was maintained in most patients after 21/2 years, (2) 13% of patients received no benefit from treatment, (3) 10% of patients had relapses during the follow-up period, (4) 8% of patients thought that they needed further treatment, and (5) nearly 50% of those treated continued to use an occlusal splint at regular or periodic intervals, but few continued use of therapeutic exercises for more than 3 months. It can be concluded that the long-term prognosis for treatment of mandibular dysfunction is good even when recurrent headache is considered a symptom of this complex syndrome. PMID- 6573487 TI - The dysgnathogenic distress syndrome. PMID- 6573488 TI - Occlusion in the dental curriculum: 1980-1981. PMID- 6573489 TI - Impact of complete dentures and impaired natural dentition on masticatory performance and food choice in healthy aging men. AB - Shifts in food selection patterns result from impairments in masticatory ability, and the extent to which any dietary alterations occur appears to be influenced by the degree of impairment. Moreover, these shifts can be modified by a variety of physiologic, social, economic, and psychologic factors. The preference for softer, easier-to-chew foods in persons with complete dentures requires that the foods selected meet daily nutritional requirements. In view of the large proportion of individuals in the United States with complete dentures, an understanding of how these multiple factors affect the nutritional status of edentulous elderly persons may lead to more rational dietary approaches to the maintenance of health. PMID- 6573490 TI - Compatibility of irreversible hydrocolloid impression materials with dental stones. PMID- 6573491 TI - Remount casts for occlusal correction. PMID- 6573492 TI - Using removable partial dentures to stabilize teeth with secondary occlusal traumatism. PMID- 6573493 TI - Epidemiologic studies of mandibular dysfunction: a critical review. PMID- 6573494 TI - Determining smoothness of polished microfilled composite resins. PMID- 6573495 TI - Seating depths of each half of a two-part pin system. PMID- 6573496 TI - Tear strength of ten elastomeric impression materials. PMID- 6573497 TI - Complications of head and neck radiation therapy and their management. AB - Patients who receive radiation therapy to the head and neck suffer potential complications and undesirable side-effects of this therapy. The extent of undesirable responses is dependent on the source of irradiation, the fields of irradiation, and the dose. The radiotherapist determines these factors by the extent, location, and radiosensitivity of the tumor. The potential undesirable side-effects are xerostomia, mucositis, fibrosis, trismus, dermatitis, photosensitivity, radiation caries, soft tissue necrosis, and osteoradionecrosis. Each of these clinical entities and their proposed management have been discussed. PMID- 6573498 TI - Flexible temporary obturators for patients with severely limited jaw opening. PMID- 6573499 TI - The use of an interim protective prosthesis during cancer chemotherapy. AB - The use of an interim protective prosthesis during cancer chemotherapy allows immediate patient comfort and function by protecting ulcerated mucosa and providing a platform against which to masticate. Chemotherapeutically induced lesions can be exacerbated by trauma from the remaining natural dentition during mastication and parafunctional habits. The interim prosthesis protects ulcerated tissue from further injury, and healing is promoted. The greater the integrity of the oral tissues, the more resistant they become to microbial invasion, subsequent microbial colonization, and infection during periods of granulocytopenia. By the use of a conservative technique, the patients's quality of life is improved during cancer treatment, and definitive prosthodontic treatment is deferred until therapy can be better tolerated by the patient. PMID- 6573500 TI - Prosthetic use of plastinated facial structures: a feasibility study. PMID- 6573501 TI - The role of stress, occlusion, and condyle position in TMJ dysfunction-pain. AB - Lateral transcranial TMJ radiographs are duplicable within +/- 0.2 mm and are cross-sectional views of the lateral third of the condyle and fossa. The innate asymmetry of humans, when the right and left sides of the fossa and condyle are compared, was clinically insignificant. Tomograms are not indicated because they lack appropriate resolution and detail to evaluate qualitative bone changes; and because they are not an in-office procedure, the condylar position in the fossa is completely unreliable. A correlation was reported between condylar position in the fossa and TMJ dysfunction in over 320 patients. This observation suggests that a new definition of centric relation is indicated, a definition that differentiates whether it is functional or dysfunctional. The criterion is the correlation between the occlusal findings and the condylar position in the fossa as recorded by the lateral TMJ radiographs (when the teeth are in maximum occlusion). Stress response was found to be greater in males than in females (in all vertebrates, including humans); therefore stress cannot be a direct cause of craniomandibular pain since more women have the disorder. It was concluded that stress is an indirect contributing factor that usually works through the medium of clenching. The role of the neuromuscular mechanism in craniomandibular pain was discussed. Proprioception reflex activity forms the basis for muscle length, mandibular positional sense, as well as masticatory function. Occlusal disharmonies increase noxious input to the neuromuscular system, as well as stress-induced clenching, causing increased muscle activity and spasm-pain. Condylar displacement also contributes to TMJ dysfunction-pain, depending on its direction. Anterior condylar displacement can initially affect the muscles by inducing overfunctional response in the proprioceptive system. Posterior condylar displacement usually results in an intrajoint response consisting of a disk derangement, reciprocal clicking, possible anterior disk dislocation, possible pathologic swallowing pattern, and noxious stimulation to the proprioceptive system. These factors contribute to subsequent trismus, muscle spasm and pain, and long-term pathologic remodeling of the joint. A detailed history is necessary to evaluate the role of stress. The physical occlusal findings are correlated with the condylar displacement observed in the TMJ radiographs to diagnose and plan corrective treatment. PMID- 6573502 TI - Relieving intraoral pressures generated during orthopedic treatment. PMID- 6573503 TI - Posterior condylar displacement: prosthetic therapy. AB - Condylar repositioning with a prosthesis programmed intraorally effectively uses patient feedback in determining the therapeutic position. A series of therapeutic positions may be required to allow rehabilitation of dentoalveolar, neuromuscular, and internal TMJ tissues for a final treatment position to be determined. Twelve dentulous patients with unilateral or bilateral posterior condylar displacement have been successfully treated with this approach. Time to establish the final treatment position varied from 3 to 18 months. PMID- 6573504 TI - The effects of the angle of the articular eminence on anterior disk displacement. PMID- 6573505 TI - The effect of mandibular position on appendage muscle strength. PMID- 6573506 TI - A comparative study of changes in vertical dimension of occlusion using different investing mediums. AB - A controlled investigation was conducted in which 50 sets of dentures were processed with different investing mediums. The most accurate results in maintaining the vertical dimension of occlusion of dentures during processing were obtained with artificial stone and a layer of silicone rubber. PMID- 6573508 TI - Removal of excess cement from cast restorations. PMID- 6573507 TI - Anatomic and statistical study to determine the inclination of the condylar long axis. PMID- 6573509 TI - Esthetic considerations in the use of face-bows. PMID- 6573510 TI - [Cranial osteosarcoma in Paget's disease]. AB - A patient with Paget's disease developed an osteogenic sarcoma of the cranium. This emphasizes the need to conduct full neuroradiological investigations, including a CT scan and even selective arteriography as well as standard radiographs, whenever the possible existence of such a lesion is suspected, to determine therapeutic strategy. PMID- 6573511 TI - Pre-partum changes in the plasma concentrations of progesterone, relaxin, prostaglandin F-2 alpha and 13,14-dihydro-15-keto prostaglandin F-2 alpha in meclofenamic acid-treated sows. AB - The pre-partum plasma concentrations of progesterone, relaxin, PGF-2 alpha and 13,14-dihydro-15-keto PGF-2 alpha (PGFM) were determined in 6 sows treated with meclofenamic acid (5.0 mg/kg body wt daily, from Day 109 to Day 113 of pregnancy), and 2 sows which farrowed prematurely. The inhibition of PG synthesis with meclofenamic acid did not prevent either the decline in plasma progesterone or the release of relaxin. Three distinct stages in the progressive changes of the above hormones were apparent before parturition: (1) the gradual decline in the concentrations of progesterone from about 7 days pre partum to reach less than 4.5 ng/ml at farrowing; (2) a surge in relaxin levels (greater than 100 ng/ml) by 2 days pre partum; and (3) sharp increases in the concentrations of PGF 2 alpha and PGFM within 24 h of parturition. Maximal concentrations of PGF-2 alpha (greater than 0.5 ng/ml) and PGFM (greater than 20.0 ng/ml) occurred during farrowing. It is suggested that PG from an extra-ovarian source may not be responsible for initiating functional regression of the corpora lutea in the sow. PMID- 6573512 TI - Effects on fertilization of rabbits of insemination with ejaculates treated with PG-dehydrogenase and antisera to PGE-2 and PGF-2 alpha. AB - PGE-2 and PGF-2 alpha in rabbit semen were selectively inactivated by incubation with antisera, or most of the seminal prostaglandins were transformed into biologically inactive 15-keto-prostaglandins by prostaglandin-15 hydroxydehydrogenase(PG-15-HDH). These treated ejaculates were vaginally inseminated. Compared to the controls (738 eggs of which 94% were fertilized) a dose-dependent reduction of the fertilization rate was observed with the anti-PGF 2 alpha-treated ejaculates. A non-uniformly, but statistically significantly reduced fertility was found in the other 2 treatment groups. After incubation with higher doses of PG-15-HDH, some fertilization was accomplished with ejaculates showing an extremely weak forward progression or immotile spermatozoa. An improvement in sperm motility, however, was observed in ejaculates treated with antiserum to PGF-2 alpha. Seminal prostaglandins may not exclusively affect sperm motility. The observed influences on the fertilization rate after treatment of spermatozoa with antisera to PGE-2 and PGF-2 alpha or PG-15-HDH suggest that these are local effects in the female genital tract. PMID- 6573513 TI - Leukemia and arthritis: including reports on light, immunofluorescent, and electron microscopy of the synovium. AB - Leukemia is a well described cause of arthritis. Articular manifestations may be present for months before the diagnosis of leukemia becomes evident. Leukemic arthritis may mimic other diseases. The etiology of leukemic arthritis can be diverse, but is often attributed to leukemic involvement of synovium. We describe a case where evaluation, including immunofluorescent and electron microscopy of open synovial biopsy specimens, revealed no obvious cause of the arthritis. PMID- 6573514 TI - Association between histocompatability antigens (HLA) and nasal carriage of Staphylococcus aureus. AB - We investigated the association between phenotypes of histocompatability antigen (HLA) and nasal carriage of Staphylococcus aureus in two populations--healthy laboratory workers and patients attending an outpatients' clinic. When data from the two sources were pooled, it was evident that the presence of HLA-DR3 was associated with carriage, and the presence of HLA-DR2, HLA-DR1 and HLA-Bw35 with lack of carriage. However, since each person may have two antigenic specificities encoded at the HLA-A, the HLA-B, and the HLA-DR loci, the carriage of the organism was analysed for paired combinations of the more frequent phenotypes. For example, the lack of carriage evident with HLA-DR1 was more marked with the DR1-A11 and DR1-B7 combinations while the predisposition towards carriage shown with HLA-DR3 was more marked with the DR3-DR5 combination. The importance of the analysis of antigen combinations is discussed in relation to association of single antigens with carriage of S. aureus. PMID- 6573515 TI - Questions and answers regarding hepatitis B vaccination of dental personnel. PMID- 6573516 TI - Identical genetic profiles in primary and metastatic bladder tumors. AB - Transitional cell carcinoma of the bladder has been shown repeatedly to possess abnormal genetic profiles. During long periods recurrent tumors in the bladder consistently show the same type of genetic profile with each recurrence. We report on a patient with metastatic bladder cancer who had similar genetic profiles of the primary lesion and thoracocentesis fluid from the metastatic site. The significance of these findings is discussed. PMID- 6573517 TI - Control of cotton dust exposure. PMID- 6573518 TI - [Clinical experience with cefmetazole in the field of oral surgery]. AB - Tissue concentrations of cefmetazole (CMZ) in rabbits were 17--49% of the blood levels at the corresponding time. Transfer pattern of CMZ was very similar to the pattern of the blood level, suggesting to be supposable the tissue concentration of CMZ. The clinical trial was studied concentrating on the observation of side effects and laboratory findings, especially the change of transaminase after anesthesia with GOF (gas-oxygen-fluothane). Four cases, who had anethesia with GOF, revealed the elevation of transaminase. PMID- 6573519 TI - [Cefmetazole excretion into the bile after hepatic portojejunostomy in congenital bile duct atresia]. AB - Antibiotics excretion into the bile was studied using CMZ which was administered by drip infusion in 12 postoperative cases of congenital bile duct atresia patients who had hepatic portojejunostomy with SURUGA II type enterostomy with the following results. Group I (correctable type children, with good bile flow, no jaundice): Excellent excretion was almost the same as that seen in adult patients. Group IIa (uncorrectable type children, with good bile flow, no jaundice): Excretion was poor but good depending on the amount of bile flow and liver function. Group IIb (uncorrectable type children, with poor bile flow, jaundice): Excretion was very poor. Group III (uncorrectable type infants, with good flow, no jaundice): Excretion was good depending on the amount of bile flow and liver function. Our study indicates that antibiotics excretion into the bile in children is closely related to the condition of the hepatic function and biliary passage. PMID- 6573520 TI - [Meningeal infiltration with tumor formation in the brain after long term remission of AML (report of two cases)]. PMID- 6573522 TI - [Computed tomography and gallium scintigraphy in mediastinal diseases]. PMID- 6573521 TI - [Two cases of acute myelogenous leukemia with eosinophilia which progressed into complete remission with the treatment mainly consisting of vindesine and prednisolone]. PMID- 6573523 TI - [Management of respirators used by ALS patients]. PMID- 6573524 TI - [Nursing of the ALS patient using a respirator]. PMID- 6573525 TI - A retrospective cohort analysis of second breast cancer risk for primary breast cancer patients with an assessment of the effect of radiation therapy. AB - Second breast cancer experience was examined for 27,175 primary breast cancer patients diagnosed in the State of Connecticut during 1935-75 with follow-up for second breast cancers through 1980. The overall ratio of observed to expected second breast cancers was 3.2. Relative risk was found to be inversely related to age at diagnosis and directly related to stage of the first breast cancer. The overall risk of second breast cancers was 711 per 100,000 person-years at risk. Risk of second breast cancers showed a similar relationship to age and stage as relative risk and was also directly related to calendar period of diagnosis of the first breast cancer. Some interactions were observed because patients less than 45 years old at diagnosis with positive nodes had elevated risks and relative risks in the early followup period, whereas less of an effect of stage on relative risk and risk was seen for older patients. The effect of the use of adjunctive radiation therapy on second breast cancer risk was also assessed by the ratio of the risk of second breast cancers for those patients who received both surgery and radiation to the risk of those patients who only received surgery being estimated for patients diagnosed during 1935-59 and for patients diagnosed during 1960-75. For both cohorts relative risks of 1.2-1.4 were found for the 5-year period immediately following diagnosis, likely resulting from the uncontrolled effect of stage in the analysis. Elevated long-term relative risks were not found for patients diagnosed during 1935-59. A long-term marginally statistically significant relative risk of 1.4 (greater than or equal to 10 yr after diagnosis) was found for patients diagnosed during 1960-75. The data do not indicate an overall pattern of relative risks consistent with an effect on long term second breast cancer risk of radiation exposure to the opposite breast incurred during adjunctive radiation therapy for a first breast cancer. PMID- 6573526 TI - Actin changes in normal human and rat leukocytes and in transformed human leukocytic cells. AB - The DNase I inhibition assay was used for the determination of the relative amounts of monomeric and total actin in normal human peripheral blood lymphocytes, normal Sprague-Dawley rat peritoneal leukocytes, and 6 transformed human cell lines of lymphoid and myeloid origins. In the normal lymphocytes and leukocytes, greater than 50% of the total actin was monomeric. In contrast, only 1 of the 6 transformed lines had greater than 50% of its actin in the monomeric form. In the other 5 lines, the percentage of actin in the monomeric form ranged from 23 to 39%. The normal lymphocytes, peritoneal leukocytes, and 2 of the transformed cell lines (CEM and K562) were examined in greater detail. The total actin (as a percentage of the total protein) was found to be much lower in the transformed cell lines than it was in the normal lymphocytes. The total amount of actin in the normal rat leukocytes was very similar to the amount in the normal human lymphocytes. In addition to these differences between the normal and transformed human cells, treatment of the normal lymphocytes with mitogenic doses of concanavalin A was found to significantly reduce the amount of monomeric actin in the cells. Similar treatment of the transformed cells produced no significant reduction in the monomeric actin. PMID- 6573527 TI - Cutaneous melanoma in relation to exogenous hormones and reproductive factors. AB - Eighty-seven women of ages 37-74, who resided in King County, Wash., and who had been diagnosed between July 1976 and November 1979 as having cutaneous malignant melanoma, were interviewed regarding prior use of estrogen-containing preparations and reproductive history. The responses were compared with those of a random sample of 863 women from the same county. Among the 61 women with superficial spreading melanoma (SSM), use of oral contraceptives for 5 years or more was more common than among controls. The estimated relative risks for users of 5-9 and 10 years or more were 2.4 and 3.6, respectively. No differences between cases and controls were noted for oral contraceptive use of 4 years or less. Giving birth to a first child after age 30 was also associated with an increased relative risk of SSM. Although the positive findings regarding oral contraceptive use and age at birth of first child must be interpreted cautiously pending results of other studies, they suggest that hormonal factors can play a role in the etiology of SSM. PMID- 6573528 TI - Diet and smoking in the epidemiology of cancer of the cervix. AB - This study of 513 white cervical cancer patients and 490 white hospitalized controls considered, with adjustment for marital history and parity, the effects of smoking and dietary characteristics on the relative risk of developing cervical cancer. Although smoking was shown to be positively associated with risk, no dose-response relationship was evident. The frequency of consumption of cruciferous vegetables was positively associated with risk. Respondent reports of the frequency of prior ingestion of several food items were used in constructing crude indices of exposure to basic nutrients; the index of beta-carotene exposure was negatively associated with risk, whereas the index of fat consumption was positively associated with risk. PMID- 6573529 TI - Approaches to enhance proliferation of human epidermal keratinocytes in mass culture. AB - Because of interest in mechanisms of carcinogenesis in human epithelial cells, quantitative procedures were developed for the mass culture of human epidermal keratinocytes in the absence of feeder cells. Several approaches were used to enhance proliferation since target cells are considered most susceptible to transformation if they are treated with carcinogenic agents during DNA synthesis. Mass cultures of enzymatically dispersed human foreskin were initiated in collagen-coated flasks containing medium NCTC 168 with 10% Chelex 100-treated horse serum. Under these conditions, human keratinocytes required a higher calcium ion concentration ([Ca2+]) than that reported for suspensions plated at low cell density. Neither the cohesiveness of the epidermal sheet nor continued proliferation was maintained by 0.15 mM Ca2+; 0.3 mM Ca2+ maintained these properties in primary culture only. A concentration of 1.0 mM Ca2+ provided the highest cell yield for prolonged growth as determined by the enumeration of cell nuclei isolated by citric acid. Reproducibility of successful initiation was achieved by inoculation of cells into a medium designed for clonal growth followed by culture in medium NCTC 168. Thus the balance of nutrients and electrolytes must be adjusted to satisfy the requirements of a dynamically expanding keratinocyte population. PMID- 6573530 TI - Risk factors for meningiomas in men in Los Angeles County. AB - A case-control study among men in Los Angeles County was conducted to investigate further the causes of intracranial meningiomas. Meningioma patients and a neighbor of each one were interviewed about past experiences that might be associated with tumor development. Analysis of information from the 105 matched pairs showed an association with meningioma occurrence for various factors relating to head trauma and head X-rays: 1) ever boxed as a sport [odds ratio (OR) = 2.0, P = 0.03], 2) had a serious head injury (OR = 1.9, P = 0.01), and 3) had X-ray treatment to the head before 20 years of age and/or had five or more full mouth dental X-ray series before 1945 (OR = 3.5, P = 0.02). Of the 105 subjects, 72 (69%) had a history of exposure to at least one of these factors. PMID- 6573531 TI - Reduced capacity for DNA repair synthesis in patients with or genetically predisposed to colorectal cancer. AB - Peripheral resting mononuclear leukocytes were compared for their capacities to repair DNA lesions induced by a 1-hour exposure to a standardized 10-microM dose of N-acetoxy-N-2-fluorenylacetamide (N-AcO-2-FAA). Leukocytes from the following 3 groups were studied: 39 control subjects, 40 patients after colonic resection because of colorectal cancer (disease-free at the time of this study), and 28 individuals with a hereditary predisposition to colorectal cancer. Although the level of N-AcO-2-FAA that bound to mononuclear leukocyte DNA was the same for the various population groups, the level of N-AcO-2-FAA-induced unscheduled DNA synthesis (UDS) was significantly reduced in the mononuclear leukocytes of individuals who had had colorectal cancer or a genetic predisposition for the disease. These findings indicate that a deficiency in mononuclear leukocyte DNA repair synthesis is associated with the development of colorectal cancer in these populations. Our observation of this nonspecific UDS deficiency (relating to colorectal cancer) was not explained by experimental variations among the sampled groups with regard to individual differences in lymphocyte heterogeneity, age, sex, smoking habits, or blood pressure. PMID- 6573532 TI - Effect of hyperthermia on epithelial microneoplastic cell populations induced by irradiation of rat skin. AB - Two groups of male rats of the Charles River CD stock received a dose of 1,600 rad beta-radiation (700 rad/min) on the skin of the dorsum. Two months later, the site of irradiation of one of the groups was treated with hyperthermia at 44 degrees C for 2.5 minutes. A third control group received only the hyperthermic treatment. Over 90% of the animals in the 2 irradiated groups developed skin tumors (benign and malignant epithelial) at the irradiated site. There was no significant difference between these 2 groups in incidence of animals with tumors, incidence of tumors, distribution of tumor types, or rate of tumor appearance. The incidence of animals with tumors in the control group was less than 4% at any time. PMID- 6573533 TI - Systemic tolerance of osmotically induced oncolysis in rats. AB - Acute necrosis of R3230AC mammary tumor or thyroid carcinoma subcutaneously implanted in F344 rats was achieved by injection of a strongly hypertonic hexose and serotonin solution at 37 degrees C into and around the tumors. Changes in gross metabolism, hematology, and blood chemistry were then followed over a 9-day period, and they were most marked during or at the end of the first 24 hours. Food intake of the rats was sharply reduced, whereas drinking and diuresis were increased. Marked hemodilution and increased serum concentrations of aspartate aminotransferase, potassium, and uric acid were observed, as well as stable serum concentrations of sodium and chloride. Glucose overload, as opposed to fructose overload, led to secondary hypoglycemia. From day 2 food consumption returned to normal and increased thereafter. Water intake and urine output remained high. After an initial loss, body weight caught up with that of control rats. Hematocrit recovered partially, whereas blood chemistry progressively returned to about normal values. PMID- 6573534 TI - Platinum-amine compounds: importance of the labile and inert ligands for their pharmacological activities toward L1210 leukemia cells. AB - A series of Pt-amine compounds was assayed for their ability to inhibit the growth of cultured L1210 leukemia cells [median inhibitory dose (lD50)], their toxicity in mice [highest nonlethal dose in healthy mice (LD0)], their antitumor activity against leukemia L1210 cells grafted intraperitoneally into mice [mean survival of treated leukemic mice:mean survival of untreated leukemic mice (T/C)], and the ability to hydrolyze their labile ligands in vitro [hydrolysis half-time (t1/2)]. All Pt compounds exhibiting antitumor activity had a pair of labile ligands in the cis geometry with different charges, and the leaving groups had a wide range of hydrolysis rates. Among the compounds that showed antitumor activity, ID50 depended more on the inert ligands than on the labile ligands and was correlated with T/C. A relationship between LD0 and t1/2 was verified in the series of cis-Pt(II) compounds with the exception of the oxalate derivatives. Pt(II) and Pt(IV) compounds exhibited similar ID50, LD0, and T/C. PMID- 6573535 TI - In vivo selection of androgen-insensitive cells in R3327-G rat prostate tumors: diethylstilbestrol diphosphate treatment versus orchiectomy. AB - Tumors grown in diethylstilbestrol diphosphate (DES)-treated rats grew significantly more slowly than tumors grown in orchiectomized animals, and tumors grown in orchiectomized animals grew significantly more slowly than tumors grown in controls (intact male rats). When these tumors (phase I) were dispersed and reimplanted into DES-treated, orchiectomized, or control rats in all possible combinations (phase II), a partial selection of androgen-insensitive cells was observed in tumors grown in DES-treated animals. Tumors grown in DES-treated phase I animals responded significantly less to DES treatment or orchiectomy in phase II. In contrast, tumors from phase I orchiectomized animals showed the same responses to orchiectomy in phase II. Since the administration of exogenous testosterone propionate prevented the growth rate inhibitory effects of both DES treatment and orchiectomy, the added effect of DES seemed to be antiandrogenic. PMID- 6573536 TI - Simultaneous analysis of different tumor types in a long-term carcinogenicity study with scheduled sacrifices. AB - A statistical analysis of a long-term carcinogenicity study with noninbred CF-1 mice exposed to DDT for different durations of time is presented. The experiment included a high proportion of animals with scheduled sacrifices and thus permitted the use of statistical models for tumor prevalence and lethality. Three types of tumors, lymphomas and lung and liver tumors, were considered. The analysis attempted to model the joint behavior of these tumors in relation to time and treatment group. An apparently negative association in the occurrence of lymphomas and liver tumors was confirmed through separate analyses by accounting effectively for intercurrent mortality. PMID- 6573537 TI - Major effect on susceptibility to urethan-induced pulmonary adenoma by a single gene in BALB/cBy mice. AB - Fewer lung adenomas were induced by urethan in BALB/cBy mice than in the A/J or SWR/J mouse strains. When BALB mice were crossed with either of these more sensitive strains the response of the progeny to urethan was most easily explained by a single gene which regulates susceptibility, with the more resistant phenotype behaving as a dominant trait. C56BL/6J mice were more resistant to adenoma induction than were BALB mice; progeny obtained when these two strains were crossed resembled the BALB susceptibility phenotype. As an approach to understanding the mechanism of action of this gene, agents that modulate adenoma initiation and tumor promotion were tested in BALB mice and other strains. The number of adenomas in BALB mice were increased severalfold by multiple urethan injections, which presumably affect initiation, and by the use of butylated o-hydroxytoulene as a promoting agent. Tumor incidence in A-mice was increased 50% by each treatment; neither procedure caused tumors to appear in the resistant DBA/2J, C3H/-21BG, or C57BL/6J strains. No relationship was observed between the strain dependency of the lethal effects of multiple injections of these agents and the relative susceptibilities of these strains to adenoma induction. The role of certain host factors in the regulation of tumor susceptibility was also tested. Homozygosity for the beige (bg) mutation had no effect on tumor numbers in C57 mice, suggesting that natural killer cells, deficient in bg/bg mice, played no major role in determining adenoma susceptibility in this strain. No correlation was found between the susceptibility of various sublines to urethan-induced lung adenoma and the reported relative tumoricidal capacities of the peritoneal macrophages from these sublines. PMID- 6573538 TI - Induction of hepatic tumors by diethylstilbestrol alone or in synergism with n nitrosobutylurea in castrated male WF rats. AB - Inbred male WF rats were castrated at 40 days of age and divided into 5 groups. Group I was given no further treatment. Groups III, IV, and V received pellet implants of 5.0 mg diethylstilbestrol (DES) concurrently with castration. At 50 55 days of age, groups II, IV, and V were given drinking water containing 5.0 mg N-nitrosobutylurea (NBU) per day for 30 days (subthreshold dose). At the termination of NBU treatment, group V further received daily sc injections of 2 bromoergocryptine (CB-154; 0.4 mg/100 g body wt) four times a week throughout the experiment. None of castrated rats or rats castrated and treated with NBU alone developed hepatic tumors (HT) and pituitary tumors (PT). Incidences of HT and PT in groups III, IV, and V were 4/9 (44%) and 7/9 (78%), 15/17 (88%) and 12/17 (71%), and 17/20 (85%) and 4/20 (20%), respectively. The treatment of DES alone resulted in the concurrent development of HT and PT in castrated male rats (group III), and further NBU treatment significantly increased the incidence of HT (group IV). CB-154 treatment did not change the incidence of HT, the number of HT per rat, and the liver weight, although it significantly reduced the incidence of PT, the pituitary weight, and the serum prolactin level in castrated male rats given DES and NBU (group V). These results indicate that DES itself had a direct carcinogenic effect on the liver; this effect was not mediated by prolactin, and NBU increased the effect of DES in this process. PMID- 6573539 TI - Analysis of lectin receptors on rat embryo fibroblasts transformed by adenovirus 2. AB - Transformation of rat embryo fibroblasts by human adenovirus type 2 (Ad2) results in the production of a series of cell lines that cover a spectrum of malignancy from nontumorigenic to highly tumorigenic in a single species. A panel of plant lectins was used to study surface characteristics of these cell lines that might correlate with tumorigenicity. Because of the complex nature of lectin-cell surface interactions, a number of parameters were determined; they included numbers and densities of lectin receptors, binding affinities, and receptor mobilities. The lectins from Lens culinaris, Lotus tetragonolobus, and Ricinus communis were found to be the most useful for differentiating among the various Ad2-transformed cell lines. In general, the more tumorigenic cell lines were characterized by high numbers of lectin receptors, high percentages of lectin binding cells, and heterogeneous distributions of receptors from cell to cell. In contrast, the nontumorigenic and the weakly tumorigenic cell lines were characterized by low numbers of lectin receptors present on a minority of cells within each population and a more homogeneous distribution of these receptors from cell to cell. These data demonstrate that lectins can identify surface properties that appear to correlate with malignant potential in the Ad2 transformed cell lines. PMID- 6573540 TI - Retinoid-specific induction of differentiation and reduction of the DNA synthesis rate and tumor-forming ability of a stem cell line from a rat mammary tumor. AB - Differentiation of the stem cell line rat mammary (Rama) 25 to alveolar-like cells can be monitored by the increase in production of domes (hemispheric blisters) in the cell monolayer and immunoreactive casein in the tissue culture medium. This step was accelerated not only by the synthetic inducer dimethyl sulfoxide (DMSO) but also by all-trans-retinol, all-trans-retinal, all-trans retinoic acid (RA), and all-trans-retinyl acetate (concentration range, 0.04-4 microM) in the presence of the hormones prolactin, hydrocortisone (HC), insulin, and 17 beta-estradiol; 9-cis-all-trans-retinal was without effect. A combination of RA and HC was active in producing doming, whereas RA, all four hormones, and serum were required for maximum production of immunoreactive casein. The retinoids in the same concentration range also caused a reduction in the DNA synthetic rate in a similar time period. When Rama 25 cells were treated with RA and the four hormones yielding the droplet and doming cultures, subsequent injection of these cells into young, female inbred nu/nu (nude) mice led to a reduced incidence of tumors compared with injections of untreated cells. Tumorigenic variant cell lines were selected previously from Rama 25 that were either elongated and failed to differentiate at all to doming and casein secreting cultures (Rama 521) or that did so spontaneously but whose rates were not accelerated by addition of DMSO (Rama 259). Both Rama 521 and Rama 259 failed to respond to the retinoids and hormones in producing domes and immunoreactive casein, in decreasing DNA synthetic rates, and in lowering the incidence of tumors induced by injection of the cell lines into nude mice. Thus the anticancer activity of the retinoids in rat mammary gland carcinogenesis may be due in part to their differentiation-inducing properties. PMID- 6573541 TI - Carcinogenesis in F344 rats by N-nitrosomethyl-n-propylamine derivatives. AB - The carcinogenicity of N-nitrosomethyl-n-propylamine and five of its derivatives, including N-nitrosomethyl-n-butylamine, was compared by oral administration of the compounds to inbred F344 rats. N-Nitromethyl-n-propylamine and N nitrosomethyl-n-butylamine given in drinking water induced tumors of the upper gastrointestinal tract, mainly carcinomas of the esophagus, and appeared to be of comparable potency. N-Nitrosomethyl(2-hydroxypropyl)amine also mainly induced esophageal carcinomas (100% incidence) and lung tumors, whereas N nitrosomethyl(2,3-dihydroxypropyl)amine mainly induced nasal cavity tumors and gave rise to a high incidence of esophageal tumors; however, it appeared to be less potent than the monohydroxy compound. N-Nitrosomethyl(2-oxopropyl)amine, the ketone corresponding to N-nitrosomethyl(2-hydroxypropyl)amine, was a more potent carcinogen than the latter at comparable doses in drinking water and gave rise to a high incidence of esophageal tumors and tumors of the trachea; female rats had a high incidence (15/20) of angiosarcomas of the liver, but only 2 male rats died with this tumor. When N-nitrosomethyl(2-oxopropyl)amine was administered at a lower dose in drinking water or at the same dose given by gavage, the incidence of esophageal tumors was lower and there were fewer carcinomas. After administration of large doses in drinking water to male and female rats, N nitrosomethyl(3-carboxypropyl)amine, a urinary metabolite of several N nitrosomethyl-n-alkylamines that induce tumors of the urinary bladder in rats, gave rise to a high incidence of transitional cell carcinomas of the bladder. The time to death of animals with these tumors was long, and there were few other tumors. PMID- 6573542 TI - Comparison of age- and sex-specific incidence rate patterns of the leukemia complex in the cat and the dog. AB - Data on cancer cases in cats and dogs were collected systematically by the Animal Neoplasm Registry of Alameda and Contra Costa Counties, Calif., a population based animal tumor registry. Etiologic relationships were evaluated on the basis of comparisons of age-specific, sex-specific, and age-neutered-specific incidence rate patterns of the leukemias. Age-adjusted annual incidence rates for all leukemias per 100,000 cats or dogs were 224.3 and 30.5, respectively. The cat had 6.1 times more malignant lymphomas and 15.7 times more myeloproliferative disease than the dog. Feline age-specific rates indicated a bimodal age pattern for all leukemias and for malignant lymphoma alone and a single early peak for myeloproliferative disease. In the dog, all age-specific patterns increased with age and peaked later in life. Feline sex-specific, age-adjusted rates showed that the neutered female was at lowest risk, followed by the neutered male, entire female, and entire male. In the dog, the neutered male was at lowest risk while the other three sex categories were clustered. However, the magnitude of expression within each species separately was the same for the neutered male, entire male, and entire female, but not for the neutered female. Neutering decreased the risk of leukemias in the female cat by approximately one-half but did not affect the risk of leukemias in the female dog. PMID- 6573543 TI - Conference and workshop on cancer epidemiology in Latin America. Opportunities for collaborative research. PMID- 6573544 TI - [Muscle pain]. PMID- 6573545 TI - Mechanism of concentrating defect in hypercalcemia. Role of polydipsia and prostaglandins. PMID- 6573546 TI - Influences of thrombin, factor XIII and fibronectin on the growth of tumor cells and leukemic cells in vitro. AB - Thrombin, factor XIII and fibronectin were incubated with cultures of mouse sarcoma cells, human cervix carcinoma cells (HeLa cells) and cells of an acute lymphoblastic leukemia. Thrombin induced a significant increase of 3H-thymidine uptake into cells with a 1,5- to 2-fold increase of cell count. The cells of an acute lymphoblastic leukemia showed a similar response to the influence of thrombin. Factor XIII merely induced an increase of 3H-thymidine uptake in tumor cells, the cell count remained constant. These results differ from experiments with cultures of normal fibroblasts. Decreased receptor density in tumor cells toward factor XIII and thrombin would play a role so that the mitogenic stimulus is impaired. The cells of an acute lymphoblastic leukemia showed under the influence of factor XIII a significant increase of cell count and thymidine uptake. HeLa cell growth was optimal at low fibronectin concentrations. Fibronectin concentrations of 1 mg/ml to 3 mg/ml inhibited HeLa- and mouse sarcoma cell growth. PMID- 6573547 TI - Comparison of bioassay methods for the estimation of wound-released prostaglandin like activity. AB - Methods of bioassay of prostaglandin-like activity (PGLA) released from wounds applied to isolated rat tail skin strips were compared. Administration of multiple bolus doses of PGE2 was used to simulate the response to wound-released PGLA. Estimates of the multiple dose administered were prepared by measuring the peak heights of single bolus and infused doses of PGE2 and also of peak response area measurements of single bolus doses in a three point assay procedure. Comparison of these three methods of measurement demonstrated that peak response height estimates underestimated the simulated wound response value. The mean difference between the bolus dose area estimate and the simulated wound response value was 1.4 +/- 1.2 ng PGE2, and there was a highly significant correlation between the bolus dose area estimates and the simulated wound response values over the range 2.0-12.15 ng PGE2. Data from additional studies using this assay method show that arachidonic acid increased and indomethacin decreased the release of PGLA from wounds and further that wound PGLA release from the skin of diabetic rats was also decreased. PMID- 6573548 TI - [A simple method for the treatment of persistent interstitial pulmonary emphysema in infants]. PMID- 6573549 TI - Fatal myocarditis associated with peritonsillar abscess. AB - A case report of a patient with tonsillitis and peritonsillar abscess, who subsequently developed fatal myocarditis, is presented. The clinical course and pathological findings are outlined. The rare association of tonsillitis and pharyngitis with non-rheumatic, non-diphtheritic, non-fatal myocarditis was recognized and reported in the pre and early antibiotic era. The present reported case is only the second recent description of fatal myocarditis associated with tonsillitis, and the first ever reported in the English Otolaryngologic literature. PMID- 6573550 TI - Enhanced serotonin-stimulated adenylate cyclase activity in membranes from adult guinea pig hippocampus. AB - We have developed an assay for serotonin (5-HT) stimulation of adenylate cyclase activity in membranes from adult guinea pig hippocampus. The response to 5-HT is concentration-dependent, with an EC50 of 0.01 microM, a shallow slope, and mean maximal stimulation of 90% over basal activity. The response to 5-HT is GTP dependent and additive to the maximal stimulation by histamine. Micromolar concentrations of the known 5-HT receptor agonists, tryptamine and 5 methoxytryptamine, also stimulate cAMP production in this system, and their effect is not additive to that elicited by a maximal concentration of 5-HT. These results are consistent with the hypothesis that the response to 5-HT is elicited through a distinct receptor coupled to adenylate cyclase; the magnitude and the reproducibility of the 5-HT response in this system should make it useful for receptor classification. To examine the effect of prior exposure to endogenous 5 HT on the responsiveness of the system, we assayed 5-HT stimulation of enzyme activity in membranes prepared from animals 25-27 hrs after treatment with a single injection of reserpine (5 mg/kg, i.p.). The mean maximal stimulation of adenylate cyclase by 5-HT was increased to 150% over basal activity with no effect on the EC50 or slope of the 5-HT concentration-response curve. Reserpine pretreatment did not affect basal activity or histamine-stimulated adenylate cyclase activity. These results are discussed in the context of a hypothesis that endogenous 5-HT normally exerts a desensitizing effect on its receptors in situ. PMID- 6573551 TI - Complications of and improvements to breathing circuit monitors for anesthesia ventilators. AB - Despite significant improvements in the safety of anesthetic equipment in recent years, disconnection in the patient breathing circuit remains one of the most common types of preventable anesthetic mishaps. Many currently available breathing-circuit monitors cannot reliably detect several hazardous conditions in the breathing circuit. An improved breathing circuit monitor has been developed that reliably detects realistic simulations of many hazardous conditions. The software algorithm in this monitor stores the normal pressure waveform in the patient circuit, evaluates the ongoing waveform in terms of sets of absolute and relative criteria, and warns the operator when such criteria are not satisfied. A comprehensive technical and clinical evaluation is underway. PMID- 6573552 TI - [Oro-facial manifestations of leprosy in cases seen in Somalia]. PMID- 6573553 TI - [Anesthesiological trials in experimental surgery on the rabbit]. PMID- 6573554 TI - [A new method for analyzing occlusal relations]. PMID- 6573555 TI - [Statistical analysis of 280 patients with dysfunction of the stomatognathic apparatus]. PMID- 6573556 TI - [Temporary stabilization of periodontopathic tooth fragments with substitution of the missing elements]. PMID- 6573557 TI - [Temporary prosthetic rehabilitation of single-tooth gaps]. PMID- 6573558 TI - [Implant prosthesis and the civil dispute]. PMID- 6573559 TI - [Chronic granulomatous periapical lesions. General comments]. PMID- 6573560 TI - [Olfactometric examination for smell and taste in diabetic patients. Clinico statistical findings]. PMID- 6573561 TI - [Sialolithiasis in childhood. Clinical contribution]. PMID- 6573562 TI - [Surgery of oral cancer in the infrastructure. Anatomico-pathological, clinico therapeutic and prognostic aspects]. PMID- 6573564 TI - [So-called central giant cell reparative granuloma of the jaws (giant cell dysplasia). Presentation of a surgical case load of 51 patients with a follow-up of 37 cases]. PMID- 6573563 TI - [So-called central giant cell reparative granuloma of the jaw bone. Scanning electron microscopic examination of the hard root tissues of the teeth involved and relative clinico-biological comments]. PMID- 6573565 TI - [Glass-ionomer cements in conservative dentistry. Clinical, practical and social aspects]. PMID- 6573566 TI - [Lesions of the inferior alveolar nerve due to the introduction into the mandibular canal of substances used in endodontic therapy]. PMID- 6573567 TI - [A complication of endodontic treatment: anesthesia of the inferior alveolar nerve]. PMID- 6573568 TI - [A case of juxtacortical osteogenic sarcoma]. PMID- 6573569 TI - Therapy of secondary acute nonlymphocytic leukemia. PMID- 6573570 TI - Detection of leukemia-related karyotypes in granulocyte/macrophage colonies from a patient with acute myelomonocytic leukemia. AB - We performed cytogenetic analysis of 11 normal-appearing granulocyte/macrophage colonies derived from cultures of the marrow of a child with acute myelomonocytic leukemia in relapse. We found diploid karyotypes and two abnormal ones--both hyperdiploid and containing the translocation t(1q-;11q+). A clonal origin of the karyotypic differences was suggested by the absence of variation within individual colonies. The evidence suggests that in this patient, the cytogenetic abnormality originated at or before the stage of granulocyte/macrophage progenitor. PMID- 6573572 TI - A legacy of the Third Reich--Organophosphate insecticide poisoning. PMID- 6573571 TI - Cesarean section in modern-day obstetrics. PMID- 6573573 TI - Some empirical findings on the right to refuse treatment. PMID- 6573574 TI - A pecuniary type of sado-masochism with origins in Scotland. PMID- 6573576 TI - Sleep in Gilles de la Tourette's syndrome: disorder of arousal. AB - Overnight polygraphic sleep studies, which included accelerometry and video monitoring, were performed on 14 Tourette patients before therapy and on 11 age matched controls. Tourette patients less than 23 years old had a significantly increased percentage of stage 3/4 sleep, had an increased number of awakenings, had a decreased percentage of REM sleep, experienced paroxysmal events during stage 4 sleep, and had motor tics during all stages of sleep. Three patients were treated with tetrabenazine and subsequently showed significant decreases in percentage of total sleep, number of awakenings, and number of tics during sleep. These findings suggest a disorder of arousal in Tourette patients. PMID- 6573575 TI - [Treatment of brain tumor with phenobarbital and continuous infusion of ACNU into internal carotid artery]. PMID- 6573577 TI - [Glomerulonephritis in the course of filariasis and malaria. Case study]. PMID- 6573578 TI - In vitro remineralisation of artificial caries-like lesions with milk. PMID- 6573579 TI - Causes of edentulousness. PMID- 6573580 TI - Dentistry in the twenty-first century. PMID- 6573581 TI - Mortality and social class in New Zealand. I: overall male mortality. AB - Social class differences in New Zealand male mortality are investigated using two different systems of social class classification. In each case it is found that the lower social classes have mortality rates significantly higher than those of the upper social classes with the mortality rate of the lowest class being approximately twice that of the highest class on a six-category scale. The relative risk is higher in the younger age-groups. When the British Registrar General's scale is used New Zealand exhibits a social class mortality gradient similar to that previously found in England and Wales, but the lowest social class experiences a particularly high mortality rate. PMID- 6573582 TI - The use of iatrogenic hypothyroidism to treat intractable angina. AB - An elderly man who had incapacitating angina, despite coronary artery surgery and maximal medical management was deliberately made hypothyroid with radio-iodine. Five years later he was virtually free of chest pain. There is still a limited number of patients in whom this is a useful form of therapy, despite the attendant morbidity of myxoedema. PMID- 6573585 TI - Sudden death in runners. AB - Coronary heart disease risk factors and circumstances of death were examined in 258 people who were a representative sample of all persons, less than 70 years of age, dying suddenly and unexpectedly in Auckland during the twelve month period from 1 March 1981. From this sample we identified nine individuals who had been running regularly for more than three months prior to death. All those identified were men aged between 35 and 56 years, all had historical evidence of abnormal coronary heart disease risk factors and six were known to have had symptomatic cardiovascular disease. Seven of the nine died during or within 30 minutes of exercise and eight of the nine had postmortems showing severe coronary artery disease. PMID- 6573583 TI - Surgeon and anaesthetist. PMID- 6573584 TI - Digitalis. PMID- 6573586 TI - The future for doctors in New Zealand. PMID- 6573587 TI - How much wine is enough for New Zealand? PMID- 6573588 TI - Asthma in New Zealand. PMID- 6573589 TI - Air pollution in Christchurch. PMID- 6573591 TI - Is traditional Samoan massage a form of acupressure? PMID- 6573590 TI - Gastroenteritis in children. PMID- 6573592 TI - Postoperative pain. PMID- 6573593 TI - Ethnic differences in the incidence of cleft lip and/or cleft palate in Auckland, 1960-1976. AB - The incidence of facial clefts among live births in the Auckland urban area has been studied for the years 1960-1976. After correction for ascertainment, the live-born incidence of non-syndromal cleft palate among Maoris was 1.867/1000, and among Europeans it was 0.643/1000. The incidences for non-syndromal cleft lip, with or without cleft palate, were 0.397/1000 for Maoris, and 1.195/1000 for Europeans. The sex ratio for cleft palate showed the usual female preponderance, although there was evidence of heterogeneity between the races. Cleft lip occurred more commonly among males. Birth rank, maternal age, and paternal age had no apparent effect on the incidences, and there were no significant secular or seasonal changes in incidence. PMID- 6573595 TI - A prospect for change. PMID- 6573594 TI - The prevention of coronary heart disease. PMID- 6573596 TI - Attitudes of mothers of five-year-old children to compulsory child health provisions. AB - The attitudes of a sample of 1123 mothers of five-year-old children participating in the Christchurch Child Development Study, to a series of issues relating to the compulsory protection of children were studied. The issues examined were: the introduction of car seat restraint legislation, compulsory fencing of domestic swimming pools, the desirability of linking child health care provisions to family benefit payments and the desirability of water fluoridation. Contrary to common assumptions, this sample showed strong support for the introduction of compulsory methods for protecting child health: approximately 90% of respondents favoured car restraint and pool fencing provisions, two-thirds were in favour of linking family benefit payments to routine child health care provisions but less than half were in favour of water fluoridation. The implications of these findings for the introduction of compulsory child health provisions are discussed. PMID- 6573597 TI - Toxicology--whither now? PMID- 6573598 TI - Coronary heart disease: prevention and control in 1983. PMID- 6573599 TI - Accident compensation corporation medical fees: a proposal. PMID- 6573600 TI - New Zealand Medical Association: a response for consideration by the NZMA Council. PMID- 6573602 TI - Rubella surveillance in a group practice. PMID- 6573601 TI - Self-reported use of alcohol. PMID- 6573603 TI - Closed and open partial meniscectomy for bucket handle tears: a comparative evaluation. AB - Two groups of patients with bucket-handle tears of the meniscus were treated by open operation (27) and by closed operation (29). Pre-operative arthroscopy was carried out on all. Those treated by closed operation had much shorter recovery time and returned to work earlier that those with open operation. Symptomatic relief was obtained by all. PMID- 6573604 TI - Drugs taken by a population based sample of subjects 65 years and over in New Zealand. AB - Drug taking by a population based sample of 559 subjects aged 65 years and over was investigated. The median number of drugs prescribed for those 65-79 years was 1.5 drugs per subject and for those 80 years and over was 2.1 drugs per subject. In those 80 years and over, over 30% were taking diuretics, over 20% were taking digoxin and over 30% were taking psychotropic drugs. Analysis of those taking six or more drugs showed that the number of drugs prescribed could be reduced by avoiding duplication of drugs with similar action, avoiding unnecessary drugs and avoiding drugs of no proven value. The majority of subjects knew the purpose of their medications, were able to read the prescription instructions and complied with these instructions. Sharing and hoarding of tablets were uncommon. PMID- 6573605 TI - Pulmonary sequestration: a review of 12 cases. AB - A review of patients over a twenty-three year period with a diagnosis of pulmonary sequestration was undertaken. Of the twelve patients with this diagnosis, ten had intralobar sequestrations, and two had the extralobar variety. The most common presenting complaint, in six of the patients, was an unresolving localised chest infection. All had abnormal plain chest radiographs. There was a high incidence of an anomalous vascular supply, and aortography was useful in investigation. Operative management consisted of segmentectomy or lobectomy for the intralobar form and simple excision for the extralobar form with good results. PMID- 6573606 TI - Iliac compression syndrome: a myth, a rarity or a condition frequently missed? AB - A case of the iliac compression syndrome is reported and the literature on the subject reviewed. The anatomical abnormality which may cause symptoms in this condition is a frequent radiological and necropsy finding whose significance has been the subject of considerable debate. Evidence is presented that left iliac vein compression by the overlying right common iliac artery may cause symptoms of venous hypertension in the absence of venous thrombosis. As the condition may carry a risk of iliofemoral thrombosis with subsequent major morbidity and is surgically correctable it should be considered in the differential diagnosis of all patients presenting with oedema of the left leg. PMID- 6573608 TI - Lyme disease: a new entity. PMID- 6573607 TI - Post-basic education for nurses. PMID- 6573609 TI - The enemies of a renaissance in New Zealand medicine. PMID- 6573611 TI - Presidential address. PMID- 6573610 TI - Determining continuing medical education curricula for general practitioners--a survey of self-perceived needs. AB - Determining the curriculum content of continuing medical education programmes is an important, but problematic element of all programme planning in continuing professional education. Surveying the participants' (self-perceived) needs has the advantage over most other methods in guaranteeing accompanying high levels of learner motivation because of perceived relevance. A study of 474 general practitioners' perceived needs of five general topic areas of continuing medical education is reviewed, showing the degrees of interest in the eighty-seven topics and the ways in which such results can be utilised in future educational planning. PMID- 6573612 TI - Registrar post establishments. PMID- 6573613 TI - Hypoglycemia induced seizures following a marathon. PMID- 6573614 TI - Total patient care from the relative's side of the fence. PMID- 6573615 TI - Anorexia nervosa. PMID- 6573616 TI - Nurses give their opinions of the registered comprehensive nurse. PMID- 6573618 TI - The DSSNY's marketing efforts on behalf of the membership. PMID- 6573619 TI - Marketing: Rx for your practice. PMID- 6573617 TI - Contributions from health psychology: preparing patients for aversive medical procedures. PMID- 6573620 TI - The delicate art of marketing. PMID- 6573622 TI - Electrical stimulation and tooth movement. PMID- 6573621 TI - Using talk show interviews as effective practice builders. PMID- 6573623 TI - Videotapes as diagnostic aids for orthognathic surgery. PMID- 6573624 TI - Working relationship agreement between the dentist, dental laboratory and dental laboratory technician. PMID- 6573625 TI - Insurance: a hedge against risk. PMID- 6573627 TI - Defense of dental malpractice suits: some practical suggestions. PMID- 6573626 TI - Malpractice: the burden of responsibility. PMID- 6573628 TI - Implementing the DSSNY Dentists Assistance Committee. PMID- 6573630 TI - The law and patients' records. PMID- 6573629 TI - The dentist and the hepatitis B vaccine. PMID- 6573631 TI - A conversation with L. Don Shumaker, ODA president. PMID- 6573632 TI - Oxygen therapy in the dental practice. PMID- 6573633 TI - The struggle to save a dental shrine. PMID- 6573634 TI - For every problem there is a solution. PMID- 6573635 TI - The direct reimbursement approach to dental coverage. PMID- 6573636 TI - The Economics of Practice Monitor benefits dental profession. PMID- 6573637 TI - What you should know about tax deductions. PMID- 6573638 TI - Current dental materials. Part I: Amalgam alloys. PMID- 6573639 TI - An alternative approach to mandibular block anaesthesia. PMID- 6573640 TI - Artificial gingival replacements. PMID- 6573641 TI - [Questions of principle in genetics]. PMID- 6573642 TI - [Dyserythropoiesis in the fetal liver as an indicator of the intensity of stress caused by abortion]. PMID- 6573643 TI - Medical staff credentialing of physicians and dentists. PMID- 6573644 TI - Nursing allies grow in strength. PMID- 6573645 TI - Diary of impaired nurse: R.N. shares battle with alcohol. Part 1. PMID- 6573646 TI - Fluoride content of Minnesota water. PMID- 6573648 TI - Lend a helping hand to a dental student. PMID- 6573649 TI - Marketing. PMID- 6573647 TI - Dental calculus - what causes its formation? PMID- 6573650 TI - Paediatrics: a shadow hanging over us. PMID- 6573651 TI - Referred shoulder pain. An elusive diagnosis. PMID- 6573652 TI - The chronic leukemias. Clinical picture, diagnosis, and management. AB - The chronic leukemias have an annual incidence in the United States of about 12,000 cases. The most common types are chronic myelogenous leukemia (CML) and chronic lymphocytic leukemia (CLL). Less common are hairy cell leukemia (HCL) and prolymphocytic leukemia (PLL). All forms have an insidious onset and vague, non specific presenting symptoms, eg, fatigue, malaise, night sweats, weight loss. Chemotherapy is the initial treatment for CML and CLL; splenectomy, splenic irradiation, and leukapheresis may also be helpful. Splenectomy is the preferred treatment for HCL. Until recently all chronic leukemias have been ultimately fatal, but the new approach of allogeneic bone marrow transplantation now used in some cases of CML may prove to be curative if done before the disease has progressed too far. PMID- 6573653 TI - Diabetes insipidus as a complication of acute myelomonocytic leukaemia. AB - A female patient, aged 44, with diabetes insipidus as a complication of acute myelomonocytic leukaemia (AMML) is described. She presented with bleeding, anaemia, polyuria and polydypsia. She was treated with intranasal vasopressin for diabetes insipidus and responded well to treatment. Chemotherapy was administered for the leukaemia and a full remission was achieved. The patient relapsed a few days before final admission to hospital and died of septicaemia 7 months after initial diagnosis. A short review of the literature related to this subject is also presented. PMID- 6573654 TI - Regulation of sea urchin glycoprotein mRNAs during embryonic development. AB - Gastrulation in sea urchin embryos is accompanied by a striking increase in the synthesis of N-linked glycoproteins, and inhibitors of this process block gastrulation. In this report, the messages coding for N-glycosylatable proteins in the developing embryo of the sea urchin, Strongylocentrotus purpuratus, were examined. Total mRNA and mRNA isolated from membranes of the embryos at various stages of development were used to program a cell-free translation/glycosylation system prepared from rabbit reticulocyte lysate supplemented with dog pancreas microsomes. The glycosylated translation products were separated from the nonglycosylated products by concanavalin A-agarose and analyzed by gel electrophoresis. The results indicate that although the RNA derived from the membranes of gastrula-stage embryos contains messages coding for numerous glycoproteins, only trace amounts of glycoprotein messages are associated with membranes at earlier stages of development. mRNAs coding for four glycoproteins of M(r)s 70,000, 65,000, 51,000, and 30,000 were examined further in total RNA preparations from the developing embryo. The data indicate that the messages coding for the glycoproteins of M(r)s 65,000 and 51,000 are present also in the unfertilized egg and in the pregastrulation embryo. Because these two messages are not found associated with the membranes until gastrula stage, it is likely that the synthesis of these glycoproteins during gastrulation is regulated at the translational level. The messages coding for glycoproteins of M(r)s 70,000 and 30,000, on the other hand, are not detectable in the unfertilized egg and may be synthesized de novo by the embryos. Thus, the expression of these two glycoproteins during gastrulation is regulated at least in part on the transcriptional level. On the basis of these findings, it appears that different modes of regulation are used for different glycoproteins that are synthesized during gastrulation. PMID- 6573655 TI - Characterization of L-CAM, a major cell adhesion molecule from embryonic liver cells. AB - We have developed a method for purifying L-CAM, the cell adhesion molecule from embryonic chicken liver cells, and have compared its properties with those of N CAM, the neural cell adhesion molecule. L-CAM was released from membranes with trypsin, purified by a series of chemical techniques, and used to generate monoclonal antibodies which allowed the identification of the intact L-CAM molecule from membranes. The monoclonal antibodies were used to isolate trypsin released L-CAM in a single step by affinity chromatography. Material purified by either technique was predominantly a component of M(r) 81,000 on NaDodSO(4)/polyacrylamide gel electrophoresis with a pI of 4.0-4.5. Rabbit antibodies to this component and to the M(r) 81,000 species that had been further purified on NaDodSO(4)/polyacrylamide gel electrophoresis displayed all of the activities of anti-L-CAM. Some of the trypsin-released L-CAM bound specifically to lentil lectin, suggesting that L-CAM is a glycoprotein. The apparent molecular weight of material having L-CAM antigenic determinants depended upon the procedures used to extract membranes; this appears to account for the various values reported previously in the literature. Both the rabbit serum antibodies and the monoclonal antibodies detected the M(r) 81,000 species on immunoblots of unfractionated trypsin-released material. Immunoblots of whole liver cell membranes with the same antibodies revealed a major M(r) 124,000 component, with minor components of M(r) 94,000 and 81,000. Active L-CAM derivatives released by trypsin in the presence of EGTA were detected as a species of M(r) 40,000. L-CAM derivatives obtained by extraction of membranes with EDTA alone appeared as species of M(r) 53,000, 62,000, and 81,000. The combined results suggest that L CAM on the cell surface is an acidic glycoprotein of M(r) 124,000. In the presence of calcium, the molecule can be released from membranes by trypsin as a soluble M(r) 81,000 fragment; in the absence of calcium, it is released by either endogenous proteases or by trypsin as a variety of smaller fragments. PMID- 6573656 TI - Silkmoth chorion multigene families constitute a superfamily: comparison of C and B family sequences. AB - We have characterized a new family of silkmoth chorion genes, called C, which is distinct from previously characterized A and B families. The amino acid compositions of 18 purified C proteins have been determined. Three subgroups are recognized on the basis of compositional similarities and may correspond to distinct gene families or subfamilies. The sequences of two overlapping cDNA clones have been determined in their entirety and shown to correspond to a C specific sequence. Obvious homology is observed between the middle portions of the C sequence and previously characterized B sequences. By contrast, the arms of the C sequence share no significant similarities either with each other or with the corresponding arms of B sequences. Thus, the same tripartite structure originally observed in A and B family sequences is also present in the C family and may have functional significance. Secondary structure prediction of the C sequence is presented and supports this conclusion. The observed homology between C and B family sequences clearly establishes that silkmoth chorion multigene families constitute a superfamily. PMID- 6573657 TI - Selective constraint in protein polymorphism: study of the effectively neutral mutation model by using an improved pseudosampling method. AB - To investigate the pattern of allelic distribution in enzyme polymorphism, with special reference to the relationship between the mean (H) and the variance (V(H)) of heterozygosity, we used the model of effectively neutral mutations involving multiple alleles in which selective disadvantage of mutant alleles follows a Gamma distribution. A simulation method was developed that enables us to study efficiently the process of random drift in a multiallelic genetic system and that saves a great deal of computer time. It is an improved version of the pseudosampling-variable (PSV) method [Kimura, M. (1980) Proc. Natl. Acad. Sci. USA 77, 522-526] previously used to simulate random drift in a diallelic system. This method will be useful for simulating many models of population genetics that involve behavior of multiple alleles in a finite population. By using this method, it was shown that, as compared with the model of strictly neutral mutations, the present model gives the reduction of both H and V(H) and an excess of rare variant alleles. The results were discussed in the light of recent observations on protein polymorphism with special reference to the functional constraint of proteins involved. PMID- 6573659 TI - Secondary structures of proteins and peptides in amphiphilic environments. (A review). AB - Many peptides and proteins that act at lipid--water interfaces assume a unique amphiphilic secondary structure which is induced by the anisotropy of the interface. By using synthetic peptides in which these inducible amphiphilic structures have been optimized, one can show that the amphiphilic alpha helix is a functional determinant of representative apolipoproteins, peptide toxins, and peptide hormones. By increasing the amphiphilicity of the structurally important regions of the molecule, one can enhance the biological activity of the peptide even beyond that of the naturally occurring polypeptide. It is proposed that rigid amphiphilic secondary structures such as alpha helix, beta sheet, or pi helix will be found in most medium-sized peptides acting at membranes and lipid- water interfaces. PMID- 6573658 TI - Nucleotide and deduced amino acid sequences of Torpedo californica acetylcholine receptor gamma subunit. AB - The nucleotide sequence has been determined of a cDNA clone that codes for the 60,000-dalton gamma subunit of Torpedo californica acetylcholine receptor. The length of the cDNA clone is 2,010 base pairs. The 5' and 3' untranslated regions have respective lengths of 31 and 461 base pairs. Data suggest that the putative polyadenylylation consensus sequence A-A-T-A-A-A may not be required for polyadenylylation of the mRNA corresponding to the cDNA clone described in this study. From the DNA sequence data, the amino acid sequence of the gamma subunit was deduced. The subunit is composed of 489 amino acids giving a molecular mass of 56,600 daltons. The deduced amino acid sequence data also indicate the presence of a 17-amino acid extension or signal peptide on this subunit. From these data, structural predictions for the gamma subunit are made such as potential membrane-spanning regions, possible asparagine-linked glycosylation sites, and the assignment of regions of the protein to the extracellular, internal, and cytoplasmic domains of the lipid bilayer. PMID- 6573660 TI - Characterization of the chicken vimentin gene: single copy gene producing multiple mRNAs. AB - Genomic clones and cDNA plasmids were isolated for the intermediate filament protein vimentin from chicken. The identity of the various clones was determined both by mRNA selection [Paterson, B. M. & Roberts, B. E. (1981) in Gene Amplification and Analysis, Structural Analysis or Nucleic Acids, eds. Chirikjian, J. G. & Papas, T. S. (Elsevier, North Holland), Vol. 2, pp. 418-435] and nucleotide sequence analysis. Restriction analysis, hybridization data, and heteroduplex studies confirmed that all of the genomic isolates contained overlapping fragments of an identical vimentin gene. No evidence for the existence of a second vimentin gene could be found by a Southern analysis either by using coding fragments from the purified vimentin gene or by using cDNA plasmids as probe. Likewise, copy-number experiments verified that the vimentin gene was present only once in the haploid chicken genome. However, in a RNA blot analysis, at least two equally abundant vimentin mRNA species of approximately 2,200 and 2,500 nucleotides in length were detected in all RNAs tested. Sequence analysis revealed that the vimentin gene contained two sets of tandem polyadenylylation sites, 249 and 532 nucleotides downstream from the stop codon for protein synthesis. It is proposed that the larger mRNA species arise because of complete transcription of the 3'-end of the vimentin gene (560 nucleotides of 3' nontranslated sequence), whereas the smaller mRNA species terminate after the first set of polyadenylylation sites. PMID- 6573661 TI - Crystallization of cytochrome bc1 complex. AB - Complex III (cytochrome bc1 particle; ubiquinol:ferricytochrome c oxidoreductase, EC 1.10.2.2) was purified from beef heart mitochondria by a combination of hydrophobic interaction and affinity chromatography. By washing the complex with detergent on the hydrophobic interaction column, phospholipids were effectively depleted; 7 mol of cardiolipin per mol of cytochrome c1 was retained in the final sample. NaDodSO4 gel electrophoresis showed nine polypeptide subunits in the sample. The molecular weight of the complex was estimated to be approximately equal to 225,000 from the specific heme c1 content and the subunit composition. The purified complex was crystallized by slow removal of the detergent in which the complex was dispersed. Electron micrographs and electron diffraction patterns showed that the crystal is hexagonal with unit cell dimensions a = b = 113 A, c = 132 A, and with angles alpha = beta = 90 degrees, gamma = 120 degrees. The role of bound cardiolipin in the structural integrity of the complex was discussed. PMID- 6573662 TI - Ordered phosphorylation of 40S ribosomal protein S6 after serum stimulation of quiescent 3T3 cells. AB - The amino acids and tryptic peptides that become phosphorylated in 40S ribosomal protein S6 after serum stimulation of quiescent 3T3 cells were examined by two dimensional thin-layer electrophoresis. In the maximally phosphorylated form of the protein, most of the phosphate was incorporated into serine and a small amount, into threonine. Digestion of this form of the protein with trypsin revealed 10 major phosphopeptides. All 10 contained phosphoserine and 2 of the 10 also contained phosphothreonine. Next, the five forms of increasingly phosphorylated S6 were individually separated on two-dimensional polyacrylamide gels or total S6 was isolated from cells that were stimulated for only a short time and their phosphotryptic maps were analyzed. The results showed that, as larger amounts of phosphate were added to S6, the phosphopeptides appeared in a specific order. PMID- 6573663 TI - In vitro complementation as an assay for purification of adenovirus DNA replication proteins. AB - As an approach to the purification of adenovirus-encoded DNA replication proteins, we have developed in vitro complementation assays that make use of viral mutants defective in DNA replication in vivo. Nuclear extracts prepared from cells infected with H5ts36 or H5ts125, two such mutants belonging to different complementation groups, were found to be defective in viral DNA replication in vitro. However, replication activity could be restored by mixing the two extracts. Replication activity in either extract also could be restored by addition of appropriate replication-deficient fractions purified from cells infected with wild-type adenovirus. By using such assays, H5ts36- and H5ts125 complementing activities were extensively purified. As expected, purified H5ts125 complementing activity consisted of a single major polypeptide, the 72-kilodalton (kDal) adenovirus DNA binding protein. The purified H5ts36-complementing activity consisted of the 80-kDal adenovirus terminal protein precursor and two other major polypeptides with apparent molecular masses of 140 and 65 kDal. Formation of the 80-kDal terminal protein-dCMP complexes, the proposed initial step in adenovirus DNA replication, required components in the purified H5ts36 complementing fraction and a cellular factor(s) but did not require the adenovirus DNA binding protein. The complete in vitro adenovirus DNA replication reaction was reconstituted from the purified H5ts36-complementing activity, the adenovirus DNA binding protein, and an extract from uninfected cells. PMID- 6573664 TI - Polyadenylylated nuclear RNA contains branches. AB - A highly charged component can be isolated from a total RNase T2 digest of nuclear polyadenylylated RNA from HeLa cells that is separable from caps by (dihydroxyboryl)aminoethyl-cellulose chromatography. Chemical and enzymatic analyses show that the component contains a 2'-5' phosphodiester bond that creates a branch at the 2'-hydroxyl group of one nucleotide already linked to an adjoining nucleotide through the usual 3'-5' phosphodiester bond. [Formula: see text] This structure was confirmed by analysis of a similar component isolated from nuclease P1 digests of the same nuclear polyadenylylated RNA. Branches occur in roughly 10% of nuclear polyadenylylated RNAs, including those >10S in size, but are absent from cytoplasmic polyadenylylated RNA. Possible implications for branches as intermediates in mRNA processing are discussed. PMID- 6573665 TI - In vitro discrimination of replicases acting on carcinogen-modified polynucleotide templates. AB - Three different poly(dC)s with modifications that block the N-3 of deoxycytidine were used as templates for polymer synthesis by Escherichia coli DNA polymerase I (EC 2.7.7.7). In contrast to previously reported results with transcriptases, the hydrated form of 3,N(4)-ethenodeoxycytidine (epsilondC.H(2)O) did not mispair. Both 3,N(4)-ethenodeoxycytidine (epsilondC) and 3-methyldeoxycytidine (m(3)dC) led to dTMP misincorporation: 1/20 epsilondC and 1/80 m(3)dC. No other misincorporations appeared to be significant in amount. Thus, both qualitatively and quantitatively, replication errors resulting from carcinogen-modified bases are less frequent than errors in transcription of the same deoxypolynucleotides. Replication of comparable ribopolynucleotide templates by cucumber RNA-dependent RNA polymerase (EC 2.7.7.48) was strongly inhibited by epsilonrC.H(2)O and epsilonrC, so that the fidelity of this enzyme could not be assessed. However, both poly(dC) and poly(rC) containing dU or rU led to incorporation of rA. The presence of even small amounts of purines in poly(rC) greatly depressed synthesis, but the complementary base was incorporated. The finding that an RNA replicase can utilize a deoxypolynucleotide template is a further indication that, at least in vitro, the specificity of the relationship of enzymes and their natural templates is not absolute. PMID- 6573666 TI - Regulation of three key enzymes in cholesterol metabolism by phosphorylation/dephosphorylation. AB - Our laboratories have investigated the role of phosphorylation/dephosphorylation in the regulation of three key enzymes in cholesterol metabolism. 3-Hydroxy-3 methylglutarylcoenzyme A (HMG-CoA) reductase (EC 1.1.1.34), the major regulatory enzyme in cholesterol biosynthesis, is inhibited by phosphorylation. Acyl CoA:cholesterol O-acyltransferase (ACATase; EC 2.3.1.26) and cholesterol 7 alpha hydroxylase (EC 1.14.13.7), key regulatory enzymes in the utilization of cholesterol, are activated by phosphorylation. In view of these results, we propose that short-term regulation of the concentration of intracellular unesterified cholesterol is achieved by a coordinate phosphorylation/dephosphorylation of these three enzymes. For example, if cholesterol enters the liver cell, HMG-CoA reductase would be inhibited by phosphorylation and biosynthesis of cholesterol would be reduced; however, reactions utilizing cholesterol would be activated, due to the phosphorylation of ACATase and cholesterol 7 alpha-hydroxylase. Thus, the phosphorylation/dephosphorylation of these three enzymes provides an elegant short-term mechanism for the homeostasis of intracellular unesterified cholesterol. PMID- 6573667 TI - Isolation and expression of an altered mouse dihydrofolate reductase cDNA. AB - We have constructed a cDNA library from a murine cell line expressing high levels of a dihydrofolate reductase (tetrahydrofolate dehydrogenase; 5,6,7,8 tetrahydrofolate:NADP+ oxidoreductase, EC 1.5.1.3) that displays an abnormally low affinity for methotrexate. From this library we have isolated a cDNA clone similar to, but distinguishable from, a cDNA clone previously demonstrated to encode the wild-type enzyme. Analysis of the nucleotide sequence of this cDNA clone allows us to predict that the altered dihydrofolate reductase differs from the wild-type enzyme at a single amino acid, reflecting the substitution of an arginine for a leucine residue in a region of the polypeptide thought to form a hydrophobic pocket essential for inhibitor binding. To confirm that this substitution was responsible for the altered properties of the enzyme, we genetically localized the region of the cDNA that specified resistance to methotrexate by in vitro recombination. These results reveal that a single nucleotide change in the codon specifying amino acid 22 of the enzyme was sufficient to alter the methotrexate sensitivity of the enzyme. We demonstrate that this altered gene can be employed as a dominant selectable marker in cultured cells expressing normal levels of wild-type dihydrofolate reductase. PMID- 6573668 TI - Tyrosyl protein kinases in normal rat liver: identification and partial characterization. AB - Rat livers were fractionated and subcellular components were assayed for tyrosyl protein kinase activity. About 60% of the kinase activity in the cytoplasm sedimented with the microsomal fraction, whereas 40% remained in the supernatant. Purification of cytosolic and microsomal kinases by ion-exchange and gel filtration chromatography resolved a major species whose molecular mass was 75 kilodaltons (referred to as TPK 75) and a minor one whose molecular mass was greater than 160 kilodaltons. Partially purified TPK 75 phosphorylated a protein of the same molecular mass on tyrosine residues. The activity associated with TPK 75 was not stimulated by growth factors and was sensitive to thiol re-agents. PMID- 6573669 TI - Mapping of single-stranded regions in duplex DNA at the sequence level: single strand-specific cytosine methylation in RNA polymerase-promoter complexes. AB - A method based on the differential rate of cytosine methylation in single- and double-stranded nucleic acids by dimethyl sulfate [Peattie, D.A. & Gilbert, W. (1980) Proc. Natl. Acad. Sci. USA 77, 4679-4682] has been developed for probing unpaired cytosines in DNA and DNA-protein complexes at the sequence level. Application of the method to the complexes between Escherichia coli RNA polymerase (EC 2.7.7.6) and three related promoters, lac UV5, trp, and a hybrid promoter tac resulting from the fusion of the two, reveals distinct differences in the way RNA polymerase unpairs DNA in these promoters. No single-stranded region is detectable in the complex with the trp promoter. For the lac UV5 promoter, the cytosines at positions -6, -4, -2, and -1 are in an unpaired region. The same cytosines in the tac promoter, which is homologous in sequence to lac UV5 in this region, are also found to be single stranded. For the pair of promoters lac UV5 and tac, the cytosine methylation reaction has also been used to demonstrate the steep temperature dependence of opening of base pairs by RNA polymerase. One striking feature is that the midpoint of this transition for the tac promoter is 3 degrees C lower than the corresponding value for lac UV5, even though the sequence of the unpaired region in the two promoters is identical. PMID- 6573670 TI - Immunoaffinity fractionation of the poly(ADP-ribosyl)ated domains of chromatin. AB - Antibody to poly(ADP-ribose) has been covalently coupled to Sepharose and utilized to isolate selectively oligonucleosomes undergoing the poly(ADP ribosyl)ation reaction from the bulk of chromatin. Approximately 12% of the unfractionated oligonucleosomes were bound to the immunoaffinity column and these represented essentially 100% of the original poly(ADP-ribosyl)ated nucleosomal species in the unfractionated chromatin. Poly(ADP-ribosyl)ated chromatin was not bound by preimmune IgG columns. KSCN eluted the modified nucleosomes in the form of nucleoprotein complexes. The eluted chromatin components were shown to contain poly(ADP-ribosyl)ated histones as well as automodified poly(ADP-ribose) polymerase. By using [3H]lysine- and [3H]arginine-labeled chromatin, it was shown that the poly-(ADP-ribosyl)ated histones, attached to stretches of oligonucleosomes bound to the column, had a 6-fold enrichment of the modification compared to histones of the unfractionated chromatin. This indicated that non poly(ADP-ribosyl)ated nucleosomes, connected and proximal to the modified regions, were copurified by this procedure. This allowed characterization of the oligonucleosomal DNA around poly(ADP-ribosyl)ated chromatin domains to be compared with the unbound bulk chromatin. The data indicated that immunofractionated poly(ADP-ribosyl)ated oligonucleosomal DNA contained significant amounts of internal single-strand breaks compared with bulk chromatin. The bound nucleo-protein complexes were found to be enzymatically active for poly(ADP-ribose) polymerase after elution from the antibody column. In contrast, the unbound nucleosomes, representing 90% of the unfractionated chromatin, were totally inactive in the poly(ADP-ribosyl)ation reaction. PMID- 6573671 TI - Effect of phosphorylation of the alpha-subunit of eukaryotic initiation factor 2 on the function of reversing factor in the initiation of protein synthesis. AB - The reticulocyte reversing factor (RF) isolated as a complex with eukaryotic initiation factor 2 (eIF-2) acts catalytically in restoring protein synthesis in reticulocyte lysates inhibited by heme deficiency. In reconstituted in vitro assay mixtures containing Mg2+ (0.25-0.5 mM), RF catalyzes the formation of the binary complex (eIF-2-GDP) but this effect is inhibited when eIF-2 is phosphorylated by the heme-regulated kinase for the alpha-subunit of eIF-2 (HRI). More significantly, RF catalyzes the rapid dissociation of (eIF-2-GDP), which permits the exchange of GTP for GDP and, in the presence of Met-tRNAf, promotes the formation of the ternary complex (eIF-2-Met-tRNAf X GTP). However, phosphorylation of the binary complex by HRI prevents its dissociation by RF and, as a consequence, ternary complex formation is inhibited. Our results indicate that phosphorylated binary complex [eIF-2(alpha P).GDP] interacts with RF to form a [RF . eIF-2(alpha P)] that is not readily dissociable. This binding of RF renders it unavailable to catalyze the dissociation of unphosphorylated binary complex, thereby blocking the recycling of eIF-2. Since RF is present in lysates at a limited concentration relative to that of eIF-2, the sequestering of RF in this manner could account for the observation that the phosphorylation of a small proportion of eIF-2 in heme-deficient lysates is sufficient to inhibit protein synthesis. PMID- 6573672 TI - Pyrimidine metabolism in Tritrichomonas foetus. AB - The anaerobic parasitic protozoa Tritrichomonas foetus is found incapable of de novo pyrimidine biosynthesis by its failure to incorporate bicarbonate, aspartate, or orotate into pyrimidine nucleotides or nucleic acids. Uracil phosphoribosyltransferase in the cytoplasm provides the major pyrimidine salvage for the parasite. Exogenous uridine and cytidine are mostly converted to uracil by uridine phosphorylase and cytidine deaminase in T. foetus prior to incorporation. T. foetus cannot incorporate labels from exogenous uracil or uridine into DNA; it has no detectable dihydrofolate reductase or thymidylate synthetase and is resistant to methotrexate, pyrimethamine, trimethoprim, and 5 bromovinyldeoxyuridine at millimolar concentrations. It has an enzyme thymidine phosphotransferase in cellular fraction pelleting at 100,000 X g that can convert exogenous thymidine to TMP via a phosphate donor such as p-nitrophenyl phosphate or nucleoside 5'-monophosphate. Thymidine salvage in T. foetus is thus totally dissociated from other pyrimidine salvage. PMID- 6573673 TI - Renal sulfate transport at the basolateral membrane is mediated by anion exchange. AB - The transport of sulfate was studied in basolateral membrane (BLM) vesicles isolated from rat kidney cortex by centrifugation on a Percoll self-generating gradient. In contrast to sulfate transport at the luminal membrane, sulfate uptake by BLM vesicles was not sodium dependent. However, imposition of an inside greater than outside bicarbonate gradient stimulated BLM sulfate uptake nearly 10 fold and produced a transient overshoot of about 4-fold. This process appeared to become saturated at high concentrations of either bicarbonate or sulfate. Sulfate itself, thiosulfate, and hydroxyl, but not chloride or thiocyanate, were able to substitute for bicarbonate. None of these anions was as effective as bicarbonate. The sulfate/bicarbonate exchange was unaltered by manipulation of membrane potential, suggesting that it was electroneutral. Both bicarbonate stimulation and overshoot could be prevented by known inhibitors of anion transport, including mercuric chloride, 4-acetamido-4'-isothiocyanostilbene-2,2'-disulfonic acid, and phloretin. Bicarbonate-stimulated sulfate uptake also was inhibited by thiosulfate, probenecid, and acetazolamide. Thus, rat kidney BLM vesicles showed carrier-mediated anion exchange. Its properties indicate that this carrier may participate in both reabsorptive and secretory sulfate transport. PMID- 6573674 TI - Sphingolipid metabolism in cultured fibroblasts: microscopic and biochemical studies employing a fluorescent ceramide analogue. AB - A fluorescent analogue of ceramide, N-[7-(4-nitrobenzo-2-oxa-1,3-diazole)] epsilon-aminocaproyl sphingosine (C6-NBD-ceramide), was used to investigate sphingolipid metabolism in Chinese hamster fibroblasts. C6-NBD-ceramide was incorporated into small unilamellar dioleoyl phosphatidylcholine vesicles and incubated with cells in monolayer culture at 2 degrees C, resulting in rapid and preferential transfer of the labeled ceramide from vesicles to cells. The cells were then washed and subsequently incubated at 37 degrees C for various intervals. The metabolism of C6-NBD-ceramide was monitored by lipid extraction and analysis, and the intracellular distribution of the labeled molecule was followed by fluorescence microscopy. Initially, fluorescence was detected almost exclusively in mitochondria, with over 90% of the extractable lipid fluorescence due to C6-NBD-ceramide. After 30 min at 37 degrees C, intense fluorescence appeared in the Golgi apparatus. This organelle was identified by colocalization of NBD fluorescence with a Golgi-apparatus-specific stain. At later times the plasma membrane became visibly labeled as well, at which point 90% of the cell associated fluorescence was recovered as NBD-labeled sphingomyelin and NBD labeled cerebroside. These metabolites were identified by enzymatic and biochemical analysis and by thin-layer chromatography of the fluorescent lipid extracts. The finding that C6-NBD-ceramide is used by these cells in standard pathways of sphingolipid biosynthesis suggests that this fluorescent precursor will be a valuable tool for correlating the metabolism of sphingolipids with their intracellular distribution and translocation. In addition, during its metabolism by Chinese hamster fibroblasts, this compound acts as a vital stain for the Golgi apparatus. PMID- 6573675 TI - Synthesis of spectrin in avian erythroid cells: association of nascent polypeptide chains with the cytoskeleton. AB - The site of synthesis of spectrin was investigated in erythroid cells from 10-day chicken embryos. After various periods of [35S]methionine incorporation the cells were lysed in a Triton X-100 (TX-100)-containing buffer and were separated into a TX-100-soluble and -insoluble (cytoskeletal) fraction. Analysis of these two fractions by two-dimensional gel electrophoresis after a short pulse-labeling period reveals that alpha-spectrin nascent polypeptides are present predominantly in the TX-100-insoluble fraction. These polypeptides can be immunoprecipitated with alpha-spectrin antisera and the [35S]methionine incorporated into them during a short pulse can be chased into mature alpha-spectrin molecules. The alpha-spectrin nascent polypeptide chains are released quantitatively from the TX 100 cytoskeleton by treatment of lysed cells with puromycin, suggesting that they themselves are not associated with the cytoskeleton. A small fraction of the newly synthesized mature alpha-spectrin molecules is rapidly incorporated into the cytoskeleton, as shown by the fact that they are not released by the puromycin treatment; the rest are recovered in the soluble fraction. These results suggest that alpha-spectrin is synthesized in association with the cytoskeleton during chicken erythropoiesis and assembles onto the membrane cytoskeleton posttranslationally. PMID- 6573676 TI - Localization of a family of MRNAS in a single cell type and its precursors in sea urchin embryos. AB - Spec 1 mRNAs increase 100-fold in abundance per embryo during early sea urchin development. Previous studies indicated an enrichment of this mRNA in ectoderm fractions of gastrulae and plutei. We have determined the precise localization of this mRNA by in situ hybridization techniques. In pluteus larvae, the mRNA is highly restricted to a set of morphologically uniform ectoderm cells in the dorsal part of the embryo. The mRNA is not detectable in other regions of ectoderm or in endoderm and mesoderm. The pattern of localization is already established at the gastrula stage, before these cells are distinguishable by morphological criteria. This pattern of distribution of Spec 1 mRNA is distinct from that of bulk poly(A)+ mRNA. Measurements of the amount of Spec 1 mRNA per embryo and the number of cells containing this RNA indicate that there are about 500 Spec 1 mRNA molecules per cell at the pluteus stage and probably twice as many at the gastrula stage. These results indicate that the sensitivity of the in situ hybridization method allows detection of sequences that comprise approximately equal to 0.05% of the embryo mRNA nucleotides. PMID- 6573677 TI - Unusual evolutionary conservation and frequent DNA segment exchange in class I genes of the major histocompatibility complex. AB - From comparisons of homologous DNA sequences for many different genes, it was shown that the silent positions of protein-encoding regions and introns evolve at high and remarkably similar rates for different genes. In addition, both silent positions and introns behave like clocks; they accumulated base substitutions at approximately constant rates with respect to geological time. The rates of evolution were estimated to be 5.5 X 10(-9), 3.7 X 10(-9), and 5.3 X 10(-9) per site per year for silent positions, short introns (less than approximately equal to 300 base pairs), and long introns (more than approximately equal to 500 base pairs), respectively. Contrary to expectation from the evolutionary clocks, DNA sequence comparison between pHLA 12.4 (a cloned HLA sequence) of man and Ld together with other H-2 genes of mouse, the class I genes of the major histocompatibility complex, revealed a surprisingly small amount of base substitution for both the introns and the silent positions; the degree of divergence is only about 60% of that of standard genes in the same species comparison. Furthermore, several segmental homologies have been observed between the class I genes of mouse, suggesting the frequent occurrence of gene conversion or double unequal crossing-over in evolution. Interrelations between the extreme polymorphism of the class I genes, the low evolutionary drift of the introns and the silent positions, and the frequent gene conversion or unequal crossing-over within the mouse genes are discussed. PMID- 6573678 TI - Cerebral metabolic studies in vivo by 31P NMR. AB - 31P NMR studies on the brains of living rabbits were carried out at 32 MHz in a spectrometer having a 200-mm clear bore. Paralyzed pump-ventilated animals under nitrous oxide analgesia were inserted into the 1.89-T field and signals were focused in the brain by using a 4-cm surface coil. Several conventional physiological variables were monitored together with 31P spectra during induction and reversal of insulin shock and hypoxic hypoxia sufficient to abolish the electroencephalogram and during status epilepticus. A reversible decrease in phosphocreatine stores accompanied by an increase in Pi was detected during hypoglycemia and hypoxia. Similar changes were observed in prolonged status epilepticus but were not reversed. ATP levels fell about 50% in hypoglycemia but only slightly in the other two metabolic stresses. Intracellular pH rose in hypoglycemia; in status epilepticus and hypoxia it fell, but only when cardiovascular function was severely impaired. From the measured NMR parameters and the assumptions (i) that creatine kinase was at equilibrium and (ii) that the creatine/phosphocreatine pool was constant, it was possible to calculate the relative changes in cytoplasmic ADP levels associated with these metabolic disturbances. PMID- 6573679 TI - Spatial localization of bleaching adaptation in isolated vertebrate rod photoreceptors. AB - Bleaching of a large fraction of the rhodopsin in isolated rod outer segments results in an irreversible desensitization of the rod. This desensitization is referred to as bleaching adaptation. The logarithm of the sensitivity of the rod during bleaching adaptation has been found by a number of workers to be linearly related to the concentration of unbleached rhodopsin. We have measured the desensitization due to bleaching adaptation produced by a spatially confined stimulus and found that its effects are highly local. The space constant for the spread of desensitization was less than 4 microns. The small apparent spread of desensitization beyond the bleached regions probably can be accounted for by defocusing and light scatter. Thus, the involvement of a freely diffusible transmitter in bleaching adaptation does not appear to be required. PMID- 6573680 TI - Nonlinear interactions in a dendritic tree: localization, timing, and role in information processing. AB - In a passive dendritic tree, inhibitory synaptic inputs activating ionic conductances with an equilibrium potential near the resting potential can effectively veto excitatory inputs. Analog interactions of this type can be very powerful if the inputs are appropriately timed and occur at certain locations. We examine with computer simulations the precise conditions required for strong and specific interactions in the case of a delta-like ganglion cell of the cat retina. We find some critical conditions to be that (i) the peak inhibitory conductance changes must be sufficiently large (i.e., approximately equal to 50 nS or more), (ii) inhibition must be on the direct path from the location of excitation to the soma, and (iii) the time course of excitation and inhibition must substantially overlap. Analog AND-NOT operations realized by satisfying these conditions may underlie direction selectivity in ganglion cells. PMID- 6573682 TI - Raised plasma thromboxane B2 levels in alcoholic liver disease. AB - In experimental animals endotoxin administration causes increased levels of thromboxane B2 and prostaglandins. Liver cirrhosis is often complicated by endotoxemia. In sixteen patients with alcoholic liver cirrhosis, we measured plasma thromboxane B2 levels. In twelve patients we found on one or more occasions raised plasma thromboxane B2 levels. Raised plasma thromboxane B2 levels were associated with significantly higher serum levels of urea, alkaline phosphatase, gamma glutamyl transpeptidase and lower antiplasmin and antithrombin III levels. It is possible that some of the complications in patients with alcoholic liver cirrhosis are mediated by thromboxanes. PMID- 6573683 TI - Thromboxane B2 in borderline and essential hypertensive patients. AB - Thromboxane B2 (TxB2) was measured in the venous and arterial plasma and in the urine of 15 borderline and 15 sustained essential hypertensive patients, and in the plasma and urine of 12 control normotensive age-matched subjects. Plasma and urine thromboxane B2 were significantly higher in both the borderline and sustained hypertensives than in the control normotensives. There was a significant positive correlation between urinary (i.e. renal)TxB2 excretion and the glomerular filtration rate, and between urinary TxB2 excretion and sodium excretion in the hypertensive but not in the normotensive subjects. Thromboxane A2 participates in pressure natriuresis. PMID- 6573681 TI - Extraneuronal saxitoxin binding sites in rabbit myelinated nerve. AB - The changes in binding of 3H-labeled saxitoxin (STX) to rabbit sciatic nerve during axonal regeneration (after nerve crush) and during axonal degeneration (after nerve section) were measured and compared with the corresponding changes in the sciatic nerves of other mammals (rat, guinea pig, and cat). In the rabbit and rat, regeneration after nerve crush is associated with a 2- to 4-fold increase in STX binding capacity, consistent with the known corresponding increase in the number of nodes of Ranvier in regenerating nerve. Furthermore, consistent with the disappearance of nodes that occurs with Wallerian degeneration, nerve section leads to a disappearance of all, or most, of the STX binding in rat and guinea pig nerve, similar to that previously found for cat nerve. However, in the rabbit, nerve section leads to a large maintained increase in STX binding. Intraneural injection of diphtheria toxin, which is known to damage Schwann cells and which causes an increase in STX binding in intact nerves, abolishes the binding in cut nerves. It is suggested that the increased binding in cut nerves is to nonneuronal sites situated on the surface membrane of the Schwann cells, which have greatly proliferated in number as axonal degeneration has progressed. The reason for the difference between rabbits and other species and the possibility that the binding sites of rabbit Schwann cells represent functional sodium channels remain to be investigated. PMID- 6573684 TI - Prostaglandin F2 alpha and PGE2 in uterine lymph during the oestrous cycle in sheep. AB - The concentration of prostaglandin F2 alpha (PGF2 alpha) in uterine lymph remained low (less than 1 ng/ml) during the first two-thirds of the oestrous cycle in the non-pregnant sheep. However increased amounts of PGF2 alpha were present from day 12 onwards. The concentration of prostaglandin E2 in uterine lymph remained low (less than 0.43 ng/ml) throughout the cycle. PMID- 6573685 TI - Differential stimulation of prostaglandin and thromboxane synthesizing capacities in guinea-pig uterus and ovary. PMID- 6573686 TI - The effects of dipyridamole on TXA2 formation by horse platelet microsomes. AB - The effects of dipyridamole on thromboxane A2 formation by horse platelet microsomes were studied in comparison with those of imidazole, a prototype inhibitor of TXA2 synthetase and nifedipine, a calcium antagonistic vasodilator. Thromboxane A2 was synthesized by incubating PGH2 with horse platelet microsomes and was assayed on the superfused rabbit aorta. Dipyridamole induced as strong an inhibition of TXA2 synthesis as imidazole, while nifedipine was without effects. The possible beneficial clinical outcomes of this effect of dipyridamole are discussed. PMID- 6573687 TI - Protective effect of a thromboxane synthetase inhibitor, OKY-1581, on increased lung vascular permeability in pulmonary microembolization in dogs. AB - To evaluate the potential beneficial effect of a thromboxane synthetase inhibitor, OKY-1581, on increased pulmonary vascular permeability in pulmonary microembolization, we have measured the filtration coefficient in the nonembolized lung after unilateral microembolization in dogs. The unilateral microembolization caused marked elevations in pulmonary artery pressure and blood flow to the nonembolized lung, while pulmonary venous pressure in nonembolized lung did not change. The pulmonary vascular resistance in nonembolized lung did not increase significantly. The filtration coefficient (Kf) in nonembolized lung increased to 0.14 +/- 0.02 from the baseline value of 0.07 +/- 0.01 ml/min/mmHg/100g at 30 min after microembolization when the initial hemodynamic changes reduced toward the baseline value. In OKY-1581 treated dogs, similar hemodynamic changes did not result in the increase in the filtration coefficient in nonembolized lung. Platelet aggregation was also inhibited after microembolization in OKY-1581 treated dogs. Based on these results, we could conclude that OKY-1581 could prevent the increase in pulmonary vascular permeability following pulmonary microembolization by inhibiting platelet aggregation and possibly by preventing the release of thromboxane A2. PMID- 6573689 TI - Thromboxane B2 (TxB2) metabolism in rat isolated lung and its inhibition by drugs. AB - In rat isolated lung perfused via the pulmonary circulation, 3H-TxB2 was metabolized to another radioactive species. About 60% of effluent 3H was metabolite and the same proportion of metabolite was found in lung at 5 min after the injection of 3H-TxB2. Metabolism of TxB2 was prevented by bromcresol green, dipyridamole and frusemide apparently by decreasing uptake of TxB2 by the lung. Our results support the possibility of TxB2 competing with PGE2 for metabolism in lung, although TxB2 is not a substrate for PGDH in vitro. PMID- 6573688 TI - Effects of anesthesia and surgery on prostanoid concentrations in plasma and pulmonary lymph. AB - Comparisons were made of plasma and pulmonary lymph concentrations of 6-keto-PGF1 alpha and thromboxane B2 between chronic and acute models of the sheep lung lymph fistula preparation. Pentobarbital anesthetized sheep subjected to acute thoracotomy and artificially ventilated demonstrated significantly elevated pulmonary lymph concentrations of 6-keto-PGF1 alpha and TxB2 for two hours following surgery while venous or arterial plasma prostanoid concentrations increased to a much lesser degree over the same time period. No changes in plasma or lymph prostanoid concentrations were observed in the unanesthetized, chronic lung lymph preparation during a similar baseline observation period. The rates of decrease of pulmonary lymph prostanoid concentrations in the acute model following surgical preparation suggest the requirement of a three hour stabilization period after completion of all surgical procedures before pulmonary arachidonic acid metabolism reaches steady-state conditions. PMID- 6573690 TI - Effects of leukotriene C4 and prostaglandin E2 on the rat mesentery in vitro and in vivo. AB - Leukotriene C4 (LTC4) and Prostaglandin E2 (PGE2) have been studied for their effects on the rat mesentery in vitro and in vivo. Their effects on the norepinephrine (NE) induced vasoconstrictions in the above vascular bed have also been investigated. LTC4 (10(-10)M) and PGE2 (2.8 X 10(-7)M) produced no direct effects on the perfusion pressure in the isolated perfused rat mesentery. However, LTC4 (10(-10)M) produced constriction of the arterioles in vivo. PGE2 (2.8 X 10(-7)M) did not produce any direct effect on the microcirculation. Indomethacin, when superfused for 10 min. in a concentration of 7 X 10(-5)M, produced significant arteriolar constriction; this effect was reversed when PGE2 was added to the superfusing media containing indomethacin. LTC4, perfused in a concentration of 10(-10)M, produced a time - dependent inhibitory effect on NE induced vasoconstrictions in vitro whereas PGE2 perfusions (2.8 X 10(-7)M) potentiated the NE responses. This potentiating effect of PGE2 was inhibited by indomethacin. In contrast, the topical application of PGE2 in vivo attenuated NE responses of the mesenteric arterioles. PMID- 6573691 TI - The antiarrhythmic effect of PGE2 on premature ventricular beats (PVBs) in man. AB - In 10 patients with premature ventricular beats (PVBs) we investigated the influence of PGE2 infusion on ventricular arrhythmias, arterial blood pressure, heart rate and systolic time intervals. An infusion of PGE2 in doses of 0.01, 0.02 and 0.04 microgram/kg/min, each for 10 min, did not change the blood pressure, heart rate and systolic time intervals. The incidence of PVBs decreased in a dose-dependent manner in 7 out of 10 patients, and in two of them PVBs were absolutely abolished. In one patient the incidence of PVBs was reduced dose independently, and in two patients at the beginning of infusion of PGE2 the incidence of PVBs was reduced, but the incidence of PVBs increased again although the infusion dose was doubled. In all patients the incidence of PVBs increased again when the infusion of PGE2 was stopped. Our findings demonstrate that PGE2 has antiarrhythmic properties in man. PMID- 6573692 TI - Plasmatic TXB2 and 6-keto-PGF1 alpha levels during charcoal hemoperfusion in chronic renal failure patients. AB - 6 patients with end-stage renal disease underwent hemoperfusion with charcoal columns, for 60 min. Blood samples anticoagulated with 2% EDTA/aspirin solution were obtained from arteriovenous fistulas in the basal condition, 5 min after a bolus injection of heparin (7,500 U), at the end of hemoperfusion, and 30 min after. The study was repeated few days later, in the same patients, two hours after 100 mg aspirin by mouth. TXB2 and 6-keto-PGF1 alpha were assayed with RIA in unextracted (U) and extracted (E) and chromatographed platelet poor plasma (PPP). Platelet counts before and after hemoperfusion were also performed. Low levels of the two prostaglandins were found in plasma; this could be related to the procedures for collection and processing of plasma samples; no significant differences were observed between extracted and unextracted samples: there were slightly higher levels of 6-keto-PGF1 alpha in unextracted samples. After charcoal hemoperfusion there was only a slight and not significant increase of TXB2 and 6-keto-PGF1 alpha; low dose aspirin did not modify significantly plasma levels of the two prostaglandins before hemoperfusion but it reduced TXB2 and 6 keto-PGF1 alpha levels after charcoal hemoperfusion. The platelet count fell ( 22%) after charcoal hemoperfusion with heparin alone and in similar manner after low-dose aspirin pretreatment (-24%, 7%). PMID- 6573693 TI - Platelet prostaglandin production in alcoholic liver disease. AB - Impaired platelet aggregation is a common finding in patients with alcoholic liver disease. This may be due to impairment of prostaglandin synthesis and alterations in the proportions of platelet membrane lipids secondary to changes in circulating lipids. Platelet prostaglandin synthesis was measured by the production of malonaldehyde (MDA), and was increased in patients with alcoholic cirrhosis compared with normal controls. Mean MDA production in cirrhotics was 3.37 nmoles MDA/10(9) platelets, and in controls 1.01 nmoles MDA/10(9) platelets (p less than 0.01). Platelet prostaglandin synthesis was significantly related to the serum cholesterol:triglyceride ratio (r = 0.73, p less than 0.005). Platelet aggregation was impaired in 12/14 cirrhotics. Five of the cirrhotics had a factor in their plasma which appeared to enhance the aggregation of normal platelets. Impaired platelet aggregation in patients with alcoholic liver disease appears to be due to a defect in intraplatelet metabolism. PMID- 6573694 TI - Studies on cryptolepine. Cryptolepine antagonism of noradrenaline and modification of this effect by calcium ions and prostaglandin E2 on rat isolated mesenteric artery. PMID- 6573695 TI - A family study of HLA antigens and other genetic markers in schizophrenia. AB - HLA antigens and 19 other genetic marker systems were studied in 12 families containing 2 or more members diagnosed as schizophrenic. In contrast with previous reports we could exclude linkage between the disorder and HLA, and we found no evidence of linkage with Gm or Gc. The disagreement between our results and those of a previous study, which suggested linkage between HLA and schizophrenia, could not be explained on the basis of genetic heterogeneity within the disorder. The problems of performing a linkage study in the face of diagnostic uncertainty and an unknown mode of inheritance of the main trait are discussed, and the measures taken in attempts to overcome these difficulties are described. Despite present drawbacks, genetic marker studies hold future promise as a means of detecting major gene effects in schizophrenia and other familial psychiatric disorders. PMID- 6573696 TI - The alcoholic brain: CT scan and psychological findings. AB - One hundred male alcoholics without overt clinical signs of brain damage were interviewed, psychologically tested and scanned by means of a CT 1010 EMI scanner. Fifty age-matched controls, lifelong abstainers or light drinkers, were used for comparison. Fifty-six alcoholics from the initial sample were followed up after periods varying from 30 to 152 weeks, and radiological changes during the follow-up were assessed. The main results of the study can be summarized as follows: (1) All CT scan indices were significantly different in alcoholics and controls. Alcoholics had larger ventricles, wider cerebral sulci and wider Sylvian and interhemispheric fissures. Cerebellar sulci were visible only in alcoholics. These differences were greater for older alcoholics and controls, but were also present in the younger subjects. (2) In the alcoholic group the size of the ventricular system, and the width of the sulci, Sylvian and interhemispheric fissures were positively and significantly correlated with age. The duration of the drinking history and the age of onset were not significantly correlated with CT scan indices. (3) In those alcoholics whose age was greater than the mean for the whole group, the size of the ventricular system and width of the Sylvian fissure were significantly and negatively correlated with the duration of abstinence prior to scanning. (4) Other features such as decreased tolerance, a positive family history of alcoholism and 'social decline' were not significantly related to the severity of CT scan abnormalities. (5) When the effects of age and premorbid intelligence were controlled, alcoholics showed significant cognitive impairment when compared with controls. The differences in the scores of psychological tests and CT scan indices were greater between alcoholics and controls of high IQ than between those of low IQ. This discrepancy is likely to be due to a selection bias. (6) No significant correlations were found between the degree of cognitive impairment and clinical features. The size of the ventricular system was positively and significantly correlated with the discrepancy between immediate and delayed recall of verbal material. There were no other significant correlations between cognitive impairment and CT scan indices. (7) Those subjects who had remained abstinent during the follow-up period, when considered as a group, showed a significant reduction in the size of the ventricular system. When cortical indices and V/B ratio were combined, patients whose scans had improved at follow-up differed from the rest with regard to the length of abstinence prior to re-scanning. PMID- 6573697 TI - Bulimia and diabetes: a potentially life-threatening combination. PMID- 6573698 TI - The fractured tooth. PMID- 6573699 TI - Artifact or pathosis? Problem-solving for panoramic dental radiology (I). PMID- 6573700 TI - Occupational hazards in the dental office and their control. I. Measures for controlling infections. PMID- 6573701 TI - Solvidont--a new chemotherapeutic and bacteriocidal agent for endodontic use (I). PMID- 6573702 TI - Awareness of prevention in dentistry: a comparison of three populations. PMID- 6573703 TI - Benign solitary pigmented lesions of the oral mucosa. PMID- 6573704 TI - [Oral mucous membrane diseases with regard to viral diseases. Clinical aspects - pharmacokinetics (I)]. PMID- 6573705 TI - [Structural anomalies of enamel, enamel hypoplasia of tooth 17]. PMID- 6573706 TI - [Reflections on the so-called guide-plane relation to the total field of gnathology]. PMID- 6573707 TI - [Surgical prognosis of non-ankylosed retained teeth. (I)]. PMID- 6573708 TI - [Interpretation of radiographs]. PMID- 6573709 TI - [A new photographic equipment system for dentistry using intraoral optics]. PMID- 6573710 TI - [Work safety in dental practice]. PMID- 6573711 TI - [Preprosthetic vestibuloplasty--a modified surgical technic using a Collatamp Fascie and silicon catheters]. PMID- 6573712 TI - [The speedomatic amalgam condensation instrument set. Clinical experiences]. PMID- 6573713 TI - [Method for determining vertical jaw relations]. PMID- 6573714 TI - [Surgical prognosis of non-ankylosed retained teeth (II)]. PMID- 6573715 TI - [A flexible gingival appliance (I)]. PMID- 6573716 TI - [Use of Crozat models in photography]. PMID- 6573717 TI - [Interpretation of radiographs]. PMID- 6573718 TI - [Often unheeded psychological influences in relations with patients]. PMID- 6573719 TI - [Oral mucous membrane diseases with regard to viral diseases. Clinical aspects - pharmacokinetics (II)]. PMID- 6573720 TI - [Thoracic sonography in childhood]. AB - Although limited by osseous structures and gas the sonographic evaluation of the chest may be useful for certain conditions. Illustrated by three cases- supradiaphragmatic and parasternal tumor, subpulmonic effusion, and pleural effusion combined with a mediastinal tumor--the indications for ultrasound studies in children are discussed. In many cases the ultrasound may be helpful considering the diagnostic procedure and therapeutic consequences. PMID- 6573721 TI - [Roentgen diagnosis of structural changes in the pubic area in children and adolescents. Personal case reports, differential diagnosis and literature review]. AB - Structural changes in the pubic bone often are difficult to interpret. The radiologic appearance is very different. The differentiation between inflammatory and malignant processes is hardly to distinguish. We are reporting ten patients with osseous changes in the os pubic (4 Ewing's sarcoma, 1 osteosarcoma, 1 Morbus Hodgkin, 1 osteochondronecrosis, 2 osteochondritis, 1 subchronic osteomyelitis). Two patients with Ewing's sarcoma who were initially treated for osteomyelitis are described in detail. Differential diagnosis and previous literature are reviewed. PMID- 6573722 TI - PGD2 formation in the vasculature: characteristics of rat tail vein prostaglandin endoperoxide-D isomerase. AB - Rat tail vein homogenates, microsome and high speed supernatant fractions were incubated with [1-(14) C]prostaglandin endoperoxide (PGH2) and products separated and identified by radio-thinlayer chromatography. PGI2 synthase was localized to the microsomal fraction, but exhibited low activity compared to rat tail arteries prepared in the same manner. PGH-D isomerase was identified in the cytosolic fraction of tail veins. The isomerase was maximally active in the presence of reduced glutathione at pH 7.5-8.0, exhibited a Km for PGH2 of 33 microM, and was inhibited sulfhydryl-directed reagents. The similarities of this enzyme to PGD synthase of the rat cerebral microvasculature are discussed. PMID- 6573723 TI - Inhibition of B-16 melanoma growth in vitro by prostaglandin D2. AB - Prostaglandin D2 was found to be a potent inhibitor of B-16 melanoma cell replication in vitro. The inhibition was dose-dependent between 3x10(-9)M and 3x10(-6)M (IC50 approximately 0.3 microM after 6 days). On a molar basis, PGD2 was a better inhibitor than PGA2 or 16, 16-dimethyl-PGE2-methyl ester (di-M-PGE2) and in higher concentrations (10(-6)-10(-7)M), comparable to retinoic acid. In higher concentrations, PGD2 inhibited DNA, RNA and protein synthesis. The B-16 melanoma cell line which we used synthesized arachidonic acid metabolites which comigrated with PGA2, PGD2, PGE2, and PGF2 alpha on a thin layer chromatography system. PMID- 6573724 TI - Influence of prostaglandin E2 on proteoglycan synthesis in the human ovarian follicle wall. AB - The effect of prostaglandin (PG) E2 on the incorporation of 3H-glucosamine in the human follicular wall was investigated in vitro. Follicles were obtained from women undergoing sterilization via minilaparotomy. Tissue pieces of the follicular wall were incubated in the presence of PGE2 and 3H-glucosamine and the tissue-bound radioactivity was determined. PGE2 induced a significant increase of radiolabelling in the apex of the mature follicle wall but did not significantly affect the incorporation in other parts of the wall, nor in the wall of less developed follicles. The incorporation of glucosamine, a precursor of glucosaminoglycans, is regarded to reflect the synthesis of proteoglycans. The demonstrated increase in the incorporation of 3H-glucosamine in the apical wall of the mature follicle in response to PGE2 indicates that PG-mediated stimulation of proteoglycan synthesis is of importance for follicular rupture. PMID- 6573726 TI - A look at leadership. PMID- 6573725 TI - An overdenture approach to ectodermal dysplasia in children. PMID- 6573727 TI - Congressional hearings on "Human Applications of Genetic Engineering". PMID- 6573728 TI - Summary from "Splicing life": a report on the social and ethical issues of genetic engineering with human beings. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. PMID- 6573729 TI - Ethical and social issues in the application of genetic engineering to human beings. Statement to Subcommittee on Investigations and Oversight, Committee on Science and Technology, United States House of Representatives. PMID- 6573730 TI - [3-dimensional endodontic treatment. Procedures preceding the preparation and filling of root canals]. AB - In this article some clinical operations preceding the preparation and filling of root canals are more thoroughly treated. Besides the technique for periapical X ray photography the indication for photography at a mesial and distal angle is described here. Particular attention is paid to the reading of the apical foramen on the radiograph and the use of the diagnostic radiograph in determining the experimental working-length. This article ends with description and illustrations of the shapes of the entrances to endodontic cavities with the different tooth elements. PMID- 6573731 TI - [A gingiva-compatible retention method for removable orthodontic appliances]. PMID- 6573732 TI - [Equilibrium demand/supply in dental care?]. PMID- 6573733 TI - [Erythroblastopenia. A common syndrome with a variable developmental course. Commentary apropos of 4 cases]. PMID- 6573734 TI - Excretion of polyamines by children with leukemia during chemotherapy. AB - Evidence is presented showing a relation between polyamine concentration and the methylation of tRNA in vitro and in vivo. Polyamine excretion in urine of children with ALL and AML is slightly elevated before the commencement of chemotherapy. Immediately thereafter, excretion of acetylputrescine increases drastically over a period of at least 30-60 days. The elevation seems to be caused by different factors, e.g., destruction of tumor cells, induction of ornithindecarboxylase, and cell recovery after termination of chemotherapy. Acetylspermidine excretion also increases 3-4 days after the beginning of chemotherapy. A positive correlation exists between leukocyte counts and excretion of acetylspermidine. The ratio of acetylspermidine excretion at days 3 4 of the therapy to that before commencement of chemotherapy could be an indicator of response to the therapy. PMID- 6573735 TI - Pancreatic hydrolases in cold-induced hyperphagia of rats fed a low or high-fat diet. AB - Rats fed either a low (2p. 100) or high (40 p. 100)-fat diet were exposed to 22 or 5 degrees C. The resulting hyperphagia adequately compensated energy losses as judged from body weight. The cold-induced hyperphagia was accompanied by a non parallel increase in pancreatic hydrolases. Amylase and lipase were not increased above the adaptive levels they had respectively reached in the heat with a high starch or high-lipid diet. Chymotrypsinogen, on the contrary, responded to increased intake of both diets. It also responded to the higher protein concentration in the high-fat diet caused by isocaloric replacement of starch by fat. Colipase varied independently of lipase and was increased additively by fat and protein intakes. Consequently, although limiting for lipase in the warm, colipase rose to a 1:1 ratio in the cold. Increased intake had a consistent pleiotropic effect evidenced by an increase of amylase with the high-fat diet and of lipase with the low-fat diet. The net effect was a significant increase in the lipid-digesting potential of the organism of lipid-fed animals upon exposure to cold, while the starch-digesting potential remained unaffected in starch-fed animals. PMID- 6573736 TI - Action of MDL 646, a new synthetic prostaglandin, on gastric acid secretion of some experimental animals. AB - The new synthetic prostaglandin 11,15-dihydroxy-16-methyl-16-methoxy-9-oxo-prost 13-en-1-oic acid,methyl ester (8 alpha,11 alpha,15R,16R) (compound marked MDL 646), belonging to the 16-methyl-16-methoxy series, was tested for its activity on gastric secretion of different animal species and in different experimental conditions. In the dog provided with gastric fistula and Heidenhain pouch, MDL 646 (25 micrograms/kg by intragastric administration) caused a remarkable inhibition of the histamine- and bethanechol-induced acid secretion, an effect which was more evident in the main stomach than on the Heidenhain pouch. In the cat, but not in the dog, the compound inhibited not only the hypersecretion induced by histamine and bethanechol but also that induced by pentagastrin. However, in this case, high doses (50-100 micrograms/kg) had to be used to obtain a significant inhibition. Similar results were obtained with the perfused stomach of the anaesthetized rat in which the natural PGE2 appeared to be from 3 to 5 times less potent. In the conscious rat provided with gastric fistula MDL 646 (15 and 50 micrograms/kg) significantly inhibited spontaneous gastric secretion. Untoward reactions, represented by salivation and vomiting lasting 30 min, were experienced by some dogs following administration of 50-100 micrograms/kg of the synthetic prostaglandin. These data appear of considerable interest in view of the possibility of the use of MDL 646 also in humans. PMID- 6573737 TI - Glutathione mediated lysis of HL-60 cells. AB - Various concentrations of glutathione (GSH), between 50-2000 micrograms/ml, were shown to retard the proliferation of HL-60 cells, with the optimum level being 200 micrograms/ml. Using electronic cell volume, GSH was shown to increase the percentage of small size cells and debris, and decrease the population cell volume and the percentage of large size cells. This data combined with chromium 51 release, trypan blue exclusion, and morphology data suggested that GSH was lysing HL-60 cells. Catalase eliminated the GSH stimulated cell lysis suggesting a H2O2 mediated mechanism was involved. PMID- 6573738 TI - Central neural stimulation of respiration by sodium salicylate. AB - Phrenic nerve responses to intravenous administration of sodium salicylate were measured in anesthetized, paralyzed cats whose vagi and carotid sinus nerves had been cut. Three groups of animals were studied. One consisted of animals with intact central nervous systems. The other two were identical except that the spinal cords had been transected at either T4-T5 or C7-T1. Salicylate led to a significant increase in respiration and whole body metabolism in all three groups. Transection of the spinal cord had no effect on the magnitude of the respiratory response to salicylate. We also studied another group of animals in which salicylate was injected directly into the third cerebral ventricle. This led to a significant increase in respiration without an increase in whole body metabolism. We conclude that salicylate stimulates respiration by a mechanism other than one related to its ability to increase whole body metabolism and that this mechanism is located within the central nervous system. PMID- 6573739 TI - [Anatomic realities and physiopathological concepts]. PMID- 6573740 TI - [Comparative histo-radiographic aspects of lesions of the periapical tissue]. PMID- 6573741 TI - [Anatomic study of the vascularization of the anterior region of the mandible]. PMID- 6573742 TI - [Failure of the anesthesia of central incisors and mandibular molars: the problem of nerve supply]. PMID- 6573743 TI - [Anesthesia at the spine of Spix, failures and complications: an anatomic study]. PMID- 6573744 TI - [Treatment protocol of the dentin-pulp under composite resins]. PMID- 6573745 TI - [Weaning in respiratory insufficiency]. PMID- 6573746 TI - [The place of condylectomy in the treatment of hypercondylosis]. AB - Condylectomy is an indication of choice for unilateral hypercondylia, whatever the age of the patient, and should be conducted as early as possible and associated with intermaxillary elastic traction. Complementary one- or two-stage operations for mandibular correction are necessary in severe advanced cases. Complementary maxillary osteotomies are very rarely required. PMID- 6573747 TI - [Anatomic and physiopathological basis for the surgical treatment of temporomandibular ankylosis]. AB - Lack of application of anatomical and physiopathological features leads to incomplete results following wide resection of an ankylosed bone block, the use of an intra-articular interposition with the single objective of interfering with postoperative synostosis, forced mobilization with the open mouth, and complementary surgical acts to improve esthetic results only. These results can be transformed by ensuring good postoperative functional dental occlusion and adequate functioning of the lateral meniscopterygoid-condylar apophysis system, but this is not always possible. When this system (mobilizer of the mandible) is not recoverable, other means of mandibular mobilization must be attempted, particularly a good muscular interposition, mechanotherapy in propulsion and retropulsion, and early sufficient lengthening of the ascending mandibular rami. Early surgery is always beneficial in children as it reduces constraints which limit growth and lowering of the body of the mandible. One of the most important steps in the progress of this surgery is the procedure for lengthening the condylar segment (after freeing or resection of the ankylosed condyle), and the use of a chondrocostal graft. Care must be taken in all cases to restore good occlusal function, the best means of improving articular function and the persistence of a good buccal opening. PMID- 6573748 TI - [Temporomandibular arthoplasty for ankylosis. Apropos of 4 cases]. AB - Four patients with temporomandibular ankylosis were treated according to the same therapeutic concepts, and good results were obtained. This was due to the surgical technique employed which respects meniscal elements and conserves or reconstructs the ascending ramus length, and to postoperative mobilization in mandibular propulsion and lateropulsion (by means of elastic tractions or palatine plate) over a period of several months. PMID- 6573749 TI - [Post-operative developments after resection of the mandibular body or angle for mandibular protrusion]. AB - Teleradiographic examinations were conducted pre- and postoperatively and one year after resection of the body (5 cases) or angle (10 cases) of the mandible for mandibular protrusion in 15 patients. Clinical results of these operations appeared to be very stable, but teleradiographic modifications were observed constantly after one year. Resection of the body has little effect on the position of the ascending rami, whereas angle resection usually results in parasitic movements in this region, their pre-operative condition being re established in practically all cases. Following shortening of the body there is an almost constant drop in the symphysial region. These movements appear to arise from activity of masticatory and suprahyoid muscles, with an accessory role being played by the tongue. PMID- 6573751 TI - [Mandibular hypercondylosis. Signs and diagnosis]. AB - Mandibular condyle hyperplasia is typically characterized by an hypertrophy and an increased growth activity of one of the mandibular condyles (except, in the rare cases of bilateral involvement). The homo-lateral descent of the molar occlusal plane, leads to generalised adaptive alterations of the maxilla and the entire facial skeleton, which justifies pre-pubescent condylar surgery. Thus, the early diagnosis of the affliction is preferable, based on a thorough knowledge of these clinical signs. PMID- 6573750 TI - [Sagittal osteotomy of the horizontal branch of the mandible in the treatment of mandibular retrognathism with severe incisor supraocclusion]. AB - Three patients with mandibular retrognathia and marked incisor supraocclusion were treated by sagittal osteomy of the mandibular body. The technique employed is described, and possible indications in certain cases of this type discussed, these including particularly patients in whom molar articulation must not be modified, and when the height of the lower region of the face contraindicates segmental osteotomy. PMID- 6573752 TI - [Median osteotomy of the mandible]. PMID- 6573753 TI - ["Functional" genioplasty]. AB - Genioplasty is a treatment method of the long face syndrome by reducing the lower face height to be equal, on lateral cephalometric radiography, to 55% of the total height of the anterior face whereas the height of the upper face is equal to 45% of this one (Wylie). Surgical technique described in this paper is particular by making up a tenon and mortise joint allowing a good stability of the lower fragment of osteotomy whose muscular insertions are preserved. Its effects are simultaneously functional and cosmetic because the oral musculature disorder is suppressed while chin aspect is modified. PMID- 6573754 TI - [5 cases of cervicofacial actinomycoses]. PMID- 6573755 TI - Observations on giant tubules in human coronal dentin by light microscopy and microradiography. AB - Human coronal dentin was studied by light microscopy and microradiography. The material comprised 50 permanent and 10 primary anterior teeth and microradiographs of 63 primary anterior teeth from a previous study. Both intact and worn teeth were examined. Ground sections in the long axes of the crowns in the buccolingual and mesiodistal planes were prepared, as well as transverse sections. A few crowns were also examined in toto. A system of giant tubules extending from the border of the pulpal cavity could be followed, though not continuously, through the secondary and primary dentin almost to the incisal dentinoenamel junction was observed. The lumina of the tubules were 5-40 microns wide and bordered by an approximately 10-microns-wide, usually hypermineralized rim of dentin in which only a few dentinal tubules were clearly discernible. The giant tubules were located along the mesiodistal axes of the teeth. The number of such tubules varied between 0 and 30. PMID- 6573756 TI - Effect of xylitol and other carbon sources on the cell wall of Streptococcus mutans. AB - Transferring actively growing bacteria of Streptococcus mutans ATCC 27351 into a xylitol-containing reaction mixture caused distinct alterations in bacterial ultrastructure without notable effect on the total viability of the strain. Incubations in media containing 50 mg/ml of glucose, fructose, sucrose, lactose, sorbitol or mannitol as the primary carbon source did not affect bacterial ultrastructure. These fermentations were reflected biochemically in the amounts of insoluble glucans, as expected. A negative correlation was found between the cell mass and the lipoteichoic acid formation. But these aspects could not be visualized in the electron microscope. In the xylitol series, however, degrading cells and autolysis, intracellular vacuoles and lamellated formations in the cytoplasmic membrane were frequently seen independent of the concentration of xylitol in the reaction mixtures. In freeze-fracturing replicas, however, the membrane intercalated particles of the cytoplasmic membranes seemed to be unaffected and like those in the controls. Minor ultrastructural changes in the fracture-faces were detected. Despite the alterations in ultrastructure of the xylitol-incubated bacteria, there was no difference in their viability when compared to the controls. PMID- 6573757 TI - Prevalence of Streptococcus mutans with different colonial morphologies in human plaque and saliva. AB - Plaque and saliva samples were obtained twice from 58 children at an interval of 1 year and examined for the prevalence of Streptococcus mutans on Mitis salivarius (MS) and Mitis salivarius bacitracin (MSB) agar. Two types of S. mutans colonies with different colonial morphologies were seen on both media. They were serologically identified as serotypes c/e/f and d/g respectively. The first type, morphogroup c/e/f, had the typical "frosted-glass" appearance. It was the most prevalent and was found in 97% of the children. The second type, morphogroup d/g, had a creamy marzipan consistency with a dull, granular surface, gray to brown in color and often with some liquid around or on top of the colony. Group d/g was detected in 21 children (36%) and then together with colonies of group c/e/f. Children infected with single or multiple morphogroups of S. mutans generally harbored the same groups 1 year later. There was a significant positive correlation between the proportion of S. mutans in plaque and their numbers in saliva. PMID- 6573758 TI - Clinical, microscopical and biochemical investigation of synovial fluid from temporomandibular joints. AB - The aim of this study was to investigate the relationship between pain and tenderness to palpation of the temporomandibular joint (TMJ), radiographic changes of the joint and signs of inflammation in the synovial fluid. Saline was injected into and aspirated from the TMJ of 29 patients with painful and tender TM joints and from five individuals with healthy joints. In another two patients synovial fluid could be aspirated without saline. The aspirated fluid was analyzed for inflammatory cells and for plasma proteins. A clinical examination of the stomatognathic system and a radiographic examination of the TMJ were performed before the aspiration. Besides tenderness to palpation of the TMJ, pain on mandibular movement and tenderness to palpation of the masticatory muscles were common. Erosion of the cortical outline of the joint surfaces was the most common radiographic finding. Inflammatory cells were present in the fluid of three patients but in none of the healthy individuals. Plasma proteins of inflammatory type could be detected in the fluid from seven of the patients. The results show that radiographic, cellular or biochemical signs of inflammation can frequently be found in the TMJ of patients with longstanding pain and tenderness of this joint. PMID- 6573759 TI - Retention of Cu and Zn in the oral cavity following rinsing with aqueous solutions of copper and zinc salts. AB - Retention of Cu and Zn in the mouth after rinses with known volumes of aqueous solutions of the metal salts was measured by atomic absorption. The mean amounts retained in 10 subjects were 0.02 mg Cu and 0.22 mg Zn. These values represent approximately 31% of the Cu and 15% of the Zn originally in the rinse. The intraindividual variation (s.d.), estimated by three mouthrinses at weekly intervals in three subjects averaged 2.1% for Cu and 2.3% for Zn. Following a rinse the salivary concentration of Cu and Zn decreased rapidly during the first 4 h, approaching prerinse levels. PMID- 6573760 TI - Curing contraction of addition-type silicone impression materials. AB - The curing contraction of addition-type silicone impression materials was measured by the mercury bath method. The results point to a classification of this group of materials into the following two types: 1: materials with maximum 0.08% polymerization contraction at 22 degrees C 15 min after mixing and maximum 0.03% contraction at 22 degrees C during storage from 15 min to 24 h (Permagum, President, Reflect and Reprosil). 2: materials with more than 0.08% polymerization contraction at 22 degrees C 15 min after mixing and significantly more than 0.03% contraction during storage at 22 degrees C from 15 min to 24 h (Exaflex, Xantogum). PMID- 6573761 TI - Corrosion of non-gamma 2-amalgams. AB - Eight different dental amalgams were studied in an in vitro corrosion test. Cylindrical test specimens were stored in weak lactic acid solutions at different pH for 1 month. The concentrations of mercury and copper in the solutions were measured and corrosion depths estimated. The results indicated that more copper was released from non-gamma 2-amalgams compared with conventional ones. The amounts of copper from these amalgams were not directly correlated to the concentration in the alloys. Mercury was released in much lower amounts than copper for all amalgams and seemed to originate from the gamma 1-phase. A low pH promoted the corrosion. PMID- 6573762 TI - Accuracy of stone-casts produced from selected addition-type silicone impressions. AB - The present study has shown that there is no correlation between the free curing contraction of three selected addition-type silicone impression materials and the effective contraction determined as the accuracy of stone dies produced in dental impressions of these materials. Depending on specific rheologic properties, the free curing contraction of an impression material can be partly compensated for by flow. PMID- 6573763 TI - Gastrointestinal and in vitro release of copper, cadmium, indium, mercury and zinc from conventional and copper-rich amalgams. AB - Particles of a conventional lathe-cut, a spherical non-gamma 2 and a copper amalgam have been gastrointestinally administered to rats for the purpose of evaluation of the dissolution resistance. The animals were sacrificed after 20 hrs. The contents of copper, cadmium, indium, mercury and zinc in kidney, liver, lung or blood were measured using nuclear tracer techniques. From a copper amalgam an extreme release of copper was demonstrated. This study stimulates the clinical condition of elemental release from swallowed amalgam particles after amalgam insertion or after removal of old amalgam fillings. Specimens of the same types of amalgams were also exposed to artificial saliva for a period of 10 days. The amounts of copper and mercury released were measured with flame and flameless atomic absorption spectrophotometry respectively. The levels of copper and mercury released from the copper amalgam were approximately 50 times those of the two other amalgam types studied. PMID- 6573764 TI - Effect of pressure upon wall-to-wall polymerization contraction of a chemically cured resin. AB - The marginal gaps of 105 Silar fillings were measured after application of a load between zero and 100 N on the matrix during the initial polymerization. The fillings were placed in non-etched dentin cavities in extracted human teeth. The dentin surrounding the cavities was either roughened with carborundum paper No. 220 or polished with Alfa Micropolish 1 micron before the cavities were filled. When load was applied to the matrix, no effect was found of the roughness surrounding the cavities, but without load the wall-to-wall contraction was significantly greater in cavities where the surrounding dentin surfaces had been polished with Alfa Micropolish. Apparently the effect of load was related to friction during the polymerization between filling surplus and the dentin surrounding the cavities and not to load per se. PMID- 6573765 TI - Indirect visualization of ameloblast modulation in the rat incisor using calcium binding compounds. AB - Rats were injected with Calcein and killed 1 h, and 1, 2 and 3 days after injection. Incisors were stained with glyoxal-bis-(2-hydroxyanil) (GBHA) and the enamel surface examined in a fluorescence microscope with incident-light excitation. In maturing enamel Calcein produced five fluorescent double bands across the long axis of the tooth. GBHA produced a series of single red stripes, each of which was imposed on a double Calcein band 1 h after injection. At longer intervals after injection GBHA stripes were seen to be gradually displaced in the apical direction from the Calcein double bands. Since GBHA is known to stain enamel adjacent to smooth-ended ameloblasts this supports the view of a cyclic modulation of ameloblast morphology and function. PMID- 6573766 TI - Distribution of 58Co from the oral cavity of mice. AB - Whole body retention and tissue distribution of 58Co in mice having had an oral cavity depot of 58CoCl2 was studied at 1, 5 and 24 h after administration by means of gamma scintillation measurements and autoradiography. The whole body 58Co retention at 5 h after administration was 93.3% of the whole body 58Co content at 1 h. Corresponding 58Co-retention at 24 h after administration was 9.2%. Tissues analyzed by gamma scintillation measurements at 1, 5 and 24 h post administration were: serum, kidney, pancreas, spleen, liver, heart, lung, tongue and palatal mucosa. At all survival times after administration palatal mucosa showed the highest 58Co median content followed by tongue. The very high 58Co median content of palatal mucosa and tongue at 1 h after administration showed a strongly decrease at 5 and 24 h after administration. For the other tissues the highest 58Co median content was found in the liver and the lowest in the spleen with the highest 58Co median value for each tissue at 5 h after administration. The autoradiograms revealed a high 58Co uptake in oral, nasal, pharyngeal and esophageal mucosa, intestines and stomach. In liver, pancreas and kidney no uptake was observed at 1 h and a weak uptake was detected at 5 and 24 h. PMID- 6573768 TI - [Continuous disinfection of the water in a dental treatment unit]. PMID- 6573767 TI - Identification of three major synovial lining cell populations by monoclonal antibodies directed to Ia antigens and antigens associated with monocytes/macrophages and fibroblasts. AB - Synovial lining cells obtained from patients with rheumatoid arthritis or non inflammatory joint diseases were divisible into three populations according to the expression of surface antigens detected by various monoclonal antibodies. A population of cells designated type I was defined by the presence of Ia antigens. Fc receptors, five different monocyte lineage differentiation antigens, and the property of phagocytosis. The greatly increased amounts of both Ia antigens and certain monocyte lineage antigens distinguished these cells from blood monocytes. A second distinctive cell population was non-phagocytic, occasionally binucleate, and had abundant Ia antigens but lacked IgG Fc receptors, monocyte lineage antigens, B or T lymphocyte antigens, and fibroblast-associated antigens detected by reagents raised against synovial cells. This population, designated type II, accounted for approximately one-third of the synovial cells in patients with rheumatoid arthritis but few or no cells in the synovial lining of patients with non-inflammatory diseases. The Ia-positive synovial cells with a dendritic morphology were contained in this population. An additional population, designated type III, contained nearly all of the remaining cells and was defined by the presence of antigens expressed primarily on fibroblasts and by the absence of phagocytosis, demonstrable Ia antigens, and four antigens of the monocyte lineage. This population exhibited proliferative capacity, becoming the predominant cell in long-term cultures. The proportions of each population varied considerably from patient to patient. PMID- 6573769 TI - [Solitary bone cysts in the jaw area]. PMID- 6573770 TI - [Endosseous implants may be indicated . . ]. PMID- 6573771 TI - [Use of oxygenated water in periodontitis: a controversy]. PMID- 6573772 TI - [Support and anchorage of partial and hybrid prostheses on tooth roots with simple devices]. PMID- 6573773 TI - [Local anesthesia, the dentist's visiting card]. PMID- 6573774 TI - Hyperactivity--by any other name. PMID- 6573775 TI - Six week old infant with a dry hacking cough. PMID- 6573776 TI - Somatic cell genetics and gene families. AB - The utility of somatic cell genetic analysis for the chromosomal localization of genes in mammals is well established. With the development of recombinant DNA probes and efficient blotting techniques that allow visualization of single-copy cellular genes, somatic cell genetics has been extended from the level of phenotypes expressed by whole cells to the level of the cellular genome itself. This extension has proved invaluable for the analysis of genes not readily expressed in somatic cell hybrids and for the study of multigene families, especially pseudogenes dispersed in different chromosomes throughout the genome. PMID- 6573777 TI - [Intercellular junctions in regenerating oral epithelium]. PMID- 6573778 TI - [A mechanical study on the face bow (2nd treatise)]. PMID- 6573779 TI - [Clinical survey of primary tooth restorations: report of restorative methods, extent of caries and cavity form]. PMID- 6573780 TI - [The status of dental anesthesiology in the U.S.A]. PMID- 6573781 TI - Nutritional status and anthracycline cardiotoxicity in children. AB - The nutritional status of children in whom cardiomyopathy resulted from anthracycline chemotherapy was compared to that of a matched control group of patients who were treated similarly but who had no evidence of cardiac toxicity. Those with cardiotoxic reactions were found to be more often malnourished than were their matched controls. Once clinical manifestations of cardiotoxocity developed, the course was relentless and resistant to treatment and ended in death in 75% of the patients. PMID- 6573782 TI - The ECG in dental anaesthesia, analgesia or sedation in out-patient or office dentistry. PMID- 6573783 TI - Fair deception or fraud. PMID- 6573784 TI - [Use of computers in dental office, with special reference to the legal problems in the use of software]. PMID- 6573785 TI - [Dental office computer appointment system]. PMID- 6573786 TI - [Use of computers in the dental office]. PMID- 6573787 TI - [Development of computers for the dental office with TOSBAC 15]. PMID- 6573788 TI - [Computers used in billing systems for dental insurance]. PMID- 6573789 TI - [Computers used in billing systems for dental insurance]. PMID- 6573790 TI - [Periodontal surgery and pathologic occlusion--with special reference to periodontal restoration (1)]. PMID- 6573791 TI - [Bellfirm P for dental amalgam (2). Clinical application of Bellfirm P for posterior restorations]. PMID- 6573792 TI - [Tooth fractures: classification and management (2)]. PMID- 6573793 TI - [Smoking and diseases in the oral cavity, with special reference to mucosal lesions]. PMID- 6573794 TI - [Clinical report on ORTHO-TAIN preformed positioners]. PMID- 6573795 TI - [Research for the true healer. Influence of diet on health and periodontitis]. PMID- 6573796 TI - [Dental students and their self-image]. PMID- 6573797 TI - [Dental caries check-up of nursery school children in Beijing]. PMID- 6573798 TI - [Forensic dentistry]. PMID- 6573799 TI - [Cavity preparation for chemically adhesive composite restorations]. PMID- 6573801 TI - Dentistry in the mainstream of hospital care. PMID- 6573800 TI - [Disinfecting mechanism of jothion (1,3-diiodo-2-hydroxypropane)]. PMID- 6573802 TI - Orofacial involvement in multiple sclerosis. PMID- 6573803 TI - Oral health in nursing homes. PMID- 6573804 TI - The adjunctive use of an acrylic appliance in the management of a viscerocutaneous fistula. PMID- 6573806 TI - Fostering research in the hospital setting. PMID- 6573805 TI - The development of a modular gerontology curriculum for dental health practitioners. PMID- 6573808 TI - Today's Sherlock Holmes - a dental professor. PMID- 6573807 TI - A comparative study of two types of prostaglandins for abortion during the second trimester. AB - A comparative study of two techniques of prostaglandin midtrimester abortion was performed. Patients were randomly assigned to either intra-amniotic prostaglandin F2 alpha or intravaginal prostaglandin E2 methods. Mean induction to abortion intervals were 9.99 +/- 6.18 and 9.19 +/- 2.59 hours, respectively. The incidence of side-effects for the two methods was similar. Both prostaglandin F2 alpha and E2 are considered to represent equivalent midtrimester abortifacients. PMID- 6573809 TI - Are your patients listening? PMID- 6573810 TI - Doctor, is VEBA in your future? PMID- 6573811 TI - Early detection of oral cancer today. PMID- 6573812 TI - [Does the supply of magnesium affect the feed intake in ruminants?]. AB - The magnesium balance is in a state of equilibrium in dairy cattle when the daily excretion of Mg in the urine is a least 2.5 g. (= 100 mM). When the daily urinary output is 25 l, this is equivalent to a concentration of at least 4 mM (= 100 mg/l). The production of milk was inadequate on a number of dairy farms, which was associated with loss of appetite of the cows. The concentration of Mg in the urine of various cows was found to be too low on these farms. When additional magnesium was supplied, the feed intake was restored within a few days and the milk production also increased. The finding that an inadequate supply of Mg may have a negative effect on the feed intake was supported by some findings reported in the literature. PMID- 6573813 TI - [Osteosarcoma. Evaluation of the prognosis based on 84 cases]. PMID- 6573814 TI - Biochemical variants in dogs. AB - Biochemical variants of constituents of the blood are considered to be valuable markers of genes in studies on population genetics. They are being used for that purpose for human populations and also for populations of laboratory and farm animals. The present report is concerned with biochemical variants in dogs. In dog breeding an increasing interest is being shown in the origin of the breeds, in their mutual relations, and in the relationship with wild canidae. Since biochemically detectable variation can offer valuable information in this respect, an overall investigation of the possibilities for the detection of these variants has been made. In this study, eleven constituents of the blood of dogs were found to demonstrate clearly detectable genetic polymorphism. The genetic systems for these eleven constituents are described. The observed frequencies of the variants are reported. PMID- 6573816 TI - Immunotherapy of murine leukemia. IX. The requirement for the Fc portion of antibody for successful passive serum therapy of Friend leukemia virus-induced disease. AB - The possible role of an antibody-dependent cellular cytotoxicity (ADCC)-type mechanism in the passive serum therapy of Friend leukemia virus (FLV)-induced erythroleukemia has been investigated by determining whether successful serum protection requires an intact Fc portion on the administered antibody. F(ab')2 fragments of IgG extracted from chimpanzee anti-FLV and goat anti-FLV gp71 antisera were prepared and compared with whole serum and uncleaved IgG for their capacity to protect DBA/2 mice against challenge with leukemogenic dose of FLV. Despite demonstrating in vitro virus neutralizing activity equivalent to that seen with antiviral serum or IgG, the virus-specific F(ab')2 preparations were devoid of protective activity. Given that passively administered F(ab')2 of goat origin have been reported to persist at stable levels in the mouse circulation, the failure of these F(ab')2 preparations to protect against virus challenge cannot be ascribed to rapid clearance from the treated animals. These results indicate that the passive serum therapy of FLV-induced disease is Fc dependent, consistent with the involvement of an ADCC-type mechanism, as well as confirming the previous suggestion that virus neutralization does not represent the sole mechanism of serum protection in this system. PMID- 6573815 TI - [Computed tomography of the thoracic organs]. PMID- 6573817 TI - Circular genetic map of satellite bacteriophage P4. AB - A genetic map of satellite bacteriophage P4 has been constructed by means of standard multifactor crosses. The genetic map appears to be a circular permutation of the mature DNA physical map. In addition, a set of markers appear to be linked both to the left and to the right of the same gene alpha. These facts suggest that the P4 genetic map is circular. Since terminal redundancy and/or cyclic permutation are not known to be present in P4 mature DNA, the circularity of P4 genetic map may reflect the physical circularity of the molecules involved in the recombination process. The low frequency of recombination and the strong negative interference observed are in agreement with the above hypothesis. PMID- 6573818 TI - Metastatic cancer of unknown origin: Ohio Valley Medical Center experience. PMID- 6573819 TI - Tension pneumothorax during anesthesia. PMID- 6573820 TI - Medical Grand Rounds from the West Virginia University Medical Center. PMID- 6573821 TI - Early attenuation of Toxic Shock syndrome with intravenous nafcillin sodium. PMID- 6573822 TI - [Agar cultures of blood forming cells from patients with various forms of hemopoietic dysplasia]. AB - By means of a two-layer agar system the growth-types of blood-forming cells of altogether 47 patients with various forms of the haematopoietic dysplasia were investigated. It could be shown that a hypoplastic and a leukemic growth type as a rule represent a prognostically unfavourable criterion. The probability of a transformation to an acute leukosis is greater in such patients whose blood forming cells show a leukemic growth in the agar culture. The results of clonization may be used for the differential diagnosis between haematopoietic dysplasia and a number of other diseases. The leukemic growth type was proved in 59% of the patients with haematopoietic dysplasia. PMID- 6573823 TI - [Risk of leukemia in aplastic anemias]. AB - Nowadays an increased risk of leucaemia in patients with aplastic anaemias (insufficiency of the bone marrow) is regarded as certain. If the literature of the last 10 years is analysed, the data concerning a leucaemic transformation amount to values between 0 and 16%. Among our clinical material of 108 patients, 38 of them living, 10 patients (correspondingly 9%) showed a leukaemic transformation. The temporary latency between diagnosing of the aplastic syndrome and the leucaemic transformation was maximally 20 years. By cytomorphological investigations, particularly of the judgment of anomalies of erythroblasts, no certain prognosis concerning a possible development of leucaemia. Also cultivation methods of myelopoietic stem cells by means of diffusion chamber and agar culture technique do not seem to allow a certain evidence on prognosis. PMID- 6573824 TI - [Cervical complications in the use of prostaglandin F2alpha (PGF2alpha) in pregnancy]. AB - During pregnancy application of prostaglandins has been proved a successful method both for induction of midtrimester artificial abortion and cervical priming before termination of pregnancy at the end of first trimester. A report is given about three cases of cervical complications following the induction of artificial abortion and cervical priming with the consequence of operations. Therefore cervical priming should not be considered as an intervention without side effects and complications. It is indicated only in cases of primipregnancy with an unfavourable state of the cervical anatomy and at the end of first trimester. PMID- 6573825 TI - Endoscopic cytology and biopsy in the diagnosis of gastroesophageal malignancy. AB - Direct-vision endoscopic cytologies and biopsies were performed on 1,437 patients during a five-year period, and the incidence, correct typing and diagnosis of gastroesophageal cancer were studied. At the first cytology, malignant cells were diagnosed in 80 cases, all of which were confirmed by the endoscopic biopsy; in 30 cases, despite suspicious cytology, no malignancy was seen at the first biopsy. At repeat endoscopic cytology and biopsy, however, 21 of these 30 cases were correctly correlated for malignancy, resulting in a final correct correlation in 101 of the 110 cases (91.8%) and a diagnostic discrepancy in 9 cases (8.2%). It thus appears that the procedure is useful in diagnosing gastroesophageal cancer in the majority of cases. In the cases of discrepancies, gastric ulcers were found later; the repeatedly suspicious cytologies were due to the cytologic atypia of the cells from regenerating hyperplastic and/or metaplastic epithelium at the margins of the ulcers. Such cells showed a wide spectrum of changes, ranging from mild atypia to severe atypia mimicking adenocarcinoma of the upper gastrointestinal tract. PMID- 6573826 TI - Cytopathologic study of primary tumors of bones and joints. AB - Fine needle aspiration biopsy and subsequent histopathologic examination was done in 69 patients with bone tumors. In 83% of the cases, the cytologic diagnoses were in complete agreement with the histopathologic diagnoses. In the remaining aspirations, the cytologic diagnosis could not be made, mostly due to a paucity of cells on the smears. PMID- 6573827 TI - Cytologic evaluation of atypical cells in cervicovaginal smears from women with tubal pregnancies. AB - Cytologic changes in the cervicovaginal smears of 28 women with tubal pregnancies are described. Eleven cervicovaginal smears showed atypical cells, including two cellular patterns: glandular type and naked-nuclei type. About 60% of the cases with atypical cells included the naked-nuclei type of cell, which showed wide variations in nuclear size. Polyploid Feulgen DNA distributions were noted for both types of cells, which probably originate with the Arias-Stella reaction of the endometrium. The cytologic observation of atypical Arias-Stella cells in cervicovaginal smears may be useful in the early diagnosis of ectopic pregnancy, especially if both cell types are present. PMID- 6573828 TI - Rapid DNA evaluation in clinical diagnosis. PMID- 6573829 TI - Electron microscopic identification of the colorectal origins of tumor cells in pleural fluid. AB - Cellular material from metastatic rectal and lung adenocarcinomas was recovered from pleural and pericardial fluids, respectively. It was examined by electron microscopy (EM) to determine if certain ultrastructural features, which are primarily prominent in colorectal adenocarcinomas, were maintained in the tumor cells in metastatic fluid. These features include the presence of microvilli with dense microfilamentous cores that extend deeply into the apical cytoplasm (cytoplasmic rootlets) and an abundance of glycocalyceal bodies. It was found that tumor cells from the patient with a primary rectal adenocarcinoma exhibited these critical distinguishing characteristics. The cells from the lung adenocarcinoma, while containing many well-developed microvilli, did not possess cytoplasmic rootlets or glycocalyceal bodies. In addition, and possibly of more diagnostic significance, is the observation that the presence of microvilli and cytoplasmic rootlets remained evident in tissue pieces and cell blocks initially processed in paraffin and then reembedded for EM. PMID- 6573830 TI - Metastatic medullary thyroid carcinoma in sputum. A light and electron microscopic study. AB - Medullary thyroid carcinoma (MTC) was diagnosed in a 43-year-old male by light microscopy, electron microscopy and immunohistochemistry. Five years after thyroidectomy, malignant cells with the typical cytologic and electron microscopic features of MTC were seen in his sputum, and extensive pulmonary metastases from MTC were subsequently documented at autopsy. Sputum examination is a useful diagnostic technique in patients with MTC in whom pulmonary metastases are suspected. PMID- 6573832 TI - Histologic and cytologic correlation of endometrial wreaths. PMID- 6573831 TI - Cytologic findings of ascites from patients with ovarian dysgerminoma. AB - The cytomorphologic observations of ascites from three patients with ovarian dysgerminomas are presented. As compared with those in adenocarcinoma, the cytologic findings in this rare malignant ovarian tumor showed more cells lying isolated or in sheetlike arrangements, fewer cells with discrete cytoplasmic vacuoles, less frequent thickening of the nuclear membrane and more frequent multinucleolation. PMID- 6573833 TI - Primary malignant melanoma of the esophagus. Brush cytology and histogenesis. AB - The cytologic findings in a case of malignant melanoma of the esophagus in a 57 year-old male are described. Fiberoptic endoscopy showed a large brown mass in the lower tract of the esophagus and a strongly pigmented epithelium around the tumor. Brush cytology showed malignant melanoma cells with Fontana-Masson positive granules and typical intranuclear vacuoles. The surgical specimen revealed a malignant melanoma of the esophagus, with the surrounding epithelium characterized by junctional changes and the presence of benign melanocytes in the basal layer. The latter finding is the only sure criterion for proving the primary nature of malignant melanoma of the esophagus. PMID- 6573834 TI - Cytopathology of the esophagus. An overview of esophageal cytopathology in China. AB - Carcinoma of the esophagus is the most common malignancy in many parts of China. In an attempt to control it by early diagnosis, the balloon sampling technique was developed approximately 20 years ago. This technique is now widely used in China and is accepted as a diagnostic method by WHO. Up to 1979, more than 500,000 people were examined in China. It is routinely used for differentiation between benign and malignant lesions in the esophagus, with an accuracy in the range of 90%. In mass surveys, 73.8% of the cancers detected have been carcinoma in situ and minimally invasive carcinomas. Dysplasias have been shown to progress to invasion by cytologic studies. The utilization of this technique has made possible epidemiologic studies and, thereby, coordination of etiologic research in esophageal cancer. Detection rates of early esophageal cancer by cytologic studies are more accurate than are those with either endoscopic or radiologic methods. The instruments and technique for balloon sampling of esophageal lesions are described, as are the cellular cytomorphology and the diagnostic cytologic criteria applicable to the samples obtained. PMID- 6573835 TI - Pseudosarcomatous fasciitis of the breast. Cytologic and histologic features. AB - A rare case of pseudosarcomatous fasciitis of the breast is presented. Both the clinical examination and the mammographic findings led us to expect a malignant lesion. Fine needle aspiration biopsy cytology, however, was negative, with the cells observed indicating a benign lesion. The benignity was proven by histologic examination of the extirpated nodule. The usefulness of aspiration cytology in the diagnosis of this entity and the need for a combined methodology in the diagnosis of breast tumors are emphasized. PMID- 6573836 TI - Malignant angioendothelioma. Cytologic, histologic and ultrastructural findings. AB - Cells of a malignant angioendothelioma in pleural fluid were studied by light and electron microscopy. They occurred singly and clustered, with peripheral, pleomorphic nuclei containing finely particulate chromatin and one or two nucleoli. The cytoplasm was pale and finely vacuolated. Ultrastructural findings were those of endothelial cells: cytoplasmic pseudopodia, tight junctional complexes, cytoplasmic filaments and pinocytotic vesicles. PMID- 6573837 TI - Cytology of the pouch of Douglas in polycystic ovarian disease. PMID- 6573838 TI - Problems in the interpretation of hurthle cell populations in fine needle aspirates from the thyroid. PMID- 6573839 TI - Lipid fractions in primary hyperparathyroidism before and after surgical cure. AB - A number of previous studies has suggested that PTH may possess a hyperlipimic property. We determined various lipid fractions in 24 patients with primary hyperparathyroidism before and 1-3 months after surgical cure. The mean values for serum total cholesterol, triglycerides. LDL-Chol, VLDL-Chol and HDL-Chol did not change significantly with definitive correction of hyperparathyroidism. The mean values for all lipid fractions were comparable to those of the age- and and sex-matched normal control group except for HDL-Chol which was significantly lower in the hyperparathyroid group both before and after definitive cure of hyperparathyroidism. Only one patient with combined elevation of serum triglycerides and cholesterol exhibited normalization of the lipid levels after surgery. Two other patients with hypertriglyceridaemia failed to show any reduction in their triglyceride levels after correction of their hyperparathyroidism. Our data suggest that longstanding elevation of PTH to the extent seen in primary hyperparathyroidism and in the absence of predisposing conditions does not increase serum lipids in human. PMID- 6573840 TI - The metabolism of prostaglandin E2 is decreased by high- and medium-tar but not by low-tar cigarette smoke in isolated rat lungs. AB - The effects of smoke from low-, medium- and high-tar cigarette brands on the metabolism of prostaglandin E2(PGE2) were investigated in isolated rat lungs. When isolated lungs were ventilated with smoke of high- or medium-tar cigarettes during an infusion of PGE2 into the pulmonary circulation, the amount of unmetabolized PGE2 was increased and that of 15-ketometabolites (15-keto-PGE2 and 13,14-dihydro-15-keto-PGE2 together) was decreased in the perfusion effluent compared to air ventilated control lungs. This decrease in the pulmonary metabolism of PGE2 was seen by both filter and non-filter high/medium-tar cigarettes. When isolated rat lungs were ventilated with smoke of low-tar cigarettes no change in the metabolism of PGE2 was detected. The pressor response of the vascular bed to the infusion of PGE2 was inhibited with smoke of both low- and high-tar cigarettes. PMID- 6573841 TI - Reduced platelet MAO activity in healthy male students with blood group O. AB - The association between the two genetic markers of affective disorders, ABO blood group system and platelet MAO (monoamine oxidase) activity was studied in 70 healthy young males. The platelet MAO activity of subjects with blood type O was significantly lower than that of subjects with blood type A and with blood types A + B AB + B together. This finding could constitute a "bridge" between the two genetic approaches to affective disorders. PMID- 6573842 TI - Burkitt cell leukemia with abnormality of chromosome No. 1. AB - A case of L3 (Burkitt cell) leukemia with chromosome 1 abnormality but no detectable abnormalities of chromosomes 8 or 14 is reported. This is the first time that L3 leukemia has been shown to be associated with a primary abnormality of chromosome 1. The implications of these findings relative to the development of B-cell ALL and the role of chromosome 1 in human neoplasia is discussed. PMID- 6573843 TI - Effects of gemfibrozil on serum lipids. AB - A two-part, multicenter study to assess the clinical efficacy, side effects, and safety of gemfibrozil in 427 patients over treatment durations of up to 13 months showed that this drug markedly reduces the level of serum triglycerides, while moderately lowering total serum cholesterol levels. The high-density lipoprotein cholesterol level was substantially increased, with concomitant decreases in low density lipoprotein and very low-density lipoprotein cholesterol levels. The drug was generally well tolerated. However, a potential for increasing blood glucose levels was noted and careful monitoring during therapy is recommended. PMID- 6573844 TI - An examination of dental crowding and its relationship to tooth size and arch dimension. AB - This investigation was undertaken to examine the extent to which tooth size and jaw size each contribute to dental crowding. Two groups of dental casts were selected on the basis of dental crowding. One group, consisting of 50 pairs of dental casts (18 males and 32 females), exhibited gross dental crowding. A second group, consisting of 54 pairs of dental casts (24 males and 30 females), exhibited little or no crowding. Means and standard deviations of the following parameters were used to compare the two groups: individual and collective mesiodistal tooth diameters, dental arch perimeters, and buccal and lingual dental arch widths. Statistically, the crowded and noncrowded groups could not be distinguished from each other on the basis of mesiodistal tooth diameters. However, significant differences were observed between the dental arch dimensions of the two groups. The crowded group was found to have smaller dental arch dimensions than the noncrowded group. The results of this study suggest that consideration be given to those treatment techniques which increase dental arch length rather than reduce tooth mass. PMID- 6573845 TI - On the use of nomograms to determine the elastic property ratios of orthodontic arch wires. AB - With an 0.012 inch stainless steel arch wire as the base line, a series of calculating charts which express the strength, stiffness, and range ratios of orthodontic arch wires is introduced. In each case, both the bending and the torsional stress states are computed over a broad range of wire sizes. Three distinct situations are addressed: the over-all spectrum of elastic property ratios among stainless steel, nickel-titanium, and beta titanium wires; the intra and interproperty relationships of these wire compositions; and the role which elastic property ratios play in the selection of the right arch wire. Via these nomograms, clinicians will have another means available by which the plethora of wire compositions and cross sections may be assessed. PMID- 6573846 TI - The analysis of errors in orthodontic measurements. AB - The sources of error in cephalometric measurement and their analyses are discussed. The importance of distinguishing bias and random errors is emphasized, and methods of control are discussed. Randomization of record measurement is one of the most important methods of avoiding bias, but it is rarely undertaken in cephalometric studies. Random errors are particularly important in the evaluation of individual radiographs, and a measurement that has a high error in relation to its total variability will be of little value in clinical assessment. In serial studies of facial change, the error variance is always a major part of the total variance and thus results have to be interpreted with caution. In cross-sectional studies it is not possible to specify exactly the acceptable limits of random errors, because this will depend on the difference between groups that would be of interest and on the number of cases. The judicious replication of measurements can be important in the control of random errors. In many papers, adequate error evaluation and control is lacking. In these circumstances, the results are of limited value because it is not possible to tell whether an apparent effect is the result of bias in measurement or whether a real effect is being obscured by random errors. It is incumbent on authors to consider how their measurement errors should affect the interpretation of results. PMID- 6573847 TI - Effect of maxillary osteotomy on subsequent craniofacial growth in adolescent monkeys. AB - LeFort I osteotomy was performed on seven adolescent Macaca fascicularis monkeys to study its effect on the subsequent dentocraniofacial growth. Eight adolescent monkeys were used as controls. Tantalum implants were inserted at predetermined areas in certain craniofacial bones of all monkeys. For stereometric cephalometry, implants were placed in both the left and right sides of the facial bones. Lateral cephalometric radiographs of all monkeys were taken prior to and immediately after metallic implant placement, immediately after maxillary osteotomy, and thereafter every 4 weeks during the postsurgical period. At least two cephalograms were taken on each occasion, one with the teeth in occlusion and the other with mouth wide open. The latter was used to view the mandibular condyle adequately. These findings suggest that the maxillary osteotomy did disturb the vertical growth of the maxilla at the PNS and retarded the horizontal growth at the premaxilla. The anterior growth of the maxilla and mandible and the vertical growth of the face were substantially reduced. The most interesting finding was also a reduction of the mandibular growth in all of its dimensions. The rate and the amount of reduced anterior mandibular growth were found to be coordinated with the anterior maxillary growth which resulted in all animals showing a normal overjet, overbite, and occlusion throughout the postsurgical observation period. PMID- 6573848 TI - Surgical orthodontics and the temporomandibular joint. I. Superior repositioning of the maxilla. AB - Ten randomly selected adults who had undergone orthodontic treatment and isolated superior repositioning of the maxilla for vertical maxillary excess (VME) were evaluated clinically and radiographically (mean, 48.7 months postsurgery) for signs and symptoms of masticatory and temporomandibular joint dysfunction. The patients ranged from 18 years to 37 years of age (mean, 26.2 years) when evaluated. A three-part evaluation of the subjects was performed. This consisted of an anamnestic evaluation (previous medical history), a clinical examination, and a radiographic evaluation. The anamnestic evaluation revealed that, prior to surgery, facial pain was reported by one patient and was not present in any of the patients upon follow-up examination. We believed that the pain was not related to the masticatory musculature and/or the temporomandibular joint. No patients reported pain or sounds in their joints preoperatively, while 30 percent (3/10) of the patients related a history of temporomandibular joint sounds immediately after release of intermaxillary fixation, which subsequently was reported to have resolved in all instances without treatment. Clinical examination of the temporomandibular joints at the time of recall evaluated mandibular movements and the presence of pain or sounds during joint function. These examinations revealed that clinical measures of mandibular movements were somewhat reduced relative to normal. All patients were free of temporomandibular joint and masticatory muscle pain during function, upon contralateral masticatory loading, and upon palpation. Fifteen percent (3/20) of the joints examined demonstrated sounds (popping or crepitation) via auscultation. Masticatory loading in the contralateral premolar region did not induce noise in any of the joints examined. Cephalometric laminagraphic radiographs were obtained of each of the twenty temporomandibular joints with the mandible in three positions; maximum intercuspation, mandibular rest position, and maximal opening. Numerous anatomic relations were quantified from these radiographs. However, only three parameters (condylar position, movement, and evidence of arthrosis) were compared to normative data available in the literature. These comparative data suggested that persons who had undergone orthodontic treatment in conjunction with superior maxillary repositioning demonstrated (1) a relatively retropositional condyle within the fossa and (2) reduced condylar movement during maximal mandibular opening. Two of twenty temporomandibular joints demonstrated radiographic evidence of arthrosis; one condyle demonstrated articular surface erosions, and another exhibited articular surface sclerosis. The overall incidence of arthrosis was not much greater than normal, with 20 percent (4/20) of the joints demonstrating a reduced interarticular joint space. Overall, the clinical findings revealed a low incidence of pathologic masticatory muscle and temporomandibular joint symptoms and signs compared to normative data in the literature... PMID- 6573849 TI - Surgical orthodontics and the temporomandibular joint. II. Mandibular advancement via modified sagittal split ramus osteotomies. PMID- 6573850 TI - Influence of tooth-to-denture-base discrepancy on space closure following premature loss of deciduous teeth. AB - Influence of tooth-to-denture-base discrepancy on so-called physiologic migration of the first molar was studied on serial dental casts of 116 boys and girls, obtained through a dental health program for school children in an area in which there was no dentist. The alteration of spaces following premature loss of deciduous molars was examined comparing the anterior to posterior discrepancies between tooth and denture base. Modes of space alteration showed positive correlation with the size of the discrepancy, especially in the mandibular dental arches. The space deficiency in the posterior region seemed to have a positive effect on the mesial migration of the first molar. Mesial migration of the first molar seems to be pathologic rather than physiologic and is strongly affected by tooth-to-denture-base discrepancies. Space maintenance does not seem to be useful, because it is not necessary in minimum discrepancy cases and is not effective in severe discrepancy cases. PMID- 6573851 TI - An endodontic-orthodontic technique for esthetic stabilization of externally resorbed teeth. AB - Previous studies reveal that external root resorption is often coincident with orthodontic therapy. Some investigators have reported that root resorption ceases when orthodontic therapy is terminated. However, this is not always the case. The purpose of this article is to present an 11-year history of an unusual case in which root-resorptive processes continued for 3 years after orthodontic treatment had been discontinued. The article also describes and discusses a combined endodontic-orthodontic approach to halt external root resorption and stabilize mobile maxillary anterior teeth. Calcium hydroxide therapy was instituted to inhibit inflammatory apical root resorption. A rectangular orthodontic wire was adapted and inserted intracoronally to splint the teeth esthetically. The advantages and disadvantages of this intracoronal splinting technique are compared with other extracoronal splinting methods. Examination of one-year recall radiographs suggested inhibition of the root resorption. Masticatory function was restored for the patient. Considerations for monitoring patients with this problem are discussed. PMID- 6573852 TI - "The relation between nasorespiratory function and dentofacial morphology". PMID- 6573853 TI - Scanning electron microscopy of the stomach during modifications of acid secretion. AB - Acute stimulation of gastric acid secretion as well as intragastric instillation of physiological concentrations and volumes of HCl caused marked changes in the appearance of surface epithelial cells of the stomach. These changes could represent a damage of the gastric surface epithelial cells of the stomach. Pretreatment with the histamine H2-receptor-blocking drug cimetidine tended to reduce this damage, although the difference was not significant. In contrast, it was completely abolished by an analogue of prostaglandin E2. These observations suggest that gastric epithelial cells may be damaged under physiological conditions and that quick repair is needed to prevent ulceration of the gastric mucosa. Alternatively, endogenous release of prostaglandin under certain undefined conditions could prevent this damage. PMID- 6573854 TI - Tourette's syndrome and ethology. PMID- 6573855 TI - Preliminary investigation of bulimia and life adjustment. AB - Despite the reported increase in the incidence of bulimia, little is known about the life adjustment of bulimic patients. The authors surveyed 80 women who met the DSM-III criteria for bulimia regarding their adjustment in the areas of work, social and leisure activities, relationship with extended family, role as spouse, role as parent, and membership in the family unit. The life adjustment of the bulimic sample was significantly poorer in all areas than that of a normal community sample and was most similar to that of a comparison group of alcoholic women. PMID- 6573856 TI - A genetic marker associated with infantile autism. PMID- 6573857 TI - Surgical emphysema resulting from a ventilator malfunction. PMID- 6573858 TI - Mechanical ventilation with air-oxygen mixtures during total intravenous anaesthesia. An evaluation of the Penlon Nuffield Series 400 ventilator. AB - Mechanical ventilation with air-oxygen mixtures during total intravenous anaesthesia is discussed with the associated problem of obtaining a medically suitable source of air in British rooms. Independently powered ventilators capable of entraining filtered room air were thought to be the best solution. The Penlon Nuffield Series 400 ventilator was modified and assessed for use in this mode. An entrainment adapter and circuit was devised which allowed the ventilator to entrain more than sufficient ambient air, premixed with added oxygen for patient ventilation even under adverse conditions. The entrainment system ensured good mixing of the entrained air and oxygen and allowed accurate determination of oxygen concentration in the patient system using a suitable nomogram and without an oxygen analyser. An assessment of one-way patient valves was also undertaken. The Laerdal valve was found to be the most suitable for use with the system described. PMID- 6573859 TI - A new anaesthetic breathing system combining Mapleson A, D and E principles. A simple apparatus for low flow universal use without carbon dioxide absorption. AB - A new simple anaesthetic breathing system is described which has been designed to incorporate into a single system advantages of Mapleson A, D and E type systems. Coaxial and non-coaxial versions are available. The system can be used for adults, children or neonates and allows both spontaneous or controlled ventilation with low fresh gas flows at all times. As a Mapleson A system for spontaneous respiration a considerable saving of anaesthetic gases and vapours is achieved since, for adults, the new system requires a lower fresh gas flow even than that for the Magill. For children breathing spontaneously the system requires only one third of the fresh gas flow necessary for the Jackson Rees modification of Ayre's T-piece. For controlled ventilation the system behaves as a modified Mapleson D/E (Bain type) system with the advantage of predictable CO2 tensions and good humidification. The system is safe, simple in design and operation, and is easily sterilized. Further it offers low resistance to expiration and facilitates scavenging at all times which, with low anaesthetic gas flows, permits complete theatre pollution control. Its potential application in academic and rural environments and major advantages over the circle absorber system are discussed. PMID- 6573860 TI - The ion-pair extraction, purification, and liquid chromatographic analysis of indolealkylamines in human urine. AB - A highly efficient ion-pair extraction technique for the isolation of tryptamine, 5-hydroxytryptamine, and their mono- and N,N-dimethylated derivatives from aqueous media is described. The technique has been used to isolate nanogram quantities of both N, N-dimethyltryptamine and 5-hydroxy-N, N-dimethyltryptamine from large volumes of urine. A rapid and efficient normal-phase liquid chromatographic procedure has also been developed for the subsequent purification of indolealkylamines isolated from urine. The methods described have been used in the measurement of the urinary excretion of 5-hydroxy-N, N-dimethyltryptamine. Analyses were performed by liquid chromatography using a cation-exchange column with online fluorescence detection. Further characterization was achieved by stop flow spectroscopic analysis of the LC eluant. PMID- 6573861 TI - Front panel cover for Frazer-Harlake ventilator. PMID- 6573862 TI - Incisor width ratio. An aid in evaluation of interarch tooth width harmony in the mixed dentition. PMID- 6573863 TI - The effect of lower second molar extraction on late lower arch crowding. PMID- 6573864 TI - Clinical application of the Frankel appliance. Case reports. PMID- 6573865 TI - Biologically effective units of force. PMID- 6573866 TI - Pulmonary uptake of gallium-67 in asbestos-exposed humans and sheep. AB - To evaluate the 67Ga lung uptake as an indicator of inflammatory activity in asbestosis, we obtained 67Ga lung scans in 58 long-term asbestos workers. The 67Ga localized excessively in the lungs of 17 of the 21 workers with asbestosis. Among workers without sufficient criteria for the diagnosis of asbestosis, the 67Ga scan index was significantly increased in 43% (16 of 37). Among the 16 with positive 67Ga scan, abnormal pressure-volume curve and/or gas exchange data were found in 87%, whereas in the 21 workers with negative 67Ga scan, similar abnormalities were found in only 29%. In the sheep model of the disease, bronchoalveolar analysis after 67Ga scan demonstrated that the excessive uptake of 67Ga in asbestosis is caused by enhanced serum protein leakage and macrophage accumulation in the lung. Thus, 67Ga scanning in asbestos workers may be a useful indicator of early lung damage. PMID- 6573867 TI - Cytogenetic and clinical assessment of six patients with erythroleukemia. AB - We report the detailed karyotypic analysis and clinical features of six patients with erythroleukemia (EL). Five of six patients studied displayed substantial numeric and structural chromosome abnormalities. The most common alterations in these patients were monosomy for chromosome 7 and 16. All five patients displaying chromosomal abnormalities presented with 100 percent abnormal metaphases in their bone marrow at the time of initial diagnosis. The remaining patient was studied only during remission and had a normal diploid karyotype in all marrow cells analyzed. No patient in this study had either a Ph1 -chromosome (characteristic of CML), or translocations of chromosome #8-#21 (characteristic of AML-M2). Clinically, all but one patient had a brief history; the exception having had polycythemia rubra vera for 18 years prior to the onset of EL. All patients were treated with current Southwest Oncology Group (SWOG) protocols using cytosine arabinoside and anthracycline combinations. Three of five patients entered complete remission. However, remission durations were short (approximately six months) and median survival just over one year. Cytogenetic analysis of three patients in hematologic remission revealed persistence of chromosomal alterations. It is suggested that such remissions be reclassified as partial rather than complete based upon the cytogenetic information. PMID- 6573868 TI - Influence of a new relapse treatment for acute myeloid leukemia (AML) on in vitro granulopoiesis. AB - Twelve AML patients in relapse were treated with cytosine arabinoside (Ara-C), VP 16-213, vincristine, and vinblastine (A-triple-V). For bone marrow (BM) evaluation, in vitro granulopoiesis by agar and liquid cultures was investigated. In 15 treatments, 12 complete remissions (CR) were observed. Three patients, treated with 2 A-triple-V cycles achieved CR twice. One to four months after treatment normal colony formation and cell differentiation was found in remission patients. Evidence of sustained recovery was obtained in sequential studies of BM cultures of patients in CR. These results indicate that-A-triple-V treatment does not irreversibly deplete normal myeloid progenitor cell population. PMID- 6573869 TI - Antimycoplasmal activity of ofloxacin (DL-8280). AB - Ofloxacin (DL-8280; (+/-)-9-fluoro-2,3-dihydro-3-methyl-10-(4-methyl-1- pipera zinyl)-7-oxo-7H-pyrido[1,2,3-de][1,4]benzoxazine-6-carboxylic acid) showed a broader spectrum and a greater potency of antimycoplasmal activity than did pipemidic acid, norfloxacin, tetracyclines, and lincomycin, but was inferior to erythromycin. Its mycoplasmacidal potency against clinical isolates of Mycoplasma pneumoniae was also greater than that of other quinolones and tetracyclines. PMID- 6573870 TI - Soybean nodule xanthine dehydrogenase: a kinetic study. AB - Xanthine dehydrogenase was purified from soybean nodules and the kinetic properties were studied at pH 7.5. Km values of 5.0 +/- 0.6 and 12.5 +/- 2.5 microM were obtained for xanthine and NAD+, respectively. The pattern of substrate dependence suggested a Ping-Pong mechanism. Reaction with hypoxanthine gave Km's of 52 +/- 3 and 20 +/- 2.5 microM for hypoxanthine and NAD+, respectively. The Vmax for this reaction was twice that for the xanthine dependent reaction. The pH dependence of Vmax gave a pKa of 7.6 +/- 0.1 for either xanthine or hypoxanthine oxidation. In addition the Km for xanthine had a pKa of 7.5 consistent with the protonated form of xanthine being the true substrate. Km for hypoxanthine varied only 2.5-fold between pH 6 and 10.7. Product inhibition studies were carried out with urate and NADH. Both products gave mixed inhibition with respect to both substrates. Xanthine dehydrogenase was able to use APAD+ as an electron acceptor for xanthine oxidation, with a Km at pH 7.5 of 21.2 +/- 2.5 microM and Vmax the same as that obtained with NAD+. Reduction of APAD+ by NADH was also catalyzed by xanthine dehydrogenase with a Km of 102 +/- 15 microM; Vmax was approximately 2.5 times that for the xanthine dependent reaction, and was independent of pH between 6 and 9. Reaction with group-specific reagents indicated the possibility of an essential histidyl group. A thiol-modifying reagent did not cause inactivation of the enzyme. A role for the histidyl side chain in catalysis is proposed. PMID- 6573871 TI - Height and lymphoblastic leukaemia. AB - Two hundred and thirty six children with untreated lymphoblastic leukaemia were compared for height with the normal population by calculation of their mean standard deviation score. As a group, they proved to be significantly taller (P less than 0.0001), which gives support to the theory that growth hormone or a somatomedin may be involved in the development of the disease. PMID- 6573872 TI - Histocompatibility antigens in psoriasis, psoriatic arthropathy, and ankylosing spondylitis. AB - Patients with ankylosing spondylitis, psoriatic arthritis, and psoriasis alone were typed for HLA A, B, Cw, and DR antigens, and the antigen frequencies were compared with those in a normal control population and in patients with rheumatoid arthritis. Patients with psoriasis had a significantly raised frequency of Cw6. Those with arthritis in addition to their psoriasis also had raised frequencies of B27 and DR7. Patients with ankylosing spondylitis were characterised by the expected high frequency of HLA B27. Again, those with peripheral arthritis had a higher B27 and DR7 frequency than those without. DR3 is associated with the development of erosions in psoriatic arthritis. PMID- 6573873 TI - Effects of prostaglandins E1, E2, and F2 alpha on N-acetyl-beta-glucosaminidase activities of human synovial cells in culture. AB - The acid hydrolase N-acetyl-beta-glucosaminidase (NAG) was used to examine the effects of prostaglandins E1 (PGE1), E2 (PGE2), and F2 alpha (PGF2 alpha) on the lysosomal system of human synovial cells in vitro. A spontaneous release of the enzyme occurred from control cultures, which was accelerated by each of the prostaglandins in a concentration-dependent manner, within the range of 10(-8) 10(-6) moles per litre (M). No clear order of potency could be established. The effects of the prostaglandins on release of NAG were less consistent and of smaller magnitude when human serum was replaced by bovine serum albumin in the medium. In the presence of serum small increases also occurred in intracellular NAG activity, but only the effect of PGE1 was statistically significant. The prostaglandins did not appreciably affect the previously established pattern of increased intracellular activity of NAG and reduced release produced by sucrose. PMID- 6573874 TI - Genetic engineering and the clinician. PMID- 6573875 TI - 7-Alpha-hydroxytestosterone in seminiferous tubules of rat testis. AB - Production of 4-androstene-7 alpha,17 beta-diol-3-one (7 alpha hydroxytestosterone) from testosterone was measured in seminiferous tubule and interstitial fractions of rat testis. In adults, specific activity of the 7 alpha hydroxylase was about 10 times higher in interstitial cells than in seminiferous tubules, but tubule production was a significant portion of the total. Seminiferous tubule 7 alpha-hydroxylase was not detectable in weanlings. Also, we confirmed that 7 alpha-hydroxytestosterone inhibits the activity of the 5 alpha reductase and 3 alpha-hydroxysteroid dehydrogenase active on testosterone and suggest a role in maturational changes. PMID- 6573876 TI - Late-onset Mcardle's disease with unusual electromyographic findings. AB - Symptoms of McArdle's disease (muscle phosphorylase deficiency) commonly begin in childhood or adolescence. Late onset of the disease is rare. We describe a 76 year-old man whose symptoms began at age 74 years with sudden onset of proximal muscle weakness and fatigability. Electromyography disclosed substantial spontaneous activity and myopathic features as seen in inflammatory muscle disease. The diagnosis of McArdle's disease was made by histochemical studies of muscle, an abnormal ischemic lactate test, and absence of myophosphorylase activity. PMID- 6573877 TI - Joint distribution of lipoprotein cholesterol classes. The Framingham study. AB - During the period 1971 to 1975, the cholesterol content of lipoprotein density classes were measured in 2415 male and female Framingham Heart Study participants and 4342 of their offspring and offspring spouses who were free of coronary heart disease. In this first of three papers, the univariate and bivariate distributions of high density lipoprotein cholesterol, low density lipoprotein cholesterol, and very low density lipoprotein cholesterol are presented. There are differences in the levels of lipoprotein cholesterols by age, gender, and use of hormone preparations. The bivariate cross-tabulations of the three pairs of lipoprotein cholesterol measurements exhibit properties that cannot be appreciated from univariate summary statistics and suggest the importance of joint consideration of different lipoprotein cholesterol patterns for assessing the risk of coronary heart disease. PMID- 6573878 TI - Factors associated with lipoprotein cholesterol levels. The Framingham study. AB - Lipoprotein cholesterol determinations in 6328 individuals aged 20 to 79 years in the Framingham Heart Study Cohort and Offspring were related by multiple regression analysis to reported cigarette smoking, alcohol intake, and Quetelet Index (wt/ht2). Cigarette smoking was found to be strongly associated with "atherogenic" lipoprotein cholesterol profiles in young adults, and particularly in women. The associations for alcohol intake were mostly uniform across age groups and lipoprotein cholesterol fractions, while coefficients for Quetelet Index varied considerably. Blood chemistry associations were studied in participants under 50 years, after controlling for smoking, Quetelet Index, and alcohol intake. Significant associations for high density lipoprotein cholesterol (HDL-C) were seen for both sexes with alkaline phosphatase, serum calcium, serum u ric acid, and leucocyte count. Low density lipoprotein cholesterol (LDL-C) associations were observed with calcium, hematocrit, lactate dehydrogenase, and leucocyte count in men and women, while very low density lipoprotein cholesterol (VLDL-C) associations occurred with alkaline phosphatase, glucose, uric acid, and leucocyte count in both sexes. A 1 mg/dl higher calcium corresponded to an HDL-C approximately 4 mg/dl greater and a LDL-C typically 6 mg/dl greater after controlling for 12 other variables. A 1000/ml increase in leucocyte count was typically associated with a decrease in HDL-C by 1 mg/dl and an increase in LDL-C and VLDL-C of 1 mg/dl each. PMID- 6573879 TI - Indolealkylamine and phenalkylamine hallucinogens. Effect of alpha-methyl and N methyl substituents on behavioral activity. AB - Animals (rats), trained to discriminate the hallucinogenic agent 1-(2,5-dimethoxy 4-methylphenyl)-2-aminopropane (DOM) from saline in a two-lever operant procedure, were challenged with various doses of several indolealkylamine and phenalkylamine derivatives. In both series, the alpha-methyl analogs were found to be more active than either their N-methyl or alpha-demethyl counterparts. Furthermore, when the activities of the optical isomers of DOM were compared with the activities of S-(+) and R-(-)-alpha-methyltryptamine (alpha-MeT), it was found that the more potent isomer of alpha-MeT (i.e. S) possessed the opposite absolute configuration of the more potent isomer of DOM (i.e. R). With respect to the mechanism of action of these agents, these findings are not inconsistent with a common site hypothesis. PMID- 6573880 TI - Chronic lithium chloride infusions: conditioned suppression of food intake and preference. AB - A modified learned food aversion paradigm simulated the prolonged food and illness exposure likely to characterize nutrient deficiencies or tumor growth. In this paradigm, a continuously available food was associated with a slow, continuous infusion of LiCl provided by osmotic minipump. Significant aversions were acquired when the available diet was novel but not when it was familiar. Effects of drug infusions on daily food intake were found to parallel those on aversion formation. Marked, persistent suppression of food intake was seen in drug-treated animals consuming a novel diet, but only transient declines were seen in those with a familiar diet. By separating the direct from the conditioned effects on food intake of chronic drug infusions, these studies provided strong evidence that learned food aversions can lead to anorexia. PMID- 6573881 TI - [Effects of dopaminergic drugs on the concentrations of PGE2 and PGF2alpha in various brain regions]. AB - It has long been shown by Biggio and Guidotti that multisynaptic nigro-cerebellar pathway of dopaminergic origin can control cerebellar cyclic guanosinmonophosphate (cGMP) content, a good index of the activity of Purkinje cells. In this line, it has been reported that haloperidol and sulpiride, significantly decrease cerebellar cGMP content while opposite changes are observed with apomorphine. In an attempt to establish whether other cerebellar cGMP-related parameters may be influenced by dopamine drugs. Authors have investigated the effects of haloperidol, sulpiride and apomorphine on cerebellar PGE2 and PGF2alpha. Results obtained indicate that haloperidol and sulpiride significantly reduce cerebellar PGE2 and PGF2alpha content while opposite changes are induced by apomorphine. Similar results have been observed in substantia nigra but not in other brain regions, such as corpus striatum and medial basal hypothalamus. The possibility that the observed changes in cerebellar PG-content may result from the modulation of striatal dopamine receptors is discussed. PMID- 6573882 TI - [Congenital and metabolic myopathies]. PMID- 6573883 TI - Administration of local anaesthetics via the periodontal membrane. PMID- 6573884 TI - Cleaning silver-tin amalgam alloy. PMID- 6573885 TI - A modification for self-threading dentine pins. PMID- 6573886 TI - The geographical distribution of recently qualified dental graduates. PMID- 6573887 TI - Caries experience in 11-year-old school girls between 1962 and 1981. A radiological study. PMID- 6573889 TI - Identification of a burnt body from dental evidence. PMID- 6573888 TI - Immediate closure of oro-antral communications with a collagen implant. A preliminary report. PMID- 6573890 TI - Role of the consultant restorative dentist in the general hospital service. PMID- 6573891 TI - The antibiotic prophylaxis of infective endocarditis. PMID- 6573892 TI - Occlusion and restorative dentistry for the general practitioner. PMID- 6573893 TI - Administration of local anaesthetics via the periodontal membrane. PMID- 6573894 TI - Frequency of accidental intravascular injection of local anaesthetics in children. PMID- 6573895 TI - Complications of automated root canal treatment. PMID- 6573896 TI - Porcelain lower cheek teeth. PMID- 6573897 TI - Abnormal skeletal and dental growth in epileptic children. PMID- 6573898 TI - Variation among dentists in planning treatment. PMID- 6573899 TI - Patients complaining of a burning mouth. Further experience in clinical assessment and management. PMID- 6573900 TI - Pathogenesis of abnormal midline spacing of human central incisors. A histological study of the involvement of the labial frenum. PMID- 6573901 TI - A survey of endodontics in general practice in England. PMID- 6573902 TI - A synopsis of the project to evaluate the use of a Braille text and tactile aids when teaching dental health to blind children. PMID- 6573903 TI - Sulphate conjugation of p-hydroxytriamterene by platelet phenol sulphotransferase: assay conditions and correlation with metabolism in man. AB - 1 Sulphate conjugation catalyzed by phenol sulphotransferase (PST) is an important pathway in the metabolism of many drugs including triamterene. Variations in PST activity in an easily obtained tissue such as the platelet might reflect individual differences in the sulphate conjugation in other organs and tissues. Human platelets contain at least two forms of PST, a thermolabile (TL) form for which dopamine is a substrate and a thermostable (TS) form for which low concentrations of p-nitrophenol serve as a substrate. 2 p-OH triamterene, the major metabolite of triamterene, is conjugated with sulphate in vivo. p-OH-triamterene was a substrate for platelet PST with an apparent Michaelis-Menten value of 26 microM. Thermal stability studies indicated that p OH-triamterene was a substrate for only the TS form of platelet PST. 3 When platelet homogenates from 29 individual subjects were tested, there was a significant correlation between PST activities measured with 4 microM p nitrophenol and with p-OH-triamterene (r = 0.985, P less than 0.0001) but not between activities measured with dopamine and with p-OH-triamterene (r = 0.023, P greater than 0.2). These results confirmed that p-OH-triamterene was a substrate for only the TS form of human platelet PST. 4 The same 29 subjects were treated with 1 mg/kg of triamterene orally. 24-h urinary excretions of triamterene, p-OH triamterene and p-OH-triamterene sulphate averaged 15.3%, 6.3% and 78.4%, respectively, of the total of triamterene plus measured metabolites excreted. The excretion of triamterene plus the two metabolites averaged 43.1 +/- 2.6% (mean +/ s.e. mean) of the ingested dose. There was not a significant correlation between the proportion of p-OH-triamterene excreted as sulphate conjugate and the activities of either the TS or TL forms of platelet PST activity. PMID- 6573904 TI - Human platelet phenolsulphotransferase M and P: substrate specificities and correlation with in vivo sulphoconjugation of paracetamol and salicylamide. AB - Human platelet phenolsulphotransferase exists in two functional forms. M and P. In this study the substrate specificity of the two forms has been further delineated by correlating activities in different individuals with various substrates. m-Tyramine, noradrenaline, adrenaline, 5-hydroxytryptamine, p hydroxyamphetamine, isoprenaline, salbutamol and l-naphthol were all specific substrates for the M form of the enzyme. Paracetamol, a mixed substrate, was predominantly metabolized by the M form. Salicylamide at 5 microM was a substrate for the P form but became and M substrate at higher concentration. Phenol itself, a specific substrate for phenolsulphotransferase P at 10 microM, also became an M substrate at 1 mM concentration. These substrate specificities were confirmed with the selective inhibitor, dichloronitrophenol. In this study, we measured phenolsulphotransferase activity in platelets from 13 individuals selected on the basis of their wide variation in ability to sulphoconjugate paracetamol and salicylamide in vivo. There was no significant relationship between the in vivo pattern with either drug and the activity of platelet phenolsulphotransferase assayed with paracetamol or salicylamide respectively. PMID- 6573905 TI - Incidence of childhood leukaemia in The Netherlands (1973-1980). AB - The childhood leukaemia incidence rate for the Netherlands was estimated at 3.11 per 100.000 children (aged 0-15 year) per year, based on a complete nation-wide childhood leukaemia registry comprising the period 1973-1980. Acute lymphocytic leukaemia (ALL) accounted for 82.4% of the patients, acute non-lymphocytic leukaemia for 13.6% and chronic myeloid leukaemia for 2.9%. ALL occurred more frequently in boys (sex ratio 1.2). The highest ALL rate was observed in the 3-4 year age group. These figures corresponded with the data of the Manchester Children's Tumour Registry. Neither the incidence rates according to year of diagnosis nor the incidence rates according to year of birth showed a significant trend with time. The total leukaemia incidence rate in urban areas was somewhat higher than in rural areas. While the direct comparison of the incidence rate between these areas is not significant, the trend over the three categories of urbanisation is significant. PMID- 6573906 TI - Distribution of 4'epi-doxorubicin in human tissues. PMID- 6573907 TI - Synergistic killing of human leukaemic lymphoblasts by glucocorticoids and cytosine arabinoside. AB - Previous work has shown that the lethal effects of glucocorticoids on the human lymphoblastoid cell line, CEM-C7, are antagonized by the simultaneous presence of 1-beta-D-arabinofuranosylcytosine (Ara-C). A possible cell cycle mechanism prompted further studies using flow microfluorimetry. We now report that (1) Ara C (10-100 nM) blocks cells in S-phase and (2) the block is reversible after the drug is removed. A second treatment protocol, in which glucocorticoid is added to cells recovering from the effects of 24 h exposure to Ara-C, results in a clear synergism between the 2 drugs. This synergism is observed over a range of concentrations (5-100 nM), but is most significant at low doses, where inhibition of cell growth by Ara-C occurs but cell killing is minimal. Prior treatment with Ara-C increases the number of cells killed in the presence of steroid during the period 12-24 h after removal of the S-phase block. Combinations of Ara-C and steroid can thus be either synergistic or antagonistic, depending on the drug scheduling. PMID- 6573908 TI - Human natural killing against ovarian carcinoma. AB - Natural killing (NK) by lymphocytes from normal individuals against primary and established ovarian carcinoma cell lines was tested in short-term chromium release assays. Two established cell lines and 5/6 primary cell lines tested showed significant susceptibility to NK. Primary cell lines are, in general, less sensitive to NK than long-term cultured target cells. A common NK recognition determinant on ovarian carcinoma cells and on the erythroleukaemic K562 cells was demonstrated by cold target inhibition assays. The recognition structure was also present on an ovarian cell line resistant to NK but not on the insensitive leukaemic cell line, SB. The activity against ovarian carcinoma cells was associated with the presence of large granular lymphocytes (LGL) previously shown to be the major effector cells against K562 targets. In fractions obtained by Percoll gradient centrifugation of lymphocytes, only fractions with a high content of LGL demonstrated good NK activity. LGL mediated NK against both non adherent K562 and the adherent ovarian carcinoma target cells independent of monocytes. PMID- 6573909 TI - A new method for the determination of steroid sulphatase activity in leukocytes in X-linked recessive ichthyosis. AB - The diagnosis of X-linked ichthyosis can now be reliably established by using a non-radioactive method to detect steroid sulphatase deficiency in leukocytes. This new method yields the same results with leukocytes as with cultured fibroblasts. The second type of microsomal arylsulphatase previously described in cultured fibroblasts is also present in leukocytes. PMID- 6573910 TI - Hypercalcaemia complicating acute myelogenous leukaemia: a syndrome of multiple aetiologies. AB - Hypercalcaemia complicating acute myelogenous leukaemia is a rare but well recognized phenomenon. In most cases the pathogenetic mechanism causing the hypercalcaemia remains poorly understood. We recently studied in detail two patients with acute myelogenous leukaemia who developed hypercalcaemia during the course of their illness. The results of these studies conclusively excluded primary hyperparathyroidism or ectopic parathyroid hormone production as causes of the patients' hypercalcaemia. In vitro studies carried out on short-term suspension cultures of one patient's peripheral blood blast cells demonstrated production of a factor with potent bone resorbing activity, distinct from parathyroid hormone (iPTH) and prostaglandin E2 (PGE2). Further characterization of the bone resorbing factor suggested that it bore some similarity to osteoclast activating factor (OAF). Hypercalcaemia in the other case appeared to be due to a combination of skeletal invasion by malignant cells, and to ectopic secretion of an unidentified humoral factor with bone resorbing activity. These two cases demonstrate that the hypercalcaemia complicating acute myelogenous leukaemia may be due to a variety of mechanisms distinct from parathyroid hormone production. PMID- 6573911 TI - A hidden Philadelphia chromosome. PMID- 6573912 TI - Basophil differentiation in Ph-positive blast cell leukemia. PMID- 6573913 TI - Characterization of the erythropoietic precursors (BFU-E) in a patient with juvenile chronic myelogenous leukaemia by the analysis of G gamma and A gamma globin chains. AB - In order to investigate the pathogenesis of juvenile chronic myelogenous leukaemia (J-CML) we examined the biosynthetic rates of G gamma and A gamma globin chains in the erythropoietic bursts from the bone marrow of a patient with J-CML. Globin chains were labelled with 14C-labelled amino acids, separated by isoelectric focusing and quantitated by fluorography. The synthesis of gamma chains in the erythropoietic bursts comprised 89.0% of the total non-alpha chains. The G gamma:A gamma ratio was 0.67, which is within the ratios obtained in newborns. Furthermore, individual erythropoietic bursts contained varying ratios of both gamma and beta chains and all revealed more G gamma than A gamma chain synthesis. The relative proportions of G gamma and total gamma chain biosynthesis in 62 separate erythropoietic bursts were 0.69 +/- 0.06 and 0.86 +/- 0.06, respectively. Cumulative frequency distributions of individual bursts differing in the ratios of gamma/(gamma + beta) and G gamma/(G gamma + A gamma) approached normal frequency distributions. These results suggest that the levels of Hb F in J-CML are controlled by qualitative changes in a single population of erythropoietic precursors, in which normal switching of the G gamma:A gamma ratio has not occurred, rather than by the abnormal proliferation of an F-cell clone. PMID- 6573914 TI - Responsiveness to sepharose protein A from Staphylococcus aureus of lymphoid cells in a case of prolymphocytic leukaemia. PMID- 6573915 TI - Myeloid lymphoid node infiltration preceding acute myeloid leukaemia in a case of myelodysplastic syndrome. PMID- 6573916 TI - Absence of a factor blocking a cellular cytotoxicity reaction in the serum of women with recurrent abortions. AB - The serum of pregnant women contains a non-specific immunosuppressive factor able to block an in vitro cellular cytotoxicity reaction. This activity increases during the first trimester and persists for 3 months after delivery. The factor is active in dilution. Ten women who had recurrent abortions were typed for HLA antigens and were found to share several antigens with their husband. In all these women, the 'blocking factor' was absent from their serum. The absence of the 'blocking factor' could be used as a clinical test to predict spontaneous abortion. PMID- 6573917 TI - Long-term stability after treatment with removable appliances. AB - The long-term stability of 34 cases treated by one operator in general dental practice with removable appliances was investigated using clinical, model and radiographic data. The cases were divided into three groups; Class I, Class II and Class III, and were ranked according to the stability and type of result obtained. The results indicated that good interdigitation of teeth was an important factor in stability. PMID- 6573918 TI - The consistency of cephalometric assessments using the Ortho Grid. AB - This study was performed to compare the assessments of certain widely used angles made by conventional tracing with those made by McEwen and Martin's Ortho Grid. For clinical purposes the Ortho Grid is as reliable as the tracing method. Some grid measurements were consistently different from those made by tracing. PMID- 6573919 TI - A method of pre-surgical oral orthopaedics. PMID- 6573920 TI - On-line digitizing: useful mathematical techniques. AB - A mathematical and computational approach to some of the common problems found in writing digitizing programs for cephalometric analysis is described. The paper is aimed at those with access to a microcomputer and digitizer, some knowledge of the BASIC computer language and simple mathematics but little experience of writing digitizing programs. PMID- 6573921 TI - The way forward for British orthodontics--a personal view. PMID- 6573922 TI - The rate of spontaneous closure at the site of extracted mandibular first premolars. PMID- 6573923 TI - Kinetic study of the interaction between ribulosebisphosphate carboxylase/oxygenase and inorganic fluoride. AB - The effect of inorganic fluoride on the reactions catalyzed by ribulosebisphosphate carboxylase/oxygenase has been characterized with the fully activated enzyme. Fluoride inhibits both reactions, and the concentration required to inhibit the activity of the magnesium-activated enzyme 50% is 2 mM when reactions are carried out at pH 8.3. Inhibition is strongly pH dependent with an apparent pKa of 8.8. The inhibition kinetics were studied. It was found that inhibition is mixed but close to noncompetitive with respect to CO2 and uncompetitive with respect to ribulose 1,5-bisphosphate. The mechanism of interaction between fluoride and the enzyme is discussed, and a model is proposed in which fluoride interferes with the reactions by displacing a catalytically important ligand, probably a water molecule, from the activator metal. PMID- 6573924 TI - Developmental pattern, tissue distribution, and subcellular distribution of cysteine: alpha-ketoglutarate aminotransferase and 3-mercaptopyruvate sulfurtransferase activities in the rat. AB - The tissue distribution, the subcellular distribution in liver, and the developmental patterns of cysteine:alpha-ketoglutarate aminotransferase (CAT) and 3-mercaptopyruvate sulfurtransferase (MPST) activities were determined in rats of the Sprague-Dawley strain. CAT activity was highest in heart and liver, whereas MPST activity was highest in liver and kidney. CAT activity was located primarily in the mitochondrial fraction with a low level of activity in all other fractions. MPST activity was located in both the mitochondrial and cytosolic fractions. The specific activity of CAT and MPST generally increased in rat liver, heart, and kidney during the developmental period from 18 days of gestation to 26 days after birth. Peak CAT-specific activity occurred at about 4 days of age and peak MPST activity occurred at about 21 days of age; peak activity of both CAT and MPST exceeded the adult specific activities. The distribution and developmental pattern of hydrogen sulfide production from cysteine, catalyzed by the coupled activities of CAT and MPST, was similar to those of CAT activity. PMID- 6573925 TI - Environmental stress alters the developmental pattern of delta 5-3 beta hydroxysteroid dehydrogenase activity in Leydig cells of fetal rats: a quantitative cytochemical study. AB - Quantitative cytochemistry was used to determine the effect of subjecting pregnant rats to environmental stress on the activity of delta 5-3 beta hydroxysteroid dehydrogenase (3 beta-HSD) in Leydig cells of their fetuses. Enzyme activity was measured by microspectrophotometry in individual Leydig cells in cryostat sections of fetal testes on Days 16-21 postconception. Fetuses of stressed mothers lacked the peak of enzyme activity on Days 18 and 19 of gestation that is characteristic of Leydig cells of normal fetuses at this time. In addition, both before and after these 2 days, 3 beta-HSD activity in Leydig cells of stressed fetuses was significantly higher than normal. The altered developmental pattern of 3 beta-HSD activity in the stressed fetuses largely corresponds to the changes in plasma testosterone found previously in male fetuses of mothers exposed to the same regimen of stress. Thus, in the fetal Leydig cell, the activity of 3 beta-HSD, a key steroidogenic enzyme, can be modified by environmental stress, and provides an index of steroidogenic activity of the fetal testes and of the titers of circulating testosterone. PMID- 6573926 TI - Improved methods of analysis for CD data applied to single-strand stacking. PMID- 6573927 TI - Comparison of radioimmunological determinations with gas chromatography mass spectrometry dosage. A study of PGE2 and PGF2alpha in gastrointestinal fluids. AB - The reliability of radioimmunoassays for determination of PGE2 and PGF2alpha in gastrointestinal fluids was checked by two gas chromatographic mass spectrometric methods. Analyses were performed on samples of gastric juice from dogs and man (healthy volunteers), jejunal fluids from patients with celiac disease, mucous discharge from a villous adenoma of rectum, and bathing solutions from the Ussing chamber containing human jejunal mucosa. The radioimmunoassays included extraction and Sephadex LH-20 chromatography as a preliminary purification before quantification was carried out. Gas chromatographic mass spectrometric analysis of PGE2 was performed by monitoring the molecular ion of the trimethylsilyl ether of PGB2 methyl ester, m/z 420 and m/z 424 for the protium and the deuterium form, respectively, while PGF2alpha was quantified as the triacetyl derivative of the methyl ester, using the ion pair (M-3x60) i.e. m/z 314 and m/z 318. Recovery of immunoreactive PGE2 relative to gas chromatographic mass spectrometric dosage was 85.5% + / - 6.5 (mean + / - SEM; n=13), while the amount of PGF2alpha in the same sample volume was at the borderline of sensitivity for the gas chromatographic mass spectrometric method used, with a recovery of 114% + / - 19 (mean + / - SEM; n=4). PMID- 6573928 TI - [Experimental therapy of acute kidney failure with prostenon, a Soviet prostaglandin E2]. AB - It has been shown in experimental acute renal failure that intraarterial and intravenous injection of prostaglandin E2 (prostenon) recovers glomerular filtration and tubular reabsoption, i. e. completely eliminates acute renal failure. PMID- 6573929 TI - Problem? What problem? (A generic presentation). PMID- 6573930 TI - Alginate: the versatile impression material. PMID- 6573931 TI - Family history study of anorexia nervosa and bulimia. PMID- 6573932 TI - Nuclear magnetic resonance imaging of the knee: examples of normal anatomy and pathology. AB - Nuclear magnetic resonance images of the knee were obtained from three normal volunteers and from two patients. The pathology included an osteosarcoma of the distal femur and a fracture of the tibia. Steady State Free Precession (SSFP) techniques were used with a 0.15 Tesla resistive type magnet. Normal anatomy was well displayed and the size of the osteosarcoma was accurately predicted. Using SSFP techniques, the blood in the knee joint was not visualised, but the underlying tibial fracture was clearly outlined. PMID- 6573933 TI - Catecholamine histofluorescence in the paraventricular hypothalamus of rats made hyperphagic by parasagittal knife cuts. AB - Histochemical fluorescence microscopy has been used to study changes over a 15 week period in the density of catecholaminergic (CA) varicosities in medial hypothalamic nuclei of rats made hyperphagic by bilateral perifornical parasagittal knife cuts. The average daily intake of food was highest when measured two days after the knife cuts. By the 7th post-cut day, daily food intake was comparable to that measured during the 10th and 11th weeks after the cuts. The number of fluorescent varicosities in the paraventricular and periventricular hypothalamic nuclei diminished steadily after the knife cuts until they were virtually absent by the end of the fourth week. This process then reversed itself so that by the end of the 15th week the varicosities in these nuclei numbered just over 50% of presurgical values. Thus, there was an apparent lack of correspondence between increases in ingestive behavior or body weight and the nature of the CA innervation of the medial hypothalamus. This finding supports previously published work which indicates that the noradrenergic control of feeding behavior in the medial hypothalamus is mediated by a neural system that acts independently of the system responsible for the knife cut-induced hyperphagic response. PMID- 6573934 TI - Dental hygiene positions in Canada, 1979. Part 2: Compensation and fringe benefits. PMID- 6573935 TI - On management styles and the dentist-hygienist work relationship. PMID- 6573936 TI - Enzymatic sulfation of steroids. XVIII. study of the specific estradiol-17 beta sulfotransferase of rat liver cytosol, that converts the estrogen to its 3 sulfate, and some elements of the endocrine control of its production. AB - A radioisotopic assay for cytoplasmic estradiol-17 beta sulfotransferase activity in rat liver was developed. Routine enzyme assays used 120 microM [3H]estradiol 17 beta, 240 microM 3'-phosphoadenosine-5'-phosphosulfate, and enzyme samples containing up to 0.60 mg of cytosol protein. Livers from males and females sulfated 934 +/- 231 and 861 +/- 266 nmol estradiol-17 beta . h-1 . g-1. DEAE Sephadex A-50 chromatography showed that most of the cytoplasmic enzyme activity eluted as one peak that was well separated from glucocorticoid and 3 beta hydroxysteroid sulfotransferases. Pooled column fractions containing this estradiol-17 beta sulfotransferase exhibited kinetic properties similar to the enzyme activity in cytosol, but gave slightly greater activity with 180 microM estradiol-17 beta and 360 microM 3'-phosphoadenosine-5'-phosphosulfate. Apparent Km's for the steroid and the coenzyme were 71-85 and 80-93 microM, respectively. The pH optimum for the enzyme reaction was 7.75 +/- 0.25. The enzyme sulfated estradiol-17 beta at all concentrations tested between 10 and 180 microM. It did not sulfate estrone, testosterone, dehydroepiandrosterone, or cortisol well at any test concentration between 10 and 120 microM. The sulfation product was estra 1,3,5-triene-17 beta-ol-3-sulfate. The molecular weight of the enzyme was 54 500 +/- 2300 by Sephadex G-100 chromatography. The estradiol-17 beta sulfotransferase was inhibited strongly by phenols, but not by corticosterone, deoxycorticosterone, dehydroepiandrosterone, estrone, progesterone, or testosterone. Adrenalectomy diminished the estradiol-17 beta sulfotransferase activity greatly, owing to decreases of the specific estradiol-17 beta sulfotransferase concentration. The possible relationships between the specific estradiol-17 beta sulfotransferase and other sulfotransferases in rat liver are discussed. PMID- 6573937 TI - Tourette's syndrome and anophthalmia in a girl: complex differential diagnosis. AB - This is a report of a 15 year old girl with anophthalmia who met the DSM-III criteria for Tourette's Syndrome (TS). The case presented a complex differential diagnosis with previous diagnoses of behaviour disorder and schizophrenia, complicated by the issues of blindness, pharmacological, and environmental factors. Once the diagnosis was made, and due to intricate biopsychosocial interactions, a comprehensive treatment approach was adopted with good results. The authors comment on the non-existence of studies about the incidence of TS in blind children and recommend the discrimination between the motor behaviour of the tic disorder versus mannerisms associated with blindness. Thus a reasonable degree of suspicion is warranted in the treatment of blind children with severe behavioural disturbances. PMID- 6573938 TI - Acute leukemic infiltration of the prostate. Successful treatment with radiation. AB - Infiltration of the prostate by acute granulocytic leukemia can cause diagnostic and therapeutic difficulties. After stabilization of hematologic findings, the diagnosis can be made safely by needle biopsy of the prostate. The prostate may be one of the so-called sanctuary areas where chemotherapy does not affect the leukemic infiltrate. This process may be a source of reactivation of leukemia in patients who had achieved a hematologic remission. This report describes a patient who had successful eradication of acute myelomonocytic leukemia from the prostate by radiation therapy while in hematologic remission. Better surveillance for leukemic infiltrate of the prostate is needed, including needle biopsy when appropriate. Radiation may be an effective therapy for this manifestation of leukemia. PMID- 6573939 TI - Osteosarcoma of the jaw. AB - The records of 66 patients with osteosarcoma of the jaw were reviewed. The ages of the 42 males and 24 females ranged from 12 to 79 years (mean, 34.2 years). Swelling and pain, the most frequent presenting complaints, were noted an average of three months before the patient was seen by a physician. Fifty-one percent of the lesions involved the maxilla and 49% involved the mandible. The most common sites of involvement were the body of the mandible and the alveolar ridge of the maxilla. Radiologically, most of the lesions in the maxilla were osteoblastic (50%), whereas most of those in the mandible were osteolytic (43%). Chondroblastic osteosarcoma was the most frequent histologic type (48%) and was associated with the best survival rate (47%). Treatment included radical and local surgery with radiotherapy, chemotherapy, or various combinations. The recurrence rate for all treatment modalities was 70%. Patients treated by initial radical surgery had the best survival (80%). Survival decreased to 27% with local surgery. Of the 43 (65%) patients who died, most died with uncontrolled local disease; only four patients had documented distant metastasis, which involved lung, cervical lymph nodes, spinal column, and brain. PMID- 6573940 TI - Long-term survival in adolescent and adult acute lymphoblastic leukemia. AB - Among 164 patients with acute lymphoblastic leukemia (ALL) (age greater than 11 years) induced into complete remission at four hospitals in Italy and The Netherlands between 1971-1977, 49 survived for more than three years in continuous complete remission. Features at diagnosis of the 49 long-term survivors were compared with those of the parent group. The long-term survivors presented with significantly lower leukocyte counts and were slightly younger. Late relapses occurred in nine patients after 37-91 months from remission. Of the 45 patients who had all treatment stopped after 24-60 months of continuous remission, seven have relapsed. Relapses, mainly in the marrow, occurred 4-32 months after cessation of therapy, the risk of relapse being greatest in the first year and dropping to zero by the fourth year. ALL appears curable in approximately one fifth of adolescents and adults entering complete remission with adequate chemotherapy. PMID- 6573941 TI - LSA2-L2 protocol treatment of stage IV non-Hodgkin's lymphoma in children with partial and extensive bone marrow involvement. AB - Forty-one previously untreated children with Stage IV non-Hodgkin's lymphoma were studied from January 1971 to April 1979. All patients had bulky disease histologically proven to be non-Hodgkin's lymphoma with bone marrow involvement. They were separated into two groups according to the extent of bone marrow involvement. Group IVA included 14 patients with 25% or less lymphoblasts in the bone marrow. Group IVB included 27 patients with more than 25% blasts in the marrow. Their clinical characteristics with regard to age, sex, hemogram, histology, primary site, and blast morphology are compared. All were treated with the LSA2-L2 protocol with radiation therapy to one or more bulky sites of involvement. The disease-free actuarial survival for Group IVA was 64% with a median observation time of 49 months while that for Group IVB was 65% with a median observation time of 66 months. There was no statistical difference in the survival rates between the two groups. Hence, we conclude that the extent of bone marrow involvement does not affect the prognosis in Stage IV non-Hodgkin's lymphoma. It appears that radiation therapy may have contributed to the improved survival in our series. Furthermore, a subset of patients in Group IVB (24/27) who could be considered as high-risk acute lymphoblastic leukemia on the basis of age, initial leukocyte count, hemoglobin, mediastinal mass or T- or B-cell markers showed an improved survival (73% versus 43%) when compared to patients treated with conventional leukemia regimens. PMID- 6573942 TI - Hepatic failure secondary to indicine N-oxide toxicity. A Pediatric Oncology Group Study. AB - Indicine N-oxide, a pyrrolizidine alkaloid, was given to a five-year-old boy with refractory acute myelocytic leukemia. Three days after receiving the drug the patient developed signs and symptoms of acute hepatic failure. The patient died nine days after receiving the drug and an autopsy showed massive hepatic necrosis. The acute hepatic failure observed in this patient may have been secondary to indicine N-oxide toxicity. PMID- 6573943 TI - Serum-controlled membrane dynamic changes in growing human leukemia and lymphoma cells. AB - The relationship between membrane dynamics and cell growth in human leukemia lymphoma cell lines of B, T or nonB-nonT phenotype was studied by fluorescence polarization (P) with the probe diphenylhexatriene. Cyclic variations in the degree of P were found as a function of time after subculture. The P value decreases within three hours, until a minimal value obtained before the phase of logarithmic growth. Then, P increases up to its presubculture value. The extent of these variations is not correlated to the differentiation phenotype of the cell lines, nor to their pathologic origin. Experiments with dialyzed or not depleted medium, show that these changes are seen only in the presence of fresh serum. Moreover, the P values vary with the ratio of serum concentration to cell number. These P value modulations are related to subsequent variations in proliferation rate, except in the immature non B-non T REH cells, which grow independently on the serum to cell ratio. It is concluded that changes in the dynamic organization of membrane components are specific for each cell line and are controlled by serum factors. PMID- 6573944 TI - Characteristics of hematin uptake in malignant, embryonic and normal cells. AB - The characteristics of hematin uptake were examined in three malignant cell lines [L1210 leukemia, 745 murine erythroleukemia (MEL) and Walker carcinoma (W256)], a cell line derived from normal rat liver (BRL-3A) and a normal embryonic cell, chick embryo fibroblasts (CEF). Uptake in the normal liver cell line was slight and occurred at a slow rate in contrast to the rapid uptake, which was more rapid and of greater magnitude in the three tumor cell lines, Saturation of the heme uptake mechanism was observed in MEL cells at an extra-cellular hematin concentration of 160 micro M and in L1210 cells at 300 micro M. At saturation L1210 cells achieved a cellular heme concentration nine times as high as MEL cells. Hematin uptake in MEL cells was markedly augmented by pretreatment with DMSO, procaine, detergent or proteolytic enzymes or by increases in the pH of the medium from 8 to 9.5. In contrast to MEL cells where SA inhibits growth by lowering cellular heme, the inhibition of growth of L1210 cells by SA appears to operate by a mechanism independent of heme. In gradual increase in hematin uptake capacity in MEL cells over a period of days. Afer exposure of MEL cells to a high concentration of hematin in the medium, the egress of heme was followed under various conditions. Of the various agents studied, only cyanide produced a loss of heme from MEL cells. PMID- 6573945 TI - Extreme hypodiploidy in a case of myelomonocytic crisis of chronic myelogenous leukemia. AB - Two cytogenetically distinct populations of marrow cells were observed in a 28 year-old woman who developed a fulminant blastic crisis (BC) of chronic myelogenous leukemia (CML) after only 1 year in the chronic phase: one population with 35-36 chromosomes, the other showing 66-72 chromosomes. Cytochemical investigation demonstrated a myelomonocytic type of BC. Chromosome banding and correlation analysis of the mean karyotypes of the two populations showed that a close relationship existed between them, indicating that one population had developed from the other. The cytogenetic evidence suggests but does not prove that the cells with triploid chromosome numbers developed from the extremely hypodiploid population by duplication of the chromosome complement. The extreme cytogenetic diversity of both populations indicates that each was undergoing further cytogenetic evolution. PMID- 6573946 TI - The heterogeneity of the 5q--chromosome marker in refractory anemia. AB - A patient presenting with an unusual case of refactory anemia is described in whom acquired markers originating from chromosomes No. 5 and 8 are identified by G- and sequential C-banding. Comparison with various published illustrations of chromosome No. 5 deletions in this general broad category of disease raises the possibility that karyotypic misclassification in cases of absent or substandard banding (typical of bone marrow) may help to explain the considerable variation in size and morphology of the 5q--marker. PMID- 6573947 TI - Cytogenetic characterization of ten cases of Ph1-positive acute myelogenous leukemia. AB - Chromosome banding analyses were made on 10 cases of Ph1-positive AML (7 M1 and 3 M2). The standard type Ph1 translocation, t(9q +;22q -), was identified in all of them. Karyotypically normal cells were observed in 6-65% of bone marrow metaphases at the initial cytogenetic examination of 7 patients, whereas the remaining 3 patients had only Ph1-positive cells at diagnosis. Follow-up studies performed in 5 cases indicated that the frequency of karyotypically normal cells increased up to 81-100% when the patients were in remission, whereas it was much reduced in relapse. In 5 cases, there was observed a clone of cells in which the Ph1 translocation was the sole karyotypic abnormality. Various types of other chromosome abnormalities, in addition to the Ph1, were observed in all cases, among which-7 was the most frequent, being found in three cases as a stem line. Other additional changes encountered were + Ph1, del(5), i(17q), - 10, + 18, + X, and various numerical and structural changes including certain secondary translocations that occurred in the Ph1 (22q -) or its partner (9q +). The types and frequencies of these additional changes appeared to be different from those found in the acute phase of CML or in Ph1-positive ALL. PMID- 6573948 TI - Cytogenetic findings in congenital leukemia: case report and review of the literature. AB - The cytogenetic findings in a five-week-old female infant with acute lymphoblastic leukemia (ALL) are reported. Markers 11q - and 19 + were observed and considered to be due to an interstitial deletion of segment 11q13 to 11q23 of chromosome #11 and an insertion of this segment into the terminal region of the short arm of #19. Previously published banded cases of leukemic infants under one year of age have been summarized. A review of the data in these 29 cases suggests that the appearance of a normal karyotype in acute leukemia of infants (less than or equal to 1 year old) is much less common than in other categories of acute leukemia. Fourteen out of 29 cases (48%) had chromosomal abnormalities involving 11q. Seven of eight ALL cases had aberrations with a breakpoint at 11q22-23; six cases had t(4;11), one case had a del(11q) and ins(19p), and another had a t(1;22;4). All of three AMMoL cases had translocations involving the long arm of #11. The percentage of patients with t(4;11) and certain translocations involving 11q in infants with ALL or AMMoL, respectively, is higher than that seen in ALL and AMMoL in general. Eleven out of 12 cases (92%) of infant acute leukemias with chromosomal abnormalities involving 11q22-23 were five months old or less. PMID- 6573949 TI - Two cases of acute promyelocytic leukemia with variant translocations: the importance of chromosome No. 17 abnormality. AB - Two patients with acute promyelocytic leukemia (APL) were found to have chromosomal translocations in their leukemic cells; one had a 46,XX,t(7;17)(q36;q22) and another a 46,XY,t(1;17)(p36;q21) karyotype. These two cases of APL seem to be the first involving variant translocations instead of the standard t(15q+; 17q-) translocation. The present cases strongly suggest that the rearrangement of chromosome #17, which occurs in bands of the q21-22 region of the long arm, is crucially important in the pathogenesis of APL. PMID- 6573950 TI - Decreased [20-3H]phorbol-12,13-dibutyrate binding to phospholipase C pretreated epidermal cells. AB - Incubation of mouse epidermal cells (HEL-37) with phospholipase C (Clostridium perfringens) caused about a 50% decrease in the specific binding of [20 3H]phorbol-12,13-dibutyrate. Phospholipase C caused a decrease in the apparent number of binding sites from 2.86 X 10(5) to 1.21 X 10(5) per cell with little effect on ligand affinity. The decrease was observed with purified phospholipase containing no detectable protease activity, and when cells were fixed with glutaraldehyde. The phorbol-12,13-dibutyrate binding capacity of treated cells was recovered within 4 h incubation in complete medium. The results suggest that not all phorbol ester binding sites are equivalent, with differences arising either from varying phospholipid requirements or from membrane localisation. PMID- 6573951 TI - Evaluation of some anthracycline antibiotics in an in vivo model for studying drug-induced human leukemia cell differentiation. AB - Human acute promyelocytic leukemia cells (HL-60) were induced to undergo terminal differentiation by treatment in vivo with marcellomycin. This was accomplished by cloning HL-60 cells in 0.3% agar in diffusion chambers, which were subsequently implanted in the peritoneal cavities of mice. These animals were given injections i.v. with anthracycline antibiotics, and the chambers were transferred to a second recipient 24 hr later. After an additional 8 days, the chambers were removed, the cloning efficiency was determined, and colonies were scored for the presence of differentiated cells based on their ability to reduce nitro blue tetrazolium (NBT). Marcellomycin produced dose-dependent decreases in cloning efficiency and increases in the number of differentiated cells present in chambers. At all dose levels of marcellomycin tested, three types of colonies were observed; these were colonies consisting entirely of undifferentiated cells and approximately equal numbers of colonies consisting of solely differentiated cells and those with mixtures of both differentiated and undifferentiated cells. An 8-fold increase in colonies containing differentiated cells (both pure and mixed) was observed after a single injection of marcellomycin (10 mg/kg), a dose which reduced cloning efficiency by 40%. At that dosage level, aclacinomycin A also induced differentiation, while doxorubicin was ineffective, a finding consistent with the effects of these anthracyclines on HL-60 cells in suspension culture. In addition to the functional changes accompanying differentiation, commitment was characterized by a limitation in proliferative potential. Thus, the average size of uniform NBT-positive colonies was approximately 16 cells, and few clones of NBT-positive cells greater than 32 cells in number were observed; this contrasted with NBT-negative clones which contained up to 100 cells. This finding suggests that HL-60 cells undergo an average of four and a maximum of five divisions upon commitment to granulocytic differentiation. The in vivo system described may be useful in further evaluation of differentiation-inducing agents for therapeutic potential after an initial in vitro screen to identify active compounds. PMID- 6573952 TI - Cell surface membrane protein changes during the differentiation of cultured human promyelocytic leukemia HL-60 cells. AB - The human promyelocytic leukemia cell line HL-60 was induced to differentiate in vitro by treatment with dimethyl sulfoxide or retinoic acid. Morphological maturation was accompanied by a total loss of transferrin binding and a 7-fold increase in the percentage of cells reducing nitro blue tetrazolium. Cell surface membrane proteins and glycoproteins were labeled with 125I by the lactoperoxidase H2O2 or 1,3,4,6-tetrachloro-3 alpha, 6 alpha-diphenylglycoluril (Iodo-Gen) methods and analyzed by two-dimensional isoelectric focusing and sodium dodecyl sulfate-polyacrylamide gel electrophoresis and autoradiography. A minimum of 12 cell surface proteins were unchanged, 3 proteins (Mr 95,000, 87,000, and 77,000) were lost, and up to 7 new proteins (Mr 270,000, 240,000, 150,000, 135,000, 58,000, 56,000, and 50,000) appeared during HL-60 cell differentiation. The kinetics of disappearance of one major labeled cell surface protein (Mr 95,000) within two days during treatment with retinoic acid correlated with the loss of cellular transferrin binding. This protein was identified as the transferrin receptor by affinity absorption of extracts of 125I-surface protein-labeled cells to transferrin-Sepharose beads. The affinity-purified component had molecular weights of 190,000 and 95,000 under nonreducing and reducing conditions, respectively, confirming its dimeric structure. Two-dimensional electrophoresis of cell surface membrane-labeled proteins of normal human granulocytes confirmed the absence of the transferrin receptor and identified cell surface proteins with molecular weight and pI values corresponding to three of the new cell surface proteins which appeared during HL-60 maturation. The most intensely labeled of these had a molecular weight of about 55,000, and was confirmed as being identical to the corresponding Mr 58,000 HL-60 cell surface membrane protein by one-dimensional peptide-mapping analysis. This prominent new Mr 55,000 to 58,000 protein increased continuously throughout retinoic acid-induced maturation and was identified as a major terminal myeloid differentiation cell surface membrane protein. PMID- 6573953 TI - Activity of SC33428, a novel bishydrazone-bridged derivative of 4 demethoxydaunorubicin, against experimental tumors in mice. AB - SC33428, a novel bishydrazone-bridged analogue of 4-demethoxydaunorubicin, has been tested for antitumor activity in a range of experimental mouse tumor systems and has been found to be active when administered i.p., i.v., or p.o. When compared to Adriamycin, SC33428 was 4 times more potent and had antitumor activity which was superior against i.p. or i.v. L1210 leukemia, similar against i.p. P388 leukemia and i.v. Lewis lung carcinoma, and inferior against i.p. B16 melanoma. When compared to 4-demethoxydaunorubicin, SC33428 was 4 times less potent but a much more effective antitumor agent when given i.p. against i.p. L1210, P388, and B16 tumors. However, when given i.v. or p.o., the two compounds had similar potency and efficacy against systemic P388 and L1210 leukemias. PMID- 6573954 TI - Long-term and dependent growth of human leukemic blast cells with granulocyte macrophage differentiation in vitro. AB - A clonal growth of leukemic cells from the bone marrow of a patient with acute myeloid leukemia was observed in vitro for more than 20 months. Cytochemical and electron microscopic studies of the cells growing in vitro demonstrated that they were blast cells, differentiated granulocytes, and macrophages. They showed complete dependence on granulocyte-macrophage colony-stimulating factor for colony formation in agar. In addition to the presence of granulocytic colonies, some showed granulocyte-macrophage characteristics, suggesting that bipotential cells were also involved in long-term growth. Initially, they showed localized proliferation on or around giant fibroblast-like cells. Even after constant growth was established, attempts to transfer these cells were unsuccessful, and their growth was confined to the original flasks. These observations seen to indicate that their growth was not autonomous but dependent on the adherent cells in the flasks. This was also supported by a coculture experiment in which the cells were demonstrated to proliferate for 4 months only in the presence of normal bone marrow particles and bone marrow particle-derived feeder layers. These results suggest that, in some cases, long-term growth of leukemic cells can be induced in vitro by the cocultivation of bone marrow stromal cells. PMID- 6573956 TI - Phase II clinical evaluation of 4'-epi-doxorubicin. AB - 4'-Epi-doxorubicin (4'e-Dx) was used as a single agent in a broad phase II study involving a variety of advanced metastatic tumors. A total of 115 patients were treated, of whom 93 were evaluable. The dosage was 75 mg/m2/cycle repeated every 21 days, with a maximal cumulative dose of 550 mg/m2. Nine responses were achieved in a total of 28 patients with breast cancer (32%). The response rate was 54% in breast cancer patients receiving 4'e-Dx as first-line treatment, 25% in patients previously given chemotherapy without doxorubicin, and 11% in patients previously given chemotherapy with doxorubicin. Some therapeutic activity was also detected in endometrial carcinoma, epidermoid carcinoma of the cervix, non-Hodgkin's lymphoma, melanoma, and skin epidermoid tumor, but the number of patients entered in the study with these various tumors was too limited to allow any statement on efficacy of 4'e-Dx. No treatment schedule with 4'e-Dx had to be interrupted because of toxicity. In a total of 373 evaluable cycles, only three acute reversible ECG abnormalities were recorded. In 16 of 109 evaluable patients there was some minor or moderate alteration of one or more of the three major blood cell parameters following 4'e-Dx therapy, requiring a postponement of the next cycle by less than or equal to 10 days. PMID- 6573955 TI - Sensitivity of bone marrow hematopoietic colony-forming cells from mice, dogs, and humans to carminomycin, marcellomycin, aclacinomycin A, and N,N dibenzyldaunorubicin and its relationship to clinical toxicity. AB - The sensitivity of bone marrow granulocyte-macrophage colony-forming cells to 4 anthracyclines, carminomycin, marcellomycin, aclacinomycin A, and N,N dibenzyldaunorubicin, was studied using the agar diffusion chamber technique which allows exposure of target cells to drug metabolized by the chamber-bearing host after i.v. injection. Colony-forming cells from mice, dogs, and humans were all found to have exponential dose-response curves for the agents studied, with variation of the slopes between species and agents. Species sensitivities as determined by the assay related well to the available toxicological and clinical data for specific drugs. The rank order of sensitivity of human marrow colony forming cells to five anthracyclines tested in this and a previous study related very closely to doses producing moderate leukopenia in Phase I and II clinical studies. A dose of 200 mg/sq m of N,N-dibenzyldaunorubicin would be expected to produce moderate leukopenia in future clinical trials. This assay may be useful in predicting human bone marrow toxicity of new agents before actual clinical trial because of the ability to study the survival of human colony-forming cells directly. PMID- 6573957 TI - Negative-ion chemical-ionization mass spectrometry of aclarubicin analogs and characterization of two metabolites in man. AB - Aclarubicin and seven analogs have been characterized by negative-ion chemical ionization mass spectrometry. The method is highly sensitive (requires 1-10 ng) because of the stable semiquinone radical anions that are produced by resonance electron capture of thermal electrons. Ions in the spectra correspond to the intact molecule (M), M-H2O, aglycone, aglycone-O, and aglycone-2H2O. In addition, ions corresponding to the sequential loss of carbohydrate groups are exhibited in the spectra of compounds with di- and tri-saccharides. Two aclarubicin analogs were isolated from a patient's plasma and were found to be bisanhydroaklavinone, F, and one or both of the epimeric reduction products of the L-cinerulose carbonyl, M1 and N1. PMID- 6573958 TI - Daunorubicin, vincristine, and prednisone for remission induction in patients with acute lymphoblastic leukemia in relapse. AB - Patients with recurrent acute lymphoblastic leukemia were treated with daunorubicin (40 mg/m2/week X 4), vincristine (1.5 mg/m2/week X 4), and prednisone (40 mg/m2/day x 28). All of the patients had been treated with the same combination during the first induction treatment. Of 266 patients (221 children and 45 adults) treated in first relapse, 141 (53%) achieved complete remission (CR; 55% of the children and 44% of the adults). Of 61 patients who were re-treated with the same combination after the second relapse, 14 (23%) achieved CR. The difference between second and third CR was statistically significant (P less than 0.0005). The median durations of second and third CR were 8 and 6 weeks, respectively. No significant difference was observed when the duration of CR was compared with the initial wbc count, age at diagnosis, or duration of first CR. PMID- 6573959 TI - Combination of vindesine and prednisone in malignant lymphoma and acute leukemia. AB - Nineteen patients with advanced refractory lymphoma and 12 patients with acute leukemia, including seven in blastic crisis of chronic myelogenous leukemia (CML), were treated with vindesine in combination with prednisone. Of 16 evaluable patients with lymphocytic or histiocytic lymphoma, one achieved complete remission (6%) and eight achieved partial remissions (50%). Median duration of response was 12 weeks (range, 4-72+). Four of six evaluable patients in blastic crisis of CML showed definite improvement in blood cell counts and symptoms. The major dose-limiting toxic effect was bone marrow suppression, while neurotoxicity was seldom cause for dose modification. The study shows vindesine and prednisone to be active in heavily pretreated patients with non-Hodgkin's lymphoma and blastic phase of CML. PMID- 6573960 TI - Influence of fluoride in solution on tooth demineralization. I. Chemical data. PMID- 6573961 TI - Effect of carbonate and fluoride on the dissolution behaviour of synthetic apatites. PMID- 6573962 TI - Calcium release from powdered enamel and synthetic apatite after pretreatment with various low molecular weight organic acids. PMID- 6573963 TI - Effect of surface-active agents on fluoride-enamel interactions. I. PMID- 6573964 TI - Binding of polyphosphates and phosphonates to hydroxyapatite, subsequent hydrolysis, phosphate exchange and effects on demineralization, mineralization and microcrystal aggregation. PMID- 6573965 TI - Abrasion of enamel. I. An in vitro investigation. PMID- 6573966 TI - Inhibiting effect of aqueous extracts of eight Nigerian chewing sticks on bacterial properties favouring plaque formation. PMID- 6573967 TI - Fluoride content and calcium release from enamel, in relation to rat caries following the application of fluoride varnishes. PMID- 6573968 TI - Effect of systemic titanium tetrafluoride (TiF4) on fluoride uptake by developing rat enamel. PMID- 6573969 TI - Fluoride ingestion with fluoridated domestic salt under Swedish dietary conditions. PMID- 6573971 TI - Clinical photography for the discerning dentist. PMID- 6573970 TI - Characterization of the population of phagocytic cells in thymic cell suspensions. A morphological and cytochemical study. AB - Rat thymic phagocytic cells were characterized in vitro using various light- and electron-microscopical techniques. Thymic cell suspensions were mechanically prepared and enriched for non-lymphoid cells, which were predominantly phagocytic and of three types. Type I showed acid phosphatase (APh) activity in small granules dispersed throughout the cytoplasm and were mostly Ia antigen-positive, although the Ia membrane label varied in intensity and distribution among individual cells. Only a few cells had endogenous peroxidase activity. The type-I cells could not be clearly distinguished morphologically from type-II or -III cells, and most likely comprise precursors of both these cell types. Type-II were large pale cells with many slender cell processes. These cells had APh activity centrally positioned, were strongly positive for Ia on the cell membrane and were negative for endogenous peroxidase. The cytoplasm frequently contained Birbeck granules, which unequivocally classifies these cells as the in vitro equivalent of the interdigitating cells present in the medullary area of the thymus in situ. Type-III cells were rounded with a smooth or ruffled cell membrane and contained vacuoles and many phagolysosomes. They were strongly positive for APh which was present throughout the cytoplasm. About 50% of these cells were positive for endogenous peroxidase in a pattern resembling resident macrophages. The cells were negative for Ia antigens. Type-III cells mostly likely represent the macrophages found in the cortical area of the thymus. PMID- 6573972 TI - The suppressive effect of peritoneal exudate macrophages on production of antibody to sheep erythrocytes in vitro. AB - The effects of peritoneal exudate macrophages on antibody response to sheep erythrocytes (SRBC) were investigated in mice. Peritoneal exudate macrophages obtained from mice injected intraperitoneally with proteose peptone or Corynebacterium parvum 4 days earlier had stronger ability to phagocytize and degrade SRBC than normal resident macrophages. These macrophages suppressed antibody formation to SRBC in vitro as well as in vivo. This suppression was overridden by increasing the amount of SRBC and diminished completely by pretreatment of the macrophages with iodoacetate and partly by pretreatment with 2-deoxyglucose, both known to be inhibitors of phagocytosis, but not by addition of indomethacin to the in vitro culture. These results suggest that the suppression of antibody response by peritoneal exudate macrophages was due to the increased activity of these cells as scavenger cells, resulting in a reduced amount of effective antigenic stimulation, and that it was not mediated by a prostaglandin-dependent mechanism. The scavenger function of these macrophages may be due to Ia-negative macrophages. PMID- 6573973 TI - [Acute lymphoblastic leukaemia, its contemporary problems and perspectives]. PMID- 6573974 TI - Effect of isomaltulose on acid production and insoluble glucan synthesis by Streptococcus mutans. PMID- 6573975 TI - Morphology and distribution of sensory nerve endings in the mouse labial mucosa. PMID- 6573976 TI - Light and electron microscopy of pharyngeal tooth formation in the larval Red Sea bream, Pagrus major. PMID- 6573977 TI - Bioluminescent assay for total bile acids in serum with use of bacterial luciferase. AB - This simple, rapid, sensitive kinetic bioluminescent method for the assay of bile acids in serum involves use of 3 alpha-hydroxysteroid dehydrogenase (EC 1.1.1.50) in combination with a new, commercially available NADH Monitoring Reagent (LKB Wallac) containing a low activity of NADH:FMN-oxidoreductase and a high activity of bacterial luciferase. Interfering dehydrogenases in serum are inactivated in the test tube with trichloroacetic acid before the assay. The standard curve is linear for concentrations of bile acids up to about 300 mumol/L. With a sample volume of 20 microL, the detection limit is about 0.2 mumol/L. The within-run precision (CV) is about 10%, both at high and low concentrations of bile acids in serum. Correlation is good (r = 0.996) between results by this method and an enzymatic method based on spectrophotometry. However, the latter method is considerably less sensitive, and it is less precise at low concentrations of bile acids. PMID- 6573978 TI - Self-reported social, speech, and facial concerns and personality adjustment of adolescents with cleft lip and palate. AB - This study examined the relationships among self-perceived social adjustment, concerns regarding facial disfigurement and defective speech, and objective personality assessment of 30 adolescents with cleft lip and palate. The results suggest that while cleft group scores indicate good adjustment, a significant number of adolescents with cleft have self-perceived social adjustment problems related to concerns with facial appearance. Social introversion appears to be related more to facial concerns than speech concerns during adolescence. PMID- 6573979 TI - Differences in craniofacial morphology between complete and incomplete unilateral cleft lip and palate in adults. AB - Differences in craniofacial morphology between complete and incomplete unilateral cleft lip and palate were studied in adult males by roentgenocephalometry. Incomplete clefts did not have the widening of the nasal cavity, reduction of the upper face height, or reduced thickness of the upper lip found in complete clefts. The shortening of maxillary depth was half that noted in complete clefts. The mandibular deviations and interorbital widening did not differ. The same held true for the retroinclination of upper incisors and alveolar process and backward shift of the maxilla. These changes accounted for differences in sagittal maxillo mandibular relations, facial profile, occlusion of incisors and total facial height between complete and incomplete clefts. Limitation of anterior growth rotation of the face was identical. The independence of mandibular variations on the extent of the cleft and on maxillary malformation suggests the possibility of an underlying primary impairment of growth of the lower jaw, at least in some cases. PMID- 6573980 TI - Persistence of the stapedial artery in a first arch anomaly: a case report. AB - This is a case report of a three month old girl with a unilateral facial dysplasia in whom the rudiments of external auditory organs were displaced towards the zygomatic region. The carotid arteriography demonstrated a persistent stapedial artery and absence of some branches of the external carotid artery (the middle meningeal artery and the superficial temporal artery). The autopsy study, undertaken at six months of age, confirmed the presence of the vascular anomaly and severe defects in the auditory organ. There was nerve tissue in the facial mass. This is the first reported case in which an association of a unilateral first arch anomaly and persistent stapedial artery has been confirmed by arteriography. PMID- 6573981 TI - Correlations between microforms of the Van der Woude syndrome and cleft palate. AB - The lower lip was examined in 397 children with isolated cleft palate (CP), in 518 cleft lip children with or without cleft palate (CL(P)) and in 1000 noncleft children. Familial occurrence of clefts, other concomitant anomalies and the type and extension of the cleft were determined from the child's medical history. A total of 323 orthopantomograms, taken at the ages of 6-12 years, were available in the detection of hypodontia of the permanent teeth excluding the third molars in the CP group. The incidence of lower lip sinus and microforms (conical elevations, CE) was noted. The incidence of sinuses was 2.3% in the CP group, 2.5% in the CL(P) group and 0% in the noncleft group. The corresponding figures for CE were 39.3%, 0.8% and 0.7%, respectively. In the CP group with CE, the familial occurrence of clefts was statistically higher (30.0%) than in the group without CE (20.7%). The corresponding figures for hypodontia were 40.7% and 24.7%, respectively. Conical elevations are cleft palate related disturbances in the development of the lower lip. At least in certain cases the CE do represent microforms of the sinus syndrome. Thus the question arises: do the CE always represent microforms of the Van der Woude syndrome, or are they only pathogenic similarities of a variable etiology? PMID- 6573982 TI - Correlations of hypodontia in children with isolated cleft palate. AB - A total of 251 children with isolated cleft palate were examined. Orthopantomograms, taken at the age of 6-12 years, were used in the detection of hypodontia of the permanent teeth, excluding the third molars. The findings were: 1. Familial history of clefting has no pronounced effect on the prevalence of hypodontia; 2. The prevalence of hypodontia was significantly higher in children with conical elevation of the lower lip than in those without it (40% to 25%), and increased with increasing extension of the cleft; 3. Cleft palate was associated with conical elevation and/or hypodontia in 56% of the subjects. The same etiological factor or factors seems to be responsible for the formation of the cleft, for conical elevation, and for hypodontia. PMID- 6573983 TI - A survey of cleft lip and palate surgery taught in Plastic Surgery Training Programs. AB - A mail survey was used to document the surgical methods for repair of cleft lip and palate being taught in Plastic Surgery Training Programs. The survey was completed by Senior Residents representing over 80% of the training programs in the United States. The results demonstrate that variation exists regarding methods and techniques for cleft lip and palate surgery. PMID- 6573984 TI - The origin of the term "harelip". PMID- 6573985 TI - The review system comes under fire. PMID- 6573986 TI - Reliability of the nasopharyngeal fiberscope (NPF) for assessing velopharyngeal function. AB - Simultaneous side-view nasopharyngeal fiberscopic (NPF) and lateral cinefluoroscopic (cine) recordings were taken for two normal subjects to determine the stability of NPF placement for the study of velopharyngeal function, and the reliability and validity of NPF findings. The results indicate that the NPF was highly stable during the several velopharyngeal activities examined, the NPF tip maintaining a relatively constant relationship within the vertebral complex. Therefore, it seems likely that similar NPF views are obtained on different occasions with a subject. The findings also indicate that measurements can be made from NPF still photos for several aspects of the velopharyngeal mechanism. However, measurements of the left lateral wall movement were not reliable. Measurement of velar movement from NPF correlated well with cine measures of velar movement, indicating validity of that NPF measure. PMID- 6573987 TI - Levels and subcellular localisation of pyridoxal and pyridoxal phosphate in human polymorphonuclear leukocytes and their relationship to alkaline phosphatase activity. AB - Neutrophil leukocytes, isolated from normal subjects and subjected to analytical subcellular fractionation by sucrose density gradient centrifugation, showed very similar cytosol distributions of pyridoxal and pyridoxal phosphate and lactate dehydrogenase. The small amounts of pyridoxal and pyridoxal phosphate associated with the dense granule fractions were not associated with the alkaline phosphatase containing granules. The levels of pyridoxal and pyridoxal phosphate were determined in neutrophils from control subjects, women in the third trimester of pregnancy and patients with chronic granulocytic leukaemia. Neutrophil pyridoxal phosphate was increased in women in the third trimester of pregnancy compared to controls, but there was little variation in the level of pyridoxal between the groups. There was no consistent correlation between the pyridoxal phosphate and the neutrophil alkaline phosphatase activity in the patient groups. Although in vitro neutrophil alkaline phosphatase rapidly hydrolyses pyridoxal phosphate, it is suggested that in vivo this is unlikely to be the principal function of the enzyme. PMID- 6573988 TI - Segmental replacement of long bones using titanium fiber metal composite following tumor resection. AB - A series of 17 long bone defects following tumor resections were reconstructed using titanium fiber metal implants with adequate bone grafts. There were nine diaphyseal segmental arthroplasties and eight arthrodeses of the knee. The results were excellent in 11 and satisfactory in five, and there was one failure. Sixteen patients became fully weight-bearing. Adequate bone grafts, especially from both posterior iliac crests, and good skin coverage are essential to adequate bony reconstruction. PMID- 6573989 TI - Observations on the sequential use of Tc-99m phosphonate and Ga-67 imaging in untreated primary and secondary malignant tumors of the head and neck. AB - Scintigraphy using both Tc-99m phosphonate and Ga-67 was performed in 55 cases of untreated primary and secondary tumors of the head and neck. In 21 patients with primary tumors of jaws, eye, tongue, or parotid gland, Ga-67 scintigraphy visualized the primary tumor in all cases and metastases in 12. Scintigraphy using Tc-99m phosphonate disclosed primary bone involvement in 12 cases and skeletal metastases in two. In eight of 13 patients with metastatic lesions of jaws and skull, bone scintigraphy showed skeletal metastases. In seven of these patients, Ga-67 scintigraphy detected the primary tumor and in 11 cases detected metastases. Bone scintigraphy disclosed skeletal metastases in six of 21 patients with malignant neck tumors. In 13 of these patients, Ga-67 scintigraphy visualized the primary tumor, whereas it showed metastases in seven. It is concluded that Ga-67 scintigraphy should be used in the investigation of untreated primary or secondary malignant tumors of the head and neck. Bone scintigraphy may be indicated as an additional study in selected cases only. PMID- 6573990 TI - Muscle accumulation of Tc-99m diphosphonate in myophosphorylase deficiency and other disorders of muscle glycogenolysis/glycolysis. PMID- 6573991 TI - A retronephric extramedullary plasmacytoma demonstrating avid uptake of Ga-67. PMID- 6573992 TI - Accumulation of Ga-67 citrate in an inguinal hernia mimicking lymphadenopathy. PMID- 6573993 TI - Equipment available for nurseries. PMID- 6573994 TI - Fitzgerald factor deficiency and acute granulocytic leukaemia. PMID- 6573995 TI - Development of a Danish preventive program for preschoolchildren based on cooperation with key-persons. AB - Plans to expand public child dental services to include preschoolchildren and the recently established training of dental hygienists in Denmark form the background for the present study. The study was performed in a rural municipality located 35 km north of Aarhus. Public child dental services for schoolchildren (6-16 years of age) had been established for several years and were being planned to include preschoolchildren. In cooperation with the personnel in the Child Dental Service a full-time employed dental hygienist developed a communication network with different categories of key-persons (health nurses, private daycare mothers and nursery school teachers). Close records and diaries were kept during the entire 3 year study period. The paper summarises the experience gained from co-operation with a large number of key-persons and illustrates some of the conditions necessary for a successful process. The effect of the program on dental caries is discussed. PMID- 6573996 TI - Cereal availability and dental caries. AB - The present study examines the relation between three cereals: wheat, rice, and maize, to dental caries in 12-year-old children in 47 nations of the world. DMFT data were obtained from the World Health Organization's Oral Epidemiology Bank; data on cereal supplies were obtained from the Food and Agriculture Organization (Rome). The relation between these functions was examined by the methods of correlational and rank order analysis. The data show that: 1) the relation of each of the cereals to caries is different; 2) the consumption of wheat is positively correlated to the DMFT values obtained for the 47 nations: 3) maize consumption is negatively associated with caries; and 4) the consumption of rice shows no correlation. In keeping with these observations, nations in the upper quintile of caries prevalence consumed more wheat and less maize than those in the lower quintile. Although these findings do not ipso-facto demonstrate any cause and effect relationships between cereal availability and caries, they do suggest that starch in the form of wheat may contribute to the prevalence of dental caries in nations throughout the world. PMID- 6573997 TI - Explorative study of the motives for non-utilization of the Danish Youth Care Scheme. AB - The present study attempted to develop an explanatory model for the lack of preventive dental behavior as demonstrated by the non-utilization of the Danish Youth Dental Care Scheme (YDCS). A focused interview was conducted with young, working class men by two carefully trained and experienced interviewers. Analysis of the interviews showed that no single factor could explain non-utilization of the YDCS. Rather a complex of factors partly on the individual social psychologic, psychologic and economic level and partly on the social level, operating directly and indirectly with varying strength, needs to be considered. A new explanatory model for preventive dental behavior is developed and discussed in the light of recent theories on health behavior. PMID- 6573998 TI - Dental visits and self-assessment of dental health status in the adult Danish population. AB - The purpose of the present investigation was to study dental visits and self assessment of dental health status in the adult Danish population. The study group comprised 5151 persons (86.7% of the original sample) who were interviewed in order to determine living conditions. Questions on dental visits and self assessment of dental health status were included. 61% of the adult Danish population in the age group 20-69 had regular dental visits. Dental visit habits varied according to urbanization, age, sex and social group. Among well off persons 85% had regular dental visits as opposed to only 40% in the disadvantaged social group. Well off persons and persons with regular dental visits more often claimed good dental health than persons in the disadvantaged social group and among the non-regular visitors. In the higher social group 13% reported to have removable dentures in contrast to 51% in the disadvantaged social group. To isolate determinants of dental visits a multiple dummy-regression analysis was performed. Nearly 50% of the variation in dental visit habits was explained by the variables: urbanization, sex, age, perceived dental health status, education, work in exhausting jobs, income, social background and perceived psychological problems. Efforts to bring a greater part of the adult population in Denmark in contract with the dental health service system should consider these findings. PMID- 6573999 TI - Dental practice in Northern Ireland, UK. AB - A postal survey concerning clinical practice by general practitioners in Northern Ireland U.K. had a response rate of 71.2%. There were little differences in practice between those who had graduated at the Dental School in Belfast (70%) and those who qualified elsewhere. Older dentists appear to undertake less ambitious dentistry and while this might be a reflection of their training, there were some practices of younger dentists such as not using a rubber dam for endodontic treatment which was certainly not taught to them at Dental School. PMID- 6574000 TI - Oral hygiene instruction using a self inspection plaque index. AB - The need for proper oral hygiene requires large amounts of time and manpower, and relapse is still common. This paper describes a self instructional manual and self inspection plaque index that was tested in a periodontal recall population. The program was tested on 18 periodontal recall patients over a period of 6 weeks. Questionnaires were completed at the start, at 2 weeks, and at the end of the experimental period to evaluate patient opinions. Presence of plaque near the gingival margin was recorded at the start, at 2 weeks, and at 6 weeks. Patients were provided with a self instructional manual which taught them to recognize plaque on six teeth. Also, they were given a lighted mouth mirror, a toothbrush, and disclosing wafers. Initial, before-brushing plaque scores of 47% decreased to 18% during the 6 weeks of the study. After-brushing plaque scores also were significantly improved during the study. Patients were able to perform the plaque index without guidance to a high level of agreement with a dental hygienist (r = 0.72). Furthermore, the program was well accepted by the patients according to their answers on the questionnaire. PMID- 6574001 TI - Dose reduction in pantomography of children by means of reduction of irradiated area. AB - An Orthopantomograph was provided with microswitches in order to reduce exposure time. The collimation was vertically reduced. The reduced field size obtained covered all dentoalveolar regions except the third molar areas. The dose of energy imparted was thus reduced from 1.6 to 0.6 mJ and thyroid gland dose from 0.13 to 0.04 mSv compared to complete pantomography. The economy in reduction of film size was 55%. PMID- 6574002 TI - Dental caries experience of 16-17-year-old naval recruits related to the water fluoride level in their home town. AB - Out of 6694 recruits who joined the Royal Navy between September 1979 and February 1981, 1983 (30%) had lived all their lives in one locality. Information on the fluoride level, between 1963 and 1980, in the water supply to each of the recruits' homes was obtained. The examiner recording the dental status of each recruit did not know where the recruit had lived. Some of the information on fluoride levels was imprecise or of variable quality so the final analyses were restricted to 1332 16-17-year-old subjects. The overall mean DMFT for the 1332 recruits was 9.72. There was a consistent fall in caries experience with increasing water fluoride level although the difference between the caries experience of recruits from low and high fluoride areas (about 20% for mean DMFT) was smaller than that observed in other studies. A possible explanation for this smaller difference is that some of the subjects did not receive fluoridated water early in life. PMID- 6574004 TI - Inhibition of testosterone synthesis in the canine testis in vitro. AB - Testicular 17 beta-hydroxysteroid oxidoreductase (17 beta-HOR) is one of the several enzymes necessary for the synthesis of testosterone, but is not required for either glucocorticoid or mineralocorticoid synthesis. Since specific inhibition of the testicular enzyme has potential contraceptive and experimental uses, the inhibitory effect of twenty steroids on 17 beta-HOR activity was examined in microsomal preparations of canine testes. Six steroids inhibited testosterone formation, but only 4-estrene-3,17-dione (KI = 2.4 microM) and 5 androstene-3,17-dione (KI = 6.8 microM) had significant inhibitory activity. The data suggest the following molecular characteristics necessary for competitive inhibition of 17 beta-HOR activity: (a) requirement for 17-keto group, (b) relative requirement for 3-keto group, (c) decreased inhibition with unsaturation in position 5-6, and (d) marked loss of inhibitory activity with 6 beta-, 11 beta or 19- hydroxylation, and A-ring aromatization. PMID- 6574003 TI - Prevalence of root caries in the adult Finnish population. AB - A sample of 8000 persons was drawn to represent the Finnish population aged 30 years and over. The participation rate was 89.9%. Root caries was recorded when the lesion was obviously soft and more than half of it was located on cementum. Lesions adjacent to fillings were not included. The reproducibility and the standard of the clinical recordings were tested by reexamining 20% of the studied population 2-6 months after the first clinical examination. The overall prevalence of root caries was 21.6% for men and 14.5% for women. The prevalence increased for both sexes almost consistently with age. Root caries was found 1.6 times more often among men than women. Among men 2.23% and among women 1.19% of teeth were affected by root caries. PMID- 6574005 TI - Practical techniques for pediatric chest computed tomography. PMID- 6574006 TI - Cardiac metastases from osteosarcoma. A report of two cases. AB - Two children who developed cardiac metastases from osteogenic sarcoma are described, and the value of computed tomography in making an antemortem diagnosis is illustrated. Computed tomographic images with a narrow window width will reveal the presence of calcification within the cardiac metastases. Images in this mode should always be studied in patients with osteogenic sarcoma who are undergoing chest computed tomography scans to detect pulmonary metastases. PMID- 6574007 TI - [Use of carbonaceous biomaterials in implantology]. PMID- 6574008 TI - [Repeat root canal treatment. Why? When? How?]. PMID- 6574009 TI - [Bone-mucosal support in removable partial dentures]. PMID- 6574010 TI - [A swallowed partial denture: case report]. PMID- 6574011 TI - [Oro-dental pharmacology in the time of Augustus]. PMID- 6574012 TI - [Ergonomics in endodontics. Hand instruments. Description and use]. PMID- 6574013 TI - [Ergonomics in endodontics. Manufacture and standardization]. PMID- 6574014 TI - [Ergonomics in endodontics. Motorized canal reamers]. PMID- 6574015 TI - [Induction of labor with prostaglandin F2 alpha sponge]. PMID- 6574016 TI - Differentiation of HL-60 cells: cell volume and cell cycle changes. AB - HL-60 promyelocytic leukemic cells can differentiate into more mature myeloid cells with the addition of dimethylsulfoxide, butyric acid or retinoic acid and can differentiate into macrophages with the addition of phorbol ester 12-0 tetradecanoylphorbol-13-acetate (TPA). After the addition of an inducer, the HL 60 cell volume shows a daily decrease while the cell number increases at a rate similar to the untreated control cells. Flow cytometry measurements show an increase in G1 cells and a decrease in S cells after day 1. Since the generation time is constant, the data suggest that the length of time spent in the different cell cycle stages has changed during differentiation. Within 3 hours after the addition of TPA to HL-60 cells, selective adhesion of G1 cells occurs. Smaller sized cells are recovered from the flask bottom and larger sized cells are recovered from the supernate. Flow cytometric analysis reveals a G1 and S block in cells obtained from both the supernatant and from the flask bottom. After 1 day of TPA incubation, there is preferential adhesion of G1 and G2 cells with the nonadherent cells being primarily in the S and G2 cell cycle stages and undergoing a cell cycle traverse. PMID- 6574017 TI - [Recommendations for the treatment of status asthmaticus in private and clinical practice]. PMID- 6574018 TI - Fully active Fe-protein of the nitrogenase from Azotobacter vinelandii contains at least eight iron atoms and eight sulphide atoms per molecule. AB - The Fe-protein of the Azotobacter vinelandii nitrogenase enzyme complex contains a variable iron and sulphide content. The iron and sulphide content of the protein is dependent upon the specific activity. Up to a specific activity of 1000 nmol C2H4 produced X min-1 X mg Av-1(2), three iron and three sulphide atoms per molecule Av2 are found. At specific activities above 1000 nmol C2H4 produced X min-1 X mg Av-1(2), a linear relationship between specific activity and iron and sulphide content of Av2 is found. The maximum values found are 8.8 iron atoms and 8.6 sulphide atoms/molecule at a specific activity of 2250 nmol C2H4 produced X min-1 X mg Av-1(2). Also the experimental molar absorption coefficients at 430 nm of the oxidized and reduced forms depend on the specific activity. The highest values found are 15.9 mM-1 cm-1 and 9.1 mM-1 cm-1, respectively. Since occasionally the preparations with specific activities around 3000 nmol X min-1 X mg-1 are isolated which contain more than 10 iron atoms and 11 sulphide atoms per molecule, it cannot be excluded that under certain physiological conditions Av2 contains even more than two [4 Fe-4 S] clusters. The addition of MgATP induces a conformational change in the Fe-protein which results in a higher reactivity with iron chelators. But irrespective of the specific activity, the amount of iron extracted from the protein after addition of MgATP never exceeds four atoms/molecule. The results are discussed with respect to the present molecular model of the Fe-protein. PMID- 6574019 TI - Polymorphism in Pg-1 (urinary pepsinogen-1) locus in the rat and its linkage analysis. AB - Cramer (1981) reported that Pg-1 (urinary pepsinogen) in the rat was loosely linked with albinism in the linkage group I. We performed a three point test on the loci of pg-1, c, and Hbb. We could reconfirm that pg-1 was autosomal trait with two co-dominant alleles of pg-1a and pg-1b. But in progeny of ((WF X IS) X WF) backcross, pg-1 was linked to neither c nor Hbb, while a close linkage between c and Hbb was detected. Also pg-1 was not linked to Mup-1 (LG II), a (LG IV), Es-3 (LG V), and h (LG VI). pg-1 will be one of the most valuable genetic markers of the rats, since pg-1 was highly polymorphic among inbred strains of rats, and not linked to LG I, II, IV, V, and VI. PMID- 6574020 TI - Myopathy due to glycogen storage disease: pathological and biochemical studies in relation to glycogenosome formation. AB - Ten cases of myopathy caused by glycogen storage diseases of type II, III, and V, and phosphorylase b kinase deficiency are reported. So-called "abnormal lysosomes" or glycogenosomes which contain abundant glycogen were found in cases of type II, and in some numbers, in cases of type III, and in one case of phosphorylase b kinase deficiency which revealed a moderate decrease in debranching enzyme (amylo-1,6-glucosidase) activity. In these cases of type III and phosphorylase b kinase deficiency, the glycogenosomes are formed through deposition of abnormal glycogen (limit dextrin structure glycogen). PMID- 6574021 TI - Histocompatibility in couples with recurrent spontaneous abortion and normal fertility. AB - Histocompatibility between husband and wife at the HLA locus has been suggested as a determinant of recurrent spontaneous abortion. We measured the incidence of HLA antigen sharing within 12 couples with histories of unexplained recurrent abortion and in a fertile control population of 77 couples. In the recurrent abortion group, 6 of 12 (50%) of the couples shared no HLA antigens, whereas only 3 of 12 (25%) shared one antigen, 1 of 12 (8.3%) shared two antigens, and 2 of 12 (17%) shared three antigens. In the fertile group, 27 of 77 (35.1%) shared no antigens, 33 of 77 (42.8%) shared one antigen, 14 of 77 (18.2%) shared two antigens, 2 of 77 (2.6%) shared three antigens, and 1 of 77 (1.3%) shared four antigens. In 50 of these control couples who were available for complete reproductive histories, there were no significant correlations between the incidence of antigen sharing and the numbers of offspring, the incidence of spontaneous abortion, or infertility problems. Six of the women in the recurrent abortion group became pregnant during the study. Three of these (50%) delivered live infants independent of the degree of antigen sharing and without the benefit of immunologic treatment. Therefore, the degree of HLA antigen sharing did not define a population with increased pregnancy wastage or predict subsequent pregnancy outcome. PMID- 6574023 TI - [Collapse occurring in the dental chair]. PMID- 6574022 TI - Inhibition of human placental progesterone synthesis and aromatase activity by synthetic steroidogenic inhibitors in vitro. AB - The inhibitory effect in vitro of four synthetic steroids on enzyme systems of placental progesterone synthesis at term was analyzed. Cholesterol side chain cleavage enzyme (CSCC) was not influenced by azastene, trilostane, and WIN 32,729. A 50% inhibition of CSCC was found by 10 microM cyanoketone. The 3 beta hydroxysteroid dehydrogenase was dose-dependently inhibited by azastene (I50 = 1 microM, trilostane (I50 = 4 nM), cyanoketone (I50 = 3 nM), and WIN 32,729 (I50 = 5 nM). A competitive inhibition of the 20 alpha-hydroxysteroid dehydrogenase (20 alpha-HSDH) by azastene (I50 = 0.6 microM), trilostane (I50 = 4.1 microM), cyanoketone (I50 = 0.6 microM), and WIN 32,729 (I50 = 1.5 microM) was observed. No difference in the effect of steroids on the 20 alpha-HSDH of early gestational and term placenta was found. The four steroidogenic inhibitors did not affect the activity of placental aromatase in vitro. Our results allow a comparison of inhibitory potencies of four steroidogenic inhibitors on different steroidogenic enzymes in vitro. PMID- 6574024 TI - [Caries-preventing effect of the consumption of table salt containing 350 mg fluoride per kg]. PMID- 6574025 TI - Legal aspects of medical emergencies in the dental office. PMID- 6574026 TI - How to determine dental staff salaries. PMID- 6574027 TI - What patients think of your practice. PMID- 6574028 TI - Bartering: is it right for your practice? PMID- 6574029 TI - Economic uncertainties demand sound credit planning. PMID- 6574031 TI - Safety creates high morale, which increases lab productivity. PMID- 6574030 TI - Want to improve productivity? Take a seat. PMID- 6574032 TI - Plan for tomorrow's crisis with today's insurance. PMID- 6574033 TI - Interpreting facial expressions. PMID- 6574034 TI - Dimensions of career satisfaction for the dental hygienist. PMID- 6574035 TI - Preliminary evaluation of oral lesions: what is this superficial swelling? PMID- 6574036 TI - Fluorides: metabolism, mechanisms of action and safety. PMID- 6574037 TI - Caries and remineralization. PMID- 6574038 TI - Caries prevention through food screening, immunization and controlled-release delivery systems. A review of some recent developments. PMID- 6574039 TI - Health education & promotion to prevent dental caries. The opportunity and responsibility of dental hygienists. PMID- 6574040 TI - The mandibular infected buccal cyst--molar area. PMID- 6574041 TI - Differential diagnosis of cervical radiolucencies. PMID- 6574042 TI - Hepatitis and venereal disease. PMID- 6574043 TI - The problematic drug history. PMID- 6574044 TI - The patient with allergies. PMID- 6574045 TI - Dental management of the pregnant patient. AB - The pregnant patient presents several considerations for providing dental treatment. Among these are that there are two persons involved in the dental treatment of a pregnant woman, the woman and the baby. Each presents a different set of problems. The mother basically presents no difficult problems for dental treatment. She needs to have routine dental treatment provided. All procedures can be done. Because of the fetus, certain precautions in the use of drugs and radiographs must be taken. If it is determined in taking the history that a person may be pregnant and she is not seeing an obstetrician, the dentist should urge her to see one at her earliest convenience. It is well documented that early and good prenatal care decreases the risk to the mother and to the fetus. Diabetes, hypertension, and anemias are frequently associated with pregnancy and produce a threat to the developing fetus. These diseases, along with any other systemic diseases and infections that pose threats to either the mother or the fetus, are normally detected with good prenatal care. PMID- 6574046 TI - Oral hygiene in handicapped children: a comparison of effectiveness in the unaided use of manual and electric toothbrushes. PMID- 6574047 TI - Dental marketing: from research to service.. Interview by Pat Muchmore. PMID- 6574048 TI - Your home office doesn't have to be a tax trap. PMID- 6574049 TI - Heaven can wait. PMID- 6574050 TI - The search for Doctor right. PMID- 6574051 TI - Enhance your charisma. PMID- 6574052 TI - Reaching out to areas of need. PMID- 6574053 TI - Dental computers. The ingredients of a good system. PMID- 6574054 TI - Patients enjoy visits to the brace place. PMID- 6574056 TI - Internal Marketing: the first step to team success. PMID- 6574055 TI - The three C's of a collection policy that retains goodwill. PMID- 6574057 TI - Office staff conference: the key to communication. PMID- 6574058 TI - Switching on the space-sharing alternative. PMID- 6574059 TI - Office planning for the solo group. PMID- 6574060 TI - It's time for a review. PMID- 6574061 TI - Patient perception of dental fees is changing. PMID- 6574062 TI - Patient feedback project provides real measure of patient satisfaction. PMID- 6574063 TI - Dentist makes changes as a result of feedback. PMID- 6574065 TI - Ten questions to ask when leasing office space, and the answers you should get. PMID- 6574064 TI - Guidelines for improved telephone technique. PMID- 6574066 TI - A technique for intraoral cannulation and infusion of the rat submandibular gland. PMID- 6574067 TI - Temporomandibular joint arthrography. A study of some diagnoses at superior joint cavity arthrography. PMID- 6574068 TI - Radiographic changes in the temporomandibular joint in ankylosing spondylitis. PMID- 6574069 TI - Benign cementoblastoma (true cementoma). PMID- 6574070 TI - Clinical trials of a dental radiographic quality control system. PMID- 6574071 TI - Different types of deciduous molar impaction. PMID- 6574072 TI - A comparison of Kodak Ektaspeed and Ultraspeed films for the detection of periodontal bone lesions. PMID- 6574073 TI - Kodak Ektaspeed--a new dental x-ray film. PMID- 6574074 TI - A comparative study of two techniques for recording centric relation. PMID- 6574075 TI - Mandibular changes in panoramic radiographs of patients with end stage renal disease. PMID- 6574076 TI - The fate of free mercury in tissue. PMID- 6574078 TI - Four-handed dentistry. 1. Principles and techniques: a new look. PMID- 6574077 TI - An update on mouth ulcers. PMID- 6574079 TI - Class II, division 1 malocclusions with a missing incisor: three treatment alternatives. PMID- 6574080 TI - Hypodontia. PMID- 6574081 TI - Experimental colitis studied by colonoscopy in the rat: effect of indomethacin. AB - Diffuse colitis was produced in rats by the intracolonic administration of 10% acetic acid. The course and evolution of this chemical colitis was followed by performing serial fiberoptic colonoscopy and biopsy. The effect of intrarectal indomethacin on the prostaglandin E content of the colonic mucosa and on the severity of colitis as judged by endoscopic and histologic criteria was evaluated. Intrarectal administration of indomethacin was associated with decreased severity of inflammation and decreased prostaglandin E2 content of the colonic mucosa. This model may be useful in evaluating other potential therapeutic agents. PMID- 6574082 TI - [Prognostic significance of the platelet count in chronic myeloleukemia]. PMID- 6574083 TI - [Combined autoradiographic and cytophotometric study of the composition and kinetics of cell populations in chronic myeloleukemia]. PMID- 6574085 TI - Primary herpetic gingivostomatitis in the adult. PMID- 6574084 TI - [Cytochemical determination of naphthol-AS-D-chloroacetate esterase activity in the blast cells of acute myeloblastic leukemia patients]. PMID- 6574086 TI - Clinical evaluation of high-copper amalgam. PMID- 6574087 TI - Provisional bridge obstruction of the esophagus. PMID- 6574088 TI - Traumatic avulsion: a case report on reimplantation. PMID- 6574089 TI - Amalgam capsule leakage during trituration. PMID- 6574090 TI - Peripheral odontogenic fibroma: an uncommon oral lesion. PMID- 6574091 TI - Evaluating capitation finances in a dental practice. PMID- 6574093 TI - Job descriptions: put it in writing to put it into practice. PMID- 6574092 TI - Examining the patient with TMJ syndrome. PMID- 6574094 TI - Unilateral swelling of the jaw. PMID- 6574095 TI - Swelling on the mandibular gingiva. PMID- 6574097 TI - Georgetown dental seniors. PMID- 6574096 TI - [Electrophoretic polymorphism of proteins and the genetic divergence of primates]. AB - The hypothesis suggesting that genetic distances between primate taxa are smaller than characteristic genetic distances between non-primate taxa having the similar level of phylogenetic affinity, due to the specific features of primate protein evolution, has been probed. To this end, genetic distances between green and rhesus monkeys representing different genera of one subfamily, and between humans and chimpanzees representing related families, have been calculated and compared. It has been shown that the former are 2-2,5 times smaller than the latter. It is pointed out in this connection that genetic distances reflect adequately the hierarchy of the above taxa, and the existing interpretation of the "paradox of genetic similarity" of man and apes needs to be corrected. To calculate genetic distances, we used both literature data and the results of comparative analysis of 9 electrophoretic gene markers of green and rhesus monkeys represented in this work. Differences in genetic variability of these species were detected. PMID- 6574098 TI - GPA's of students entering GUSD on upward curve. PMID- 6574099 TI - From oral diagnosis: a case report. PMID- 6574101 TI - Recent advancements lower risk of hepatitis infections in health professionals. PMID- 6574100 TI - From oral pathology: a case report. PMID- 6574102 TI - NOR activity and satellite association patterns in a family carrying a doubly satellited marker. AB - Activity and association patterns of nucleolar organizer regions (NORs) were studied in cultured blood lymphocytes from six members of a family, three of whom carried a doubly satellited marker. The marker consisted of a centromere with two sets of satellites and stalks which showed consistent NOR activity. The children with the marker had significantly higher frequencies of NOR activity and satellite association than their non-carrier siblings. The acrocentrics of the children with the marker did not appear to have decreased association tendency. PMID- 6574103 TI - Ocular manifestations of leukaemia. PMID- 6574104 TI - Characterization of non-lymphoid cells in Peyer's patches of the rat. AB - The aim of the present study was to correlate in vitro and in situ observations on nonlymphoid cells in Peyer's patches (PP) of the rat. By carrying out enzyme cytochemical reactions (acid phosphatase, APh, and non-specific esterase, NSE) and immunocytochemistry (Ia antigen staining) on cell suspensions and cryostat sections of PP, two classes of nonlymphoid cells could be distinguished. These were (1) strongly APh- and NSE-positive cells without or with a slight Ia membrane staining and (2) strongly Ia-positive cells with a weak APh and NSE activity. The first cell class comprised the classical macrophages which, except for tingible body macrophages, were glass-adherent. The second cell class was non adherent and comprised dendritic (interdigitating) cells. The role of this Ia positive non-adherent cell population was discussed, and a hypothesis was presented on the relation between mononuclear blood cells, veiled cells, and interdigitating cells in PP. PMID- 6574105 TI - Preliminary observation of good response to Busulfan (myleran) in an advanced case of extensive psoriasis. PMID- 6574106 TI - Effect of bilateral vasectomy on testicular metabolism in albino rats. AB - The adult Wistar strain albino rats were vasectomised by conventional method and maintained for six months. The vasectomized rat testis had elevated water content with depleted dry matter. Glycogen content was increased with indication of mobilization of hexoses into HMP pathway. The vasectomized rat testis showed preferential utilisation of triglycerides. In view of increased 3 beta-HSD and 17 beta-HSD activities, accelerated androgenesis was envisaged in vasectomized rat testis. PMID- 6574107 TI - [Current findings in geographic tongue]. PMID- 6574108 TI - The development of dental alloys conserving precious metals: improving corrosion resistance by controlled ageing. AB - To determine the conditions which confer desirable mechanical properties and corrosion resistance upon dental alloys, age-hardening mechanism and the associated structural changes were studied by means of resistometric measurements, hardness tests, electron microscope observations and electron diffraction studies. Five commercial dental alloys, a high-gold content alloy, a low-gold alloy and three Au-Ag-Pd silver-based alloys and two experimental gold alloys, were examined. The structural and morphological changes which gave rise to age-hardening were classified into five types of phase transformation, i.e., (1) the formation of the AuCu I type superlattice and its twinning characterized by a stair-step mode, (2) the formation of the AuCu II type super-lattice with periodic antiphase domain structure, (3) the precipitation of the CuPd superlattice with fct structure analogous to the AuCu I type, (4) spinodal decomposition giving rise to a modulated structure and (5) the formation of the lamellar structure developed from grain boundaries by discontinuous precipitations. (1), (2) and (3) made a contribution to corrosion resistance superior to (4) and (5). A lamellar structure was prone to a high corrosion rate. The results obtained in this study are useful in predicting age-hardening characteristics and structural changes associated with corrosion, because the microstructural variation induced by ageing as well as nobility of alloys affects greatly their corrosion resistance. PMID- 6574109 TI - Dental casting alloys: technical and economic considerations in the USA. AB - In the USA, gold alloys have played a prominent role in oral health maintenance for more than 100 years. Recently, however, a marked trend toward substitution of palladium-silver and nickel-chromium based materials for the more costly gold alloys has been observed. It is estimated that 60-80 per cent of all permanent dental appliances (crowns and bridges) are now fabricated from non-gold alloys. For the most part, increased user demand for alloy products of relatively low intrinsic value has affected adversely the profitability of the larger USA casting alloy suppliers. The likelihood of a reversal of the trend occurring during the 1980s is not great. All major USA dental alloy manufacturers have found it necessary to market an ever increasing spectrum of low cost alloy products. Impetus for this production of a new generation of dental casting alloys has risen mainly from the perceived purchasing patterns of current and future customers. It is anticipated that the 'down-grading' of dental casting alloys will continue until plastics, mouldable ceramics or other inexpensive industrial materials replace metals in the fabrication of permanently cemented dental devices. Until then, it is likely that gold alloys will remain the ultimate prosthetic materials in the minds of dental academicians while technique sensitive and unproved metallic products of low intrinsic value will continue to gain greater acceptance by practising dentists, laboratory technicians and patients. PMID- 6574110 TI - The clinical acceptance of dental nickel-chrome alloys. AB - Replacing gold alloys by non-precious ones could save more than 500 million DM per year in German dentistry. However, there are many technical and biological considerations which have to be resolved in evaluating the clinical suitability of non-precious metal alloys. Techniques (e.g. investing, casting, porcelain application) and materials, developed over decades for processing gold alloys, have to be modified in order to achieve complete, sound castings, showing accurate fit and good ceramic-metal bonding. During the 5 years of our clinical studies, no case of localized or generalized tissue reaction due to Ni-Cr alloys was found. The five patients known to suffer from nickel allergy did not show any reaction to Ni-Cr test plates. Although several Ni-Cr alloys are routinely and successfully used in our clinic for single crowns and small bridges as well as for appliances used in complete oral rehabilitation, it should not be assumed that all Ni-Cr based alloys commercially available are equally suitable. There are two main reasons for this: (1) The Ni-Cr alloys comprise a large group; individual alloys exhibit greatly varied composition, microstructure, physical properties and corrosion behaviour. (2) Standards (specifications) by which non precious metal alloys could be tested, with special regard to their biocompatibility, are lacking. Empirically, some Ni-Cr alloys have turned out to be useful in prosthodontics but further progress will depend upon the development of suitable standards. These are needed urgently. PMID- 6574111 TI - Goals for oral health in the year 2000: cooperation between WHO, FDI and the national dental associations. AB - The member countries of the WHO have decided to adopt a global strategy for achieving health for all in the year 2000. As a part of this goal the FDI has decided to participate with 'goals for oral health in the year 2000'. The FDI already has many joint activities with WHO, serving as a link between that organization and the national dental member associations. One joint activity is the International Collaborative Study of Dental Manpower Systems. Another is the joint working group set up to look into The Changing Patterns in Oral Health. An important task associated with this study is the project on the International Deployment of Dental Manpower investigating the uneven distribution of dental manpower between various parts of the world, especially between industrialized and developing countries. For all these projects it is necessary to have the support of the Federation's national member associations, which also have to supply FDI and WHO with facts for a data base for monitoring changes in oral health. To meet these important targets it is necessary to have: the willing support of the Federation's national dental member associations: a FDI which includes most of the national dental associations in the world; and a continuation of the good cooperation with WHO and an acceptance by WHO that the FDI is a partner representing the absolute majority of the national dental associations in the world. PMID- 6574112 TI - Indicators for oral health and their implications for developing countries. AB - A review of WHO global oral data bank information demonstrated numerous examples of change, from the baseline year 1980 to 1982, towards less dental caries in developed countries and higher levels of that disease in developing countries. The changing emphasis of the indicators for the five ages or age groups specified was noted, from dental caries to all causes of tooth loss. The absence of specific indicators for disorders of the periodontium, the occlusion and the oral mucosa were cited as the main deficiencies of the set of indicators. A classification of countries into three groups according to DMF teeth at 12 years, each subdivided according to age of data, was used to suggest three collective goals based on DMF teeth levels at that age. For 5-6-year-olds it was possible only to make a tentative suggestion of two collective goals, 50 and 75 per cent caries-free. For all the indicators, except that at 12 years, the paucity of data was noted and the need emphasized to build up the data base in the global bank to give a realistic support to these indicators. The ever present need to heed the manpower implications of the existing oral disease trends and to improve planning procedures in the oral health sector was stressed. PMID- 6574113 TI - Indicators for oral health and their implications for industrialized nations. AB - The World Health Organization's adoption in 1979 of 'health for all by the year 2000' as a worldwide target promoted the formulation of specific oral health goals by the Federation Dentaire Internationale in 1981. Such goals are useful to governments and the private professional sector as a focus for programme planning and implementation and as a means of measuring progress. Recent evidence that caries prevalence is already declining in some industrialized nations, including the USA, suggests that most developed countries will meet or surpass the goals adopted by the FDI by the year 2000. However, keeping these trends moving in the right direction will require a sustained effort on the part of both the public and the private sector. PMID- 6574114 TI - Achievement of the goals for oral health: how can national dental associations and practising dentists contribute? PMID- 6574115 TI - The monitoring process and its importance for achievement of the global goals for oral health by the year 2000. AB - The establishing of the global goals for oral health in the year 2000 automatically implies an increased need to collect epidemiological data on various oral health problems in the specified age groups of the world's population. Baseline data for 1980 on dental caries in the young age groups and on the prevalence of edentulousness among adults are available only in some countries. Where baseline data are available, continuous surveillance at suitable time intervals is required to monitor changes in oral health. Where baseline data are not available, the main emphasis should be put upon clarification of the present situation. In this review, data on recent changes in oral health in some European industrialized countries are used to evaluate future trends. The predictions seem promising for the young age groups which, without difficulty, should be able to surpass the specified global goal by the year 2000. The proposed 50 per cent reduction in edentulousness at age 35-44 also seems to be realistic. The goal which will be difficult to achieve, at least for both the United Kingdom and Finland, is the 25 per cent reduction in edentulousness in the age group of 65 years and over. This part of the population may prove to be the 'lost generation' with regard to oral health. In developing countries very little information is available on this age group. It is concluded that the need to monitor will in itself initiate world-wide activity in epidemiological research. Monitoring is important not only because it provides data on the current situation but also because it is the only known way to predict the probable extent of future improvements in oral health. PMID- 6574116 TI - Training protocol for dental laboratory technicians. PMID- 6574117 TI - Discharge criteria. PMID- 6574118 TI - Marginal tissue recession in general dental practice: a preliminary study. PMID- 6574119 TI - Predetermination of osseous changes associated with uprighting tipped molars by probing. PMID- 6574121 TI - Aspects of cell regulation. PMID- 6574120 TI - Interpretation of radiographs in periodontics. PMID- 6574122 TI - Mixed radiopaque-radiolucent lesion of the jaw. PMID- 6574123 TI - Splicing life, with scalpel and scythe. PMID- 6574124 TI - Prostaglandin--E2 levels in the saliva of common migrainous women. PMID- 6574125 TI - Chromosome band patterns of near tetraploid Ehrlich-Lettre mouse ascites cells (ELT Bonn) in vivo and in vitro. PMID- 6574126 TI - A new anthracycline antibiotic N-formyl-13-dihydrocarminomycin. PMID- 6574127 TI - Utilization of plasmid pULB113 (RP4::mini-Mu) to construct a linkage map of Erwinia carotovora subsp. chrysanthemi. AB - We report experimental evidence that pULB113, an RP4::mini-Mu plasmid, mediates chromosome transfer in a strain of Erwinia carotovora subsp. chrysanthemi which does not accept the F episome. This allowed us to construct a genetic map of that strain by measuring the frequencies of cotransfer of different markers (thy, leu, pro, [his, trp], thyA, rpsL, ile). PMID- 6574128 TI - Autophonia associated with an atypical eating disorder. AB - Autophonia, the hyperperception of one's own voice and breathing, is a consequence of rapid weight loss. Although the otolaryngologic literature reports that autophonia results from a variety of wasting disorders, including anorexia nervosa, the psychiatric literature contains little information on this association. A case of autophonia in a woman with an atypical eating disorder is described and the importance of recognizing autophonia as an organic condition is stressed. PMID- 6574129 TI - [Scanning electron microscopy study of the effect of steel and tungsten carbide burs on dental tissues]. AB - The effects of steel and tungsten carbide burs have been studied under the scanning electron microscope on human enamel and dentin during preparation of mesio-occluso-distal cavities in vitro with cutting speeds varying from 5 000 to 120 000 r.p.m. All the cavities presented clean and regular walls. However, the final quality of the cavity borders, and in particular the cavo-surface angles of the box walls, was directly related to the speed and rotation direction of the bur. The cavo-surface angles at the gingival planes showed in all cases fractures of the superficial prisms. The cutting character displayed in dentine surfaces were mainly dependent on the orientation of the tubules in relation to the surface of the cavity preparation and the degree of sclerosed dentine. The cavities prepared in the absence of water and air showed the presence of tissue debris nd cracks; their number increased with increasing rotational speed. PMID- 6574130 TI - Remineralization in human premolars of different posteruptive age. AB - In human premolars with posteruptive ages varying from 6 months to 4 years demineralized enamel was remineralized for 3 days at 37 degrees C in a recalcifying medium containing 2 mM Ca2+, 1.2 mM phosphate, 0.05 mMF- and 150 mM NaCl (pH = 7). The Ca, P and Ca/P molar ratio of the mineral gained were determined at various distances from the enamel surface. Whereas, particularly at 30 micrometers from the surface remineralization was higher and more extensive in young demineralized enamel, no difference could be found in Ca/P molar ratio, suggesting precipitation of an apatitic mineral in both young and old demineralized human enamel. The probable nature of the precipitate is that of a fluoridated hydroxyapatite. PMID- 6574131 TI - [Reflex activity of the elevator muscles of the human mandible: electromyographic study]. AB - In this study of global electromyography, of the masseter and anterior temporal muscles of man, the stimulus used was the mechanical percussion of the chin, the results being recorded on an oscilloscope. The twenty-two subjects used presented no sign of pathology after clinical examination. On the same subject, for one given muscle, the reflex was identically reproduced. The latency time was a very constant parameter; 7,8 ms for the masseter muscle and 10 ms for the temporal muscle. These values are not significantly different from one another. They are compared to those obtained by other authors. On the other hand, the reflex response of the anterior temporal muscle can present a particular pattern comparable with that of the trigemino-facial reflex. PMID- 6574133 TI - Affinity chromatography of bile salts 7 alpha-, 7 beta- and 12 alpha hydroxysteroid dehydrogenases on immobilized Procion Red and Cibacron Blue Sepharose 4B columns. PMID- 6574132 TI - The study of human myeloid differentiation using bromodeoxyuridine (BrdU). AB - Little is known concerning the mechanism of myeloid differentiation. A human promyelocytic cell line (HL-60) differentiates to granulocytes or macrophage-like cells when cultured with a variety of agents. How these agents trigger myeloid differentiation is not understood. This study shows that 1.0-10.0 micrograms/ml bromodeoxyuridine (BrdU) induced myeloid differentiation of HL-60 in liquid culture. After 7 days, BrdU (3.0 micrograms/ml) produced only moderate inhibition of HL-60 growth, but induced myeloid maturation with 40% of the cells becoming morphologically more mature; 41% developed the ability to reduce nitroblue tetrazolium (NBT); 19% phagocytized Candida albicans; and 18% developed Fc receptors. The action of BrdU was mimicked by 5-iodo-deoxyuridine. Thymidine (Td) (1- to 10-fold excess) competitively inhibited incorporation of [3H]BrdU into DNA of HL-60 and inhibited the triggering of HL-60 differentiation by BrdU. The BrdU induced maturation of HL-60 correlated with the incorporation of BrdU into DNA of HL-60. DNA buoyant density studies showed that about 46% of the Td was replaced by BrdU in each DNA strand of HL-60 as the cells differentiated in culture containing 3 micrograms/ml BrdU for 7 days. We established 20 thymidine kinase (TK)-deficient HL-60 clones. The HL-60 TK-deficient cells were unable to phosphorylate Td, to incorporate either [3H]Td or [3H]BrdU or differentiate in the presence of BrdU (1-1000 micrograms/ml). The HL-60 TK-deficient cells retained the ability to differentiate in the presence of other HL-60 inducers. Taken together, the studies suggest myeloid differentiation of HL-60 is triggered because of incorporation of BrdU into DNA of the cells. PMID- 6574134 TI - Simple enzymatic detection method for urinary sulfated 7 alpha-hydroxy bile acids in normal subjects and in patients with acute hepatitis. AB - Urinary sulfated primary bile acids, 7 alpha-hydroxy bile acids, are detected by an enzymatic method using 7 alpha-hydroxysteroid dehydrogenase (EC 1.1.1.-, 7 alpha-HSD) after chromatographic fractionation on Sephadex G-25. Urinary sulfated or glucuronated bile acids are hydrolyzed by beta-glucuronidase/sulfatase (EC 3.2.1.31/EC 3.1.6.1) from Helix pomatia and then released 7 alpha-hydroxy bile acids are detected with 7 alpha-HSD in the presence of beta-ND+, diaphorase (EC 1.6.99.2, from Clostridium kluyveri) and 2-p-iodophenyl-3-p-nitrophenyl-5 phenyltetrazolium chloride. The absorbance of formazan formed during the enzymic reaction is measured at 500 nm. Excretion values of 7 alpha-hydroxy bile acids in normal subjects and in patients with acute hepatitis were compared. This enzymatic detection method for the excretion pattern of urinary 7 alpha-hydroxy bile acids may be useful for clinical diagnosis. PMID- 6574135 TI - Biochemical and biomedical applications of capillary column GLC using SIM. AB - This report focuses on recent applications of capillary column GLC to the analysis of drugs and metabolites, other xenobiotics, natural products, and environmental contaminants in samples of biological origin. The increasing use of selected ion monitoring, combined with stable isotope methods as a means of GLC detection and quantification, is emphasized. Specific topics covered include the use of capillary column GLC for 1) determining the pharmacokinetics of timolol (BLOCADREN) in human volunteers by simultaneous oral and intravenous administration of this beta-blocker and its 13C3-labeled analog; 2) measuring residue levels of the forced molting agent, xylonidine, in yolk and albumen of chicken eggs; 3) monitoring animal plasma and tissues for the depletion of 5 hydroxy-1,3-dioxane and 4-hydroxymethyl-1,3-dioxolane (isomeric components of glycerol formal, an animal drug formulation component); 4) detecting 13C, 15N methyltryptamine (a biosynthesis product from 13C, 15N-tryptamine) in human urine; and 5) measuring estradiol levels in biological samples. PMID- 6574136 TI - Sibship with 17-ketosteroid reductase (17-KSR) deficiency and hypothyroidism. Lack of linkage of histocompatibility leucocyte antigen and 17-KSR loci. AB - A family with nine children, three with male pseudohermaphroditism due to testicular deficiency of 17-ketosteroid reductase activity (17-KSR) and four with congenital hypothyroidism is presented. The three subjects with 17-KSR deficiency were raised as females until puberty, at which time they assumed a male gender role. Only one developed gynecomastia. Laparotomy on one of the three patients revealed normal epididymi and vas deferens with absence of Mullerian structures. Testicular biopsy in all three showed Leydig cell hyperplasia, hyalinization of the tubular basement membrane, normal Sertoli cells and maturational arrest at the spermatogonial stage. The endocrine profile in peripheral blood revealed markedly increased plasma androstenedione concentrations but normal testosterone, dihydrotestosterone, progesterone, 17-hydroxyprogesterone, and dehydroepiandrosterone. The levels of estradiol and estrone and of LH and FSH were elevated. Genital skin fibroblasts from the three patients exhibited normal dihydrotestosterone-binding activity and 5 alpha-reductase activity. Congenital hypothyroidism affected one of the three siblings with male pseudohermaphroditism. All four hypothyroid patients had thyroid enlargement and significant titers of circulating antithyroglobulin but not antithyroid microsomal antibodies. Neither the locus for the 17-KSR enzyme nor that for congenital hypothyroidism were linked to the histocompatibility leucocyte antigen complex in this sibship. Transmission of the trait for both congenital hypothyroidism and 17-KSR deficiency appeared to be autosomal recessive. PMID- 6574137 TI - Routine flow cytometric diagnosis of lymphoproliferative disorders. AB - The results of the analysis of suspected lymphoproliferative disorders using flow cytometry (FACS II) over the past 12 months have been evaluated and assessed with respect to "conventional" microscopical examination. The major advantages in using these methods is the speed, the number of parameters which are capable of measurement, the sensitivity, and the ability to quantitate large numbers of cells for a particular criterion. These qualities have proved extremely helpful in the diagnosis of chronic lymphocytic leukemia, acute lymphoblastic leukemia, lymphoma, and other abnormalities. The combination of flow cytometry and a panel of monoclonal antisera (many of which are available commercially) allows the investigator a system of fine resolution which can confidently identify or characterize an abnormal clone or population of cells. With the increase in advanced flow cytometers, it is suggested that time should be allocated for the routine analysis of possible lymphomas and leukemias to allow quick and accurate evaluations of the disease status. PMID- 6574139 TI - Calibrated facebow. PMID- 6574138 TI - Lingual orthodontics: a status report. Part 6. Patient and practice management. PMID- 6574140 TI - The gift of time. PMID- 6574141 TI - Overlay surgery wire. PMID- 6574142 TI - The possibility of skeletal anchorage. PMID- 6574143 TI - Satellite offices. PMID- 6574144 TI - Lingual orthodontics: a status report. Part 7A. Case reports-- nonextraction, consolidation. PMID- 6574146 TI - Anterior crossbite correction. PMID- 6574145 TI - Behavior modification for orthodontic cooperation. PMID- 6574147 TI - Distal end gauge. PMID- 6574148 TI - Dr. Robert Shaye on functional appliances. Interview by Eugene L. Gottlieb. PMID- 6574149 TI - Fibroblast prostaglandin E2 synthesis. Persistence of an abnormal phenotype after short-term exposure to mononuclear cell products. AB - Acquired abnormalities of connective tissue metabolism in inflammatory diseases often persist when lesional tissue is maintained in in vitro culture. Although connective tissue cells are exposed to inflammatory cell-derived mediators in vivo and such mediators have been shown to alter connective tissue cell behavior, it is unclear whether the persistence of metabolic defects in vitro could result from remote in vivo exposure to these mediators. An in vitro model was used to test whether transient exposure of normal fibroblasts to inflammatory mediators could lead to metabolic alterations that persist during in vitro culture. Short term exposure of human foreskin fibroblasts in vitro to supernates of mitogen activated peripheral blood mononuclear cells led to persistent abnormalities of prostaglandin E2 (PGE2) metabolism. Fibroblasts previously exposed to mononuclear cell products synthesized more than twice as much PGE2 when stimulated compared with similarly stimulated but previously unexposed control fibroblasts of the same strain. The enhanced PGE2 synthesis persisted for as long as 20 wk and 19 cell generations after the original exposure to mononuclear cell products. Exposure of fibroblast populations to mononuclear cell products may, thus, lead to metabolite alterations that are still evident after multiple cell generations. PMID- 6574150 TI - Synchronization of estrus in dairy heifers with prostaglandin F2 alpha with or without estradiol benzoate. PMID- 6574151 TI - [Soviet engineer develops new stereoscopic technics]. PMID- 6574152 TI - [Conclusion of a study on the oral health of Quebec residents 65 years of age and older]. PMID- 6574153 TI - Relationships among the oral fusobacteria assessed by DNA-DNA hybridization. AB - DNA was purified from 16 strains of Fusobacterium nucleatum and from five strains representing other Fusobacterium species. The relationships among fusobacteria were examined by DNA-DNA hybridization and by determining the guanine plus cytosine content of the DNA. F. nucleatum was found to comprise a heterogenous group of organisms related to Fusobacterium periodonticum and Fusobacterium simiae, but unrelated to any of the other species of Fusobacterium tested. PMID- 6574154 TI - Sodium fluoride susceptibilities of suspected periodontopathic bacteria. AB - Utilizing a blood-based medium, we determined the minimum inhibitory concentrations (MIC's) to sodium fluoride (NaF) of 45 bacterial strains representing 22 oral species. Bacterial susceptibility ranged from 128 micrograms/ml to 2048 micrograms/ml. Of those organisms tested, Actinobacillus actinomycetemcomitans, Capnocytophaga sputigena, Capnocytophaga gingivalis, Capnocytophaga ochracea, and Actinomyces viscosus were susceptible at lower levels of NaF. PMID- 6574155 TI - The development of a novel tooth-root implant material. AB - Polyacrylic acid-alumina composites have been developed in this laboratory and were found to be biocompatible and resistant to biodegradation. These composites can be designed to apply a predetermined pressure on the bone interface which was found beneficial for stimulation of new bone formation and increased bone densification at the implant interface. Optimization of the physical and mechanical properties is presented, and a brief summary of the subcutaneous and oral implantation is reported. PMID- 6574156 TI - Mechanism of action of an antiseptic, anti-odor mouthwash. AB - Inter-related determinants of oral malodor were measured over a three-hour period in 30 human subjects after mouthwash treatments. Re-odoration was important to mouthwash activity for 30 min. At post-treatment times of 60-180 min, the anti odor activity of the product is due solely to its anti-microbial action. PMID- 6574157 TI - Blood flow changes in the rabbit maxilla following an anterior osteotomy. AB - This investigation considered circulatory changes in the distal segment of an anterior maxillary osteotomy produced in nine rabbits. Blood flow in the distal pulp, alveolar bone, and mucosa was measured using hydrogen washout. The results showed a decrease in blood flow in all tissues with a mucosal rebound within 30 min. PMID- 6574158 TI - Effect of continuous fluoride gel use on plaque fluoride retention and microbial activity. AB - Twelve consecutive wk of daily five-minute topical applications of 1% NaF gel by non-cancer control subjects did not significantly affect plaque concentrations of Streptococcus mutans or Lactobacillus spp. Plaque F- levels increased 150% (P less than .001), while production of acetate and lactate decreased 40% (P less than .007) and 66% (P less than .001), respectively. Long-term (12 wk to more than five yr) fluoride gel use by post-irradiation xerostomic cancer patients was associated with increases in plaque F- and decreases in acidogenesis similar to those observed in the control subjects. Plaque concentrations of cariogenic organisms increased during the first yr of radiation-induced xerostomia and fluoride gel use, before starting to decline. Although sustained fluoride treatment increased (P less than .001) the ratio of fluoride-resistant to fluoride-sensitive strains, the number of patients harboring detectable S. mutans was diminished (P less than .001). PMID- 6574159 TI - A simulation model for transient thermal analysis of restored teeth. AB - A theoretical model was developed to analyze the influence of various cement bases on temperature distribution and heat flow in restored teeth. A physical model of a molar was developed to simulate different thermal processes by simple parameter variation. The time-dependent temperature field was calculated using the finite element method (FEM). The values for material properties and thermal load were chosen from the dental literature. The results are in good agreement with clinical experimental research as published by Trowbridge et al. It is concluded that the model is a valid tool for further research with regard to the influence of restorative materials and cavity design on the thermal behavior of restored teeth. PMID- 6574160 TI - Water absorption and water solubility of soft lining materials for acrylic dentures. AB - Soft lining materials undergo two processes when immersed in water. Plasticizers and other soluble materials are leached into the water, and water is absorbed by the polymer. The balance between these two processes affects both the compliance and dimensional stability of the materials. PMID- 6574161 TI - A comparison of the in vitro cytotoxicity of two glass-ionomer cements. AB - The in vitro cytotoxicity of two glass-ionomer cements--ASPA and ChemBond--was compared using a model cavity system which simulates the in vivo situation. Both materials were cytotoxic to fibroblasts and macrophages, although differences were observed in the time scale and magnitude of the response elicited. PMID- 6574162 TI - MPD syndrome. PMID- 6574163 TI - Tobacco usage in patients with head and neck carcinomas: a follow-up study on habit changes and second primary oral/oropharyngeal cancers. AB - One hundred and sixty patients with head and neck carcinomas were followed from one to 15 years to assess the associations between tobacco usage and the development of multiple head and neck cancers. Seventy-three percent had tobacco habits, with nine of ten users smoking cigarettes. In almost one in five patients (18.1%), second primary oral/oropharyngeal cancers developed in a mean time of five years. Those who did not change their original tobacco habits incurred the greatest risk, as a second primary cancer developed in 30%. Reducing or discontinuing smoking appeared to have a beneficial effect. There was also an increased risk for multiple cancers in males, probably because of their larger amount of daily smoking. PMID- 6574164 TI - Observations on nickel-free, beryllium-free alloys for fixed prostheses. AB - Mechanical properties, electrochemical behavior, heat treatment response, micro structural features, and compositions of two proprietary nickel-free, beryllium free fixed prosthodontic alloys were studied. The alloys showed compositional and microstructural differences. Mechanical property values of Biocast and Neobond II are comparable with those of base metal alloys for removable partial dentures. The high hardness, high modulus of elasticity, and low elongation impede adjustment, adaptation of margins, and polishing of the final restoration. PMID- 6574165 TI - Cryosurgical treatment of oral lesions: report of cases. AB - Cryosurgery has been both effective and predictable in the treatment of benign, premalignant, and superficially malignant oral disease. Its conservative, vital tissue-sparing, nonhemorrhagic, noninfective, painless nature gives it, in our opinion, clear preference over other modes of treatment for oral lesions. The cases presented demonstrate this fact and illustrate cryosurgery's effectiveness as an outpatient surgery technique. PMID- 6574166 TI - Excessive wear of natural tooth structure by opposing composite restorations. AB - Extreme care must be taken to evaluate the probable effect of using certain restorative materials to oppose existing tooth structure, particularly when dentin is exposed. In addition, frequent recall examination, every one or two months, is necessary to catch any problems in their beginning stages and to solve them before greater damage can be caused. It is also suggested that evaluation of any occlusal habits be made before deciding on a plan to alter vertical dimension and to carefully consider the effects of the materials used in a restoration on the opposing arch. PMID- 6574167 TI - Hypersensitivity to procaine, tetracaine, mepivacaine, and methylparaben: report of a case. AB - The patient who comes for dental treatment with a history of hypersensitivity to local anesthetics is often denied the benefits of adequate pain control during dental therapy. Ninety percent of the patients challenged by Incaudo and associates were being evaluated because they needed local anesthesia for dental treatment. These same patients may some day need local anesthetic agents for minor surgery or for the treatment of cardiac arrhythmias. For those cases in which an allergic reaction is suspected, consultation with an allergist may prove beneficial to the patient by providing information and a local anesthetic that the patient can receive safely for both medical and dental needs. PMID- 6574168 TI - Gingival sequela from a retained piece of dental floss. AB - A case was reported where a piece of dental floss broke and was retained in an interproximal area. The patient came to the clinic a few days later with a periodontal abscess. After the retained fragment of dental floss was removed, the abscess resolved. Therefore, a retained portion of dental floss should be immediately removed to prevent gingival irritation and tissue injury. PMID- 6574169 TI - Painful, recurrent vesiculoulcerative lesions on the hard palate. PMID- 6574170 TI - Report of the president's conference on the examination, diagnosis, and management of temporomandibular disorders. PMID- 6574171 TI - Denture cleansers. Council on Dental Materials, Instruments, and Equipment. PMID- 6574172 TI - Retirement solutions. PMID- 6574173 TI - Forensic evidence. PMID- 6574174 TI - Hazards of organic materials. PMID- 6574175 TI - Prosthodontic procedure. PMID- 6574177 TI - Gerontologist sees retirement as career change. PMID- 6574176 TI - Retirement: following the right road. PMID- 6574178 TI - Composite resin interim restorations for broken-down nonvital posterior teeth. AB - The fabrication of interim restorations using a retentive groove preparation design with a custom composite resin core material has been used in my private practice for more than ten years with gratifying results. In the past 2 1/2 years, more than 800 such restorations have been documented and placed at the University of Southern California School of Dentistry. Pre-endodontic preparation of nonvital teeth with advanced carious lesions and defective restorations eliminates potential impediments to pulp therapy. A quality interim restoration provides the dentist with a diagnosis of restorability before pulp therapy, protects severely damaged teeth, and promotes periodontal health. Future endodontic treatment is simplified and patient satisfaction is increased. PMID- 6574179 TI - A corporation-based computerized preventive dentistry program. AB - A pilot dental program providing diagnostic and preventive services within a corporation has been in operation for two years at the Johnson & Johnson Dental Products Co. The charting system is computerized, allowing automatic problem lists and preventive progress sheets to be generated. Patients are encouraged to see their dentists for treatment of all problems diagnosed. Initial data have demonstrated a significant improvement in periodontal health and a significant reduction in carious lesions. The dental awareness of the participants has been greatly improved and a majority are receiving comprehensive dental care. This demonstrates the effectiveness of this program in which the focus is on oral health through dental diagnosis and prevention. PMID- 6574180 TI - Wavelength and intensity of seven systems for visible light-curing composite resins: a comparison study. PMID- 6574181 TI - Simulation of white enamel discoloration in composite resin veneer restorations. PMID- 6574182 TI - Gingival response to class V composite resin restorations. PMID- 6574183 TI - Rapidly growing, nonpainful, ulcerated swelling in the posterolateral palate. PMID- 6574184 TI - Report of symposium: root surface caries. Council on Dental Research and Council on Dental Therapeutics. PMID- 6574185 TI - A brief overview of the franchise concept as applied to the practice of dentistry. Council on Dental Practice. PMID- 6574186 TI - Safety of dental amalgam. Council on Dental Materials, Instruments, and Equipment, Council on Dental Therapeutics. PMID- 6574187 TI - Survey of constituent dental societies' peer review systems: organization and administration. Council on Dental Care Programs. PMID- 6574188 TI - Health insurance tax: an expensive burden on dentistry. PMID- 6574189 TI - A unique antigen expressed on myeloid cells and acute leukemia blast cells defined by a monoclonal antibody. AB - A murine hybridoma-derived monoclonal antibody, PM-81, was obtained from a fusion of cells of the NS-1 myeloma cell line with cells from a mouse immunized with the HL-60 promyelocytic leukemia cell line. This cytotoxic IgM monoclonal antibody was specific for myeloid cells. Employing indirect immunofluorescence and flow cytometry, we determined that this antibody reacts strongly with normal human granulocytes, eosinophils, and monocytes but not lymphocytes (including phytohemagglutinin-activated lymphocytes), null cells, red blood cells, or platelets. Moreover, the PM-81 antibody reacts with leukemia cells from 19 of 22 patients with acute myelocytic leukemia of all FAB subclasses, three of three patients with common acute lymphocytic leukemia, four of four patients with chronic myelocytic leukemia (CML) in myeloid blast crisis (terminal transferase (TdT)-negative) but did not react with cells from two patients with CML in lymphoid blast crisis (TdT-positive) or five patients with chronic lymphocytic leukemia. The myeloid cell lines HL-60, K562, KG-1, and U937 were all reactive with PM-81. The lymphoid lines CCRF-CEM and Daudi did not express PM-81 but HSB-2 was positive. The PM-81 antigen was absent on myeloid and erythroid progenitor cells as determined by their insusceptibility to complement-dependent lysis. In addition, only PM-81-unreactive cells were capable of colony formation. Furthermore, the PM-81 antibody does not appear to induce modulation of the antigen to which it binds. Thus, this monoclonal antibody appears to fulfill several criteria for clinical utility in the diagnosis and treatment of both acute myelocytic and acute lymphocytic leukemia. PMID- 6574190 TI - Characterization of an antigen expressed by human natural killer cells. AB - A monoclonal antibody, anti-N901, was produced by fusing NS-1 myeloma cells with spleen cells of a mouse immunized with human CML cells. This antibody was reactive with a subpopulation of peripheral blood LGL, including the natural killer cells. Monocytes, granulocytes, B cells, T cells (T3+ cells), erythrocytes, and platelets were nonreactive. The N901-positive cells in the peripheral blood were heterogeneous with respect to expression of other cell surface antigens. The majority of N901+ cells co-expressed T11, Mo1, and HNK-1, whereas a smaller percentage expressed T8. Ia, T3, T4, Mo2, or B1 antigens were very uncommon on N901+ cells. The heterogeneity of the N901+ LGL was further investigated by examining the expression of N901 antigen on a series of cloned normal human NK cell lines. N901 antigen was expressed by each of the NK cell lines tested, and by a minority of cloned T cell lines without NK activity. Anti N901 does not block NK activity and can be used to rapidly purify functional NK cells for further study. PMID- 6574191 TI - Quantitation of cutaneous Langerhans cells of sarcoidosis patients. AB - Langerhans cells play a role in cell-mediated immune reactions which are often depressed in sarcoidosis. We examined the epidermis of 17 anergic patients with sarcoidosis (Kveim-reactive and/or biopsy-proved) for the number of Langerhans cells in noninvolved skin and in any cutaneous sarcoidal lesions. Skin biopsies of 10 healthy volunteers served as controls. In comparison to controls, the epidermis overlying noninvolved (p less than 0.05), sarcoidal (p less than 0.0005), and Kveim-reactive (p less than 0.005) skin contained significantly fewer detectable Ia and T6 antigen-bearing Langerhans cells. The reductions within noninvolved skin were most pronounced in patients with multisystem disease. Lower epidermal Langerhans cell densities, in comparison to controls, were detected in both prednisone-treated and untreated patients. Epidermis overlying sarcoidal skin of untreated patients contained significantly fewer Ia and T6 antigen-bearing Langerhans cells (p less than 0.05, p less than 0.0025, respectively) than epidermis from noninvolved skin. Whether reduced numbers of cutaneous Langerhans cells are due to either a local and/or systemic effect of sarcoidosis, or reflect the anergic state of these patients is unknown. PMID- 6574192 TI - A persistant dentigerous cyst: a case report and review of the literature. PMID- 6574193 TI - Surgical emphysema in the subcutaneous tissues of the face following restorative procedures. PMID- 6574194 TI - Source of fluoride intake. PMID- 6574195 TI - [A case report: adult glycogen storage disease type IA (von Gierke's disease) with gout and platelet dysfunction]. PMID- 6574196 TI - The renal concentrating defect after gentamicin administration in the rat. AB - The present studies were carried out to delineate the mechanism of the polyuric state and renal concentration defect seen after gentamicin. Gentamicin was given at a dosage of 100 mg/kg/day subcutaneously for either 4 or 5 days to Sprague Dawley rats and resulted in a reversible, polyuric form of acute renal failure. This nonoliguric acute renal failure was accompanied by significant polydipsia and a renal concentrating defect 11 days after gentamicin. To assess the role of polydipsia in the polyuria and renal concentrating abnormality, water intake was restricted in gentamicin-treated animals to match intake of control animals. Elimination of the polydipsia failed to eliminate the polyuria and to improve the renal concentrating abnormality. Postdehydration plasma vasopressin levels were higher in gentamicin-treated than control animals, suggesting that the renal concentrating defect was nephrogenic in origin. Daily urinary prostaglandin E2 excretion was comparable in gentamicin-treated and control animals. However, indomethacin failed to improve urinary concentrating ability, suggesting that the renal concentrating defect was prostaglandin E2 independent. Finally, depressed postdehydration inner medullary tonicity was found in gentamicin-treated animals In summary, gentamicin administration in the rat was associated with a reversible polyuric form of acute renal failure and a renal concentrating defect. This concentration defect was nephrogenic in origin, independent of polydipsia and prostaglandin E2, and was associated with a decrease in inner medullary tonicity. PMID- 6574197 TI - Cemental changes in teeth with heavily infected root canals. PMID- 6574198 TI - The effect of calcium hydroxide on porcine pulp fibroblasts in vitro. PMID- 6574199 TI - Maxillary lateral incisor with two roots and dens formation: a case report. PMID- 6574200 TI - Upper first premolar with congenitally missing buccal root: a case report. PMID- 6574201 TI - Single-visit endodontics: a clinical study. PMID- 6574202 TI - Organic iodine: a substitute for BaSO4 in apexification procedures. PMID- 6574203 TI - A method for the removal of broken endodontic instruments from root canals. PMID- 6574204 TI - Intrapulpal injection: distribution of an injected solution. PMID- 6574205 TI - The role of oral microorganisms in the pathogenesis of periapical pathosis. I. Effect of Streptococcus mutans and its cellular constituents on the dental pulp and periapical tissue of cats. PMID- 6574206 TI - Systemic distribution of 14C-labeled Paraformaldehyde incorporated within Formocresol following pulpotomies in dogs. PMID- 6574208 TI - Periapical healing in spite of incomplete root canal debridement and filling. PMID- 6574207 TI - Twenty years of endodontic success and failure. PMID- 6574209 TI - The removal of difficult silver cones. PMID- 6574210 TI - Foam cell transformation in periapical lesions of endodontic origin. PMID- 6574211 TI - Bacterial infiltration of dentin as influenced by proprietary chelating agents. PMID- 6574212 TI - Serotonin or its agonist 5-methoxytryptamine can stimulate hamster sperm acrosome reactions in a more direct manner than catecholamines. AB - Serotonin (50 microM) or its agonist 5-methoxytryptamine (5 microM) stimulated the acrosome reactions of golden hamster sperm within 15 min after addition to sperm capacitated in vitro for 4.5 h. The stimulation was inhibited by the serotonin receptor antagonists quipazine or cyproheptadine. Epinephrine (70 microM), norepinephrine (50 microM), and dopamine (25 microM) were unable to stimulate acrosome reactions even at 30 min under the same conditions, even though previous studies had demonstrated stimulation by these catecholamines at the same concentrations when present from the start of the capacitation time course. Epinephrine (5 microM) also was unable to stimulate at 30 min. These results demonstrate that serotonin and its agonist have a more direct effect on the hamster sperm acrosome reaction than other biogenic amines and that the effect is receptor-mediated. PMID- 6574213 TI - Diffuse abdominal uptake of Ga-67 citrate in a patient with hypoproteinemia. AB - A 3-wk-old male, with abdominal distention and severe hypoproteinemia from poor nutrition, underwent a study that showed a persistent diffuse abdominal uptake of Ga-67 citrate, indicating pyogenic or tuberculous peritonitis. However, there were no corresponding clinical or laboratory findings. After a 1-wk course of hyperalimentation with albumin, furosemide, and protein, repeat radiographs showed reduction in bowel gas. It is suggested that hypoproteinemia should be considered as a possibility in the differential diagnosis when there is diffuse abdominal uptake of Ga-67 citrate, with careful clinical correlation. Possible mechanism of Ga-67 uptake in the peritoneal cavity is suggested. PMID- 6574214 TI - Occlusal splints. PMID- 6574215 TI - Oklahoma dental manpower: the 1,2,3's. PMID- 6574216 TI - Are you using the right amalgam? PMID- 6574217 TI - A new concept in the treatment of osteoradionecrosis. PMID- 6574218 TI - The relation of tooth extraction to anginal attack. AB - This clinical study retrospectively compared the relationship of anginal attack during dental extractions with factors such as blood pressure, heart rate, rate pressure product, and electrocardiographic findings. The anesthetic procedure produced the greatest change in the various parameters. No direct relationship could be observed between anginal attack and doses of lidocaine, epinephrine, and premedicative drug or time required for treatment. PMID- 6574219 TI - Aberrations involving the enamel epithelium in transplanted developing teeth. AB - Structural changes that occurred when unerupted developing permanent teeth in dogs were transferred to other bony crypts or surgically prepared sockets were assessed histologically. The enamel epithelium and pieces of enamel matrix were often displaced from the developing teeth and contained within the dental sac. The epithelium underwent metaplasia, cysts frequently developed, and cementum was formed in moderate quantities when enamel matrix was directly in contact with connective tissues. Development of the crowns did not continue normally, and the teeth did not erupt. PMID- 6574220 TI - Healing of experimentally induced orbital floor defects. PMID- 6574221 TI - Primary intraosseous mucoepidermoid carcinoma of the anterior part of the mandible. PMID- 6574222 TI - Osteomyelitis of the mandible associated with osteopetrosis. PMID- 6574223 TI - Clinicopathologic conferences. Case 45, Part II: Dentigerous cyst of the mandible with ameloblastomatous changes. PMID- 6574224 TI - Perioperative modification of the morris pin splint. PMID- 6574225 TI - Combining the Irby head frame and the Morris external pin fixation set to stabilize midface fractures. PMID- 6574226 TI - Pharyngeal flap extension as an adjunct to maxillary advancement in patients with cleft palate. PMID- 6574227 TI - Suppression of penicillin-resistant oral Actinobacillus actinomycetemcomitans with tetracycline. Considerations in endocarditis prophylaxis. AB - Actinobacillus actinomycetemcomitans is an oral bacterium which is being encountered with increasing frequency in infective endocarditis. This organism occurs in high numbers in periodontitis lesions of patients with localized juvenile periodontitis (periodontosis). It is present infrequently, and only in low numbers in most other individuals. Its common resistance to penicillin, erythromycin and vancomycin represents a clinical problem in patients at risk of developing endocarditis after dental treatment. However, the high activity of tetracyclines against A. actinomycetemcomitans may be useful in prophylactic endocarditis considerations by allowing a suppression of the organism prior to the institution of recommended prophylactic protocols. In this study, we determined the effect of systemic tetracycline-HCl therapy (1 gm/day) on the oral A. actinomycetemcomitans population in five localized juvenile periodontitis patients who were heavily infected with the organism. A. actinomycetemcomitans could not be detected in samples of subgingival and supragingival dental plaque and cheek mucosal surfaces following 14 days of administration of systemic tetracycline. The organism was still undetectable 3 weeks after therapy but it reappeared at a few oral sites at week 8 post-treatment. On the basis of this data, it is proposed that the prophylactic endocarditis therapy of patients with high numbers of penicillin-resistant A. actinomycetemcomitans include a two-stage approach: first, the systemic administration of tetracycline for 14 days, and second, institution of a conventional prophylactic protocol during the time of dental treatment. PMID- 6574228 TI - Rapidly progressive periodontitis. A distinct clinical condition. AB - We report radiographic, clinical, historical, and laboratory observations on seven patients selected to illustrate the features and characteristics of rapidly progressive periodontitis, with the aim of establishing this disease as a distinct clinical entity. This form of periodontitis is seen most commonly in young adults in their twenties, but it can occur in postpubertal individuals up to approximately 35 years of age. During the active phase, the gingival tissues are extremely inflamed and there is hemorrhage, proliferation of the marginal gingiva, and exudation. Destruction is very rapid, with loss of much of the alveolar bone occurring within a few weeks or months. This phase may be accompanied by general malaise, weight loss, and depression, although these symptoms are not seen in all patients. The disease may progress, without remission, to tooth loss, or alternatively, it may subside and become quiescent with or without therapy. The quiescent phase is characterized by the presence of clinically normal gingiva that may be tightly adapted to the roots of teeth with very advanced bone loss and deep periodontal pockets. The quiescent phase may be permanent, it may persist for an indefinite period, or the disease activity may return. Most patients with rapidly progressive periodontitis have serum antibodies specific for various species of Bacteroides, Actinobacillus, or both, and manifest defects in either neutrophil or monocyte chemotaxis. Affected patients generally respond favorably to treatment by scaling and open or closed curettage, especially when accompanied by standard doses of antibiotics for conventional time periods. A small minority of patients do not respond to any treatment, including antibiotics, and the disease progresses inexorably to tooth loss even in the presence of aggressive periodontal therapy and maintenance. At the present time it is not possible to distinguish prior to treatment which individuals will respond to therapy and which will not. PMID- 6574229 TI - Total cementum removal: a realistic objective? AB - The purpose of the study was to determine if total cementum removal from periodontally involved root surfaces was a clinically realistic objective. The experimental specimens were 36 periodontally involved teeth, extracted because of advanced periodontal disease. Eighteen teeth were from patients under age 36 while the other 18 were from patients over 36. All teeth had at least 6 mm of attachment loss on the proximal surface tested and showed no evidence of forceps damage. After removing all visible calculus, equal numbers of each tooth type in each age group were given 50 planing strokes with either a Jacquette scaler, a Gracey curet, or an Indiana University curet. Following the planing procedure the specimens were fixed, decalcified, and 7 microns thick sections prepared and stained with hematoxylin and eosin. Two teeth were excluded from the evaluation due to poor orientation. In none of the remaining 34 teeth was cementum totally removed over the entire proximal test surface. There was no apparent difference between the instruments in the amount of residual cementum found. Larger amounts of residual cementum were seen in more apical areas in both age groups. PMID- 6574231 TI - Comparison of a universal mounting jig to a face-bow. PMID- 6574230 TI - The distribution of plasma cells in naturally occurring periodontitis lesions in rats. A light and electron microscopic study. AB - Plasma cells are widely distributed in inflamed periodontal tissues, the adjacent periodontal ligament and nearby alveolar bone spaces, of old rats (20 and 27 months) raised on a conventional diet in a normal laboratory environment. Electron microscopy revealed three morphologic types (or perhaps stages) of these cells based on the arrangement and content of the granular endoplasmic reticulum. Close contact between plasma cells and other cell types, such as lymphocytes, macrophages and fibroblasts, were commonly observed. It is suggested that plasma cell infiltration is a widespread and prominent feature of naturally occurring periodontitis in old rats, resembling the condition known to exist in humans, monkeys and dogs. The occurrence of large numbers of apparently fully differentiated plasma cells in otherwise normal alveolar bone marrow is discussed. PMID- 6574232 TI - Effects of cyanoacrylates on die stone. AB - An evaluation was made of the effects of the application of an increasing number of coats of cyanoacrylate on die stone. The application of one coat of cyanoacrylate adhesive on the surface of trimmed and marked dies increases the surface hardness, increases the scratch resistance, will not change the dimensions of the die appreciably, and renders the margin marking more permanent. Excess resin should be removed immediately by compressed air. The use of hardener instead of water is recommended for mixing Type IV dental stone. Use of the cyanoacrylate method will aid the dentist and the technician in achieving an accurate crown fit. PMID- 6574233 TI - Exhaled mercury following removal and insertion of amalgam restorations. PMID- 6574234 TI - An evaluation of the marginal adaptation of extracoronal restorations during cementation. PMID- 6574235 TI - A mathematical treatise on the fit of crown castings. AB - A mathematical analysis was given to calculate the marginal cement thickness, Dm, of a cemented crown casting as a function of the minimum cement film thickness, F; the width, W, of the base of the tapered region; the width, W', at the bevel (if present) of the tooth preparation; the taper angle, theta; the marginal angle, beta; and the compensatory expansion, X, of the metal investment system: Dm = [F/sin theta - 0.5(X - 1) (W cot theta - W' cot beta)] sin beta. The elevation of the cemented casting, delta H, above the tooth preparation may also be obtained from this equation by substituting beta = 90 degrees, in which case Dm = delta H. The effect of the preparation of a chamfer margin or bevel on the marginal film thickness may be calculated from this equation. An additional analysis showed that the minimum marginal cement thickness, Dm = F, can be obtained for a shoulder preparation and X values of common metal-investment systems by applying a spacer of appropriate thickness on the entire occlusal and axial walls of the die. This renders the preparation of bevels superfluous. The thickness of the spacer should allow for the cement film thickness, roughness of the tooth and casting surfaces, dimensional inaccuracies of the die, and distortions of the wax pattern. If the spacer is thicker than required, a minimum value of Dm is still obtained for preparations without bevels. If the horizontal part of the die shoulder is covered as well with the spacer, a greater spacer thickness is required to obtain a minimum value of Dm than if the spacer extends to the end of the axial walls. In this case the spacer thickness should be greater on the occlusal die wall than on other regions of the die for values of X smaller than 1. The spacer should also be thicker in the occlusal region if restriction of the investment setting expansion by the wax pattern occurs mainly in this region. PMID- 6574236 TI - Osteoradionecrosis associated with definitive radiation therapy for head and neck malignancies. PMID- 6574237 TI - Articulator modification for maxillofacial prosthetics. PMID- 6574238 TI - A twenty-year evaluation of subperiosteal implants. AB - All Vitallium subperiosteal mandibular implants placed at UMKC from 1955 to 1975 were reevaluated from four objective and subjective standpoints. It can be concluded that (1) the UMKC implants surpass the 5- and 10-year longevity standards of the Harvard Conference on Dental Implants; (2) periodic recall is an important part of an implant program; (3) acute inflammation is prevalent among implant patients; (4) surgical removal of part of an implant framework can be preventive treatment and prolong the life of the implant; (5) all but one of the implants reviewed were successful to a degree; (6) unilateral anesthesia or paresthesia can be expected in approximately 50% of patients; (7) anesthesia was not a deterrent to success in this study; (8) satisfaction with the implants was absolute; and (9) if removal of an implant was necessary, patients requested replacement if possible. PMID- 6574239 TI - Craniomandibular disorders and headaches. AB - Three hundred patients were questioned regarding frequency of headache pain. One hundred forty-one patients were seeking treatment at the University of Kentucky College of Dentistry TMJ Clinic for CMD. A comparison group of 159 was selected from persons being screened for routine dental needs. The following findings regarding incidence and frequency of headache pain were observed: 1. The incidence of headache pain was twice as high in the CMD group than in the comparison group (p less than .001). 2. Of the persons in each group reporting the occurrence of headaches, the frequency of headaches in the CMD group was significantly higher (44%) than in the comparison group (p less than .001). Thirty-three patients with headache pain were treated for a 4-week period with occlusal splint therapy. Patients were questioned regarding the number of headaches per week they had before and after occlusal splint therapy. The following results were observed: 1. Twenty-one (63.6%) patients showed a decrease in the frequency of their headaches. 2. Ten (30.3%) patients showed complete remission of headaches. 3. No patient showed an increase in the frequency of headaches. 4. As a group the average number of headaches per week before treatment was 5.06; after occlusal splint therapy the average number of headaches per week was 2.15 (p less than .001). PMID- 6574240 TI - Occlusal adjustment in patients with residual or recurrent signs of mandibular dysfunction. PMID- 6574241 TI - Radiographic examination of the abnormal temporomandibular joint. AB - Diagnosis of TMJ complaints is a complex and difficult task. To better define treatment procedures a firm diagnosis must be established. Radiographs are an aid in confirming diagnosis of TMJ abnormalities. This article has discussed six basic TMJ abnormalities and suggested the optimal radiographic technique for confirming each specific abnormality. Because transmission techniques can only confirm radiographic changes, emission techniques should be considered to evaluate TMJ pathologic activity in early disease prior to definitive bony change. The following can be concluded: 1. In specific TMJ abnormalities, specific emission or transmission radiographs are useful for confirmation. Early definition of all TMJ osseous activity is better defined by emission techniques; while chronic disturbances cause structure change, which is best seen in transmission techniques. 2. Superimposition, angular distortion, reproducibility, and definition of cartilaginous structures (for example, the meniscus) are limitations of transmission techniques. These limitations can be improved by tomography, cephalometric-corrected tomography, computer-assisted tomography, and arthrography of the TMJ. 3. In emission technology structural definition as seen in transmission techniques is lost, while visualization of bone reactivity as seen in early disease is gained. PMID- 6574242 TI - Accuracy and repeatability of a new procedure for temporomandibular joint laminagraphy. PMID- 6574243 TI - Jaw separation and maximum incising force. AB - A gnathodynamometer was constructed to study the effect of varying the degree of jaw opening on the maximum incising forces in 20 human subjects. The incising force was greatest when the gap (distance) between the incisal edges of maxillary and mandibular incisors was 17 +/- 3 mm. We suggest that with further refinement, the measurement of the optimum distance could be used to determine the occlusal vertical dimension. The IEMG was monitored simultaneously with the incising-force measurements. No relationship was found between the maximum incising force and the IEMG at different openings of the jaws. PMID- 6574244 TI - Rigid, stable, maxillary denture bases. PMID- 6574245 TI - Epidemiologic studies of mandibular dysfunction: a critical review. PMID- 6574246 TI - Report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry. PMID- 6574247 TI - Public health education and promotion for caries prevention: the role of dental schools. PMID- 6574248 TI - Supervised weekly rinsing with a 0.2 percent neutral NaF solution: final results of a demonstration program after six school years. AB - The results of a school-based fluoride mouthrinsing program in the elementary schools of a Long Island, New York community (F less than or equal to 0.1 ppm) was described. Children enrolled in this continuing program rinse once a week for 60 seconds with a 0.2 percent neutral NaF solution. Kindergarteners rinse with 5.0 ml.; children in the first through sixth grade rinse with 10 ml. Program personnel mix and distribute the rinse to the classrooms. Rinsing is supervised by homeroom teachers. A random sample of 125 children from each grade level (approximately 750 children) annually receive visual-tactile caries examinations from the same examiner. Mean caries prevalence scores after participation in the rinsing program are compared to the caries prevalence of children that were examined in 1975, before the program began. There has been 170 scheduled rinse sessions during six years. By the sixth-year examinations, first graders rinsed for one year (as kindergarteners), second graders for two years, etc. All children who were examined began participation in the program as kindergarteners. The findings after six years of the rinsing program included: 1. There was a 54.1 percent reduction in the mean DMFT caries prevalence score and a 55.2 percent reduction in the mean DMFS score. 2. The greatest percentage caries reduction, 68.8 percent, occurred for proximal surfaces, and the greatest absolute reduction occurred for occlusal surfaces. 3. The percentage of children with a caries-free permanent dentition increased from 43.5 percent to 66.3 percent. Of those children with caries, more were in the low caries category (DMFS = 1-4) compared to children who were examined before the rinsing program began. PMID- 6574249 TI - Dental public health's future as a dental specialty depends on improving AAPHD's national visibility and performance. PMID- 6574250 TI - Lesions of the head and face--the dentist may see them first. PMID- 6574252 TI - Maternal deaths in New Jersey--1981. PMID- 6574251 TI - Five canals in a lower first molar. PMID- 6574253 TI - The postnatal aspiration pattern. PMID- 6574254 TI - Transfontanelle real-time ultrasonography of the neonatal head: a prospective study. PMID- 6574255 TI - The impaired physicians program. Identification. PMID- 6574256 TI - Camera care and cleaning, or, TLC for your SLR. PMID- 6574257 TI - Doctor, guard thy practice! PMID- 6574258 TI - The use of tricalcium (Synthograft). Part I: Its use in extensive periodontal defects. PMID- 6574259 TI - The use of Synthograft in periodontal bony defects. PMID- 6574260 TI - A 2.4-kilobase-pair fragment of the Friend murine leukemia virus genome contains the sequences responsible for friend murine leukemia virus-induced erythroleukemia. AB - Friend murine leukemia virus (F-MuLV) is a replication-competent, ecotropic, NB tropic retrovirus which produces a rapidly fatal erythroleukemia in susceptible strains of mice. We previously molecularly cloned the entire F-MuLV genome. Transfection of this cloned DNA into NIH 3T3 mouse fibroblasts produces a virus with the same leukemia-inducing characteristics as F-MuLV. To identify which portion of the F-MuLV genome is responsible for causing leukemia, we made recombinant viruses between subgenomic fragments of F-MuLV DNA and another retrovirus--Amphotroph clone 4070. Amphotroph clone 4070 is a replication competent, amphotrophic, N-tropic virus which does not produce any detectable malignancy in mice. A 2.4-kilobase-pair fragment of F-MuLV DNA was isolated. This DNA fragment encompassed approximately 700 base pairs from the 3' end of the F MuLV pol gene and 1.7 kilobase pairs of the env gene including all of gp70 and the N-terminal four-fifths of p15E. A molecularly cloned fragment of Amphotroph DNA was ligated to the 2.4-kilobase-pair F-MuLV DNA, and an 8.3-kilobase-pair hybrid F-MuLV-Amphotroph DNA was subcloned into a new plasmid (p5a25-H). Transfection of p5a25-H DNA into fibroblasts resulted in the production of a replication-competent, ecotropic, N-tropic retrovirus--5a25-H virus. Inoculation of this virus into newborn NIH Swiss mice caused leukemia within 4 to 6 months. The disease caused by 5a25-H was pathologically and histologically indistinguishable from the disease caused by F-MuLV. We conclude that the F-MuLV sequences needed to cause disease are contained in these 2.4 kilobase pairs of DNA. PMID- 6574261 TI - Prostaglandin type E activity dominates in urinary tract smooth muscle in vitro. AB - Changes in isometric tension and spontaneous contractions in human and porcine lower urinary tract smooth muscle strips caused by PGE2, PGF2a and the prostaglandin biosynthesis inhibitor ketoprofen were investigated in vitro. Ketoprofen reduced the prostaglandin biosynthesis significantly and caused reversible and dose dependent decreases of tension and spontaneous contractions in detrusor strips, while tension increase was induced in strips from the urethra, bladder neck and trigone. PGE2 reestablished the tension and the spontaneous activity in the detrusor strips and counteracted the tension increase in strips from the urethra, bladder neck and trigone. PGF2a increased the tension in all strips. The threshold concentration for prostaglandin effect in strips pretreated with ketoprofen was 10(-10) - 10(-9) mol./l., a concentration which might be considered physiologically relevant. Prostaglandin synthesis inhibition thus caused responses opposite to those of PGE2 in every single strip. These results strongly suggest the PGE-type of activity to be more important than the PGF-type of activity in lower urinary tract smooth muscle in vitro. PMID- 6574262 TI - Preventing mercury poisoning in dental practice. PMID- 6574263 TI - [The effect of cefmetazole in the treatment of acute prostatitis and acute epididymitis]. AB - Cefmetazole (CMZ) was intravenously injected to 12 patients with acute prostatitis as well as 3 patients with acute epididymitis. Good clinical results were obtained in 10 patients (91.7%) with acute prostatitis and 2 patients (100%) with acute epididymitis. No side effects were reported in all of 23 patients. Thus, CMZ could be expected to reveal good response in the treatment of male genital infections. PMID- 6574264 TI - [Cooperative studies on clinical effect of cefotetan for severe infections combined with hematologic disorders]. AB - Seventy-six patients with severe infection accompanying hematologic disorders including leukemia and lymphoma were treated with intravenous drip infusion of cefotetan (CTT). Of the 66 cases in whom the efficacy could be evaluated, 22 cases responded markedly and 16 cases moderately, the effective rate being 57.6%. It is impressed that more cases responded markedly to CTT than to any other antibiotics previously studied. None of the cases revealed serious side effects attributable to CTT. These results indicate that CTT is an effective and safe antibiotic for the treatment of severe infection accompanying hematologic disorders. As CTT was administered to special cases under marked decrease of neutrocyte, the importance of neutrocyte in the treatment of infection was also indicated. PMID- 6574265 TI - [Tissue distribution of cefotetan in the field of obstetrics and gynecology]. AB - The concentrations of cefotetan (CTT) in serum, uterus, ovary and oviduct tissues were determined in 30 patients after single intravenous drip infusion of 1 g over 1 hour. 1. Peripheral blood level of CTT was determined from 3 to 24 hours after injection. The maximum level was observed at 3 hours after injection and the concentration went down gradually with time. 2. The tissue concentrations of CTT in intrapelvic organs also tended to decrease with time and hardly detected 24 hours after injection. 3. From 3 to 12 hours after injection, mean penetration rate of CTT into intrapelvic organs was 40% and more. 4. Among intrapelvic organs, penetration rate into portio was highest, and others were ovary, uterine cervix, oviduct, endometrium, myometrium and uterine myoma in order of lowering penetration rate. 5. The penetration rate into uterine myoma was approximately half that into normal tissue. Considering above results, CTT is expected to show sufficient effects against Gram-negative bacilli and Bacteroides sp. when reasonably dosed. PMID- 6574266 TI - Effects of intracerebroventricular administration of prostaglandin D2 and angiotensin II on blood pressure in conscious rats. AB - To evaluate the role of brain prostaglandins in the regulation of blood pressure, we examined the effects of intracerebroventricular injections of prostaglandin D2, angiotensin II and indomethacin on blood pressure in conscious rats. Intraventricular administration of prostaglandin D2, the major prostaglandin synthesized in the rat brain, did not elicit a significant change in blood pressure. On the other hand, intraventricular injection of angiotensin II resulted in an increase in blood pressure in a dose-related manner. However, this central pressor effect of angiotensin II was not affected by intraventricular pretreatment with indomethacin. Indomethacin per se did not induce any change in blood pressure. These results suggest that prostaglandin D2 in the brain does not play an important role in the regulation of blood pressure in conscious rats. It is also suggested that the central pressor effect of angiotensin II is not mediated by prostaglandin biosynthesis in the central nervous system. PMID- 6574267 TI - Spontaneous tumor cell killing by human blood monocytes and human peritoneal macrophages: lack of alteration by endotoxin or quenchers of reactive oxygen species. AB - Human mononuclear phagocytes (monocytes and macrophages) act as effectors in the destruction of tumor cells. Peritoneal macrophages from normal or infertile women killed a variety of tumor cells in vitro more efficiently than did blood monocytes from the same subjects. Lysis depended on the effector-to-target cell ratio and was neither reproduced by supernatants from nor lysates of the mononuclear phagocytes. Normal fibroblasts were not lysed. Lipopolysaccharide (10(1)-10(4) ng/ml) did not alter the monocyte- or macrophage-mediated tumor cell killing. The monocytes and macrophages had equivalent basal and phorbol 12,13 myristate acetate-stimulated H2O2 and O-2 production, and the reactive oxygen species scavengers or quenchers catalase, superoxide dismutase, mannitol, and L histidine did not diminish the killing. These observations suggest that the spontaneous tumor cell killing by human mononuclear phagocytes was not mediated by reactive oxygen species. PMID- 6574268 TI - Cancer risk among Danish male Seventh-Day Adventists and other temperance society members. AB - Cancer risk was studied in 781 male Seventh-Day Adventists (SDA) and 808 male members of other temperance societies. Standardized morbidity ratios for all cancers were 0.69 among SDA and 1.05 among other temperants. Significantly decreased risks of cancers were noted among SDA for cancer of the colon [observed/expected (O/E): 0.13], cancer of the respiratory system (O/E: 0.17), cancer of the lung (O/E: 0.15), and cancer of the bladder including papilloma (O/E: 0.13). No significant deviations from expectations were noted among members of other temperance societies. Thus risks of tobacco-associated cancers were markedly decreased among SDA. The risk of alcohol-associated cancers (cancers of the oral cavity, pharynx, esophagus, and larynx) taken together was also decreased (O/E: 0.7), although not significantly so. When the results were compared with those of a previous study of Danish brewery workers who had a high average daily beer intake, the present investigation provides further support that the alleged association between beer consumption and the occurrence of rectal cancer is of a noncausal nature. The explanation for the decreased risk of colon cancer should probably be sought in the dietary practices of SDA. PMID- 6574269 TI - Cancer mortality (1965-77) in relation to diesel fume and coal exposure in a cohort of retired railway workers. AB - A cohort study of 43,826 male pensioners of the Canadian National Railway Company was conducted. The cause of death of 17,838 pensioners who died between 1965 and 1977 was ascertained by computerized record linkage to the Canadian national mortality data base. The main finding was an elevated risk of lung cancer for those employed in occupations involving exposure to diesel fumes and coal dust, with highly significant dose-response relationships observed. That such association may be due in part to smoking cannot be excluded; but in view of the widespread exposure to diesel fumes, the finding warrants further investigation. The present study also demonstrated the utility and feasibility of large-scale occupational cohort studies conducted with the use of computerized record linkage to national mortality records. PMID- 6574270 TI - Coffee drinking and risk of bladder cancer. AB - The relationship between coffee drinking and risk of bladder cancer was assessed with the use of data from a case-control study of bladder cancer. Incident cases (2,982) and general population controls (5,782) were interviewed. Overall, the relative risk (RR) of bladder cancer for subjects who had ever drunk coffee was estimated as 1.4 (95% confidence interval = 1.1-1.8). There was no consistent relation between the RR estimate and the current consumption level. Among men who drank coffee, those who drank more than 49 cupfuls of coffee per week had an apparent excess in risk, but women who drank that much had an apparent deficit in risk. PMID- 6574271 TI - Differences in breast cancer risk factors according to the estrogen receptor level of the tumor. AB - One hundred and forty-eight postmenopausal breast cancer cases and 585 postmenopausal controls were included in an investigation of whether various risk factors for breast cancer are associated with the level of estrogen (E) receptor (ER) protein in the tumor. In an intracase analysis, the tumor ER level was positively associated with nulliparity, late age at first live birth, a history of benign breast disease, and having breast-fed at least 1 child and was negatively associated with previous use of E replacement therapy. A case-control analysis suggested that the first three variables, established risk factors for breast cancer, are associated with an increased risk for malignant breast tumors that are ER-positive but not for those that are ER-negative. This analysis did not provide a clear interpretation of the findings in the intracase comparisons with regard to prior breast-feeding and the use of E replacement therapy. PMID- 6574272 TI - Dark tobacco and lung cancer in Cuba. AB - A retrospective epidemiologic study of 826 cytologically and/or histologically confirmed lung cancer cases (219 females and 607 males), 979 hospital controls, and 539 neighborhood controls was undertaken in Havana, Cuba, to investigate whether the high lung cancer mortality rates in this country could be explained by the cigarette and cigar consumption habits, including the smoking of dark tobacco cigarettes. Relative risk(s)(RR) of lung cancer among cigarette smokers were 7.3 in women and 14.1 in men and increased consistently with various measures of exposure to smoke. The findings suggested that duration of smoking, daily number of cigarettes consumed, and inhalation practices have independent effects. Most Cubans smoked dark tobacco. RR were higher for dark-tobacco users than for light-tobacco users (RR = 8.6 vs. 4.6 for women and 14.3 vs. 11.3 for men), but the differences were reduced after adjustment for amount smoked. Cigarette smoking was associated with all histologic types of lung cancer, although the risk for adenocarcinoma was lower than that for the other types. Men who smoked exclusively cigars had a fourfold risk of lung cancer. Mixed smokers (i.e., cigar and cigarette smoker) had a greater RR than cigarette-only smokers (15.0 vs. 14.1), which was perhaps related to the unusually deep and frequent inhalation of cigar smoke. The data support the hypothesis that smoking patterns account for the higher lung cancer mortality in Cuba than in other Latin American countries. PMID- 6574273 TI - Inhibitory effect of betel nut extracts on endogenous nitrosation in humans. AB - Extracts of betel nut (Areca catechu) were tested for their capacity to inhibit the endogenous formation of nitrosamines by measurement of the amount of urinary N-nitroso-L-proline (NPRO) following ingestion of sodium nitrate (300 mg) and L proline (300 mg) by 2 volunteers. A water extract of the dried nuts, an ether extract containing mainly (+)-catechin and (-)-epicatechin, and a caffeine precipitated n-butyl alcohol extract containing primarily proanthocyanidins (tannins) strongly reduced the endogenous formation of NPRO. An average of 14.7 and 10.9 micrograms NPRO (8 expts per individual) was excreted in the urine of the 2 volunteers over a 24-hour period following the intake of sodium nitrate and L-proline. The water extract and the proanthocyanidin (tannin)-containing extract, both of which contain the dose equivalent of one-quarter of a nut, reduced the excreted NPRO to background levels, which varied from 0.5 to 3.6 micrograms and from 0.6 to 2.1 micrograms (6 expts) in 24-hour urine samples from the 2 volunteers. These results may exemplify the way in which naturally occurring phenolics, which are ingested daily in relatively large quantities, could affect the endogenous formation of carcinogenic nitrosamines. PMID- 6574274 TI - Clonal evolution in a human neuroblastoma. AB - Tumor samples, obtained from a single patient at two points in his illness, have enabled us to study clonal evolution in a neuroblastoma. Cells from the primary tumor demonstrated considerable heterogeneity in terms of chromosome number; cells from 4 subsequent metastases were all nearly diploid; and cells from a tumor produced in a mouse by the injection of cells from the primary tumor were hypotriploid in modal number. All of the tumor samples contained the same marker chromosome rearrangements, indicating their origin from a common precursor. Each of the cell lines analyzed (including those from the patient's metastases, those from the tumor in a mouse, and those from the primary tumor after 11 months in continuous culture) also contained different and distinguishing chromosome abnormalities. The differences in karyotype among these tumor samples and cell lines presumably reflect the different selection pressures at work in each instance. PMID- 6574275 TI - R3327 prostate adenocarcinoma clonogenic cells: epithelial properties and hormone response. AB - Cell colonies derived from the clonogenic tumor cell [colony-forming cell, prostate adenocarcinoma (CFC-PA)] assayed in vitro from the R3327 rat prostate adenocarcinoma demonstrate prostate acid phosphatase activity when assayed histochemically and convert testosterone to stanolone. The number of CFC-PA/10(4) cells plated in steroid-free cultures was increased following the addition of testosterone or stanolone and decreased following the addition of 17 beta estradiol. The decreased rate of growth of the R3327 tumor in castrated male inbred Copenhagen rats when compared to the growth measured in normal (intact) male and female inbred Copenhagen rats was reflected in a large decrease in the number of CFC-PA/10(4) cells plated from tumors grown in castrated male rats when compared to the values obtained from tumors that were grown in normal male and female rats. Furthermore, the replacement of fetal calf serum with normal male or castrated male rat serum resulted in little change in CFC-PA/10(4) cells plated in cultures established from tumors grown in castrated rats, although significant increases in CFC-PA were observed in cultures established from tumors grown in normal male or female rats. PMID- 6574276 TI - Cocarcinogenic action of aspirin on gastric tumors induced by N-nitroso-N methylnitroguanidine in rats. AB - Albino rats (noninbred) were divided into 4 groups: 1) 56 control rats, 2) 40 rats fed 1 ml aspirin suspension (40 mg/ml) twice a week, 3) 20 rats given N nitroso-N-methylnitroguanidine (MNNG) solution (250 micrograms/ml) to drink ad libitum, and 4) 40 rats given both aspirin and MNNG. In 18 months, there were no gastrointestinal tumors in groups 1 and 2, 8 cases of gastric tumors in group 3, and 37 cases of gastric tumors in group 4. Adenocarcinomas of the glandular stomach were found in 21 of 40 rats in group 4 but in only 4 of the 20 rats in group 3; the difference in incidence was significant. Histologic and electron microscopic examination of the epidermoid carcinomas and adenocarcinomas in group 4 showed no difference from such tumors induced by MNNG only. Hyperplasia of the forestomach mucosa and hyperplasia of the pyloric gland region of the glandular stomach in group 4 were more severe. PMID- 6574277 TI - Organ, species, and compound specificity in the metabolic activation of primary aromatic amines. AB - For the evaluation of the role of target tissue activation in the induction of bladder cancer, microsome-mediated N-hydroxylation of the bladder carcinogen 4 biphenylamine (4-BA) was studied in bovine and canine bladder mucosae, relative to the activity in liver. Bovine bladder microsomes mediated the N-hydroxylation of 4-BA at an exceptionally high rate, whereas no detectable activity was found with bovine liver microsomes. Dog bladder microsomes were 40-100 times less active than bovine bladder microsomes and contained approximately one-third the amount of cytochrome P450. Dog liver microsomes were as active as dog bladder microsomes per nanomole P450 and an order of magnitude more active when normalized to microsomal protein. Rat liver microsomes contained the highest level of P450 of all the preparations studied, and N-hydroxylase activity was approximately twice the rate of that of dog liver. The rate of N-hydroxylation of 2-naphthylamine (2-NA) and 1-naphthylamine (1-NA) was compared in bovine bladder mucosa and was found to correlate well with the relative potency of these compounds as bladder carcinogens (4-BA greater than 2-NA greater than 1-NA). Such a comparison could not be made with dog bladder mucosa because of its low N hydroxylation activity. In addition, bovine bladder mucosa S-9 mutagenic activation of 4-BA, 2-NA, and 1-NA was investigated in Salmonella typhimurium and found to parallel the carcinogenic potency of these compounds. These results demonstrate considerable tissue, species, and compound specificity for the metabolic activation of aromatic amines and provide further evidence in support of bladder activation as a mechanism of aromatic amine-induced bladder cancer. PMID- 6574278 TI - Antitumor activity of a water-insoluble compound entrapped in liposomes on L1210 leukemia in mice. AB - The use of sonicated phospholipid vesicles (liposomes) as carriers of 2-[3' (methoxycarbonylamino)-phenyl]-3-phenyl-6-methoxycarbonylamino-4-(3H)- quinazolone (NSC-251635), a water-insoluble antimitotic compound, was investigated in mice. NSC-251635 was incorporated in egg yolk lecithin, cholesterol, and stearylamine (4:3:1) liposomes. In vitro, NSC-251635 in suspension or entrapped in liposomes was not toxic for L1210 cells. In vivo, after ip or iv injections to CDF1 mice bearing intraperitoneal or intravenous L1210 leukemia, NSC-251635 was active only when it was incorporated in the liposomes and not when it was given as a suspension in Klucel or in saline. The NSC-251635 liposome preparation induced significantly prolonged survival of the treated animals. PMID- 6574279 TI - Induction of DNA strand breaks and chromosome abnormalities by an imide derivative of 3-nitro-1,8-naphthalic acid (mitonafide) in Chinese hamster ovary cells. AB - Mitonafide (5-nitro-2-(2-dimethylaminoethyl)-benzo- [de]isoquinoline-1,3-dione hydrochloride), a new candidate as an anticancer or antiviral agent, inhibited the incorporation of DNA precursors into the acid-insoluble fractions of cultured Chinese hamster ovary (CHO) cells and also into CHO cells made permeable (i.e., "permeabilized") that were supplemented with ATP and deoxynucleoside triphosphates. Mitonafide enhanced the degradation of previously incorporated [3H]thymidine and increased the amount of DNA recovered in fractions containing single-stranded DNA after alkaline denaturation and hydroxyapatite chromatography. At concentrations of 0.01 and 1.0 microM, respectively, mitonafide increased the frequency of sister chromatid exchanges and chromosome aberrations in CHO cells. The inhibition of DNA synthesis in a permeabilized cell system suggested that mitonafide acted on the DNA-synthesizing apparatus without requiring metabolic conversion and interfered with DNA synthesis independent of the cellular metabolism of DNA precursors. Mitonafide induced DNA strand breaks and chromosome abnormalities in cultured cells. PMID- 6574280 TI - Prolonged antitumor effect of indomethacin on autochthonous intestinal tumors in rats. AB - Intestinal tumors were induced in randomly propagated Lobund Sprague-Dawley rats by dimethylhydrazine dihydrochloride and by methylazoxymethanol acetate. At 14, 63, and 77 days after exposure to a carcinogen, rats were fed, ad libitum, indomethacin in the drinking water (20 mg/liter) for 20 and 40 weeks. The development of intestinal tumors was prevented or retarded significantly compared to that of control animals. Among control rats at 20, 40, and 52 weeks, the numbers of tumors per rat were relatively constant, but the individual tumors were increased in size. PMID- 6574281 TI - Enhancing effect of vitamin E on murine intestinal tumorigenesis by 1,2 dimethylhydrazine dihydrochloride. AB - The effect of the antioxidant vitamin E on the tumor-inducing ability of 1,2 dimethylhydrazine dihydrochloride (1,2-DMH) was investigated in randomly bred Swiss mice. Three groups of mice that were 6 weeks of age at the beginning of the experiment received the following treatments: a) vitamin E acetate [DL-alpha tocopheryl acetate (TA)] at a 4% dose level in a powdered diet for life; b) 1,2 DMH, 10 weekly sc injections at 20 micrograms/g body weight; c) combination of a and b treatments. The administration of TA enhanced the tumorigenicity of 1,2 DMH, as evidenced by statistically significant incidences of tumors in the duodenum, cecum, colon, rectum, and anus. The present finding apparently is in contrast with the reported inhibitory effect of TA on colon carcinogenesis by 1,2 DMH. PMID- 6574282 TI - Contribution of body weight and growth to risk of anterior pituitary gland tumors of the rat. AB - The dietary and growth histories of noninbred male Charles River COBS rats permitted freedom of dietary choice throughout life were analyzed to determine the conditions associated with the spontaneous occurrence of anterior pituitary gland tumors (PT). The animals were allowed to regulate their protein intake apart from energy intake. Multivariable models were derived distinguishing rats that develop PT from those remaining free of tumors throughout life. Conventional fixed diet studies suggested that the quantity and quality of the diet consumed would be the best explanatory variables. However, body weight-related variables were found to be more important. The interacting, time-related conditions conductive to a high probability of PT occurrence included an unusually high growth rate associated with a high level of conversion of the food consumed into body mass during early life and a high intake of protein relative to body weight during early adult life. The accuracy in identifying rats with PT was even greater if mature body weight was included as an explanatory variable. PMID- 6574283 TI - Increased tumorigenesis induced by N-nitrosobis(2-oxopropyl)amine in Syrian golden hamsters fed high-fat diets. AB - The effects of dietary fat on carcinogenesis were presented, with the pancreas excluded, in randombred Syrian golden hamsters after administration of N nitrosobis(2-oxopropyl)amine (BOP). Diets containing 4.5, 9, or 18 g corn oil/385 kilocalories [low-fat (LF), medium-fat (MF), or high-fat (HF) diet, respectively] were fed in two sequences. In the first sequence during which the effects of fat on the initiation phase of BOP carcinogenicity were examined, LF or HF diets were fed to hamsters 3-7 weeks of age and for 2 days after a single sc BOP treatment (10 mg/kg body wt) to 8-week-old hamsters. These hamsters were then given MF diet for the remainder of their lives. In the second sequence during which the role of fat on the promotional phase (development) of BOP-induced cancer was evaluated, MF diet was fed during the weeks preceding BOP treatment and LF or HF levels were given after BOP treatment. Separate groups were fed MF diet throughout both phases, and parallel animal groups received each diet sequence and were treated with saline at 8 weeks of age. Renal adenocarcinomas in males were observed only in those given HF diet either before or after BOP treatment (9% incidence). Similarly, pulmonary adenoma and intraphepatic biliary cystic adenoma (cholangioma) incidences were elevated above spontaneous rates in HF-fed groups. This study demonstrated that dietary fat enhanced BOP-induced tumorigenesis in the kidneys, lungs, and liver when fed, either during initiation (preceding carcinogen treatment) or at promotional stages (following carcinogen treatment). PMID- 6574284 TI - Development of a model of chronic lymphocytic leukemia in inbred strain 2 guinea pigs. AB - A new transplantable leukemia (KSL) of unknown etiology that arose in a female Sewall-Wright strain 2 guinea pig is described. KSL cells morphologically resembled medium to large lymphocytes, displayed surface Ia antigen and receptors for complement and for the Fc portion of immunoglobulin, and synthesized surface immunoglobulin (IgM). These characteristics suggest a leukemia of B-lymphocyte origin. KSL cells were shown to be sensitive in vivo to both cyclophosphamide and 1,3-bis(2-chloroethyl)-1-nitrosourea; however, neither drug effectively prevented eventual recurrence of the disease. KSL leukemia was also shown to be distinct from another guinea pig lymphatic leukemia (L2C) with respect to cell morphology, antigenicity, and in vivo growth rate. In this last respect, KSL appeared more closely related to the chronic lymphocytic leukemias. Thus KSL is the first chronic lymphocytic leukemia in the guinea pig to be characterized; it is also the only guinea pig model of lymphatic leukemia that is distinct from L2C leukemia currently available for study. PMID- 6574286 TI - Cells of origin of lung tumors in mice. PMID- 6574285 TI - Diet, nutrition, and cancer: interim dietary guidelines. AB - The Committee on Diet, Nutrition, and Cancer of the National Academy of Sciences recently evaluated the role of diet in carcinogenesis. Both epidemiological and laboratory evidence suggests that a high intake of total fat increases susceptibility to cancer of different sites, particularly the breast and colon. In epidemiological studies frequent consumption of certain fruits and vegetables and in laboratory experiments some components of fruits and vegetables, especially cruciferous vegetables, appear to decrease the incidence of cancers at various sites. In contrast, frequent consumption of salt-cured, salt-pickled, or smoked foods, possibly because they may contain nitrosamines or polycyclic aromatic hydrocarbons, appears to increase the risk of esophageal or stomach cancer. Excessive alcohol consumption among smokers appears to be associated with an elevated risk of cancers of the oral cavity, esophagus, larynx, and respiratory tract. Interim dietary guidelines to reduce the risk of cancer were proposed in accordance with these conclusions. No definitive conclusions were reached for other dietary factors, including total calories, cholesterol, fiber, and selenium, nor could the quantitative contribution of diet to overall cancer risk be estimated. PMID- 6574288 TI - [Invasive aspergillosis with an intrapulmonary fungus ball in childhood]. AB - The clinical and radiological findings of invasive aspergillosis in two children with leukemia are reported. The diagnosis of invasive aspergillosis is still a problem. The fungus is only rarely demonstrated by mycological or serological methods. Therefore the radiological demonstration of an intrapulmonary "fungus ball" in the compromised host is of clinical significance, because it is characteristic of invasive aspergillosis. PMID- 6574287 TI - Louisville water fluoride content. PMID- 6574289 TI - [Case of protracted course of myelocytic leukemia]. PMID- 6574290 TI - Eosinophilic myelocytoma in an owl monkey (Aotus trivirgatus). AB - A mass found in the anterior mediastinum at necropsy of an adult female owl monkey (Aotus trivirgatus) was morphologically consistent with an eosinophilic myelocytoma. Lymph nodes, kidneys, bone marrow, and other tissues were diffusely infiltrated by neoplastic cells. Intracellular and extracellular Charcot-Leyden crystals were present in the neoplasm. PMID- 6574291 TI - A pressure curve monitor for intratracheal jet ventilation. AB - Most of the complications during intratracheal jet ventilation for laryngomicroscopy are due to the unnoticed wearing off of laryngeal muscle relaxation. Recovering laryngeal muscle function will, by slightly narrowing the size of the glottis, influence the slope of the quickly rising part of the pressure curve, when influences on maximum airway pressure are still not detectable. An electronic device incorporating the window comparator technique monitors the pressure curve and sets off an alarm before changes in maximum airway pressure or recovery of muscle strength in the forearm are detectable. The pressure curve monitor could be useful also with intratracheal jet ventilation for treating adult respiratory deficiency and with conventional ventilators during anaesthesia to detect the wearing off of muscle relaxation. PMID- 6574292 TI - Microsomal 5-ane-3 beta-hydroxysteroid oxidoreductase from pubertal rat Leydig cells: partial purification and characterization. AB - A 3 beta-hydroxysteroid oxidoreductase which acts on 5 alpha (beta)-reduced C19 and C21 steroids (5-ane-3 beta-hydroxysteroid oxidoreductase; 5-ane-3 beta-HSO) has been solubilized from pubertal rat Leydig cell microsomes and purified 300 fold by ion exchange and gel filtration chromatography. The partially purified enzyme is stable only in the presence of 0.4 M NaCl and appears to exist as a molecule having a molecular weight of 35,000 or as aggregates with a molecular weight in excess of 150,000. NAD+ and NADH+ are used exclusively as cofactors. The velocity of the steroid oxidation reaction was unaffected by either Ca2+ or Mg2+. The steroid oxidation reaction has a pH optimum between 8.0 and 8.5, a temperature optimum at 35 degrees C and an activation energy of 12,850 cal/mol. The pH optimum of the steroid reduction reaction is 6.6. A variety of 5 alpha reduced C19 and C21 steroids can be utilized as substrates. Treatment of microsomes with phospholipase A2 resulted in a 26 to 90% loss of enzyme activity, paralleling decreased microsomal phospholipid content, and suggesting a role for phospholipids in 5-ane-3 beta-HSO activity. Assays with combined substrates indicate that one enzyme is responsible for activities observed with 5 alpha- and 5 beta-reduced C19- and 5 alpha-reduced C21-3 beta-hydroxysteroids. Purification data indicate that the 5-ane-3 beta-HSO and the 5-ene-3 beta-hydroxysteroid oxidoreductase:isomerase are distinct enzymes. PMID- 6574293 TI - Activation of purified cytoplasmic 17 beta-hydroxysteroid dehydrogenase from human placenta by human albumin and globulin. AB - The cytoplasmic 17 beta-hydroxysteroid dehydrogenase of human placenta, purified more than 2500-fold, was activated by small amounts of human albumin and globulin. This activation was dependent on substrate concentration. At 20 microM estradiol (10 X KM) and two different concentrations of enzyme (0.01 and 2 micrograms/ml), the activation was greatest at albumin or globulin concentrations between 0 and 30 micrograms/ml. At "low" concentrations of estradiol (20 nM = 10( 2) X KM) and enzyme (0.01 microgram/ml), maximal activity occurred at approximately 10 micrograms/ml. Higher concentrations of albumin and globulin led to a decline in activity. PMID- 6574294 TI - Determination of prostaglandin E2 and the main prostaglandin E metabolite by micro high-performance liquid chromatography using fluorescence derivatization with dansyl hydrazine. AB - A micro high-performance liquid chromatographic method for the determination of prostaglandin E2(PGE2) and the main prostaglandin E metabolite (PGEMT) in rat organs and human urine has been developed. Prednisolone was added to the sample as the internal standard. The isolated PG's and the internal standard were subjected to reaction with dansyl hydrazine, separated by liquid chromatography on a mu Fine pack SIL C18 and determined fluorimetrically. The standard deviation of the method was +/- 6.5% for PGE2, and +/- 8.4% for PGEMT. The detection and simultaneous quantitation of less than 10 ng of PGE2 and PGEMT is possible. The proposed method is suitable for the pharmacological analysis of PGE2 and PGEMT in various rat tissues and human urine. PMID- 6574295 TI - Possible differentiation of human acute myeloblastic leukemia cells by daily and intermittent administration of aclacinomycin-A. AB - A rapid decrease of myeloblasts and a remarkable increase of mature neutrophils, mostly with Pelger anomaly, were observed in the peripheral blood of a 51-year old woman with terminal acute myeloblastic leukemia during 16 days of daily i.v. administration of 20 mg aclacinomycin-A (ACM-A). When the same dose was administered later on three consecutive days each week, a similar hematore neutrophils, mostly with Pelger anomaly, were observed in the peripheral blood of a 51-year-old woman with terminal acute myeloblastic leukemia during 16 days of daily i.v. administration of 20 mg aclacinomycin-A (ACM-A). When the same dose was administered later on three consecutive days each week, a similar hematore neutrophils, mostly with Pelger anomaly, were observed in the peripheral blood of a 51-year-old woman with terminal acute myeloblastic leukemia during 16 days of daily i.v. administration of 20 mg aclacinomycin-A (ACM-A). When the same dose was administered later on three consecutive days each week, a similar hematological change occurred again. An increase of myeloblasts observed between the third and the fifth week of this intermittent schedule was accompanied by that of mature neutrophils. Thrombopenia and anemia did not improve significantly. These findings may indicate the induction of leukemic myeloblasts by ACM-A into mature neutrophils. Administration of relatively small dose anthracyclines including ACM-A may be another potential choice in the treatment of refractory acute non-lymphocytic leukemia (ANLL) or ANLL after relapse. PMID- 6574296 TI - Conditions controlling long-term proliferation of Brown Norway rat promyelocytic leukemia in vitro: primary growth stimulation by microenvironment and establishment of an autonomous Brown Norway 'leukemic stem cell line'. AB - Conditions for in vitro long-term maintenance and proliferation of the Brown Norway (BN) rat myelocytic leukemia cell (BNML) are described. During a primary culture of leukemic rat marrow, a few leukemic cells proliferated and were initially dependent on an adherent cell population but later acquired the capability of independent growth. A wild BN leukemic stem cell line has been maintained in vitro for several months, without noticeable phenotypic alterations. The doubling time of the cultured cells was 40 h. The cells were promyelocytes. The cytochemical markers of the original BN leukemia cells were preserved. The cultured cell line transferred leukemia exclusively to BN rats. Wistar and BDIX rats were resistant. The virulence of cultured leukemic cell was measured by shortened survival times after transplantation in animals of a fixed number of leukemic cells. The role of bone marrow microenvironment in the initiation of long-term growth is discussed. PMID- 6574297 TI - Cytological types of mitoses and chromosome abnormalities in acute leukemia. AB - In order to determine the nature of the cells in mitosis in acute leukemia, a parallel study was conducted by cytological and cytogenetic methods on the same marrow and blood samples. On direct marrow examination, erythrocyte precursors in mitosis are usually observed but ordinarily disappear following in vitro culture. In APL (M3) characterized by t(15;17) translocation, the comparison between the proportions of the different categories of cells in mitosis and of karyotypically normal and abnormal cells suggests that erythroblasts do not belong to the leukemic clone. An analogous situation is observed in AML (M2) with t(8;21) and in monocytic leukemia (M5) with chromosome abnormalities. Erythroleukemia could be divided into two categories, one with chromosome abnormalities and persistence of erythroblast mitoses after culture, and another with no detectable chromosome abnormality and with disappearance of erythroblast mitoses following culture. Other examples of blood malignancies demonstrate the importance of the method used in determining which cell categories belong to the leukemic clone. An interpretation of the results in terms of commitment 'level' of the involved stem cells and a distinction between 'primary' and 'secondary' chromosome abnormalities is proposed. PMID- 6574298 TI - Myeloid leukaemia frequency after protracted exposure to ionizing radiation: experimental confirmation of the flat dose-response found in ankylosing spondylitis after a single treatment course with X-rays. AB - The dose-response for leukaemia induction by exposure to ionizing radiation protracted over several weeks was largely independent of dose not only in X-rayed patients with ankylosing spondylitis but also in experimentally gamma-rayed CBA/H mice. In the experiment the induced leukaemia frequency of acute myeloid leukaemia was independent of a several thousand-fold variation in physical dose rate. Any difference in leukaemia induction between brief and protracted exposures must therefore depend on specifically biological consequences of protracted exposures. Experimental analysis is required to provide the guides for inference about risks of low level exposure from observations on relatively heavily irradiated populations. PMID- 6574299 TI - [Renal prostaglandins in arterial hypertension]. PMID- 6574300 TI - [The relation between non-Hodgkin's lymphoma and acute lymphatic leukemia in children]. PMID- 6574301 TI - [The "Eol" pulmonary ventilator for bronchoscopy]. PMID- 6574302 TI - Methods and applications of hapten-sandwich labeling. PMID- 6574303 TI - Purification of murine MHC antigens by monoclonal antibody affinity chromatography. PMID- 6574304 TI - Mutator versus antimutator activity of a T4 DNA polymerase mutant distinguishes two different frameshifting mechanisms. AB - Classical "antimutator" DNA polymerases of bacteriophage T4 were examined for their effects upon frameshift mutation rates at a number of positions within rII cistrons. Their antimutagenic activities reduced frameshift frequencies at a number of sites, but at other sites the opposite occurred: the mutant polymerases exhibited clear mutator activities. This dichotomy reveals the operation of two distinct mechanisms of frameshift mutagenesis that are correlated with the DNA sequences at the frameshift sites. Frameshift mutants subject to the antimutator effects of the mutant polymerase lie in A: T-run DNA sequences, where mutations presumably arise by means of the interstrand DNA misalignments postulated by classical theory. The frameshift mutants produced by the mutator activity of these same polymerases lie in quasipalindromic DNA sequences, where mutations are postulated to arise by aberrant metabolism of DNA secondary structures such as hairpins. PMID- 6574305 TI - Isolation and purification of plasmids from Bacteroides fragilis using rubidium trichloroacetate density gradient centrifugation. AB - A rapid and easy final purification method is described for the isolation of plasmids from B. fragilis. Using RbTCA density gradient centrifugation in an airfuge ultracentrifuge ccc plasmid DNA can be separated from RNA, residual chromosomal DNA, linear and oc plasmid DNA. Pure ccc plasmid DNA is obtained from cultures of between 1 ml and 2 l in less than one day. PMID- 6574306 TI - Plasmid detection and isolation in strains of Clostridium acetobutylicum and related species. AB - Twenty-one strains of Clostridium acetobutylicum, C. butylicum and Clostridium saccharoperbutylacetonicum were examined. Seven of them contained extrachromosomal DNA molecules, with a size ranging from 2.6 to more than 50 megadaltons. Strain M1 carries a small plasmid of 2.6 megadaltons, AB10 at least one plasmid of 2.6 megadaltons, AB12 one plasmid of 5.2 megadaltons, AB14 and AB16 a plasmid of about 7 megadaltons and a large one of more than 50 megadaltons, AB17 carries at least one plasmid of 6.7 megadaltons and AB18 two plasmids (4-6 megadaltons and 10-12 megadaltons). All of them are cryptic as at present no function can be correlated with their presence in a bacterial strain. PMID- 6574307 TI - Asymptomatic intracardiac metastasis from osteosarcoma: a case report with literature review. AB - Osteosarcoma very rarely metastasizes to the heart. Thirteen cases have been reported in the literature so far. Diagnosis in some of these cases was made during investigation for severe cardiac failure and in most of them at autopsy. Our patient, a 13-year-old girl, showed right pulmonary metastases on chest x-ray 1 year after above knee amputation for osteosarcoma of the distal femur. Routine preoperative computerized axial tomography (CT Scan) revealed a calcified lesion in the heart in addition to the pulmonary metastases. She was very active and completely asymptomatic. Two-dimensional echocardiography, angiography, and right and left heart catheterizations were done. This revealed a large mobile metastatic lesion in the right ventricle. The intraventricular tumor was successfully removed, and 12 days later she had a second thoracotomy for removal of pulmonary metastases. Nine months after her intraventricular metastasis was removed she developed a solitary right pulmonary metastasis. This was successfully resected. Now, 10 months later, she is disease free and completely asymptomatic. PMID- 6574309 TI - Humanistic dimensions of dental practice: the dental student perspective. PMID- 6574308 TI - Brief communication: Legionnaire's disease successfully treated in acute myelocytic leukemia during severe neutropenia. AB - A patient with acute nonlymphocytic leukemia developed progressive lung infiltrates and unremitting fevers during a profound neutropenic state. Legionnaire's disease was diagnosed by simple immunologic studies and successfully treated with erythromycin. This index case alerts physicians toward a treatable infection which would not normally be susceptible to the empiric antibiotic regimens given neutropenic patients with fevers. PMID- 6574310 TI - Perceptions of oral health needs among elderly Mississippians. PMID- 6574311 TI - [Method of conformational calculations of large fragments of nucleic acids. IV. Comparative calculations of dinucleotides by the fragment and atom-atom methods]. AB - Calculations of properties of the dinucleotides for the estimation of the accuracy of our method of group-group interactions for conformational calculations of large polynucleotide fragments were performed. Values of the torsional angles for the close and open conformational states which were found by our method differ by no more than 10 degrees from the conformations which were found by the method of atom-atom interactions. Accuracy of the conformational energy calculations by the group-group method was about 0.5-1.5 kcal/mol for close and open conformation states, respectively. The acceleration factor for conformational properties calculations by our group-group interactions method was about (100 N + 14)/(N + 20), where N is the number of monomers in the chain. PMID- 6574312 TI - Biochemical characterization of an invariant polypeptide associated with Ia antigens in human and mouse. AB - Ii, a 31,000 mol. wt polypeptide chain associated with murine and human Ia antigens was investigated for its labeling pattern, carbohydrate content and structural polymorphism. Two-dimensional gel electrophoretic analysis of tunicamycin treated cells from mouse and human lymphocytes shows that Ii contains two N-linked carbohydrate chains. Ii is a methionine rich polypeptide. Tryptic and chymotryptic two dimensional peptide maps of Ii chain associated with I-A and I-E subregion products are identical. This absence of polymorphism holds true when Ii chain is isolated from different mouse haplotypes. Human Ii chains from different HLA-DR types appear also invariant by peptide map analysis. By molecular weight, carbohydrate content, charge and tryptic and chymotryptic maps criteria, Ii of mouse and human are strikingly homologous. PMID- 6574313 TI - Disulfide structure of murine Ia alloantigens. AB - The tryptic (T) and T insoluble chymotryptic (TIC) peptide maps from 35S-cysteine (Cys) labeled, disulfide-linked I-Ak dimer were compared to those from 35S-Cys labeled I-Ak alpha and beta chains which were not covalently linked. These comparisons indicated that the alpha and beta chains found in the covalent I-Ak dimer were not a specialized subset of I-A alpha and beta chains. Furthermore, these data, along with the knowledge that alkylation of spleen cells prior to and during detergent solubilization prevents the formation of disulfide-linked I-Ak dimer, indicate that covalent dimer formation is an inefficient and artifactual process. Comparison of the T and TIC peptide maps of reduced and nonreduced 35S Cys labeled I-Ak alpha and beta chains suggests that the I-Ak alpha chain contains one intrachain disulfide bond, whereas the I-Ak beta chain contains two intrachain disulfide bonds. Examination of the T and TIC peptide maps of the reduced and nonreduced 35S-Cys labeled I-Ak dimer identifies the Cys-containing peptides which are involved in the formation of the artifactual I-Ak dimer interchain (alpha-beta) disulfide bond. Comparison of 35S-Cys labeled I-Ak and I Ek alpha and beta chains by T and TIC peptide mapping reveals considerably more homology between the two alpha-chains and between the two beta-chains than is observed using other 3H-amino acid precursors, thus indicating that the I-Ak and I-Ek alloantigens are homologous in their amino acid sequences adjacent to the Cys resides. The reasons for the inability to induce formation of interchain (alpha-beta) disulfide bonds in I-Ek molecules are discussed. PMID- 6574314 TI - Hypoxanthine and Mcardle disease: a clue to metabolic stress in the working forearm. AB - Forearm exercise in a patient with myophosphorylase deficiency resulted in abnormally high levels of hypoxanthine in the venous blood. The post-exercise hypoxanthine response may reflect ATP depletion in the muscle and provides a useful screening test in muscle diseases with abnormal energy metabolism. PMID- 6574315 TI - Long-term marrow culture reveals chromosomally normal hematopoietic progenitor cells in patients with Philadelphia chromosome-positive chronic myelogenous leukemia. AB - We found that when marrow cells from four patients with newly diagnosed Philadelphia chromosome-positive chronic myelogenous leukemia were maintained in culture for two to four weeks, a previously undetectable population of chromosomally normal hematopoietic cells (including erythroid, granulopoietic, and pluripotent progenitors) became readily demonstrable in three cases. Time course studies showed that in such cultures the dominant Philadelphia chromosome positive population rapidly disappeared, in contrast to coexisting chromosomally normal progenitors, which remained detectable for periods of two to three months. Long-term marrow cultures thus offer a new approach to the assessment of a suppressed but functionally intact population of chromosomally normal hematopoietic stem cells in patients with chronic myelogenous leukemia. PMID- 6574316 TI - Philadelphia chromosome-positive thrombocythemia with leukemic transformation. PMID- 6574317 TI - Fibroblast clones for detection of Duchenne carriers. PMID- 6574318 TI - Effect of alternate delivery methods on dental laboratories. PMID- 6574319 TI - Plasterless articulator. PMID- 6574320 TI - Tooth carving: the uni-form system. PMID- 6574321 TI - Southern Illinois University Dental Technology Program. PMID- 6574322 TI - Geneva and Bar Harbor labs to check results. PMID- 6574323 TI - Gene manipulation: churches against germ changes. PMID- 6574324 TI - Red cell membrane abnormalities in chronic myeloid leukaemia. AB - Chronic myeloid leukaemia (CML) is a clonal neoplasm that arises in a stem cell common to granulocytes and erythrocytes. Several abnormalities have been identified in the plasma membranes of granulocytes of CML patients, but to our knowledge no studies have been done on CML erythrocytes. We report here that CML erythrocyte spectrin becomes abnormal due to cross-linking of its two subunits via disulphide bonds. In addition, we show that this cytoskeletal defect in the erythrocytes is associated with loss of transmembrane phospholipid asymmetry. These observations, apart from demonstrating membrane abnormalities in CML erythrocytes, also provide strong support for the view that the asymmetric organization of phospholipids in the red cell membrane is maintained mainly by interactions between spectrin and aminophospholipids. PMID- 6574325 TI - Animal sexing patents. PMID- 6574326 TI - Variation in regulation of steroid sulphatase locus in mammals. AB - Inactivation (lyonization) of one of the two copies of X-linked genes occurs in female mammals, thereby reducing the number of active copies to that of the male. It has been suggested that genes subject to lyonization would be expected to be preserved as a linkage group during mammalian evolution. A short region of the human X chromosome containing several genes, including that necessary for the expression of steroid sulphatase (STS), is exceptional in that it apparently escapes X-inactivation. As it is not apparent why the linkage of genes not subject to X-inactivation should be conserved, we have examined the expression of the STS gene in mice (it has been shown recently that this gene is X-linked). Enzyme levels were determined in normal males and females and in the progeny of crosses in which the sex reversing factor, Sxr, was segregating to produce XX males. We report here that in contrast to the situation in humans, the STS gene in mice is subject to the normal pattern of X-inactivation. PMID- 6574327 TI - Propranolol-induced hyperthyroxinemia. PMID- 6574329 TI - A patient-centered medication administration system. PMID- 6574328 TI - A painful swollen arm in a young woman. PMID- 6574330 TI - Some non-caustic remarks about bleach. PMID- 6574331 TI - Physician intervention for disadvantaged may protect fee-for-service system. PMID- 6574333 TI - Mercy Hospital Poison Control Center. PMID- 6574332 TI - What does a Poison Control Center do? PMID- 6574334 TI - Observations: patient and family responsibilities at the University Medical Center. PMID- 6574335 TI - Moisturizing the skin. PMID- 6574336 TI - Blood pressure measurement: getting the right cuff. PMID- 6574337 TI - Obesity destabilizes the system. PMID- 6574338 TI - [Osteoma of the tongue]. PMID- 6574339 TI - [Fear in dentistry]. PMID- 6574340 TI - [The children's dental care project in Tiel. V. The dental health of children 4 1/2-6 years of age from the beginning to the end of the project]. PMID- 6574341 TI - [Future directions in the education of dentists]. PMID- 6574342 TI - Osteogenic sarcoma of the skull complicating Paget's disease: case report. AB - A case of osteogenic sarcoma of the skull in a patient with a long-standing Paget's disease is reported. Osteogenic sarcoma arising within the skull is rare in Paget's disease, although the recent literature emphasizes that it is more common than was realized previously. Intraparenchymal brain invasion, which is rare and present usually only as a preterminal event, was found in this patient who presented initially with minimal neurological findings. Rapid neurological deterioration in this patient was due to macroscopic hemorrhage into tumor. Although microscopic hemorrhage is characteristic of this tumor, gross hemorrhage into osteosarcoma of the skull as a cause of sudden neurological deterioration has not been reported previously. Radical resection is the treatment of choice, although the prognosis for this tumor remains dismal. PMID- 6574343 TI - Osteogenic sarcoma of the skull. PMID- 6574344 TI - [Prognostic usefulness of lysozyme in acute myelomonocytic leukemias]. AB - Pre-treatment sera and urines from 17 patients with acute myelomonocytic leukemia (M-4 type) have been assayed for their lysozyme content. In addition periodical evaluations of the serum and urinary lysozyme levels have been performed during the clinical course of 10 patients. There was no correlation between initial lysozyme activity in the serum and response to chemotherapy, while periodical estimations of serum lysozyme activity, in the same patient, provide clinically significant prognostic information. Urinary lysozyme levels are closely related to serum lysozyme levels; therefore the urinary estimations of this enzyme activity provide no different prognostic evaluations than serum estimations. PMID- 6574345 TI - Incorporating JCAH standards into a quality assurance program. PMID- 6574346 TI - A criteria-based performance appraisal for the critical care nurse. PMID- 6574347 TI - Asymptomatic carotid artery bruits. PMID- 6574348 TI - Outpatient management of pain. The anesthesiologist's holistic approach. PMID- 6574349 TI - A Bull in the China Shop. The internist and the high-risk pregnancy. PMID- 6574350 TI - Occult neurologic effects of brain and fetus. PMID- 6574352 TI - The etiology, diagnosis, and treatment of bladder trauma. PMID- 6574351 TI - Psychologic aspects of multiple sclerosis. PMID- 6574353 TI - Surgical treatment of eye muscle palsies. PMID- 6574354 TI - Colorectal view of venereal disease. PMID- 6574355 TI - Mutual aids radiologist and endoscopist. PMID- 6574357 TI - Vitrectomy as an adjunct to retinal surgery. PMID- 6574356 TI - Laryngeal electromyography. Clinical application. PMID- 6574358 TI - Sexually transmitted diseases and child sexual abuse. Part 1. PMID- 6574360 TI - Deformed skull. PMID- 6574359 TI - Allocation of scarce medical resources. The Jewish view. PMID- 6574361 TI - Sudden cardiac death in Otago: a review of 408 cases. AB - Four hundred and eight sudden cardiac deaths are reviewed from epidemiological and pathological viewpoints. All cases were investigated by Otago coroners between 1971 and 1979. Necropsies were performed personally by the author, these representing over 80% of such examinations in the specified period. Fifty-four point nine percent of the deaths occurred at home, 9.1% in public places, 9.1% in hospitals and 3.7% in sports grounds. The majority (88.7%) occurred between the ages 41-80, the peak being 51-70 (61.3%). Seventy-one point three percent were male. There was an associated history of physical exertion in 19.4% but relevant information was unobtainable in 46.6%. Judging from gastric contents, food had been consumed recently in 64.9%. There was a relevant medical history in 44.6%. In 40.9% significant symptoms were recorded prior to the deaths. At necropsy 84.8% were attributed to ischaemic heart disease, 7.1% to myocarditis, 4.7% to cardiomyopathy and 3.4% to valvular disease. PMID- 6574362 TI - Petrol sniffing lead encephalopathy. AB - A patient is described with organic lead poisoning due to petrol inhalation. There was marked improvement clinically and electroencephalographically after chelation therapy, which was associated with a fall in red cell lead levels. PMID- 6574363 TI - Genetic predisposition to two rheumatic diseases. AB - The co-existence of ankylosing spondylitis and rheumatoid arthritis is uncommon and usually occurs in a male with a long history of back pain followed by the appearance of clinical features of ankylosing spondylitis, while features of rheumatoid arthritis develop in the third or fourth decade of life. Recently, histocompatibility (HLA) antigens have partially elucidated the genetic factors predisposing to both diseases. We report a patient with ankylosing spondylitis and rheumatoid arthritis who had the associated HLA genes. PMID- 6574364 TI - Continuous ambulatory peritoneal dialysis--Pandora's gift to nephrology? PMID- 6574365 TI - Humidifier fever: clinical recognition and environmental control. PMID- 6574366 TI - Acute respiratory infection in childhood: the factors which influence hospital admission. AB - A study of 100 children admitted to hospital with acute respiratory infection revealed that general practitioners remain the major referral source. Changing financial factors do not appear to have influenced this process. Sixty percent of children had a mild illness, requiring a short period hospital stay, but their referral was on a medical rather than a social basis. PMID- 6574367 TI - Pregnancy and the nephrologist: a review of one year's experience. AB - A study was undertaken to assess the role that a nephrologist can play in modern obstetric practice. During 1981, 699 pregnant women were screened for covert bacteriuria. Thirty (4.3%) had bacteriuria and 24 were treated and followed through pregnancy. Acute pyelonephritis occurred in two. One of 21 intravenous urograms was abnormal. Fifteen women were seen with pregnancy-associated nephrological problems (complicated pre-eclampsia (7), reflux nephropathy (3), glomerulonephritis (3), essential hypertension (2). All women with preeclampsia had a normal intravenous urogram and recovered completely. Pregnancies in women with renal disease or essential hypertension had good outcomes for mother and baby if there was no renal insufficiency and blood pressure control was maintained. PMID- 6574369 TI - The doctor of the future. PMID- 6574368 TI - Oncology teaching in the medical school. PMID- 6574370 TI - Asthma in New Zealand. PMID- 6574371 TI - To all general practitioners: house calls can kill you. PMID- 6574372 TI - Perhexiline and liver cirrhosis. PMID- 6574373 TI - Increasing prevalence of asthma in children. PMID- 6574374 TI - Phenytoin-induced hepatotoxicity. PMID- 6574375 TI - Disappearance of a pulmonary metastasis after surgical removal of an adrenal carcinoma. PMID- 6574376 TI - For authors. PMID- 6574377 TI - Arthroscopy of the knee. PMID- 6574378 TI - Everyday health, South Auckland, 1980-81. AB - A morbidity diary was kept by 207 families in South Auckland. The subjects were known to the investigators from a previous study and much information about the families was already recorded. During two weeks records were requested on everyday health practices, disabilities, symptoms, health activities, upsets, and opinions on whether days were "good" or "bad". One hundred and fifty families gave information for two weeks and fifty-seven for one week. Data showed many significant relationships between demographic and socio-economic characteristics and health experiences and activities. These relationships are reported, and the importance of obtaining such information about communities and individuals discussed. PMID- 6574379 TI - An educational experience evaluated: the Christchurch Clinical School of Medicine. AB - This study explored the response of recent graduates to their clinical training at the University of Otago, Christchurch Clinical School of Medicine. Graduates rated their competence at dealing with a number of clinical problems and the adequacy of teaching received in relation to their anticipated requirements as medical practitioners. They also recorded information concerning their personal response to training--role identity, stress and anxiety felt during the course, and their commitment to ongoing education and research following training. Overall the course was regarded positively. In the light of anticipated requirements as medical practitioners some curricular gaps were perceived and criticisms of the course identified. Graduates were critical of their teachers' abilities in demonstrating interviewing and interpersonal skills. Over 70% of graduates felt that they had little or no role during much of their undergraduate clinical training. Many graduates felt that they had little opportunity to carry out research during training, nor the motivation to undertake research subsequently, but they were committed to continuing education. PMID- 6574380 TI - Have you thought of rural general practice? PMID- 6574382 TI - Doctor as tohunga and doctor as business man. PMID- 6574381 TI - The effects of infant feeding, birth order, occupation and socio-economic status on speech in six-year-old children. AB - The relationship of breast-feeding to the incidence of clear speech at six years of age was examined for 319 New Zealand children of European descent in samples from Putaruru and West Coast. Children were more likely to be breast-fed if first born, and less likely if the father's occupational group was business or labouring. Differences in clear speech were associated with birth order and socio economic status. Controlling for these effects, the association of breast-feeding with clear speech was different for the sexes. It was negligible for girls but strongly positive for boys. PMID- 6574383 TI - Future shock in medicine: the diminishment of man. PMID- 6574384 TI - Cancer research. PMID- 6574386 TI - Sudden death in runners. PMID- 6574385 TI - Asthma in New Zealand. PMID- 6574387 TI - Professional responsibility. PMID- 6574388 TI - Screening for rubella immunity. PMID- 6574389 TI - Tests for rubella immunity. PMID- 6574390 TI - Specialist services in Otago. PMID- 6574391 TI - Accident compensation corporation. PMID- 6574392 TI - Segregation in South Africa. PMID- 6574394 TI - To the future. PMID- 6574393 TI - Ethical considerations. PMID- 6574395 TI - Ultrasound staffing. PMID- 6574396 TI - Lifting and moving patients. 3. A revision training programme. PMID- 6574397 TI - The wards revisited (an impression). PMID- 6574398 TI - Speaking of history--a new project for NERF. PMID- 6574400 TI - My fight for recovery against alcoholism. PMID- 6574399 TI - Health for all by the year 2000: the count-down has begun! PMID- 6574401 TI - Transfer of nursing education. PMID- 6574402 TI - Re-organisation of health services will affect nurses. PMID- 6574403 TI - The case for primary nursing. PMID- 6574404 TI - The ingredients of a successful primary nursing system. PMID- 6574405 TI - The challenge and threat of increasing biotechnology. PMID- 6574406 TI - [Brief analysis of gutta percha]. PMID- 6574407 TI - [The influence of vitamin C in the healing process in children with gingivitis]. PMID- 6574408 TI - Central giant cell granuloma of the jaws. Case report and review of the literature. PMID- 6574409 TI - Perspectives on massive osteolysis. Report of a case and review of the literature. AB - Massive osteolysis is a rare, chronic disease characterized by the progressive dissolution of contiguous osseous structures. There is no regeneration following the osteolysis. Pathologic fracture often leads to its discovery. The etiology and pathophysiology of the disease remain obscure. Chemo- and radiotherapeutic attempts at arresting the osteolytic process are generally unsuccessful. Bone grafting has proved disappointing, as the graft usually undergoes osteolysis. A new case of facial bone involvement in a 13-year-old boy is presented. The literature is reviewed, and the clinical experience gained from treating the disease is discussed. PMID- 6574410 TI - Lateral heat production secondary to electrosurgical incisions. AB - Adverse healing responses, including necrosis of soft tissue and sequestration of alveolar bone, have been reported following the use of electrosurgery for intraoral incisions. These responses are usually attributed to excessive heat accumulation during the surgical procedure. The purpose of this investigation was to measure temperature changes in subadjacent connective tissue during intraoral electrosurgical incisions in palatal mucosa of miniature swine. Results indicate that single electrosurgical incisions should be accomplished at a speed of approximately 7 mm. per second and that successive incisions should be separated by a cooling interval of 8 to 10 seconds to avoid generation of heat sufficient to initiate an adverse healing response. PMID- 6574411 TI - Use of buccal fat pad for grafts. PMID- 6574412 TI - Thrombocytopenia induced by quinine. PMID- 6574413 TI - Ineffective dental and surgical treatment associated with atypical facial pain. AB - Patients with atypical facial pain (AFP) are subject to ineffective dental and surgical procedures for their pain complaints. Twenty-one of fifty-eight patients (36.2 percent) with AFP had sixty-five dental and surgical treatments, with only one patient showing less pain as a result of the treatment. While the majority of patients (69 percent) with AFP suffered from a psychiatric illness, fourteen (24 percent) of the patients referred for AFP had a specific medical or dental disorder that was causal in their pain complaints. There is a trend for the AFP patient with a psychiatric diagnosis to receive more ineffective treatments than those AFP patients for whom a specific medical or dental diagnosis was made. Patients with AFP should receive conservative dental and medical treatment and a psychiatric assessment before dental and surgical procedures are contemplated. PMID- 6574414 TI - Pruritic cheilitis. Six cases of a rarely seen benign lymphoplasia. AB - Six cases of an unusual form of cheilitis are reported, and it is proposed that this condition be named cheilitis of benign lymphoplasia. The chief complaint was of varying degrees of itching of the vermilion border. Histologically, the condition was characterized by a dense lymphocytic infiltrate with numerous lymphoid follicles containing well-differentiated germinal centers. PMID- 6574415 TI - The differential diagnosis of pyostomatitis vegetans and its relation to bowel disease. AB - Pyostomatitis vegetans is a rare oral disorder that is usually associated with bowel and/or skin disease. The clinical appearance is of soft hyperplastic folds of mucosa characterized by small miliary abscesses with superficial erosions. Upon analysis of the clinical, histologic, and immunofluorescent findings, cases of pyostomatitis vegetans may be classified as the oral manifestation of either pyoderma vegetans of Hallopeau, pemphigus vegetans of Hallopeau, or pemphigus vegetans of Neumann, although the exact definitions and even the existence of these diseases as separate entities are still a matter of controversy. PMID- 6574416 TI - Histopathology associated with malposition of the human temporomandibular joint disc. AB - Anterior displacement of the temporomandibular joint disc is associated with a general remodeling of the joint's soft tissues. The anterior part of the posterior attachment becomes fibrotic. The external shape and the internal architecture of the disc change in characteristic ways. The disc appears to overlie more of the lateral pterygoid muscle than is normal. The capsule connecting the anterior band of the disc to the condyle appears to be elongated. PMID- 6574417 TI - The effect of the filling material in the tissue reactions following apical plugging of the root canal with dentin chips. A histologic study in monkeys' teeth. AB - The object of the present work was to observe whether the root canal filling material has some influence in the periapical healing process after apical plugging with dentin chips. Monkeys' teeth were filled with nine different filling materials in use today. Ninety days after the treatment, the histologic data showed no differences in the results with the nine materials studied. This fact suggests that the filling material does not influence the healing process when the plug is present. PMID- 6574418 TI - Potassium nitrate: an effective treatment for pulpitis. PMID- 6574419 TI - Recommendations for quality assurance in dental radiography. AB - Dental practitioners in the United States are exposing more than 400 million dental radiographs per year. Major national studies have indicated that improvements in radiographic quality is needed. Quality assurance (QA) programs used in medical radiology are designed to produce radiographs that are of high quality, use the least amount of radiation, and are produced at minimum cost. Preliminary recommendations are presented from the Quality Assurance Committee of the American Academy of Dental Radiology as an outline for establishing preventive maintenance of x-ray systems and a preliminary method for determining appropriate QA monitoring levels for dentistry. Included are recommendations for three stages of dental radiology QA. These are preliminary ratings and are expected to change as more dental QA information becomes available. PMID- 6574420 TI - Chemical intensification of dental radiographs. AB - The potential applications of chemical intensification in dental radiography are explored. Three standard photographic intensifiers and three methods designed for radiographic use are evaluated. One of these methods is shown to be capable of reducing radiation dose to one half, without loss of diagnostic quality. Further work is necessary to achieve a system sufficiently practicable to deserve widespread use in routine clinical dental radiography. PMID- 6574422 TI - The shrinking health care dollar and nursing in New Mexico: one nurse's view. PMID- 6574421 TI - Chromosome studies on acute nonlymphocytic leukaemia in children. AB - Cytogenetic studies have been carried out on 17 children with acute nonlymphocytic leukaemia (ANLL). Of the 16 patients analysed at diagnosis, 11 had acquired clonal chromosome abnormalities. Four out of seven cases with acute myeloid leukaemia (M2) had 8;21 translocations, two of which were variants. Comparisons with other data on ANLL confirmed the association between the 8;21 translocation and the younger age groups. There are indications that the Netherlands may be a high incidence area for this translocation. Differences in the type of chromosome anomalies between childhood and adult ANLL were evident suggesting that different aetiologic factors may be involved. PMID- 6574423 TI - Manifestations of body-image changes in the elderly due to stress and a model for nursing treatment. PMID- 6574424 TI - Calcium hydroxide: is there a biological basis for its use in dentistry? PMID- 6574425 TI - Anthracycline-binding induced DNA stiffening, bending and elongation; stereochemical implications from viscometric investigations. AB - Upon interaction of the three anthracycline antibiotics daunomycin, adriamycin, and aclacinomycin A with calf thymus DNA the relative changes of both DNA contour length, delta L/Lo, and persistence length, delta a/ao, have been determined as a function of r, the ratio of bound ligand molecules per DNA mononucleotide. From the r dependence of delta a/ao a measure for the stiffening effect and also the angle gamma of ligand-induced DNA bending could be derived. Experimental basis are titration viscometric measurements upon both low and high molecular weight DNA. It was found that the DNA contour length increases linearly with r by approximately 0.34 nm per bound drug molecule. The comparatively very high DNA stiffening effect measured in solution is understandable as a result of helix clamping by at least two anthracycline groups of sufficient long distance. The variation of gamma on DNA interaction with different anthracycline derivatives find their explanation in terms of different values of the mismatch to in register binding prior to complex formation. From an analogous interpretation of viscosity measurements by Arcamone and coworkers upon high molecular weight DNA with many anthracycline derivatives it can be concluded that DNA interaction by both amino sugar and 9-acetyl group are responsible for the generation of strong anthracycline binding mediated DNA stiffening effects in solution. (A combined analysis of the viscosity measurements by Cohen & Eisenberg and Armstrong et al. upon DNA interaction with proflavine indicates a very small DNA stiffening effect, gamma = 6.7 sigma and a helix elongation by 0.35 nm per bound ligand molecule.) PMID- 6574426 TI - The isolation and measurement of tRNAmeti using RNA/DNA hybridization. AB - A pBR322 plasmid containing the initiator tRNAmet gene of Xenopus (pt145 - donated by Stuart Clarkson) will specifically bind to mouse initiator tRNAmet (tRNAmeti) when total mouse tRNA, extracted from uninduced Friend erythroleukemia cells, is hybridized to the gene probe. One dimensional electrophoresis of the hybridizing tRNA in 20% polyacrylamide reveals one major band (95%) and a minor band. The hybridizing tRNA has been identified as initiator tRNAmet by RNA sequencing. Hybridization of tRNAtotal to another plasmid containing the Xenopus gene for tRNAasn results in two bound species with different electrophoretic mobilities than the tRNA bound to the initiator tRNAmet gene. pt145 has been used to measure the steady state concentration of initiator tRNAmet in the uninduced and erythroid Friend cell, and in the unfertilized egg and 21 h blastula of the sea urchin. Initiator tRNAmet represents 0.91% and 0.52% of the tRNA populations extracted from uninduced and erythroid Friend cells, respectively. Based upon the total tRNA content per cell, there is a 3.8 fold decrease in initiator tRNAmet per cell during erythroid differentiation. tRNA extracted from unfertilized eggs and 21 h blastula of the sea urchin both have 0.5% of total tRNA as initiator tRNAmet (approximately 1.5 pg). PMID- 6574427 TI - Molecular structure of deoxyadenylyl-3'-methylphosphonate-5'-thymidine dihydrate, (d-ApT x 2H2O), a dinucleoside monophosphate with neutral phosphodiester backbone. An X-ray crystal study. AB - dApT, a modified deoxyribose dinucleoside phosphate with an uncharged methylphosphonate group, crystallizes as dihydrate in space group P2(1)2(1)2, a = 9.629(3), b = 20.884(6) and c = 14.173(4)A, Z = 4. The structure has been determined using 2176 X-ray diffractometer reflections and refined to a final R of 0.105. Torsion angles about P-O(5') and P-O(3') bonds are -91.8 degrees and 117.8 degrees. The former is in the normal (-)gauche range while the latter is eclipsed. Bases are oriented anti, the sugar of adenosine is puckered 2T3 (C(2')endo) whereas that of thymidine displays puckering disorder with major and minor occupancy sites. Major site is a half-chair 2T (C(2')endo-C(1')exo) and minor site an envelope 3T2 (C(3(1)endo). Adenine and thymine bases of symmetry related molecules form reversed Hoogsteen type base pairs, water molecules are disordered in the crystal lattice. PMID- 6574428 TI - Disorders of eating in adolescence: anorexia nervosa and bulimia. AB - While the clinical syndrome of anorexia nervosa is currently receiving a great deal of scientific and clinical interest, few research findings predict successful outcomes. The most effective approach to date gleans intervention strategies from the behavioral model. This approach does not negate individual, family, and group approaches but gives direction for the maintenance of the individual in a therapeutic milieu. The work of the Task Force of the National Group for Classification of Nursing Diagnoses gives guidance for the development of adequate assessment tools and standardized care plans. Ultimately, outcome criteria should be available for prediction and testing. PMID- 6574429 TI - Depth of seating of pins of the Link series and Link Plus series. PMID- 6574430 TI - Abrasion resistance of coated gypsum dies. PMID- 6574431 TI - Mercury vapor related to manipulation of amalgam and to floor surface. PMID- 6574432 TI - Effect of designs of Class 2 preparations on resistance of teeth to fracture. PMID- 6574433 TI - Electrosurgical pulpotomy in primates--a comparison with formocresol pulpotomy. PMID- 6574434 TI - An autoradiographic study of the response of rat molar pulp to formocresol using 3H-thymidine. PMID- 6574435 TI - Radiographic anatomy of pulpal chambers of primary molars. PMID- 6574436 TI - Pulpal management of permanent first molars with open apices: case history. PMID- 6574438 TI - Gingival health of premolar successors to crowned primary molars. PMID- 6574437 TI - Root canal treatment in primary teeth: a review. PMID- 6574439 TI - The changing dental care patterns of participants in a school-based fluoride mouthrinsing program. PMID- 6574440 TI - Prediction of the combined right and left canine and premolar widths in both arches of the mixed dentition. PMID- 6574441 TI - Tissue changes induced by the absorption of formocresol from pulpotomy sites in dogs. PMID- 6574442 TI - Effect of digit-sucking habits on root morphology in primary incisors. PMID- 6574443 TI - The only child: candidate for increased dental care. PMID- 6574444 TI - Preliminary report on the use of ketamine in pediatric dentistry. PMID- 6574445 TI - Surgical treatment of an unerupted supernumerary tooth attached to an unerupted permanent incisor. PMID- 6574446 TI - Incidental finding of odontogenic fibroma: case report. PMID- 6574447 TI - Radiographic and histologic evaluation of the effect of two concentrations of formocresol on pulpotomized primary and young permanent teeth in monkeys. PMID- 6574448 TI - [Prealbumins in the cerebrospinal fluid of children with meningeal metastases of lymphoblastic leukemia]. PMID- 6574449 TI - [Correlation of the clinical course and chromosome aberrations in children with lymphoblastic leukemia]. PMID- 6574450 TI - Relationship between promoter structure and template specificities exhibited by the bacteriophage T3 and T7 RNA polymerases. AB - To explore the basis for the template specificities of the bacteriophage T3 and T7 RNA polymerases (EC 2.7.7.6), we determined the nucleotide sequences of six promoters recognized by the T3 RNA polymerase and compared them with the previously determined promoter sequences recognized by the bacteriophage T7 RNA polymerase. Recombinant plasmids containing random Hpa II and Taq I fragments of T3 DNA were screened for T3 promoter activity in vitro in a transcription assay using purified T3 RNA polymerase. Five promoters for the T3 RNA polymerase were identified in this manner and their sequences were determined; the sequence of an additional promoter was determined directly from a genomic DNA fragment. In five of the T3 promoters an identical 16-base-pair sequence (A-C-C-C-T-C-A-C-T-A-A-A-G G-G-A) extends from -12 to +4 (initiation occurring with GTP at +1); this sequence is preceded by a 6-base-pair A + T region. The remaining promoter contains an inserted C at position -1 and an A at the +1 position. The sequence of the 5' end of the RNA transcript from the latter promoter confirms that transcription is initiated with ATP at the +1 position. Previously, late T3 or T7 transcripts had not been found to initiate with ATP. The highly conserved T3 promoter sequence was compared to the T7 promoter consensus sequence. The fundamental difference between the two kinds of phage promoters is the occurrence of G-A at positions -11 and -10 in the T7 promoter, whereas there is a single C at position -10 in the T3 promoter. PMID- 6574451 TI - H2A.F: an extremely variant histone H2A sequence expressed in the chicken embryo. AB - A cDNA clone bank has been constructed from chicken embryonic RNA. Clones hybridizing poorly to embryonic histone gene probes were selected as possible variant gene transcripts. The DNA sequence of one cDNA predicts an extremely variant H2A protein (H2A.F), which is 40% divergent from the most abundant H2A protein in chicken erythrocyte chromatin. The H2A.F gene is not highly conserved across large species barriers, but in the chicken there may be a family of linked genes. The H2A.F mRNA is approximately equal to 820 base pairs in length and, unlike most other histone mRNAs, is polyadenylylated. Significantly, the H2A.F transcript shows a limited tissue distribution in the chicken embryo. PMID- 6574452 TI - Identification of human neurophysins: complete amino acid sequences of MSEL- and VLDV-neurophysins. AB - Two human neurophysins have been purified from acetone-desiccated posterior pituitaries by acidic extraction, molecular sieving, and ion-exchange chromatography. The complete amino acid sequence of each protein has been determined by using a sequencer and characterizing two sets of overlapping enzymic peptides. The two neurophysins belong to two structural families previously defined as MSEL- and VLDV-neurophysins according to the nature of the residues in positions 2, 3, 6, and 7. (MSEL-neurophysins contain methionine-2, serine-3, glutamic acid-6, and leucine-7; VLDV-neurophysins contain valine-2, leucine-3, aspartic acid-6, and valine-7.) Human MSEL-neurophysin has only 93 residues instead of 95 usually found in MSEL-neurophysins from other mammalian species, probably because of a deletion of amino acids 91 and 92. Compared with bovine MSEL-neurophysin, nine variations (seven substitutions and two deletions) are observed. Human VLDV-neurophysin has 93 residues, as do the other mammalian VLDV-neurophysins. There are 11 substitutions when the comparison is made with bovine VLDV-neurophysin. Between the two human neurophysins, there are 26 variations. However, the central parts of the proteins (residues 10-70) are nearly identical. Furthermore, in this region identical substitutions are found in positions 29 and 60 of both neurophysins, suggesting either a single exon or some relationship between the two corresponding genes. PMID- 6574453 TI - Sequential change of carbohydrate antigen associated with differentiation of murine leukemia cells: i-I antigenic conversion and shifting of glycolipid synthesis. AB - Cell surface carbohydrate antigens and their metabolism were investigated during the course of differentiation of murine cultured leukemia cells (M1) into macrophage-like cells. The major glycolipids in undifferentiated M1 cells were of the ganglio series, with a small amount of lacto-series glycolipids. A novel branched structure was found as a tetraosylceramide of M1- cells. Upon differentiation, synthesis of lacto-series glycolipids was significantly enhanced and synthesis of globo-series glycolipids was newly induced but the ganglio series synthesis was much reduced. Undifferentiated cells expressed only i antigen (i+I-Pk-); differentiated macrophage-like cells became I-antigen dominant and Pk-antigen positive (i+/-I+Pk+). The changes proceeded in two sequential steps: (i) an enhancement of lacto-series glycolipid synthesis associated with the conversion of i antigen to I antigen, and (ii) subsequent induction of globo series glycolipid synthesis accompanied by the appearance of Pk antigen. The experimental system offers a clue for studies on the process of branching (i-to-I conversion) as well as the biological significance of three major glycolipids (globo-, lacto-, and ganglio-series) as markers of cell differentiation. PMID- 6574455 TI - Perturbation of hydrogen bonds in the adenine . thymine base pair by Na+: A quantum chemical study. AB - Ab initio self-consistent field calculations with 4-31G and STO-3G basis sets show that Na+ are able to damage the H bonds in the formamidine . formamide complex, modeling the adenine . thymine base pair (both H bonds in the complex investigated are the same as in adenine . thymine). If a water molecule is placed between the complex and Na+, the H bonds of the model are fully protected. Covalent as well as noncovalent binding of polycyclic aromatic hydrocarbons to nucleic acids should decrease the local concentration of water as a result of the insertion of the hydrophobic hydrocarbon into the DNA and thereby increase the exposure of the DNA H bonds to Na+ attack. Thus, Na+ reaching the base pair could provoke or interfere with cell division. PMID- 6574454 TI - Monoclonal antibody to chicken oviduct progesterone receptor. AB - Antibodies to molybdate-stabilized chicken oviduct progesterone receptor were raised in a Wistar rat and detected by interaction with homogeneous radioiodinated progesterone receptor. Spleen cells of this rat were then fused with mouse Sp2/0-Ag14 myeloma cells and the antibodies produced by the hybrid cells were detected by double immunoprecipitation using the 125I-labeled receptor. Cells of one of the positive cultures were then cloned by limiting dilution and one hybridoma cell line was studied. The monoclonal antibody produced was an IgG2b, and it reacted with the molybdate-stabilized "8-9S" form of the chicken oviduct progesterone receptor, labeled with either [3H]progesterone or [3H]ORG 2058 (a high-affinity synthetic progestin). Kd for the 8-9S progesterone receptor was approximately equal to 1 nM. Progesterone receptor-monoclonal antibody complexes were labeled with radioactive progesterone, suggesting that antibody does not prevent hormone binding. By using a [35S]methionine-labeled antibody, we were able to detect the progesterone receptor independently of its characteristic function of binding radioactive hormone. No crossreaction with human progesterone receptor was detected. PMID- 6574456 TI - Molecular cloning of human gastrin cDNA: evidence for evolution of gastrin by gene duplication. AB - An oligo(dT)-primed cDNA copy of the mRNA coding for the human gastrin precursor was constructed from poly(A)-containing RNA from a human pancreatic, gastrin producing tumor (a gastrinoma). The cDNA was inserted into the Pst I endonuclease site of plasmid pBR322 by the use of the poly(dC) and poly(dG) tailing procedure. Clones containing gastrin sequences were selected by hybridization to a purified single-stranded 32P-labeled gastrin cDNA probe. This probe was constructed with gastrinoma mRNA as template. As primer for the cDNA synthesis, we used a synthetic oligonucleotide mixture, d(AG-A-A-AG-T-C-C-A-T-C-C-A), corresponding to the gastrin-specific amino acid sequence Trp-Met-Asp-Phe. In this way we determined the nucleotide sequence of the entire coding region (303 nucleotides), the entire 3' untranslated region (102 nucleotides), and 8 nucleotides of the 5' untranslated region. A striking homology between parts of the coding region suggests that evolution of the gastrin gene has involved a gene duplication. PMID- 6574457 TI - Lack of Z-DNA conformation in mitomycin-modified polynucleotides having inverted circular dichroism. AB - Poly(dG-dC) . poly(dG-dC) and Micrococcus lysodeikticus DNA were modified by exposure to reductively activated mitomycin C, an antitumor antibiotic. The resulting covalent drug-polynucleotide complexes displayed varying degrees of CD inversions, which are strikingly similar to the inverted spectrum observed with Z DNA. The following criteria have been used to establish, however, that the inverted CD pattern seen in mitomycin C-polynucleotide complexes does not reflect a Z-DNA conformation. (i) The ethanol-induced transition of poly(dG-dC) . poly(dG dC) from B to Z conformation is not facilitated but rather is inhibited by mitomycin C modification. This may be due to the presence of crosslinks, (ii) Radioimmunoassay indicated no competition for Z-DNA-specific antibody by any of the mitomycin C-modified polynucleotides, (iii) 31P NMR of the complexes yielded a single relatively narrow resonance, which is inconsistent with the dinucleotide repeat characteristic of Z-DNA. Alternative explanations for the inverted CD pattern include a drug-induced left-handed but non-Z conformational change or the superposition of an induced CD onto the CD of B-DNA due to drug-base electronic interactions. These results illustrate the need for caution in interpreting CD changes alone as an indication of Z-DNA conformation. PMID- 6574458 TI - Enzymic synthesis and cofactor activity of 3'-pyrophosphocoenzyme A. AB - The 3'-pyrophosphate derivative of CoA was synthesized by using the excreted 5' to-3' pyrophosphoryl-transferring enzyme from Streptomyces adephospholyticus and ATP as donor and dephospho-CoA as acceptor. Cofactor activity of this new coenzyme A derivative was tested with Clostridium kluyveri phosphotransacetylase and hog heart succinic thiokinase. With the phosphotransacetylase, 3'-pyrophospho CoA was found to be twice as active as CoA whereas dephospho-CoA was inactive. However, succinic thiokinase utilized all three types of CoA equally well. Adenosine 5'-monophosphate 3'-pyrophosphate also was synthesized and used as an analog of adenosine 5'-monophosphate 3'-monophosphate in the dog liver's sulfotransferase-catalyzed sulfate transfer from p-nitrophenyl sulfate to phenol. In contrast to the pyrophospho derivative of coenzyme A, adenosine 5' monophosphate 3'-pyrophosphate was inactive as a cofactor. PMID- 6574459 TI - Gene and protein sequences of adenovirus protein VII, a hybrid basic chromosomal protein. AB - The sequences of both the gene and the corresponding protein of adenovirus major core protein VII have been determined. The precise location of this gene is between 43.37 and 44.90 map coordinates on the viral genome. Protein VII is 173 residues long and has a molecular weight of 19,258. Detailed analysis of its sequence has revealed four basic domains separated by several predicted alpha helices. It is proposed that intrachain folding of protein VII is driven by hydrophobic interactions of the alpha helices, leaving the basic domains of the protein to interact with DNA phosphates. Protein monomers may further associate with each other in the formation of hexameric nucleosome-like particles. The displacement and replacement of protein VII during the viral infectious cycle in the host cell appears to mimic the biology of nucleoprotamine during the processes of spermatogenesis and fertilization. The presence of a protamine-like domain affirms a hybrid histone/protamine molecular structure for protein VII, although it may resemble the protamine in function. PMID- 6574460 TI - Presence of 1-methyl-1,2,3,4-tetrahydro-beta-carboline-3-carboxylic acid, a precursor of a mutagenic nitroso compound, in soy sauce. AB - After treatment with nitrite, Japanese soy sauce was strongly mutagenic to Salmonella typhimurium TA100 without S9 mixture. Two precursors of the mutagen were isolated from Japanese soy sauce, and these were identified as (-)-(1S,3S)-1 methyl-1,2,3,4-tetrahydro-beta-carboline-3-carboxylic acid [(-)-(1S,3S)-MTCA] and its stereoisomer (-)-(1R,3S)-MTCA. After treatment with nitrite, 1-mg samples of these compounds induced 17,400 and 13,000 revertants of TA100, respectively, without S9 mixture. Quantitative analysis of various kinds of soy sauces produced in Japan showed the presence of 82-678 micrograms of MTCA per ml. The mutagenicities of these compounds with nitrite accounted for 16-61% of the total mutagenicity of soy sauce with nitrite. Most soy sauces produced in the United States were less mutagenic than those produced in Japan and little, if any, of these two precursors of the mutagen was found in them. A major reaction product of (-)-(1S,3S)-MTCA and nitrite was a compound having a nitroso substitution at position N-2, but this compound was not mutagenic. Thus, the mutagen(s) formed from (-)-(1S,3S)-MTCA and nitrite was a minor product(s), and its specific mutagenic activity must be very high. PMID- 6574461 TI - Monoclonal antibodies to mitotic cells. AB - Certain proteins or activities are present in mitotic cells but not in interphase cells. These proteins may be synthesized or activated, or both, just prior to mitosis and are responsible for the breakdown of the nuclear envelope and the condensation of chromosomes. To learn more about the nature of these proteins, we raised monoclonal antibodies to mitotic cells. Spleen cells from mice immunized with a 0.15 M NaCl extract of synchronized mitotic HeLa cells were fused with SP2/0-Ag14 mouse myeloma cells, and hybrids were selected in medium containing hypoxanthine, methotrexate, thymidine, and glycine. Two different hybridoma clones secreting antibodies reactive with mitotic and meiotic cells from every species tested were isolated. Chromosomes as well as cytoplasm in mitotic cells reacted with the antibodies, as detected by indirect immunofluorescence. The proteins from mitotic cells were separated by electrophoresis in NaDodSO4/polyacrylamide slab gels, transferred to nitrocellulose sheets, and stained immunochemically. The two antibodies, designated MPM-1 and MPM-2, recognize a family of polypeptides with apparent molecular masses of 0.40 to greater than 200 kilodaltons (kDa). Both antibodies reacted strongly with three polypeptide bands of 182 kDa, 118 kDa, and 70 kDa. Only mitotic cells exhibited the protein bands that were recognized by the antibodies. All these bands were found to be phosphoproteins as shown by 32P labeling and autoradiography and their removal by alkaline phosphatase treatment. PMID- 6574462 TI - Demonstration of permanent factor-dependent multipotential (erythroid/neutrophil/basophil) hematopoietic progenitor cell lines. AB - Multipotential hematopoietic progenitor cell lines have been established from nonadherent cell populations removed from continuous mouse bone marrow cultures. Clonal sublines of lines B6SUtA or B6JUt derived from single cells formed mixed colonies containing erythroid cells, neutrophil-granulocytes, and basophil/mast cells in semisolid medium containing erythropoietin and conditioned medium from pokeweed mitogen-stimulated spleen cells. Each of several subclones of cell line Ro cl formed colonies containing eosinophils, neutrophil-granulocytes, and basophil/mast cells in semisolid medium. Multipotentiality was maintained in vitro for over 2 1/2 years. In contrast, cell line 32D formed basophil/mast cell colonies with no detectable differentiation to other pathways. Multipotential cell lines did not produce detectable spleen colonies (CFUs) in vivo, nor did intravenous inoculation of up to 5 X 10(7) cells protect lethally irradiated mice from bone marrow failure. Newborn and adult mice inoculated with 5 X 10(7) cells showed no detectable leukemia or solid tumors after one year. Both multipotential and committed basophil/mast cell lines demonstrated absolute dependence upon a source of a growth factor(s) found in medium conditioned by WEHI-3 cells. These cell lines should be of value in studies of the regulation of hematopoietic stem cell differentiation in vitro. PMID- 6574463 TI - Appearance of a cytosolic protein that stimulates glyceraldehyde-3-phosphate dehydrogenase activity during initiation of renal epithelial cell growth. AB - Rats fed a K-deficient diet exhibit accelerated kidney growth and enhanced activity of the glycolytic enzyme glyceraldehyde-3-phosphate dehydrogenase (G3PD; D-glyceraldehyde-3-phosphate:NAD+ oxidoreductase, EC 1.2.1.12). Cultures of renal epithelial cells (BSC-1 line) served as a model for this phenomenon because a reduction in the medium K concentration from 5.4 to 3.2 mM resulted in augmented growth and increased G3PD activity. Mixing the soluble supernatant fraction from cells grown in low-K medium (3.2 mM) with that from cells grown in control medium indicated that the cytosol of low-K cells contained a positive modifier of G3PD activity. Appearance of modifier activity that occurred within 1 hr after exposure of cells to low-K medium was blocked by cycloheximide but not by actinomycin D. Modifier activity was also observed in mouse fibroblasts stimulated by low-K medium and in proliferating renal medullary tissue from rats fed a K-deficient diet. A single protein that contained G3PD-stimulating activity was isolated from the soluble supernatant of BSC-1 cells exposed to low-K medium. This protein was not detectable in control cells. The material yielded a single band on NaDodSO4/polyacrylamide gel electrophoresis with an apparent Mr of 62,000. These results suggest that a new protein with the capacity to stimulate G3PD activity appears in the cytosol during the initiation of cell growth. PMID- 6574464 TI - Endogenous avian retroviruses contain deficient promoter and leader sequences. AB - A sensitive and quantitative biological assay has been utilized to measure the ability of the exogenous and endogenous avian retroviral long terminal repeats (LTR) to promote gene expression in avian cells. This assay has revealed that the exogenous virus RAV-2 LTR is approximately equal to 10-fold more active than the LTRs of endogenous viruses RAV-0, ev-1, and ev-2. The endogenous viral LTRs show approximately equal activity. Upstream flanking cellular or viral sequences have no significant modulating effect on gene expression in our assay. Unexpectedly, we have detected and localized an additional defect outside of the LTR in the 5' noncoding leader sequence of ev-1 that further decreases gene expression relative to RAV-0 by approximately equal to 10-fold. PMID- 6574465 TI - Detection of an unusually stable fibrinolytic inhibitor produced by bovine endothelial cells. AB - Fibrin/agar films were prepared and used to detect plasminogen activators produced by cultured bovine aortic endothelial cells (fibrin autography). One preparation of fibrin underwent spontaneous lysis upon incubation at 37 degrees C. This lysis was prevented by antibodies to tissue-type plasminogen activator but not by antibodies to urokinase. Conditioned medium from the confluent endothelial cells was fractionated by polyacrylamide gel electrophoresis in the presence of NaDodSO4. The gels were analyzed on indicator films prepared with the spontaneously lysing fibrin (reverse fibrin autography). Unexpectedly, as the opaque fibrin film cleared, a distinct lysis-resistant zone appeared in the indicator gel at a region corresponding to Mr 55,000. Experiments were devised to determine whether the lysis-resistant zone in the indicator film reflected the presence of a cellular inhibitor in the polyacrylamide gel. The corresponding region was excised from a polyacrylamide gel, extracted with buffer, and tested directly for antifibrinolytic activity by the 125I-labeled fibrin plate method. Urokinase-mediated fibrinolytic activity was inhibited by the gel extract in a dose-dependent manner indicating the presence of such an inhibitor. Inhibitor activity was detected in Triton X-100 extracts of washed monolayers and in conditioned medium, where it accumulated with time. The endothelial cell inhibitor not only survived exposure to NaDodSO4 but also was active after incubation at pH 12 or treatment with 5% (vol/vol) 2-mercaptoethanol, 6 M urea, 4 M guanidine hydrochloride, or 1 M acetic acid. Considerable activity also remained after heating at 100 degrees C for 30 min. These results indicate that cultured bovine aortic endothelial cells synthesize and secrete a previously undetected, unusually stable fibrinolytic inhibitor of Mr 55,000. Reverse fibrin autography offers a convenient approach for studying such molecules. PMID- 6574466 TI - Opposing effects of interferon produced in bacteria and of tumor promoters on myogenesis in human myoblast cultures. AB - We have studied the effects of human leukocyte interferon produced in bacteria and diterpene phorbol ester tumor promoters on differentiation of normal human myoblast cultures derived from mature skeletal muscle. Interferon (100-5,000 units/ml) induced an acceleration of myotube formation and creatine kinase (CK; EC 2.7.3.2) isoenzyme transition from CK-BB to CK-MM. Heat-inactivated or trypsin treated interferon did not affect the differentiation process. In contrast, the potent tumor promoter 12-O-tetradecanoylphorbol 13-acetate (TPA), but not its inactive structural analogues phorbol and 4 alpha-phorbol 12,13-didecanoate, caused a dose-dependent (0.01-100 ng/ml) inhibition of myotube formation and CK isoenzyme transition. Neither interferon nor TPA had a significant effect on myoblast proliferation prior to fusion, and the cloning efficiencies were similar as well. Opposing effects of interferon and TPA were also demonstrated by simultaneous application of these agents to the cultures. These studies suggest that some of the antitumor effects of interferon may relate to its capacity to modulate cellular differentiation. PMID- 6574467 TI - Sexuality in piroplasms as revealed by electron microscopy in Babesia microti. AB - Protozoa of the closely related genera Babesia and Theileria are intraerythrocytic parasites of vertebrates. They have a complex life cycle that includes development in an intermediate vector host, a tick. Whether sexual stages occur in the tick has been a subject of great controversy. The small size of the organism and the complexity of developmental stages in the gut of the tick have prevented a definitive solution of this problem. By means of a simple and straightforward although time-consuming method, it became possible to demonstrate gametes and their sexual fusion in Babesia microti developing in the gut of larvae of the tick Ixodes dammini. Tick larvae fed on hamsters infected with a human strain of B. microti were fixed and processed for electron microscopy. It was found that some of the parasites formed a unique structure shaped like an arrowhead. Because it was suspected that these forms might represent gametes, a search was made for pairs of parasites that were fusing and with each member of the pair emerging from a different erythrocyte. Such a fusing pair could not possibly represent a parasite undergoing division. By study of serial sections such pairs were indeed found. In every case one member of the pair of gametes had an arrowhead structure. This proves sexuality of B. microti and makes highly likely its existence in all members of the genera Babesia and Theileria. PMID- 6574468 TI - Multiple origins of life. AB - There is some indication that life may have originated readily under primitive earth conditions. If there were multiple origins of life, the result could have been a polyphyletic biota today. Using simple stochastic models for diversification and extinction, we conclude: (i) the probability of survival of life is low unless there are multiple origins, and (ii) given survival of life and given as many as 10 independent origins of life, the odds are that all but one would have gone extinct, yielding the monophyletic biota we have now. The fact of the survival of our particular form of life does not imply that it was unique or superior. PMID- 6574469 TI - High mutation frequency in DNA transfected into mammalian cells. AB - The lacI gene of Escherichia coli was used to score mutation in mammalian cells of simian virus 40-based recombinant DNA vectors that provide for replication and selection in both bacterial and mammalian cells. Plasmid DNA was introduced into COS7 simian cells by DEAE-dextran transfection, allowed to replicate in the mammalian cells, and then returned to E. coli for analysis. Mutants in lacI were observed at frequencies of one to several percent, compared with a spontaneous mutation rate in E. coli of less than 10(-5). The lesions include a large number of base substitutions, in addition to deletions, duplications, and more complex rearrangements, including insertion into the plasmid of sequences originating in the host genome. We discuss possible sources of the high mutation frequency and its implications for experiments involving DNA transfer. PMID- 6574470 TI - Electroanatomy of a unique amacrine cell in the rabbit retina. AB - Intracellular electrophysiological recordings were obtained from a specialized class of "starburst" amacrine cells by using an isolated superperfused retina eyecup preparation of the rabbit. These cells were injected intracellularly with horseradish peroxidase and identified with light microscopy. A computer controlled image-processing system was used to map and display the three dimensional dendritic organization and provide information on length and sublaminar distribution of dendritic processes. Starburst amacrines show an unusual dendritic architecture that includes thin intermediate dendritic segments. Analysis with steady-state cable equations suggests that these thin segments may provide electrical isolation of distal processes, raising the possibility that a single dendrite, which lies beyond the thin segment, may constitute a functional subunit of the cell. PMID- 6574471 TI - Selective accumulation of cytosol CDP-choline as an isolated erythrocyte defect in chronic hemolysis. AB - Erythrocytes from a young woman with chronic hemolytic anemia were found to contain 0.31-0.45 mM CDP-choline, concentrations that are 15-25 times those in normal erythrocytes and equivalent to 20-30% of the total adenine nucleotide content. Accumulation of CDP-choline has been reported only in erythrocytes from subjects with severe (homozygous) pyrimidine nucleotidase deficiency. In the latter syndrome, however, pyrimidine nucleotidase activity is very low and a spectrum of uridine- and cytidine-containing nucleotides is present along with epiphenomena involving glutathione and ribosephosphate pyrophosphokinase. By contrast, selective accumulation of CDP-choline was the only abnormality demonstrable in proband erythrocytes. Membrane phospholipids were quantitatively and qualitatively normal, compatible with the observation that mature erythrocytes maintain membrane phospholipids largely by passive exchange with plasma components or by acylation of lysophospholipids. Although the presence of small amounts of other CDP-containing cofactors, such as CDP-ethanolamine, could not be entirely excluded, the cytidine/choline ratio closely approximated 1:1 in all studies. These data are compatible with the view that choline phosphotransferase and ethanolamine phosphotransferase are separate enzymes in erythroid cells. Selective accumulation of CDP-choline in proband erythrocytes is also compatible with an inherited deficiency of choline phosphotransferase in erythroid precursors, though this hypothesis remains unproved. PMID- 6574472 TI - Increased rate of cell-substratum detachment of fibroblasts from patients with Duchenne muscular dystrophy. AB - When skin fibroblasts from patients with Duchenne muscular dystrophy were treated with trypsin in the presence of divalent cations, they detached more rapidly from the substratum than did fibroblasts from normal individuals of similar age, sex, and passage number. This difference was observed when either the time of incubation or trypsin concentration was varied. The ease of detachment of both normal and dystrophic fibroblasts varied somewhat with culture age and plating density, although detachment was always greater for fibroblasts from dystrophic individuals. If the trypsin treatment was carried out in the absence of divalent cations, both types of fibroblasts detached rapidly from the substratum, suggesting that a divalent-cation dependent cell-substratum adhesion mechanism is altered in Duchenne muscular dystrophy fibroblasts. PMID- 6574473 TI - Developmental regulation of Ca2+ and K+ currents during hormone-induced maturation of starfish oocytes. AB - Changes in the electrical properties of starfish oocytes during hormone-induced maturation (the reinitiation of meiosis prior to fertilization) were studied by using the voltage-clamp technique. Three voltage-dependent ionic currents dominate the current-voltage relation of the immature oocyte: an inward Ca2+ current, a fast transient K+ current similar to the "A current" of molluscan neurons, and an inwardly rectifying K+ current. During in vitro maturation stimulated by the natural maturing hormone 1-methyladenine, gradual changes in the amplitudes of all three currents were seen: the Ca2+ currents became larger, and both K+ currents became smaller. The kinetics of the currents were not significantly altered during maturation. As a result of these changes, action potentials in the mature egg had lower thresholds, faster rates of rise, and larger overshoots than those of the immature oocyte. We also found that the total membrane capacitance decreased substantially during maturation, perhaps indicating a decrease in membrane surface area triggered by the hormone. The significance of these results is discussed in terms of the preparation of the immature oocyte for fertilization and the mechanisms of modification of ion channel properties during development. PMID- 6574474 TI - Microheterogeneity ("neurotypy") of neurofilament proteins. AB - Neurofilaments purified from adult rat brainstem by two methods were electrophoresed on NaDodSO4/polyacrylamide gels to separate the triplet proteins (approximate Mrs of 200,000, 155,000, and 68,000) which, in turn, were electroblotted onto nitrocellulose paper. On Coomassie blue-stained gels that were not electroblotted, the same banding pattern was seen with both methods of preparation. Immunocytochemical staining of the electroblots with each of five monoclonal antibodies revealed that three of the monoclonal antibodies were specific for the Mr 200,000 neurofilament protein and two, for both the Mrs 200,000 and 155,000 neurofilament proteins. None of the antibodies reacted with the Mr 68,000 band. The Mr 200,000 band could be resolved into doublet bands. Individual monoclonal antibodies reacted with either one or both of the Mr 200,000 doublets. The immunocytochemical staining of the neurofilament triplets on electroblots was compared to that of adult rat cerebellar paraffin sections. Each monoclonal antibody had a unique pattern of staining, reacting only with certain subpopulations of neurons or their processes. Correlation of the staining patterns in cerebellar tissue sections with those of neurofilament polypeptides on electroblots suggested that different neurofilament polypeptides can be localized to different structures and subpopulations of neurons and that molecular heterogeneity ("neurotypy") may be revealed within the Mrs 200,000 and 155,000 neurofilament polypeptides. PMID- 6574475 TI - Inhibition of eukaryotic protein chain initiation by vanadate. AB - Vanadate inhibits protein chain initiation in rabbit reticulocyte lysates. The evidence that supports this conclusion is as follows: (i) the biphasic kinetics of inhibition in which protein synthesis is maintained at the control rate for 1 2 min is followed by an abrupt decline in the rate of synthesis; (ii) inhibition is associated with a marked disaggregation of polyribosomes and a concomitant increase in 80S ribosomes; and (iii) vanadate concentrations that inhibit protein chain initiation do not inhibit polypeptide chain elongation or the aminoacylation of tRNA. In partial reactions of protein chain initiation, vanadate concentrations that inhibit protein synthesis have no detectable effect on the formation of eukaryotic initiation factor eIF-2-promoted ternary complex with Met-tRNAf and GTP and on the assembly of 40S ribosomal subunit-Met-tRNAf complexes. On the addition of mRNA, the 40S ribosomal subunit-Met-tRNAf complexes also are transformed into 80S ribosome-mRNA-Met-tRNAf complexes, termed 80S initiation complexes. In vanadate-treated samples, however, these 80S initiation complexes are defective and unable to proceed beyond this step. PMID- 6574476 TI - Hemolytic activity of influenza virus hemagglutinin glycoproteins activated in mildly acidic environments. AB - Hemagglutinin (HA) glycoproteins isolated from influenza virus caused hemolysis and liposome lysis at pH less than 6.0. The pH dependence was similar to that of the parent virus. Hemagglutination and hemolysis titers of HA were comparable with those of virus. The time course of hemolysis by HA was somewhat different from that by virus. HA did not cause fusion of erythrocytes in acidic media, in contrast to virus. Both HA and virus, previously incubated at pH less than 6.0, lost their low-pH-induced hemolytic activity. Isolated HA formed rosette-like structures at neutral pH, and these aggregated in acidic media. Virus also aggregated in acidic media and its envelope became leaky to negative stain. HA previously incubated at pH less than 6.0 became susceptible to trypsin digestion. Both reversible and irreversible structural changes of HA were observed by fluorescence spectroscopy; a reversible change at a pH between neutral and 6.4 and an irreversible one at pH less than 6.0. Bromelain-released HA did not cause hemolysis and liposome lysis in acidic media. The precursor form of HA did not have hemolytic activity in acidic media. The similarity in pH dependence indicates that the structural change in HA induced at pH less than 6.0 is the cause of activation and inactivation of hemolysis, HA and virus aggregation, and trypsin susceptibility. We propose that the hydrophobic NH2-terminal segment of HA2 is exposed during the structural change and interacts with the target membranes, causing a permeability increase and leading to hemolysis and lysis. The virus-induced hemolysis can be ascribed for the most part to envelope fusion activated in acidic media. PMID- 6574477 TI - Physicochemical and genetic evidence for specific antiestrogen binding sites. AB - In rat uterus and human breast cancer MCF-7 cell cytosol, the antiestrogens tamoxifen (Tam) and 4-hydroxytamoxifen (OH-Tam) bind to "antiestrogen binding sites" (ABS), which do not bind estradiol (E). Demonstrated in total cytosol by binding studies with radioactive antiestrogens in the presence of a large concentration of E, ABS can be physically separated from E-binding estrogen receptor (ER) by removing the latter with an E-containing bioaffinity adsorbent or with heparin-Sepharose gel. ABS concentration is 10-20% of that of ER; the Kd for Tam and OH-Tam is 1-2 x 10(-9) M, whereas the Kd of OH-Tam binding by ER (approximately equal to 1 x 10(-10) M) is approximately equal to 1/50 that of Tam. Other triphenylethylene antiestrogens compete against Tam for binding to ABS, contrary to steroid hormones. Sucrose gradient ultracentrifugation analyses of total cytosol and of affinity gel effluents show a heterogenous pattern of ABS from 10 to 40 S, unchanged by 0.4 M KCl and limited trypsinization (which however provoke transitions of ER from 8S to 4S forms) and by 20 mM molybdate (which stabilizes the 8S form of ER and prevents large aggregates). Preliminary results suggest that ABS may be associated with particulate components of the cell. RTx6 cells of a clone selected from MCF-7 cells for resistance to the antigrowth effect of Tam have ER in the same concentration and have similar affinity for E and antiestrogens as do unselected MCF-7 cells. However, RTx6 cells have virtually no ABS detectable by binding and gradient ultracentrifugation studies. It is proposed that the double binding of Tam and OH-Tam to ER and ABS in estrogen target cells may be related to the complex double series of estrogenic and "antiestrogenic" activities displayed by nonsteroidal triphenylethylene derivatives. PMID- 6574478 TI - Isolation and partial characterization of a new human collagen with an extended triple-helical structural domain. AB - The collagens are a family of major connective tissue proteins that are known to be the products of at least 11 distinct genes. Primary structural differences between the individual collagen types are thought to reflect functional diversity. We have isolated a previously unknown collagen gene product, termed "long-chain" (LC) collagen, from human chorioamniotic membranes by limited pepsin digestion. Comparison of the isolated alpha-chain subunit to the alpha chains of other collagen types by amino acid composition, peptide mapping with either cyanogen bromide fragmentation or staphylococcal V8 protease digestion, chromatographic elution position, and relative molecular weight indicates that this protein is a product of a previously unrecognized gene. We report structural studies indicating that this molecule contains three identical alpha-chain subunits that are each approximately molecular weight 170,000. The amino acid composition of LC alpha chains suggests that they are about 90% triple helical. Comparisons of the length of segment-long-spacing (SLS) crystallites made from LC molecules with those from types I and V collagens indicate that the LC molecule is substantially longer than these collagens and somewhat longer than the reported length of type IV collagen. This finding suggests that LC collagen represents an additional class of collagen molecules. We suggest that these molecules be referred to as type VII collagen. PMID- 6574479 TI - Complete nucleotide sequence of a human c-onc gene: deduced amino acid sequence of the human c-fos protein. AB - The complete nucleotide sequence of the c-fos(human) gene, the human cellular homolog of the oncogene (v-fos) of Finkel-Biskis-Jinkins murine osteosarcoma virus, has been determined. The c-fos(human) gene contains four discontinuous regions when compared with the v-fos gene. Three of the discontinuities are flanked by sequences characteristic of introns, while the fourth discontinuity is due to a deletion of 104 base pairs in the v-fos gene. As a consequence of the deletion, the predicted c-fos(human) and v-fos gene products differ at their carboxyl termini. Transcripts of 2.2 kilobases from the c-fos(human) gene have been identified in human cells. The sizes of these transcripts are in close agreement with the size expected from the nucleotide sequence after removal of introns. PMID- 6574480 TI - ADP-ribosylation in inner membrane of rat liver mitochondria. AB - NAD+ glycohydrolase activity is found at high levels in submitochondrial particles. It leads to the reaction products ADP-ribose, nicotinamide, and small amounts of 5'-AMP. Furthermore, submitochondrial particles catalyze the exchange reaction: [adenosine-14C]ADP-ribose + NAD+ in equilibrium [adenosine-14C]-NAD+ + ADP-ribose. When submitochondrial particles are incubated with NAD+, mono(ADP ribosyl)ation of protein molecules migrating with an apparent molecular weight of 30,000 in sodium dodecyl sulfate/polyacrylamide gel electrophoresis is demonstrable. Inhibitor studies suggest attachment of ADP-ribose to arginine residues. ADP-ribose bound to submitochondrial particles is rapidly turning over. The release of ADP-ribose from the protein is probably enzyme catalyzed. The rapid turnover, the specificity of the modification, and the inhibition of ADP ribosylation by ATP and nicotinamide suggest a regulatory role of mono(ADP ribosyl)ation of a protein in the inner mitochondrial membrane. PMID- 6574481 TI - Simplified in vitro system for study of eukaryotic mRNA translation by measuring di- and tripeptide formation. AB - An in vitro system for measurement of rabbit globin mRNA translation has been developed based on the formation of the NH2-terminal dipeptide, fMet-Val. The basic components include a partially purified initiation factor preparation from rabbit reticulocytes supplemented with eukaryotic initiation factor 4A, purified and formylated yeast Met-tRNAi, and rabbit liver or Escherichia coli Val tRNA1Val. Picomole quantities of fMet-Val are synthesized, dependent on mRNA, and the dipeptide is readily assayed by a simple extraction procedure. In the presence of Leu-tRNA or His-tRNA, the tripeptides fMet-Val-Leu and fMet-Val-His are synthesized, corresponding to the NH2-terminal sequence of alpha- and beta globin, respectively. Therefore, tripeptide synthesis provides a simple means to distinguish between the expression of the alpha- and beta-globin mRNA species. PMID- 6574482 TI - Phosphorylation activates the insulin receptor tyrosine protein kinase. AB - Preparations of insulin receptor from cultured 3T3-L1 adipocytes and human placenta previously was found to catalyze the phosphorylation of the 90,000 dalton component of the insulin receptor on tyrosine residues. This insulin dependent phosphorylation has now been shown to coincide with the generation of an activated, insulin-independent, receptor protein kinase. Activation is dependent upon ATP, divalent cations (Mg2+ and Mn2+), and insulin (half-maximal activation occurs at 6-8 nM insulin). The time required for activation is consistent with that needed for insulin-dependent self-phosphorylation of the receptor present in eluates from wheat germ lectin-agarose columns and in preparations of affinity-purified placental receptor. Activation proceeds unabated in the presence of soybean trypsin inhibitor at 0.1 mg/ml and the activated, insulin-independent, protein kinase sediments in 5-20% sucrose gradients at the same position as the unmodified receptor. Under steady-state conditions, the phosphorylated receptor binds insulin in the same fashion as the unmodified receptor. It is proposed that the self-phosphorylated form of the receptor is the insulin-activated protein kinase that catalyzes the phosphorylation of exogenous protein and peptide substrates. A corollary of this hypothesis is that enzymatic dephosphorylation may be essential for reversibly terminating the activity of the insulin-receptor protein kinase. PMID- 6574483 TI - Thermolysin-catalyzed peptide bond synthesis. AB - The rates of the thermolysin-catalyzed synthesis of peptides have been determined by means of HPLC. In the condensation of various N-substituted amino acids and peptides with L-leucinanilide, the enzyme exhibits preference for a hydrophobic L amino acid as the donor of the carbonyl group of the newly formed bond. The presence of another hydrophobic amino acid residue adjacent to the carbonyl-group donor markedly enhances the rate of synthesis. In general, the effect of structural changes in both the carboxyl and amine components of the condensation reaction is in accord with the available data on the primary and secondary specificities of the thermolysin-catalyzed hydrolysis of oligopeptide substrates. A kinetic study of the condensation of benzyloxycarbonyl-L-phenylalanine with various amine components has given data on the apparent kcat and Km values for the entry of the acidic component into the condensation reaction. The results are consistent with the behavior of rapid-equilibrium random bi-reactant systems leading to ternary enzyme-substrate complexes, with a synergistic effect in the binding of the two reactants at the active site. Because the changes in the apparent kcat for the entry of the same acidic component into reaction with different amine components are greater than those in the apparent Km, it is suggested that this synergism is largely expressed at the level of the transition state complex. PMID- 6574484 TI - Preferential utilization of exogenously supplied leucine for protein synthesis in estradiol-induced and uninduced cockerel liver explants. AB - A cockerel liver explant system has been used to study protein synthesis and ribosome transit times. After a 2-hr preincubation of explant tissue in the presence of a large concentration of nonradioactive leucine, a small quantity of [3H]leucine was added and the kinetics of uptake of [3H]leucine into the intracellular acid-soluble leucine pool was compared to the incorporation of [3H]leucine into protein. Incorporation of [3H]leucine into protein reaches a linear rate almost immediately after addition of label, whereas the acid-soluble pool does not reach constant specific activity until much later. The length of time needed to reach a linear rate of incorporation of [3H]leucine into protein is approximately equal to the length of time needed to equilibrate nascent polypeptide chains with labeled precursor--that is, one average ribosome transit time. Therefore, it seems that the immediate precursor pool for protein synthesis reaches constant specific activity almost instantly after addition of [3H]leucine. The results indicate that at least part of the supply of leucine for protein synthesis is derived directly from the exogenous incubation medium and not from the intracellular acid-soluble amino acid pool. PMID- 6574485 TI - Structural and dynamic differences between supercoiled and linear DNA from proton NMR. AB - Proton NMR experiments on an intact plasmid supercoiled DNA molecule are reported. Spectra of the hydrogen-bonded exchangeable imino protons and nonexchangeable aromatic protons of pIns36 (7,200 base pairs; Mr 5 x 10(6)) were examined at 240 and 360 MHz. In contrast to linear DNA of comparable size in which the signals from these protons are broadened almost beyond detection, the supercoiled DNA exhibits a remarkably well-resolved spectrum in the range 12-15 ppm, with linewidths characteristic of linear DNA molecules with molecular weight nearly two orders of magnitude smaller. These results imply an extraordinary degree of mobility in accord with our earlier discovery of unusually long 31P spin-spin relaxation times in the supercoiled molecule. Alterations in the chemical shift of the imino proton resonance positions in supercoiled DNA compared to linear DNA imply that the structure is modified in the A . T base pairs with at least two distinct structures apparent from the spectrum. However, little or no alteration is evident in the resonances due to the G . C base pairs. PMID- 6574486 TI - Uncoupling of oxidative phosphorylation in rat liver mitochondria by general anesthetics. AB - The general anesthetics chloroform and halothane inhibit ATP synthesis in rat liver mitochondria, in the millimolar concentration range (1-12 mM), in parallel with a reduction of respiratory control and the ratio of ATP produced to oxygen consumed. In these effects, halothane and chloroform are similar to classical, protonophoric, uncouplers. The rate of ADP-stimulated respiration or the rate of uncoupler-stimulated respiration is not affected. Like classical uncouplers, halothane and chloroform also stimulate mitochondrial ATPase activity. However, the extent of stimulation by these agents is larger than by protonophoric uncouplers and, more significantly, ATPase activity stimulated by carbonylcyanide m-chlorophenylhydrazone is further stimulated by these agents. In the presence of the Ca2+ chelator EGTA, halothane and chloroform have no measurable effect on the magnitude of the proton electrochemical potential, delta mu H. In the absence of EGTA these anesthetics have a small effect on delta mu H, apparently due to stimulation of Ca2+ cycling. Under these conditions the membrane potential is decreased while delta pH is increased, but the total value of delta mu H is only slightly decreased. The uncoupling activity of the anesthetics is the same in the presence of absence of EGTA. Thus, in contrast to protonophoric uncouplers, the uncoupling effect of general anesthetics does not depend on the collapse of delta mu H. In the same concentration range in which anesthetics uncouple oxidative phosphorylation both halothane and chloroform increase membrane fluidity, as measured by the partitioning of the hydrophobic spin probe 5-doxyldecane. These findings suggest a role for intramembrane processes in energy conversion that is not dependent on the bulk delta mu H. PMID- 6574487 TI - Mechanical properties of articular cartilage elucidated by osmotic loading and ultrasound. AB - The time response of surface displacement and acoustic impedance of in situ layers of articular cartilage were measured by using pulse-echo ultrasound. Disturbances were introduced by altering the osmotic pressure. Strongly nonlinear behavior was observed near physiological equilibrium. A model of articular cartilage is proposed which relates our results to cartilage microstructure. PMID- 6574488 TI - Collagen fibril formation during embryogenesis. AB - Chicken embryo skin of different ages and adult skin were labeled with antibodies against the amino propeptide and carboxyl propeptide of type I collagen and processed for indirect immunoelectron microscopy by the ferritin technique. The results indicate that the formation of thin collagen fibrils involves polymerization of pN-collagen. Fibrils that are thicker than 35-40 nm do not appear to contain the amino propeptide. How fibrils increase in size is not clear, but growth may involve mechanisms such as lateral aggregation of subfibril structures or fusion of thin fibrils. Carboxyl propeptides were localized near or in contact with thin collagen fibrils, but they did not appear to be arranged in a periodic manner along the fibrils. In experiments using antibodies against the amino propeptides of type III collagen, fibrils 20-40 nm in diameter were also labeled in a periodic fashion. pN-Collagen chains were extracted from embryonic skin and identified by NaDodSO4/polyacrylamide gel electrophoresis and by immunoblotting. The presence of significant amounts of pN-collagen in skin from 10- and 12-day chicken embryos agreed well with the labeling of amino propeptides by immunoelectron microscopy. This study provides evidence for the role of the amino propeptide in collagen fibrillogenesis in embryonic skin. PMID- 6574489 TI - Transcription of repetitive sequences on Xenopus lampbrush chromosomes. AB - We reinvestigated the lampbrush chromosomes of Xenopus laevis and found them well suited for the study or transcription by in situ hybridization to nascent RNA transcripts. Using this technique, we analyzed the transcription of three repetitive sequences that do not show any sequence homology and that differ in their degree of interspersion. We found that they are located on different parts of the chromosomes: two are clustered, one is interspersed. All three of these sequences are transcribed at the lampbrush chromosome stage and transcripts from both strands of each sequence can be detected. The amount of transcription is apparently not proportional to the number of copies of the repetitive sequence at a given chromosomal locus, suggesting that other sequences are involved in the regulation of their transcription. PMID- 6574490 TI - Control of DNA ligase molecular forms in nucleocytoplasmic combinations of axolotl and Pleurodeles. AB - A light form of DNA ligase (EC 6.5.1.2), the only form present in oocytes of the axolotl (Ambystoma mexicanum), has been shown to be replaced by a heavy form of the enzyme when the egg enters cleavage. This early biochemical event has been assumed to rely on direct nuclear input. Sucrose gradient analysis permits discrimination between enzymes from axolotl and the sharp-ribbed salamander (Pleurodeles waltlii) for both heavy and light enzymatic forms of DNA ligase. Genetic activity of blastula nuclei transplanted in activated cytoplasm has been tested by determination of the enzymatic forms and specific types of DNA ligases when the implanted egg enters cleavage. A blastula nucleus of Pleurodeles in axolotl cytoplasm determines a heavy ligase of the Pleurodeles type. Conversely, a haploid androgenetic nucleus of Pleurodeles in axolotl cytoplasm controls a light ligase of the Pleurodeles type. Reciprocal experiments give homologous results. To our knowledge, this is the earliest nucleus-dependent synthesis revealed in development for any system. The heavy ligase of one species may coexist with the light form of the other species but not with the light form of its own specific type. Inhibition of the production of the heavy form for one genome results in the expression of the light form. We conclude that genetic control of DNA ligase in very early development involves structural genes for heavy and light forms of enzyme, with an exclusion process operating an alternative expression of corresponding genes. This exclusion relationship between nonallelic genes is species specific. PMID- 6574491 TI - The primitive code and repeats of base oligomers as the primordial protein encoding sequence. AB - Even if the prebiotic self-replication of nucleic acids and the subsequent emergence of primitive, enzyme-independent tRNAs are accepted as plausible, the origin of life by spontaneous generation still appears improbable. This is because the just-emerged primitive translational machinery had to cope with base sequences that were not preselected for their coding potentials. Particularly if the primitive mitochondria-like code with four chain-terminating base triplets preceded the universal code, the translation of long, randomly generated, base sequences at this critical stage would have merely resulted in the production of short oligopeptides instead of long polypeptide chains. We present the base sequence of a mouse transcript containing tetranucleotide repeats conserved during evolution. Even if translated in accordance with the primitive mitochondria-like code, this transcript in its three reading frames can yield 245 , 246-, and 251-residue-long tetrapeptidic periodical polypeptides that are already acquiring longer periodicities. We contend that the first set of base sequences translated at the beginning of life were such oligonucleotide repeats. By quickly acquiring longer periodicities, their products must have soon gained characteristic secondary structures--alpha-helical or beta-sheet or both. PMID- 6574492 TI - Role of antigen structure in the regulation of IgE isotype expression. AB - Tobacco glycoprotein (TGP) is a glycoprotein containing rutin-like polyphenol groups that is purified from cured tobacco leaves and can be detected in condensates of tobacco smoke. One-third of normal humans have been shown to manifest immediate, IgE-mediated, wheal and flare reactions to an intradermal injection of TGP. Rutin-like moieties are also found in a wide variety of vegetable foods. The possible importance of sensitivity to TGP in the pathogenesis of the vascular and pulmonary complications of tobacco smoking has stimulated us to study the immune response of mice to TGP and the role of rutin groups in influencing isotype expression. A series of three intradermal injections of TGP elicits a long-lasting IgE antibody response in mice. However, no hemagglutinating antibodies are produced. Similarly, immunization with a rutin derivative of bovine serum albumin stimulates IgE antibodies to bovine serum albumin but little hemagglutinating antibodies. In contrast, mice injected in the same manner with bovine serum albumin produce both IgE and hemagglutinating antibodies. Thus, the rutin moiety is implicated as exerting a regulatory effect on isotype expression by suppressing the production of serum antibodies of isotypes other than IgE. The immunization procedure employed (which involves an initial injection of 100 micrograms of antigen in phosphate-buffered saline, followed, at monthly intervals, by two intradermal injections of 100 micrograms of antigen precipitated on alum) apparently fails to stimulate the normal "down regulation" of the IgE response so that a persisting high-titered response is obtained. PMID- 6574493 TI - Staining of Langerhans cells with monoclonal antibodies to macrophages and lymphoid cells. AB - Langerhans cells are Ia-bearing antigen-presenting cells in the epidermis that share many functions with macrophages. We have used monoclonal antibodies to the macrophage antigens, Mac-2 and-3, Ia antigen, Fc fragment receptor and the common leukocyte antigen CLA to compare the cell surface antigens of these cells with those of interdigitating and follicular dendritic cells and of macrophages in lymphoid tissues. Immunoperoxidase staining was carried out with epidermal sheets from BALB/c mice and epidermal cell suspensions enriched for Langerhans cells by Fc rosetting. Langerhans cells stained for all of these antigens. Comparison with the staining properties of other dendritic cells and macrophages, in combination with previous observations, indicates a close relationship of Langerhans cells to the interdigitating cells of lymphoid tissues. PMID- 6574494 TI - Lecithin:cholesterol acyltransferase-mediated modification of discoidal peripheral lymph high density lipoproteins: possible mechanism of formation of cholesterol-induced high density lipoproteins (HDLc) in cholesterol-fed dogs. AB - Peripheral lymph high density lipoproteins (HDL) of the cholesterol-fed dog differ in a number of characteristics from plasma HDL of the same animal. Their high content of free cholesterol, phospholipid, apoprotein E, and apoprotein A IV, their greater heterogeneity in size, and the presence of many discoidal particles suggest that a portion of lymph HDL is assembled within the interstitial fluid. The present experiments demonstrate that the endogenous lecithin:cholesterol acyltransferase (LCAT) activity of whole peripheral lymph of the cholesterol-fed dog is far less (less than 1%) than that found in the plasma of the same animal (0.3 nmol/hr per ml versus 40.6 nmol/hr per ml). Addition of partially purified LCAT to whole lymph induced many changes in the chemical composition of peripheral lymph lipoproteins. After incubation with LCAT, the free cholesterol and phospholipid contents of lymph HDL decreased, from 17% to 12% and from 46% to 33%, respectively, whereas cholesteryl ester content increased from 7% to 13%. These changes were accompanied by a mass transfer of apoprotein E and cholesterol to the p less than 1.05 g/ml fraction, the complete disappearance of the discoidal particles, and a decrease in size heterogeneity of lymph HDL. These results suggest that, in the cholesterol-fed dog, cholesterol efflux into the interstitial spaces may occur in the absence of significant LCAT activity. Furthermore, our studies suggest that the subsequent reaction between lymph HDL and LCAT within the vascular compartment leads to the generation of apoprotein E and cholesteryl ester-rich cholesterol-induced HDL. PMID- 6574495 TI - Solubilization and characterization of high-affinity [3H]serotonin binding sites from bovine cortical membranes. AB - High-affinity [3H]serotonin binding activity has been solubilized from bovine cerebral cortical membranes by using Triton X-100, Tween-80, and octyl-beta-D glucopyranoside. This mixture of detergents solubilizes the high-affinity [3H]serotonin binding activity present in crude membrane preparations with retention of 75-90% specific binding. The detergent mixture was chosen because it can easily be removed from the solubilized fraction by dialysis and polystyrene bead adsorption, thus permitting further purification and isolation of the binding sites. Saturation analysis reveals multiple components of high-affinity [3H]serotonin binding. In crude bovine cortical membranes, at least two binding components are present. A higher-affinity binding component, as defined from curvilinear Scatchard plots, has a Kd for [3H]serotonin of 1-3 nM, whereas a lower-affinity component has a Kd of 10-20 nM. In the solubilized preparation, only a single class of binding sites is apparent, with a Kd of 50-100 nM. Removal of detergents by dialysis and polystyrene bead adsorption results in restoration of the curvilinear Scatchard plot with apparent Kds similar to those observed in crude membrane preparations and with increased Bmax values for each component. [3H]Serotonin binding activity in the solubilized preparation is stable to Sephacryl S-300 column chromatography and to glycerol gradient sedimentation. Saturation analysis of the peak binding fractions from both these procedures once again yields curvilinear Scatchard plots, indicating that the multiple high affinity binding components are preserved and migrate together. The molecular weight, Stokes radius, and frictional coefficient of the binding site(s) have been calculated. After detergent removal the solubilized material shows many of the characteristics usually attributed to S1 receptors, such as high affinity for [3H]serotonin and its analogs and low affinity for serotonin antagonists. PMID- 6574496 TI - Plasticity in the central nervous system: do synapses divide? AB - Changes in the proportion of synapses containing postsynaptic densities with perforations during periods of increased synapse formation have led us to propose a hypothesis describing a possible division of preexisting synapses. Relevant features of this model are that various types of stimulation result in the following sequence of events: (i) the synaptic junction increases in area; (ii) a perforation forms in the enlarging synaptic junction; (iii) a synaptic spinule appears apposed to the perforation in the postsynaptic density; (iv) the perforation in the synaptic junction increases in size until the synaptic junction splits into two separate synaptic junctions within the same synaptic terminal; and (v) the dendritic spine divides into two, each containing a synaptic junction. Physiological responses in which synapse division may possibly play a role include hormone-induced neuronal changes, reinnervation of dendrites after lesions, and learning and memory. PMID- 6574497 TI - Serotonin increases an anomalously rectifying K+ current in the Aplysia neuron R15. AB - Previous work has shown that serotonin causes an increase in K+ conductance in the identified Aplysia neuron R15. This response is mediated by cAMP-dependent protein phosphorylation. The results presented here show that the K+ channel modulated by serotonin is an anomalous or inward rectifier (designated IR) that is present in R15 together with the three other distinct K+ channels previously described for this cell. Several lines of evidence indicate that this inward rectifier is partially activated in the resting cell and is further activated by serotonin. Voltage clamp analysis of resting and serotonin-evoked membrane currents at various external K+ concentrations shows that both currents have reversal potentials close to the potassium equilibrium potential, exhibit similar dependences in magnitude on external K+ concentration, and display marked anomalous rectification. The effects of particular monovalent and divalent cations are also similar on the resting and serotonin-evoked currents. Rb+, Cs+, and Ba2+ block both currents while Tl+ can substitute for K+ as a charge carrier and channel activator in both. These properties are characteristics of anomalous rectifiers in other systems. Furthermore, measurement of the voltage dependence of inactivation for the fast transient K+ current shows that this current cannot account for the anomalously rectifying K+ conductance in R15. The inward rectifier is therefore a separate current mediated by its own channels, the activity of which can be modulated by serotonin. PMID- 6574498 TI - Isolation of a nicotine binding site from rat brain by affinity chromatography. AB - With the use of affinity chromatography, a [3H]-nicotine binding site was purified almost 1,000-fold from a Triton X-100-solubilized extract of rat brain neural membranes. The affinity column was prepared by conjugation of (R,S)-6-(2 hydroxyethyl)nicotine to epoxy-activated Sepharose. Further purification of the material from the affinity column was resolved by using another column of the same affinity gel, resulting in the isolation of a major protein (about 95% purity) that had a Mr of 56,000, as determined by NaDodSO4/polyacrylamide gel electrophoresis, with very minor components ranging in Mr from 47,000 to 83,000. With the use of various nicotine analogues, it was shown that the purified material exhibited nearly identical binding characteristics to rat brain membrane preparations, including stereoselectivity for the nicotine enantiomers. The Kd of the purified site, 3.5 x 10(-9) M, was similar to that observed with membrane and Triton X-100-soluble preparations, whereas the binding capacity was greater than 25 pmol/mg of protein, as compared to 0.07 pmol/mg of protein in the starting material. The results are discussed in relation to the purified nicotinic cholinergic receptor from electroplax. It was concluded that the nicotine site in rat brain was different from the cholinergic receptor of electroplax or calf skeletal muscle. PMID- 6574499 TI - Circular differential scattering can be an important part of the circular dichroism of macromolecules. AB - Differential scattering of incident left and right circularly polarized light can be an important contribution to the circular dichroism of macromolecules. In principle both differential absorption and differential scattering of circularly polarized light contribute to circular dichroism, but differential scattering is increasingly important for particles whose dimensions are greater than 1/20th the wavelength of light. The scattering contribution is probably not important for unaggregated proteins and nucleic acids in solution. It can be very important for viruses, membranes, and other protein-nucleic acid complexes. Outside the absorption bands of the scattering, chiral particle, only differential scattering contributes to the circular dichroism. The sign and magnitude of the differential scattering is quantitatively related to the relative orientations and the distances between the scattering units of the particle. The interpretation of the circular differential scattering depends on a simple, classical method. Thus, in understanding a measured circular dichroism, it often will be easier to relate the differential scattering to the structure of a particle (such as a virus) than it is to relate the differential absorption to the structure. PMID- 6574500 TI - Reaction of glycolaldehyde with proteins: latent crosslinking potential of alpha hydroxyaldehydes. AB - The Schiff base adducts of glyceraldehyde with hemoglobin undergo Amadori rearrangement to form stable ketoamine structures; this reaction is similar to the nonenzymic glucosylation of proteins. In the present studies the analogous rearrangement of the Schiff base adducts of glycolaldehyde with proteins has been demonstrated. However, the Amadori rearrangement of the Schiff base adduct produces a new aldehyde function, an aldoamine, which is generated in situ and is capable of forming Schiff base linkages with another amino group, leading to covalent crosslinking of proteins. Sodium dodecyl sulfate gel electrophoresis of the glycoaldehyde-RNase A adduct showed the presence of dimers, trimers, and tetramers of RNase A, demonstrating the crosslinking potential of this alpha hydroxyaldehyde. The crosslinked products exhibited an absorption band with a maximum around 325 nm and fluorescence around 400 nm when excited at 325 nm. The crosslinking reaction, the formation of a 325-nm absorption band, and the development of fluorescence were prevented when the incubation was carried out in the presence of sodium cyanoborohydride. This finding indicates that the Amadori rearrangement that generates a new carbonyl function is a crucial step in this covalent crosslinking. Glycolaldehyde could be a bifunctional reagent of unique utility because its crosslinking potential is latent, expressed only upon completion of the primary reaction. PMID- 6574501 TI - Active site of RNase: neutron diffraction study of a complex with uridine vanadate, a transition-state analog. AB - A complex of RNase A with a transition-state analog, uridine vanadate, has been studied by a combination of neutron and x-ray diffraction. The vanadium atom occupies the center of a distorted trigonal bipyramid, with the ribose oxygen O2' at the apical position. Contrary to expectations based on the straightforward interpretation of the known in-line mechanism of action of RNase, nitrogen NE2 of histidine-12 was found to form a hydrogen bond to the equatorial oxygen O8, while nitrogen NZ of lysine-41 makes a clear hydrogen bond to the apical oxygen O2'. Nitrogen ND1 of histidine-119 appears to be within a hydrogen-bond distance of the other apical oxygen, O7. Two other hydrogen bonds between the vanadate and the protein are made by nitrogen NE2 of glutamine-11 and by the amide nitrogen of phenylalanine-120. The observed geometry of the complex may necessitate reinterpretation of the mechanism of action of RNase. PMID- 6574502 TI - Cytosolic activator of adenylate cyclase: Reconstitution, characterization, and mechanism of action. AB - Rat liver and isolated hepatocytes contain high levels of a soluble adenylate cyclase stimulator, whereas rat erythrocytes lack this activity. Accordingly, a reconstitution system was developed with adenylate cyclase [ATP pyrophosphate lyase (cyclizing), EC 4.6.1.1] from erythrocyte ghosts and the soluble activator from liver cytosol. Pretreatment of erythrocyte ghosts with the cytosolic factor resulted in a 5- to 15-fold activation of adenylate cyclase in the presence or absence of NaF, 5'-guanylyl imidodiphosphate, or isoproterenol and GTP. The sequence of addition of the cytosolic component and the other activators was critical in determining the maximal activity of the enzyme. The cytosolic factor appears to be a heat-labile Mr 105,000 protein, which activates adenylate cyclase in a saturable reaction involving binding of the protein to the erythrocyte ghosts. This molecular interaction was accompanied by stabilization of a labile thiol group that was essential for catalytic activity. The cytosolic component also unmasks latent adenylate cyclase activity in human erythrocyte ghosts and in cytoskeletal preparations from rat erythrocyte ghosts. These observations suggest that the cytosolic activator may also occur as a native, peripheral membrane component of adenylate cyclase systems and may be required for the expression and stabilization of catalytic activity. PMID- 6574503 TI - Primary structure of chicken muscle pyruvate kinase mRNA. AB - We have determined the cDNA sequence corresponding to chicken muscle pyruvate kinase mRNA; the predicted coding region spans 529 amino acids and establishes the complete amino acid sequence for the vertebrate enzyme. We demonstrate that the level of mRNA for this enzyme is under developmental control and suggest a structural model for the protein kinase-mediated regulation of the mammalian liver isozyme. We report a method for the direct analysis of, and the preparation of cDNA probes from, mRNA which has been fractionated on methylmercury/agarose gels. PMID- 6574504 TI - Homology of amino acid sequences of rat liver cathepsins B and H with that of papain. AB - The amino acid sequences of rat liver lysosomal thiol endopeptidases, cathepsins B and H, are presented and compared with that of the plant thiol protease papain. The 252-residue sequence of cathepsin B and the 220-residue sequence of cathepsin H were determined largely by automated Edman degradation of their intact polypeptide chains and of the two chains of each enzyme generated by limited proteolysis. Subfragments of the chains were produced by enzymatic digestion and by chemical cleavage of methionyl and tryptophanyl bonds. Comparison of the amino acid sequences of cathepsins B and H with each other and with that of papain demonstrates a striking homology among their primary structures. Sequence identity is extremely high in regions which, according to the three-dimensional structure of papain, constitute the catalytic site. The results not only reveal the first structural features of mammalian thiol endopeptidases but also provide insight into the evolutionary relationships among plant and mammalian thiol proteases. PMID- 6574505 TI - Ferredoxin/flavoprotein-linked pathway for the reduction of thioredoxin. AB - Thioredoxins are small redox proteins, alternating between the S-S (oxidized) and SH (reduced) states, that function in a number of important biochemical processes, including DNA synthesis, DNA replication, and enzyme regulation. Reduced ferredoxin is known to serve as the source of reducing power for the reduction of thioredoxins only in photosynthetic cells that evolve oxygen. In all other organisms, the source of hydrogen (electrons) for thioredoxin reduction is considered to be NADPH. We now report evidence that Clostridium pasteurianum, an anaerobic bacterium normally living in the soil unexposed to light, resembles photosynthetic cells in that it uses reduced ferredoxin as the reductant for thioredoxin. Moreover, the transfer of electrons from reduced ferredoxin to thioredoxin is catalyzed by a flavoprotein enzyme that has not been detected in other organisms. Our results reveal the existence of a pathway for the reduction of thioredoxin in which ferredoxin, reduced fermentatively either by molecular hydrogen or by a carbon substrate, provides the reducing power for the flavoprotein enzyme ferredoxin-thioredoxin reductase, which in turn reduces thioredoxin. PMID- 6574506 TI - Thermodynamics and kinetics of protein incorporation into membranes. AB - The free energy and enthalpy of protein incorporation into membranes are calculated with special emphasis on the hitherto neglected effects of immobilization of protein and perturbation of lipid order in the membrane. The free energy change is found to be determined by the hydrophobic effect as the driving force for incorporation and the protein immobilization effect which leads to a considerable reduction of the free energy gained from the hydrophobic effect. For incorporation of a hydrophobic, bilayer-spanning alpha-helix, the free energy change obtained is of the order of -15 kcal/mol (1 cal = 4.184 J) in agreement with experimental results. The lipid perturbation effect yields only a small contribution to the free energy change due to an energy/entropy compensation inherent in lipid order. This effect dominates the enthalpy change, giving rise to values on the order of 100 kcal/mol with a pronounced temperature dependence around the lipid phase transition as observed experimentally. The kinetics of protein incorporation are even more strongly affected by the lipid perturbation effect, leading to an abrupt decrease of the rate of incorporation below the lipid phase transition. PMID- 6574507 TI - Dynamics of a small globular protein in terms of low-frequency vibrational modes. AB - Normal modes of low-frequency vibrations are calculated for a small globular protein, bovine pancreatic trypsin inhibitor. In modes with frequencies below 120 cm-1 the protein molecule behaves like a continuous elastic body. Most modes with frequencies above 50 cm-1 are shown to behave harmonically within the range of thermal fluctuations at room temperature. Those with frequencies below 50 cm-1 show some anharmonicity. Magnitudes of displacements of atoms are mainly determined by the modes with frequencies below 30 cm-1. These very-low-frequency modes contribute significantly to the entropy of the system. The dynamic structure of the globular protein is described as a superposition of harmonic high-frequency motions and coupled anharmonic low-frequency motions of collective variables corresponding to the normal modes of vibration. PMID- 6574508 TI - Translocation pathway in the catalysis of active transport. AB - Possible pathways for translocation across the membrane in active transport processes are examined theoretically. Thermodynamic and kinetic requirements are readily satisfied by an alternating-access mechanism of the kind that has been proposed in the past by several investigators. The essential features of this mechanism (for transport of a single species) are shown to be defined by four explicit conditions. (i) The transport protein must have at least two distinct conformational states, each accessible from only one side of the membrane. (ii) Binding affinity for the transported species is high in the state accessible from the uptake side of the membrane and much lower in the state accessible from the discharge side. (iii) The change from one conformation to the other involves movement of the binding site itself (with the transported species remaining attached) or rearrangement within the site that is topologically equivalent to such movement. (iv) Return to the original conformation occurs with unoccupied binding sites. The analysis demonstrates that a passage through the membrane that is simultaneously accessible from both sides cannot be used for active transport regardless of what the energetics of opening or closing of the passage may be. Even movement from one fixed site to another within the protein, without access to the outside, is virtually excluded as a possible element of the central mechanism. A ligand conduction mechanism for ATP-linked ion transport is in principle conceivable but is subject to restrictions that make it improbable. PMID- 6574509 TI - Rapid spontaneous dihydrofolate reductase gene amplification shown by fluorescence-activated cell sorting. AB - We have determined whether the gene encoding dihydrofolate reductase (5,6,7,8 tetrahydrofolate: NADP+ oxidoreductase, EC 1.5.1.3) varies spontaneously in gene copy number in cells in vitro. Cells were stained under nonselective conditions with fluoresceinated methotrexate, which binds quantitatively to dihydrofolate reductase. Cells with the highest fluorescence were collected by a fluorescence activated cell sorter and subsequently grown in the absence of methotrexate. At no time during the experiment were the cells placed under metabolic stress. After 10 successive rounds of growth and sorting, the derived population showed a 50 fold increase in fluorescence intensity, was highly resistant to methotrexate, and was amplified 40-fold in content of dihydrofolate reductase gene. We also found that cells already having amplified genes can undergo increases or decreases in their fluorescence and in gene copy number even more rapidly (at rates as high as 3 X 10(-2) amplification events per cell division) than do parental cells (ca. 10(-3) events per division). We therefore conclude that gene amplification can occur spontaneously in cells and that the rate of its occurrence varies with gene copy number. PMID- 6574510 TI - Isolation and induction of erythroleukemic cell lines with properties of erythroid progenitor burst-forming cell (BFU-E) and erythroid precursor cell (CFU E). AB - We isolated erythroleukemic cell lines arrested at different levels of the erythroid differentiation pathway. One cell line (CB5), established from mice infected with the helper-independent Friend murine leukemia virus (F-MuLV), exhibited properties similar to those of the normal erythroid progenitor burst forming cell (BFU-E). Six erythroleukemic cell lines, which were established from the anemia-inducing Friend virus complex (FV-A)-infected mice, formed erythroid colonies similar to the erythroid colony-forming precursor cell (CFU-E) after induction with dimethyl sulfoxide or erythropoietin. Three lines that were established from the polycythemia-inducing Friend virus complex (FV-P)-infected mice also formed low proportions (2-5%) of CFU-E-like colonies after induction by these same inducers. These data, together with the earlier findings that F-MuLV induces an increase in the levels of BFU-E and that FV-A or FV-P stimulates enhancement of CFU-E early after infection, indicate that the erythroleukemic cell lines isolated late in the diseases are at the same levels of differentiation as the leukemic cells in the corresponding initial stages. These cell lines with properties of BFU-E and CFU-E can be induced to differentiate in culture and should add to our understanding of the nature of erythroid progenitor cells and their early differentiation programs. PMID- 6574511 TI - Monoclonal antibodies inhibit the adhesion of mouse B 16 melanoma cells in vitro and block lung metastasis in vivo. AB - Seven monoclonal antibodies against mouse B 16 melanoma cells (produced in syngeneic C57BL/6 mice) were selected that blocked the adhesion of melanoma cells to tissue culture dishes. These antibodies were found to be directed against antigens on the surface of mouse B 16 melanoma cells but not on normal mouse cells such as 3T3 fibroblasts. Similarly, the antigens could not be detected in normal mouse tissues (e.g., lung, kidney, liver) but were found in lungs colonized by B 16 melanoma cells. Significantly, three of these antibodies virtually abolished lung colonization of highly invasive B 16 sublines injected into the animals' bloodstream. They exerted their effect both when preabsorbed by the melanoma cell in vitro and when delivered to the animals prior to the tumor cells. It is suggested that monoclonal antibodies might be a promising tool for preventing metastasis. PMID- 6574512 TI - Influence of collagen substrata on glycosaminoglycan production by B16 melanoma cells. AB - A cloned metastatic murine melanoma cell line exhibited similar growth characteristics when propagated on either type I collagen, type IV collagen, or plastic. However, cells grown on both types of collagen exhibited an altered cellular morphology and on type IV collagen only, an increased substrate adhesiveness, relative to those maintained on a plastic substratum. Incorporation of [3H]glucosamine and [35S]sulfate into glycosaminoglycans (GAGs) of cells grown on collagen substrates was 20% and 40% less, respectively, than cells grown on plastic, whereas degradation of cell-associated [35S]sulfate-labeled GAGs was similar in cells grown on collagen or plastic. Although the composition of GAGs was similar in all cultures, consisting of approximately 60% chondroitin and 40% heparin or heparan sulfate, the degree of sulfation of the heparin or heparan sulfate molecules was markedly decreased in cultures grown on collagen. The results indicate that the composition of the extracellular matrix influences the biological behavior of B16 melanoma cells, in part by altering the amount and nature of the GAG molecules produced. PMID- 6574513 TI - Growth of normal mouse vaginal epithelial cells in and on collagen gels. AB - Sustained growth in primary culture of vaginal epithelial cells from ovariectomized adult BALB/cCrgl mice embedded within or seeded on collagen gel matrix was achieved in a serum-free medium composed of Ham's F-12 medium/Dulbecco's modified Eagle's medium, 1:1 (vol/vol), supplemented with insulin, bovine serum albumin fraction V, epidermal growth factor, cholera toxin, and transferrin. Three-dimensional growth of vaginal epithelial cells occurred inside the collagen gel matrix. Cell numbers increased 4- to 8-fold in collagen gel and about 4-fold on collagen gel after 9-10 days in culture. The effect of 17 beta-estradiol (0.00018-180 nM in gel or 0.018-180 nM on gel) and diethylstilbestrol (DES; 0.0186-186 nM in gel) on the growth of vaginal epithelial cells was examined. The addition of estrogen did not enhance the growth of vaginal epithelial cells during this time period either in the complete medium or in a suboptimal medium. Cultures on floating collagen gels in the serum free medium are composed of 1-3 cell layers with superficial cornification. Estrogen does not appear to be a direct mitogen for vaginal epithelial cells, at least in this system. PMID- 6574514 TI - Expression of human myeloid-associated surface antigens in human-mouse myeloid cell hybrids. AB - Hybrid cell lines were obtained after fusion of mouse myeloid cells (WEHI-TG) with leukocytes from two patients with chronic myeloid leukemia. A third fusion was carried out with leukocytes from a patient with acute lymphocytic leukemia. All three patients carried the Philadelphia chromosome (Ph1) in the leukemia cell population. Cytochemical analysis confirmed the myelo-monocytic nature of the hybrid cell lines. The presence of Ph1 translocation products could be established in most hybrids derived from the two chronic myeloid leukemic patients, which confirms that indeed human myeloid cells were fused. Several of these hybrid lines showed reactivity with monoclonal antibodies known to be specific for human myeloid cells, whereas interlineage Chinese hamster fibroblast human chronic myeloid leukemia hybrids failed to react with these antibodies. Five independently obtained monoclonal antibodies--MI/NI, UJ-308, VIM-D5, FMC-10, and B4.3--showed very similar reactivity patterns when tested on the hybrid clones. This result substantiates the evidence obtained from other studies, that these five antibodies are directed against the same myeloid-associated antigen. The gene(s) for expression of the latter antigen could be assigned to human chromosome 11. PMID- 6574515 TI - Analysis of two-dimensional protein patterns from mouse embryos with different trisomies. AB - Two-dimensional protein patterns from whole mouse embryos with different trisomies (Ts) (Ts1, -12, -14, -19) and from different organs (normal or malformed) and developmental stages of Ts12 embryos were analyzed by comparison with control patterns. Quantitatively altered proteins were found, and a portion of these (21/approximately equal to 1,000, average) was attributable to the Ts conditions. Most of these variants were found always (regularly) in Ts embryos. They could be divided into two groups: group I shows characteristics (chromosome specific, density increased by a factor close to 1.5 +/- 0.12) compatible with proteins directly affected by the Ts; and group II (chromosome nonspecific, density decreased, seldom increased) results most likely from indirect effects. The incidence of group II variants (about 13/approximately equal to 1,000, average) was considerably greater than that of the group I variants (about 3/approximately equal to 1,000). The frequency of both types of variants, however, was far lower than was expected by a rough estimation. Apparently, a relatively small number of changes, rather than a complex, escalating effect, was induced at the protein level by the Ts. Some observations suggest that this is due to a stable regulation of protein concentrations. The proportion in which quantitative changes of different types occurred in the protein patterns did not correlate with the degree of developmental impairments (malformation, retardation, early death) of the embryos. The generalized occurrence of protein changes on the cellular level might explain the restricted viability of Ts mouse embryos. PMID- 6574516 TI - Characterization of monoclonal antibodies to the sperm-specific lactate dehydrogenase isozyme. AB - The isozyme of lactate dehydrogenase (LDH) that is specific to testes, designated LDH-C4, is the predominant LDH isozyme in mammalian spermatozoa. Four high affinity monoclonal antibodies have been developed to murine LDH-C4. These antibodies were tested for crossreactivity with LDH-C4 from rat, hamster, rabbit, and human by competitive binding radioimmunoassays. Monoclonal antibodies RG-1 and RG-2 are specific for adjacent or partially overlapping epitopes. The other two monoclonal antibodies each recognize separate and distinct determinants. One of these, designated RG-4, recognizes a sequential determinant that is contained in the coenzyme binding loop, residues 101-115 of the C subunit. Furthermore, RG 4 shows reduced binding affinity for rat LDH-C4 which differs in amino acid sequence at residue 108 and 111 in this region of the molecule. RG-4 also has reduced affinity for LDH-C4 of other species, which is consistent with substitutions in the amino acid sequences of the coenzyme binding loop. These differences between C4 of closely related species is in contrast to the high degree of conservation of this sequence in the LDH-A4 and LDH-B4 isozymes. These results provide useful information regarding homologies among species of LDH-C4 as well as the evolution of this isozyme. PMID- 6574517 TI - Corticotropin/lipotropin common precursor-like material in normal rat extrapituitary tissues. AB - A Mr 26,000 corticotropin (ACTH)-like material is present in glacial acetic acid extracts of all normal rat extrapituitary tissues. In the present study, beta melanotropin (beta-MSH) immunoactivity was detected in glacial acetic acid extracts of normal rat extrapituitary tissues. beta-MSH immunoactivity was also present in all extracts (mean +/- SEM, fmol/mg of protein): brain, 71.0 +/- 16.3; stomach, 11.5 +/- 1.6; kidney, 8.9 +/- 0.8; colon, 8.2 +/- 1.1; small intestine, 6.5 +/- 1.1; liver, 4.3 +/- 0.5; and heart, 3.2 +/- 0.5. Except in brain extracts, beta-MSH and ACTH immunoactivities of tissue extracts were strongly correlated to each other (r = 0.79; n = 42). When tissue extracts (except brain) were passed through a Sephadex G-75 (superfine) column, ACTH and beta-MSH immunoactivities were eluted in a single peak corresponding to Mr 26,000. In contrast, for brain extracts, the MrS of major peaks of ACTH and beta-MSH immunoactivities were 4,500 and 8,000, respectively; a smaller peak of Mr 26,000 ACTH/beta-MSH-like material was also eluted. Specific anti-ACTH immunocolumns, which did not bind purified synthetic beta-MSH, adsorbed both ACTH and beta-MSH immunoactivities of all tissue extracts except those of brain. One-third of the beta-MSH immunoactivity in brain extracts adsorbed to the anti-ACTH immunocolumn, but two-thirds of beta-MSH immunoactivity passed through the column. We conclude that ACTH and beta-MSH immunoactivities are present in all normal rat extrapituitary tissues and exist in most tissues on the same molecule. This Mr 26,000 molecule is closely related to the pituitary ACTH/beta-lipotropin common precursor. PMID- 6574518 TI - In vivo stimulation of murine granulopoiesis by human urinary extract from patients with aplastic anemia. AB - Significant in vivo stimulation of granulopoiesis was induced in mice by the administration of an extract from the urine of patients with aplastic anemia (AA). Sialic acid has been identified as an important molecular component for the in vivo biological activity of this granulopoietic factor, "granulopoietin," which is distinct and different from endotoxin. Urine from patients with AA was successively fractionated by Sephadex G-50 and DEAE-cellulose chromatography. The resultant extract, which we refer to as AA urinary extract, contained approximately equal to 44 international units of erythropoietin per A unit of protein and induced 15,000 colonies of granulocyte/macrophage precursor cells (granulocyte/macrophage colony-forming units, CFU-gm) per A unit of protein with mouse bone marrow. Eight daily intraperitoneal injections of this extract in mice induced a 6.2-fold increase in peripheral blood granulocytes and a 14.6-fold increase of splenic CFU-gm, with concomitant increases in the proliferation rates of CFU-gm in both bone marrow and spleen. Pretreatment of the AA urinary extract with sialidase significantly diminished these granulopoietic effects in vivo (P less than 0.001). In contrast, both extracts (i.e., native AA and sialidase treated AA urinary extracts) revealed high granulocyte/macrophage colony stimulating factor activity in vitro when clonal assays were performed with mouse bone marrow. Increased in vivo and in vitro granulopoietic activities were found in the concanavalin A "break-through" fraction, indicating that these activities were due to protein(s) that did not bind to the lectin. These results reveal that this urinary extract from patients with AA is capable of inducing significant granulopoiesis in mice and that sialic acid is an important component in the maintenance of this granulopoietic effect in vivo but not in vitro. PMID- 6574520 TI - Mechanism by which metabolic inhibitors depolarize cultured cardiac cells. AB - To elucidate the means by which metabolic inhibition depolarizes cardiac cells, spontaneously beating chicken embryonic myocardial cell aggregates were voltage clamped during superfusion with 2,4-dinitrophenol and iodoacetic acid. In aggregates continuously clamped in the pacemaker potential range, abrupt exposure to these metabolic inhibitors produced a slow transient inward current. This inward current was not due to an alteration of the pacemaker current, IK2, because it could still be elicited after IK2 was abolished by Cs+ ions. The inward current was increased by hyperpolarization and decreased by depolarization. It became larger and more sustained if intermittent action potentials were allowed during exposure or if the aggregates were pretreated with either 10 mM Ca2+ or 2.7 microM acetylstrophanthidin. The inward current was suppressed by removal of extracellular Na+ or Ca2+. These observations suggest that early depolarization of cultured cardiac cells by metabolic inhibitors involves some of the same mechanisms as the transient inward current of digitalis toxicity--specifically, an effect of intracellular Ca2+ ions on membrane permeability. Similar phenomena could occur during other forms of metabolic inhibition such as myocardial ischemia. PMID- 6574519 TI - Acoustic imprinting leads to differential 2-deoxy-D-glucose uptake in the chick forebrain. AB - This report describes experiments in which successful acoustic imprinting correlates with differential uptake of D-2-deoxy[14C]glucose in particular forebrain areas that are not considered primarily auditory. Newly hatched guinea chicks (Numida meleagris meleagris) were imprinted by playing 1.8-kHz or 2.5-kHz tone bursts for prolonged periods. Those chicks were considered to be imprinted who approached the imprinting stimulus (emitted from a loudspeaker) and preferred it over a new stimulus in a simultaneous discrimination test. In the 2-deoxy-D glucose experiment all chicks, imprinted and naive, were exposed to 1.8-kHz tone bursts for 1 hr. As shown by the autoradiographic analysis of the brains, neurons in the 1.8-kHz isofrequency plane of the auditory "cortex" (field L) were activated in all chicks, whether imprinted or not. However, in the most rostral forebrain striking differences were found. Imprinted chicks showed an increased 2 deoxy-D-glucose uptake in three areas, as compared to naive chicks: (i) the lateral neostriatum and hyperstriatum ventrale, (ii) a medial magnocellular field (medial neostriatum/hyperstriatum ventrale), and (iii) the most dorsal layers of the hyperstriatum. Based on these findings we conclude that these areas are involved in the processing of auditory stimuli once they have become meaningful by experience. PMID- 6574521 TI - The effect of growth hormone administration on lipids and lipoproteins in growth hormone-deficient patients. AB - Plasma lipids, lipoproteins, and lipoprotein cholesterol levels were studied in a group (n = 8) of prepubertal growth hormone-deficient patients before and after growth hormone (GH) administration. Determination of plasma lipoproteins by a sensitive agarose gel electrophoretic technique demonstrated: (a) in the patients with two prebeta bands an intensification of the fast prebeta lipoprotein fraction after growth hormone administration; and (b) in the patients with one prebeta band the appearance of a second prebeta band after growth hormone administration. The mean (+/- SD) plasma triglyceride level before GH was 86 +/- 60 mg/dl and 158 +/- 95 mg/dl after GH (P less than 0.01). Mean (+/- SD) plasma cholesterol level before GH was 196 +/- 25 mg/dl and 174 +/- 28 mg/dl after GH (P less than 0.05). High-density lipoprotein cholesterol concentrations decreased significantly (P less than 0.001) from mean (+/- SD) 55 +/- 12 mg/dl before GH to 37 +/- 10 mg/dl after GH. Very-low-density lipoprotein cholesterol concentrations increased significantly (P less than 0.05) from mean (+/- SD) 13 +/- 12 mg/dl before GH to 23 +/- 15 mg/dl after GH. Low-density lipoprotein cholesterol concentrations decreased (N.S.) from mean (+/- SD) 123 +/- 15 mg/dl before GH to 114 +/- 15 mg/dl after GH. These lipid and lipoprotein changes could be mediated through the insulin antagonism, hyperinsulinemia, and a decrease in lipoprotein lipase activity caused by growth hormone. PMID- 6574523 TI - Elevated levels of prostaglandin E2 and thromboxane B2 in depression. AB - Plasma prostaglandin E2 (PGE2) and thromboxane B2 (TXB2) levels were measured in 30 depressed outpatients. Plasma PGE2 was increased in all but one of these patients (p less than 0.001) and all had increased levels of TXB2 (p less than 0.001). Since monamine oxidase inhibitors inhibit brain prostaglandin synthesis, and tricyclic antidepressants may antagonize prostaglandin actions, these observations suggest new approaches to depression research. PMID- 6574522 TI - Diamide inhibits pulmonary vasoconstriction induced by hypoxia or prostaglandin F2 alpha. AB - Diamide oxidizes glutathione and other cellular sulfhydryl groups. It decreases calcium ATPase activity and alters mitochondrial calcium flux, probably as a result of the sulfhydryl oxidation. We examined the effect of diamide (5 mg/kg, iv) on pulmonary vascular reactivity in 12 anesthetized dogs. Diamide reversed the pulmonary vasoconstriction caused by hypoxia in seven dogs (control delta PVR + 2.5 +/- 0.6 mm Hg/liter/min; postdiamide delta PVR - 0.1 +/- 0.4 mm Hg/liter/min; P less than 0.01). The pulmonary pressor response to prostaglandin F2 alpha (5 micrograms/kg/min, iv) was also reduced (control delta PVR + 3.8 +/- 0.5 mm Hg/liter/min; postdiamide delta PVR + 1.1 +/- 0.7 mm Hg/liter/min; P less than 0.01). However, in a further five dogs, diamide had only a small effect on the pulmonary vasoconstriction caused by angiotensin II, while the pressor response to hypoxia was again inhibited. The mechanism by which diamide reverses pulmonary vasoconstriction is not certain but the effect is rapid, consistent, and reversible. Because the intravenous infusion of diamide does not produce systemic hypotension, during its period of action on the pulmonary vasculature, unlike the drugs currently available for the clinical treatment of pulmonary hypertension, further studies of its mechanism of action are indicated. PMID- 6574524 TI - Arachidonic acid uptake into and release from guinea-pig endometrium in vitro on days 7 and 15 of the oestrous cycle. AB - Endometrium from guinea-pigs on Days 7 and 15 of the oestrous cycle (days of low and high endometrial prostaglandin F2 alpha production, respectively) was maintained in tissue culture for periods up to 24 h (uptake experiments) or 48 h (release experiments). Tritiated arachidonic acid (3H-AA) was incorporated into endometrial phospholipids and neutral lipids in a time-dependent manner. After 24 h of culture, phosphatidylcholine (PC) and phosphatidylethanolamine (PE) were the major phospholipids, and triglyceride (TG) was the major neutral lipid which had incorporated 3H-AA. PC, PE and phosphatidylserine/phosphatidylinositol (PS/PI) incorporated significantly more 3H-AA on Day 15 than on Day 7. TG also incorporated more 3H-AA on Day 15 than on Day 7, but the increase was not statistically significant. Tritiated oleic acid (3H-OA) was incorporated into endometrial phospholipids and neutral lipids in a time-dependent manner. No increase in uptake of 3H-OA occurred on Day 15 compared to Day 7. There appears to be a specific stimulation of the mechanisms involved in the uptake of arachidonic acid into guinea-pig endometrium (particularly into the phospholipids) at the end of the oestrous cycle. There was little apparent release of 3H-AA from any endometrial lipid class, except diglyceride (DG) and monoglyceride (MG), on Day 7. In contrast, there was an apparent 50 to 80% decrease in the 3H-AA content of several endometrial lipid classes, particularly PC, PE and TG, on Day 15. Overall, the uptake and release studies suggest that PC, PE and possibly TG form the source of free arachidonic acid for PGF2 alpha synthesis by the guinea-pig endometrium. PMID- 6574525 TI - Plasma prostaglandin E2 and F2 alpha in preterm infants: association with respiratory distress syndrome and patent ductus arteriosus. AB - In order to determine if prostaglandin values correlate with gestational age, birth weight, postnatal age, or respiratory distress syndrome (RDS), we determined plasma prostaglandin F2 alpha (PGF2 alpha) and prostaglandin E2 (PGE2) by specific radioimmunoassay in 34 samples from 27 preterm infants. Neither prostaglandin correlated with gestational age or with birth weight. PGF2 alpha decreased (p less than 0.3) with postnatal age. Values for PGF2 alpha and PGE2 in each sample varied together (p less than .01) but only PGF2 alpha increased (p less than .09) in infants with RDS. The highest PGF2 alpha values occurred in infants with severe RDS, including four infants with patent ductus arteriosus (PDA). In contrast, plasma PGE2 was not elevated in infants with RDS or PDA. PMID- 6574526 TI - Effects of prostaglandins on the prolactin stimulation of lipid biosynthesis in mouse mammary gland explants. AB - The effects of prostaglandins E1 and E2, indomethacin, arachidonic acid, and 8,11,14-eicosatrienoic acid on the rate of (14C)-acetate incorporation into lipids in mouse mammary gland explants were studied. Prostaglandins E1 and E2, as well as their precursors 8,11,14-eicosatrienoic acid and arachidonic acid, inhibited the rate of (14C)-acetate incorporation into lipids, possibly through increased cAMP levels or through end product inhibition of acetyl CoA carboxylase and fatty acid synthetase by long chain fatty acids. Indomethacin at concentrations of 50 micrograms/ml and above significantly reduced the basal rate of 14C-acetate incorporation into lipids, but it did not abolish the prolactin response. Since the prostaglandins, at low concentrations, have prolactin-like actions on RNA synthesis and ornithine decarboxylase activity, and since indomethacin attenuates the actions of prolactin on RNA synthesis, casein synthesis, and ornithine decarboxylase activity, it seems apparent that all of the metabolic actions of prolactin in the mammary gland may not occur via the same primary mechanism. PMID- 6574527 TI - Low density lipoprotein (LDL) from male volunteers stimulated the thromboxane formation by human platelets. AB - LDL (0.5 - 2.0 mg LDL-cholesterol/ml) isolated from venous blood of healthy male volunteers stimulated dose-dependently the malondialdehyde (MDA) formation by frozen human platelets, used as a marker for the activity of the thromboxane synthetase. HDL (0.25 - 1.0 mg HDL-cholesterol/ml) and human serum albumin (1 - 10 mg/ml) had no concentration-dependent influence on the MDA formation. If these results can be extended to in vivo they suggested the strong connection between the prostaglandin and lipoprotein hypothesis of pathogenesis of atherosclerosis. PMID- 6574528 TI - DST in depression is unaffected by altering the clock time of its administration. AB - Circadian oscillators in major depressive illness may be phase advanced by several hours. We attempted to determine whether phase advance of the oscillator responsible for hypothalamic-pituitary-adrenal (HPA) function in depressives might influence the outcome of the overnight dexamethasone suppression test (DST). Six major depressives underwent DST with dexamethasone doses administered in a randomized fashion at 1900h and 2300h on separate evenings. Twenty-four hour cortisol secretory patterns basally and postdexamethasone were obtained for each subject. Postdexamethasone cortisol responses were similar for both the 1900h and 2300h dosage schedules in suppressors, nonsuppressors, and an early escape responder. We conclude that failure of the HPA axis to suppress normally with DST in major-depressive illness is a primary feature of neuroendocrine regulatory mechanisms rather than secondary to a posited phase advance of the related circadian oscillator. PMID- 6574529 TI - Hypothalamic-pituitary-adrenal-axis hyperactivity in bulimia. AB - Hyperactivity of the hypothalamic-pituitary-adrenal axis, demonstrated by nonsuppression of plasma cortisol in the dexamethasone suppression test (DST), has been found in about 50% of patients with major depression. We administered the DST to 47 patients with bulimia and to 22 age- and sex-matched normal controls. Among the bulimics, 47% were nonsuppressors, significantly higher than the 9% prevalence of nonsuppressors in the controls, but similar to the prevalence reported for patients with major depression in other studies. This finding is consistent with evidence from studies of phenomenology, family history, and treatment response which suggest that bulimia may be related to affective disorder. PMID- 6574530 TI - Pain sensitivity and obesity. AB - Endogenous opiates have been implicated as regulators of mood and pain. Recent literature suggests a relationship between these internal opiates and ingestive behaviors in both animals and humans. The present study investigates this relationship by comparing the pain sensitivities of obese and nonobese subjects. Twenty-six subjects (18 females, 8 males) whose weight was 130% or greater of their ideal body weight (IBW) constituted the obese experimental group, while 34 subjects (14 females, 20 males) whose weight was less than 130% IBW formed the nonobese control group. Volunteer subjects were sought from a general medicine clinic of a hospital. Each subject placed his index finger in a pressure device bearing a 3-pound weight and was instructed to report the first occurrence of pain and the desire to remove the finger from the device. Obese subjects were significantly more pain sensitive. The difference in pain sensitivities supports the hypothesis that the weight difference between the obese and nonobese subjects may be related to endogenous opiate control of ingestive behaviors. PMID- 6574531 TI - Effects of caffeine on human aggressive behavior. AB - A new methodology was employed to study the effects of caffeine on human aggressive behavior in a laboratory situation. Aggressive responding was elicited by subtracting money from the research subjects, which was attributed to a fictitious person. Caffeine compared to placebo produced decreases in two types of aggressive responses, but increased nonaggressive monetary reinforced responding. Thus, the suppressing effect of caffeine on aggressive responding was not due to a nonspecific depressant action. PMID- 6574532 TI - Correlation between MAO activity in blood platelets obtained by single and multiple centrifugations. AB - Monoamine oxidase (MAO) activity in human blood platelets isolated by a single centrifugation at 600g for 2 1/2 minutes, which isolates only 45-65% of total platelets, was highly correlated with the MAO activity in platelets isolated by a method which isolates essentially 100% of platelets (r = 0.95, p less than 0.01). These results indicate that the single centrifugation method, which isolates only a portion of platelets, gives a reliable estimate of MAO activity in the entire platelet population. PMID- 6574533 TI - EEG sleep in outpatients with generalized anxiety: a preliminary comparison with depressed outpatients. AB - To develop further perspective on the psychophysiology of generalized anxiety disorder and primary depression, all-night electroencephalographic (EEG) sleep measures in outpatients with diagnoses of generalized anxiety disorder and primary (nondelusional) depression were compared. Both groups had difficulty initiating and maintaining sleep, and diminished amounts of slow-wave sleep. Compared to patients with generalized anxiety disorder, depressives had a shorter rapid eye movement (REM) latency, greater REM sleep percent and eye movement activity, and a different temporal distribution of REM sleep. Anxious patients showed few changes from first to second night, whereas depressives showed increases in several REM sleep indexes. The combination of REM sleep latency and REM percent correctly classified 86.7% of patients. These data may provide a more direct measure of central nervous system arousal and sleep/wake function than previous studies in the psychophysiology of anxiety. They also lend support to the clinical distinction between generalized anxiety disorder and primary depression and to the classification of anxiety states as disorders of initiating and maintaining sleep. PMID- 6574534 TI - Ventricular enlargement in major depression. AB - Major depression accompanied by psychosis may be a separate nosological entity from nonpsychotic depression. Investigators have noted behavioral and biochemical differences in psychotic and nonpsychotic patients, as well as differences in response to treatment. A previous study using computed tomography (CT) found enlargement of the lateral cerebral ventricles in patients with manic-depressive illness with psychotic symptoms. The present study examined CT scans of patients with major affective illness that was accompanied by hallucinations, delusions, or both. The ventricles of the depressed group were significantly larger than those of a group of normal controls. PMID- 6574535 TI - Bromocriptine therapy in chronic schizophrenia: effects on symptomatology, sleep patterns, and prolactin response to stimulation. AB - Ten chronic schizophrenic patients were given bromocriptine in doses increasing from 1.25 to 5 mg over 6 days (the low-dose therapy) and then up to 40 mg over 15 days (the high-dose therapy). Psychopathological status was assessed using the Brief Psychiatric Rating Scale, twice daily the first 6 days, and every 2 days thereafter. The prolactin (PRL) response to haloperidol stimulation (1 mg i.v.) was measured in five cases before and 3 days after the end of high-dose therapy, and in one patient before and 3 days after the end of low-dose therapy. Electroencephalographic sleep studies were carried out before therapy and every 2 nights during low-dose therapy in five patients, and in two cases during high dose therapy. Bromocriptine therapy modified neither clinical symptomatology nor sleep patterns. The PRL response to haloperidol after therapy was markedly lower than that before therapy in the five patients treated with high doses, and markedly higher in the single patient tested who was treated only with low-dose therapy. PMID- 6574536 TI - Prolactin response to the cold pressor test in patients with panic attacks. AB - Recent advances in psychiatric nosology have provided a clearer clinical description of panic disorder and agoraphobia with panic attacks. This clinical improvement has yet to result in a better understanding of the basic mechanisms involved in these conditions. The present study compares the effects of the cold pressor test on blood pressure changes and prolactin levels in patients with panic disorder and agoraphobia with panic attacks to its effects in normal controls. Because the effects of the cold pressor test were similar in patients and normal controls, it appears that alpha-adrenergic function is normal in the patient group. The results also suggest that prolactin hypersecretion does not occur in pathological anxiety states. PMID- 6574537 TI - Dexamethasone suppression test response in major depression: stability across hospitalizations. AB - In the course of several studies of hypothalamic-pituitary-adrenal axis activity in depression, 43 patients presented on separate admissions with definite depression and, on both admissions, received dexamethasone suppression tests (DSTs). DST results were discordant across admissions in 21% of cases; among patients who were nonsuppressors on either admission, results were discordant in 40.9%. The correlation between postdexamethasone values obtained on two admissions was highly significant, however. Distinctions between bipolar and unipolar depression and between primary and secondary depression by rates of nonsuppression were inconsistently significant across admissions but were clearer when results from both admissions were pooled and patients with an abnormal DST on either admission were considered nonsuppressors. While abnormal escape from dexamethasone suppression occurs in a significant proportion of depressed patients, this phenomenon may only partially overlap the depressive syndrome in time. Negative DST results in patients with primary depression must be interpreted in this light. PMID- 6574538 TI - Relationship of cortisol hypersecretion to brain CT scan alterations in depressed patients. AB - Preliminary data showing a correlation between urinary free cortisol levels and ventricular-brain ratio in 10 affectively ill patients are presented. The literature on hypercortisolism and computed tomography (CT scan) abnormalities is reviewed. The authors suggest that the increased cortisol production in some psychiatric patients might be capable of altering the gross structure of the brain and that such alterations might be reversible. PMID- 6574539 TI - Comparison of solid-phase radioimmunoassay and competitive protein binding method for postdexamethasone cortisol levels in psychiatric patients. AB - Results obtained by competitive protein binding assay (PBA) and a solid-phase radioimmunoassay (RIA) for cortisol were compared in 157 samples from 100 psychiatric patients given a dexamethasone suppression test (DST). Cortisol levels in plasma samples obtained at 8:00 a.m. or 4:00 p.m. the day following 1.0 mg dexamethasone orally at bedtime ranged from 0 to 30 micrograms/dl and correlated closely (r = 0.96). However, RIA gave values that were consistently and significantly lower (average = 8.9%) than those obtained by PBA. When samples were further assayed by a specific RIA for corticosterone, there was a strong correlation between cortisol and corticosterone RIA values (r = 0.79), and corticosterone (7.8% of cortisol levels) accounted for most of the difference between PBA and RIA for cortisol. The relationship between results of the two cortisol assay methods can be expressed (in micrograms/dl) by the equation: RIA = 0.92(PBA) - 0.10, based on findings obtained in a separate analysis of 127 samples with cortisol values in the 0-10 micrograms/dl range, critical to the valid interpretation of the DST in melancholia. A reported criterion of a "positive" DST in psychiatry, of plasma cortisol of greater than or equal to 5.0 micrograms/dl has been suggested by use of a PBA. Use of the present RIA required that this value be adjusted downward, at least to 4.5 micrograms/dl; application of this criterion increased the clinical sensitivity of the DST by 10%. We urge local, independent verification of criteria to define the DST as "positive" in each laboratory and with each method of assay. PMID- 6574540 TI - The ventricular-brain ratio on computed tomography scans: validity and proper use. AB - The planimetric measurement of the area of the ventricles on a computed tomographic section is a convenient and useful method of assessing ventricular size when more sophisticated techniques are not available. It is commonly reported as a planimetric ventricular-brain ratio or VBR. Ventricular size is related to cranial size in normal adults which provides a rationale for the use of a ratio of areas. The ratio might not be an appropriate measure to use when studying conditions acquired in childhood. Guidelines are suggested for the use of planimetric methods to prevent bias in the experimental results. PMID- 6574541 TI - The effects of diet and physical activity on plasma homovanillic acid in normal human subjects. AB - This study examines the effect of diet and moderate physical activity on plasma levels of the dopamine metabolite homovanillic acid (HVA) in healthy young males. At weekly intervals, subjects were fed four isocaloric meals: polycose (pure carbohydrate), sustecal, low monoamine, and high monoamine. Moderate physical activity consisted of 30 minutes of exercise on a bicycle ergometer. The effect of diet on plasma HVA (pHVA) was highly significant. Compared to the polycose meal, the high monoamine meal significantly increased pHVA. Moderate physical activity also significantly increased pHVA. Future clinical studies using pHVA in man as an index of brain dopamine function should control for the effects of both diet and physical activity. PMID- 6574542 TI - Sociospatial behavioral relationships among hospitalized psychiatric patients. PMID- 6574544 TI - Recommendations for depression publications. PMID- 6574543 TI - DSM-III criteria: a requirement for publication? PMID- 6574545 TI - Multifocal oral squamous cell carcinoma. PMID- 6574547 TI - The importance of nutrition in prosthodontic treatment of the older patient. PMID- 6574546 TI - Trace elements: their potential role in caries and enamel bonding. PMID- 6574548 TI - Tooth discoloration--extrinsic and intrinsic factors. PMID- 6574549 TI - Artifact or pathosis? Problem-solving for panoramic dental radiology (II). PMID- 6574550 TI - Nitrous oxide - are there any real contraindications? PMID- 6574551 TI - Occupational hazards in the dental office and their control. II. Measures for controlling mercury intoxication. PMID- 6574552 TI - Solvidont - a new chemotherapeutic and bacteriocidal agent for endodontic use (II). PMID- 6574554 TI - Crack lines: the precursors of tooth fractures - their diagnosis and treatment. PMID- 6574553 TI - Effects of nutrition on dental health in Third World countries. PMID- 6574555 TI - Occupational hazards in the dental office and their control. IV. Measures for controlling contamination of anesthetic gas--nitrous oxide. PMID- 6574556 TI - Pit and fissure sealants: attitudes toward and use by dentists in Minnesota. PMID- 6574557 TI - Enhanced bronchoconstriction responses to prostaglandin F2 alpha following inhalation of sulfur dioxide. AB - The effect of chronic sulfur dioxide (SO2) inhalation was investigated in pharmacologic-induced bronchoconstriction in beagle dogs. Increases in pulmonary resistance (RL) and decreases in dynamic lung compliance (CDYN) were observed with i.v. and aerosol administration of prostaglandin F2 alpha (PGF2 alpha). After control historical data were accumulated, the animals received exposures of 500 ppm of SO2 for two hours twice a week. After six months of chronic SO2 exposure, a significant enhancement in the RL response to i.v. and aerosolized PGF2 alpha was observed as compared to pre-SO2 data. Tracheobronchial inflammation, as observed by fiberoptic bronchoscopy, occurred as a result of the chronic inhalation of SO2; however, only a small increase in mucous production was observed visually. In addition, hypercapnic and acidotic changes in blood gas profiles were found. Therefore, beagle dogs chronically exposed to SO2, developed hyperactive airways as seen by increased sensitivity to PGF2 alpha. This model appears to reflect many of those changes observed in clinical bronchial hyperreactivity and may provide an additional insight into obstructive airways disease. PMID- 6574558 TI - Kinetic changes in rat renal 15-hydroxy-prostaglandin dehydrogenase induced by chronic ethanol exposure. AB - Several lines of investigation have suggested that exposure to ethanol may lead to alterations in both the synthesis and degradation of the E and F series of prostaglandins (PG). It has been suggested that these changes in PG metabolism underlie certain of the pathophysiological consequences of chronic alcoholism but few data are available as to the mechanism responsible for these changes. We now report that chronic exposure to ethanol in moderate doses (17% total dietary calories as ethanol) and high doses (35% total dietary calories as ethanol) results in a concentration dependent loss of renal 15-hydroxy-prostaglandin dehydrogenase for the NAD mediated reactions. Soluble fractions of kidney homogenates in the presence of greater than 10 Km concentrations of NAD exhibited dose dependent loss of specific and total organ PG dehydrogenase activity toward PGE2 and F2 alpha. A similar dose dependent decrease in the Vmax of the NAD mediated reaction was measured for the oxidation of PGE1, E2, and F2 alpha. Moderate doses of ethanol resulted in an increase in the Km for PGE2 and F2 alpha. Km values for the NADP mediated reactions were not significantly influenced by exposure to high doses of ethanol other than for PGE1. These data suggest that chronic ethanol consumption results in a dose dependent, selective inhibition of the metabolism of PGs of the "2" series by the renal PGDH enzyme which utilizes NAD. PMID- 6574560 TI - Training dental laboratory technicians. PMID- 6574559 TI - Prevention of cross-infection in the dental laboratory. PMID- 6574561 TI - [Occurrence of a second neoplasia in the course of Hodgkin's disease. Study of 8 cases]. PMID- 6574562 TI - [Breast osteosarcoma coexistent with an adenocarcinoma]. PMID- 6574563 TI - Utilization and benefits of prenatal diagnosis in Rhode Island. PMID- 6574564 TI - Nuclear medicine--role in evaluating acute abdominal trauma: a case report. PMID- 6574565 TI - Locked-in syndrome caused by a metastasis. PMID- 6574566 TI - [Loa loa filarial arthritis with microfiliara in the articular fluid]. PMID- 6574567 TI - [Di George syndrome, exemplary rhomboencephalic neurocristopathy]. AB - Di George's syndrome associates hypocalcemia and hyperphosphoremia (phosphocalcic disorders from absence of the parathyroids), cell immunity disorders related to agenesis or hypoplasia of the thymus, and large vessels malformations (pulmonary artery, aorta) with cardiac lesions. The disorder is the result of deletion of rhomboencephalic neural crests cells, Di George's syndrome being an exemplary rhomboencephalic neurocristopathy. This organic syndrome is associated with early disorders of the same neurological region (the rhomboencephalon), expressed clinically by sucking and swallowing disturbances and cardiorespiratory regulatory disorders. Early rhomboencephalic lesions can lead to velopalatal division and microretrognathism secondary to a lingual motility disturbance. The association of this neurocristopathy with a neural tube lesion constitutes a dysneurulation. Fetal and neonatal retrognathism are evidence of bulbar involvement. Di George's and Pierre Robin's syndromes constitute two fairly similar clinical expressions of the same embryonic deficiency of rhomboencephalic neurulation. PMID- 6574568 TI - [Cheiloplasty-jaw osteoplasty using a modified R. Millard-V. Veau technic]. AB - Children having a large labiopalatine cleft, show surgical, orthopedic and esthetic problems which are frequently difficult to solve. The author makes a description of the surgical technique he has employed in 45 children who were operated between the years 1976 and 1982. All the sicks have been observed in their evolution by the same team composed of the maxillo-facial surgeon, the orthopedist and the dentist who makes the odontologist treatment. The investigation consists of a critical analysis of the evolution of the sick, and this is the first part of a more complete work in which more important results from the radiographic and orthopedical points of view are expected to obtain. The chirurgical technique described seems to improve the immediate and later results in relation to those which close the cleft in several times. PMID- 6574569 TI - [Atypical mycobacterial cervical adenitis]. PMID- 6574570 TI - [Indications for the site of mandibular osteotomies in the correction of dysmorphism]. PMID- 6574571 TI - [Thumbsucking in orthodontics. Its treatment by behavior therapy]. PMID- 6574572 TI - [Conservation of the mandible by osteotomy-osteosynthesis in "trans-mandibular" oropharyngectomy. 34 case reports]. AB - Trans-mandibular oropharyngectomy was performed in 34 patients, as initial treatment in 20 cases and following tumoral recurrence after radiotherapy in the other 14 cases. Results indicate that mandibular conservation is possible when bone is not affected by the neoplastic process and when an oropharyngoplasty ensures perfect covering of the mandible. The site of choice for osteotomy osteosynthesis appears to be the parasymphysial region, as this provides a very satisfactory route of approach, the mental nerve and innervation of the lip are respected, it is situated outside of the irradiation field (before or after surgery), and there are no dental articulation complications. PMID- 6574573 TI - [Ligation of the external carotid in the parotid space. Its surgical significance]. AB - The classical procedure of external carotid artery ligature in the carotid sulcus presents certain difficulties: The subdiagastric lymph nodes and branches of farabeuf's venous trunk must be avoided, and major nerves and vessels, including the hypoglossal nerve, internal carotid artery, and internal jugular vein, identified and protected. An approach to the external carotid artery at its entry into the parotid space, as employed in parotidectomy, avoids such problems due to major anatomical elements. This technique appears to be simpler, less restrictive, and more rapidly accomplished than the classical method of ligature, when its objective, the most frequent one, is arrest or prevent ion of hemorrhage in the region supplies by the internal maxillary artery. PMID- 6574574 TI - [Technical aspects of reconstruction of the mandibular region using composite flaps of the latissimus dorsi]. AB - Anatomical data from 20 laboratory dissections are employed to describe a composite flap associating skin, the latissimus dorsi muscle, and ribs, important anastomoses existing between the intercostal and inferior scapula vascular systems. Two cases were treated by single-stage extensive reconstruction of the mandibular region employing this osteomusculocutaneous flap of the latissimus dorsi. PMID- 6574575 TI - [Outcome of mandibular osteosynthesis]. PMID- 6574576 TI - [Peri-maxillary archs for bimaxillary immobilization in maxillo-facial surgery. Advantages. Inconveniences. Suggested usage]. PMID- 6574577 TI - Polarized light study of giant tubules in human and red deer coronal dentin. AB - Previously described giant tubules in human and red deer coronal dentin have been subjected to a study by polarized light microscopy. Structure of the giant tubules was similar in both species. The lumen of each tubule was bordered by a 5 15-micrometers-thick collagenous mantle in which the fibers were orientate parallel to its long axis. In a circular dentin area encompassing the mantle, the course of the collagen fibers might be characterized as a winding of fibers around the cylindrical mantle. This structure of the giant tubules conforms with that described earlier in the rudimentary maxillary canine of a red deer. Thus, such tubules do not represent a rare anomaly, but occur regularly in both human and red deer coronal dentin. PMID- 6574578 TI - Arrestment of caries in rats by adding fluoride and magnesium to the diet. AB - 90 weanling Osborne-Mendel rats were divided into six groups of 15 animals each. Half of them received a modified MIT 200 control diet in which one third of the sucrose of the original formula was replaced by high-extraction wheat fluor, magnesium content reduced to 360 parts/10(6) and phosphorus content increased NaH2PO4 . 2H2O to 0.49%. For the experimental diet, an additive containing 75 parts/10(6) fluoride as (NaF) and 50 parts/10(6) magnesium (as MgO) was mixed into the above composition. Each diet was given to three experimental or three control groups for 25, 40, or 55 d. Caries involving dentin-enamel junction was significantly reduced through the F+Mg addition by 37%, 51%, and 61% on the 25th, 40th, and 55th day, respectively. Caries involving dentin was significantly reduced by 58%, 68%, and 70%, respectively. Caries arrestment was observable in both the control rats and rats fed the F rMg additive but in the latter animals the reduction meant an arrestment at a lower level than in controls. This arrestment resembles an early caries arrestment obtained recently in a clinical trial by fluoridation of dietary sugar products. The growth of the animals was only temporarily retarded by the additives. PMID- 6574579 TI - Effect of SnF2, administered as mouthrinses or topically applied, on Streptococcus mutans, Streptococcus sanguis and lactobacilli in dental plaque and saliva. AB - Mouthrinsing with SnF2 reduced the Streptococcus mutans population in plaque and saliva and the proportion of Streptococcus sanguis in plaque. The effect was of short duration: 2 weeks after treatment the values of S. mutans in plaque and saliva were even higher than the pretreatment values. Topical SnF2 applications reduced the S. mutants population in plaque and saliva but did not reduce the proportion of S. sanguis in plaque. The effect was more prolonged : 4 weeks after treatment the S. mutans population in interproximal plaque remained significantly reduced and the salivary levels of the organism had not fully returned to pretreatment levels. Both SnF2 treatments significantly increased the salivary levels of lactobacilli. The values of lactobacilli in saliva remained significantly increased 4 weeks after the SnF2 mouthrinsing but had almost returned to pretreatment levels within 2 weeks after the topical SnF2 applications. The findings suggest that the cariogenic potential of dental plaque is differently affected depending on whether a drug is administered as a mouthrinse or is applied topically. PMID- 6574580 TI - Copper in human subgingival calculus. AB - The Cu concentration as well as the Ca, Mg, Fe, Pb, Zn, and F concentrations were determined in subgingival calculus and the relation of Cu to Zn, Ca, Mg and Fe described. Samples of human subgingival calculus of 60 pieces from 60 subjects were ashed in an acid solution and the cation concentrations were determined with atomic absorption spectrophotometry. The F content was analyzed with an ion selective electrode. The data was analyzed using the multiple linear regression analysis. The mean +/-SD of the Cu concentration in the subgingival calculus was 48.4+/-59.0 micrograms/g. Four elements, Zn, Ca, Fe and Mg, explained 41.1% of the Cu content. Zn explained 25.5% and the correlation was positive, whereas Ca (10.4%) had a negative correlation with the Cu content. The results showed such a high Cu content that it could affect the mineralization of calculus. PMID- 6574582 TI - Abrasion of microfill restorative resins in Class 1 cavities. AB - Abrasion of Class 1 microfill restorations has been studied over a period 2 years. The materials used were the commercial products Isomolar (Ivoclar, Liechtenstein) and Silar (3 M Co., U.S.A.). All fillings were placed in permanent mandibular first molars of Copenhagen schoolchildren. The abrasion for Isomolar (29 fillings) was found to be 9.8 +/- 10.3 (range -9 to 28) micrometers per year, and for Silar (27 fillings) 11.8 +/- 13.0 (range -5 to 41) micrometers per year. Statistically no difference could be demonstrated between the two products. PMID- 6574581 TI - Quantitative relationship between yeast and bacteria in denture-induced stomatitis. AB - Quantitative cultural studies of yeasts and bacteria were made from 7-day-old denture plaque accumulate on pieces of self-adhesive tape stuck on the fitting surface of the maxillary denture in 17 edentulous subjects with healthy oral mucosa and in 27 patients affected with denture-induced stomatitis. Significantly higher numbers of yeasts and bacteria were cultured in the stomatitis patients than in the controls. This indicates that the rate of plaque formation is increased in patients with denture-induced stomatitis. Yeasts usually constituted less than 1% of the anaerobic bacterial counts, but the percentage of yeasts was significantly higher in the stomatitis patients than in the controls. There was a significant correlation between initially higher yeast counts and improvement of the clinical condition of the palatal mucosa following antimycotic treatment. In some patients only bacteria were grown and antimycotic treatment had no effect. The study supported the contention that yeast antigens and toxins of denture plaque are significant factors in initiation and maintenance of denture-induced stomatitis. However, bacteria may also be involved as pathogens. PMID- 6574583 TI - Histopathology of benign gingival fibroblastic lesions with special reference to odontogenic fibroma and recurrence rates. AB - Histopathologic and clinical reexamination of 84 cases diagnosed as peripheral odontogenic fibroma showed 56 cases with no evidence of recurrence, 12 with possible single recurrence and 16 with verified single or multiple recurrences. An effort was made to correlate the histopathologic appearance with the recurrence rate. Three different types of lesions could be identified: fibrous epulis, calcifying fibroblastic granuloma and various types of "fibroma", also showing a high recurrence rate. Our findings show that neither histomorphology nor recurrence rate can be used as a definite criterium to separate neoplasia such as odontogenic fibroma from other gingival fibrous overgrowths. PMID- 6574584 TI - Three-dimensional replicas of pit and fissure morphology in human teeth. AB - Nuva Seal replicas of pits and fissures from surgically removed unerupted human third molars and premolars, and from erupted premolars extracted for orthodontic reasons, were examined in the scanning electron microscope. The results confirm that the morphology on occlusal surfaces of third molars is extremely variable with numerous pits of considerable length positioned at various angles relative to the fissures. In contrast, the morphology of unerupted and erupted premolars is simpler with fewer and shorter pits positioned perpendicular to the fissure. It is pointed out that fine details of the morphology are lost when reconstructions of the occlusal morphology are made from serial ground sections. However, such reconstructions seem to be less reliable in third molars than in premolars. PMID- 6574585 TI - Effect of a sodium fluoride varnish on the progress of initial caries lesions. AB - Effect of applications of a sodium fluoride varnish, Duraphat, on progress of initial caries lesions was studied in 11-13-year-old children. All 60 children included in the study had high caries activity and life-long exposure to fluoridated drinking water. The varnish was applied semiannually using the half mouth technique, and annual clinical and radiographic examinations were made for 3 years. The treatment had little effect on the progress of initial caries lesions present before the first application of varnish. The progress of caries lesions formed during the study was inhibited more distinctly, and the difference between test and control side in the rate of progress of caries lesions was highly statically significant. Use of fluoride varnish seems to help prevent further development of early caries lesions. PMID- 6574586 TI - A light microscopical and microradiographic study of coronal dentin in red deer with special reference to the occurrence of giant tubules. AB - The coronal dentin of red deer (Cervus elaphus L.) was studied by light microscopy and microradiographyy. The material consisted of incisors from 10 animals, 2 1/2-6 1/2 years of age. Sections in the long axes of the crowns in the buccolingual and mesiodistal planes were prepared, as well as transverse sections. A few crowns were also examined in toto. A system of giant tubules of the same type as in human dentin is described. It was, however, characterized by more regularity in the number and the morphology of the tubules. As in human dentin, the giant tubules extended from the border of the pulpal cavity and could be followed, though not continuously, through secondary and primary dentin almost to the incisal dentinoenamel junction. Up to 60 giant tubules could be counted in the mesiodistal axis of the dentin. Contrary to the situation in man, areas of interglobular dentin were abundant in the crowns. PMID- 6574587 TI - Plasma fibronectin deficiency during chemotherapy of acute myeloid leukaemia. AB - Plasma fibronectin was determined using a laser nephelometric method in 10 patients with acute myeloid leukaemia undergoing chemotherapy. There was a continuous fall during the first 3 weeks to about 50% of the normal level. The decrease of fibronectin may contribute to the lowered resistance against infection characteristic of these patients. PMID- 6574588 TI - Correlation between chromosomal pattern, cytological subtypes, response to therapy, and survival in acute myeloid leukaemia. AB - Chromosomal karyotypes were determined with standard G-banding in 103 patients with acute myeloid leukaemia (AML). Abnormal clones were present in 52 (50.5%). Higher frequencies of abnormalities were observed in male than in female patients and in erythroleukaemia (EL) than in other subtypes of AML. Abnormalities were more frequent in myeloblastic (AMyL) than in myelomonocytic leukaemias (AMML) and mixtures of both normal and abnormal karyotypes were more common among elderly patients; these differences, though of marginal statistical significance, are consistent with previous reports. 9 of 10 cases with 5 or more aberrant chromosomes and 6 of 8 cases with unidentified marker chromosomes were either AMML or EL. Remission rates, median survivals and relative death rates were collated in 82 patients, in relation to the karyotype patterns NN (all normal), AN (mixed normal and abnormal) and AA (all abnormal). The differences between the groups did not reach statistical significance. Serial cytogenetic studies were performed in 10 patients. New karyotype changes emerged in only 1 of 6 relapses. 4 examples of t(8;21) and 2 of t(15;17) were found. 1 case of AMML showed trisomy 8 and double minute chromosomes. 1 case of EL showed 2 marker chromosomes with homogeneously staining regions. PMID- 6574589 TI - Emperipolesis and annulate lamellae in erythroleukaemia. AB - The bone marrow in the erythraemic phase of 2 erythroleukaemia patients was studied electron microscopically. Emperipolesis of erythrocytes as well as annulate lamellae were revealed in the cytoplasm of the erythroblasts of these cases. It is assumed that these findings show a high rate of erythroblastic proliferation. This is the first report of emperipolesis within the erythroblast by erythroleukaemia. In addition, other various abnormalities, namely, nuclear cytoplasmic asynchrony, nuclear bleb or cleft formation, abundant glycogen particles and ferruginous micelles in mitochondria such as described in some previous reports, were also recognized. PMID- 6574590 TI - Immunological typing of acute lymphoblastic leukaemia. AB - The blasts of 37 adult and 126 childhood cases of acute lymphoblastic leukaemia (ALL) were characterized with a panel of xeno-antisera and rosette tests. The Orthoclone monoclonal antibodies (OK series) were applied as well. Like other investigators, we were able to distinguish 4 major classes of ALL: T-ALL, common ALL with the subclass pre-B-ALL, null-ALL, and B-ALL. We did not encounter a common-ALL antigen-positive T-ALL subclass. In both adult and childhood ALL, all classes were present, and in about the same frequency as reported by others. In children, common-ALL was the most frequent (66%); in adults, null-ALL (38%). T ALL was seen both in adults and in children with about the same frequency (27 and 23%, respectively). We found pre-B-ALL only in children. Patients with B-ALL comprised the smallest group in both adult and children (8 and 1.5%, respectively). The application of the OKT antibodies led to recognition of 3 major subclasses of T-ALL: an immature, a common thymocyte and a mature thymocyte subclass. These antibodies were helpful in defining a better classification of null-ALL. With regard to remission induction and prognosis in adult ALL, complete remissions were always obtained in T-ALL, followed by 70% of complete remissions in common-ALL. The worst prognosis was encountered in null-ALL and B-ALL, with 50 and 0% remission, respectively, and a shorter survival in null-ALL of those patients who achieved complete remission. Thus, in high number of cases of null ALL in adults partly explains the generally much worse prognosis for adult ALL. PMID- 6574591 TI - A case of L1 acute lymphoblastic leukaemia relapsing in L3 (Burkitt's type) with non-T, non-B cells. PMID- 6574592 TI - A new glucose 6-phosphate dehydrogenase variant (G-6-PD Verona) in a patient with myelodysplastic syndrome. AB - A 67-year-old woman investigated because of 'myelodysplastic syndrome' was found to have a 4-fold increase in G-6-PD activity in her erythrocytes. The enzyme was partially purified and characterized. On grounds of: (a) reduced electrophoretic mobility, (b) abnormal cathodic band(s) in isoelectrofocusing, (c) increased Michaelis constant for glucose 6-phosphate, (d) abnormal thermostability, and (e) abnormal interaction with the ligand NADPH, we conclude that this is a new structural variant which we designate G-6-PD Verona. G-6-PD Verona was the sole apparent source of G-6-PD activity in the patient's erythrocytes; by contrast, the patient's fibroblasts had only normal G-6-PH (type B). The patient's haematological course terminated into acute myeloid leukaemia. We believe G-6-PD Verona was the result of a somatic mutation in an X-chromosome which took place in a haemopoietic cell clone which subsequently underwent neoplastic transformation. PMID- 6574593 TI - Chronic myelocytic leukaemia: cytogenetical studies on haemopoietic colonies and diffusion chamber cultures. AB - In 20 patients with chronic myelocytic leukaemia in the chronic phase or in blast crisis, several in vitro (CFU-C, BFU-E) and in vivo (diffusion chamber) culture techniques were used to demonstrate the existence of a still diploid cell clone. In 4 out of 12 patients in the chronic phase, Ph1-negative metaphases were found in the various cultures for haemopoietic progenitor cells but not in the standard suspension cultures used for cytogenetics. However, all the 8 patients investigated during blast crisis had only Ph1-positive and other abnormal clones, indicating the loss of the diploid clone during progression of the disease. PMID- 6574594 TI - [Results of the surgical treatment of temporomandibular joint ankylosis with the interposition of lyophilized bank cartilage disks]. PMID- 6574595 TI - [Hygiene problems in dental practice]. PMID- 6574596 TI - [Oral physiotherapy--an additional aid for myoarthropathy patients]. PMID- 6574597 TI - [Dental photography: the Contax-Dental System]. PMID- 6574598 TI - [Oral hygiene control by self-assessment of papillary bleeding]. PMID- 6574599 TI - The assessment of fetal lung maturity with phospholipid profiles: the importance of phosphatidylglycerol. PMID- 6574600 TI - Seventeen year old Caucasian male with recurrent abdominal pain. PMID- 6574601 TI - Is thymosin action mediated by prostaglandin release? AB - Treatment of spleen cells derived from adult thymectomized mice with thymosin fraction 5 resulted in a rapid and dose-dependent stimulation of the release of immunoreactive prostaglandin E2. The release of prostaglandin E2 was associated with induction of theta antigen and was totally inhibited by indomethacin. In contrast, prostaglandin E2 release from spleen cells from intact donors was inhibited by treatment with fraction 5. The data support the concept that prostaglandin E2 mediates the effects of thymosin fraction 5 on lymphocytes. PMID- 6574602 TI - Transcriptional regulation of globin gene expression in the human erythroid cell line K562. AB - The effect of hemin on the rate of synthesis and the level of globin messenger RNA's in the human erythroid cell line K562 was examined by means of cloned hybridization probes specific for each of the human embryonic, fetal, and adult globin genes. Hemin increases both the rate of transcription and the level of accumulation of zeta-, epsilon-, gamma-, and alpha-globin messenger RNA's by a factor of 3 to 5. Thus, hemin induction of globin gene expression in K562 cells is at the level of transcription. PMID- 6574603 TI - Clerics urge ban on altering germline cells. PMID- 6574605 TI - Chronic granulocytic leukaemia. A 10-year experience in the Black, Coloured and White populations of the south-western Cape Province. AB - In a 10-year retrospective analysis of 92 patients in the stable phase of chronic granulocytic leukaemia, the three major race groups (White, Coloured and Black) in the south-western Cape were compared. There were consistent differences in respect of age, sex distribution, and the presence of the Philadelphia chromosome. Despite these differences the clinical presentation, haematological features, response to treatment and survival rates did not vary significantly. PMID- 6574604 TI - Inhibitory role of the endothelium in the response of isolated coronary arteries to platelets. AB - Aggregating autologous platelets caused contraction of isolated rings of canine left circumflex arteries. The contractions were augmented after removal of the endothelium and were attenuated by serotonergic antagonists. During contraction caused by prostaglandin F2 alpha, aggregating platelets caused a transient increase in tension followed by a profound relaxation of arteries with endothelium, but caused only further contraction of arteries without endothelium. These observations demonstrate the importance of the vascular endothelium in opposing the constriction of coronary vessels caused by 5-hydroxytryptamine and other substances released from aggregating platelets. PMID- 6574606 TI - Management of dentin dysplasia and facial disharmony. PMID- 6574607 TI - A survey of hospital ambulatory dental programs in Massachusetts. Part 1: An overview. PMID- 6574608 TI - Structural gene coding for multifunctional protein carrying orotate phosphoribosyltransferase and OMP decarboxylase activity is located on long arm of human chromosome 3. AB - In humans, deficiency in the last two enzymes of UMP biosynthesis, orotate phosphoribosyltransferase (OPRT) and OMP decarboxylase results in the inborn error of metabolism hereditary orotic aciduria, type 1. In this manuscript, we present immunologic, molecular, biochemical, and genetic evidence that the gene coding for this set of enzymatic activities is located on the long arm of human chromosome 3. The evidence presented here is consistent with both these activities being carried on the same multifunctional protein in mammalian cells. These studies allow further genetic analysis of human chromosome 3, confirming that human markers ACY-1, previously assigned to 3p21, and beta-gal, previously assigned by others to the region 3(p21-q21), must be in the region 3 (cen-p21) and confirming the regional assignment of a human DNA segment, D3S1, to 3q12. The significance of these studies to genetic analysis of genes on human chromosome 3, some of which appear to play a role in some forms of malignancy, is discussed. PMID- 6574609 TI - Determination of dental age in adopted non-European children. AB - Adoption and immigration have brought about a considerable number of non-European children living in Sweden. Frequently the date of birth and age of the child are estimates of some uncertainty. In order to find out whether dental age could be useful in these cases a determination of dental age, according to methods described by Gustafson & Koch (1974) and by Liliequist & Lundberg (1971) was carried out in 44 non-European adoptive children, 23 with certain and 21 with uncertain date of birth. The results showed good agreement between the two methods and for children whose date of birth was certain, dental age determination was reliable, regardless of sex and race. For almost half of the children of uncertain age, however, dental age differed by a year or more. This may be seen as evidence of the difficulty in estimating the correct age in the native country and to asses the correctness of this estimate at the routine medical checks at present carried out upon arrival in Sweden. It can be concluded that in order to assign a reliable year of birth all adoptive or immigrant children whose age is at all uncertain should also be subjected to adequate odontological age determination. PMID- 6574610 TI - Immediate and prolonged effect of individual preventive measures in caries and gingivitis susceptible children. AB - A longitudinal study on the effect of an individualized preventive program was carried out on 10-11 year old children with higher caries and/or gingivitis prevalence than the average. The program was based on bimonthly professional toothcleaning as well as hygiene and dietary instructions. After an introductory period of 3 months the frequency of visits was individualized according to the gingival condition of the children (every 2nd to 4th week). For one group this program was supplemented by instruction in dental flossing for proximal tooth cleaning on a daily basis. The effects of the preventive measures were evaluated after an experimental 2 year period. Two years after withdrawal of the preventive measures, the longitudinal effects were recorded. In all 627 children were examined and of these 87 children were selected for the study on gingival and cariological indications. It was possible to follow 74 children throughout the 4 year period. After 2 years the number of new caries lesions was significantly reduced in the test groups as compared to the controls. The caries increment in the test group was 1.7 new surfaces per individual and in the control 4.5. The corresponding figures at the follow-up examination was 8.5 and 5.9 respectively. Thus any prolonged effect of the preventive program could not be confirmed. An improved cariological status was also recorded among the children selected on gingival indications. The increment was 0.8 in the test and 3.8 in the control group during the experimental period. The corresponding figures at the supervisory control was 1.8 and 4.6 new surfaces respectively indicating a prolonged effect among these children. The interpretation of the results from the "flossing" group was not clear-cut, since the flossing was performed unsupervised. However, no new decayed tooth surfaces were recorded in those children who had claimed that they had used floss at least every second day. The gingival situation improved in all test groups and was visible even in the follow up study. PMID- 6574611 TI - Fortnightly fluoride rinsing combined with topical paintings with a fluoride solution containing Fe- and Al-ions. AB - In clinical trials conducted for three and five years respectively the combined effect of fortnightly sodium fluoride rinsing and topical painting every fourth month with a ferric aluminum fluoride solution was found to be significantly more caries preventing than the combined effect of fortnightly sodium fluoride rinsing and topical painting every fourth month with a neutral 0.2% sodium fluoride solution. PMID- 6574612 TI - [Prostaglandin F2 alpha content of the blood of bronchial asthma patients]. PMID- 6574613 TI - HLA associations in Italian and non-Italian Caucasoid aplastic anaemia patients. AB - A reassessment of HLA-A and B antigen associations in patients with severe aplastic anaemia confirmed the significantly elevated frequency of HLA-A2 in Caucasoid patients reported by Albert et al. (1976). In addition, a highly significant increase in the frequency of HLA-B14 in Italian patients was observed in an initial sample of 25 patients and confirmed in a second sample of 16 patients. This latter finding was cancelled out when the Italian Caucasoid patients were pooled with the non-Italian Caucasoid patients. These results suggest that the classification of populations as "Caucasoids", without examining their ethnic origins, may introduce a serious confounding error into HLA and disease studies. PMID- 6574614 TI - A new HLA-A antigen, called LN, closely related to A25, A26 and Aw34. PMID- 6574615 TI - Assignment of the leucocyte group five surface antigens to human chromosome 4. PMID- 6574617 TI - HLA antigen frequency in erythema multiforme and in recurrent herpes simplex. AB - In this study the HLA antigen frequency was determined in a group of patients with erythema multiforme and in a separate group of patients with recurrent herpes simplex to establish whether either disease had any antigens whose frequency deviated from that of a normal population. The frequency of HLA-B15 was significantly increased in both patient groups (P less than 0.5). The increase in the erythema multiforme group does not appear to be due to the fact that some of the erythema multiforme patients have associated herpes simplex and this increase remained significant after further correction for the number of antigens tested. PMID- 6574616 TI - Study of a family with Cerebrotendinous Xanthomatosis. No HLA linkage, but an informative recombination between HLA-B and Bf. AB - A large family with three children affected with the autosomal recessive disease of Cerebrotendinous Xanthomatosis (CTX) was studied for class I (HLA-A,B,C) and class II antigens (HLA-DR,D,SB), properdin factor B and glyoxalase. The extensive typing revealed an informative cross-over between HLA-B and Bf, indicating that Bf is located centromeric to the HLA-B locus and segregated in this family with HLA-D/DR. The parents in this family were first cousins and their parents were also first cousins. Three of their four haplotypes share B14, BfS, DR1, Dx and SB4 and may be identical by descent. The three affected children carried among them all four parental haplotypes, indicating that close linkage of the CTX locus to HLA is unlikely. PMID- 6574618 TI - HLA-DR and HLA-A, B, C typing of human fetal tissue. AB - In anticipation of clinical trials of fetal pancreas transplantation we have investigated the feasibility of performing HLA-DR and HLA-A, B, C typing on fetal lymphoid cells other than PBL. Using the standard NIH microcytotoxicity test modified for HLA-DR typing it was possible to demonstrate HLA-DR antigens on subpopulations of bone marrow cells and splenocytes but not on thymocytes or hepatocytes. In contrast, HLA-A, B, C antigens could be detected on all four tissues. Excellent HLA-DR typing, confirmed by maternal typing, was obtained for 19 fetuses (14 to 23 weeks old) using bone marrow cells isolated by two-fold purification on discontinuous Percoll buoyant density gradients. Similar purification of splenocytes resulted in weak reactions with anti-DR sera; however, adherent splenocytes recovered from nylon wool columns proved to be primarily DR-bearing and also provided excellent DR typing. As a corollary to these results, non-adhering splenocytes depleted of DR-bearing cells were ideal for HLA-A, B, C typing since spurious reactions due to DR antigens were greatly diminished, whereas strong specific reactions were obtained with anti-HLA-A, B, C sera. Despite weaker reactions with HLA-A, B, C antisera obtained for thymocytes, reliable HLA-A, B, C typing could be obtained when results from thymocytes were evaluated together with typing from bone marrow cells or splenocytes. The possible benefits of fetal HLA typing for fetal pancreas transplantation are discussed. PMID- 6574619 TI - Enzymatic modification of the lymphocyte surface. Application to tissue typing and rosetting with sheep erythrocytes. AB - Lymphocytes were treated with hydrolytic enzymes primarily to assess whether such modified cells would give improved cytotoxicity reactions during tissue typing. Papain-treated and alpha-chymotrypsin-treated lymphocytes were approximately twice as sensitive as untreated cells in the microcytotoxicity test used, and this finding might be usefully exploited by immunological laboratories for purposes of cross-matching, HLA antibody screening and HLA-DR typing. Trypsin treatment promoted massive cell clumping, while neuraminidase treatment was responsible for indiscriminate cell death after exposure to rabbit serum. The capacity of lymphocytes to form rosettes with sheep erythrocytes was abolished after treatment with trypsin or alpha-chymotrypsin, but enhanced by papain or neuraminidase. PMID- 6574620 TI - HLA-AB and -DR types in patients with infectious mononucleosis (IM). AB - The frequency of HLA-A, -B and -DR antigens in 48 infectious mononucleosis (IM) patients was studied and the antigen frequencies were compared with those of a local panel. The resulting data do not confirm the association of IM and HLA-B35 as reported in a previous work. A high and significant frequency of blank HLA-DR phenotypes was noticed in IM population during the acute phase, but HLA-DR phenotypic expression was restored after recovery. This lack of expression could be the result of modified HLA-DR expression on circulating EBV infected B lymphocytes. PMID- 6574621 TI - Histocompatibility antigens in varicocele. A prospective study. PMID- 6574622 TI - HLA-A,B and DR antigens in North Carolina Blacks with sarcoidosis. PMID- 6574623 TI - [Comparative morphological characteristics of caries-like lesions of the enamel]. PMID- 6574624 TI - [Ultrastructure of the dental enamel and dentin of the dog]. PMID- 6574625 TI - [Microscopic changes in the dental pulp and periodontal tissues in the surgical treatment of open bite]. PMID- 6574626 TI - [Corrective effect of ascorbic acid on the status of the sympatho-adrenal system in patients with chronic recurrent aphthous stomatitis]. PMID- 6574627 TI - [Unresolved medical technology aspects of rheoperiodontography]. PMID- 6574628 TI - [Use of local hypothermia in treating disease of the periodontium and oral mucosa]. PMID- 6574629 TI - [Immunoglobulin composition in the venous and capillary blood serum of the gingiva and in the mixed saliva of gingivitis and periodontosis patients]. PMID- 6574631 TI - [Therapeutic procedure in maxillofacial injuries combined with craniocerebral trauma]. PMID- 6574630 TI - [Clinical aspects of cicatricial deformities of the eyelids after deep burns of the face]. PMID- 6574632 TI - [Traumatic osteomyelitis of the mandible and its prevention]. PMID- 6574633 TI - [Vacuum drainage and local oxygen therapy in treating patients with abscesses and phlegmons of the maxillofacial area]. PMID- 6574634 TI - [Spontaneous neutrophil rosette formation in washings from the oral cavity in patients with various stomatological diseases]. PMID- 6574635 TI - [Staphylococcal carrier state in dental students]. PMID- 6574636 TI - [Clinico-morphological characteristics and surgical treatment of cysts of the incisive canal]. PMID- 6574637 TI - [Methods for the conduction anesthesia of areas innervated by the anterior and median superior alveolar nerves]. PMID- 6574638 TI - [Surgical treatment of patients with maxillary prognathism and macrognathia]. PMID- 6574639 TI - [Periodontal tissues in sagittal bite anomalies in adults]. PMID- 6574640 TI - [Galvanism in patients wearing dentures made of silver-palladium alloy]. PMID- 6574641 TI - [Comparative evaluation of the distribution of stresses in the periodontium by a photoelasticity method]. PMID- 6574643 TI - [Method of determining the anthropometric points in teleroentgenography of the skull]. PMID- 6574642 TI - [Prosthesis of patients with prognathic bite complicated by partial dentition defects]. PMID- 6574644 TI - [Dental caries in the "dry syndrome" (Sjogren's syndrome)]. PMID- 6574645 TI - [Use of ketamine in dental interventions in children]. PMID- 6574646 TI - [Use of thin-walled metal crowns with children]. PMID- 6574647 TI - [Use of an adaptive bioregulation method for correcting masticatory muscle function in the apparatus treatment of maxillodental anomalies in children]. PMID- 6574648 TI - [Population demand for dentures]. PMID- 6574649 TI - [New plastic Bakril]. PMID- 6574650 TI - [Remodent]. PMID- 6574651 TI - Acute myeloblastic leukemia after adjuvant chemotherapy with melphalan in breast cancer. Case report with cytogenetic analysis. AB - Therapy of solid and hematologic tumors with alkylating agents appears to increase the frequency of acute non-lymphocytic leukemia (ANLL), as indicated by the cases reported in the literature. The carcinogenetic mechanism of alkylating agents seems related to their ability to damage DNA, and this is supported by the findings of multiple cytogenetic abnormalities in these patients. We report a case of ANLL secondary to therapy with melphalan, which was utilized on an adjuvant basis for breast cancer. ANLL developed 24 months after chemotherapy was discontinued. Results of the cytogenetic analysis in our patient showed multiple rearrangements and marker chromosomes. Among these was a large metacentric chromosome, identified in 6 of 8 karyotypes, in the size range of group A, which probably resulted from a translocation t(7;14) (7qter leads to 7p11::14p11 leads to 14qter). The natural history of the underlying disease and of the ANLL in our patient and data from chromosomal analysis seem to confirm the hypothesis that alkylating agents are potentially leukemogenic in man, probably through genetic damage. This possibility should be considered when such cytotoxic drugs are used in an adjuvant setting. PMID- 6574652 TI - Effect of prostaglandin on urethral resistance and micturition. AB - The effect of four exogenous prostaglandins, PGA1, PG802, PGE2 and PGF2 alpha, upon the lower urinary tract was investigated in female mongrel dogs without neurogenic lesions in vivo. The urethral resistance was studied by means of a urethral pressure profile, and the bladder function by evaluating whether or not the micturition was triggered. The reduction of urethral resistance in terms of the maximum urethral closure pressure was most significant with PGE2 given intraaterially. Micturition was most frequently provoked by the intravenous administration of PG802, a derivative of PGE1. PGE series seemed to be the most potent for the evacuation of urine in female dogs. PMID- 6574653 TI - [Content of 5-methylcytosine in DNA fractions in normal human leukocytes and in chronic leukoses]. AB - A procedure is described for fractionation of DNA obtained from leukocyte lysates of healthy donors and of patients with chronic leukoses using silica gel column chromatography. Lymphocytes and granulocytes of healthy donors as well as leukocytes from patients with chronic lympho- and myeloleukosis were dissimilar in the fractional composition of DNA. Nucleotide composition was studied; content of the DNA I fraction varied distinctly both in healthy donor granulocytes and in leukocytes of patients with chronic myeloleukosis as well as in leukocytes of patients with chronic lympho- and myeloleukosis. All the DNA fractions from leukocytes of healthy donors and of patients with chronic leukoses were dissimilar also in content of 5-methylcytosine. PMID- 6574654 TI - [Characteristics of a control group for evaluating the effectiveness of treatment of patients with osteogenic sarcoma]. AB - An analysis of the data on 273 cases of primary osteogenic sarcoma of long tubular bones, treated by surgery only, established a 3-year recurrence-free survival in 13.2%. It is suggested that the 3-year survival period in 13% of cases be used as a reference point in evaluating other methods of treatment of this disease. PMID- 6574655 TI - Pain and its pharmacologic manipulation. PMID- 6574656 TI - Emergency thyroidectomy for tracheal obstruction. PMID- 6574657 TI - The noninvasive diagnosis of coronary artery disease. PMID- 6574658 TI - A presumptive nasoalveolar cyst diagnosed and treated with radiopaque packing. PMID- 6574659 TI - [Prostaglandin E2--an improvement in the therapy of bladder emptying disorders?]. AB - 21 patients suffering from bladder motor disturbances were investigated by simultaneous pressure-flow studies before and after intravesical application of PGE2. The detrusor response as well as the influence on the bladder outlet resistance were registered. A remarkable improvement of the detrusor function could only be obtained in cases with intact sacral reflex-arcs with isolated transitory myogenic disturbances. Neuromyogenic bladder disturbances could not be influenced permanently by PGE2 instillations. PMID- 6574660 TI - Differentiation of monocytes in vitro as demonstrated by scanning electron microscopy: cell defects in childhood acute leukemia. PMID- 6574661 TI - Ultrastructural observation on a case of preleukemia transformed to hypogranular promyelocytic leukemia. PMID- 6574662 TI - A case of acute promyelocytic leukemia (APL) followed by microgranular type APL. PMID- 6574663 TI - A case of paroxysmal nocturnal hemoglobinuria terminating in erythroleukemia after 22 years' observation. PMID- 6574664 TI - Smouldering leukemia: cytochemical changes of leukemic cells associated with karyotypic evolution in transition to overt leukemia. PMID- 6574665 TI - Experience with prostaglandins for therapeutic abortion in Norway. Their need and their benefits. AB - Since 1977 the number of therapeutic abortions has been decreasing in Norway, a trend which is probably due to improved contraceptive practice. The results with PGs used for cervical dilatation in late first trimester and induction of abortion in the second trimester are reported. Pretreatment overnight or for 3-4 hours simplified the surgical procedure and Sulprostone (Schering AG) caused fewer side effects than 15(S) 15 Me F2 alpha. In the second trimester 15(S) 15 Me F2 alpha was administered by different routes and in different doses. 16,16 diMe trans delta 2E2 was given only as vaginal suppositories. Side effects were fewer by the intraamniotic route than by the other routes. The need for and benefits of PGs for therapeutic abortions are discussed. PMID- 6574666 TI - Prostaglandins as abortifacients in Denmark. AB - Within the last few years intra-amniotic (i.a.) instillation of prostaglandin F2 alpha (PGF2 alpha) has become the predominant method of second-trimester abortion in Denmark. The method is employed by nearly all the gynecological departments, where approximately 500 such procedures are carried out annually. Our own investigations have demonstrated that it is necessary to be somewhat restrictive in the administration of supplementary intravenous infusion of oxytocin. It is pointed out, illustrated by four case histories, that there is a potential risk of greater or smaller quantities of i.a. PGF2 alpha accidentally passing during the procedure to the circulation of the patient. This may result in circulatory collapse, among other things, possibly as a result of acute pulmonary hypertension. A number of safety measures are suggested to minimize this risk and to ensure effective treatment should such complications occur. PMID- 6574667 TI - Termination of early pregnancy. Future development. PMID- 6574668 TI - Pre-abortion treatment with a single vaginal suppository containing 9-deoxo-16,16 dimethyl-9-methylene PGE2 in late first and early second trimester pregnancies. AB - In the present study the efficacy of a new stable prostaglandin E analogue, 9 deoxo-16,16-dimethyl-9-methylene-PGE2 (9-methylene-PGE2), administered as a single vaginal suppository for preoperative dilatation of the cervical canal was evaluated in 382 mainly nulliparous patients. Late first trimester patients received either 20 mg 3 hours prior to or 30 mg 12 hours prior to vacuum aspiration. Early second-trimester patients received 40 mg of the analogue and vacuum aspiration was performed 12 hours later. The degree of cervical dilatation was related to the pretreatment time and the dose of 9-methylene-PGE2. However, even with 20 mg of the analogue and 3 hours pretreatment time, cervical dilatation was adequate in almost 40% of the patients and in the remaining women further mechanical dilatation was regularly performed with ease. The frequency of gastro-intestinal side effects was significantly lower than that found for comparable doses of 15-methyl-PGF2 alpha methyl ester administered by the same route. With 20 mg 9-methylene PGE2, side effects were very rare; only 9% of the patients experienced occasional episodes of vomiting. Three hours' pretreatment with 20 mg of the analogue seems suitable for late first trimester pregnant women in whom the abortion is performed on an outpatient basis. For early second trimester patients pretreatment with 40 mg 9-methylene-PGE2 for 12 hours followed by vacuum aspiration seems to be a better alternative than the two-stage procedures in current use. PMID- 6574669 TI - The cervix-ripening effect of the prostaglandin E analogue sulprostone, before vacuum aspiration in first trimester pregnancy. AB - The cervix-ripening effect of the prostaglandin E analogue 16-phenoxy-tetranor PGE2 methyl- and sulfonylamide, Sulprostone, was examined in 25 primigravidae and 19 women who had earlier been pregnant. Three hours before vacuum aspiration of a 1st trimester conceptus the patients received an i.m. injection of 0.5 mg Sulprostone and the cervical dilatation was assessed under general anesthesia by means of Hegar dilatators immediately prior to vacuum aspiration. In the primigravida group an average cervical dilatation to 7 mm was obtained, compared with 5 mm in a control group. Further dilatation occurred easily in 74% of the patients, compared with 14% in the control group. In the group of previously pregnant women an average cervical dilatation to 8 mm was obtained, compared with 6 mm in the control group. Further dilatation occurred easily in 86% of the patients, compared with 67% in the controls. Routine use of Sulprostone before vacuum aspiration of a 1st trimester conceptus is not recommended because of the rather high frequency of side effects. PMID- 6574670 TI - Induction of abortion by prostaglandins in the second trimester of pregnancy. A review. PMID- 6574671 TI - Methods for quantitative estimation of prostaglandins. AB - For an understanding of the biological role of prostaglandins and related compounds, specific and sensitive quantitative methods have to be developed. The three most frequently employed methods today are bioassay, gas-liquid chromatography combined with mass spectrometry, and radioimmunoassay. The advantages and disadvantages of these methods will be discussed. In the approach to the prostaglandin assay, a suitable parameter must first be selected, e.g. a primary prostaglandin, a metabolite, or a derivative of a prostaglandin compound. This parameter must be a compound that is really indicative of the endogenous prostaglandin levels, i.e. it must neither be enriched due to artifactual production, nor be degraded before analysis. It is also very important that the compound selected for analysis has been shown to be related to the biological situation under study. PMID- 6574672 TI - The use of prostaglandins for termination of abnormal pregnancy. AB - Termination of abnormal pregnancy has long been a major gynecological problem. Both surgical and non-surgical procedures are associated with a significant risk for both minor and major complications. Treatment with natural prostaglandins and especially prostaglandin analogues administered by non-invasive routes seems to be an attractive alternative to methods in current use. In the present study 68 consecutive patients with a missed abortion or hydatiform mole were treated with vaginal suppositories containing either 15-methyl-PGF2 alpha methyl ester or 9 deoxo-16,16-dimethyl-9-methylene PGE2. When the uterine size at treatment was 13 weeks or less, vacuum aspiration was performed 12 hours after start of prostaglandin therapy (group I: 41 patients). When the uterus was larger, curettage was performed only after abortion (group II: 27 patients). In group I approximately 45% of the patients aborted within 12 hours from the start of prostaglandin treatment. In the remaining patients the cervical canal was sufficiently dilated and the uterus contracted to allow an easy evacuation. In group II all patients aborted within 26 hours from start of therapy. No serious complications were observed. Both prostaglandin analogues seemed equally effective in terminating an abnormal pregnancy. The E analogue has the advantage of causing significantly fewer gastro-intestinal side effects than the F analogue, though temperature elevation is more common with the former. It may be concluded that vaginal administration of prostaglandin analogues is a simple and effective therapy for termination of abnormal pregnancy and seems to offer considerable advantages over methods in current use. PMID- 6574673 TI - The A-rod--a new possibility for cervical dilation and/or induction of uterine contractions for abortion or delivery by combined pharmacological and mechanical action. AB - A hydrogel compound (Sauflex, Special Polymers Ltd., London) which has the capacity to swell by absorbing surrounding fluid, was found to be capable of absorbing prostaglandins (PGE1, PGF2 alpha) in alcohol or saline during this process. After evaporation of the hydratized hydrogelic compound which restored its initial proportions and stiffness, rehydratization of the hydrogelic compound caused it to release the respective prostaglandin to the surrounding medium or tissues. The endocervical canal of first-trimester abortions was dilated by plain mechanical action of a rod-shaped hydrogel body (A-rod) inserted in the cervical canal. By loading the A-rod with PGF2 alpha (2-110 mg) the cervical canal was additionally widened and abortive contractions were elicited in the uterus. Further implications of the medical use of the A-rod are discussed. PMID- 6574674 TI - Experimental studies on the influence of prostaglandins on the connective tissue of the human cervix uteri. AB - The influence of prostaglandins (PGs) on the synthesis of collagen and proteoglycans in the human cervix was estimated by incubation in vitro of cervical biopsy samples in the presence of tritiated amino acids and glucosamine after addition of PGE2, PGF2 alpha and 6-keto-PGF1 alpha. In the follicular phase of the menstrual cycle PGs increased the labelling with [3H] glucosamine but reduced the labelling with [3H] hydroxyproline, [3H] proline and [3H] glycine. Conditions were reversed in the luteal phase. The stable metabolite of PGI2, 6 keto-PGF1 alpha, had an effect similar to that of the classical PGs. In the early period of the first trimester the pattern of PG effects was the same as in the luteal phase, i.e. the labelling with [3H] proline was increased and the incorporation of [3H] glucosamine was reduced after treatment with PG. At the end of the first trimester, PG affected the radiolabelling in an inverse way. It is concluded that PGs are involved in the control of the biosynthetic activity of the cervical connective tissue. PGs may play a role of modulators, reinforcing or accelerating the current biosynthetic activity, and directed mainly by hormonal, neuronal and other factors. PMID- 6574675 TI - Interaction between PGs and catecholamines on cervical collagen synthesis. AB - Specimens from the upper part of the cervix were excised and chopped into 1 mm thick slices. These were incubated in buffer containing [3H] proline fortified with PGE2 and/or NA and the incorporation into total protein was measured after various incubation periods. In certain experiments the slices were preincubated with reserpine to deplete the tissue stores of catecholamines. Both PGE2 and NA were able to influence the incorporation of [3H] proline in such a way that the stimulatory effect of PGE2 was counteracted by reserpine in the luteal phase of the cycle, while NA-stimulated incorporation of [3H] proline was inhibited by PGE2 in the late follicular phase. Both clinical and experimental studies have shown that PGs per se interfere with the biophysical and biochemical properties of the cervix. The present results indicate that there also exists an interaction between PGs and catecholamines. PMID- 6574676 TI - The impact on labor induction of intracervically applied PGE2-gel, related to gestational age in patients with an unripe cervix. AB - In 54 patients with an unripe cervix in late third trimester, in which gestational age had been properly determined by repeated ultrasound scannings, labor was induced by intracervical application of 0.5 mg PGE2 in viscous gel. It was found that the outcome of the induced labor was not related to the gestational duration, but to the pre-inductive cervical score. Thus, the number of successful inductions was smaller and induction-delivery time longer, the lower the cervical score. Moreover, instrumental deliveries occurred most frequently in nulliparous women, with a low pre-inductive cervical score. Taking into consideration the difficulties of labor induction in the present type of patient, the overall proportion of instrumental deliveries (17%, including 7% cesarean sections) was low. No maternal or fetal side effects were observed. It is concluded that intracervical application a small dose of PGE2 in gel can be recommended for cervical priming and labor induction in pre- and post-term pregnancy. PMID- 6574677 TI - Labor induction with prostaglandins. AB - Prostaglandins E2 and F2 alpha have been used for labor induction for more than 10 years. Many investigations have shown that these prostaglandins are effective, and within certain dosage schedules, safe oxytocics, even though the systemic administration is accompanied by side effects, mainly from the gastro-intestinal tract. Oral PGF2 appears to be the prostaglandin favored in recent years. It gives few side effects when administered in this manner. It is concluded from the present investigation and a study of the literature that oral PGE2 has certain advantages in comparison with other oxytocics for induction of labor at term, although it cannot entirely replace intravenous oxytocin. This, together with the relatively high cost of oral PGE2, will limit its use in the future for labor induction at term in normal cases. PMID- 6574678 TI - Low dose i.v. infusion of prostaglandin F2 alpha for induction of labor at term. AB - In 100 pregnant women at term, labor was induced for medical reasons by i.v. infusion of a low dose of prostaglandin F2 alpha (PGF2 alpha). With a dose not exceeding 6 micrograms PGF2 alpha/min, all patients were induced into labor. The mean induction-delivery time was 6.6 hours and the overall proportion of instrumental deliveries was 19%, including 6% cesarean sections. Very few side effects were observed. It is concluded that i.v. infusion of prostaglandin F2 alpha in a low dose regimen might be considered as an alternative to existing methods for the induction of labor at term. PMID- 6574679 TI - Prostaglandins and uterine contractility. PMID- 6574680 TI - Prostaglandins and oviductal function. AB - This review presents evidence of a specific involvement of PGs in the function of the human Fallopian tube. A role of PGE and PGF in ovum transport seems plausible, but data from human studies are still fragmentary. High estrogen levels in tissue at ovulation may cause 'tubal lock' by increasing the activity of the isthmic musculature. This effect might be exerted by an estrogen-dependent increase in the formation of PGF as well as by increased sensitivity to PGF. The elevation of progesterone levels in the early luteal phase would counteract the effect of estrogens by instead favoring E prostaglandins. PGE seems to relax the isthmic muscle, allowing the entry of the fertilized ovum into the uterine cavity. PMID- 6574681 TI - A study of the in vitro release profile of a new prostaglandin E2 delivery system for local administration in obstetrics. AB - The in vitro release profile of prostaglandin E2 (PGE2) from a starch polymer hydrogel was studied. Using a diffusion cell apparatus the in vitro release was measured in a cumulative manner based on a steady-state diffusion concept. The results showed that PGE2 was slowly released for a total of 18 hours. The rate of release was constant for up to 2 hours before changing to a lower value for the remaining time period. The PGE2-hydrogel showed sustained release characteristics which could be of significance in the clinical situation in providing a delayed release mechanism. PMID- 6574682 TI - The importance of prostaglandins in obstetrics and gynecology. Proceedings of the first symposium arranged by the Nordic Prostaglandin Association in Obstetrics and Gynecology in Are, Sweden, April 12-16, 1981. PMID- 6574683 TI - The effect of a prostaglandin synthetase inhibitor on the hormonal profile and the endometrium in women. AB - A prostaglandin synthetase inhibitor, naproxen, was given continuously throughout the menstrual cycle at a dose of 250 mg b.i.d. to 10 healthy fertile women. Blood samples were drawn three times a week during an earlier control cycle and during the treatment cycle and analyzed for LH, FSH, prolactin, estradiol and progesterone. Endometrial biopsies were taken in the secretory phase. Naproxen treatment did not suppress ovulation in any of the cycles and did not affect the corpus luteum function. In only one of the endometrial samples taken was the density of the lysosomes increased in the treatment cycle compared with the control cycle. PMID- 6574684 TI - Conization for preinvasive and early invasive carcinoma of the uterine cervix. PMID- 6574685 TI - Percutaneous estrogen therapy. Endometrial response and metabolic effects. AB - A hydroalcoholic gel containing estradiol-17 beta (0.6 mg/g) for percutaneous application was used for estrogen replacement therapy in postmenopausal women. During treatment the serum concentrations of estrogens were significantly increased and stable. The conversion of estradiol into estrone was far less pronounced after percutaneous vis-a-vis oral therapy. In terms of FSH suppression the estrogenic potency of percutaneous estradiol-17 beta 3 mg daily was similar to that of oral estradiol-17 beta 2 mg. The serum concentrations of three estrogen-sensitive liver proteins--sex hormone binding globulin (SHBG), pregnancy zone protein (PZP) and ceruloplasmin--were unchanged during percutaneous treatment, whereas during oral therapy all three proteins showed a marked increase. The endometrial response was quantified by morphometry. The mean relative endometrial gland volume increased from 10% to 40% and was correlated to serum levels of estradiol-17 beta. Single-cell growth did not reveal the same correlation and the sequential addition of lynestrenol, 5 mg daily for ten days, did not reduce the estrogen-induced endometrial growth. No obviously harmful local effects were observed in skin samples. Topical application of estradiol-17 beta may develop into an alternative treatment for climacteric complaints and may even have some metabolic advantages over oral treatment. PMID- 6574686 TI - 133Xenon clearance from amniotic fluid in baboons during administration of oxytocin, prostaglandin F2 alpha and a beta-mimetic agent. AB - Amniotic fluid clearance of 133xenon was measured in pregnant baboons near term during a control period of spontaneous uterine activity and during induction of contractions with oxytocin or PGF2 alpha and inhibition of activity by a beta adrenergic agent, berotec. There was no significant change in the clearance of 133xenon from the amniotic fluid during moderate uterine activity induced by oxytocin or PGF2 alpha. The clearance rate decreased five-fold during infusion of berotec, compared with the control infusion periods, simultaneous with a decrease in uterine activity. When the berotec infusion was discontinued, the clearance of 133xenon immediately returned to the previous level, while the return of uterine activity was more gradual. PMID- 6574687 TI - Fracture patterns in children. Analysis of 8,682 fractures with special reference to incidence, etiology and secular changes in a Swedish urban population 1950 1979. AB - Age, sex, type of fracture and the circumstances causing the injury were studied in altogether 8,682 fractures in children, aged 0 - 16, which had occurred 1950, 1955, 1960, 1965, 1970 and 1975 - 1979. For studies of incidence, the years 1975 1979 were chosen and for secular trend studies 1950, 1955, 1960, 1965, 1970 and 1975 - 1979. The following conclusions may be drawn: 1. The risk of fracture increased with age up to age 11 - 12 in girls and 13 - 14 in boys. 2. The accumulated risk of fracture was 27 per cent in girls and 42 per cent in boys. 3. Fractures were more common in boys of all age groups. 4. Over the last three decades the risk of fracture was doubled in boys as well as in girls. 5. Over the years more and more fractures were caused by slight trauma whereas the more severe trauma - even if increasing somewhat in risk - contributed a smaller fraction of the injuries. 6. For the various types of fracture the pattern of change could differ - some increased in incidence, whereas some remained unchanged or even decreased. 7. All types of trauma - horse riding accidents excluded - were more frequent in boys. 8. The most commonly fractured region was the distal end of the forearm followed by the phalanges of the hand and the bones of the carpal-metacarpal region. 9. Playing, sports and traffic, in that order contributed 24, 21 and 12 per cent of those fractures in which the circumstances of the accident could be analysed. 10. Traffic accidents increased with one third in boys as well as in girls. 11. The passive participants in traffic - pedestrians and passengers in motor vehicles - were not more frequently injured during the latter part of the period under observation - a tendency of increase in girls was compensated for by a decrease in boys. 12. Sports and various playing activities as a cause of fracture increased with a factor of five. 13. In the upper limb, the left side was most frequently fractured. 14. The occurrence of fractures varied with the seasons with peak values in May and August and low values in July and December. 15. No fracture type in children could completely meet the criteria of a fragility fracture such as seen in old age. 16. Sustaining one fracture carried an increased risk of an additional fracture especially in the very young children. 17. Fractures not requiring reduction increased the most over the years. 18. The subset of children with various diseases suspected to interfere with skeletal development carried an increased risk of fracture. 19. Some age-related fracture patterns could be traced but they were not very distinct. PMID- 6574688 TI - HLA antigens in intestinal cow's milk allergy. AB - The histocompatibility antigens of one hundred patients with a severe form of cow's milk allergy were studied. HLA-A and B locus antigens were identified in all patients, C locus antigens in 62 patients and DR locus antigens in 41 patients. The A, B and C locus antigen frequencies were compared with those of healthy blood donors, and DR locus antigen frequencies with those of healthy unrelated volunteers and cadaver kidney donors. The series included six patients with concomitant coeliac disease, who were treated as a separate group. No statistically significant differences between the patients and controls were observed, but suggestive differences became apparent when the patient group was divided into subgroups according to the presence or absence of certain co existing conditions, and the severity of the initially observed intestinal lesion. It is concluded that several factors contribute to the pathogenesis of intestinal cow's milk allergy, and that in some cases genes linked to the HLA region may play a role. PMID- 6574689 TI - Sleep-related gonadotropin rhythms in children following treatment of acute leukemia: recovery of the hypothalamo-pituitary-gonadal axis after chemotherapy and CNS-irradiation. AB - Twelve children (5 girls and 7 boys, between the ages of 6 and 20 years) in complete remission from previous ALL who had completed their entire anti-leukemic treatment program and who had been off all chemotherapy for at least one year, were included in a study of sleep-related prolactin and gonadotropin rhythms. All the patients had received prophylactic CNS-irradiation. The patients in early puberty showed a sleep-dependent FSH rhythm. Patients in middle-to-late puberty had sleep-related FSH and LH rhythms, and estradiol and testosterone plasma concentrations were normal for their pubertal stage, suggesting recovery of the hypothalamo-pituitary-gonadal feedback system. We conclude that the neuro endocrine axis is not permanently injured by CNS-irradiation and anti-leukemic therapy. PMID- 6574690 TI - Cancer registration in Iceland 1955-1974. PMID- 6574691 TI - The relationship between urinary prostaglandin excretion rates and urine flow in conscious rats. Evaluation of the radioimmunoassay by gas chromatography-mass spectrometry. AB - In conscious rats prostaglandin E2- and F2 alpha excretion rates increased from about 20 to more than 100 pg/min/g kidney weight as urine flow decreased from about 10 to below 1 microliter/min/g kidney weight following 24 h of water deprivation confirming previous data from surgically prepared rats (Leyssac & Christensen 1981 b). There was no difference in this response between rats on a normal sodium diet and severely sodium depleted rats. Additional supply of polyunsaturated fatty acids in the food did not influence the results. Elevated levels of prostaglandin excretion did not correlate with urine osmolality. The reliability of the radioimmunoassays used was documented by comparison with measurements by gas chromatography-mass spectrometry. The analysis showed that these two methods provide almost identical estimates of urinary PGE2 and PGF2 alpha content. It is concluded that renal prostaglandin production is activated by a negative feedback mechanism as tubular and/or urine flow rate decreases towards subnormal values. PMID- 6574692 TI - Renal prostaglandins (PGs) and thromboxanes (TXs) release induced by bradykinin. PMID- 6574693 TI - Increased prostaglandin E2 excretion with oral kallikrein treatment in hypertensive and normotensive subjects. PMID- 6574694 TI - Interaction of the kinin and prostaglandin systems in mediating renal function and intrarenal hemodynamics. AB - The roles of the renal kinin and prostaglandin (PG) systems were indirectly assessed in conscious rats by inhibition of PG synthesis with indomethacin (INDO) and of kinin synthesis with aprotinin (APRO). In control animals APRO and INDO had no effect on urine flow, Na and K excretion, GFR, RPF or arterial pressure. Both inhibitors, however, significantly depressed renal PG synthesis and deep cortical and medullary plasma flow. Acute saline loading was achieved by i.v. 0.9% NaCl to increase body weight by 10%. APRO and INDO decreased urine flow and Na and K excretion to a similar degree which was highly significant as compared to saline loading in the absence of APRO or INDO. The decrease in RPF following APRO and INDO during saline loading was completely due to a decrease in outer cortical perfusion. APRO suppressed the early rise in PGE2 excretion during saline loading. The similar effects of inhibition of kinin- and PG-synthesis on renal function support the concept that both systems are closely interrelated. The present results also suggest that the integrity of the kinin and PG systems represents an important prerequisite for appropriate vascular and natriuretic responses of the kidney to an acute isotonic saline load. PMID- 6574695 TI - Tetrabenazine in the treatment of hyperkinetic movement disorders. PMID- 6574696 TI - Detection of leukemic antigens by hypersensitivity assay. AB - Leukemic antigens were obtained from organs derived from lymphoblastic leukemia by extraction and immunosorption on columns containing anti-human tissue immunoglobulins. Guinea pigs were sensitized with these antigens and then challenged with the extracts from leukemic or normal organs and with leukemic, syphilitic or normal sera via intradermal route. It was noted that about 80% of leukemic organ extracts and over 50% of leukemic sera elicited strong dermal hypersensitivity reaction in animals sensitized with the immunoadsorbed leukemic antigen preparations. Only minor or insignificant reactions were produced by a few of syphilitic and normal sera. PMID- 6574697 TI - Familial leukemia. HLA system and leukemia predisposition in a family. AB - Four cases of acute lymphocytic leukemia occurred in a family comprising 30 members. Genetic and cytogenetic studies showed a possible linkage between an HLA haplotype and the leukemia predisposition that was suggested by site-directed chromosome rearrangements in cultured skin fibroblasts. The possession of genetic markers, other than HLA types, could not be linked to the occurrence of leukemia in the family. These findings suggest that the major histocompatibility complex or gene(s) linked to it may have played a part in the pathogenesis of the leukemic process in this family. PMID- 6574698 TI - Erythroblastic transformation of chronic granulocytic leukemia: a clinical and cytogenetic case study. PMID- 6574699 TI - "Postinfectious" arthritis. New look at an old concept with particular attention to disseminated gonococcal infection. PMID- 6574700 TI - Metastatic periosteal osteosarcoma causing cardiac and renal failure. AB - The case of a 25-year-old man who had periosteal osteogenic sarcoma with intravascular metastases in unusual locations is reported. The patient presented with acute renal failure, unilateral pulmonary edema, functional mitral stenosis, and low cardiac output. After successful surgical removal of a left atrial metastasis with subsequent improvement in cardiac output, renal function improved only transiently and urinary output varied markedly. At autopsy, metastatic osteogenic sarcoma was discovered within the lumen of the abdominal aorta obstructing both renal arteries. The case is the first report of a neoplasm metastatic to the aorta causing intermittent bilateral renal arterial obstruction; it illustrates the diagnostic difficulties presented by intravascular metastatic disease. PMID- 6574701 TI - Chromosome heteromorphism analysis in cases of disputed paternity. AB - Blood test results, using standard procedures, failed to exclude the alleged father as the biological father of a child in a case of disputed paternity. Using 21 different systems, the probability of exclusion for the man was 98.19%, and the probability of paternity was only 93.90% with a paternity index of 15.48. Chromosome heteromorphisms of all three individuals were studied. By comparison of fluorescent markers of chromosomes 13, 14, 15, 21, and 22, the child was shown to inherit one homologue of each of these chromosomes from the mother, but none were like the heteromorphisms of the alleged father. This excluded him as the biological father. PMID- 6574702 TI - A clinical evaluation of tooth movement along arch wires of two different sizes. AB - A clinical study was conducted to compare the amount and rate of movement and the tipping of canines retracted on 0.016 inch and 0.020 inch round wire with a continuous force of 200 grams and medium-width 0.022 inch by 0.028 inch nonangulated Siamese brackets. On one side canines were retracted on 0.016 inch wire and on the other side of the same arches, on 0.020 inch wire. Over 10 weeks, the mean amount of movement for twenty-one canines on the 0.016 inch wire was 3.37 mm., and for the twenty-one canines on the 0.020 inch wire it was 2.99 mm. The mean rate of movement in twenty-five arches was 1.37 mm. per month on the 0.016 inch wire and 1.20 mm. per month on the 0.020 inch wire. Over a period of 10 weeks, the mean amount of tipping for seventeen canines on the 0.016 inch wire was 5.3 degrees, and for the seventeen canines on the 0.020 inch wire it was 1.7 degrees. Since less tipping occurred on the 0.020 inch wire and the rates of movement were similar, there appears to be an advantage in retracting canines along 0.020 inch round wire rather than on 0.016 inch round wire. It would seem, also, that a greater force is not required to slide a tooth bonded or banded with an 0.022 by 0.028 inch bracket slot along an 0.020 inch round wire than along an 0.016 inch round wire as some laboratory studies suggest. PMID- 6574703 TI - Primate experiments in malocclusion and bone induction. AB - It has been recognized for many years that muscle function influences bone formation and morphology. It is hypothesized here that the movement of bone into new positions within a muscle system results in rearrangement of the stress distribution and reorganization of shape and internal structure. To test the above hypothesis, clinical and animal experiments involving the use of posterior occlusal bite blocks, Herbst appliances, and temporal and masseter muscle stimulation were undertaken. Chronic or continuous alteration in mandibular position within the neuromuscular environment with the posterior occlusal bite block and the Herbst appliance in a sample of monkeys produced extensive condylar remodeling and change in mandibular size. Short periods of induced hyperactivity in the masseter and temporal muscles were associated with the production of malocclusion symptoms. Excess induced temporal muscle activity of specific frequency and intensity may interfere with the remodeling of bone grafts placed under the temporal muscle, while a lesser level of activity was associated with bone remodeling. PMID- 6574704 TI - Stature, head height, and growth of the vertical face. AB - Six hundred sixty-three cephalometric radiographs are used in a mixed longitudinal sample of fifty-one subjects (twenty-six males and twenty-five females) in order to determine patterns of vertical facial change during growth and to discern lower, mid-, and upper facial relationships with stature and head height. Results indicate that the absolute growth of the face is similar to the neural pattern and that throughout growth the face is larger among males than among females. However, when facial values are examined relative to stature and head height, the vertical face changes at a rate that resembles statural growth. Moreover, when relative growth values are standardized in order to reduce scaling differences, they indicate that, although relative growth for all three facial measures falls between neural and skeletal values, it is closer to the postcranial pattern of change than to the neural pattern. In addition, relative size of the upper face is highly correlated with relative size of the lower face. It is concluded that stature is of greater importance than head height in the prediction of vertical facial growth. PMID- 6574705 TI - Mandibular adaptations following total maxillary osteotomy in adolescent monkeys. AB - The purpose of this study was to investigate the growth and remodeling changes of the mandible following superior anterior surgical repositioning (Le Fort I) of the maxilla in adolescent Macaca fascicularis monkeys. Eight adolescent monkeys served as controls, and seven monkeys underwent surgical procedures. All monkeys received tantalum implants on both sides of certain facial bones for stereometric and conventional cephalometry. The animals were followed up to 24 months postoperatively. Analysis of cephalometric head films taken at monthly intervals shows that both the maxillas and the mandibles of the experimental monkeys grew harmoniously, although the amount and direction of growth showed significant changes compared to the controls. The mandibles of experimental monkeys that underwent autorotation immediately following the surgical procedures showed 36 to 60 percent less growth as measured from condylion to menton, condylion to gonion, and gonion to menton. Similarly, the anterior dental-alveolar-symphyseal height showed 75 percent less increase as compared to the controls. The results show that, although the surgical procedure was performed on the maxilla, the mandibular growth showed significant modulation to adapt to the surgically changed maxillary environment. The role of occlusion and function is discussed in the context of the present findings. PMID- 6574706 TI - A simple method for taking natural-head-position cephalograms. AB - Standing natural head position is a reproducible, physiologically determined aspect of function. Recent studies have demonstrated associations between this aspect of function and the form of the skeletodental features, in both growing and nongrowing persons. A simple method has been devised which obviates the need for multiple radiographs to determine the clinical reliability of the method. The device, its construction, and method of use are described. PMID- 6574707 TI - Cyclophosphamide-induced temporomandibular synostosis. AB - The study of malformations helps toward a better understanding of normal development, which is of significance to the orthodontist. Experiments in teratology have induced an extensive variety of facial abnormalities, but temporomandibular joint (TMJ) synostosis has never been previously reported. Ten pregnant female rabbits were treated with a daily injection of 50 mg. cyclophosphamide (DNA synthesis inhibitor), from day 11 to day 14, which is the period that precedes formation of the face. The control sample comprised five female rabbits. The fetuses were obtained by cesarean section on day 28 and stained with alizarin. Six of the ten treated female animals produced offspring that had TMJ synostosis. The skull with TMJ synostosis showed a retrognathic mandibular pattern in relation to the maxilla, and the bony trabeculae in the mandibular angle showed a downward orientation instead of the horizontal orientation seen in animals without synostosis. The length of the heads was significantly smaller in the treatment group than in the control group; within the treatment group, the heads with synostosis were significantly smaller than those without synostosis. It could be hypothesized that the cyclophosphamide might have affected intrinsic factors in the temporomandibular mesenchyma; an impairment in the development and function of the mandibular musculature, which is a vital factor in joint development and maintenance, might also have contributed to the genesis of the malformation. The association of immobilization and mandibular hypodevelopment seems to be in agreement with today's theories on maxillofacial growth. PMID- 6574708 TI - Report of the president's conference on the examination, diagnosis, and management of temporomandibular disorders. PMID- 6574709 TI - The impact of the American Dental Association's guidelines for the examination, diagnosis, and management of temporomandibular disorders on orthodontic practice. PMID- 6574710 TI - Orthodontics and benefits for TMJ disorders. PMID- 6574711 TI - Hereditary sensory neuropathy. Nociceptive loss and acral mutilation in pointer dogs: canine hereditary sensory neuropathy. PMID- 6574713 TI - Adult onset of Tourette's syndrome: a case report. AB - A 45-year-old man fulfilled all DSM-III criteria for the diagnosis of Gilles de la Tourette's syndrome except for early onset of the disease. He first developed tics at age 35 and coprolalia at age 40. PMID- 6574712 TI - Prostaglandin E2 and thromboxane B2 in cerebrospinal fluid of afebrile and febrile cat. AB - Levels of prostaglandin (PG) E2 and thromboxane (TX) B2, the stable metabolite of TXA2, were measured by radioimmunoassay in cerebrospinal fluid (CSF) collected from the third ventricle and the cisterna magna of conscious cats. In the absence of fever, PGE2 was usually below the threshold of the assay (0.05-0.37 ng/ml), while TXB2 was measurable in the majority of cases and its concentration was greater in the third ventricle (about 0.7 ng/ml) than in the cisterna magna (about 0.2 ng/ml). At either site, TXB2 content rose if any manipulation was required for the collection of samples. PGE2 levels increased to measurable values (max 1.1-1.4 ng/ml) during fever produced by intrathecal or intravenous administration of leucocytic pyrogen. In contrast, TXB2 concentration rose to an average of 2.2-4 ng/ml only when pyrogen (bacterial or leukocytic) was given intrathecally. Moreover, TXB2 elevation, unlike PGE2 elevation, was limited to the uprise phase of the fever. Imidazole, given either intraperitoneally (50 mg/kg) or intrathecally (3 mg), attenuated the pyrogen fever and suppressed any rise in TXB2 levels. At the same time, the drug tended to increase the PGE2 content of the CSF. Evidence was also obtained suggesting that a fraction of PGE2 is bound to CSF protein, and this event may be important to the inactivation of the compound. These findings are consistent with the concept that PGE2 is involved in the sequence of events underlying pyrogen fever. A role for thromboxane A2 in this process remains to be established. PMID- 6574714 TI - MAOIs in the treatment of bulimia. PMID- 6574715 TI - Neuropsychological study in patients with ALL. Two different CNS prevention therapies--cranial irradiation plus IT methotrexate vs. IT methotrexate alone. AB - Neurological, psychopedagogic, and psychologic long-term sequelae were evaluated in two groups of ALL patients in continuous CR for more than 2 years treated with two different CNS prophylaxis schemes. Group A, 19 patients (protocol 10-LLA-72 GATLA) received cranial irradiation 2400 rads plus IT MTX-DMT, and group B, 23 patients (protocol 1-LLA-76-GATLA) IT MTX-DMT only during induction and maintenance. All the patients were evaluated by performing neurological examination, EEG, EMG with nerve conduction velocity, CT scans, CSF studies, psychometric and psychologic studies, and neuropsychological evaluation. The most important findings were: 11 patients from group A (58%) showed abnormal CT (low density areas in the periventricular white matter, widening of subarachnoid space, ventricular dilatation, intracerebral calcification) and only one patient from group B showed CT abnormalities (p less than 0.0005). The neuropsychologic evaluation (performed by L. Bender technique and Picq-Vayer scale) showed more severe impairment (grade 3-4) in eight patients from group A (42%) and none in group B (p less than 0.001). Higher incidence of abnormalities in group A suggests the existence of more severe sequelae in the patients treated with cranial irradiation plus IT MTX-DMT than with IT MTX-DMT alone. PMID- 6574716 TI - Psychological correlates of compliance. AB - A urinary assay (17 kgs/creatinine) was used to measure compliance in 31 acute lymphocytic leukemia patients under 15 years of age receiving oral prednisone. Demographic data and psychological test responses of patients and their parents were correlated with the urinary assays. Results indicated that while the rate of compliance was the same for boys and girls, the psychological correlates were very different. Parental personality traits and attitudes were more involved with boy's compliance than with girl's. Some of the parent variables associated with compliance in boys were hostility, anxiety, and obsessive-compulsive behavior. Parents described compliant boys as vulnerable. These traits usually are considered maladaptive but in this case appear to facilitate boy's compliance. For girls, far fewer parent variables were associated with compliance. Parents seemed to have less worry and concern about their daughters and presumably give them the responsibility for their own medication. It was the girl's own anxiety which predicted compliance. PMID- 6574718 TI - BOC Manley Servovent. PMID- 6574717 TI - Anthracycline toxicity. AB - Anthracycline compounds are useful agents in cancer therapy. Major toxicities include mucositis and other gastrointestinal complications, myelodepression and cardiotoxicity. With the current multimodal cancer therapy, anthracycline toxicities may be potentiated by radiation treatment or other chemotherapeutic agents. The choice of anthracycline, drug combination, and drug schedule should be carefully evaluated to minimize toxicity. PMID- 6574719 TI - A case report of an unusual disconnection. PMID- 6574720 TI - A possible source of error in gas exchange measurements. PMID- 6574721 TI - Dimethyl sulfoxide and extravasation of anthracycline agents. PMID- 6574722 TI - [Lesions evoking Sweet's syndrome in acute leukemia: occurring during the stage of therapeutic aplasia]. AB - Acute febrile neutrophilic dermatosis, so called Sweet's Syndrome is a distinct dermatological disease defined by constant clinical and histological features: Eruption of painful, tender, raised erythematous plaques of face and neck with fever. Dense dermal infiltration with mature neutrophil polymorphs. Sweet's Syndrome may occur during the course of chronic or acute haematological diseases such as chronic myelogenous leukemia or acute non lymphoblastic leukemia. In all cases, the counts of Neutrophil Polymorphs were normal or above normal limits. We report a case of Sweet's Syndrome occurring during the aplastic period induced by the treatment of an acute myelo monocytic leukemia, and discuss the responsibility of white blood cells transfusion in genesis of typical histological aspect. PMID- 6574723 TI - The preleukemic syndrome. AB - While the preleukemic syndrome (PLS) is not a homogeneous entity, its spectrum of clinical and laboratory findings has been sufficiently characterized to allow increasing certainty in its recognition. Approximately 25 percent of these patients can be expected to develop overt acute nonlymphocytic leukemia (ANLL) within an average of two to three years, and another 40 percent will die of non leukemic complications usually related to their cytopenias within a similar time period. The remaining patients may be stable and survive for prolonged periods. Accumulating evidence indicates that in the PLS, a stem cell neoplastic clonal proliferation has already been established and may frequently be demonstrated by cytogenic analysis or culture of marrow hematopoietic cells. PMID- 6574724 TI - [Characteristics of the circular dichroism spectra of liquid crystals formed from DNA complexes with antibiotics]. AB - Compact particles were formed from low molecular DNA in water-salt solutions (0.3 M NaCl, pH 6.7) containing polyethylene glycol. The DNA molecules in these particles were in the mesophase (liquid crystalline) state characterized by an intensive negative bond in the circular dichroism (CD) spectrum. Binding of DNA to anthracycline antibiotics (daunomycin, aclacynomycin), oligopeptide antibiotics (distamycin, nethropcin) and ethidium bromide with subsequent formation of liquid crystals from such complexes was accompanied by appearance of CD spectra with characteristic features of the respective antibiotic groups. The characteristic features of the CD spectra allowed distinguishing various antibiotics. PMID- 6574725 TI - Intrathecal penetration of N-formimidoyl thienamycin in normal rabbits: potentiation by coadministration of renal dipeptidase enzyme inhibitor. AB - The intrathecal penetration of N-formimidoyl thienamycin (MK0787) with or without coadministration of the renal dipeptidase enzyme inhibitor (MK791) in normal rabbits was studied immediately before and after the third dose of 40 mg/kg infused intravenously at daily 6-h intervals. Mean +/- standard error peak concentrations in cerebrospinal fluid were 0.23 +/- 0.02 and 0.53 +/- 0.12 micrograms/ml without and with coadministration of MK791, respectively (P less than 0.05, Student's t test). Penetration into cerebrospinal fluid (based on the ratio of cerebrospinal fluid to plasma area under the concentration-time curves) were 4.4 and 6.0%, respectively. N-Formimidoyl thienamycin penetrated uninflamed meninges, and peak concentrations were significantly augmented by coadministration of MK791. PMID- 6574726 TI - Pityriasis rotunda. A cutaneous sign of malignant disease in two patients. AB - The term pityriasis rotunda refers to strikingly circular scaly lesions, with the histologic appearance of ichthyosis vulgaris. Pityriasis rotunda has been described in the Japanese, South African blacks, and West Indian blacks. The condition occurs only in association with certain serious systemic illnesses, usually tuberculosis, or malignant neoplasms or less severe diseases of the female genital tract (eg, fibroids, ovarian cyst). We describe two South African blacks with pityriasis rotunda and neoplasms. The cutaneous lesions cleared when the primary neoplasm was treated. PMID- 6574727 TI - Subcutaneous neutrophilic infiltrates in acute febrile neutrophilic dermatosis. AB - A patient had an evolving hematologic disorder, accompanied by tender, red, subcutaneous nodules. Histologically, there were dense neutrophilic infiltrates confined to the subcutaneous adipose tissue. Three months later, a typical episode of acute febrile neutrophilic dermatosis (ND) developed in the patient, and she was found to have acute myeloid leukemia. In addition to the dermis, the neutrophilic infiltrates of ND occasionally involve the subcutis. As seen in our patient, the infiltrates are rarely limited to the subcutaneous tissue. PMID- 6574728 TI - Acute nonlymphocytic leukemia and acute aplastic anemia. The simultaneous occurrence in marital partners. AB - A young husband and wife couple presented simultaneously with aplastic anemia and acute myelomonocytic leukemia, respectively. No etiologic agent or exposure was identified. With appropriate therapy, the wife achieved a complete remission and the husband has had a good response. Potential etiologic environmental factors known to cause both disorders are discussed. A single causative agent may induce stem-cell changes in genetically dissimilar persons and produce a spectrum of pathologic features ranging from aplastic anemia to acute leukemia. PMID- 6574729 TI - [Adenosine deaminase activity in hemoblastoses]. AB - The activity of adenosine deaminase was determined in lymphocytes, erythrocytes and blood plasma of 73 patients with different haematological malignancies and also in healthy control subjects. The enzyme activities were measured using adenosine as substrate and by analysis of released ammonia. Statistically significant decreased enzyme levels in lymphocytes and partial also in erythrocytes were observed in chronic lymphocytic leukaemia, Hodgkin's disease and multiple myeloma. The lower activities of ADA of these patients may be related to the impaired immunological function. In contrast in myeloid leukaemia, blast crisis of myeloid leukaemia and in acute leukaemias significant increased ADA levels in lymphocytes or blast cells were observed. Between the content of blast cells in peripheral blood and ADA activity of the mononuclear cell fraction exists a positive correlation. The increased ADA values of blast cells are a sign of an elevated purine metabolism. PMID- 6574730 TI - Carbon monoxide poisoning with features of Gilles de la Tourette's syndrome. AB - A previously healthy 58-year-old man had severe carbon monoxide poisoning. Following a comatose state, tics of the head, coprolalia, fits of shouting, and abnormal vocal utterances developed. In addition to the signs of diffuse encephalopathy, he had some of the features associated with idiopathic Gilles de la Tourette's syndrome. The computed tomographic scan showed ventricular enlargement and low-density areas in the basal ganglia. PMID- 6574731 TI - An analytical ultrastructural study of the iron-rich surface layer in rat-incisor enamel. AB - Electron-dense particles, approximately 4 nm (40 A) in diameter were present. Evidence is offered that these particles represent iron probably in the form of amorphous hydrous ferric hydroxide. From X-ray probe analytical data, it is suggested that this iron component is accommodated through the process of adsorption rather than by direct substitution of calcium and phosphorus. The iron rich surface layer was more resistant to acid etching than subsurface enamel. Reported areas of reduced mineral density of enamel at the enamel-dentine junction appear to be preparation artifacts. PMID- 6574732 TI - A morphological, tracer and cytochemical study of the role of the papillary layer of the rat-incisor enamel organ during enamel maturation. AB - Thin-section, freeze-fracture, tracer and cytochemical methods showed that papillary cells were characterized by the presence of numerous mitochondria and microvilli. The cytoplasms contained Golgi apparatus, multivesicular bodies (MVB), tubular structures and coated vesicles. In freeze-fracture replicas, some tubular structures and vesicles were continuous with the cell surfaces. Intravenously-injected horseradish peroxidase (HRP) was rapidly incorporated into the papillary cells via coated vesicles and tubular structures. Horseradish peroxidase-labelled coated vesicles and tubular structures then fused with endocytic vacuoles and MVB. These endocytic vacuoles and MVB showed HRP-labelling of various degrees. Acid-phosphatase activity was demonstrated in the Golgi apparatus, endocytic vacuoles and MVB of papillary cells. Enzymic activity sometimes took place in tubular structures but never occurred in coated vesicles. These results indicate that absorptive and digestive activities of papillary cells are closely related to loss of organic materials from the enamel matrix during enamel maturation. PMID- 6574733 TI - Preventive measures in mothers influence the establishment of the bacterium Streptococcus mutans in their infants. AB - First-time mothers who had a high salivary number of Strep. mutans [greater than or equal to 10(6) colony-forming-units (c.f.u.) per ml] were selected. Every second mother was given a special preventive programme to reduce her salivary level below 3 x 10(5) c.f.u. per ml. Where a reduction of Strep. mutans was achieved in the mother, the establishment of Strep. mutans in her infant was prevented or delayed. Thus, 28 mothers were successfully treated until their infants were 23 months old and only 3 of their infants (11 per cent) were infected with Strep. mutans, compared with 17 out of 38 infants in the control group (45 per cent). In both groups, the percentage of infected infants increased with increasing age, although at all ages fewer infants were infected with Strep. mutans in the test group than in the control group. Sixteen infants of successfully treated mothers had reached the age of 36 months. Three were infected (19 per cent) compared with 17 out of 27 in the control group (63 per cent). These findings show that the spread of Strep. mutans can be delayed or prevented by measures directed against the main source of infection, an approach which is successful in the prevention of other infectious diseases. PMID- 6574734 TI - Inhibition by the antimicrobial agent chlorhexidine of acid production and sugar transport in oral streptococcal bacteria. AB - Oral streptococci transport sugars via the phosphoenolpyruvate-phosphotransferase (PEP-PTS) system. In a specific assay of this system, low concentrations of chlorhexidine abolished the activity of the glucose and sucrose PTS in batch grown cells of Streptococcus mutans Ingbritt and B13, Strep. sanguis NCTC 7865, Strep. mitis ATCC 903, Strep. milleri NCTC 10709 and Strep. salivarius NCTC 8606. Intact cells and cells made permeable to the assay reagents with toluene were used. Toluenized cells were more sensitive to chlorhexidine than intact cells (0.09 and 0.25 mM, respectively). This PTS-inhibitory concentration of chlorhexidine reduced acid production from glucose in pH fall experiments to values higher than are obtained solely from endogenous metabolism. The effect of chlorhexidine on rates of acid production was determined at pH 7.0 using cells washed with either 135 mM NaCl or 135 mM KCl. In general, faster rates of acid production from the metabolism of glucose and sucrose were obtained with potassium-treated cells. Addition of the PTS-inhibitory concentration of chlorhexidine markedly reduced or totally abolished acid production by NaCl treated cells; a greater residual-activity was detected in the same cells washed with KCl (except with Strep. mutans B13 and Strep. mitis ATCC 903). The PTS inhibitory concentration of chlorhexidine had little or no effect on the viability of cells. The results confirm the existence of sugar uptake systems in oral streptococci additional to the PTS and provide an explanation for the additive anti-caries effect of mouth-rinses containing both fluoride and chlorhexidine. PMID- 6574735 TI - Colonization of the teeth of rats by human and rodent oral strains of the bacterium Actinomyces viscosus. AB - The mouths of rats were infected with human and rodent strains of A. viscosus and streptomycin-rifamycin-resistant (SR) mutants of these strains. The establishment, adherence to the teeth and cell dose required for infection were determined. Human and rodent strains established equally well on the teeth and did not differ in their initial adherence to teeth. The cell dose required for infection was much lower for rodent than for human strains (less than 10(5) compared to 10(7) - 10(8) c.f.u.). The SR mutants established as well as their parents except for one SR strain, that did not establish at all. Another SR mutant appeared to have lost its SR resistance after passage through the animal. The results stress the need of in-vivo testing of antibiotic resistant mutants to be used in ecological studies. PMID- 6574737 TI - Light and electron microscopy of the effects of colchicine and vinblastine on maturing rat ameloblasts in vivo. AB - Both agents caused loss of ruffled membrane and microtubules. Ruffled membrane decreased with time after treatment with vinblastine (4 mg/kg) and almost disappeared 8 h after treatment with either colchicine (4 mg/kg) or vinblastine (4 mg/kg). In vinblastine-treated animals, the number of microtubules were estimated in cross-sections of two regions of both smooth-ended and ruffle-ended ameloblasts; one region was distal and the other juxta-nuclear. In smooth-ended ameloblasts, microtubules of both the distal and juxta-nuclear cytoplasm almost disappeared after 2 h of treatment. In ruffle-ended ameloblasts, microtubules decreased in distal cytoplasm between 2 and 8 h; microtubules in the juxta nuclear cytoplasm disappeared after 2 h. Both agents caused structural alterations and dislocation of cell organelles. The Golgi apparatus, sometimes separated into two parts, moved towards the proximal cytoplasm and an unusual accumulation of small vesicles was found in the proximal cytoplasm. These findings suggest that formation of ruffled membranes is dependent on microtubular function. PMID- 6574736 TI - In-vivo effects of prostaglandin E1 and lysine-bradykinin on rat salivary secretions elicited by parasympathomimetic stimulation. AB - Intravenous injections of either prostaglandin E1 or lysine bradykinin (kallidin) modified the secretory response of the submandibular, parotid and sublingual glands of the rat to intravenous infusions of acetylcholine. The two substances caused reductions (of from 16 to 67 per cent) in salivary flow rates when administered in concentrations ranging from 10 to 50 micrograms/kg body weight. The effect lasted for 20-30 min, followed by a return to pre-injection levels and in general, depended on the concentration of the secretory stimulator and on the dose of test substance used. In the submandibular and sublingual gland, both substances generally caused a concomitant increase in the salivary Na+ concentrations. This effect depended on the concentrations of acetylcholine and of test substance and varied from 10 to 117 per cent. The effect was more marked in submandibular saliva. Absolute increases in salivary Na+ concentration were not observed in the parotid gland, but the reductions in salivary Na+ concentrations (from 2.5 to 31.7 per cent) were smaller and did not parallel the simultaneous reduction in flow rate, which was between 16.4 and 60.4 per cent. As both kinins and prostaglandins are present in the glands and may be activated as a result of secretory or metabolic activity, the results suggest that they act as modulators of the secretory response to cholinergic stimulation. The divergent effects on flow rate and on salivary Na+ concentration suggest that kinins and prostaglandins have specific and independent effects on acinar and duct cells. PMID- 6574738 TI - Scanning electron microscope observations on the tubule content of freeze fractured peripheral vervet monkey dentine (Cercopithecus pygerythrus). AB - Pulp tissue in the incisors was fixed in situ by perfusion. Cervical thirds of the tooth crowns were excised by sectioning the teeth transversely and cryofractured through the long axis of the tooth in a bucco-lingual mid-axial plane to expose the dentine from the pulp to the enamel-dentine junction. Specimens were freeze-dried and the fracture surfaces examined by scanning electron microscopy. Flattened tubular processes were noted protruding from the open ends of transversely fractured dentinal tubules in the outer third of the dentine. These structures were present in fractured tubules to within 20 microns of the enamel-dentine junction. These observations suggest that odontoblast processes traverse the full length of dentinal tubules. PMID- 6574739 TI - Scanning electron microscopy of the papillary layer of the rat-incisor enamel organ. AB - The enamel organ isolated from the maturation zone was treated with hydrochloric acid to remove such extracellular materials as collagen fibrils and basal lamina covering the papillary layer. Two types of the ridges were classified on the basis of their morphology and distribution: (1) globular and irregularly arranged ridges at the periphery of the early maturation zone, (2) elliptical and parallel ridges in the central part of this zone and over the whole of the late maturation zone. The fine surface structures of the ridges were characterized by numerous interdigitating cell processes. PMID- 6574740 TI - Pathologic quiz case 1: granulocytic sarcoma (chloroma). PMID- 6574741 TI - Occlusal splints: a critical assessment of their use in prosthodontics. PMID- 6574742 TI - Better restorative dentistry in the eighties. PMID- 6574743 TI - Effects of prolonged administration of azathioprine and pilocarpine on parotid glands of rats: an assessment by light microscopy and autoradiography. PMID- 6574744 TI - Aberrant root canal morphology in a maxillary second molar. PMID- 6574746 TI - Basic biology of new developments in biotechnology. PMID- 6574745 TI - The use of arthrography in management of temporomandibular joint problems. PMID- 6574747 TI - Phenolsulphotransferase in human placenta. PMID- 6574749 TI - Variation among dentists in planning treatment. PMID- 6574748 TI - Decrease of urinary prostaglandin E2 and prostaglandin F2 alpha excretion by nonsteroidal anti-inflammatory drugs in rats. Relationship to anti-inflammatory activity. AB - An analytical method for measuring in vivo inhibition of prostaglandin (PG) synthesis by nonsteroidal anti-inflammatory drugs was developed for estimation of urinary prostaglandin levels in rats. Drugs were administered orally to rats (Wistar, male, 200-250 g), and water (2.5 ml/100 g body weight) was given 1 hr after drug administration to yield a constant volume of urine. Urine was collected for 4 hr after drug administration, and urinary PGE2 and PGF2 alpha were determined by radioimmunoassay. The urine volume in the 4-hr period was 5.0 +/- 0.30 ml per rat, and prostaglandin contents in the 4-hr urine were 4.56 +/- 0.56 ng PGE2 and 1.31 +/- 0.24 ng PGF2 alpha per rat in the no-drug control group. Administration of nonsteroidal anti-inflammatory drugs decreased the urinary PGE2 and PGF2 alpha dose dependently. The activities of ten typical nonsteroidal anti-inflammatory drugs in reducing urinary PGE2 excretion were compared with their anti-inflammatory activities in rats. A close correlation (r = 0.98, P less than 0.001) between the dose required for 50% reduction of urinary PGE2 excretion and the dose required for 50% inhibition of carrageenin edema was found for each drug. These drugs were also tested for their inhibitory effects on PGE2 biosynthesis in a cultured system of mouse 3T6 fibroblast cells and on prostaglandin synthesizing system in bovine seminal vesicle microsomes. No close correlation was observed between anti-inflammatory activities and inhibition of prostaglandin biosynthesis in vitro. PMID- 6574750 TI - Sex ratio of academics in dental schools. PMID- 6574751 TI - Pain perception and patient management. PMID- 6574752 TI - Caries experience in 11-year-old school girls between 1962 and 1981. PMID- 6574753 TI - Restorative dentistry in the hospital service. PMID- 6574754 TI - Treatment of the unerupted maxillary canine. Part 2--orthodontic methods. PMID- 6574756 TI - A dental radiographic artefact due to residual contrast medium. PMID- 6574755 TI - Dental caries experience among Scottish secondary school children in relation to dental care. PMID- 6574757 TI - Continued development of the dental papilla after the removal of premaxillary supernumerary teeth. A report of two cases. PMID- 6574758 TI - Metoclopramide-induced masticatory muscle spasm. PMID- 6574759 TI - General dental service care in the northern region. PMID- 6574760 TI - Antibiotic prophylaxis of infective endocarditis. PMID- 6574761 TI - Restorative dentistry in the hospital service. PMID- 6574762 TI - Oral hygiene. PMID- 6574763 TI - Sarcoid gingivitis. PMID- 6574765 TI - Smoking and acute ulcerative gingivitis. A study of 100 patients. PMID- 6574764 TI - More deadly than the Male? PMID- 6574766 TI - The aetiology and psychology of dental fear. A five-year study of the use of intravenous diazepam in its management. PMID- 6574767 TI - Sex ratio of academics in the dental schools of UK universities. PMID- 6574768 TI - Women dentists and retraining. PMID- 6574770 TI - A dentists' retainer scheme. PMID- 6574769 TI - Finance is for females too! PMID- 6574771 TI - Part-time in dentistry. PMID- 6574772 TI - Mr Punch and the dentist. A first look. PMID- 6574773 TI - Radiation safety. PMID- 6574774 TI - Administration of local anaesthetics via the periodontal membrane. PMID- 6574775 TI - Anhydrous zinc polycarboxylate cement. PMID- 6574776 TI - Oral erythromycin preparations in cardiac prophylaxis. PMID- 6574777 TI - Exploring the concept of independent dental hygiene practice. PMID- 6574778 TI - Occlusion and restorative dentistry for the general practitioner. PMID- 6574779 TI - Removable orthodontic appliance. PMID- 6574780 TI - Overdentures in general dental practice. Part 1--The evidence for overdentures. PMID- 6574781 TI - The stereophotomicroscope in clinical dentistry. PMID- 6574782 TI - Idiopathic oromandibular dystonia causing failure of mouth closure. PMID- 6574783 TI - An unusual case of traumatic periodontitis in an infant. PMID- 6574784 TI - Treatment of the unerupted maxillary canine. Part 1--Preliminary considerations and surgical methods. PMID- 6574786 TI - Symposium on periodontal disease. Medical Research Council. PMID- 6574785 TI - Dentistry in the Southern Highlands of Papua New Guinea. PMID- 6574787 TI - Prostaglandins in human skin disease. PMID- 6574788 TI - Circulating pluripotent haemopoietic cells in patients with myeloproliferative disorders. AB - Peripheral blood cells of 17 patients with myeloproliferative disorders were grown in vitro to form mixed colonies (CFU-mix). CFU-mix were found in four of nine patients with chronic phase chronic myelocytic leukaemia (CML) at levels 28- to 132-fold higher than the upper limits of normal subjects. These patients also had higher than normal levels of circulating granulocyte-macrophage (CFU-GM) and erythroid (BFU-E) progenitors. Development of blastic crisis was associated with disappearance of CFU-mix from the blood. CFU-mix was detected in the blood of three of five patients with polycythaemia vera (PV) and two patients with myelofibrosis with myeloid metaplasia (MMM) at levels slightly higher than those of normal subjects. Our results are consistent with a clonal expansion of multipotent haematopoietic precursor cells in CML and abnormal kinetics of this cell in CML, PV and MMM. PMID- 6574789 TI - Rates of cholesterol biosynthesis are related to early differentiation in acute non-lymphocytic leukaemia cells. AB - Cholesterol synthesis from acetate was studied in leukaemic cells from 20 patients with acute nonlymphocytic leukaemia. Marked differences in the rates of cholesterol biosynthesis were noted among three morphologically distinct types of leukaemia. As leukaemic cells differentiated along myeloid (acute promyelocytic) or monocytoid (acute myelomonocytic) pathways, their cholesterol-synthetic rates diverged and approached those of their respective mature cellular counterparts, the neutrophil or the peripheral blood monocyte. Enhanced sterol synthesis in leukaemic cells could not be explained by more rapid efflux of membrane cholesterol to the environment. In addition, the different rates of cholesterol biosynthesis in leukaemic-cell subgroups did not correlate with differences in their rates of cellular DNA synthesis. The normal divergence of sterol synthesizing capacity found between mature neutrophils and monocytes develops at an early stage of differentiation and is detectable even in leukaemic cells. PMID- 6574790 TI - Maintenance of DNA integrity during murine erythroleukemia cell differentiation induced by ethionine and other hypomethylation agents. AB - The extent of single-strand nicks in DNA from murine erythroleukemia cells induced to differentiate to hemoglobin synthesis in the presence of the hypomethylating agent ethionine was estimated and compared to those levels in uninduced cells and from cells induced to differentiate upon exposure to dimethylsulfoxide or butyrate ion. Although ethionine has been shown to cause more extensive hypomethylation in the DNA of induced cells than that caused by dimethylsulfoxide or butyrate ion, the frequency of detected single-strand breaks in the DNA of uninduced, control cells was not significantly different from that of cells exposed to any of these inducing chemicals. This data indicates that no correlation exists between DNA hypomethylation and DNA single-strand breaks and that unmethylated CpG loci likely do not operate as specific endonuclease recognition sites or as potential origins of transcription in these mammalian cells. PMID- 6574791 TI - Further studies on the bile salt induction of 7 alpha- and 7 beta-hydroxysteroid dehydrogenases in Clostridium absonum. AB - Optimal induction of 7 alpha- and 7 beta-hydroxysteroid dehydrogenase in 100-ml cultures grown to stationary phase was achieved by the addition of metabolizable bile salt inducers: chenodeoxycholate, 7-ketolithocholate or cholate at 2.5-3 h after inoculation. Bile salt addition prior to or after this period markedly reduced the enzyme levels induced. However, when the non-metabolizable inducers deoxycholate and 12-ketolithocholate were similarly added, no significant differences in enzyme levels were observed between addition at 2.5-3 h or at earlier times. The ability of both metabolizable and non-metabolizable bile salts to induce the enzymes fell markedly when additions were made later than approximately 3.5 h. Kinetic studies using 1-l cultures suggest that in a larger culture a somewhat earlier inducer addition period is optimal. When ranked according to the level of enzymes induced the order in decreasing induction power was: chenodeoxycholate, 7-ketolithocholate, deoxycholate, 12-ketolithocholate and cholate. Mixtures of cholate and suboptimal concentrations of deoxycholate induced the culture better than the sum of the two concentrations individually. The end product, ursodeoxycholate, was very effective in blocking the induction by chenodeoxycholate or deoxycholate. Ursocholate (3 alpha, 7 beta, 12 alpha trihydroxy-5 beta-cholanoate) was less effective. Cultures when grown for 3 h with various bile salts or none, then centrifuged and recultured for a further 3 h in fresh medium containing chenodeoxycholate, all yielded identical enzyme levels within experimental error. We conclude that exposure of the organism to bile salt inducer in the last 3 h of culture was important, while the history of the culture prior to this time was unimportant in the induction process. PMID- 6574792 TI - The target sizes of the in situ and solubilized forms of human placental steroid sulfatase as measured by radiation inactivation. AB - Whole microsomal membrane preparations and Triton X-100-solubilized human placental steroid sulfatase were subjected to radiation inactivation analysis using gamma rays from a 60Co irradiator in order to assess the size of the physiological form of the enzyme. The data indicate that the enzyme exists as a monomer of molecular weight 78600 in Triton-containing buffers and as a polymer of molecular weight 533000 within the microsomal membrane. PMID- 6574793 TI - Copper and zinc inhibit the metabolism of prostaglandin by the human uterus. AB - Prostaglandins (PGs) have often been cited as intermediates in the action of the inert and copper-bearing intrauterine contraceptive device (IUD). Although investigations have shown an effect of copper at high (approx. 1 x 10(-4) mol/l) concentrations on PG synthesis, little consideration has been given to the possible effects of copper on PG metabolism. In this study the effect of copper and zinc ions on PG metabolism by human endometrium and myometrium has been investigated using radiolabel techniques together with gas chromatography mass spectrometry (GCMS) measurements of metabolites of PGE2. These experiments showed that concentration of 1 X 10(-5) mol/l of copper and zinc were sufficient to inhibit significantly (P less than 0.01) PGE metabolism. These levels of copper are within the physiological range of levels thought to be present in the uterine tissue and fluid of wearers of the copper-containing IUD and the inhibition of PG metabolism in these women might account for the small but significant decrease in the length of the luteal phase of their menstrual cycles. PMID- 6574794 TI - Restoration of responsiveness of chronic myeloid leukemia granulocyte-macrophage colony-forming cells to growth regulation in vitro following preincubation with prostaglandin E. AB - The ability to modulate granulocyte-macrophage colony-forming unit (CFU-GM) Ia antigen expression and response to growth inhibition in vitro was investigated in normals and patients with chronic myeloid leukemia (CML). The hyporesponsiveness of CML CFU-GM to inhibition by prostaglandin E and acidic isoferritins in vitro and their associated diminished capacity for Ia-antigen expression could be reversed following suspension culture of bone marrow cells in the presence of prostaglandin E prior to soft agar culture. Suspension preculture with prostaglandin E for 24 hr resulted in the detection of a population of CFU-GM that were equivalent to normal CFU-GM in both response to inhibition by prostaglandin E and acid isoferritins and in their pattern of Ia-antigen expression. Cytogenetic analysis of the progeny of CFU-GM proliferating in cultures established from marrow cells, cultured directly upon isolation or following suspension culture in the absence or presence of prostaglandin E for 24 hr, indicated that the responding cell population belonged to the Ph1-positive leukemic clone. Antigen detection on these CFU-GM resulted both from Ia-antigen reexpression and the induction of noncycling cells into S-phase with coincident expression of Ia-antigens. These studies provide further evidence for a direct regulatory association between Ia-antigen and control of granulocyte-macrophage progenitor cell proliferation, offer a possible explanation for the disordered regulatory responses observed in patients with CML, and indicate that abnormal growth phenotypes can be modulated, at least in vitro. PMID- 6574795 TI - Reexpression of normal stem cells in erythroleukemia during remission. AB - A patient with erythroleukemia and heterozygous for the Mediterranean variant of the X-linked enzyme glucose-6-phosphate dehydrogenase (G6PD) was studied to determine the number and type of progenitor cells in which the disease arose. G6PD mosaicism was assessed by the different rate of utilization of 2-deoxy glucose-6-phosphate (2dG6P) by normal and Mediterranean variants of G6PD. Erythroleukemia is established as a clonal disease involving a precursor cell common to the erythroid and myeloid lines. After intensive chemotherapy, restoration of nonmonoclonal hemopoiesis is achieved, as indicated by the reappearance of the mosaic phenotype in hemopoietic cell populations. PMID- 6574796 TI - Genetic transformation of murine bone marrow cells to methotrexate resistance. AB - Genetic transformation of murine bone marrow stem cells to methotrexate resistance was achieved using a modified calcium phosphate-DNA coprecipitation procedure. Bone marrow cells were transformed by DNA derived from methotrexate resistant mouse 3T6 cells. In vivo selection of drug-resistant bone marrow cells resulted from thrice weekly injections of methotrexate (MTX) for a period of 6-8 wk. Following selection, dihydrofolate reductase activity encoded by the donor DNA species was easily detectable in extracts of recipient mouse spleens. In addition, selection of methotrexate-resistant cells was indicated by the persistence of spleen colony-forming units (CFU-S) in drug-treated animals. Also, changes in ratios of mixed syngeneic bone marrow cells derived from CBA and CBA/T6T6 mice resulted from initial treatment of either cell type with 3T6 DNA. These results confirm and extend the observations of Cline and coworkers that normal bone marrow cells can be genetically transformed to methotrexate resistance. PMID- 6574798 TI - Eating attitudes and neurotic symptoms in university students. AB - A postal survey of male and female university students is reported, using the Eating Attitude Test (EAT) and the Crown Crisp Experiential Index (CCEI). Eleven per cent of the 156 female respondents but none of 120 males scored above 30 on the EAT, thereby declaring eating attitudes comparable to anorexic subjects. Of those interviewed, none fulfilled diagnostic criteria for anorexia nervosa, but half showed eating disorder of clinical severity. There was a clear association between high EAT scores and higher scores on all the subscales of the CCEI except the phobic scale. The results are discussed in relation to ideas about the possible origins of clinical eating disorders. PMID- 6574797 TI - Absence of terminal transferase may predict failure of remission induction in childhood ALL. AB - Two children with acute lymphoblastic leukemia (ALL), whose lymphoblasts lacked terminal deoxynucleotidyl transferase (TdT) by both enzyme and fluorescent antibody assay, responded poorly or not at all to vincristine and prednisone. Both patients had high presenting white counts and mixed L1-L2 morphology. Lymphoblasts from one patient, an adolescent boy with a mediastinal mass, possessed surface membrane receptors for sheep red cells (E) and for complement (EAC) and had elevated adenosine deaminase activity (ADA). Lymphoblasts from a 2.5-yr-old boy without a mediastinal mass did not form E or EAC rosettes and did not express the la-like antigen or carry surface immunoglobulin. The poor response to therapy and absence of TdT were associated with a lymphoblast phenotype suggestive of a highly differentiated T-cell-derived line in one instance and an undifferentiated cell in the other instance. It is postulated that absence of TdT may predict poor therapeutic efficacy of vincristine and prednisone in acute lymphoblastic leukemia in childhood. The absence of TdT may correlate with other developmental characteristics of lymphoblasts, such as altered function or low numbers of glucocorticoid receptors or resistance to lysis by steroid drugs. Determination of many parameters of lymphoblast phenotype at diagnosis to characterize the nature of the malignant cells more precisely may ultimately enhance our understanding of, and improve therapy for, the group of leukemic children who fail to respond to standard regimens. PMID- 6574800 TI - Tracking the tooth fairy: finding the trail. PMID- 6574799 TI - The analgesic effects of morphine, but not those of the enkephalinase inhibitor thiorphan, are enhanced in arthritic rats. AB - The effects of various i.v. doses of morphine (0.1, 0.3 and 1 mg/kg) and of thiorphan, an inhibitor of enkephalinase (0.7, 2.5, 5, 10 and 15 mg/kg), were studied upon the vocalization threshold to foot pressure in normal rats and rats with Freund's adjuvant-induced arthritis. The vocalization threshold in arthritic rats was, before any injections, significantly lower than in normal rats (mean pressure threshold for vocalization: 115.2 g +/- 14.7 (n = 152) for arthritic rats vs 182.5 g +/- 21.3 for normal rats (n = 152). The various doses of morphine in raising the vocalization threshold were more efficient in arthritic than in normal rats (maximum vocalization threshold (% of control) following 1 mg/kg morphine = 225.70 +/- 10.21 in arthritic rats vs 140.75 +/- 6.87 in normal rats, n = 9 in each case). This effect was dose-dependent, and in every case, naloxone reversible. Injected at doses of 5-15 mg/kg, thiorphan increased the vocalization threshold (maximum = 223.91% +/- 11.96 in arthritic rats vs 223.30% +/- 5.93 in normal rats for 15 mg/kg i.v., n = 9 for each group). This effect was not greater in arthritic than in normal rats. The dose of 2.5 mg/kg of thiorphan was insufficient. Administered at 0.7 mg/kg, thiorphan significantly decreased the vocalization threshold in the arthritic rats only. These effects of thiorphan were all naloxone-reversible using doses of naloxone which were one-hundredth of those of thiorphan. PMID- 6574801 TI - Attorney . . . accountant . . . or consultant? PMID- 6574802 TI - Ovarian rhabdomyosarcoma presenting as leukemia. Case report. AB - A condition of pure ovarian rhabdomyosarcoma in a 16-year-old female is described. The tumor presented with a leukemia-like picture, with extensive peripheral blood and bone marrow involvement which led to an initial diagnosis of acute lymphoblastic leukemia. The diagnosis was achieved at autopsy and was supported by ultrastructural findings of Z-band-like material and alternating thin and thick filaments. PMID- 6574803 TI - Pericarditis as presenting manifestation of acute nonlymphocytic leukemia in a young child. AB - A case of acute nonlymphocytic leukemia presenting as pericarditis is reported in a five-year-old boy. Initially, a clinical diagnosis of viral pericarditis was made, because the child did not demonstrate hematologic or clinical manifestations of leukemia. Acute undifferentiated or lymphocytic leukemia. Acute undifferentiated or lymphocytic leukemia was diagnosed one week after admission when his peripheral blood count became abnormal. The patient did not respond to vincristine and prednisone. When cytochemical evaluation indicated acute myelomonocytic leukemia, employment of cytosine arabinoside and 6-thioguanine was instituted and the child began to improve. Currently, he is still in good remission and has no evidence of recurrence of pericarditis, 1 1/2 years after his initial presentation. In reviewing the literature, we found 17 patients who had leukemic pericardial effusion with cardiac tamponade. There are three reported cases of young children with pericardial effusion as the initial manifestation of acute lymphocytic leukemia, but no reported cases due to nonlymphocytic leukemia, as in this child. PMID- 6574804 TI - Chronic granulocytic leukemia following radiation therapy for Hodgkin's disease. AB - A 33-year-old white man was treated with irradiation for Hodgkin's disease involving the mediastinum; four years later he developed typical Philadelphia chromosome-positive chronic granulocytic leukemia. The patient has been treated with chronic low-dose busulfan to maintain peripheral blood counts in the normal range and he continues to remain well 27 years after the initial diagnosis of Hodgkin's disease and 23 years following the onset of leukemia. PMID- 6574805 TI - Opportunistic mycotic infection caused by Chaetomium in a patient with acute leukemia. AB - Patients with acute leukemia are susceptible to a variety of opportunistic infections. A patient with acute lymphocytic leukemia who developed a Chaetomium caused empyema, which may have subsequently contributed to his death is reported. PMID- 6574806 TI - Histocompatibility testing in patients with carcinoma of the bladder. AB - A number of disease states have been found to have a positive association with certain HLA antigens. Weak associations have been described for a number of cancers. Seventy patients with transitional cell carcinoma of the bladder underwent serotyping for HLA, A, B, C, and DR antigens. There were 54 men and 16 women patients with a mean age of 65.3 years. Noninvasive lesions (Ta and T1) were present in 50 and 20 were invasive (T2, T3, and T4). Low grade tumors (G1 and G4) were found in 53 and 17 were moderately or poorly differentiated (G3 and G4). Gene frequencies for the HLA determinants in the cancer patients were compared to those for normal English caucasoids. No significant differences were found at either the A, B, C, or DR loci. DR4 was the commonest antigen expressed in bladder cancer patients with an allelic frequency of 39% compared to 28% in the normal population. The presence or absence of the DR4 antigen was not related to the stage or grade of the tumor. PMID- 6574807 TI - Philadelphia chromosome-positive chronic myelocytic leukemia in children. Survival and prognostic factors. AB - The survival and the prognostic significance of the diagnostic characteristics of 39 children with Philadelphia chromosome-positive chronic myelocytic leukemia (Ph1-positive CML), seen between 1963-1976 at the Hopital Saint-Louis of Paris, have been analyzed. The disease predominated in children older than age 4 years (95%), with girls being more affected than boys (24 versus 15). The clinical and hematological picture at presentation was similar to that observed in adults with Ph1-positive CML. Most children of this series were treated with busulfan which, as in adults, led to reduction of leucocytosis and organomegaly but did not prevent the occurrence of blastic crisis. Well-documented blastic crisis was observed in 78% of cases. Of 39 children, 12 were still alive, all in the chronic phase. Twenty-seven have died, 21 of them after blastic crisis, 4-156 months after diagnosis (median survival, 53 months). The effect of each diagnostic characteristic on survival was evaluated using the log-rank test. Of the 14 characteristics studied, only the degree of blood and marrow blastosis was associated with a shorter survival. Age, sex, bleeding, lymphadenopathy, hepatomegaly, degree of splenomegaly, hemoglobin level, total leucocyte, immature granulocyte (promyelocytes + myelocytes + metamyelocytes), eosinophil, basophil, and platelet counts in the peripheral blood were of no prognostic significance. The failure to attain a level of statistical significance for some characteristics found to be of prognostic value for adults, could be due to the small sample size and/or to the disease homogeneity. The results of this study, however, stress the importance of the initial blastic infiltration in determining the duration of survival, which is ultimately determined by the occurrence of terminal acute leukemia. In conclusion, this study shows that the Ph1-positive CML of childhood exhibits the same course, incidence of blastic crisis, and survival as the disease of adults. It also indicates that treatment with moderate chemotherapy, such as busulfan, has no effect on the duration of survival. Therefore, new therapeutic approaches are urgently needed for the treatment of this disorder in children. PMID- 6574808 TI - Childhood cancer. Medical costs. AB - The financial burden of cancer treatment is a major source of stress for families of children with cancer. A previous study demonstrated that out of pocket nonmedical costs incurred because of the illness were consuming 26% of the weekly budget. A one-month sampling of medical charges were collected for 64 families of children undergoing outpatient treatment of cancer. Families of ten patients who had died also participated; total cancer center medical charges throughout the illness were collected. Monthly charges for living patients varied greatly with diagnosis, ranging from $100 to $1800. Total cancer center charges throughout the illness for the decreased patients ranged from $8000 to $53,000 (mean, +34,558). More than 50% of the charges were incurred in the diagnostic and terminal stages of illness. One sign of the hardship endured by the families was the outstanding debts to the cancer center long after the patient's death. Medical costs constituted an average of 5.8% of the families' weekly budgets. Overall, medical costs to the family were found to be much less than the nonmedical costs incurred during treatment. PMID- 6574809 TI - Hematologic and cytogenetic study of two cases of acute leukemia associated with breast cancer. AB - The authors present two cases of patients with breast cancer with lymph node extension and who both had surgery. As a pancytopenia with hypercellular bone marrow was discovered at the same time in the first patient, she received no complementary treatment; 4 months later, she presented with an acute lymphocytic leukemia (ALL) for which a remission was easily induced, but she died of a pulmonary infection. The second patient received local radiotherapy (50 grays) and adjuvant chemotherapy (Alkeran for 26 months). Forty-seven months after the diagnosis of breast cancer and 16 months after the end of the treatment, an acute nonlymphoblastic leukemia (ANLL; M6) was diagnosed after 8 months of a preleukemic state. Treatment did not produce any results and death occurred on the 17th day. Cytogenetic studies on the bone marrow cells of both patients were performed. In the first patient in the ALL phase normal cells coexisted with a 47 chromosome clone, the extra chromosome being a D (+ 13?). In the second patient, several karyotype abnormalities were already present in the preleukemic state and also during the acute leukemic phase. No normal mitoses were found; hypodiploidy was present as well as major abnormalities such as markers, rings, and, among others, the systematic loss of a #5 and a #7. The first patient seems to have presented with a de novo ALL, associated with the malignant tumor; whereas, the second patient showed all the characteristics of an induced ANLL. The clinical, hematologic, and cytogenetic characteristics of these two patients are analyzed and compared to those of other cases in the literature. PMID- 6574810 TI - Cytogenetic studies of bone marrow and extramedullary tissues and clinical course during metamorphosis of chronic myelocytic leukemia. AB - Of 33 consecutive patients with chronic myelocytic leukemia, examined during metamorphosis, 82% showed chromosome abnormalities in addition to the Ph1. Aberrations most frequently encountered were +8 (39%), +22q - (30%), and i(17q) (18%). Translocations other than the Ph1 were observed in four cases and - Y clones in four cases. Discrepancies in the cytogenetic pattern between bone marrow and extramedullary tissues or blood were noted in a total of 15 patients. In six cases, transformation occurred in extramedullary organs at a time when it was not present in the marrow. In three cases the bone marrow transformation was preceded by a lymph node blastic infiltrate; in one case, by a skin infiltrate; and in one case, by a subdural blastoma. Clonal abnormalities additional to the Ph1 were identified in the tumor tissue from all these cases. Patients with primary extramedullary transformation tended to have a lower median age at onset of metamorphosis, shorter survival, and higher incidence of chromosome abnormalities than the cases without extramedullary involvement. Patients with only Ph1-positive cells and no other anomalies had a slightly longer duration of metamorphosis and longer total survival. Basophilia and thrombocytopenia were more marked in cases with i(17q) than in the rest of the series. PMID- 6574811 TI - Monosomy 7 in a girl with Ph1 positive chronic granulocytic leukemia. AB - A case is reported of an 11-year-old girl with Ph1-positive chronic granulocytic leukemia. Very early in her illness the original 46,XX,t(9:22) cell population in the marrow became replaced by a second abnormal cell line, 45,XX,-7. This hypodiploid clone then remained dominant in the marrow until her death from myeloid blast crisis over 3 years later. It is suggested that the 45,XX,-7 cell line may have been induced by chemotherapy, and this possibility is discussed with particular reference to similar changes seen in secondary ANLL following treatment for lymphomas and other hematological malignancies. PMID- 6574813 TI - The translocation 9;11 in acute monoblastic leukemia. PMID- 6574812 TI - Marker chromosomes in a family with high incidence of cancer. AB - Two young sisters presenting with malignant or premalignant conditions inherited two marker chromosomes (a 13p- and a 16 with a fragile site at q22). Malignancy was reported in the family on both the mother's and father's side. According to data from the literature on similar markers and from our personal observations, a possible significance may be suggested for these markers. Search for markers must be encouraged in families with high incidence of cancer. Eventually, we may find markers which will help in understanding the processes of carcinogenesis and possibly indicate individuals at risk. PMID- 6574814 TI - The psychodynamics of multiple remissions in a patient with acute nonlymphoblastic leukemia. PMID- 6574815 TI - Specific binding of [3H]phorbol dibutyrate to phorbol diester-responsive and resistant clones of a human myeloid leukemia (KG-1) line 1. AB - Phorbol diesters induce macrophage-like differentiation in KG-1 and HL-60 human acute myelogenous leukemia cell lines. We developed a cloned subline of KG-1, known as KG-1a, that does not differentiate when exposed to phorbol diesters. Both KG-1 and KG-1a cells have a single class of specific high-affinity receptors for labeled phorbol-12,13-dibutyrate with a mean Kd of 1.47 +/- 0.10 (S.E.) X 10( 8) M and 0.85 +/- 0.20 X 10(-8) M for the sensitive parental KG-1 line and the resistant KG-1a subline, respectively (p less than 0.025). The number of [3H]phorbol-12,13-dibutyrate binding sites (mean +/- S.E.) per cell was 3.85 +/- 0.98 X 10(5) and 3.94 +/- 0.31 X 10(5) on KG-1 and resistant KG-1a cells, respectively. We observed no significant decrease of specific binding with time (down regulation) in either KG-1, KG-1a, or HL-60 cells, suggesting that down regulation of specific phorbol-12,13-dibutyrate binding is not critical to induction of differentiation. Our data also confirm that the presence of specific high-affinity phorbol receptors on leukemic cells does not assure that phorbol diesters can trigger their differentiation. PMID- 6574816 TI - Presence of specific binding sites for phorbol ester tumor promoters in human epidermal and dermal cells in culture but lack of down regulation in epidermal cells. AB - The presence of specific binding sites for phorbol esters was demonstrated in human epidermal and dermal cells in culture by assay of binding of [3H]phorbol 12,13-dibutyrate (PDBU) to intact cells. The specificity of the binding was shown by displacement of the binding with biologically active tumor promoters, such as 12-O-tetradecanoylphorbol-13-acetate, teleocidin B, and mezerein, but not with inactive derivatives. The equilibrium binding data were analyzed by the Scatchard method and fitted by a straight line to the model of a single class of binding sites. Human epidermal cells bound PDBU with a Kd of 28 nm at 3.7 X 10(6) molecules per cell, while human dermal cells bound PDBU with a Kd of 27 nm at 2.1 X 10(6) molecules per cell. These values were compared with those of epidermal and dermal cells of mice. Although mouse cells showed the same affinity as did human cells, mouse epidermal cells bound one-third as much as human epidermal cells, and mouse dermal cells bound one-fifth as much as human dermal cells. When precultured with unlabeled PDBU for 24 hr, [3H]PDBU binding decreased time dependently in all cells except human epidermal cells. Thus, the binding of phorbol esters to human epidermal cells is unique in that there are a large number of binding sites compared with mouse epidermal cells, and there is no down regulation. PMID- 6574817 TI - Role of whole-body lipids and nitrogen as limiting factors for survival in tumor bearing mice with anorexia and cachexia. AB - This study was designed to ascertain whether the overall availability of whole body lipids and nitrogen is a limiting factor for survival in tumor-bearing mice suffering from anorexia and cachexia. Three-month-old nongrowing mice (C57BL/6J) were given s.c. transplants of a methylcholanthrene-induced sarcoma. Freely fed, starved, and pair-fed animals were used. Body and lipid composition, tumor growth, and survival time were measured. Freely fed sarcoma-bearing mice died with profoundly altered body composition. This was not explained by the anorexia assessed in pair-feeding experiments. Starvation had caused a more severe depletion in body composition in both tumor-bearing and nontumor-bearing animals than the tumor alone did in freely fed tumor-bearing mice. Freely fed tumor bearing animals had normal proportions of whole-body triglycerides, cholesterol, and polar lipids, but they lost palmitic acid quantitatively more than any other fatty acid. It is unlikely that any single fatty acid became limiting during tumor growth. The results show that the overall availability of lipids, nitrogen, and glucose precursors is not a limiting factor for survival in experimental tumor cachexia. Other factors considered to be more likely as determining factors for the death of tumor-bearing animals are discussed. PMID- 6574818 TI - Characteristics of a calcitonin-responsive cell line derived from a human osteosarcoma. AB - Although the primary cell type in human osteosarcoma is usually a neoplastic osteoblast, numerous other mesenchymal cell types may coexist in the same tumor. Previously described cloned, long-term osteosarcoma cell lines have had an osteoblastic phenotype. In this report, we describe a nonosteoblastic, long-term cell line derived from an osteosarcoma in a patient with Paget's disease. The cell line (FM-2) is nontransformed in having a low saturation density and anchorage-dependent growth, and it is nontumorigenic in nude mice. Important features of its fine structure include numerous elongated mitochondria, abundant Golgi and lysosomes, and a poorly developed rough endoplasmic reticulum. The line has high levels of lysosomal enzymes (acid phosphatase and N acetylglucosaminidase) and low levels of alkaline phosphatase. It lacks numerous macrophage markers (lysozyme, C3, Fc receptors, and M1 antigen). The FM-2 line had a dose-dependent cyclic AMP response (7-fold increase) following treatment with calcitonin but not with parathormone. In 125I-calcitonin-binding experiments, we calculated approximately 5.3 +/- 0.2 X 10(3) receptor sites/cell with a kd of 1.8 +/- 0.1 X 10(-9) M. Conditioned medium from the FM-2 line was a potent stimulator of calcium release as assayed in a 45Ca-labeled fetal rat bone organ culture. This activity was not prostaglandin, vitamin D, parathormone, or epidermal growth factor, which are known stimulators of bone resorption. The FM-2 line does not appear to be derived from an osteoblast, macrophage, or fibroblast and may represent a calcitonin-responsive bone stem cell. PMID- 6574821 TI - Electrosurgery, the universal modality in dental practice. PMID- 6574819 TI - Effects of S-phase-specific agents on granulocyte-macrophage and erythroid progenitor cells obtained from normal individuals and from patients with chronic myelogenous leukemia. AB - The effects of three S-phase-specific agents, [3H]thymidine, hydroxyurea, and 1 beta-D-arabinofuranosylcytosine, on granulocyte-macrophage colony-forming units (CFU-C) and erythroid progenitor cells (erythroid burst-forming units) (BFU-E) from the bone marrow or peripheral blood obtained from 23 normal individuals and 12 patients with chronic myelogenous leukemia were investigated. CFU-C, regardless of their source, showed comparable degrees of sensitivity to each of the S-phase-specific agents, with perhaps a slightly greater level of sensitivity to [3H]thymidine. In contrast, the sensitivities of chronic myelogenous leukemia and normal marrow BFU-E to the 3 agents were quite different, with essentially all BFU-E being killed by [3H]thymidine, 50 to 70% being killed by 1-beta-D arabinofuranosylcytosine, and only 15 to 20% being killed by hydroxyurea. BFU-E present in normal peripheral blood were insensitive to [3H]thymidine or hydroxyurea but were sensitive to 1-beta-D-arabinofuranosylcytosine. These studies demonstrated similarities between the CFU-C and BFU-E of CML patients and the CFU-C and BFU-E present in normal bone marrow. On the other hand, the sensitivities of normal peripheral blood progenitor cells to "S-phase-specific" agents differed from that of CML progenitor cells or the progenitor cells present in normal bone marrow. Additionally, these studies have demonstrated the limitations inherent in suicide techniques as methods for estimating the cell cycle characteristics of clonogenic cells. PMID- 6574820 TI - Phase II trial of 4'-epi-doxorubicin in patients with non-small cell lung cancer. PMID- 6574822 TI - Centrifugal elutriation of human lymphoid cells: synchronization and separation of aneuploid cells into diploid and tetraploid populations. AB - Both normal and leukemic human lymphoid cell lines were separated into populations corresponding to different positions in the cell cycle by centrifugal elutriation. Each population was analyzed for cell concentration, cell volume, [3H]thymidine incorporation, percentage S phase by autoradiography, and percent G1, S, and G2/M phases by flow cytometry. The smallest cells, collected at the lowest flow rate, were in G1 phase. Cells collected at increasing flow rates progressively increased in volume and represented distinct positions in the cell cycle transition from G1 phase, through S phase, and into G2/M phase. The purity of the G1 population varied according to cell load. One hundred percent of cells were recovered and cells collected in G1- and S-phase populations proliferated in culture with patterns characteristic of synchronized cells. An aneuploidy leukemia cell line, CEM, was separated into near-diploid and near-tetraploid populations by centrifugal elutriation. This method of cell separation provides large numbers of human lymphoid cells at different positions in the cell cycle for investigating the relationship between the cell cycle and various surface membrane and metabolic properties of cells. Aneuploid leukemia and lymphoma cells can be separated by centrifugal elutriation into populations which contain different numbers of chromosomes for comparisons of their biologic properties. PMID- 6574823 TI - When earthquake strikes . . . you can save lives. PMID- 6574824 TI - Medical history: the best insurance. PMID- 6574825 TI - Diet and behavior. PMID- 6574826 TI - Preparing severely damaged teeth. PMID- 6574827 TI - [Importance of genetic markers for psychiatric research]. PMID- 6574828 TI - A simplified method for determination of daunorubicin, adriamycin, and their chief fluorescent metabolites in human plasma by high-pressure liquid chromatography. AB - A simple method was developed for the routine monitoring of daunorubicin (DR) or adriamycin (ADR) and of their chief fluorescent metabolites in plasma of cancer patients. The plasma samples were treated with ethanol: hydrochloric acid mixture, following which the drug and its metabolites, released to the 40,000 g supernatant, were analyzed by HPLC. A mu-bondapak-phenyl column was used and an isocratic mobile phase consisting of acetonitrile in 0.1 M ammonium-formate buffer at pH 4.0. Average recovery of all the tested compounds within the concentration range of 17-3,450 pmol/ml plasma was 108 +/- 5% (mean +/- SD). The method was applied to analyses of plasma samples of several patients treated with DR or ADR. At 3 h after treatment with a DR dose of 45 mg/m2 or 60 mg/m2, daunorubicinol was the major metabolite and its concentrations were 46-270 or 85 305 pmol/ml, respectively; the unchanged drug was present at concentrations of 16 99 or 30-101 pmol/ml, respectively. Deoxydaunorubicinolone and deoxydaunorubicinone were detected at concentrations ranging from 0 to 89 pmoles/ml in the plasma of some patients. Plasma of patients treated with ADR (30 mg/m2) contained adriamycinol as the main detectable metabolite, but at 3 h after treatment its concentration was usually lower than that of the unchanged drug (22 +/- 9 vs 53 +/- 16 pmol/ml). Traces of 7-deoxyaglycones were detected in some plasma samples. PMID- 6574829 TI - Phenotype of human alpha-interferon producing leucocytes identified by monoclonal antibodies. AB - Monoclonal antibodies with specificities for subsets of human leucocytes have been used for the characterization of alpha-interferon (alpha-IFN) producing cells. The production of alpha-IFN was demonstrated to be a function of Ia+ leucocytes. OKT3+ T lymphocytes, BA-1+ B lymphocytes and Leu 7+ natural killer (NK) cells did not contribute to the production of alpha-IFN. OKM1+ monocytes were essential for the production of alpha-IFN in response to bacterial products or leukaemia cells, but were not required for the synthesis of virus- or poly I:C induced alpha-IFN. The results indicate that alpha-IFN producing cells represent a heterogenous population of cells of the myeloid lineage. PMID- 6574830 TI - The incidence and mechanism of transphyseal spread of osteosarcoma of long bones. AB - Although the physeal cartilage is considered resistant to invasion by metaphyseal osteosarcoma, no objective clinical proof exists to support this view. Fourteen cases of osteosarcoma of long bones in patients ranging in age from ten to 19 years with open physes were reviewed to determine the incidence of transphyseal spread. The physeal cartilage was not crossed in only two cases. In the remaining 12 cases the tumor crossed the cartilaginous plate partially or completely, remaining in the epiphysis in seven and crossing the articular cartilage and involving the joint in five. Histologic sections showed that increased vascularity occurs initially, followed by osteoclastic and chondroclastic activity at the physeal plate with subsequent tumor tissue invasion. The incidence of transphyseal spread in the three published series (total of 64 cases, including the present 14 cases) is 81.2%. This is contrary to the often published unsupported statements of others. Transphyseal spread of osteosarcoma is the rule rather than the exception. PMID- 6574831 TI - Busulfan kinetics. AB - Busulfan kinetics were studied in patients with chronic myelocytic leukemia after oral doses of 2, 4, and 6 mg. The plasma concentration-time data could be fitted to a zero-order absorption one-compartment open model. The elimination rate constant averaged 0.27 +/- 0.05 hr-1 (SD). The plasma AUC was linearly related to the dose. The lag time for the start of absorption, the time absorption ends, and the absorption rate constant showed some interindividual variations. About 1% of busulfan is excreted unchanged in urine over 24 hr. PMID- 6574833 TI - Structures of DNA. PMID- 6574832 TI - Right-handed and left-handed DNA: conformational information in genetic material. PMID- 6574834 TI - Salt-induced transition between two double-helical forms of oligo (dC-dG). AB - The change between a right-handed and a left-handed double-helical structure is certainly an extreme example of the conformational variability of DNA. Studying the energetics and dynamics with defined oligomers provides a convenient way to obtain a quantitative understanding of such processes and can serve as a model for possible regulatory mechanisms in biological systems. Monoclonal antibodies with different specificities to Z-DNA offer a promising technique to search for such structures in more-complicated systems and represent a model system for the quantitative investigation of the interaction of proteins with particular conformations of DNA. PMID- 6574835 TI - DNA formed by reassociation of complementary single-stranded circles from natural DNA is shown to contain left- and right-handed double helices. PMID- 6574836 TI - Transitions induced by metal complexes among several forms of DNA. PMID- 6574837 TI - Alternative description of the transition between B-DNA and Z-DNA. PMID- 6574838 TI - Helix geometry and hydration in A-DNA, B-DNA, and Z-DNA. PMID- 6574839 TI - Electron microscopy of "Z-DNA". PMID- 6574840 TI - NMR studies of DNA conformation and dynamics in solution. PMID- 6574841 TI - Application of multiple-pulse H-NMR techniques to the study of two synthetic DNA decamers. PMID- 6574842 TI - Statistical mechanical analysis of competing conformational transitions in superhelical DNA. PMID- 6574843 TI - Theoretical probes of DNA conformation examining the B leads to Z conformational transition. PMID- 6574844 TI - Cooperative transitions in DNA with no separation of strands. PMID- 6574845 TI - Structural diversity in DNA: from monomer structures to oligonucleotides. PMID- 6574846 TI - Computer simulation of DNA double-helix dynamics. PMID- 6574847 TI - A bent helix in kinetoplast DNA. PMID- 6574848 TI - Some new aspects of actinomycin D-nucleic acid binding. PMID- 6574849 TI - Right-handed and left-handed double-helical DNA: structural studies. PMID- 6574850 TI - Sharp kink of DNA at psoralen-cross-link site deduced from crystal structure of psoralen-thymine monoadduct. PMID- 6574851 TI - Solid-phase synthesis of polynucleotides. VIII: A simplified synthesis of oligodeoxyribonucleotides. PMID- 6574852 TI - Continuous-flow phosphotriester method for solid-phase synthesis of oligodeoxyribonucleotides. PMID- 6574853 TI - Synthesis and conformational analysis of synthetic DNA fragments. PMID- 6574854 TI - Left-handed DNA duplexes. PMID- 6574855 TI - Studies of nucleosome structure. PMID- 6574856 TI - Structure of nucleosomes, chromatin, and RNA polymerase-promoter complex as revealed by DNA-protein cross-linking. PMID- 6574857 TI - DNA secondary structures: helices, wrinkles, and junctions. PMID- 6574858 TI - Nucleosome-core assembly on B and Z forms of poly[d(G-m5C)]. PMID- 6574859 TI - Supercoiling and left-handed Z-DNA. PMID- 6574860 TI - Sequences of human repetitive DNA, non-alpha-globin genes, and major histocompatibility locus genes. PMID- 6574861 TI - The mammalian Alu family of dispersed repeats. PMID- 6574862 TI - Alu family members in the human alpha-like globin-gene cluster. PMID- 6574863 TI - Genome alteration during in vitro and in vivo aging: amplification of extrachromosomal circular DNA molecules containing a chromosomal sequence of variable repeat frequency. PMID- 6574864 TI - Structures of DNA: a summary. PMID- 6574865 TI - Structures of DNA. PMID- 6574866 TI - Effect of DNA methylation on gene expression. PMID- 6574867 TI - Retroviruses and embryogenesis: de novo methylation activity involved in gene expression. PMID- 6574868 TI - Implications for X-chromosome regulation from studies of human X-chromosome DNA. PMID- 6574869 TI - Structure and replication of vaccinia virus telomeres. PMID- 6574870 TI - Adenoviral DNA replication: DNA sequences and enzymes required for initiation in vitro. PMID- 6574871 TI - DNA conformation and transcription initiation of eukaryotic tRNA genes. PMID- 6574872 TI - Developmental regulation of Xenopus 5S RNA genes. PMID- 6574873 TI - Interaction of eukaryotic class-B transcription factors and chick progesterone receptor complex with conalbumin promoter sequences. PMID- 6574874 TI - Radiography of the temporomandibular joints individualized and simplified. PMID- 6574875 TI - The effect of submerging roots with periodontal defects. PMID- 6574876 TI - Gingival grafting for deep-wide recession -- a status report. Part I. Rationale, case selection, and root preparation. PMID- 6574877 TI - Surgical treatment of the short clinical crown in an area of inadequate keratinized gingiva. PMID- 6574878 TI - Root resection. PMID- 6574879 TI - The effect of ventilation on the accuracy of pulmonary artery and wedge pressure measurements. AB - A comparison was made of automated versus manual measurement of pulmonary artery (PA) and wedge (WP) pressures. The manual pressure measurements were taken at end expiration whereas the automated measurements were taken using existing monitor and computer algorithms. A total of 40 critical care patients were divided into groups according to the ventilatory mode used (spontaneous, intermittent mandatory ventilation [IMV], or assist/control). In patients who were breathing spontaneously, the automated method underestimated mean PA pressure (MPAP) (p less than 0.01), WP (p less than 0.001), and PA diastolic (p less than 0.001) pressure but not PA systolic pressure. In patients on IMV, the automated method underestimated MPAP (p less than 0.05), WP (p less than 0.001), and PA diastolic (p less than 0.001) pressure and overestimated PA systolic pressure (p less than 0.05). In patients on assist/control, the automated method overestimated WP (p less than 0.001) and PA systolic (p less than 0.005) pressure pressure, underestimated PA diastolic (p less than 0.001) pressure and did not affect MPAP. The error was not affected by respiratory rate, thoracic compliance, or level of PEEP. The errors in automated pressure measurements believed to be clinically important varied with the ventilatory mode used. Patients breathing spontaneously had the largest measurement error, with 42% of these patients having a clinically important error in WP and 99% having a clinically important error in PA diastolic pressure. Patients on assist/control had the fewest errors in automated pressure measurements. In all ventilatory modes used, automated measurement of PA diastolic pressure had the largest amount of error. PMID- 6574880 TI - Determining pulmonary resistance to gas flow during sinusoidal pressure wave mechanical ventilation. AB - Standard techniques for measuring pulmonary resistance (RP) to gas flow in newborn infants yield results that are widely dispersed and difficult to interpret. The purpose of this study is to describe and evaluate a new improved method for determining RP which utilizes a sinusoidal pressure wave generator. Measurements of respiratory flow rate and transpulmonary pressure were made in cats 1) breathing spontaneously, 2) mechanically ventilated with a time-cycled pressure-limited ventilator, and 3) mechanically ventilated with a sinusoidal pressure wave delivered to the airways. RP values were calculated using 2 methods: 1) at midinhalation (RPI) and midexhalation (RPE), and 2) at iso-volume times during inhalation and exhalation (RP(iso-V)). During spontaneous breathing, RP values were 65 +/- 16 (mean +/- SE), 90 +/- 23 and 78 +/- 27 cm H2O/L . sec for RPI, RPE, and RP(iso-V), respectively. Mechanical ventilation yielded RP values of 35 +/- 4 and 124 +/- 26 cm H2O/L . sec for RPI and RPE, respectively. During sinusoidal airway pressure ventilation, standard errors were reduced; PP values were 33 +/- 4, 54 +/- 6, and 42 +/- 4 cm H2O/L . sec for RPI, RPE, and RP(iso-V), respectively. The use of the sinusoidal pressure wave generator smoothed the pressure-flow data and improved the quality of RP determinations. Coefficients of variation were reduced by 45%. The methods used are simple to apply and may make the determination of RP in ICU patients more practical. PMID- 6574881 TI - [A database to serve the clinic]. PMID- 6574882 TI - [Transcortical anesthesia in current practice]. PMID- 6574883 TI - [The occlusal plane. Determination and choice in complete denture]. PMID- 6574884 TI - [Arsenicals, in season again?]. PMID- 6574885 TI - [Immunologic problems in endodontics and their clinical implications]. PMID- 6574886 TI - [Ecological therapy of the root canal]. PMID- 6574887 TI - [Variation in the denture space in totally edentulous patients]. PMID- 6574888 TI - [Epuloid tumors]. PMID- 6574889 TI - [Prevention of drug interactions]. PMID- 6574890 TI - [The tolerance of dental alloys in the oral environment]. PMID- 6574891 TI - [Ergonomics in endodontics. Cleaning, arrangement and sterilization of canal instruments]. PMID- 6574892 TI - [The dam and asepsis: myth or reality?]. PMID- 6574893 TI - [Dentistry and hepatitis B. Risks and prevention by vaccine]. PMID- 6574894 TI - [Viral hepatitis B: professional risk in dental practice. General preventive measures to limit the possibilities of infection]. PMID- 6574896 TI - [Meeting of the Working Group on Maxillary Surgery and Roentgenology, Bad Homburg. Proceedings]. PMID- 6574895 TI - [Fluorides and conservation of teeth in irradiated patients. Results after 10 years]. PMID- 6574897 TI - [Prognosis of the support areas in the secondary dentition]. PMID- 6574898 TI - [Surgical exposure and orthodontic positioning of retained and malpositioned canines]. PMID- 6574899 TI - [Experimental study of the parallelism of milled telescoping primary anchors]. PMID- 6574900 TI - [Galvanic corrosion of dental alloys]. PMID- 6574901 TI - [Changes in the "silent period" in repeated rapid movements in maximal intercuspation]. PMID- 6574902 TI - [In vivo study of the solubility and sealing capacity of 3 fixation cements]. PMID- 6574903 TI - [Epidemiological study of the gingival findings in 9- to 10-year-old schoolchildren]. PMID- 6574904 TI - [New viewpoints in assessing local fluoride application]. PMID- 6574905 TI - [Fluoride concentration in the saliva after the tray application of jellys with a varying amine fluoride content]. PMID- 6574906 TI - [Cariostatic effect of a toothpaste with a fluoride combination]. PMID- 6574907 TI - [Observations of mandibular growth after endosseous implantation in the left lower 1st and 2d molar region in a 13-year-old girl]. PMID- 6574908 TI - Induction and expression of mutations at multiple drug-resistance marker loci in Chinese hamster ovary cells. AB - We have observed quantitative and qualitative differences in the mutability and mutagen-specificity of various drug-resistance marker loci in Chinese hamster ovary (CHO) cells, which suggest that mammalian gene loci may differ in their relative mutability by a given mutagenic agent. We have used the CHO-AT3-2 multiple-marker mutagenesis assay system to examine the dose-dependent induction and kinetics of expression of mutations at four well-characterized, drug resistance marker loci, after treatment with chemical agents which produce various types of DNA damage. The CHO-AT3-2 subline allows simultaneous quantitation and direct comparison of induced mutation frequencies at the hgprt, oua (Na+/K+ ATPase), aprt, and tk loci. The agents tested in this study included ethyl methanesulfonate, methyl methanesulfonate, mitomycin C, ICR-191, benzo[a]pyrene, and dimethylnitrosamine. The expression kinetics and optimal expression times for each drug-resistance marker were determined in dose-response experiments in which cells from mutagen-treated populations were plated at 1-2 day intervals over a period of 10 days following mutagenesis. Comparison of induced mutation frequencies for each drug-resistance marker after mutagen treatments yielding equivalent cell survivals (equitoxic doses resulting in relative cell survivals of 0.37) revealed locus-specific differences in the relative mutagenicities of the agents tested. These results indicate that the apparent mutagenicity of a particular agent at a single genetic locus may not necessarily be an accurate indicator of that agent's mutagenic potential for the genome as a whole. PMID- 6574909 TI - Phytochrome-mediated regulation of two mRNAs, encoded by nuclei and chloroplasts of ribulose-1,5-bisphosphate carboxylase/oxygenase. AB - Etiolated pea seedlings (5 days old) were treated with red light for 5 min and grown for 2 days more in darkness. Effects of the red light on the mRNA levels of two subunits of ribulose-1,5-bisphosphate carboxylase/oxygenase (EC 4.1.1.39) (ribulose-P2 carboxylase), rate of enzyme synthesis and accumulation of the enzyme were examined for the plants. Increases of the two mRNA levels, encoded in nuclei and chloroplasts were observed. Red light followed by far-red light treatment for 5 min inhibited the increases. An increase parallel with the mRNA levels was found for the rate of the enzyme synthesis and accumulation of the enzyme. These results indicate that the induction of two mRNA levels is mediated by phytochrome and causes the red-light-inducible, far-red-light-reversible increase of ribulose-P2 carboxylase. When white light was irradiated to induce the enzyme, the effects of red light given in darkness were reinforced. These results indicate that light-induction of ribulose-P2 carboxylase is mediated by phytochrome and controlled by the two mRNA levels. PMID- 6574910 TI - Anti-prostaglandin and anti-inflammatory short-term efficacy of piroxicam in rheumatoid arthritis. AB - The efficacy of anti-inflammatory agents is related to their concentration in the peripheral compartments. In rheumatoid arthritis a drug's affinity for synovial tissue and synovial fluid is a decisive factor in treatment. The short-term efficacy of piroxicam was studied, relating the synovial concentration of prostaglandins and acid phosphatase and LDH to piroxicam synovial and plasma levels. After withdrawal of synovial fluid for pre-treatment measurements, 10 patients received 20 to 30 mg of piroxicam/day for eight days. The drug reached an average level of 3.56 +/- 0.9 micrograms/ml in synovial fluid, and 7.73 +/- 1.6 micrograms/ml in plasma. The acid phosphatase decreased from an initial average level of 29 mu/ml to a final average level of 15.999 mu/ml. The LDH showed an initial average level of 725.3 mu/ml and a final average of 471.2 mu/ml (p less than 0.01). The prostaglandin levels were quantified by two methods: indirectly, by measuring the malonilaldehyde concentration in nMol/ml, which showed an average level decrease of 48.75% in 100% of the cases; and directly, by means of thin layer chromatography and biological assay on rats' gastric fundus, against controls. The disappearance of PGE1 and a significant decrease in PGF2 alpha (100%) were observed. We conclude that piroxicam is an effective drug for the short-term treatment of rheumatoid arthritis. It penetrates rheumatoid synovial fluid, reaching 50% plasma concentrations. It has an anti-prostaglandin action, and could stabilize lysosomal membrane. PMID- 6574911 TI - 3rd main meeting of the British Society for Cell Biology. Liverpool, March 28 31st, 1983. Abstracts. PMID- 6574912 TI - Annual meeting of the Deutsche Gesellschaft fur Zellbiologie: Control of cell metabolism by modifications of proteins, DNA and cytoskeleton. Hamburg, 22-25 March 1983. Abstracts. PMID- 6574913 TI - Properties of human natural interferon-producing cells stimulated by tumor cell lines. AB - Human peripheral blood mononuclear leukocytes cocultured with WISH human amnion cells or K562 tumor cells rapidly produce interferon-alpha (IFN). In the present report we characterize the IFN-producing cells (IPC) in this system by cell separation procedures, including panning with different monoclonal antibodies. Two types of cells which were responsible for the IFN production could be identified. The first IPC was classified as monocyte/macrophage because it was present in plastic-adherent cells and apparently carried the OKM1 antigenic marker. T and B lymphocytes were not involved in the IFN production. The second type of IPC was nylon wool-nonadherent, sheep erythrocyte rosette-negative, at least partly Fc receptor-negative and resided in light Percoll density gradient fractions. The natural killer activity and IFN-producing capacity was studied in such cells fractionated by the panning technique, utilizing HNK-1, OKT10 and OKM1 antibodies. When WISH and K562 were used as IFN inducers, HNK-1+ and OKT10+ cells with lytic activity against K562 produced little or no IFN. The IPC were instead confined to HNK-1- and OKT10- cells. With cells fractionated with respect to the OKM1 antigen, natural killer activity against K562 and WISH cells and IFN production stimulated by K562 cells resided in the OKM1+ cells. In marked contrast, cells producing IFN in response to WISH cells were OKM1-. The results therefore demonstrate a dissociation between natural killer cells against tumor cells and IPC stimulated by the same targets, suggesting that for at least certain targets/inducers they may represent distinct entities. PMID- 6574914 TI - The chemiluminescence response of human natural killer cells. II. Association of a decreased response with low natural killer activity. AB - Low natural killer (NK) responders selected from a panel of 600 normal, healthy volunteers exhibited 5- to 10-fold less cytotoxicity against the human erythroleukemic cell line K562, compared with high NK responders. Antibody dependent cellular cytotoxicity against tumor cells, which is mediated by similar or identical effectors, was also depressed in low NK donors whereas lectin dependent T cell killing and monocyte-mediated cytolysis of tumor cells was normal. Low NK donors exhibited normal frequencies of cells expressing the HNK-1 marker of human NK cells and highly enriched NK fractions were not impaired in their ability to recognize and bind to NK-sensitive target cells. Interferon partially activated low responder NK cells but did not restore the response to normal levels. The burst of chemiluminescence that is generated by NK cells within seconds of target cell contact was markedly impaired in low NK responder donors. We have previously shown that chemiluminescence detects reactive oxygen intermediates which are necessary but not sufficient for the activation of the NK cytolytic pathway. PMID- 6574915 TI - Evidence for a functional cytoprotective effect produced by antacids in the rat stomach. AB - The fall in potential difference evoked by taurocholate was diminished after exposure of the gastric mucosa of rats to aluminium-containing antacids. Other parameters of barrier disruption (H+ back diffusion, Na+ influx) exhibited the same pattern and correlated with the change in potential difference. This cytoprotective-like effect was abolished in animals pretreated with indomethacin. Taurocholate significantly diminished the PGE2 content in the gastric mucosa and its release into the instillate. The PGE2 content of gastric mucosa and instillate of animals pretreated with an aluminium-containing antacid was not decreased after exposure to taurocholate. PMID- 6574916 TI - Bone regeneration in alveolar bone dehiscences related to orthodontic tooth movements. PMID- 6574917 TI - Prevalence of mandibular dysfunction and relation between malocclusion and mandibular dysfunction in a group of women in Sweden. PMID- 6574918 TI - Occlusal anomalies in Finnish students related to age, sex, absent permanent teeth and orthodontic treatment. PMID- 6574919 TI - The facial profile in advanced hypodontia: a mixed longitudinal study of 141 children. PMID- 6574920 TI - Hypodontia and delayed development of the second premolars in cleft palate children. PMID- 6574921 TI - An electromyographical study of the effect of a mandibular lipbumper. PMID- 6574922 TI - Comparative studies on orthodontic elastic threads. PMID- 6574923 TI - Torquing of stainless steel and Nitinol wires. A comparison of mechanical properties. PMID- 6574924 TI - Orofacial development under adverse conditions. PMID- 6574925 TI - Flow cytometric analysis of unbalanced control of protein accumulation and DNA synthesis in differentiating mouse myeloid leukemia cells. AB - The protein and DNA contents of mouse myeloid leukemia M1 (clone B24) cells were determined by flow cytometry (FCM) after double fluorescent staining of the cells with fluorescein isothiocyanate and propidium iodide. FCM analysis showed that there was a linear relationship between the DNA and protein contents in logarithmically growing cells, although the protein content showed some variation. B24 cells can be induced to differentiate into macrophage-like cells by treatment with a protein inducer(s) in conditioned medium (CM) of hamster embryo cells. When the cells were treated with various concentrations of CM, cells with a 2C DNA content, G1/0 cells, increased and protein accumulated in these G1/0 cells. The increases in the number of G1/0 cells and in their protein content per cell were proportional to the concentration of CM. Serial analysis of changes in the contents of DNA and protein in differentiating B24 cells showed that DNA synthesis was suppressed by differentiation-induced block of the cell cycle at the G1/0 phase, whereas increase in the protein content was not completely suppressed by block of the cell cycle. These results suggest that unbalanced control of the DNA and protein contents of B24 cells is involved in the mechanisms of the morphological changes during differentiation into macrophages. PMID- 6574926 TI - Control of cell differentiation during proliferation. I. Monocytic differentiation of HL-60 promyelocytes. AB - The cell proliferation relating an uncommitted precursor cell to a differentiated terminal cell has been quantitated. HL-60 promyelocytes, a bipotent precursor cell capable of differentiating along either the myeloid or monocytic pathway, were induced by a human lymphocyte-conditioned medium (CM) to differentiate into macrophage-like cells. The promyelocytes had a generation time of approx. 42 h. Most promyelocytes which differentiated became macrophage-like cells after only one cell division. Some, a minority, underwent more than one division. The time between induction of differentiation and expression of differentiated characteristics could thus be very short. Labelled S-phase promyelocytes could differentiate after traversing S. G2 and undergoing mitosis. Some, approx. 21%, required a subsequent complete cell cycle before differentiating. The data suggest a model in which cells must undergo a S-phase-specific differentiation control event in the presence of CM in order to differentiate in the subsequent G1 phase. This model proposes that a discrete time in S phase exists when cells are susceptible to exogenous regulation directing them to yield differentiated daughter cells. PMID- 6574927 TI - Murine arylsulfatase C: evidence for two isozymes. AB - SWR/J mice possess high arylsulfatase C, estrone sulfatase, and dehydroepiandrosterone sulfatase activities in liver, spleen, and kidney compared to A/J mice. This interstrain activity variation appears to be determined by at least 1 autosomal gene. Murine arylsulfatase C activity occurs in both hydrophobic and hydrophilic forms which differ with respect to certain biochemical properties and exhibit different subcellular distributions. The hydrophilic isozyme is a major component in kidney and brain extracts and a minor isozyme in liver and spleen extracts. The hydrophobic arylsulfatase C isozyme appears to be identical to steroid sulfatase. The hydrophilic arylsulfatase C isozyme does not possess steroid sulfatase activity; however, hydrophilic and hydrophobic arylsulfatase C share certain properties, suggesting that they may be structurally related. The autosomal gene(s) affects both arylsulfatase isozymes. PMID- 6574928 TI - Effects of prostaglandin F2 alpha on the contractile responses of guinea-pig ileum to electrical stimulation. PMID- 6574929 TI - [Tooth restoration using stainless steel. A new method for the preparation of pin crowns]. PMID- 6574931 TI - Genetics applied to pest control. PMID- 6574930 TI - [Combined treatment of precancerous conditions and malignant tumors of the maxillofacial region. Technical directives for the stomato-oncologic consultation team]. PMID- 6574932 TI - [Skull-joint relation articulator--assembly using a bite plane]. PMID- 6574933 TI - [Dust determination study in the dental laboratory]. PMID- 6574934 TI - [Intelligent economics in the use of dental alloys]. PMID- 6574935 TI - [Platinum in precious metal dental alloys. Properties and manufacture]. PMID- 6574936 TI - [Texture studies in metalloceramic systems]. PMID- 6574937 TI - [Aptitude tests. Apprentice examinations. Masters examinations. How reliable are the prognoses?]. PMID- 6574938 TI - How to survive a tax audit. PMID- 6574939 TI - Collection problems? Small claims court may be the answer. PMID- 6574940 TI - How to reduce dental staff turnover. PMID- 6574942 TI - Strategic scheduling for productivity. PMID- 6574941 TI - How to promote your dental practice to the public. PMID- 6574943 TI - The dental hygienists as a marketing agent. PMID- 6574944 TI - Should dental health professionals encourage the consumption of milk? PMID- 6574945 TI - Preparing for the boards. PMID- 6574946 TI - Preliminary evaluation of oral lesions: what is this white patch on the buccal mucosa? PMID- 6574947 TI - Accident prone? PMID- 6574948 TI - Immunological classification of acute lymphatic leukemia. PMID- 6574949 TI - Multimarker analysis of childhood acute lymphoblastic leukemia (ALL): heterogeneity of cellular phenotypes and clinical relevance of immunological defined ALL subclasses. PMID- 6574950 TI - Dysfunctional glucocorticoid receptors in acute leukemia. PMID- 6574951 TI - Glucocorticoid-induced lysis of various subsets of acute lymphoblastic leukemia. PMID- 6574952 TI - Construction and characterization of chromosomal DNA libraries. PMID- 6574953 TI - Early events in the suppression of myeloid leukemic cells by biological regulators. AB - Differentiation of mouse and human myeloid leukemic cells in vitro can be induced by some members of the granulocytemacrophage family of colony-stimulating factors. In the mouse, the most active molecule (G-CSF) is able to suppress leukemic stem cell self-generation in an irreversible, asymmetric process, suggesting that the factor permanently modifies newly synthesized one or more daughter chromatids in dividing leukemic stem cells. PMID- 6574955 TI - Studies of myelopoiesis using monoclonal antibodies and variant lines from the promyeloid cell line HL60. PMID- 6574954 TI - Myeloid leukemic cell differentiation induced by human postendotoxin serum and vitamin analogues. PMID- 6574956 TI - Mechanisms for induction of differentiation in the human promyelocytic cell line HL-60. PMID- 6574957 TI - Differentiation of a human myeloid cell line (HL-60) toward granulocyte- and macrophage-like cells: comparison of cell surface antigen expression. PMID- 6574958 TI - K 562 cell line in plasma clot diffusion chambers: changes in cell surface phenotype in relationship to culture conditions. PMID- 6574959 TI - Antigen expression on normal and leukaemic erythroid precursors. PMID- 6574960 TI - Hybrids between human cell lines belonging to different hematopoietic pathways: analysis of HLA and myeloid surface antigens. PMID- 6574961 TI - Natural killer cells and their targets: impact of differentiation on target cell susceptibility. PMID- 6574962 TI - NK and K cells in malignant lymph nodes. PMID- 6574963 TI - [Psychagogy in the dental office - a conversation with the patient]. PMID- 6574964 TI - [Cerebral palsy in childhood]. PMID- 6574965 TI - [The mentally handicapped child]. PMID- 6574966 TI - The persisting capability for vasodilatation in duct-occluded canine pancreatic segments. AB - The effect of duct-obliteration and duct-obliteration induced fibrosis on the capability for vasodilatation of the pancreatic vasculature was investigated in dogs. It was demonstrated that the increase of basal blood flow through left pancreatic segments, induced by intra-arterial injection of papaverin, remained unchanged during 6 months after duct-obliteration. It is concluded that impairment of endocrine function of duct-obliterated segmental pancreatic grafts cannot be readily explained by a functional impairment of the pancreatic vessels. PMID- 6574968 TI - Sero-genetic studies on the Caucasoids of South West Africa/Namibia. AB - Gene marker studies on the Afrikaans and German populations of South West Africa/Namibia reveal that both very closely resemble their parent European stocks but that the Germans show appreciable evidence of having received a genetic contribution from non-Caucasoid, probably Khoi or Negro, sources. PMID- 6574967 TI - The genetic distances between the inhabitants of nine Mediterranean countries and the three major human races. AB - Gene frequency data of several genetic markers in 9 Mediterranean countries as well as in the 3 major human races were collected from the literature. Using these data the genetic distances between the inhabitants of the 9 countries and the 3 human races were determined. Algerians are closer to Negroids, while the other Mediterraneans are closer to Caucasoids. PMID- 6574969 TI - Genetic diversity among the Newars of Nepal. AB - Genetic diversity among the Newars of Nepal has been studied using Wright's FST and the ratio of observed variance to theoretical variance following Lewontin and Krakauer's 1973 method, based on six genetic characteristics. The gene differentiation among the Newars is only 1.7%. These observations are further corroborated by the results obtained through genetic distance analysis. The average heterozygosity per locus is high (ranging from 35 to 42%) for all the groups. About 95% of total gene diversity exists within the Newar groups, the intergroup components being only about 5%. PMID- 6574970 TI - [Prevention of dental caries in Switzerland]. PMID- 6574972 TI - [Purchase and sale of a dental practice: a reasonable approach]. PMID- 6574971 TI - [Hepatitis and dentistry]. PMID- 6574973 TI - [60 randomized observations of treatment of dental calculus with a sodium benzoate paste]. PMID- 6574975 TI - [Early diagnosis of cancers of the oral cavity]. PMID- 6574974 TI - [Clinical studies of a new local treatment]. PMID- 6574977 TI - [Personalization of intra-oral mouthpieces in underwater sports]. PMID- 6574976 TI - [Understanding bioprecursors]. PMID- 6574978 TI - [Root canal preparation]. PMID- 6574979 TI - [Preprosthetic surgery: apropos of vestibuloplasty in totally edentulous patients, a method adapted for an African setting]. PMID- 6574980 TI - [Saliva physiopathology. 1: Physiology of salivary secretions (practical ideas)]. PMID- 6574982 TI - [Saliva physiopathology. 2: Salivary pathology]. PMID- 6574981 TI - [Biochemistry of the saliva]. PMID- 6574983 TI - [Salivary secretion disorders]. PMID- 6574984 TI - [Salivary lithiasis]. PMID- 6574985 TI - [Sialitis]. PMID- 6574986 TI - [Penicillins]. PMID- 6574987 TI - [Incorporation of electronic data processing (EDP) into administration of an orthodontic practice]. PMID- 6574988 TI - [My experience with Mobil-Lock brackets]. PMID- 6574989 TI - An X-ray machine for use in preclinical laboratories. PMID- 6574990 TI - The effect of canal preparation on periapical disease. PMID- 6574991 TI - The effectiveness of two disinfectants and their action on the exposed pulp. PMID- 6574992 TI - The surgical treatment of fenestrated buccal roots of an upper molar--a case report. PMID- 6574993 TI - In vitro effects of 13-cis-retinoic acid (Ro 4-3780) and etretinate (Ro 10-9359) on DNA synthesis and fine structure of guinea pig and human lymphoid cells. AB - In vitro effects of the retinoids 13-cis-retinoic acid (Ro4-3780) and etretinate (Ro 10-9359) on DNA synthesis and the fine structure of different guinea pig and human lymphoid cells were tested. 13-Cis-retinoic acid caused a dose-dependent inhibition of DNA synthesis most prominently in thymocytes. This effect was not due to an inhibition of thymidine uptake into the cells. Electron microscopically, the cells exhibited swollen Golgi cisternae, enlarged mitochondria often with condensed matrix, and an increased number of autophagic vacuoles. Etretinate, on the other hand, was without effect on DNA synthesis as well as on cell fine structure. The results suggest that the morphological and growth-inhibitory effects of 13-cis-retinoic acid are related. PMID- 6574995 TI - Preliminary echocardiographic and polygraphic evaluation of cardiac toxicity of 4'-epi-doxorubicin. AB - Data recorded by ECG, poly ECG, and echocardiography in 101 cancer patients treated with 4'-epi-doxorubicin are reported and compared with those previously obtained in a comparable group of 78 patients treated with doxorubicin. 4'-Epi doxorubicin was administered by i.v. route in doses ranging from 50 to 90 mg/m2 in a three-weekly regimen; the maximum cumulative dose was 630 mg/m2. The results obtained demonstrate that this new antitumor anthracycline develops a lower acute cardiotoxic effect and suggest that 4'-epi-doxorubicin is endowed with a reduced chronic cardiotoxicity as compared to doxorubicin. PMID- 6574996 TI - IAO diagnostic forms. PMID- 6574994 TI - Cytotoxic action of prostaglandin D2 on mouse neuroblastoma cells. AB - Addition to the culture medium of prostaglandin (PG) D2 resulted in the degeneration in a dose- and time-dependent manner of N18TG-2 cells cloned from mouse neuroblastoma. The ED50 for PGD2-induced cytotoxicity was about 10 microM. The degenerative changes were irreversible when the cells were exposed for more than 10 h. Scanning and transmission electron microscopic examination revealed that treatment with PGD2 resulted in appearance of numerous blebs of various sizes along the cell surface and also in destruction of surface membrane and of cytoplasmic organelles. Tumor weight of N18TG-2 neuroblastoma inoculated subcutaneously on the backs of A/J mice was about 35-70% less than that of controls after 14 days of single daily i.p. or s.c. injections of 0.5-1 mg/kg of PGD2. The results indicate that PGD2 has growth-inhibitory effects on mouse neuroblastoma cells in vitro and in vivo. PMID- 6574997 TI - Patients deserve the best. PMID- 6574998 TI - Lack of effect of ingestion of vitamin E on lipoprotein-cholesterol fractions in healthy adults. PMID- 6574999 TI - The role of time-factor and RBE for the induction of osteosarcomas by incorporated short-lived bone-seekers. AB - In a large series of experiments, fractionated injections of short-lived bone seekers have been shown in many cases to cause a remarkable increase of the osteosarcoma incidence compared with a single administration of the same total skeletal dose. This effect has been observed with both alpha- and beta-emitters. In addition the latency period was shortened by protracting the dose. The total skeletal doses investigated ranged between 0.9 and 20 Gy for alpha-emitters (224Ra and 227Th) and between 28 and 112 Gy for the beta-emitter (177Lu). In all cases the protracted dose had higher or at least equal effects when compared with a single application. Reference experiments with long-lived alpha- and beta emitting bone-seeking nuclides (226Ra and 90Sr) showed that the incidence of osteosarcomas per Gy was sometimes lower than that observed when the same skeletal dose was applied by protraction of short-lived radionuclides. The dependence of osteosarcoma incidence on dose-time distribution, duration of internal irradiation, and radiation quality is discussed. In this context the possibility that the critical initial dose rate may be related to the initiating event within the multi-stage hypothesis of carcinogenesis is considered. PMID- 6575000 TI - Statistical analysis of Japanese Thorotrast-administered autopsy cases--1980. AB - In 193 cases autopsied between 1945 and 1980, all persons who had been intravascularly injected with Thorotrast in life, the authors found 131 malignant hepatic tumors, 20 liver cirrhoses, 6 myeloid leukemias, 4 erythroleukemias, 5 aplastic anemias, 4 lung cancers, 1 mesothelioma and 1 osteosarcoma. The causes of death in the Thorotrast-administered autopsy group (193 cases) were compared with those of a non-Thorotrast-administered autopsy group (95,000 cases) of the same sex and age at death as recorded in the Annals of Japanese Pathological Autopsy cases from 1958 to 1978. This comparison revealed that the frequencies of malignant hepatic tumors, liver cirrhosis, erythroleukemia, and aplastic anemia were significantly higher in the Thorotrast-administered group than in the non Thorotrast-administered group. PMID- 6575001 TI - Sites of incidence of osteosarcoma in the long bones of man and the beagle. AB - Information has been assembled on the frequency of occurrence of osteosarcomas in the long bones of groups of beagles irradiated by alpha particles from bone seeking radionuclides. These data are compared with measured trabecular surface areas in the long bones of a beagle, determined at the Bone Dosimetry Research Laboratory, Cookridge Hospital, Leeds. It is shown that, as in the human case, the percentage tumour occurrence in a long bone (or in separate thirds of a long bone) was linearly related to the corresponding trabecular surface area with a high value of the correlation coefficient. For single injections of 226Ra the low percentage tumour occurrence in the mid-thirds of the beagle bones was close to that found in man. For the surface-seeking radionuclides (239Pu, 228Th) and for 228Ra much higher percentages of tumours were found in the mid-thirds of the dog bones than for 226Ra injection. When, however, 226Ra was given in eight fractions with 14 days between each injection, a very high tumour incidence was found in the mid-thirds of the beagle long bones. These results are discussed in the light of dosimetric and other relevant factors. PMID- 6575002 TI - Leukaemia incidence in the U.S. dial workers. AB - Late biological effects of radium deposited in the human skeleton have manifested themselves unequivocally as osteogenic sarcomas or carcinomas of the mastoid air cells or paranasal sinuses. On the basis of current estimated risk factors, it might be expected that an excess of certain other malignancies could occur in a population of the size of the group exposed to radium (some 3500 cases located, which more than 2000 have measured 226Ra and 228Ra burdens), compared with the incidence in the population at large. An increased incidence of breast cancer has already been reported in female dial workers and it was related to the initial radium intake. On the other hand, very little information is available on the induction of leukaemia by alpha-radiation in human bone marrow. This paper therefore reports an investigation of the incidence of leukaemia among the radium workers. This covers a very wide range of radium burdens and has been done in the light of reasonable estimates of the mean alpha-particle dose received by the skeletal haemopoietic marrow. The number of leukaemia cases is identified and compared with (a) the expected number in a comparable population of the same size and age distribution and (b) predictions based on the risk factor proposed for protection purposes by the ICRP and on the estimated bone marrow doses. PMID- 6575003 TI - High-frequency jet ventilation: a nursing perspective. PMID- 6575005 TI - Adaptation to overeating in lean and overweight men and women. AB - In groups of four, men and women in their 40s and 50s, some of them lean and some overweight, overate for 30 d by 1000 kcal/d (4186 kJ/d) more than they needed to maintain weight. On an average dietary mixture for Americans they gained a mean of 2.68 kg, and on a diet high in carbohydrate (60 per cent of energy) they gained 2.73 kg. However, on a diet high in protein and fat (70 per cent of energy), they gained significantly less, 1.75 kg. On all three diets the subjects should have gained 5 kg, if adipose tissue has an energy density of 6 kcal/g, and had there been no adaptation. There was adaptation, as evidenced by an average 7 per cent increase in thermogenesis, which was measured by 24-h direct and indirect calorimetry. Energy balances were calculated from: bomb calorimeter values for food and body waste; change in fuel stores from body composition measured by densitometry; and daily expenditure estimated from the net food intake needed to maintain body weight during a 30-d control period. During overeating, energy intake matched energy losses (including fuel storage) for the average diet and the high-carbohydrate diet, but on the diet high in protein and fat energy intake exceeded losses by more than 500 kcal/d (2093 kJ/d). Thus smaller than expected weight gains from overeating (luxuskonsumption) were largely explained by increased thermogenesis, except when the diet was high in protein and fat. Lean and overweight subjects did not differ in weight gain, loss of energy in urine and faeces, or thermogenesis from overeating. PMID- 6575004 TI - [The cerebral lesions in congenital toxoplasmosis. Study of 9 personal cases and 61 cases in the literature]. AB - This study is a review of 70 cases of congenital toxoplasmosis; all of the patients were dead between birth and the age of nine. The anatomo-pathological examination of 9 personal cases (6 acute, 1 subacute, 2 chronic) is presented and compared with that of 61 cases from the literature. After a parasitological survey concerning the infectious agent, the author summarizes the macroscopic and the microscopic lesions of his personal cases. Those data are subsequently confronted to those referred to in the literature. The author makes an attempt to entangle the terminological confusion that exists between the different terms: cyst, pseudocyst, microglial nodule and granuloma. The frequency, the localization and the mechanisms of the main alterations - granuloma, necrosis, calcification, hydrocephaly - are studied as well as the vulnerability factors and the resistance of the subjects. The presence in 8 of the 9 chronic cases of calcified scar lesions in the inferior portion of the external wall of the lateral ventricles suggests a particular vulnerability of the spongioblasts in that area. In the acute cases the extensive necroses in the cerebral hemispheres seem to result from immunological reactions in an immature organism rather than from vascular thromboses that appear to be more a secondary phenomenon. PMID- 6575006 TI - L-asparaginase-induced coagulation abnormalities: report of a case. PMID- 6575008 TI - Ritalin and ESP: a pilot study. PMID- 6575007 TI - Growth pattern of tumor xenografts in Wistar rats after treatment with cyclophosphamide, total lymphoid irradiation and/or cyclosporin A. AB - Wistar rats treated with cyclophosphamide, total lymphoid irradiation (TLI), and/or cyclosporin A (CSA) develop a state of immune suppression permitting the growth of tumor xenografts. Experiments were carried out on this newly developed model to investigate the growth patterns of a mouse osteosarcoma and a human colon adenocarcinoma. The combination of cyclophosphamide and CSA permitted a limited period of growth of the mouse osteosarcoma with a tumor take rate of 66%. No takes were observed with the human adenocarcinoma. The combination of cyclophosphamide and TLI resulted in a period of immunosuppression followed by recovery of the immune status. During the period of immunosuppression, tumor xenografts showed a 100% take rate. The most efficient immunosuppression was achieved by a combination of cyclophosphamide, TLI and CSA administered on alternate days. Wistar rats subjected to this treatment showed prolonged tolerance to mouse osteosarcoma and human adenocarcinoma xenografts. There was no alteration in the tumor doubling time or histological morphology of the xenografts in the adapted host as compared with those in the donor tumors. The tumor growth curve showed a pattern of initial growth, a period of stagnation, followed by a steady but slower growth phase. The significance of the results and the advantages of the rat model described in this paper for human tumor xenotransplantation are discussed. PMID- 6575009 TI - A luteolytic interaction between estradiol benzoate and prostaglandin F2 alpha in cattle. AB - A possible luteolytic interaction between prostaglandin F2 alpha (PGF2 alpha) and estradiol benzoate (E2B) in cattle was investigated by randomly assigning 20 heifers to one of four groups of a 2 x 2 factorially designed experiment. The treatments for the groups consisted of im administration of: 1) 200 micrograms of E2B, given twice daily on d 10, 11 and 12 of the estrous cycle plus 7 mg PGF2 alpha, given at a separate site, but concurrently with the last injection of E2B; 2) the vehicles for E2B (sesame oil) and PGF2 alpha (saline); 3) E2B and saline and 4) sesame oil and PGF2 alpha. Administration of both E2B and 7 mg PGF2 alpha resulted in luteolysis as evidenced by a shorter mean length of the estrous cycle (P less than .05) when compared with the vehicle-treated control group, and a decline in systemic concentrations of progesterone to less than 1 ng/ml in four of five animals. Administration of PGF2 alpha with sesame oil was luteolytic in only one of five animals and E2B plus saline had no effect on the mean length of the estrous cycle or systemic concentrations of plasma progesterone. These observations suggested a luteolytic interaction between E2B and PGF2 alpha. This luteolytic interaction was examined further in a second experiment. Corpora lutea was removed 12 h after treatment with 200 micrograms E2B or .5 ml sesame oil, administered twice on d 10, 11 and 12 of the cycle, and incubated with luteinizing hormone (LH) and PGF2 alpha in vitro. The effect of both LH and PGF2 alpha was to increase progesterone synthesis (P less than .01), and this effect was observed irrespective of E2B pretreatment. These findings were not consistent with the hypothesis that the luteolytic site of action for either E2B or PGF2 alpha was inhibition of the steroidogenic effects of LH as assessed under in vitro conditions. PMID- 6575010 TI - Heat sensitivity of Azotobacter vinelandii genetic transformation. AB - Heating competent Azotobacter vinelandii at 37 or 42 degrees C resulted in a total loss of competence with no loss of viability. The transformation process was relatively insensitive to heating at either temperature once DNase-resistant DNA binding was nearly complete. Although competent and 42 degrees C-treated cells bound equivalent amounts of [32P]DNA in a DNase-resistant state, no donor DNA marker (nif) or radioactivity was detected in the envelope-free cell lysate of heated cells, suggesting that DNA transport across the cell envelope was a heat-sensitive event. Competence was reacquired in a 42 degrees C-treated culture after 2 h of incubation at 30 degrees C by a process which required RNA and protein syntheses. The release of a surface glycoprotein, required for competence, from cells treated at 42 degrees C occurred in an insufficient amount to account for the total loss of competence. Recovery of competence in 42 degrees C-treated cells and further transformation of competent cells were prevented by the exposure of cells to saturating amounts of transforming DNA. Further DNase resistant DNA binding, however, still occurred, suggesting that there were two types of receptors for DNase-resistant DNA binding to competent A. vinelandii. DNase-resistant DNA binding was dependent on magnesium ions, and at least one receptor type did not discriminate against heterologous DNA. PMID- 6575011 TI - Ultrastructural analysis of ineffective alfalfa nodules formed by nif::Tn5 mutants of Rhizobium meliloti. AB - Ineffective alfalfa nodules formed by Rhizobium meliloti nif::Tn5 mutants were examined by light and electron microscopy. R. meliloti nifH::Tn5 mutants formed nodules that were similar in structure to wild-type nodules except that nifH- bacteroids accumulated a compact, electron-dense body. In contrast to nodules induced by wild type and nifH mutants, nifDK- R. meliloti mutants induced nodules which contained numerous starch grains and prematurely senescent bacteroids. In addition, meristematic activity in nifDK- nodules ceased significantly earlier than in nifH- nodules. All mutant nodules exhibited elevated levels of rough endoplasmic reticulum and Golgi membranes compared to wild-type nodule cells. These elevated levels may reflect either a response to nitrogen starvation in the ineffective nodules or an abnormal synthesis and export of nodule-specific proteins during later developmental stages. PMID- 6575012 TI - Trazodone in the treatment of bulimia. PMID- 6575013 TI - The use of intrinsic protein fluorescence to quantitate enzyme-bound persulfide and to measure equilibria between intermediates in rhodanese catalysis. AB - The intrinsic fluorescence of the enzyme rhodanese is quenched by as much as 30% when sulfur is transferred to the free enzyme form, E, giving the sulfur substituted enzyme, ES. This fluorescence change (lambda ex = 295 nm and lambda em = 335 nm) has been used to quantitate the E and ES forms which are isolatable, obligatory intermediates in rhodanese catalysis. Fluorescence titration was performed using cyanide to irreversibly remove sulfur from ES. The results show a stoichiometry corresponding to 1 bound sulfur/molecule of the ES form of rhodanese (Mr = 33,000). The fluorescence changes were used to measure the concentrations of E and ES when these were in reversible equilibria induced by interactions with the substrates S2O3(2-) and SO3(2-). These results were compared with an equilibrium constant derived from published kinetic studies for the reaction (formula; see text) The very close agreement between the physical and kinetic methods indicate that there are no significant concentrations of intermediates other than E and ES. Overall, the results are compatible with the formation of a persulfide intermediate in rhodanese catalysis and are consistent with conclusions from x-ray crystallography and absorption spectroscopy. In addition, these procedures offer a facile method to measure equilibria between catalytic intermediates in the rhodanese reaction using functionally relevant concentrations. PMID- 6575014 TI - The stimulation of the initiation of DNA synthesis and cell division in Swiss mouse 3T3 cells by prostaglandin F2 alpha requires specific functional groups in the molecule. AB - Among a number of prostaglandins, PGF2 alpha had the highest specific activity for stimulating the initiation of DNA synthesis in confluent resting Swiss 3T3 cells. At a saturating concentration of 8.5 X 10(-7) M, PGF2 alpha stimulated 21% of the cells to incorporate [ methyl-3H ]thymidine within 28 h. To elicit similar effects, prostaglandins F1 alpha, E1, E2, and D2 were required in 10-fold higher concentrations. Prostaglandins A1, A2, B1, and prostacyclin had no mitogenic activity. Insulin at 10(-8) M enhanced the stimulatory effect of PGF2 alpha and also of prostaglandins F1 alpha, E1, E2, and D2 by increasing the fraction of labeled nuclei. Methyl derivatives of PGF2 alpha were as effective as PGF2 alpha. Epimerization of the hydroxyl group at C-9 abolished the activity of the molecule. In contrast, upon epimerization at C-11 and C-15, some mitogenic activity was retained. In the presence of insulin, the latter molecules were as active as PGF2 alpha. Oxidation of the hydroxyl group at C-15 to a ketone abolished the mitogenic effect, while methyl ether formation led to only a slight loss of activity. Reduction of the delta 13 double bond also led only to a small reduction of activity. Similar differences in the activity of the various prostaglandins and analogues of PGF2 alpha were observed for 2-deoxyglucose uptake and increases in cell number. The relationships between structure and activity of prostaglandins suggest the existence of some specific receptor for PGF2 alpha to confer mitogenic response. PMID- 6575015 TI - Direct dilution sampling, quantitation, and microbial assessment of open-system ventilation circuits in intensive care units. AB - In a systematic approach, 37 duplicate samples of open system circuits (Bennett MA-1 ventilators) of patients in medical and surgical intensive care units were processed by direct and serial (APHA guidelines) dilutions. The paired difference test on 15 of the in-use circuitry solution samples indicated no difference between the direct and serial dilution methods (P less than 0.001). Seventy-seven additional respiratory therapy circuitry samples from similar intensive care patients were analyzed via a direct dilution method alone and processed microbiologically. The direct dilution procedure was a rapid and accurate means of evaluation of microbial contamination in the range of greater than or equal to 10 to less than or equal to 10(6) CFU/ml. High densities of organisms frequently were found. Sites of contamination included the proximal or patient end of the circuitry (heaviest), the nebulizer trap, and the distal or humidifier portions of the circuitry. The contaminants found were predominantly gram-negative nonfermenters: Acinetobacter calcoaceticus var. antitratus, Pseudomonas aeruginosa, Pseudomonas maltophilia, and Flavobacterium meningosepticum. Fermenters were Klebsiella pneumoniae, Proteus sp., Enterobacter cloacae, Citrobacter diversus, and Enterobacter agglomerans. Infrequently, gram-positive Streptococcus spp. and Staphylococcus spp. were noted. PMID- 6575017 TI - Disseminate intradermal bacterial colonization presenting as palpable purpura in lymphoblastic leukemia. AB - A patient with acute lymphoblastic leukemia suddenly developed a disseminated monomorphic eruption of purpuric papules. The papules were initially thought to be lesions of vasculitis, leukemia cutis, or septic emboli. Histologic study, however, revealed large focal colonies of gram-positive cocci within the dermis. It is postulated that a bacteremia of antibiotic-resistant cocci led to dissemination of these organisms into a virtually defenseless skin. The patient's pancytopenia and consequent immune paralysis are viewed as accounting for this focal bacterial colonization and for the remarkable absence of clinical and histologic inflammatory response. Such hematogenous noninflammatory bacterial colonization of the skin must be added to the differential diagnosis of palpable purpura. PMID- 6575016 TI - Delineation of four cell types comprising the giant cell tumor of bone. Expression of Ia and monocyte-macrophage lineage antigens. AB - Giant cell tumors of bone dissociated by collagenase digestion were found to be composed of four different cell types defined by morphology, growth in culture, and pattern of staining with monoclonal antibodies. Giant cells comprised an average of 0.8% of the cells recovered, with the remainder consisting of small stromal cells. Of the giant cells, 20-57% expressed Ia antigens, while all lacked IgG Fc receptors and five differentiation antigens associated with mature members of the monocyte-macrophage lineage (M phi S-1, M phi P-9, M phi P-15, M phi S-39, and 63d3). One antigen, M phi U-50, found on early monocytoid forms was expressed on Ia+ giant cells. 6-36% of the remaining stromal tumor cells formed a second subpopulation that assumed either a rounded or elongated shape in culture. These cells bore Ia antigens, IgG Fc receptors, and five antigens of the monocyte macrophage lineage usually found on blood monocytes. However, these cells differed from monocytes or macrophages in that the antigen M phi R-17 generally found on tissue macrophages was absent, and the M phi U-50 antigen present on more primitive cells was well expressed. A very limited endocytic capacity was demonstrable. A third population of up to 24% of the tumor cells was defined by the presence of intense staining for Ia antigens but the absence of antigens of mature monocytes. A proportion of these cells expressed M phi U-50 and a minority had IgG Fc receptors. The two Ia(+) populations of stromal cells were not identifiable after 2 wk of culture, nor did tumor cells selected for the presence of Ia antigens proliferate in culture. A fourth population of cells lacked Ia and monocyte lineage antigens, but showed pronounced intracellular staining for acid phosphatase. These cells had a distinctive plump epitheloid to fibroblastoid morphology and were readily established in long-term culture where they gave rise to large multinuclear Ia(-) cells containing acid phosphatase. The possibility is discussed that the cell types of these tumors relate to various stages in the development of osteoclasts from precursors in the mononuclear phagocyte lineage. PMID- 6575018 TI - Purification and some properties of neuraminidase isolated from the culture medium of oral bacterium Streptococcus mitis ATCC 9811. AB - Neuraminidase acting on the salivary bacterial agglutinating factor was isolated and purified from the culture medium of Streptococcus mitis ATCC 9811. The molecular weight and the isoelectric point of the enzyme were determined to be 42,000 and a pH of 4.6, respectively. The enzyme showed high activity against human glycoprotein substrates, especially the salivary bacterial agglutinating factor. PMID- 6575019 TI - Shallow fluorine depth profiles of cementum in periodontal disease--a pilot study. AB - A nuclear resonant reaction depth profiling technique was used to analyze elemental fluorine distribution in the first 20 microns of human dental cementum. A pilot sample of six periodontally-involved teeth indicated greater levels of fluorine in exposed cementum (0.9 leads to 2.4%) compared to cementum apical to the zone of epithelial attachment (0.4 leads to 1.1%). Furthermore, the exposed cementum appeared to have fluorine levels within the surface 5 microns comparable to the hypermineralized layer previously reported by x-ray diffraction and microprobe techniques. The nuclear resonant reaction is a non-destructive technique which yields useful information of surface elemental distribution as a function of depth, and may be regarded as a potential means of analyzing changes in the inorganic constitution of cementum during various physico-chemical pre treatments. PMID- 6575020 TI - The presence of fucosyltransferases with different substrate specificity in human parotid saliva. AB - Using glycoproteins and milk oligosaccharides as substrate acceptors, we demonstrated at least two fucosyltransferases in human parotid saliva. One enzyme transferred L-fucose from GDP-fucose to the C-3 position of N-acetylglucosamine or glucose residue of oligosaccharide chains, and the other transferred to the C 4 position of N-acetylglucosamine residue of oligosaccharide chains. PMID- 6575021 TI - Increased salivary buffering in association with a low caries experience in children suffering from cystic fibrosis. AB - The mean pH and buffering capacity of stimulated saliva collected from young cystic fibrosis patients were measured and were found to be significantly higher than were the values for the controls (p less than 0.01). In addition, the caries experience of the cystic fibrosis children would appear to be considerably less than that of the controls. The association of these salivary alterations with a decreased caries experience is discussed. PMID- 6575023 TI - Measurement of the ability to control jaw muscle forces in man. AB - Subjects were asked to track a moving waveform on an oscilloscope screen, with the output of a force transducer placed between the teeth. It was found that, after a learning period, the error depended upon the clenching force, and that, over the force range studied, the greater the effort demanded, the greater the error. PMID- 6575022 TI - Increases in fluoride, calcium, and phosphate in dental plaque resulting from the use of a mineralizing mouthrinse containing urea and monofluorophosphate. AB - A mouthrinse used ten times over a four-day period increased the concentration of acid-extractable fluoride in immature plaque by 320%, calcium by 190%, and phosphate by 97%. Corresponding increases in mature plaque were smaller, yet significant. Diffusion of the ions from plaque was restricted, and hence a prolonged caries-inhibitory effect can be expected. PMID- 6575024 TI - Validity of clinical assessments related to the cemento-enamel junction. AB - The distance measured from a constant reference to the subgingival cemento-enamel junction by four observers with two different probes in 11 patients was compared to independent precision measurements of the same distance performed during periodontal surgery. The findings question the validity of probe measurements with relation to the cemento-enamel junction. PMID- 6575025 TI - Fluoride uptake and retention in vitro following topical fluoride applications. AB - Fluoride uptake and retention on maxillary and mandibular incisors were compared using a conventional APF gel, a thixotropic gel, and a new pluronic-based fluoride gel. Based on the results of in vivo acid-etch biopsies, significant fluoride uptake was obtained with each of the three agents. The highly viscous pluronic gel may provide an alternative to conventional topical fluoride gels for subjects--e.g., handicapped persons--with whom a tray system is not feasible. PMID- 6575026 TI - In vitro corrosion and in vivo marginal fracture of dental amalgams. PMID- 6575027 TI - The effect of tensile strain on corrosion of dental amalgam. AB - In vitro corrosion of two low-copper and three high-copper dental amalgams was examined using stressed and unstressed specimens. Stress was applied in tension; anodic polarization curves and polarization resistance were determined. In stressed condition, the passive current density was higher, and polarization resistance was lower. The changes are attributed mainly to the fracture of passive films by creep strain. PMID- 6575028 TI - In vitro effect of APF gel on three composite resins. AB - A laboratory study was conducted to determine effects of 1.23% APF gel on three composite resins. All composite resins immersed in APF gel lost significantly more weight than did their controls with significantly different weight losses among the APF-treated composites. Surfaces of all resins exposed to APF gel, as viewed in SEM's, exhibited degradation of filler particles. PMID- 6575029 TI - Cigarette staining and cleaning of a maxillofacial silicone. AB - In this study, a maxillofacial silicone elastomer was stained with cigarette smoke. The stain was then removed by solvent extraction using 1,1,1 trichloroethane. The cigarette smoke produced large color changes in the elastomer as measured from spectrophotometric reflectance curves. The solvent was totally effective in removing the cigarette stain without changing the color of the silicone base. PMID- 6575030 TI - The flexure modulus of elasticity of orthodontic wires. AB - The flexure moduli of elasticity of solid and multi-stranded orthodontic wires were determined. Results for the solid wires approximated their tensile values, but the differences were statistically significant for the stainless steel, chromium-cobalt-nickel, and nickel-titanium alloys. The flexure moduli of the multi-stranded wires ranged from 0.89 to 5.11 X 10(6) psi, and were dependent on the direction of activation. PMID- 6575031 TI - Lipids of supragingival calculus. AB - The matrix of supragingival calculus constitutes 15.7% of the calculus dry weight and contains 54.9% protein and 10.2% lipids. Of the total lipids, 61.8% are represented by neutral lipids, 28% by glycolipids, and 10.2% by phospholipids. The neutral lipids exhibit a high content of free fatty acids (63.9%) and triglycerides (15.8%). The glycolipids are comprised of simple glycosphingolipids (17.2%), mainly lactosyl- and glucosylceramides, and of neutral and sulfated glyceroglucolipids (82.8%). The phospholipids contain large quantities of phosphatidylethanolamine (34.2%) and diphosphatidylglycerol (25.5%). Comparison with salivary and submandibular stone lipids indicates that both saliva and bacteria contribute to the lipid content of supragingival calculus. PMID- 6575032 TI - Lipid composition of human parotid salivary gland stones. AB - The parotid gland stone matrix constitutes 20.2% of the stone dry weight and contains 8.5% of lipids. Of the total lipids, 74% are represented by neutral lipids, 17% by glycolipids, and 9% by phospholipids. The neutral lipids exhibit a high content of free fatty acids (52.7%) and cholesteryl esters (31.1%). The glycolipids are composed of simple glycosphingolipids (7.1%), and of neutral and sulfated glyceroglucolipids (92.9%). Phosphatidylethanolamine and diphosphatidylglycerol are the principal constituents of the phospholipid fraction. PMID- 6575033 TI - Juvenile periodontitis as a model for neutrophil function: reduced binding of the complement chemotactic fragment, C5a. AB - The binding of the chemotactic complement fragment, C5a, to peripheral blood neutrophils of Localized Juvenile Periodontitis (LJP) patients and normal controls was quantitated using iodinated human C5a and a rapid centrifugation assay. There was a significant reduction in the number of binding sites per cell on neutrophils from the patient group, whereas the binding affinity remained the same as control values. PMID- 6575034 TI - Ultrastructural characteristics of progenitor cell populations in the periodontal ligament. AB - Electron microscope radio-autography was used in an attempt to identify any relationship between the location and degree of differentiation of progenitor cells in the periodontal ligament (PDL). Ligament fibroblasts were classified on the basis of their nuclear/cytoplasmic ratio and their distance to the closest blood vessel measured. It was determined that an undifferentiated paravascular progenitor cell population exists, and that the PDL also contains progenitor cells showing a range of cytodifferentiation. PMID- 6575035 TI - Effect of xylitol on the growth and glycolysis of acidogenic oral bacteria. AB - We investigated the effect of xylitol on the growth of different oral bacteria in the presence of glucose. Xylitol inhibited the growth of all but one of ten strains of S. mutans and failed to inhibit the growth of the lactobacilli, actinomycetes, and other streptococci tested except S. sanguis 10556, which was slightly inhibited. However, the rate of acid production of the sensitive S. mutans strains was not equally affected by xylitol. These data, obtained with pure cultures of acidogenic oral bacteria, may explain the lack of an in vitro inhibitory effect of xylitol on dental plaque samples. PMID- 6575036 TI - Enamel demineralization tests with some standard foods and candies. AB - To indicate the cariogenic potential of some standard foods and confections, their ability to demineralize powdered enamel or enamel sections was tested by incubation with mouth organisms in saliva or plaque. With a few exceptions, the amounts of demineralization produced by the tested substrates in either a closed or flowing system fell within relatively narrow ranges. PMID- 6575037 TI - The acidogenic potential of reference foods and snacks at interproximal sites in the human dentition. AB - Telemetry was used to evaluate changes in plaque pH at interproximal sites in the dentition of five human subjects following the ingestion of a variety of reference foods and snacks. Short-term telemetry (30 min) revealed that most of the substrates yielded both pH minima and total responses similar to that obtained with a 10% sucrose rinse. Aged Cheddar cheese and skim milk were much less acidogenic than were the other foods. PMID- 6575038 TI - Rat caries assay of reference foods and sugar-containing snacks. AB - Using standard reference snack foods, we tested a method, using rats fed in a programmed feeding machine, to evaluate the caries-promoting properties of foods. Results, which were expressed in relation to a control food, indicate that the method distinguished differences in caries potential among a number of different snack foods. Buccal and sulcal caries scores of rats fed snacks foods varied in their responses. A gel diet used to provide essential nutrients for the rat growth in this approach contributed minimally to the caries response which was related principally to the food being tested. PMID- 6575039 TI - Biologic evaluation of a silver-copper-germanium dental casting alloy and a gold germanium coating alloy. AB - An Ag-Cu-Ge alloy and an Au-Ge alloy were evaluated for their hemolytic effect on rabbit blood, cytotoxicity to alpha-L fibrosarcoma cells, and allergenic effect on guinea pigs. Neither alloy evoked a significant hemolytic response; cytotoxicity, and that of pure germanium, was no greater than that of ZOE cement; and, on the basis of the guinea pig response, the potential human allergenic response was considered to be Grade I (weak) and Grade II (mild), respectively. PMID- 6575040 TI - Microbiologic effects of SnF2 and NaF mouthrinses in subjects with high caries activity: results after one year. AB - Twenty-two adults, considered to have high caries activity, rinsed for one yr with either SnF2 or acidulated NaF mouthrinses. Total colony-forming units and numbers of S. mutans and lactobacilli were estimated from saliva samples. Large reductions were found in the number of recoverable S. mutans in subjects rinsing with SnF2 but not in the NaF group. PMID- 6575041 TI - Storage of experimentally avulsed teeth in milk prior to replantation. AB - Extracted monkey teeth were endodontically treated, stored in milk or saliva for two or six h, and then replanted. Periodontal conditions were evaluated after eight wk. Teeth that had been stored for two or six h in milk or for two h in saliva showed periodontal healing almost as good as that of immediately replanted teeth. Teeth that had been kept in saliva for six h or bench-dried for one h showed extensive replacement resorption. Milk may thus be recommended as a storage medium for ex-articulated teeth prior to replantation in cases when immediate replantation is not possible. PMID- 6575042 TI - The salivary lactoperoxidase system in caries-resistant and -susceptible adults. AB - In a comparative study of caries-resistant and -susceptible adults, no significant differences were found in the concentrations of lactoperoxidase, thiocyanate, and pre-formed hypothiocyanite in parotid and submandibular saliva, or in hypothiocyanite formed in expectorated saliva over a 60-minute period. The concentrations per se of these components are not critical determinants of caries resistance or susceptibility. Thiocyanate concentration was higher in both unstimulated parotid and submandibular saliva than in the respective stimulated secretions. At comparable flow rates, parotid values were higher than submandibular. PMID- 6575043 TI - Measurement of resistance of amalgam mixes to condensation. AB - A method was designed to evaluate the resistance of amalgam mixes to condensation forces. For the purpose of classification with respect to the plasticity of amalgam, the optimum test condition was to apply 40 or 50 lb of static load at 30 sec after trituration. PMID- 6575044 TI - The influence of various admixes on the physical properties of a polycarboxylate cement. AB - Aluminum oxide, aluminum hydroxide, aluminum fluoride-trihydrate, and titanium dioxide hydrate were added to a commercial polycarboxylate cement. The first substance increased the setting time and certain physical properties. The others decreased the same properties to varying degrees. PMID- 6575045 TI - Dental education in a capitalistic society. PMID- 6575046 TI - Dental students' input into the accreditation process. AB - With the recent adoption of a student section in the Procedures for Evaluation Requirements and Guidelines for Dental Education Programs, the American Dental Association's Commission on Dental Accreditation sought to increase the role of students in the accreditation process. Dental students at Fairleigh Dickinson University School of Dentistry conducted an independent self-study, paralleling that of the school's Accreditation Steering Committee. This self-study enabled students to work with faculty and administrators in implementing improvements in the educational system and to focus attention on student needs and concerns. Six topics (educational costs, dental school student government, relationships with state and national organizations, curriculum, operations, and the Office of Student Affairs) formed the basis of the student self-study. PMID- 6575047 TI - Teaching dental students mirror vision skills. AB - A study was undertaken to determine the most advantageous format for teaching dental students the perceptual motor skills needed in mirror vision. It was found that performance varied, with each student reaching a personal limit of performance in regard to time and errors. Groups that performed the exercise in different formats (massed, distributed, progressive, and simple) all improved in relation to the control group, but not in relation to each other. There was significant correlation between the time taken to complete the exercise and errors incurred on both pre- and post-tests. PMID- 6575048 TI - The guided design strategy in the biochemistry laboratory. AB - This article describes a nontraditional biochemistry laboratory course for first year dental students. The course consisted of two laboratory exercises adapted to the guided design strategy and a short research project. The major advantage of the guided design laboratories was subjectively determined to be the development of problem-solving skills, which students previously enrolled in a traditional laboratory course seemed to lack. Students exposed to the guided design approach successfully applied these skills when performing their research projects. These students also reflected a better understanding of the biochemical principles encountered. The major disadvantages were the great amount of faculty time required to prepare the guided design materials and the reduced amount of subject matter covered. Student evaluation scores of the new laboratory program showed dramatic improvement over those for the traditional laboratories. In addition, students' attitudes toward the new biochemistry laboratories were more positive than those exhibited in the traditional course. PMID- 6575049 TI - Computer-assisted advising for dental students. AB - This article describes a computer-assisted advising system that has been in use at the West Virginia University School of Dentistry for two years. Detailed breakdowns are given for the five data items making up the Student Advising Information Package, and the relevance of each item to the student advising process is noted. A discussion of the overall operation of the system provides information relating to software development for those schools that are now operating with computers or anticipate doing so in the future. PMID- 6575050 TI - A dental student tutor program. AB - This paper describes the objectives, development, and features of a student tutor program that has been in operation for ten years at Case Western Reserve University School of Dentistry. The program was designed to reduce the effects of environmental stress on the dental student, to provide opportunities for the personal and professional development of the tutor, and to promote the application of certain educational principles in the learning environment. A major feature of this program is the availability of tutoring for all students who feel they can benefit from this aid, regardless of academic standing. In addition to comprehension of content, tutors address time management, study skills, organization of laboratory projects and study materials, and development of manual skills. More than 50 percent of the first- and second-year students use the program. This article also describes the benefits of the program to the student, the tutor, and the school. PMID- 6575051 TI - Infection control in North American dental schools. AB - Treatment of patients with transmissible infections is a particular concern in an institutional setting. This paper discusses the results of a questionnaire relating to infection control that was sent to all North American dental schools. The purpose of the survey was to aid in the development of a comprehensive protocol at Marquette University for treating patients with transmissible infections and, in particular, hepatitis B carriers. Currently, the dental community is reluctant to treat patients with a history of hepatitis and hepatitis B carriers. The protection offered by the recently available hepatitis B vaccine should contribute greatly to the reduction of transmission of hepatitis B. It is emphasized that the use of this vaccine in dental schools in no way obviates the need for meticulous infection control protocols. PMID- 6575052 TI - Educational goals in physiology for dental students in Saudi Arabia. PMID- 6575053 TI - Remediating clinical problems. PMID- 6575054 TI - Correlates of faculty and student attitudes toward evaluation in behavioral aspects of clinical practice. PMID- 6575055 TI - Age group and characteristics of dental school faculty members. PMID- 6575056 TI - Advanced general dentistry education programs. PMID- 6575057 TI - Advanced general dentistry education programs: issues and forces that will shape the future. PMID- 6575058 TI - General practice residency and advanced education in general dentistry programs: purposes. PMID- 6575059 TI - General practice residency and advanced education in general dentistry programs: curriculum. AB - Many questions have been raised about both programs, but one cannot say objectively that one is good or one is bad. Our energies must be concentrated on the development of the best comprehensive postdoctoral program so that the public may be better served. GPR and AEGD programs together produce over a thousand graduates each year. Is there really a difference between the two graduates? Is one a mini-oral surgeon? Is one a "superdentist"? Will they command higher fees, thereby raising the cost of dental care? How great a difference should there be? The students have succeeded in completing programs that are rigorous and demanding. The graduates can be no better than the institutions and the programs they represent. Regional differences still exist; for example, some metropolitan hospitals will not admit the dental general practitioner to staff or visiting staff positions. Why? Ideally, for the 60 percent of the training that is devoted to general practice principles, we should strike a balance and make sure that each program has definable standards. At the same time, we should permit enough flexibility to allow for the inevitable regional differences. Students should be able to select the program and location they prefer, confident that broad-based standards will be met, and assured of the practical as well as theoretical excellence of every program that is offered. How can we afford not to go with certification? PMID- 6575060 TI - Dental general practice residency programs: financing and operations. PMID- 6575061 TI - General practice residency and advanced education in general dentistry programs: evaluation. PMID- 6575062 TI - Accreditation standards for advanced education programs: general practice residency. Approved by the Commission on Dental Accreditation, American Dental Association, May 1980 (revised December 1982). PMID- 6575063 TI - Requirements for an advanced educational program: general dentistry. Approved by the Commission on Dental Accreditation, American Dental Association, May 1980. PMID- 6575064 TI - The physiologic nature of caries susceptibility. Part III. Physiologic aspects of resistance to dental caries. PMID- 6575065 TI - An FTC view on codes of ethics. PMID- 6575066 TI - A professional's view on codes of ethics under present FTC law interpretation. PMID- 6575067 TI - Schools are returning to normal. PMID- 6575068 TI - The dentist and voluntarism: a two-way street. PMID- 6575070 TI - Sudden surge of TMJ problems. PMID- 6575069 TI - Pediatric dentistry. PMID- 6575071 TI - Only consulting dentists should make treatment decisions. PMID- 6575072 TI - An evaluation of a formal education training program for dental faculty. PMID- 6575073 TI - Erythromycin problems. PMID- 6575074 TI - Vitamin recommendations. PMID- 6575075 TI - Challenging the soft brush. PMID- 6575076 TI - Preventive methods urged. PMID- 6575077 TI - Advances in clinical dental practice: experts explore the future. PMID- 6575078 TI - The role of the dental hygienist in patient motivation. PMID- 6575079 TI - The emperor's new meniscus. PMID- 6575080 TI - Epidemiologic patterns of smoking and periodontal disease in the United States. AB - The adverse effect of smoking on periodontal health has been demonstrated in the analysis of the dental and smoking history data collected from a representative sample of the US population. The association between poorer levels of periodontal health and smoking remained even after accounting for age, sex, race, oral hygiene, socioeconomic status, and frequency of daily toothbrushing variables. When the analysis was restricted to smokers only, no clear-cut association was demonstrated between periodontal disease and the duration of smoking or the number of cigarettes smoked per day. The results of this study suggest that dental practitioners should try to discourage their patients from smoking for reasons of periodontal health as well as general preventive care. PMID- 6575081 TI - Cervical burnout and Mach band: two shadows of doubt in radiologic interpretation of carious lesions. AB - The factors that produce cervical burnout images in the film emulsion and Mach band effects in the retinal receptors have been discussed. In the former, overpenetration of thinner cervical tooth areas produces radiolucent areas that have rounded, diffuse inner borders, but that show intact tooth edges. Mach bands, produced by lateral inhibition of neural receptors in the eye, are optical illusions that may appear in the dentin along the proximal DEJ, or in dentinal peaks bounded by occlusal and proximal enamel. Not every observer has the same ability to perceive Mach bands, and perception is modified by projection, contour, and film and object density. A masking technique has been described to facilitate differential interpretation between the Mach apparition and actual tooth decalcification. PMID- 6575082 TI - Fluoride retention after sodium fluoride mouthrinsing by preschool children. PMID- 6575083 TI - The St. Regis environmental health issue: assessment of dental defects. AB - A descriptive epidemiologic study was undertaken to determine the nature, extent, and severity of defects of the dentition alleged to be fluorosis in Native American children. An examination of 520 Native American children living on the St. Regis Reservation, and 248 non-Native American children living in adjacent areas, disclosed a much higher prevalence of generalized pigmentation of the dentition in the former (114, 22%) as compared with the latter group (13, 5.2%). The pattern of enamel pigmentation, opacity, and hypoplasia observed was not typical of fluorosis. After careful consideration of various etiologic factors, use of the antibiotic tetracycline was determined to be the probable causative agent in 112 (21.5%) cases, of which 73 (14%) were classified as esthetically objectionable according to the tetracycline severity index devised. Confirmation of incorporation of the drug into the teeth was made possible in selected cases by histopathologic analysis of extracted teeth. PMID- 6575084 TI - Visible light-activated resins--depth of cure. PMID- 6575085 TI - Osteoarthritis of the TMJ in teenaged females: report of cases. AB - From the cases reported by Ogus and those presented here, it appears degenerative joint disease of the TMJ in young individuals is not a rare finding. The incidence of DJD of the temporomandibular joint has been reported to be 8% to 16%. In a review of 346 patients who were referred for jaw disorders, 23 patients were 19 years old or younger. Six patients (or 26%) had a diagnosis of osteoarthritis of the TMJ confirmed with charts, reviewed retrospectively, were considered as suggestive of degenerative joint disease. It has been reported that the symptoms of DJD continue for one to three years. The majority of patients have acute symptoms that usually last about nine months but gradually subside after nine months. It is important to rule out degenerative disease of the TMJ before beginning radical or irreversible dental procedures. Conservative management of these patients includes analgesics, antiarthritic drugs, muscle relaxants, antiinflammatory agents, the construction of hard or soft bite splints, exercise, warm moist heat applications, minor equilibration if indicated, and physical therapy. Injections of steroids into the joint are not recommended and anti-arthritic drugs should be used with caution because the safe usage of some of these drugs has not been demonstrated in children. Patients who still experience pain after one to three years, or patients who are refractory to conservative therapy, may be candidates for surgical treatment. Age should not be a deterrent to surgery or other treatment modality for treatment of severe degenerative joint disease that does not respond to conservative treatment and is intolerable to the patient. PMID- 6575086 TI - Management of the nonerupted maxillary anterior tooth. AB - The noneruption of maxillary anterior teeth, particularly the canine, is a common problem. The cause of the noneruption is multifactorial but almost always involves a lack of space. The literature presents an active and a passive form of orthodontic treatment and has recently stressed the periodontal management of these teeth. Two cases are presented. In both cases the orthodontic techniques of regaining space and providing traction on the unerupted tooth are described. A free gingival graft is used in one case and an apically repositioned flap in the other to achieve a healthy periodontium. The advantages and disadvantages of the techniques used as well as their rationale are discussed. PMID- 6575087 TI - Effect of arm position and arm support on indirect blood pressure measurements made in a dental chair. PMID- 6575088 TI - Intrafollicular anesthesia for the removal of impacted teeth. AB - Intrafollicular anesthesia is a method of obtaining rapid and complete local anesthesia for the surgical removal of impacted teeth. When an intrafollicular anesthetic technique is used, a general anesthetic and IV sedations (narcotic or barbiturate) are not needed. This technique also provides for an atmosphere without the stress associated with a patient in pain or the great responsibility associated with general anesthesia in the office. Intrafollicular anesthesia involves much less risk to the patient than general anesthesia or IV sedation (narcotic or barbiturate). The use of this technique aids in keeping scheduling on time by eliminating the need to reinject patients. Therefore, once the intrafollicular technique is mastered, the practitioner will begin to realize benefits other than a painfree procedure. PMID- 6575089 TI - Final order issued in FTC advertising case. PMID- 6575090 TI - American Dental Association Principles of Ethics and Code of Professional Conduct. PMID- 6575091 TI - Supplement to the list of certified dental materials, instruments, and equipment. PMID- 6575092 TI - Firm, nonulcerated mass in the maxillary gingiva. AB - A firm mass of tissue in a 52-year-old male was diagnosed as peripheral fibroma with metaplastic bone formation. Several terms have been used to describe this type of lesion, which is similar in appearance to the peripheral odontogenic fibroma. The lesions should be excised and removed tissue submitted for microscopic examination. Special care should be taken to remove the attachment because the lesions may recur. The prognosis is excellent. PMID- 6575093 TI - Fluoridation suffers under block grant program. PMID- 6575094 TI - Advertising standards of the American Dental Association. PMID- 6575095 TI - [Maturation of the cervix uteri using prostaglandin F2 alpha before induction of labor in pathologic pregnancies]. AB - It is possible to induce labour in pathological pregnancies after artificial ripening of the cervix. The present study concerns 70 patients (45 primipara, 25 multipara). The main pathologies are hypertension of pregnancy and pregnancies past dates. Prostaglandin F2 alpha has been used with a Tylose gel containing 5 mg of PGF2 alpha introduced by the extra-amniotic route. The cervical change was noted using Bishop's score. The mean increase of the cervical score was 0.8 with the first PGF2 alpha gel. The total mean increase was 1.2. Two cases of hyperstimulation of the uterus were observed and they led to Caesarean section. Prostaglandin gel induced labour in 56% of the patients. The mean time between the introduction of the gel and the delivery was 14 h for primipara and 10 h for multipara. Other patients were induced with oxytocin on the following day. Epidural analgesia was widely used in this study (in 64% of cases). The mean duration of labour was 6 h 10 for primipara and 4 h 30 for multipara. 30% of the patients needed Caesarean section but there was a marked difference between primipara (36%) and multipara (4%). After a review of the literature the authors conclude that it is useful to ripen the cervix prostaglandin but, as foreign authors do, they think that PGE2 should be more efficient. PMID- 6575097 TI - Fatty acids and the inhibition of mitogen-induced lymphocyte transformation by leukemic serum. AB - The effects of sera from 23 patients with acute lymphocytic leukemia on mitogen induced transformation of normal human lymphocytes were examined. All sera (100%) at diagnosis and 70% of those obtained during the induction of remission demonstrated inhibition of mitogen-induced lymphocyte transformation as evidenced by decreased uptake of [3H]thymidine. The inhibition could not be overcome by an increase in the mitogen concentration. Eighteen sera demonstrating a mean inhibition of 44.2% had elevated levels of free fatty acids (FFA) compared with five sera showing no inhibition (p value = 0.001). Inhibition, within the range produced by leukemic sera, could be achieved by the purified methyl esters of linoleic and linolenic acid in this system. Flow cytometric analysis of mitogen induced cycling of normal human lymphocytes suggested that deoxyribonucleic acid (DNA) replication was inhibited by leukemic sera containing elevated levels of FFA after the G1 phase of cell cycling. Similar inhibition could be achieved by the methyl ester of linolenic acid in this system. Gas chromatographic analysis revealed that sera demonstrating inhibition contained linolenic (C18:3) acid (p value = 0.015), and the majority showed one or more of the following: 1) a concentration of oleic (C18:1) acid greater than 2 standard deviations (SD) above the mean of the control leukemic sera (i.e., those not demonstrating inhibition); 2) an arachidonic (C20:4) to C18:1 ratio that is reduced to greater than 2 SD below the mean of the control group; or 3) the presence of an unexpected fatty acid fraction. The data raise the question of an influence of FFA and, specifically, an interplay of unsaturated fatty acids on immune function during the natural history of acute lymphocytic leukemia. PMID- 6575096 TI - Erythromyeloid tumor cells (K562) induce PGE synthesis in human peripheral blood monocytes. AB - Human peripheral blood monocytes were found to spontaneously produce prostaglandin of the E series (PGE) in culture medium (0.5 ng to 3.0 ng/7.5 X 10(5) cells), and the addition of K562 tumor cells enhanced the production by five- to 15-fold after 18 hr of incubation. PGE2 (10(-6) M) inhibited the cytolytic activity of freshly isolated peripheral blood monocytes against K562 target cells by 50%. The PGE production was inhibited by inhibitors of cyclo oxygenase (indomethacin, aspirin, and ETYA) when present during the incubation. However, pretreatment of monocytes with these cyclo-oxygenase inhibitors was ineffective in preventing PGE production. Kinetic experiments showed that appreciable stimulation of PGE production occurred only after 6 hr of co-culture. Other human tumor cell lines (HSB, SB, and CEM) enhanced PGE production upon co culture with monocytes but to a lesser extent (twofold to threefold). Monocytes treated with 0.4% formaldehyde or heat (56 degrees C) were not capable of producing PGE when cultured alone or with K526 tumor cells. In contrast, formaldehyde-treated, but not heat-treated, K562 tumor cells were able to induce monocytes to produce PGE. By using a single cell conjugation assay, K562 tumor cells were found to bind equally well to treated or untreated monocytes. In contrast, the lytic activity of treated monocytes against K562 target cells was abolished. The presence of protein synthesis inhibitor, cycloheximide, was found to inhibit PGE production by monocytes cultured alone or with K562 tumor cells. Supernatants from K562 tumor cell cultures were also capable of inducing monocytes to produce PGE, and their effect on PGE production from monocytes was suppressed by cycloheximide. In addition, pretreatment of either K562 tumor cells or monocytes with an irreversible protein synthesis inhibitor, emetine, also suppressed the production of PGE upon co-culture with the untreated counterpart. The production of PGE by monocytes in response to exposure to tumor cells may represent a mechanism whereby tumor cells subvert host immune defense against them. PMID- 6575098 TI - Ultrastructural, biochemical, and functional characteristics of histamine containing cells cloned from mouse bone marrow: tentative identification as mucosal mast cells. AB - Two histamine-containing granulated cell lines were cloned from mouse bone marrow by using sequential soft agar and limiting dilution techniques. Concanavalin A stimulated mouse spleen cell supernatants were required for cell proliferation. Cloned cell lines were Lyt-1.2, Lyt-2.2, Thy-1.2, surface Ig negative, I-A positive, and failed to ingest latex particles. Cells expressed 6.4 to 9.0 X 10(4) IgE high affinity receptors and contained approximately 1 to 2 pg of histamine per cell. Electron microscopy revealed granule and surface membrane features characteristic of mast cells. The cloned histamine-containing granulated cell lines synthesized a proteoglycan containing glycosaminoglycan side chains with an estimated average m.w. of 40,000. The glycosaminoglycan side chains consisted only of chondroitin sulfates identified by charge characteristics and through the use of selective polysaccharidases. These cells degranulated to immunologic stimuli and the calcium ionophore A23187 but not to compound 48/80. Taken together, the above findings suggest that these histamine-containing granulated cell lines that are cloned from bone marrow are mucosal (atypical) mast cells. PMID- 6575099 TI - Case of the month: eosinophilic granuloma. PMID- 6575100 TI - Ocular prosthesis, "a simplified approach". PMID- 6575101 TI - Acute necrotising ulcerative gingivitis. Its prevalence and association with season in Southern Orissa. PMID- 6575102 TI - Incidence of dental caries in individual teeth. PMID- 6575103 TI - Idiopathic granulomatous palatal ulcer. A case report. PMID- 6575104 TI - The Melkersson-Rosenthal syndrome. PMID- 6575105 TI - Histo-morphology of cementum. PMID- 6575106 TI - Gilles de la Tourette syndrome. PMID- 6575107 TI - [Histogenesis on the ovarian Leydig cell tumor--light microscopic dry-mounting radioautography for 3H-cholesterol and electron microscopic cytochemistry for 3 beta-hydroxysteroid dehydrogenase activity]. AB - A case of a virilizing ovarian Leydig cell tumor in a 38 year-old woman with a markedly elevated plasma testosterone level was investigated using light microscopic dry-mounting radioautography and electron microscopic cytochemistry. Following total abdominal hysterectomy and bilateral salpingo-oophorectomy, the plasma testosterone level fell abruptly. Light microscopic dry-mounting radioautography for 3H-cholesterol showed silver grains mainly localized over the cytoplasm of the tumor cells. In the Leydig cell tumor there were three different cell types: Fibroblast-like cells, Leydig cells (steroid-secreting cells) and transitional cells (partially or incompletely differentiated Leydig cells). Reaction products for 3 beta-hydroxysteroid dehydrogenase activity were localized on tubular or lamellar cristae and inner membranes of the mitochondria, and on the membranes of smooth endoplasmic reticulum in the transitional cell as well as in the Leydig cell. From these facts, it is suggested that the Leydig cell tumor is derived from the fibroblast-like cell and the Leydig cell, already has a steroidogenic activity in secreting testosterone. PMID- 6575108 TI - Pediatric mechanical ventilators. An evaluation of performance characteristics. PMID- 6575109 TI - Present interdisciplinary treatment regimen for advanced head and neck tumours at the West German Tumour Centre, Essen. AB - Apart from the classic combination of surgery and irradiation, four other treatment modalities are presently being evaluated in advanced head and neck tumours. These are: 1) antineoplastic chemotherapy 2) radiosensitizing agents 3) high LET radiotherapy 4)local hyperthermia Preoperative chemotherapy, followed by surgery and irradiation, has improved the local control as well as survival rates in phase II trials. Cis-platinum may yield some additional benefit due to its radiosensitizing properties. Radiosensitizing drugs such as nitro-imidazoles have so far failed to show any advantage in randomized trials, since neurotoxicity prevented maximum effective concentrations. The same is true for high LET radiotherapy with neutrons as compared to conventional irradiation. Local hyperthermia is considered as a palliation at the present time, when all other treatment modalities have been exhausted. In our centre, the preliminary results of radiotherapy and sensitization with cis-platinum in combination with surgery are encouraging. Some methods are discussed which permit the prediction of prognostic criteria for tumors under treatment. This may contribute to the optimization of individual treatment regimes in the future. PMID- 6575110 TI - Orientation of cleavage lines, fibrous connective tissues and blood vessels in the facial skin. AB - The cleavage lines experimentally produced on the facial region in 30 Japanese cadavers were investigated macroscopically and histologically. The results obtained showed the same directional arrangement of the cleavage lines, fibrous connective tissues (especially the collagen fibres) and blood vessels. PMID- 6575111 TI - The importance of the musculus nasalis and the use of the cleft margin flap in the repair of complete unilateral cleft lip. AB - The deformities of the lip and nose in cleft lip patients are intimately inter related and their repair should not be independent procedures. The reconstruction should be dynamic, taking into account the different functions of the groups of the perioral musculature. For the lip repair, attenuation of the musculus nasalis of the sound side and the formation of the levator sling are believed to be important. Nasal repair consists of upward transpositioning of the origin of the musculus nasalis and of plicating the nasal fascia, followed by the transfer of the bi-lobed cleft margin flap to the piriform margin. PMID- 6575112 TI - Changes in the temporomandibular joint after oblique sliding osteotomy of the mandibular rami. A longitudinal radiological study. AB - Changes in the temporomandibular joint following oblique sliding osteotomy of the mandibular rami were studied using axial, frontal and lateral radiographs. The condyle/fossa relationship was also studied with regard to the effect of intraosseous wiring of the proximal fragment. Antero-inferior displacements of the condyles were regularly seen after the osteotomies. The use of intraosseous wiring had no adverse effects on the temporomandibular joint. PMID- 6575113 TI - Acute suppurative arthritis of the temporomandibular joint in a patient with rheumatoid arthritis. AB - Septic arthritis of the temporomandibular joint is a rare condition. A case of acute staphylococcal suppurative arthritis of the temporomandibular joint (TMJ) complicating rheumatoid arthritis (RA) in a 53 year old woman is reported. The aetiology of septic arthritis may be traced to several predisposing factors and many specific agents. It would appear that the case presented is the result of predisposition of patients known to have RA to the complication septic arthritis. Some treatment recommendations are given. PMID- 6575114 TI - Activity of 3 beta-hydroxysteroid dehydrogenase-5,4-en isomerase in chorioallantois and amnion from pregnant sheep. AB - Activity of 3 beta-hydroxysteroid dehydrogenase-5,4-en isomerase (3 beta-HSD; pregnenolone to progesterone) was investigated in homogenates of chorioallantois and amnion obtained from sheep at three gestational ages (day 50, day 100 and term) using an isotope assay. Chorioallantois and, to a lesser extent, amnion possessed 3 beta-HSD at each gestational age studied. Activity in the chorioallantoic membrane was greater at term than at days 50 and 100, and was similar to that in the placenta at day 100 and term. Activity in the placenta was considerably greater at day 50 than at day 100 and term. The subcellular distribution of 3 beta-HSD in chorioallantoic membrane was particulate in nature. The mean Km values (+/- S.E.M.) were 56.8 +/- 5.5 and 39.0 +/- 8.7 nmol/l at day 50 and term respectively. The mean Vmax values were 14.1 +/- 3.1 and 62.7 +/- 11.4 pmol/min per mg protein at day 50 and term respectively. Several steroids inhibited the conversion of pregnenolone to progesterone, particularly dehydroepiandrosterone (DHEA), oestrone and oestradiol. Oestrone and DHEA were competitive inhibitors. The Ki values were 19.6 +/- 5.9 and 40.2 +/- 14.7 nmol/l for oestrone and DHEA inhibition respectively. The results show that ovine fetal membranes have the capacity to convert pregnenolone to progesterone and demonstrate the possibility of inhibition by other steroids. Progesterone produced by the fetal membranes might influence the local intra-uterine steroid milieu during pregnancy and before parturition. PMID- 6575115 TI - Inactivation of prostaglandin E2 by rat isolated lung during the oestrous cycle. AB - The metabolism of prostaglandin E2 (PGE2) in lungs from female rats was measured during the stages of the oestrous cycle. In isolated lungs perfused through the pulmonary circulation, only 7-20% of PGE2 escaped metabolism, as measured by bioassay and radioimmunoassay. Within these limits, survival was highest at pro oestrus compared with metoestrus and dioestrus. Uptake of PGE2 from the pulmonary vasculature, assessed by measuring the efflux of radioactivity derived from [14C]PGE2 injected into the pulmonary circulation of the isolated lung, did not show cycle-related variations. Assay of [14C]PGE2 metabolism by tissue homogenates prepared from lungs taken at different stages of the oestrous cycle showed a significant decrease in enzyme activity at pro-oestrus compared with dioestrus. It is concluded that PGE2 metabolism in isolated rat lung is affected by the oestrous cycle and that the increased PGE2 survival at pro-oestrus may be more readily explained by changes in enzyme activity than by changes in uptake of substrate. PMID- 6575116 TI - [Evaluation of hemodialysis induced hypoxemia and leukopenia in Chinese uremics]. PMID- 6575118 TI - [An epidemiological study on mass screening for uterine cancer in Taiwan area]. PMID- 6575117 TI - Studies on platelet aggregation in patients with uremia. PMID- 6575119 TI - [Bony overgrowth at the amputation stump in children--3 cases report]. PMID- 6575120 TI - [Wernicke-Korsakoff syndrome--a case report]. PMID- 6575121 TI - Right ventricular myxoma report of 2 cases and review of the literature. PMID- 6575122 TI - [Juvenile fibromatosis of mandible--a case report]. PMID- 6575123 TI - The application of fine needle aspiration cytology in the diagnosis of acute suppurative thyroiditis--a case report. PMID- 6575124 TI - [Primary myxedema with huge pericardial effusion--a case report]. PMID- 6575125 TI - Endosseous porous polysulfone dental implants. PMID- 6575126 TI - Influence of the inspiratory effort and swallowing on the cardiovascular response to face immersion and breath-holding. PMID- 6575127 TI - Spironolactone-digoxin interaction. PMID- 6575129 TI - Coronary arteriovenous fistula. PMID- 6575128 TI - A study of disseminated intravascular coagulation. PMID- 6575130 TI - [Arthroscopy of the knee]. PMID- 6575131 TI - [The normal main bile duct dimension (a real--time echographic study)]. PMID- 6575132 TI - Congenital dysautonomia. A case with a posterior interhemispheric cyst and microcephaly. AB - A non-Jewish child had a congenital sensory and autonomic neuropathy, cerebral hypoplasia, and a posterior interhemispheric cyst. The clinical findings, neuropathologic changes in the spinal cord, the peripheral nerves, the sensory and autonomic ganglia, as well as sural nerve morphometry, showed similarities, but also differences from familial dysautonomia and hereditary sensory neuropathy, type IV. The relationship of this case to hereditary sensory neuropathies and dysautonomias is discussed, and it is suggested that this is an atypical form of familial dysautonomia with coincidental developmental abnormalities. PMID- 6575133 TI - Studies on the reactivity of polyacrylic acid with metal oxides. PMID- 6575134 TI - Oto-palato-digital syndrome observed in a girl and her younger brother. PMID- 6575135 TI - Enzymatic properties of glutamate dehydrogenase in rabbit masseters. PMID- 6575136 TI - Statistical observations of the use of dental materials at Nihon University Dental Hospital. PMID- 6575137 TI - A colorimetrical study on the gingival color of infants by an application of color film. PMID- 6575138 TI - A labial veneering technique using an autopolymerizing microfilled resin. PMID- 6575139 TI - An epidemiologic study of tooth decay in Newark school Children. PMID- 6575140 TI - Sera fatty acid effects on cultured rat splenocytes. AB - Rats were fed either a stock diet or purified diets containing either 10% by weight corn oil or linseed oil for 8 weeks. Splenocytes from rats on the stock ration were cultured for 48 hours in media containing either serum from the rats fed stock diet, corn oil or linseed oil, or fetal bovine serum (FBS). Populations were cultured without stimulation and with stimulation by leucogglutinin (PHA), and the production of prostaglandin F2 alpha by the cells was determined. The serum from the corn oil-fed rats differed markedly in composition from that of the linseed oil-fed rats notably in the higher level of arachidonic acid (20:4 omega 6) and lower level of timnodonic acid (20:5 omega 3). FBS also had a lower level of 20:4 omega 6. These changes were reflected in the fatty acid composition of the spleen choline glycerophosphatide. PGF2 alpha production was significantly depressed in the medium from linseed oil-fed rats compared to the corn oil group. This effect was due to the competition of 20:5 omega 3 for the cyclooxygenase. Viability of cells was better in rat serum than in FBS. The study shows that when studying functions in cultured cells obtained from rats fed different dietary fats the dietary effect will be abrogated or modified by use of FBS in the medium. PMID- 6575141 TI - Total management of the TMJ patient. PMID- 6575142 TI - Headache and the aching jaw. PMID- 6575143 TI - Stability two years after mandibular advancement with and without suprahyoid myotomy: an experimental study. AB - Ten adult rhesus monkeys underwent mandibular advancement surgery of 4-6 mm with and without suprahyoid myotomy. Serial lateral cephalograms using radiopaque bone markers were obtained during maxillomandibular fixation and for 96 weeks after release of fixation to determine the effects of suprahyoid myotomy on short-term and long-term adaptations in the advanced mandible. The non-myotomy group exhibited a significant reduction in the length of the advanced mandible (relapse) during the fixation period but showed no significant change in mandibular length after release of fixation. The myotomy group exhibited no relapse during the fixation period and after release of fixation displayed a slight but statistically significant increase in mandibular length. This supports the hypothesis that stretching of the suprahyoid musculature as a result of mandibular advancement surgery is a major factor leading to skeletal relapse. PMID- 6575144 TI - An experimental study of hematoma formation after arterial and venous puncture. AB - Hematoma formation following the puncture of femoral veins or arteries of dogs was determined using mercury-filled strain gauges. Arterial bleeding always produced a hematoma. The duration of the swelling was prolonged if heparin was previously administered. Bleeding from the femoral vein did not produce a hematoma unless venous pressure was elevated by venous occlusion. The results indicate that the rapidly developing hematoma occasionally seen in dental practice following the administration of local anesthetics is of arterial origin. PMID- 6575145 TI - Ankylosis of the mandible: analysis of 76 cases. AB - A survey of 76 cases of ankylosis of the mandible in Nigerians is presented. Etiology, clinical features, radiographic findings, anesthetic techniques, surgical treatment, complications, and results are discussed. The operative technique used in each case depended on the site, extent, and type of ankylosis. Five-year follow-up data are reported. Of the 47 patients who were followed, the postoperative interincisal opening was retained in 25 (53.2%), varying degrees of reduction of mouth opening were observed in 17 (36.2%), and ankylosis recurred in five (10.6%). Lack of jaw opening exercise was believed to be responsible for relapse. PMID- 6575146 TI - Clinicopathologic conferences. Case 46, Part 1. PMID- 6575147 TI - Peripheral ameloblastoma. AB - Peripheral ameloblastoma is a rare odontogenic neoplasm, which arises in the tooth-bearing gingiva or other oral soft tissues and has no invasive character as compared with an intraosseous ameloblastoma. A new case of the neoplasm has been presented, and the literature concerning behavior, histogenesis, and treatment of this entity has been evaluated. PMID- 6575148 TI - The empty sella syndrome. AB - Oral and maxillofacial surgeons, in the course of patient evaluation, may incidentally discover abnormalities of the sella turcica. A large percentage of patients with sella deformities will be found to have the empty sella syndrome. The clinical and radiographic manifestations of this disorder, and the significance of this diagnosis, are discussed. PMID- 6575149 TI - Trismus resulting from a parotid hemangioma. AB - A case of a hemangioma in a 56-year-old man is given. The hemangioma interfered with the anterior movement of the condyloid process and caused severe trismus. Removal of the tumor produced immediate relief of the trismus. PMID- 6575150 TI - The use of acrylic spacers in orthognathic model surgery. AB - A technique has been presented for use in conjunction with model surgery that provides both a permanent record and a stabilization device for study models prior to and after their surgical repositioning. It is extremely useful during the planning of the surgery and as a permanent source of reference, postoperatively. PMID- 6575151 TI - Problems with removal of implants. PMID- 6575153 TI - The use of drains in oral and maxillofacial surgery: a review and a new approach. AB - The use of drains in oral and maxillofacial surgery is reviewed and discussed. Their relative advantages and disadvantages and potential complications are explained, and principles for wound drainage are developed. Use of the Jackson Pratt drainage system, a versatile type of suction that minimizes the complications associated with wound drainage, is described. PMID- 6575152 TI - A comparison of the cardiovascular and orofacial blood flow changes resulting from hypotension induced by sodium nitroprusside and adenosine triphosphate in the rat. AB - These experiments compared the cardiovascular effects and the alterations in orofacial blood flow resulting from hypotension induced with sodium nitroprusside and adenosine triphosphate infusions in 30 male rats. The authors found that sodium nitroprusside did not significantly change heart rate or cardiac output, while adenosine triphosphate caused a significant decrease in heart rate associated with a small increase in cardiac output. Both hypotensive agents produced similar profound decreases in total peripheral resistance. Blood flows to orofacial structures were qualitatively similar with both agents. Both adenosine triphosphate and sodium nitroprusside caused decreased flows to the maxilla and mandible. Sodium nitroprusside increased flows to masseter and suprahyoid muscles. Adenosine triphosphate caused increased flows to suprahyoid muscles but masseter muscle flows were not significantly changed. Tongue flows responded similarly to both agents, initially decreasing, then returning to normotensive levels. Finally, sodium nitroprusside-induced hypotension was associated with the development of tachyphylaxis in some animals, whereas no similar problem was observed with use of adenosine triphosphate. The demonstration of reduced blood flows to orofacial bony structures and the absence of resistance or tachyphylaxis during adenosine triphosphate-induced hypotension support its usefulness as a hypotensive agent during orthognathic and other surgery. PMID- 6575154 TI - Computed tomography of the temporomandibular joint meniscus. AB - Fifteen patients with temporomandibular joint dysfunction were examined by computed tomography using standard CT techniques. The data obtained were evaluated and correlated with arthrographic findings or surgical observations. CT scans may become a valid alternative to the often painful procedure of arthrography for assessment of temporomandibular joint pathology if the potential pitfalls are avoided. PMID- 6575155 TI - Management of the premaxilla in bilateral clefts. AB - Surgical management of the premaxilla in patients with bilateral clefting has been a controversial and perplexing problem. This paper discusses method and timing of treatment and proposes a philosophy of surgical management. By proper timing of repositioning procedures and bone grafting, more tissue can be salvaged and a more satisfactory functional result can be obtained. PMID- 6575156 TI - Early surgical management of cleidocranial dysplasia: a preliminary report. AB - Cleidocranial dysplasia is an interesting syndrome for the dental practitioner. The failure of eruption of the permanent teeth is secondary to both a mechanical obstruction and a lack of resorption of the overlying bone. Various modes of treatment have been suggested to manage this problem. We feel that early surgical management with serial uncovering of the permanent teeth is the best choice. This treatment will probably need to be combined with orthodontics or prosthetic care, depending on the success of the surgical procedures. In both of our cases the erupting teeth have been malaligned and malrotated, necessitating subsequent use of orthodontic appliances. To our knowledge these patients are among the youngest patients with cleidocranial dysplasia to undergo this treatment. Our preliminary results are encouraging. PMID- 6575157 TI - Reverse sagittal split of the mandibular ramus for an unusual deformity. AB - A reverse sagittal split osteotomy of the mandible for advancement or retraction of the mandible is described to be used in selected instances when the transoral modified sagittal ramus osteotomy would probably result in a pathologic fracture or an inadequate proximal segment. This procedure provides the same benefits as does the modified sagittal split osteotomy. A disadvantage of the procedure is that it requires both intraoral and extraoral incisions. PMID- 6575158 TI - An unusual adenomatoid odontogenic tumor presenting as a residual cyst. AB - An unusual case of adenomatoid odontogenic tumor of a 68-year-old edentulous man is presented. Clinically the lesion appeared to be a residual cyst of the maxillary canine region. This case varies from the norm with respect to age of the patient and clinical features. PMID- 6575159 TI - Malignant teratoma of the mandible. AB - A rare case of malignant teratoma of the mandible that resembled a dentigerous cyst radiographically is presented. Treatment by surgical resection and secondary reconstruction resulted in satisfactory function and esthetics. PMID- 6575160 TI - A modification of the pterygoid plate separation in low-level maxillary osteotomies. AB - The technical details of a modified procedure for separation of the pterygoid plates in low-level maxillary osteotomies is described. The cut is made through the tuberosity and ends at the posterior aspect of the hard palate, medial and anterior to the pterygomaxillary fissure. This technique provides several advantages over the more classically described posterior vertical cut through the pterygomaxillary suture. The major advantages are that it is anatomically less hazardous and allows greater mobility of the segments. It also permits a larger vascular pedicle to be maintained. PMID- 6575161 TI - The significance of cusps. AB - It has been argued that the prolonged retention of cusps in the human dentition is a relatively recent aberration due to the negligible abrasiveness of modern diets and that to achieve maximum efficiency and freedom from disease human teeth should be worn down as they are in many herbivorous mammals. Here we critically review the evidence that has been put forward to support this idea and, after discussing the design of occlusal surfaces in relation to the wide variety of mammalian diets, we conclude that cusps are adaptations for breaking food with specific physical properties. PMID- 6575162 TI - Influence of experimental interfering occlusal contacts on the activity of the anterior temporal and masseter muscles during submaximal and maximal bite in the intercuspal position. AB - The effects of an intercuspal occlusal interference on the pattern of activity of the anterior temporal and masseter muscles during submaximal and maximal bite, were studied in eleven volunteers with complete, natural dentitions. The results show that, during maximal and submaximal bite an occlusal interference (about 0.5 mm) in the intercuspal position is able to disturb the almost symmetric pattern of muscular activity in the anterior temporal and masseter muscles. Further, the level of muscular activity during maximal bite decreased significantly in all muscles studied. In some subjects, the decrease of muscular activity could still be observed one week after insertion of the interfering contact. After eliminating the interference, the muscular co-ordination pattern improved and the level of muscular activity increased significantly. PMID- 6575163 TI - An assessment of new dental ultraviolet sources and u.v.-polymerized fissure sealants. AB - The performance of six dental ultraviolet (u.v.) sources was assessed to establish minimum output requirements and possible u.v. hazards. Exposure criteria for u.v.-cured materials (Nuva-seal P.A., Nuva-cote P.A., Nuva-fil P.A., Lee-seal, u.v.-Dentoseal, Uviobond, Visiobond) were assessed by determining setting time-intensity characteristics, u.v. transmission and microhardness as a function of u.v. intensity and depth. A minimum intensity of 10 mW cm-2 was required for adequate curing and both Nuva-seal P.A. and Nuva-cote P.A. set well in depth with realistic exposures. Total u.v. outputs, average intensities and spatial distributions were assessed for the u.v. sources, most of which were well above minimum requirements. Ultraviolet spectra and maximum permissible exposure measurements indicated that all of the sources were safe in normal use. PMID- 6575164 TI - The wearing of complete dentures: guidance to patients. PMID- 6575165 TI - Influence of auriculotemporal nerve anaesthesia on the masseteric silent period. AB - Silent periods were evoked from the masseter muscles bilaterally in response to chin taps during a clench. Injection of 0.75 ml of 3% Mepivicaine posteromedial to each condyle led to a distribution of skin anaesthesia consistent with the distribution of the auriculotemporal nerve. Silent periods were evoked prior to and during anaesthesia in ten subjects. The silent period latencies (mean +/- standard deviation) prior to anaesthesia were 12.5 +/- 1.8 ms and 11.9 +/- 2.5 ms in the right and left masseters. During anaesthesia the latency decreased by 0.3 +/- 1.3 ms in the right masseter and by 0.3 +/- 2.1 ms on the left masseter. Neither change was statistically significant (P greater than 0.05). The silent period durations prior to anaesthesia were 20.3 +/- 4.0 ms and +/- 22.8 +/- 7.1 ms in the right and left masseters. During anaesthesia, these decreased by 2.74 +/- 5.8 ms on the right and 2.15 +/- 4.4 ms on the left. These decreases were not statistically significant (P greater than 0.05). These results failed to demonstrate an influence of the predominant nerve supply of the TMJ on either the latency or the duration of the masseteric silent period. PMID- 6575166 TI - An analysis of tooth position on initial tooth contact. AB - A closed circuit television movement detector was used to study mandibular movement in the form of tooth tapping, in subjects with no apparent dental disease or malocclusion. The velocity and form of various phases of movement was studied, in the transverse, sagittal and coronal planes, from measurements made on u.v. charts and X-Y recordings. It was shown that closing movements were more direct and faster than opening movements; that initial contact on closing is in a well-defined contact area, followed by a sliding of cusps over each other to a final centric position and that the closing path of the mandible in tapping movements is in the form of a smooth curve showing simple axis rotation through distances normally greater than those accepted clinically. It was also shown that microphone signals can be detected at times other than when normally expected, indicating displacement with tooth contact, at times other than at the fully intercuspated position. PMID- 6575167 TI - Geographic comparisons of the incidence of dental erosion: a two centre study. AB - This study revealed that the premolars in both arches are most commonly afflicted with erosion. The same results were obtained in an earlier study conducted by Sognnaes, Wolcott & Xhonga (1972) and Xhonga, Wolcott & Sognnaes (1972) evaluating the erosion pattern on extracted teeth. These findings should be helpful in further investigation into the aetiology and treatment. Educational, epidemiological and preventive concerns derive from a study establishing the dental erosion frequency on a large population sample (approximately 600 individuals and 1500 teeth). The comparative results for both locations used will provide a more significant basis for future studies of a similar nature. PMID- 6575168 TI - Invasive aspergillosis of paranasal tissues in children with malignancies. AB - Paranasal aspergillosis was encountered in five children with relapsed malignancies. All had received broad-spectrum antibiotics within two weeks of development of aspergillosis, and all had absolute granulocyte counts less than 200/mm3 for at least three weeks. None had received prior antifungal therapy. There was an average delay of eight days before the correct diagnosis was established by either biopsy or culture. These data emphasize the need to obtain surveillance cultures of the upper respiratory tract passages in severely neutropenic patients receiving prolonged antibiotic therapy, and raise a question concerning prophylactic use of antifungal therapy in this group. PMID- 6575169 TI - Intraluminal gastric prostaglandin E2 concentration in critically ill children: effect of hypoxia and acidosis. PMID- 6575170 TI - Prepubertal periodontitis. I. Definition of a clinical disease entity. PMID- 6575171 TI - Healing following implantation of healthy roots, with and without periodontal ligament tissue, in the oral mucosa. AB - This investigation, involving 44 patients, studied the physiological interactions of human dentine and cementum with the connective tissue of the oral mucosa by means of 26 autogenous implants of root fragments without periodontal ligament, and 18 implants with periodontal ligament. The implants together with the adjacent tissues were removed between the 3rd and 26th week after implantation. The implants without periodontal ligament failed to form cementum or bone-like tissue and in the 26th week they still showed resorption. Ten implants with periodontal ligament showed deposition of cementum with collagen fibers attached to it after the 12th week. The formation of new attachment with new cementum deposition on the dentine or on the old cementum could be ascribed to the influence of cells of the remaining periodontal ligament on the implanted root fragments. PMID- 6575172 TI - Self-inflicted gingival injuries: literature review and case report. AB - A case of self-inflicted gingival injury in a 25-year-old male patient caused by compulsively overzealous oral hygiene practices is presented. Such injuries are rare among adults and, therefore, can be difficult to diagnose. Most reported cases have involved children who produced their injuries during periods of emotional turmoil. Evidence in this case indicates that this patient may have initiated the destructive process as a child. Guidelines which many help the clinician recognize self-inflicted gingival injuries are presented. PMID- 6575173 TI - The effect of vitamin E on the healing of gingival wounds in rats. AB - Forty male and female albino rats received a standardized gingival wound (gingivectomy) between the mandibular incisor teeth. One half of the animals received 60 I.U. of d-alpha-tocopheryl acetate daily, administered orally by pipette. An additional control group of 20 animals was not wounded and half of these animals received 60 I.U. of d-alpha-tocopheryl daily. Four animals in each of the two gingivectomy groups (Groups 1, 2) were sacrificed at periods of 1, 2, 4, 7 and 14 days following gingivectomy. Two animals in each of two control unwounded groups (Groups 3, 4) were sacrificed at similar times. Gingival healing was studied grossly and histologically. The animals receiving the vitamin E supplements healed more rapidly, with almost complete restoration of gingiva by 7 days. Complete healing was seen in both control and experimental groups by 14 days. Vitamin E was shown to accelerate gingival wound healing in experimental animals. PMID- 6575174 TI - Biphasic blood pressure response to angiotensin II in the conscious rabbit: relation to prostaglandins. AB - The injection of a large bolus of angiotensin II causes a biphasic blood pressure response in the conscious rabbit. To investigate contribution of prostaglandins (PGs) to the depressor phase of the blood pressure response, we studied the blood pressure effect of i.v. bolus injections of angiotensin II before and after the administration of an inhibitor of cyclooxygenase, indomethacin or sodium meclofenamate (10 mg kg-1), and in relation to associated changes in the plasma concentration of immunoreactive PGs. In conscious rabbits, angiotensin II (0.05 5.00 microgram kg-1) produced a dose-related pressor response which at both 1.5 and 5.0 micrograms kg-1 was followed by lowering of blood pressure to below the preinjection level. Neither indomethacin nor meclofenamate affected the maximal rise in pressure produced by angiotensin II, but both cyclooxygenase inhibitors augmented the duration of the pressor phase and abolished the depressor phase of the hemodynamic response to angiotensin II at 1.5 to 5.0 micrograms kg-1. After administration of angiotensin II, 5 micrograms kg-1, the plasma concentration of 6-keto-PGF1 alpha increased (P less than .01) from 218 +/- 21 pg/ml by 221 and 235% during the pressor and the depressor phases of the blood pressure response, respectively. Increments in plasma 6-keto-PGF1 alpha correlated inversely with the duration of the pressor phase and directly with the maximal lowering of blood pressure during the depressor phase. Plasma levels of PGE2 and PGF2 alpha also were increased by the peptide but the increments were not correlated with any aspect of the blood pressure response. These data suggest that a mechanism involving PGs both curtails the pressor phase and mediates the depressor phase of the hemodynamic response to pharmacological doses of angiotensin II in the conscious rabbit. PMID- 6575175 TI - Role of the extra-follicular compartment in the ovulation of isolated rabbit ovarian follicles. AB - Ovulation was never observed, even in the presence of gonadotrophins, when preovulatory follicles isolated from oestrous does were cultured in vitro (n = 112). If the follicles were co-cultured with pieces of ovarian tissue and gonadotrophins, then 50% ovulated (P less than 0.01). Attempts to replace the ovarian tissue by various steroid hormones or prostaglandins did not result in follicular rupture except when PGE-2 was used (23.8%, P less than 0.05). We suggest that gonadotrophins have an immediate (less than 1 h) action upon the follicle and ovarian interstitial tissue simultaneously. The response of the ovarian tissue to gonadotrophins is essential for eventual follicular rupture and involves PGE-2. PMID- 6575176 TI - Sex-selection procedures. PMID- 6575178 TI - Depression in the elderly: principles of tricyclic antidepressant treatment. PMID- 6575177 TI - Relationship between protein binding and extravascular drug concentrations of a water-soluble drug, cytosine arabinoside. AB - The degree of binding of a drug to plasma proteins has a marked effect on its distribution, elimination, and pharmacological effect. Since only the unbound fraction is available for distribution into extravascular space, the ratio of drug in cerebrospinal fluid (CSF) or saliva to that in plasma is often regarded as a physiological measure of the free fraction of a drug. CSF: plasma and saliva: plasma ratios of cytosine arabinoside (araC) have been measured in patients with acute leukaemia and found to be 0.1-0.28, implying a binding of 72 90%. The protein binding of araC was measured by equilibrium dialysis in the plasma of patients with acute leukaemia at presentation. The mean binding ratio was 2.3 +/- 6.8, implying that there was little or no protein binding. There was no correlation between alpha-1 acid glycoprotein (AAG) levels and protein binding. The low CSF and saliva: plasma araC ratios found, suggest that drugs such as araC which have low lipid solubility do not pass freely into extravascular space. Thus the CSF or saliva: plasma ratio cannot be considered a good physiological measure of protein binding for drugs with poor lipid solubility. PMID- 6575179 TI - The pathophysiology of head trauma. PMID- 6575180 TI - Digital subtraction angiography. PMID- 6575181 TI - Netilmicin in the treatment of gram-negative bacillary infections. PMID- 6575182 TI - Total electrical alternans. PMID- 6575184 TI - The impaired physicians program. Education. PMID- 6575183 TI - Pasteurella multocida empyema with septicemia. PMID- 6575185 TI - Medical ethics. Withholding the truth. PMID- 6575186 TI - Professional liability insurance as a condition for staff membership. PMID- 6575187 TI - Interstitial cellular components in the kidney of man and other vertebrates. PMID- 6575188 TI - Hypoperfusion and absent ventilation to the lung from mucous obstruction. PMID- 6575189 TI - Diverticulitis of the terminal ileum. PMID- 6575190 TI - The impaired physicians program. Confrontation. PMID- 6575191 TI - Hospital leadership. PMID- 6575192 TI - Chemoimmunoprophylaxis of an experimental bladder cancer with retinoids and Bacillus Calmette Guerin. AB - The prophylactic effect of 2 retinoids (Ro 4-3780 and Ro 10-9359), either alone or in combination with Bacillus Calmette Guerin (BCG), was studied in an experimental murine bladder tumor model. The incidence of tumor takes in all treatment groups was lower than in the control group. Both BCG and Ro 10-9359 were effective in decreasing the percentage of tumor takes and the simultaneous use of these agents was more effective than either one alone. Ro 10-9359 was found to possess more antitumor activity than Ro 4-3780 in this tumor model. Treatment of mice with a combination of Ro 10-9359 and BCG resulted in an 83.3 per cent incidence of complete tumor regression within 80 days. Results suggest that vitamin A derivatives may be useful in the prevention and treatment of bladder cancer and that the activity is likely potentiated by nonspecific stimulation. PMID- 6575193 TI - Acute lymphoblastic leukemia with monosomy 7 in a Hiroshima survivor 37 years after the bomb. AB - Acute lymphoblastic leukemia (ALL) developed in a 53-year-old survivor of the Hiroshima bomb blast. Chromosomal analysis disclosed a single abnormality, deletion of chromosome 7. This deletion has been reported in patients with radiation exposure, but it is uncommon in adults with ALL. The karyotypic abnormality suggests that our patient's leukemia may be related to prior radiation exposure despite a 37-year hiatus. The findings raise further questions about the persistent risk of leukemia among atomic bomb survivors. PMID- 6575194 TI - [Effect of prostaglandin F2 alpha (PGF2 alpha) on gastric emptying, small bowel transit time, gut hormone release and blood glucose]. PMID- 6575196 TI - Vibrational relaxation on hydrogen bonding in dinucleoside phosphate. PMID- 6575195 TI - [Primary osteosarcoma of the lung--a case report]. PMID- 6575197 TI - Epidemic acquired immune deficiency syndrome: epidemiologic evidence for a transmissible agent. PMID- 6575198 TI - Differential expression of tumor-associated antigens in human colon carcinomas xenografted into nude mice. AB - The tumor-associated antigen profile of a number of different human colon carcinomas xenografted into inbred Swiss nude mice was examined to determine whether the tumors could serve as useful models for antigen purification, radioimmunodetection, and immunotherapy. Extreme heterogeneity was observed both by radioimmunoassay and immunohistochemical procedures for the expression of carcinoembryonic antigen (CEA), colon-specific antigens (CSAp), and colonic mucin antigen (CMA) within the tumors. Four of 10 tumors (DLD-2, DLD-3, DLD-5, and HCT 10) were high producers of CEA (greater than 75 micrograms/g wet tissue wt). Two of these (DLD-2 and HCT-10) correlated with a high production of CSAp and CMA, whereas the other 2 produced low quantities of these antigens. Another tumor, HCT 14-OM1, produced large amounts of CMA yet produced moderate amounts of CEA and low quantities of CSAp. Immunohistochemical analyses of CEA gave a mostly diffuse cellular and cell surface staining for all of the tumors. Staining for CSAp was very focal, as in DLD-5 where only a few of the tumor cells were stained. Staining of CMA was limited; however, DLD-2, HCT-10, and HCT-14-OM1 showed intense cystoplasmic and intraluminal staining. A determination of the tumor antigen profile may be useful in characterization and classification of the tumor as well as enabling the selection of the proper antibody or antibodies for immunodetection and immunotherapy. PMID- 6575199 TI - Early histopathologic events to evolution of colon cancer in C57BL/6 and CF1 mice treated with 1,2-dimethylhydrazine. AB - After administration of the intestinal carcinogen 1,2-dimethylhydrazine (DMH), C57BL/6J and CF1 mice were observed for early precursor lesions to large bowel cancer. Among the initial events seen following DMH treatment, an abrupt reduction in colonic DNA synthesis was the earliest lesion detectable. The frequency of aberrant colonic nuclei rose shortly after DMH treatment, reaching a maximum value 24 hours later and remaining elevated for 3 days following the exposure. Mucin changes, detected histochemically, and cell kinetic alterations in crypt proliferation rates were observed much later and were a constant feature for both strains following 4 weekly treatments with DMH, while carcinomas appeared in all animals 32 weeks after the start of DMH treatment. The quantitative comparison of these histopathologic observations for the early detection of colon cancer suggests that the induction of colonic nuclear aberrations in the mucosa of the large bowel might provide a sensitive and rapid indication of genotoxicity to this organ and thus might provide the basis for a screening methodology for colon carcinogens. PMID- 6575200 TI - Nuclear aberrations as a short-term test for genotoxicity to the colon: evaluation of nineteen agents in mice. AB - The genotoxicity of 16 agents including several hydrazines, nitrosamines, aromatic amines, polycyclic hydrocarbons, and other related compounds and three known inhibitors of carcinogenesis was assessed in the murine colonic nuclear aberration assay. Of the seven agents considered positive for colonic DNA damage, five were large bowel carcinogens. All structural analogues of the intestinal carcinogens that are tumorigenic for other organs, with the exception of benzo[a]pyrene, were negative in the colonic nuclear aberration assay as were all noncarcinogens tested. The metabolic inhibitor disulfiram completely inhibited 1,2-dimethylhydrazine-induced colonic nuclear damage, while inhibition was less marked for the antioxidants butylated hydroxyanisole and caffeic acid. The versatility of the assay as an indicator of colonic genotoxicity resulting from carcinogen exposure is discussed. PMID- 6575201 TI - Immunologic, biochemical, and ultrastructural characterization of the leukemia cell in F344 rats. AB - Immunologic, biochemical, and morphologic characteristics of the mononuclear cell from the leukemia of F344 rats were determined. The cells were morphologically similar to large granular lymphocytes (LGL). Surface marker analysis revealed Fc gamma receptors, no Fc gamma receptor or complement receptor activity, and an inability to spontaneously rosette guinea pig erythrocytes. Leukemia cells also had a surface immunoglobulin that hemagglutinated normal rat erythrocytes. The surface immunoglobulin and Fc gamma receptors dissociated from the cell after 2 hours of in vitro incubation, but Fc gamma receptor activity was reexpressed after 6 hours of in vitro incubation. Cells were capable of adherence to glass surfaces but had a low capacity for phagocytosis of latex beads. Cytochemical analysis revealed a consistent, strongly positive reaction for esterase that was sensitive to NaF. The cytochemical profile of the leukemia cell was similar to that described for LGL. PMID- 6575202 TI - Genotypic and phenotypic evolution of a murine tumor during its progression in vivo toward metastasis. AB - To follow the cellular progeny of the multiple-drug-marked benign murine tumor cell line MDW4 during its progression in vivo toward metastatic spread in DBA/2 mice, the following parameters were analyzed: retention of the drug-resistant markers ouabain resistance (OuaR) and thioguanine resistance (ThgR), lectin resistance pattern (WGAR), and the karyotype of cell populations (and clones derived from these cells) removed at intervals from the solid tumor growing at the site of inoculation, as well as distant metastatic nodules. It was determined that the initially homogeneous inoculum composed of OuaR, ThgR, and WGAR hypotetraploid cells (mode: 68 +/- 2 chromosomes) was gradually overgrown and replaced by a new population of cells that were either OuaR or ouabain-sensitive but that became thioguanine-and lectin-sensitive and hyperploid (mode: 95 +/- 5). Regardless of the composition of the individual drug marker combinations, only cells with high chromosome contents were found to be able to disseminate to distant visceral organs and to rapidly produce metastases upon sc or iv reinjection. The presence of the same number of metacentric chromosomes in metastatic cells as in MDW4 and the coextinction of two recessive drug-resistant markers (WGAR and ThgR) suggested that cells endowed with invasive-metastatic potential represent the product of spontaneous somatic hybridization between the original nonmetastatic MDW4 cells and normal host cells of unknown origin. Such a fusion was followed by more or less extensive chromosome segregation that accounts for the karyotype mosaicism and the occasional drug marker heterogeneity identified in cell populations of metastatic nodules. PMID- 6575204 TI - Effect of duration of high fat intake on enhancement of mammary carcinogenesis in rats. AB - The relationship between dietary fat and mammary carcinogenesis was studied in weanling female inbred Fischer rats fed a purified, high-fat, low-carbohydrate (HF) or a purified, low-fat, high-carbohydrate (LF) diet and given N-nitroso-N methylurea (NMU) at 50, 90, or 133 days of age. By a change in the diet at different times after NMU treatment (50 mg/kg body wt), it was found that mammary tumor incidence was positively correlated with the time period that the rats were fed an HF diet. A dose-response effect of NMU at 10, 20, 30, 40, and 50 mg/kg body weight was also studied in groups of rats fed an HF or an LF diet. The results show an optimal carcinogenic dose of 50 mg NMU/kg body weight and a threshold dose of 27 mg NMU/kg body weight. The data conclusively demonstrated that the HF diet enhanced mammary carcinogenesis at every dose level of NMU, except 10 mg/kg. Further, the experiments also showed that an HF diet failed to promote mammary carcinogenesis in rats receiving a subthreshold dose (20 mg/kg body wt) of NMU. Altogether, the data demonstrate that an HF diet is not just a promoter but is in fact co-carcinogenic in mammary tumor induction by a chemical carcinogen. PMID- 6575203 TI - Promotion of syngeneic intraocular tumor growth in mice by anterior chamber associated immune deviation. AB - Regressor tumors (P91 and UV-5C25), known to express potent tumor-specific transplantation antigens, were briskly rejected when transplanted either sc or ip into syngeneic mice (DBA/2 and BALB/c, respectively). These tumors demonstrated markedly different behavior following transplantation into the anterior chamber of syngeneic mice. Tumors grew to significant masses and survived for prolonged periods within the anterior chamber of the eye. The extended growth and survival of regressor tumors in the anterior chamber (i.e. immune privilege) were abrogated by splenectomy and thus resemble anterior chamber-associated immune deviation. However, this immune privilege proved to be temporary and was superseded by complete tumor resolution. Studies of mice immunosuppressed with UV light or X-ray irradiation demonstrated that spontaneous intraocular resolution of regressor tumors was due to specific systemic immunity that not only led to intraocular tumor resolution but also prevented the spread of the primary intraocular tumor to distant organs and rendered the hosts highly resistant to secondary challenge with sc tumor inocula. The present findings were relevant to understanding human retinoblastoma, an intraocular neoplasm demonstrating a high incidence of spontaneous resolution, and will hopefully form a foundation for designing, immunotherapeutic strategies for treating human intraocular neoplasms. PMID- 6575205 TI - Endocardial tumors induced by carbamate or fluorenylacetamide derivatives in rats. AB - Endocardial tumors were induced in 18 rats treated with derivatives of carbamates and in 4 rats treated with derivatives of fluorenylacetamide. The endocardial tumor of 1 rat treated with N,N'-2,7-fluorenylenebisacetamide metastasized to the lung. This is the first report of metastasis of an endocardial tumor. Among the more than 60,000 accessions at the Registry of Experimental Cancers, Division of Cancer Cause and Prevention, National Cancer Institute, there are 4 untreated rats with endocardial tumors. On the basis of the light microscopic morphology, we have classified these endocardial tumors as mesenchymal. PMID- 6575206 TI - Evaluation of a radioimmunoassay for alpha 1-acid glycoprotein to monitor therapy of cancer patients. AB - A new radioimmunoassay for alpha 1-acid glycoprotein (AGP) for monitoring the therapy of cancer patients was evaluated. Plasma levels of this glycoprotein were measured in 49 normal healthy volunteers, 71 patients with illnesses other than cancer, 190 patients with solid tumors, and 58 patients with hematologic neoplasms. Plasma levels of AGP were elevated in 89% of the solid tumor patients and 87% of the patients with hematologic neoplasms who had newly diagnosed, locally recurrent, or metastatic cancer. Only 18% of patients with illnesses other than cancer and normal renal function had elevations of plasma AGP. Serial measurements of AGP may be useful for monitoring therapy in several tumor types, including small-cell lung cancer, colon cancer, lymphoma, and non-small-cell lung cancer. PMID- 6575207 TI - Lung cancer and other causes of death among licensed pesticide applicators. AB - The mortality experience of a cohort of 3,827 white men licensed to apply pesticides in Florida was evaluated to investigate health effects associated with chronic exposure to pesticides. Although the overall standardized mortality ratio (SMR) for these structural pest control workers was not significantly elevated (SMR = 103), excess deaths were observed for leukemia, particularly acute myeloid leukemia (3 observed vs. 0.9 expected), and cancers of the brain (SMR = 200) and lung (SMR = 135). The risk of lung cancer rose with the number of years licensed with SMR of 101, 155, and 289 among those licensed for less than 10 years, for 10 19 years, and for 20 years or more, respectively. Ratios of directly adjusted rates showed similar patterns with observed-to-expected ratios of 100, 175, and 186 for the length of licensure categories. Mortality from lung cancer was greater among persons first licensed before age 40 (SMR = 234) than among those first licensed after age 40 (SMR = 115). Although information on tobacco use was not available, the increasing risk of lung cancer with number of years licensed and the capacity of certain pesticides to produce neoplasms in laboratory animals suggested that some pesticides may be carcinogenic in humans. PMID- 6575208 TI - Prognostic significance of leukocyte-dependent antibody activity in melanoma patients. AB - Sera from patients with melanoma and control subjects were examined for leukocyte dependent antibody (LDA) activity against cultured melanoma and control nonmelanoma target cells in 51Cr release cytotoxicity assays. In over a third of 344 melanoma patients, LDA activity against melanoma cells was related to tumor growth, shown by disappearance of the LDA after surgical removal of melanoma. Tumor-related LDA activity was not detected in 143 controls with various nonmelanoma malignant conditions and benign skin lesions. Approximately 5% of the patients had high-titer melanoma LDA that was unchanged by surgical removal of the tumor, and 15% had melanoma LDA revealed in their sera only after the sera had been treated to dissociate immune complexes. In patients with stage I melanoma, the disease-free interval was significantly longer in those with tumor related LDA compared to those with no LDA. Analysis of the data in relation to known prognostic variables suggested that the main influence of LDA on prolongation of the disease-free interval was in males. An association between tumor-related LDA and a longer disease-free interval was also apparent in patients with stage II melanoma at first presentation but not in those with recurrence after prior treatment of primary melanoma. The results suggest that LDA activity against melanoma cells in the sera of patients after surgical removal of stage I or stage II melanoma is a favorable prognostic factor. Further studies are needed to determine whether induction of melanoma LDA by immunotherapy may improve the outcome in patients without naturally occurring LDA. PMID- 6575209 TI - Oral contraceptive use and fibrocystic breast disease with special reference to its histopathology. AB - The relationship between use of oral contraceptives and fibrocystic breast disease was examined in a hospital-based case-control study undertaken in New Haven, Connecticut, from 1977 to 1979. Particular emphasis was placed on the extent of epithelial atypia and other histopathologic characteristics found in the biopsy specimens from the cases. Women who had ever used oral contraceptives were at a somewhat decreased risk for fibrocystic disease as a whole. Cases with high atypia and controls had similar patterns of oral contraceptive use, whereas cases with low and intermediate atypia had less oral contraceptive use than controls. Cases with intermediate atypia reported the lowest oral contraceptive use. Subjects with biopsy specimens exhibiting gross cysts, microscopic cysts, or papillomatosis were about 50% less likely to have used oral contraceptives than controls. PMID- 6575210 TI - Antiestrogenic action of 3-hydroxytamoxifen in the human breast cancer cell line MCF-7. AB - The antiestrogenic action of 3-hydroxytamoxifen [trans-1-(4-beta dimethylaminoethoxyphenyl)-1-(3-hydroxyphenyl)-2 -phenylbut-1-ene] was characterized in vitro and compared with that of tamoxifen [trans-1-(4-beta dimethylaminoethoxyphenyl)-1,2-diphenylbut-1-ene]. The relative binding affinities of 3-hydroxytamoxifen to estrogen receptor were 3.3% in cytosol of MCF 7 cells and 1.5% in human mammary carcinoma cytosol compared to values of 0.2 and 0.3% for tamoxifen (the affinity of 17 beta-estradiol considered to be 100%). The concentration of 3-hydroxytamoxifen necessary to suppress the 17 beta-estradiol induced growth stimulation of MCF-7 cells was about tenfold lower than that for tamoxifen. The induction of progesterone receptor in MCF-7 cells by 17 beta estradiol was inhibited by 3-hydroxytamoxifen. In the absence of 17 beta estradiol, 3-hydroxytamoxifen gave rise to a moderate increase in the progesterone receptor levels, which demonstrates the partially estrogenic character of hydroxytamoxifen. PMID- 6575211 TI - Primary harderian gland neoplasms in mice. AB - Five hundred and seventy-four spontaneous harderian gland neoplasms were observed in 3,123 male and 9,024 female untreated experimental mice of various ages and of 6 inbred strains and substrains and 3 hybrid stocks. Adenomas occurred in 86 males and 458 females, and adenocarcinomas were present in 3 males and 27 females. The highest tumor incidence occurred in mice after 24 months of age; no tumors were observed in any mice prior to 6 months of age. With the exception of 1 age group, both sexes of the BALB/c mice had the highest incidence, and also this strain accounted for 463 of the neoplasms. The adenomas were classified into one of four different histologic types: papillary, cystic papillary, acinar, and cystic. The papillary type was the most frequently observed in both sexes. The cystic papillary type was the second most frequently observed and was the type most frequently associated with gross lesions. This type may represent a developmental variant of the papillary type. The incidence of the acinar type was similar in both sexes. The cystic type had the lowest incidence. All except 3 adenocarcinomas appeared to evolve from adenomas, with evolvement occurring primarily in the acinar type. Five of the adenocarcinomas either metastasized to the lung or invaded periorbital tissues. The remaining 25 were confined to the harderian gland. PMID- 6575212 TI - Effects of phorbol esters on normal and tumorous mouse mammary epithelial cells embedded in collagen gels. AB - The effects of phorbol esters on mammary epithelial cells from BALB/cfC3H/Crgl "midpregnant mice" (i.e., mice at the midterm of pregnancy) and from mammary adenocarcinomas (also from BALB/cfC3H/Crgl mice) grown in a collagen gel matrix were studied. 12-O-Tetradecanoylphorbol 13-acetate (TPA), when added to the media, caused an increased proliferation of both normal and cancerous mammary epithelial cells in a dose-dependent manner. The degree of enhancement of proliferation by TPA ranged from no increase in cell number at 3% swine serum (SW) concentration to two to three times the number of cells in the control cultures when 10 or 25% SW was used. Optimal growth was obtained with a TPA concentration of 0.1 or 1.0 microgram/ml. Increasing the SW concentration (3, 5, 10, or 25%) enhanced the proliferative effect of TPA. Cholera toxin (0.01 microgram/ml) enhanced the proliferative effect of TPA on normal cells but had a variable effect on tumor cells. The addition of TPA also resulted in a morphologic change in the epithelial colonies from midpregnant mice and from mammary tumors and caused them to assume a fibroblastic appearance. The addition of 4 alpha-phorbol or 4 alpha-phorbol 12,13-didecanoate to mammary epithelial cultures had no proliferative or morphologic effect. The results demonstrate that TPA has a growth-promoting effect on normal and cancerous mouse mammary epithelial cells. PMID- 6575213 TI - Inhibitory effects of molybdenum on esophageal and forestomach carcinogenesis in rats. AB - Male weanling inbred SD rats were given ad libitum a nutritionally adequate semipurified diet and demineralized drinking water without or with 100 or 200 ppm tungsten (W) or 2 or 20 ppm molybdenum (Mo) added to the drinking water. The animals were gastrically intubated with a solution of N-nitrososarcosine ethyl ester (NSEE) from the 4th week twice weekly for 2-8 consecutive weeks. The addition of Mo at either the 2- or 20-ppm level significantly inhibited NSEE induced esophageal and forestomach carcinogenesis. The 200 ppm W significantly countered the inhibitory effect of a low level of Mo naturally occurring in the diet. PMID- 6575214 TI - Liver and forestomach tumors and other forestomach lesions in rats treated with morpholine and sodium nitrite, with and without sodium ascorbate. AB - Administration to rats of ascorbate with morpholine and nitrite was previously shown to inhibit the liver tumor production and to enhance the induction of forestomach tumors, as compared to treatment with morpholine and nitrite. In a repetition of this experiment, 10 g morpholine/kg in the diet and 2 g sodium nitrite/liter in the drinking water were administered for life to male MRC-Wistar rats without (group 1) or with (group 2) 22.7 g sodium ascorbate/kg in the diet. Group 3 was untreated. Group 2 showed a lower liver tumor incidence with a longer latency than group 1, indicating a 78% inhibition by ascorbate of in vivo N nitrosomorpholine (NMOR) formation. The incidence of forestomach papillomas was 3% in group 1, 38% in group 2, and 8% in group 3. The difference between groups 1 and 2 was not significant due to the shorter life-span of group 1. Group 1 and especially group 2 had more forestomach hyperplasia and hyperkeratosis than group 3. Ascorbate might have enhanced induction of these lesions because of an action synergistic with that of NMOR. However, it is most likely that the lowered NMOR dose and concomitantly increased survival produced by the ascorbate were solely responsible for the increased incidence of forestomach papillomas and other lesions in group 2. PMID- 6575215 TI - Inhibition by tuftsin of Rauscher virus leukemia development in mice. AB - The antitumor effect of tuftsin, the natural phagocytosis-stimulating peptide, on leukemia induced by Rauscher murine leukemia virus (R-MuLV) was studied in vivo in SWR inbred mice. Tuftsin was found capable of significantly increasing the survival of R-MuLV-infected mice. The peptide, when injected both ip and iv into mice, exerted its activity in a dose- and time-dependent manner. Optimal antitumor activity was achieved upon administration of 25 micrograms tuftsin 4 days before R-MuLV inoculation. PMID- 6575216 TI - The National Cooperative Dialysis Study. PMID- 6575217 TI - [Changes of therapy results in acute leukemia under different treatment schedules with special reference to gnotobiotic measures]. PMID- 6575219 TI - A new mutant of Japanese quail (Coturnix coturnix japonica) characterized by generalized glycogenosis. AB - A flock of Japanese quail with generalized glycogenosis has been established. Affected quail showed difficulty in raising their wings. Excessive accumulation of glycogen was seen in the liver, heart, skeletal muscle and brain, apparently due to decreased acid maltase activity. The condition appeared between 2 and 12 weeks of age and tissue deposition of glycogen increased with age. The growth of affected quail was normal and there were no deaths from the condition. Although genetic analysis has not yet been completed, an autosomal recessive inheritance is suspected. PMID- 6575218 TI - Glucocorticoid receptor level, terminal deoxynucleotidyl transferase activity and initial responsiveness to prednisone and vincristine in leukemia. AB - We have investigated glucocorticoid receptor (GR) level, terminal deoxynucleotidyl transferase (TdT) activity and the initial responsiveness to prednisone and vincristine in 31 patients with acute lymphatic leukemia (ALL) and with chronic myelogenous leukemia in blast transformation (CML/BT). All 11 patients with low levels of GR (5,000 binding sites per cell) were resistant to this initial treatment whereas 13 of the 20 patients with high levels of GR responded readily. The correlations between clinical responsiveness and TdT activity were significant to the p less than 0.005 level but there was no linear correlation (r = 0.3427) between GR-level and TdT activity. High levels of both GR and TdT seemed to be associated with better prognosis in patients with these leukemias. Thus the determination of GR and TdT might help selection of patients likely to respond to prednisone and vincristine in ALL and CML/BT. PMID- 6575220 TI - Estrogen sulfotransferase activity in guinea pig uterus and chorion. AB - An estrogen sulfotransferase (ST) is detectable in high speed supernatants of pregnant guinea-pig uterus and shows maximum activity between about 47 and 55 days of gestation, with a decrease toward term. No appreciable activity was apparent in the non-pregnant state or before at least 43 days of pregnancy. A considerably higher ST activity is present in chorion as early as 30 days of gestation, and this also decreases toward term. The two ST's exhibit similar KM (0.1-0.13 microM with estrone as substrate) and pI (5.8) values, as well as similar specificities. Estradiol-17 beta and estriol are sulfurylated 82 and 6% that of estrone at equimolar concn. Neither p-nitrophenol nor several neutral steroids are substrates for the enzymes. Enzyme activity is poorly expressed in the absence of thiol groups, the presence of monothioglycerol stimulating uterine and chorion enzymes by 5- and 15-fold, respectively. Stimulation is also observed in the presence of Mg2+, Ca2+ or Mn2+. Chromatofocusing on a poly buffer ion exchanger from pH 7.4 to 4.0 resulted in elution of a sharp peak of enzyme activity, at pH = 5.8, from both tissues provided that the eluting buffer contained thiol groups and 0.25 M sucrose. This single step resulted in at least a 35- to 100-fold increase in specific activity. The partially purified enzyme from chorion exhibited a KM for estrone of 0.13 microM. PMID- 6575221 TI - Cytochrome P-450 and steroidogenic activities of the human placental mitochondria. AB - The relationship between cytochrome P-450 concentration, cholesterol side-chain cleavage and 3 beta-hydroxysteroid dehydrogenase/isomerase activity, in different density mitochondrial preparations from human term placenta has been studied. The heavy mitochondrial fraction shows a higher cytochrome P-450 concentration and cholesterol side-chain cleavage activity as compared to the light mitochondrial fraction, it has however lower cytochrome P-450AROM level and 3 beta hydroxysteroid dehydrogenase/isomerase activity. PMID- 6575222 TI - Second malignancies diagnosed in patients receiving chemotherapy at the Pennsylvania Hospital. AB - During the past 15 years, the records of 2,020 patients who received chemotherapy on the surgical oncology, chemotherapy service at the Pennsylvania Hospital were reviewed. Thirty-five patients had pathologically confirmed second independent malignant tumors (not recurrences). The second cancers that developed were varied. The patients who developed these second malignancies ranged in age from 35 to 77 years (24 females, 11 males). The time interval involved was two to 102 months. Nine patients in this group of second malignancies received prior radiation therapy. The following is a list of the second cancers. There were 8 colons, 5 ovaries, 5 lungs, 6 acute myelogenous leukemias, 1 esophagus, 2 bladders, 2 epidermoid carcinomas of the skin, 2 melanomas, 1 chronic lymphatic leukemia, 1 breast cancer, 1 non-Hodgkin's malignant lymphoma, and 1 stomach cancer. The majority of second malignant tumors were amenable to some form of therapy, ie, surgery, radiation or chemotherapy. However, all of the acute myelogenous leukemias were totally refractory to any therapeutic modalities and rapidly expired. The majority of second cancers developed in patients receiving adjuvant chemotherapy. This is a patient population with a much longer expected survival time, particularly when compared to patients receiving chemotherapy for advanced disease. Twenty-five of the 34 second cancers developed in patients who received adjuvant chemotherapy for breast (14) or colorectal (11) cancers. The etiology of the second malignancies is very difficult to determine. However, alkylating agents appeared to be the possible etiologic agent involved in the development of acute myelogenous leukemia. PMID- 6575223 TI - 12th annual UCLA symposia. Abstracts: Molecular biology of host-parasite interactions. PMID- 6575224 TI - 12th annual UCLA symposia. Abstracts: Gene expression. PMID- 6575225 TI - 12th annual UCLA symposia. Abstracts: Normal and neoplastic hematopoiesis. PMID- 6575226 TI - 12th annual UCLA symposia. Abstracts: Cellular responses to DNA damage. PMID- 6575227 TI - 12th annual UCLA symposia. Abstracts: Plant molecular biology. PMID- 6575228 TI - 12th annual UCLA symposia. Abstracts: Biosynthesis of the photosynthetic apparatus; molecular biology, development and regulation. PMID- 6575229 TI - 12th annual UCLA symposia. Abstracts: Protein transport and secretion. PMID- 6575230 TI - 12th annual UCLA symposia. Abstracts: Mechanisms of DNA replication and recombination. PMID- 6575231 TI - Influences of Stigma Croci and Semen Persicae on function of ovary-uterus in pseudopregnant rats. PMID- 6575232 TI - Newspaper advertising by Louisiana dentists. PMID- 6575233 TI - "Burning feet" as the only manifestation of dominantly inherited sensory neuropathy. AB - A young woman had chronic symptoms of "burning feet" but no clinical or neurophysiologic findings of neuropathy. These symptoms were aggravated by warmth and ameliorated by cooling. Extensive pathologic grading of teased sural nerve fibers, however, provided suggestive evidence of a low-grade pathologic abnormality. Other kin were discovered to have similar symptoms in an autosomal dominant pattern, and some of these relatives had evidence of a subclinical sensory neuropathy. From this experience, we infer that a mild subclinical neuropathy may underlie the symptom of burning feet; burning pain of the feet may be dominantly inherited; hereditary sensory neuropathy may, therefore, manifest with only positive symptoms of burning pain, restless legs, and lancinating pain, rather than with mutilating acropathy, neurotrophic arthropathy, or severe distal sensory loss as is usually reported; and temperature may modulate physiologic mechanisms related to the experience of burning pain. PMID- 6575234 TI - [Osteolytic lesions in chronic myeloid leukemia]. PMID- 6575235 TI - [Bulimia nervosa]. PMID- 6575236 TI - Kasugamycin resistant mutants of Bacillus stearothermophilus lacking the enzyme for the methylation of two adjacent adenosines in 16S ribosomal RNA. AB - Several mutants of B. stearothermophilus have been isolated that are resistant to the antibiotic kasugamycin. One of these is shown to lack dimethylation of two adjacent adenosines in the 16S ribosomal RNA. All mutants that were analyzed biochemically lack the enzyme that is able to methylate this site. Ribosomal sensitivity and resistance to kasugamycin in B. stearothermophilus is therefore, like in E. coli, closely connected with dimethylation of the adenosines. PMID- 6575237 TI - [The psychology of hypnosis in dentistry (I)]. PMID- 6575238 TI - [The psychology of hypnosis in dentistry (II -- conclusion)]. PMID- 6575239 TI - [Motivation of the child in neuromuscular rehabilitation of the orofacial complex]. PMID- 6575240 TI - [Bacterial infectious complications in children with acute lymphoblastic leukemia in the induction phase]. PMID- 6575241 TI - [Ultrastructural study of the organic component in amelogenesis]. PMID- 6575242 TI - [Dental caries study in rats exposed to electrothermocoagulation of the ventromedial area of the hypothalamus]. PMID- 6575243 TI - [Intentional dental replantation. A clinical note]. PMID- 6575244 TI - [Odontomas and their role in the etiopathogenesis of dental impactions. Clinical aspects, therapy and statistics]. PMID- 6575245 TI - [Clinical use of a new antibiotic molecule "fosfomycin" in ambulatory dental practice]. PMID- 6575246 TI - [Vertical osteotomy of the ramus of the mandible by intraoral approach. Clinical experience]. PMID- 6575247 TI - [Deltopectoral flap. An anthropometric contribution]. PMID- 6575248 TI - [Rhizectomy in clinical practice. Comments on 30 cases]. PMID- 6575249 TI - [Teaching proposal for training in modelling]. PMID- 6575250 TI - [Clinico-statistical study of the occupational diseases and working habits of the dentist]. PMID- 6575251 TI - Identification of low caries risk dietary components. PMID- 6575252 TI - A nightmare of AIDS. PMID- 6575253 TI - Nuclear magnetic resonance imaging--current state. PMID- 6575254 TI - Hyperthyroidism or pheochromocytoma? PMID- 6575255 TI - Clinicopathologic correlations in 566 consecutive renal biopsies from North Carolina. PMID- 6575256 TI - One community's approach to high risk infant follow-up. PMID- 6575257 TI - Diagnosis and treatment of Cushing's disease at Duke University (1977-1982). PMID- 6575258 TI - Don't gag me with a spoon--gastric emptying at home. PMID- 6575259 TI - Understanding your health insurance benefits. PMID- 6575260 TI - Laser therapy for diseases of the eye. PMID- 6575261 TI - Accidental use of Superglue in the eye. PMID- 6575262 TI - A look at the stool can save a barium study. PMID- 6575263 TI - Ruptured testicle: acute presentation and treatment. PMID- 6575264 TI - All thrombocytopenia is not autoimmune. PMID- 6575266 TI - Allergy testing. PMID- 6575265 TI - Herpetic whitlow. PMID- 6575267 TI - Differentiation of human myeloid leukemia cell lines induced by tumor-promoting phorbol ester (TPA). II. Electrophoretic patterns of metabolically- and cell surface radiolabeled proteins and glycoproteins. AB - Electrophoretic patterns of cell surface proteins and cell surface sialogalactoproteins from human myeloid leukemia cell lines HL-60, ML-1, ML-2 and ML-3 before and after induction of morphological differentiation by 12-O tetradecanoylphorbol-13-acetate (TPA), have been compared. Minor quantitative cell surface protein alterations associated with TPA-induced differentiation have been observed as follows: decrease of a 150-160k glycoprotein on some TPA-induced myeloid cell lines, increase of a 50k glycoprotein and alteration of a 95k glycoprotein associated with the induction of differentiation by TPA. Electrophoretic patterns of 35S-methionine metabolically radiolabeled cell proteins revealed minor but distinct quantitative differences in several proteins, such as increased labeling of 180k, 160k and 130k proteins and decreased expression of 83k, 76k and 63k proteins on TPA-induced HL-60 cells. Two dimensional electrophoretic analysis of 35S-methionine metabolically radiolabeled cell proteins revealed at least 17 proteins more intensively labeled and 13 proteins with decreased intensity of labeling on TPA-induced HL-60 cells compared to uninduced HL-60 cells. PMID- 6575268 TI - Acute myelomonocytic leukemia associated with nephrotic syndrome. A case report with immunological studies. AB - A patient with acute myelomonocytic leukemia (AML) developed nephrotic syndrome. The renal biopsy showed focal glomerulosclerosis by light microscopy. Electron microscopy and immunofluorescence revealed electrondense deposits, IgG and C'3 in the glomerular mesangium. A 21S circulating immune complex (CIC) present in the patient's serum and the renal biopsy eluate contained immunochemically identical materials. The isolated antibodies from the 21S CIC and the eluate showed restricted reactivity against autologous AML cells. Immunodiffusion studies demonstrated common antigenicity between the 21S CIC antigen, the eluted antigen and between autologous AML cell membrane antigens. PMID- 6575269 TI - Genetics and Alcoholism. 5th Texas Tech University Health Sciences Center annual conference. PMID- 6575270 TI - Proceedings of the House of Delegates, Medical Society of the State of New York, November 7-10, 1982, Kiamesha Lake, New York, and official position papers. PMID- 6575271 TI - Requiem for PSRO (1972--1982). PMID- 6575272 TI - Hypertension in diabetes mellitus. PMID- 6575273 TI - Coincident hypertension. Deleterious effects on patients with hyperglycemia. PMID- 6575274 TI - Carotid endarterectomy without temporary shunt. Importance of pharmacologic control of blood pressure. PMID- 6575275 TI - Prostatic carcinoma treated at a categorical center, 1970--1979. PMID- 6575276 TI - Who will treat the impoverished mental patient? PMID- 6575277 TI - Sexually transmitted diseases and child sexual abuse. Part II. PMID- 6575278 TI - Myocardial protection with cold blood potassium cardioplegia during prolonged aortic cross-clamping. Laboratory evaluation. PMID- 6575279 TI - Chest wall reconstruction using a latissimus dorsi myocutaneous flap. PMID- 6575280 TI - Symmetrical depression of skull. PMID- 6575281 TI - Chronic radiation dermatitis from radioactive gold jewelry. PMID- 6575283 TI - Calcified leiomyoma. An unusual cause of large soft-tissue calcification of calf in childhood. PMID- 6575282 TI - Fatal Hemophilus influenzae meningitis complicated by diabetes insipidus. PMID- 6575284 TI - Giant colonic diverticulum. PMID- 6575285 TI - Autoimmune response following vasectomy. PMID- 6575286 TI - The lymph node. An important site of antigen-induced recruitment of circulating lymphocytes. PMID- 6575287 TI - Focal adrenal necrosis and fibrosis. In a general autopsy population. PMID- 6575288 TI - Cytochemical studies on cell organelles. PMID- 6575289 TI - Mitral anulus and valvular calcification. PMID- 6575290 TI - Characteristics ultrastructural features of some tumors in humans. PMID- 6575291 TI - Role of the pulmonary surfactant system in lung diseases of adults. PMID- 6575292 TI - Placenta accreta. A 26-year clinicopathologic review (1956--1981). PMID- 6575293 TI - Aspiration cytology of the breast. An analysis of 865 cases. PMID- 6575294 TI - Rubella immunisation and immunity in a defined population. AB - The level of rubella immunity was measured in the population of Milton. Rubella antibody was measured by haemagglutination-inhibition in women and men aged 16 to 34 years. Details were sought of past rubella infection, immunisation and records of immunisation. Overall 11.3% of the women were not immune by the laboratory criterion. All women younger than 25 years had detectable rubella antibody, though 13.8% had low antibody levels not regarded as immune according to current criteria. These low antibody levels probably reflect the high prevalence of vaccine-induced immunity. Most of these women are likely to be immune and other methods of rubella screening are needed to identify the truly susceptible women. Women aged 32-34 years had the highest level of rubella susceptibility, 9% without any detectable rubella antibody. Although the Milton population may not be representative of the total New Zealand population, in this area there was an encouragingly low proportion of women who could be regarded as definitely susceptible to rubella. PMID- 6575295 TI - Lung function in Maoris and Samoans working in New Zealand. AB - The lung function of 79 Maori workers was compared with that of 31 workers from Western Samoa and with 616 Europeans from the same factory. No significant difference was found in either forced expiratory volume in one second (FEV1) or in forced vital capacity (FVC) between the two Polynesian groups. The combined 110 Polynesians had a lung function which was significantly lower, by about 9%, than that of the Europeans working in the same factory. The lung function differences did not appear to be related to smoking, occupational or environmental factors. While it seems likely that the cause of the differences is a major gene effect a non-job-related social factor cannot yet be completely excluded. Charts for predicting FEV1 and FVC in male Maori and Samoan workers in New Zealand are given. PMID- 6575297 TI - Hepatitis B: a New Zealand disease. PMID- 6575296 TI - Familial short stature and coeliac disease: a family case report. AB - A case of coeliac disease associated with growth retardation and pubertal failure in a 19 year old female is reported. Diagnosis was delayed by use of the term 'undiagnosed short stature'. Investigations confirmed severe malabsorption, osteoporosis and marked delay in bone growth associated with small bowel mucosal atrophy. HLA screening of the patient's family led to the identification of coeliac disease in her brother aged 12 years and her asymptomatic mother both of whom were short in stature. The institution of a gluten free diet, appropriate vitamin and mineral supplements has restored growth and sexual development to normal in the affected children. These cases emphasize the variable nature of coeliac disease, its familial occurrence and the need to exclude the disorder in cases of undiagnosed (familial) short stature. PMID- 6575298 TI - Medicine in the future. PMID- 6575299 TI - The Auckland Hospital ethical committee 1977-1981. AB - The experience of the Auckland Hospital ethical committee during the last five years is reviewed. The committee has dealt with an average of 3.6 new applications per month. The research proposals have been classified according to their major thrust. Forty-five point five percent were drug trials, 12.8% were studies of normal and abnormal physiology and metabolism, 12.3% involved the evaluation of new non-drug therapeutic techniques or programmes, 10.1% were epidemiological and the remainder were psychosocial investigations, studies of drug metabolism and turnover, audit and review, or miscellaneous in nature. The majority of applications (60.4%) were approved unaltered or with only very minor amendments at their first consideration. Thirty-six point four percent were approved subject to the imposition of certain conditions or after revision, and 3.2% were either not approved at all or were withdrawn. Major ethical issues which attracted the committee's attention are briefly outlined and its reaction reported. PMID- 6575300 TI - Alcohol consumption of high school students in relation to ethnicity, socioeconomic status, and sex. AB - Fifth form students in three Gisborne city high schools were surveyed in 1968 and 1981. On an item in which they were asked to report on their level of alcohol consumption, 515 responded on the first occasion and 583 on the second. Over time, there were statistically significant shifts in the direction of higher levels of consumption among both Maori and European females, but not for Maoris or European males. Europeans of both low and high socioeconomic status and Maoris of low socioeconomic status increased their level of alcohol consumption, but Maori students from high socioeconomic homes did not. In both 1968 and 1981, Europeans reported higher levels of consumption than did Maoris. PMID- 6575301 TI - Blood utilisation in open heart surgery at Green Lane Hospital. AB - Blood utilization in 166 patients who underwent open heart surgery over a period of three months in 1980 at Green Lane Hospital has been surveyed. Over two-thirds of the operations were for coronary artery disease. For each hospitalized patient an average of 2.55 units of homologous blood were used. Including blood products, the total demand on the blood transfusion service was 3.55 donors/patient. Regular autologous transfusion of oxygenator blood post-bypass was a major factor in reducing blood usage. No blood was used in 23% of the bypass procedures and 13% of patients did not receive any homologous blood or blood products. PMID- 6575302 TI - Accident compensation corporation and medical fees. PMID- 6575303 TI - Rubella testing. PMID- 6575304 TI - Ethical considerations. PMID- 6575305 TI - Torture and amnesty international. PMID- 6575306 TI - Diuretics in pregnancy associated hypertension. PMID- 6575307 TI - Wright peak flow meter. PMID- 6575308 TI - Seatbelts and child restraints survey. PMID- 6575309 TI - Leptospirosis and mental illness. PMID- 6575310 TI - Does mebendazole inhibit lactation? PMID- 6575312 TI - Urine oxalate levels in a New Zealand reference population and renal stone formers. AB - Increasing attention is being given to oxalate as a risk factor in urinary calcium stone disease. The accuracy of some methods for measuring urine oxalate is uncertain. Using gas chromatography urine oxalate levels were 0.36 +/- 0.02 and 0.31 +/- 0.02 (mmol/24 h +/- 1 SEM) for men and women respectively of a reference population. In recurrent stone formers urinary oxalate was 0.43 +/- 0.03 in males and 0.38 +/- 0.04 for females whilst solitary stone forming females excreted only 0.31 +/- 0.04 mmol/24 h. The difference between males and females of the reference population was significant (p less than 0.05) as was the difference between reference males and male stone formers. PMID- 6575311 TI - Audiometry and tympanometry in children throughout one school year. AB - One hundred children had audiometry and tympanometry testing every two to three weeks throughout 38 weeks of a school year. The results showed an average prevalence of some abnormality in 62% and that the abnormal group was constantly changing. Abnormal episodes had a median duration of three to four weeks and a mean of six weeks. Thirty-nine percent of the children had more than one episode. Comparisons were made between the different measures of hearing and middle-ear function and between these and educational tests of intelligence, language and school achievement. Educational deficit was related most closely to total decibel loss. Four screening models were designed to allow economical use of testers' time. Resultant test patterns were related to two to three week testing and to educational test results. The closest correlation with educational test results proved to be an audiogram pass/fail screen each school term. PMID- 6575313 TI - Psychological stress and arterial pulse transit time. AB - Progress in isolating the psychological factors contributing to the development of arterial hypertension has been retarded by the absence of suitable, non invasive and continuous measures of significant aspects of cardiovascular activity. Pulse transit time may help to resolve this problem since it reflects changes in arterial elasticity and diastolic blood pressure. A method of recording pulse transit time is described. Significant decreases in pulse transit time were observed in response to a cold pressor test, a video game, a reaction time task and problem solving, regardless of site of measurement or method of pulse transduction. PMID- 6575314 TI - Changing prevalence of dental caries. PMID- 6575315 TI - Reflections from beside a hospital bed. PMID- 6575316 TI - A rational approach to the future. PMID- 6575317 TI - Issues in psychiatric ethics. PMID- 6575318 TI - Medical fees--are they reasonable? PMID- 6575319 TI - Red cell versus whole blood lead. PMID- 6575320 TI - Isoprenaline during cardiac arrest. PMID- 6575321 TI - Hyponatraemia and diuretics. PMID- 6575322 TI - Updating the information on clinical management of craniomandibular disorders. PMID- 6575323 TI - The effect of mandibular position on strength, reaction time and movement time on a randomly selected population. PMID- 6575324 TI - Considerations when diagnosing and treating facial pain patients. PMID- 6575325 TI - Dentistry and TMJ treatment: a house divided. PMID- 6575326 TI - "TMJ"--often used as a misnomer. PMID- 6575327 TI - Use of pulse volume plethysmography for TMJ and myofascial pain syndrome. PMID- 6575328 TI - Probing the TMJ dilemma. PMID- 6575329 TI - The biodontics of facial pain. PMID- 6575330 TI - [Dental technology in the Caribbean]. PMID- 6575331 TI - Clinical application of angiography of oral and maxillofacial hemangiomas. Clinical analysis of seventy cases. AB - Angiographic findings in seventy cases of maxillofacial hemangioma are reported. The tumors have been divided into four types: (1) plexiform hemangioma, (2) cavernous hemangioma with venous drainage, (3) cavernous hemangioma without venous drainage, and (4) the so-called "diffuse type" of cavernous hemangioma. The angiographic features of the four types are described, and clinical application is evaluated. The angiograms demonstrate the location, extent, blood supply, and drainage of the tumors and show whether they communicate intracranially, thus providing valuable criteria for planning and determining the mode of treatment. PMID- 6575332 TI - Prophylactic use of indomethacin for prevention of postsurgical complications after removal of impacted third molars. AB - Indomethacin (100 mg. per day for 3 days) was tested for its prophylactic effects on the postsurgical complications of pain, swelling, and trismus after removal of impacted teeth. The drug resulted in a significant reduction of the swelling and an analgesic effect which was equal to that of acetaminophen and codeine. Only two minor side effects were encountered. PMID- 6575333 TI - Acquired-cell immune deficiency syndrome. PMID- 6575334 TI - Plasma cell myeloma: management of a mandibular fracture. AB - An interesting case of kappa light-chain plasma cell myeloma with pathologic mandibular fracture is presented. Traditional fracture management techniques were abandoned in view of the advanced state of this patient's disease. With the use of adjunctive radiotherapy and a soft diet, clinical union of the fractured mandible was achieved without immobilization. PMID- 6575335 TI - Mucosal reduction for correction of a maxillary double lip. Report of a case. PMID- 6575336 TI - Griseofulvin in the treatment of three cases of oral erosive lichen planus. AB - We report three cases of erosive oral lichen planus treated with griseofulvin, 500 mg. twice a day. Subjective improvement was noticed in 3 weeks by two patients and at 6 weeks by the third patient. Objective improvement, however, was delayed and became apparent at 6 to 10 weeks. Continued improvement or remission without exacerbation was noted in all patients. There were no significant hematologic, hepatic, or other side effects in any patient, and complete blood count and blood chemistries remained normal at 1-month as well as 6-month intervals during therapy. All patients did, however, report mild, transient gastrointestinal discomfort during the first 2 days of therapy, and one patient mentioned a mild headache. These remitted after approximately 2 to 4 days. We believe that these preliminary findings warrant additional trials of griseofulvin therapy in the treatment of severely symptomatic oral lichen planus. The adverse effects of this agent appear considerably less than those of systemic steroids. PMID- 6575337 TI - Massive osteolysis of the maxillofacial skeleton: a clinical, radiographic, histologic, and ultrastructural study. AB - Since its initial description, there have been approximately sixty cases of massive osteolysis reported, involving virtually every bone in the body. This case represents only the fifteenth report of this disease affecting maxillofacial bones. Clinically and radiographically, the progressive nature of this disease was observed over a 5-year period. Attempts at treatment were without success. From the light and electron-microscopic studies, it can be concluded that this disease process is nonneoplastic in nature, showing features of an exuberant proliferative response of vascular and supportive elements. PMID- 6575338 TI - Odontogenic neoplasms in Wistar rats treated with N-methylnitrosourea. AB - Odontogenic lesions developed in the jaws of six of eighty-one Wistar rats following a single intravenous injection of the alkylating agent, N methylnitrosourea (MNU). The superficial and deep portions displayed significant differences in both prevailing tissue components and the degree of maturation and induction. In superficial portions, there was a preponderance of well differentiated mature dental tissues, whereas in deeper portions, nests of less differentiated, primitive-appearing epithelium predominated. These findings suggest that experimental odontogenic lesions were derived from two distinct sources: surface oral epithelium and enamel organ of the perpetually erupting mandibular incisor tooth. When stimulated by MNU, each source apparently exhibits different potential for odontogenic differentiation. PMID- 6575339 TI - Combined epithelial odontogenic tumor: adenomatoid odontogenic tumor and calcifying epithelial odontogenic tumor. AB - 1. Two cases of a combined epithelial odontogenic tumor which had areas of AOT and CEOT were presented. 2. A review of the studies on histogenesis of the AOT revealed that the tumor probably consists of preameloblasts, stratum intermedium, and stellate reticulum. 3. A review of the studies on histogenesis of the CEOT revealed that the probable origin was in cells of stratum intermedium. 4. It is suggested that the present cases support the aforementioned theories of histogenesis and represent AOT's which contain foci of CEOT. 5. The suggested treatment is simple surgical excision. PMID- 6575340 TI - Traumatic ulcerative granuloma with stromal eosinophilia (Riga-Fede's disease and traumatic eosinophilic granuloma). AB - A review of the English literature revealed ten lesions classified as Riga-Fede's disease and nineteen lesions classified as traumatic eosinophilic granuloma. These two entities have the same histologic features and are often associated with a history of trauma. These are benign, reactive, nonosseous lesions that occur either in infancy or later in life. It is suggested that they be considered as one entity. To delineate them from more aggressive lesions, such as the eosinophilic granuloma of histiocytosis X, the author suggests the term traumatic ulcerative granuloma with stromal eosinophilia. Forty-one previously unreported cases are described. Histologic examination revealed the presence of mast cells in addition to eosinophils. A pathogenesis for traumatic ulcerative granuloma with stromal eosinophilia, based on the hypothesis that mast cells release an eosinophilic chemotactic factor and that eosinophils may act as cytotoxic agents, is suggested. PMID- 6575341 TI - The reaction of rat connective tissue to polyethylene tube implants filled with Hydron or gutta-percha. AB - A subcutaneous tube implant study was conducted on adult Sprague-Dawley rats. Polyethylene tubes sealed at one end were filled flush to the open end with Hydron or gutta-percha and sealer. These implants were immediately placed into dorsal subcutaneous connective tissue for periods ranging from three weeks to 6 months. Tubes filled with Hydron demonstrated expansion and resorption of material with its distribution into connective tissue. A moderately thick connective tissue capsule containing macrophages formed at the tissue-Hydron interface. Amorphous calcific deposits were localized within Hydron, being most dense at the Hydron--tissue interface. Tubes filled with gutta-percha and sealer demonstrated thinner connective tissue capsule formation, with little or no distribution or resorption of material. A mild lymphocyte response was noted within the capsule adjacent to the gutta-percha. PMID- 6575342 TI - Dilaceration of permanent upper lateral incisors: frequency, direction, and endodontic treatment implications. AB - A sample of 480 extracted permanent upper lateral incisors was visually examined and the direction of dilaceration was recorded. It was found that 52.1 percent of the roots of these teeth were distolabially dilacerated. Analysis of radiographs of another sample of 442 endodontically treated teeth revealed that distolabial dilaceration occurred in 52 percent of the cases. It is proposed that oversight of the distolabial direction of root dilaceration of upper lateral incisors can be a contributing factor in the failure of endodontic treatment of these teeth. PMID- 6575343 TI - A very active case of external-internal root resorption. PMID- 6575344 TI - Quantitative evaluation of the influence of dequalinium acetate and sodium hypochlorite on human dentition. AB - The effect of 5 percent DA, 2.5 percent and 5.5 percent sodium hypochlorite, and saline on the solubility of organic matrix of the dentin was studied on extracted human teeth. The results showed that sodium hypochlorite dissolved collagen from the canal walls, while DA did not dissolve any collagen into the media. It is concluded that the root-canal-cleansing effect of DA is achieved by another mechanism, most likely by surface activity. PMID- 6575346 TI - External root resorption in mastodon molar. PMID- 6575345 TI - Effective exposure level and diagnostic performance in endodontic radiography. AB - Image quality is limited by the information capacity of the image-forming system and can be computed from three parameters: contrast, resolution, and noise. These parameters can be combined to yield a single measure which determines the maximum amount of information obtainable from any x-ray system and is called the noise equivalent number of quanta (NEQ) per unit area. The effects of image quality, expressed as noise-equivalent number of quanta (NEQ) per unit area, on the radiographic performance by dentists reading the position of an endodontic file in a root canal were studied. Three different speed films were used in conjunction with a fixed screen. NEQ values ranged between 0.64 x 10(4) and 14.3 x 10(4) per square millimeter. Components of variance associated with the position of the tooth apex and the tip of an endodontic file in a root canal were compared for the effect of different NEQs and observers. Results show that the standard deviation in locating a file tip and tooth apex may be a linear function of log NEQ. The estimated standard deviation associated with changes in NEQ was found to be relatively small compared to that observed among dentists. These findings indicate that a significant reduction in exposure would have a relatively small effect on the precision of endodontic distance measurements. PMID- 6575347 TI - Megadontism anomaly of the mandibular second premolars. PMID- 6575348 TI - [Blastic transformation of the bone marrow preceded by extramedullary blastic transformation in chronic myeloid leukemia]. PMID- 6575349 TI - Neonatal high-frequency jet ventilation. AB - Ten neonates with intractable respiratory failure were treated with high frequency jet ventilation (HFJV). Nine had progressive pulmonary air leaks with either bronchopleural fistulas or pulmonary interstitial emphysema as the primary cause of their respiratory failure. Following HFJV, x-ray film evidence of pulmonary air leaks decreased in seven of the nine neonates. PaO2/FIO2 increased in eight of the ten patients (P less than .05), and PaCO2 values decreased in nine of the ten patients (P less than .01). Five patients survived. Three of the six patients exposed to HFJV for more than 20 hours developed significant tracheal obstruction. From this experience, it may be concluded that HFJV can successfully ventilate certain neonates with intractable respiratory failure secondary to progressive pulmonary air leaks. In its present form, long-term neonatal HFJV carries a risk of airway obstruction and/or damage. PMID- 6575350 TI - [Every first assistant is a dental assistant (5)]. PMID- 6575352 TI - [Which computer is best?]. PMID- 6575351 TI - [Integration of periodontics. Periodontal therapy in daily practice? Or!-?]. PMID- 6575353 TI - [Academic practice and science]. PMID- 6575354 TI - [Orthodontic treatment of a child with a distinctive open bite]. PMID- 6575355 TI - Accountability key in nursing practice. PMID- 6575356 TI - Should professionals be exempt from FTC regs? The battle continues. PMID- 6575357 TI - A review of the appropriate use of dietary fluoride supplements. PMID- 6575358 TI - The unborn generations--humanity or convenience? PMID- 6575359 TI - Acute toxic methemoglobinemia caused by a topical anesthetic. PMID- 6575360 TI - Time-out: an evaluation of a behavior management technique. PMID- 6575361 TI - Behavior of dental assistants managing young children in the operatory. PMID- 6575362 TI - Esthetic anterior space maintenance. PMID- 6575363 TI - Bacterial contamination of cavity varnish. PMID- 6575364 TI - A new design for space maintainers replacing prematurely lost first primary molars. PMID- 6575365 TI - A simple method for treating ectopic eruption of the first permanent molar. PMID- 6575366 TI - Cyclic neutropenia: case report of two siblings. PMID- 6575367 TI - Clinical and radiographic oral changes in a case of American Burkitt's lymphoma. PMID- 6575368 TI - Projectile in the cheek of a child: case report. PMID- 6575369 TI - Delayed tooth eruption as a result of trauma. PMID- 6575370 TI - [Serum iron and copper concentration in children with acute leukemia]. PMID- 6575371 TI - Survey on the comparison of oral hygiene status and dietary habits of two socio economically different groups of primary school children in Ile-Ife (Oyo State), Nigeria. PMID- 6575372 TI - The prevalence of dental caries in children of African and Asian origin in Nairobi, Kenya. PMID- 6575373 TI - The dental health of children aged 5 to 14 in two primary schools located in the industrial area of Nairobi. PMID- 6575374 TI - Prolonged remission in Di Guglielmo's syndrome. AB - A case is reported of a 12-year-old boy with Di Guglielmo's syndrome who achieved complete remission for over three years before developing a central nervous system relapse. The poor results of treatment in this disease are reviewed and the arguments for routine central nervous system prophylaxis discussed. PMID- 6575375 TI - [A guide to a bioceram sapphire implant]. PMID- 6575376 TI - [Ceramic implants with better results]. PMID- 6575377 TI - [Bioceram implant--clinical studies]. PMID- 6575378 TI - [Blade vent endosseous implant after 10 years]. PMID- 6575379 TI - [Significance of current concepts of occlusion to dental practice]. PMID- 6575380 TI - [Registration of maxillo-mandibular relations and adjustment of occlusal height for crowns]. PMID- 6575381 TI - [Detection of the heterozygote carrier state for the gene of congenital virilizing adrenal cortical hyperplasia by the blood testosterone level]. AB - The study of genealogy of the families with cases of congenital adrenocortical virilizing hyperplasia allowed one to suggest a possibility of the heterozygous bearing of a pathological gene. The investigation of the plasma testosterone level in the parents of children with the adrenogenital syndrome has shown that an increase in the blood circulating testosterone level 1.6 to 4 times compared with normal may serve as a marker of heterozygosis for this disease. PMID- 6575382 TI - Structure of iron superoxide dismutase from Pseudomonas ovalis at 2.9-A resolution. AB - The three-dimensional structure of the iron-containing superoxide dismutase (EC 1.15.1.1) from Pseudomonas ovalis has been determined at 2.9-A resolution by the method of multiple isomorphous replacement. The molecule is a dimer of two identical subunits with the iron atom per monomer. The conformation of the enzyme is completely different from that of the eukaryotic copper-zinc superoxide dismutase. Each subunit consists of about 50% alpha-helix plus three strands of antiparallel pleated sheet. The iron atoms are coordinated by four protein ligands, one of which is the side-chain of histidine-26. Crystals of complexes with the inhibitors azide or fluoride are considerably more resistant to irradiation than those of the free enzyme. The structure of the apoprotein is identical to that of the iron-containing molecule. PMID- 6575383 TI - Regulation of microtubule cold stability by calmodulin-dependent and -independent phosphorylation. AB - Cold-labile microtubule protein can be rendered cold-stable by addition of a fraction containing a small number of polypeptides that are derived from cold stable microtubules. These polypeptides can be obtained from purified cold-stable microtubules by passage through a DEAE-cellulose (DE-52) ion exchange column from which they emerge in the first eluate fraction. The stabilizing activity of these proteins is abolished by phosphorylation catalyzed by two types of protein kinases, one dependent on calmodulin and the other independent of that regulatory protein. The calmodulin-dependent reaction appears to phosphorylate mainly two polypeptides, 56 and 72 kilodaltons; the reaction is blocked by trifluoperazine. The calmodulin-independent reaction appears to phosphorylate different cold stable microtubule-associated proteins. That reaction is observed only in purified material obtained from vigorously homogenized brain tissue. Gently homogenization yields cold-stable microtubules that are responsive only to the calmodulin-dependent protein kinase. A distinguishing feature of the calmodulin independent reaction is that it does not occur on polypeptides while they are bound to the microtubules. PMID- 6575384 TI - Sequence dependence of base-pair stacking in right-handed DNA in solution: proton nuclear Overhauser effect NMR measurements. AB - Single-crystal x-ray studies of d(C-G-C-G-A-A-T-T-C-G-C-G) exhibit base-pair propeller twisting [Dickerson, R. E. & Drew, H. R. (1981) J. Mol. Biol. 149, 761 786] that results in close contacts between adjacent purines in the minor groove in pyrimidine (3'-5')-purine steps and in the major groove in purine (3'-5') pyrimidine steps [Calladine, C. R. (1982) J. Mol. Biol. 161, 343-362]. These observations require an approximately 3.4 A separation between the minor groove edges of adenosines on adjacent base pairs for the dA-dA step but predict a smaller separation for the dT-dA step and a larger separation for the dA-dT step in a D(A-T-T-A).d(T-A-A-T) fragment. We have confirmed these predictions from steady-state nuclear Overhauser effect measurements between assigned minor groove adenosine H-2 protons on adjacent base pairs in the proton NMR spectrum of the d(C1-G2-A3-T4-T5-A6-T6-A5-A4-T3-C2-G1) self-complementary dodecanucleotide duplex (henceforth called the Pribnow 12-mer) in solution. The measured cross-relaxation rates (product of steady-state nuclear Overhauser effect and selective spin- lattice relaxation rates) translate to interproton separations between adjacent adenosine H-2 protons of 4.22 A in the (dA3-dT4).(dA4-dT3) step, of 3.56 A in the (dT4-dT5).dA5-dA4) step, and of 3.17 A in the (dT5-dA6).(dT6-dA5) step for the Pribnow 12-mer duplex with an isotropic rotational correlation time of 9 ns at 5 degrees C. These proton NMR results show that the sequence-dependent base-pair stacking resulting from base-pair propeller twisting of defined handedness for right-handed DNA in the solid state is maintained in aqueous solution. PMID- 6575385 TI - Two levels of regulation of beta-interferon gene expression in human cells. AB - We cloned alpha- and beta-interferon cDNA and used them as specific probes to determine the relative levels of interferon mRNA in human fibroblasts cells induced with poly(rI).poly(rC) or Newcastle disease virus to synthesize interferon. Both inducers activated only the beta-interferon gene; however, the half life of beta-interferon mRNA in cells induced with virus was substantially longer than in poly(rI).poly(rC)-induced cells. The transcription rate of beta interferon RNA sequences was examined in nuclei isolated from poly(rI).poly(rC) induced cells; it was found that the induction leads to transcriptional activation of the beta-interferon gene and that the shutoff period when no interferon synthesis or cytoplasmic betamRNA are detected. Thus, the synthesis of beta interferon in poly(rI).poly-(rC)-induced human fibroblasts is controlled both by activation of transcription of the beta-interferon gene and by alteration of the beta-interferon mRNA stability. PMID- 6575386 TI - Kinetic analysis of the interaction of human tissue kallikrein with single-chain human high and low molecular weight kininogens. AB - Human low molecular weight kininogen (LMWK) and high molecular weight kininogen (HMWK) have been purified to apparent homogeneity as intact, single-chain molecules. When they interacted with homologous urinary kallikrein, 0.9 mol of kinin per mol of substrate was released from LMWK and 0.7 mol of kinin per mol of substrate was released from HMWK. These functionally and structurally intact substrates have been used to obtain the kinetic constants for kinin release by purified human tissue kallikreins. With human urinary kallikrein, apparent second order rate constants (kcat/Km) of 1.46 X 105, 8.6 X 104, and 5.08 X 104 M-1.S-1 were obtained with LMWK, HMWK, and alpha-N-p-tosyl-L-arginine methyl ester (TAMe), respectively; with human pancreatic kallikrein, values of 8.7 X 103 and 7.3 X 104 M-1.S-1 were obtained with HMWK and TAMe. These values, which are comparable to those obtained for other enzyme-protein substrate interactions, indicate that LMWK is only slightly preferred to interactions, indicate that LMWK is only slightly preferred to HMWK as the natural substrate for urinary kallikrein and that HMWK as the natural substrate for urinary kallikrein and that HMWK is a somewhat better substrate for urinary kallikrein than for pancreatic kallikrein. Although the data obtained have been shown by NaDodSO4/polyacrylamide gel electrophoresis to reflect cleavage of the substrate at two points, the linear Line-weaver-Burk plots suggest that one cleavage is rate limiting. Because the plasma concentrations of both LMWK and HMWK are approximately 1/10th the Km values obtained, substrate concentration may also play a role in determining the rate at which tissue kallikreins release kinins from kininogen substrates either in the circulation or extravascularly. PMID- 6575387 TI - Bactobilin: blue bile pigment isolated from Clostridium tetanomorphum. AB - A blue bile pigment, possessing four acetic and four propionic acid side chains has been isolated from extracts of the anaerobic microorganism Clostridium tetanomorphum and in smaller amounts from Propionibacterium shermanii. The compound could be prepared in larger amounts by incubation of C. tetanomorphum enzyme extracts with added delta-aminolevulinic acid. The ultraviolet-visible, infrared, and proton magnetic resonance spectra of the pigment indicate a chromophore of the biliverdin type. Field-desorption mass spectrometry of the purified methyl ester showed a strong molecular ion at m/e = 962. This corresponds to the molecular weight expected for the octamethyl ester of a bilatriene type of bile pigment structurally derived from uroporphyrin III or I. Of the five possible structures, two could be eliminated by proton magnetic resonance spectroscopy. The name bactobilin is proposed for this previously unreported bile pigment. PMID- 6575388 TI - Modulation of proline-rich protein biosynthesis in rat parotid glands by sorghums with high tannin levels. AB - Feeding of sorghum with a high level of tannin (high-tannin sorghum) to rats caused changes in gene expression in parotid glands similar to isoproterenol treatment. Within 3 days the parotid glands were enlarged about 3-fold and a series of proline-rich proteins were increased about 12-fold. Unlike isoproterenol treatment, no changes were observed in the submandibular glands, and a Mr 220,000 glycoprotein in parotid glands was not induced. Amino acid analyses, electrophoretic patterns, and cell-free translations of mRNAs all confirmed that the proline-rich proteins induced by feeding high-tannin sorghum were identical to those induced by isoproterenol treatment. Binding curves for proline-rich proteins to tannins showed affinities 10-fold greater than bovine serum albumin and tannins. PMID- 6575389 TI - Partial mRNA sequences for human A alpha, B beta, and gamma fibrinogen chains: evolutionary and functional implications. AB - Using rat cDNA and genomic probes to screen a human liver cDNA library, we have isolated clone of 2,274, 855, and 736 base pairs (bp) coding for the A alpha, B beta and gamma chains of human fibrinogen. Sequence analysis reveals a hitherto unrecognized extension of 15 amino acids at the carboxyl terminus of the A alpha chain, the terminal residue of which is proline. This brings the known length of the human A alpha chain to 625 amino acids. The 13-amino-acid repeated region in the midportion of the A alpha chain clearly has arisen through an 8-fold duplication of a 39-bp genetic element, which itself appears to have been constructed from smaller 6-bp repeating units. Greater than 50% sequence homology between B beta- and gamma-chain coding regions confirms postulates that these genes have arisen by duplication and subsequent divergence of an ancestral gene. A comparison of human and rat gamma-chain cDNAs shows more than 88% sequence homology over the carboxyl-terminal 162 amino acids, implying strong selective pressures on these portions of the gamma-chain gene. PMID- 6575390 TI - Buffer gradient gels and 35S label as an aid to rapid DNA sequence determination. AB - Two methods for increasing the length of DNA sequence data that can be read off a polyacrylamide gel are described. We have developed a rapid way to pour a buffer concentration gradient gel that, by altering the vertical band separation on an autoradiograph, allows more sequence to be obtained from a gel. We also show that the use of deoxyadenosine 5'-(alpha-[35S]thio)triphosphate as the label incorporated in dideoxynucleotide sequence reactions increases the sharpness of the bands on an autoradiograph and so increases the resolution achieved. PMID- 6575391 TI - Cell adhesion mediated by a purified fucosyltransferase. AB - Human embryonic skin fibroblasts attach and spread on surfaces on which a fucosyltransferase purified from human milk has been immobilized. The adhesion enhancing effect of the transferase involves specific interactions of the enzyme surface with the cell surface carbohydrate acceptors, as suggested by the following findings. About 80% of human embryonic skin fibroblasts attach and spread in 1 hr on fucosyltransferase surfaces; in contrast, bovine serum albumin, fetuin, asialofetuin, and asialotransferrin surfaces fail to enhance adhesion. The adhesion-mediating activity of the transferase is destroyed by alkylation of the sulfhydryl groups or by heating. The adhesion on fucosyltransferase surfaces is inhibited by glycoprotein, glycolipid, and oligosaccharide acceptors containing the sugar sequence galactosyl-(beta 1 leads to 4)-N-acetylglucosamine, in agreement with the substrate specificity of the enzyme. The results suggest that glycosyltransferases are able to stimulate cell adhesion in a manner similar to that proposed for lectins. PMID- 6575392 TI - Use of in situ hybridization to identify collagen and albumin mRNAs in isolated mouse hepatocytes. AB - We present a simple and improved method for in situ localization of albumin and collagen mRNAs in isolated mouse hepatocytes. The cells were isolated by collagenase perfusion, mincing, and differential centrifugation. Nick-translated 3H-labeled mouse albumin cDNA (pmalb-2) and chicken pro-alpha 2(I) collagen cDNA (pCg45) probes were then hybridized with the cells in silane-treated microcentrifuge tubes. The cells were transferred and fixed to a microscope slide and hybridization was evaluated semiquantitatively by counting exposure of grains in autoradiographic emulsion placed over the cells. With this method of in situ hybridization, all hepatocytes appear to have significant, but highly variable, amounts of albumin mRNA. In addition, type I procollagen mRNA appears to be present at low abundance in hepatocytes. These results indicate that in situ hybridization can effectively demonstrate the presence of specific low- or high abundance mRNAs in isolated well-differentiated eukaryotic cells. PMID- 6575393 TI - Substrate-effected release of surface-located protein kinase from intact cells. AB - Protein kinase activity that is independent of cAMP has been reported to exist on the surface of intact HeLa cells. Here we report that the protein kinase activity can be released by the use of casein or phosvitin within a short period of time. The discharge of the enzyme occurs from intact cells since (i) the cells do not release intracellular material and (ii) the cultures continue to grow within any morphological alteration. As shown with phosvitin, the release of protein kinase depends on substrate concentration, incubation time, and temperature. The degree of inducible release or surface protein kinase is inversely related to cell density. Four incubations with phosvitin (1 mg/ml) are sufficient to liberate most of the enzyme, thus greatly reducing the capacity of the cells to phosphorylate cellular substrates at the surface. Within approximately 24 hr after protein kinase removal, cultures have restored their surface protein kinase. Cultured cells of different origin (rat liver, mouse cerebellum, and human lung) exhibited phosvitin-induced protein kinase release from intact cells. The possible significance of these observations with respect to extracellular protein phosphorylation is discussed. PMID- 6575395 TI - A quantitative genetic model of reciprocal altruism: a condition for kin or group selection to prevail. AB - A condition is derived for reciprocal altruism to evolve by kin or group selection. It is assumed that many additively acting genes of small effect and the environment determine the probability that an individual is a reciprocal altruist, as opposed to being unconditionally selfish. The particular form of reciprocal altruism considered is TIT FOR TAT, a strategy that involves being altruistic on the first encounter with another individual and doing whatever the other did on the previous encounter in subsequent encounters with the same individual. Encounters are restricted to individuals of the same generation belonging to the same kin or breeding group, but first encounters occur at random within that group. The number of individuals with which an individual interacts is assumed to be the same within any kin or breeding group. There are 1 + i expected encounters between two interacting individuals. On any encounter, it is assumed that an individual who behaves altruistically suffers a cost in personal fitness proportional to c while improving his partner's fitness by the same proportion of b. Then, the condition for kin or group selection to prevail is [Formula: see text] if group size is sufficiently large and the group mean and the within-group genotypic variance of the trait value (i.e., the probability of being a TIT-FOR-TAT strategist) are uncorrelated. Here, C, Vb, and Tb are the population mean, between-group variance, and between-group third central moment of the trait value and r is the correlation between the additive genotypic values of interacting kin or of individuals within the same breeding group. The right hand side of the above inequality is monotone decreasing in C if we hold Tb/Vb constant, and kin and group selection become superfluous beyond a certain threshold value of C. The effect of finite group size is also considered in a kin selection model. PMID- 6575394 TI - Intramolecular heterogeneity of degradation in plasma membrane glycoproteins: evidence for a general characteristic. AB - Five integral plasma membrane glycoproteins (60, 80, 120, 140, and 160 kilodaltons) were isolated to homogeneity from rat liver by a four-step procedure: (i) extraction of plasma membranes with lithium diiodosalicylate, (ii) solubilization of glycoproteins with Nonidet P-40, (iii) affinity chromatography on concanavalin A-Sepharose, and (iv) semipreparative NaDodSO4/polyacrylamide gel electrophoresis. The glycoproteins contained 48.5--51.5% hydrophobic amino acids. Carbohydrate moieties contained N-acetyl-D-glucosamine, D-mannose, D-galactose, L fucose, and N-acetylneuraminic acid. N-Acetyl-D-galactosamine was not detectable. Half-lives of degradation of the carbohydrate and protein moieties of the five glycoproteins were measured by pulse-chase experiments in vivo. Protein moieties had half-lives ranging from 52 to 88 hr in the five glycoproteins, with a mean of 73 +/- 15 hr. Terminal sugars, L-fucose, and N-acetylneuraminic acid had significantly shorter half-lives, averaging 18 +/- 2 hr and 29 +/- 3 hr, respectively. The half-life of D-mannose varied between that of the terminal sugars and that of the protein moiety, depending on the type of the glycoprotein. The data show that the carbohydrate moieties are degraded faster than the protein portion of the glycoproteins. As this finding was obtained in each of the five glycoproteins, intramolecular heterogeneity of breakdown may be a general characteristic of plasma membrane glycoproteins in liver. PMID- 6575396 TI - Isolation of amplified DNA sequences from IMR-32 human neuroblastoma cells: facilitation by fluorescence-activated flow sorting of metaphase chromosomes. AB - Human neuroblastoma IMR-32 cells have large homogeneously staining regions (HSRs), primarily in the short arms of chromosome 1. We have constructed a recombinant phage library that is enriched for DNA present in the HSR of this chromosome by using fluorescence-activated flow sorting for initial chromosome purification. Eleven distinct cloned DNA segments were identified that showed significantly greater hybridization to IMR-32 genomic DNA, detected by Southern blotting, than to normal human genomic DNA. These sequences have also been localized to the HSR of chromosome 1 by in situ hybridization. Based on an approximate 50-fold sequence amplification for each cloned segment and a total HSR size of 150,000 kilobases, the amplified unit in the HSR is estimated to be 3,000 kilobases. Sequences homologous to all cloned HSR DNA segments were mapped to human chromosome 2 by using human-mouse hybrid cells. Further work using in situ hybridization demonstrated that cloned HSR segments were localized in the short arm of chromosome 2 in both normal and IMR-32 cells. Thus, the amplification of these sequences in IMR-32 cells may have involved transposition from chromosome 2 to chromosome I. PMID- 6575397 TI - Population genetics of multigene families that are dispersed into two or more chromosomes. AB - The evolution of multigene families whose members are dispersed into two or more nonhomologous chromosomes is studied from the standpoint of population genetics. By using a simple model of gene conversion, equilibrium and transient properties of the probability of identity of genes belonging to the family are investigated. Also, the time until fixation of a mutant belonging to a subdivided multigene family is studied by an approximation method. It is shown that dispersion of the family into two or more chromosomes has a relatively minor effect on the extent of identity between genes, unless the conversion rate between genes on nonhomologous chromosomes is extremely low, or unless the number of nonhomologous chromosomes on which gene members are dispersed is large. PMID- 6575398 TI - Anti-acetylcholine receptor antibodies directed against the alpha-bungarotoxin binding site induce a unique form of experimental myasthenia. AB - Of seven rat monoclonal antibodies directed against nicotinic acetylcholine receptor, the three whose binding was blocked by alpha-bungarotoxin produced acute paralysis in chicken hatchlings, whereas the four others had no effect. In the affected animals, weakness and decremental electromyographic responses appeared within 1 hr after intravenous injection and both abnormalities improved after anticholinesterase administration. No histological changes were seen in the muscle of injected animals. These data suggest that antibodies binding in relationship to the cholinergic binding site, and presumably producing pharmacologic blockade of acetylcholine receptor, may play an important role in the pathogenesis of the defective neuromuscular transmission in myasthenia gravis. PMID- 6575399 TI - Mevinolin and colestipol stimulate receptor-mediated clearance of low density lipoprotein from plasma in familial hypercholesterolemia heterozygotes. AB - In subject with heterozygous familial hypercholesterolemia (FH), a 50% deficiency of receptors for plasma low density lipoprotein (LDL) impairs the removal of LDL from plasma and produces hypercholesterolemia. In these patients mevinolin, an inhibitor of 3-hydroxy-3-methylglutaryl-CoA reductase, blocks cholesterol synthesis and lowers plasma LDL levels. To determine the mechanism for the LDL lowering effect, we administered 131I-labeled LDL intravenously to six FH heterozygotes before and during treatment with mevinolin and calculated the apparent fractional catabolic rate (FCR) and synthetic rate for LDL. After mevinolin treatment, the mean plasma LDL-cholesterol level declined from 262 to 191 mg/dl (27% decrease), the mean FCR for 131I-labeled LDL increased from 0.30 to 0.41 pools per day (37% increase), and the mean calculated synthetic rate for LDL-protein did not change significantly. In one of FH heterozygote with an ileal bypass and in another who received colestipol, the addition of mevinolin caused, respectively, a 41% and 60% decrease in plasma LDL levels and a 60% and 100% increase in the FCR for plasma LDL. The contribution of receptor-dependent pathways to the FCR for plasma LDL was estimated in three FH heterozygotes by simultaneous measurements of the FCR for native 131I-labeled LDL and 125I-labeled glucosylated LDL, which does not bind to LDL receptors. Whereas the removal rate for native LDL increased after mevinolin treatment, the removal rate for glucosylated LDL did not change. The current data suggest that mevinolin alone or mevinolin plus bile acid depletion (i.e., ileal bypass or colestipol therapy) decreases plasma LDL levels primarily by raising the number of LDL receptors and, thus, enhancing the removal of LDL from plasma. PMID- 6575400 TI - Inhibition by estradiol of the lactogenic effect of prolactin in primate mammary tissue: reversal by antiestrogens LY 156758 and tamoxifen. AB - Increasing concentrations of estradiol (E2) ranging from 0.01 to 10 nM were found to inhibit partially but significantly the lactogenic effect of ovine prolactin (oPRL) on alpha-lactalbumin production in primate mammary tissues maintained in organ culture for 9 days. E2 at 10 nM inhibited by 38% (mean) PRL-stimulated alpha-lactalbumin production measured by radioimmunoassay. E2 antagonized the effect of oPRL by reducing new alpha-lactalbumin synthesis as determined by specific immunoprecipitation of alpha-lactalbumin and by analysis with NaDodSO4 gel electrophoresis. In immunoprecipitation studies, the mean inhibition of alpha lactalbumin production was 57.6%. E2 in the absence of oPRL had no effect on alpha-lactalbumin production. In contrast to previous observations in rodents, progesterone was found to be a much weaker inhibitor of PRL-induced alpha lactalbumin production than was E2 in primate breast tissues. Mean inhibition of oPRL-stimulated alpha-lactalbumin production was 32.3% with 10 microM progesterone and 8.3% with 10 nM. The inhibitory effect of E2 on oPRL-stimulated alpha-lactalbumin production was significantly reversed by both tamoxifen and a new antiestrogen, LY 156758. Although exact comparison of the effects of these two antiestrogens was not possible, it was apparent that LY 156758 was more potent in blocking the E2 inhibitory effect. In summary, these studies provide evidence that physiologic concentrations of estradiol partially block the lactogenic effect of PRL in primate mammary glands, suggesting a new role for estrogen in mammary physiology. The inhibitory effect of estrogen treatment on milk production in women after parturition may possibly be explained by this direct antagonism between E2 and PRL. PMID- 6575401 TI - Denervated sheath cells secrete a new protein after nerve injury. AB - When rat sciatic nerves are crushed, Schwann cells or other supporting cells distal to the injury site begin to synthesize and secrete an acidic 37-kilodalton (kDa) protein. This crush-induced protein accumulates within the nerve sheath and accounts for 2-5% of the total extracellular protein in the distal nerve stump. Synthesis of the 37-kDa protein increased for 2 weeks after nerve crush and declines slowly, beginning 4-6 weeks after the injury. The synthesis of the protein may be regulated by axon-Schwann cell contact. The specific induction of the 37-kDa protein and its accumulation in the extracellular space during nerve regeneration suggest that the protein promotes some aspect of axon growth. Because it is induced slowly after injury, the 37-kDa protein is unlikely to stimulate initial outgrowth of axons; however, it might promote later neuronal responses related to axon growth. The sciatic nerve supporting cells also respond to denervation by reducing the synthesis and release of two proteins of molecular mass 51 and 54 kDa. After crush injury to rat optic nerves, glial cells in the distal optic nerve stump also begin to synthesize and release an acidic 37-kDa protein, although axons of this central nervous system tract do not regenerate. If the 37-kDa protein from peripheral nerves proves to participate in the support of axon regrowth, then the results with rat optic nerve suggest that central nervous system glia initiate at least one part of an appropriate response to nerve injury. PMID- 6575403 TI - [Alcoholism--hyperphagia--anorexia. A comparison]. PMID- 6575402 TI - Frequency-dependent activation of glucose utilization in the superior cervical ganglion by electrical stimulation of cervical sympathetic trunk. AB - Electrical stimulation of the distal stump of the transected cervical sympathetic trunk produces a frequency-dependent activation of glucose utilization, measured by the deoxy[14C]glucose method, in the superior cervical ganglion of the urethane-anesthetized rat. The frequency dependence falls between 0-15 Hz; at 20 Hz the activation of glucose utilization is no greater than at 15 Hz. Deafferentation of the superior cervical ganglion is transection of the cervical sympathetic trunk does not diminish the rate of glucose utilization in the ganglion in the urethane-anesthetized rat. These results indicate that the rate of energy metabolism in an innervated neural structure is, at least in part, regulated by the impulse frequency of the electrical input to the structure, and this regulation may be an essential component of the mechanism of the coupling of metabolic activity to functional activity in the nervous system. PMID- 6575404 TI - [Mechanisms of potentiating and prolonging the radioprotective effect of multicomponent compounds]. AB - A study was made of the effect of mexamine, etiron and gutimine on the pattern of distribution of cystamine within the body and the rate of its conversion in tissues of albino mice. It was shown that the potentiation and prolongation of the radioprotective effect is based on the ability of the complex of these preparations to inhibit the conversion of the S-containing radioprotective agent. PMID- 6575405 TI - Zonal heterogeneity of prostaglandin and thromboxane release in the dog kidney. AB - The release of prostaglandin(PG) and thromboxane(TX) was examined in the six different areas of the normal dog kidney, i.e., renal arterial and venous strips(RA and RV), superficial and deep cortical slices(SC and DC) and outer and inner medullary slices(OM and IM). These tissues were incubated in Krebs bicarbonate buffer(pH 7.4, 37 degrees C), and the released PGE2, PGF2 alpha, 6 keto-PGF1 alpha and TXB2(as stable metabolites of PGI2 and TXA2, respectively) were determined by radioimmunoassay. In RA, RV, SC and DC, 6-keto-PGF1 alpha was predominant, however, there were no quantitative differences between RA and RV, or SC and DC. The release of 6-keto-PGF1 alpha reached a maximum in IM, similar to findings on the release of PGE2 and PGF2 alpha. The release of TXB2 was uniform in OM and IM. The amount of PGE2, PGF2 alpha, 6-keto-PGF1 alpha and TXB2 released from IM was 2800, 400, 60 and 50 times higher, respectively, than the extent of the release from the cortical slices. These results suggest that PGI2 as well as PGE2 and PGF2 alpha, may be involved in renal PG, and that TXA2 is biosynthesized in the normal dog kidney. PMID- 6575406 TI - Concentrations of prostaglandin F2 alpha in the pig oviductal fluid. AB - Oviductal fluid was continuously collected from cycling, unrestrained gilts during late proestrus, standing heat and early luteal phase. Collection was performed via cannulae exteriorized to single vented collection tubes attached to the skin. In some cases one of the oviducts was transected at isthmic level to compare fluid production rates with those of the contralateral intact tube. A consistently elevated fluid production was observed during proestrus and standing heat, being highest at the second day of the cycle, thereafter decreasing. No significant differences were seen between daily collection rates from right or left nor between intact and isthmic transected oviducts. Levels of PGF2 alpha were determined by RIA in the collected samples. Relatively large day to day fluctuations in PGF2 alpha values were evident and a consistent relationship was found between concentration and the stage of the estrous cycle. The highest PGF2 alpha mean values (up to 50 ng/ml fluid) were also found on the second day of standing heat, concurrently periovulatory. PMID- 6575407 TI - A comparative study of the expansion of six dental investment materials (I). PMID- 6575408 TI - Personnel policies: are your employees informed? PMID- 6575409 TI - [Detection of small pulmonary carcinoma by 67Ga uptake ratio]. AB - Generally, it is reported that the smallest tumor that can be detected with the 67Ga scintigram is limited to a diameter of approximately 3.0 cm. To surmount that limitation we have attempted to detect small lung cancer by means of quantitative external counting of 67Ga uptake rather than the qualitative scintigram. Seventy-two hours after 67Ga injection, the uptake counts of tumor (T) and a corresponding normal region in the opposite lung (N) were measured with scintillation camera. The 67Ga uptake ratio ((T-N)/N) could then be calculated. The 67Ga uptake ratio of 6 pulmonary adenocarcinomas was measured to be 0.05 0.22. In contrast, the 67Ga uptake ratio of benign lesions such as tuberculoma, pulmonary infarct, cyst, pneumoconiosis, mucoid impaction, hamartoma and chronic inflammatory lesion with calcification resulted in negative values (-0.01--0.77). From these results, it was possible to differentiated small adenocarcinoma of the lung tumor from these benign diseases. However, the 67Ga uptake ratios of 4 cases of active tuberculosis, 5 chronic inflammatory lesions and 1 granuloma were 0.01 0.41. The cases with more than 0.30 of 67Ga uptake ratios all represented active inflammatory lesions. However, there were some cases of inflammatory lesions where the values overlapped with adenocarcinoma. PMID- 6575410 TI - [Experimental studies on tumor accumulation of 99mTc-fibrinogen--A comparison with 67Ga-citrate]. PMID- 6575411 TI - Measurement of plasma prostaglandin E2 using capillary gas chromatography negative ion chemical ionization mass spectrometry. AB - A stable isotope dilution assay for the measurement of plasma prostaglandin E2 (PGE2) employing capillary column gas chromatography-negative ion chemical ionization mass spectrometry (GC-NICIMS) is described. PGE2 was extracted from plasma using C18 and silica SEP-PAKS. Further purification and separation was accomplished by thin layer chromatography. The prostaglandin was analyzed as its pentafluorobenzyl ester-methoxime-trimethyl-silyl ether, using fragment ions at m/e 524 (protium) and m/e 528 (deuterium) for quantitation. The mean plasma concentration of PGE2 determined in 8 healthy volunteers was 2.8 +/- 2.0 pg/ml. PMID- 6575412 TI - The release of surfactant in rat lung by brief periods of hyperventilation. AB - We investigated the release of surfactant-type phospholipids (S) using the isolated perfused rat lung (IPL). Following a 20 min equilibration period the lungs were hyperventilated for up to 15 min and then lavaged. Changing the peak inspired pressure (PIP) from 10 to 20 cm H2O rapidly increased the rate of release of S; this rate declined after 2 min. In contrast, doubling frequency of ventilation while maintaining the control tidal volume had no effect. The increase in alveolar S reflected release. rather than redistribution, and after 2 min amounted to about 8% of total S in lung tissue. Equivalent hyperventilation in an open-chested intact rat released significantly less S, suggesting possible tonic neurohumoral suppression in vivo. The release of S in the IPL was depressed by reducing temperature, but was not affected by hypoxia, 2,4 dinitrophenol, phenylephrine or dibutyrylguanosine 3',5'-cyclic monophosphate. We suggest that increasing tidal volume may directly distort the alveolar type II cell; each cell reacts to its own threshold distortion by releasing a pool of S in all-or-none fashion. PMID- 6575413 TI - [Acute leukemia and pregnancy]. PMID- 6575414 TI - [Early fetal loss in a patient with acute leukemia]. PMID- 6575415 TI - [Endodontic technics. Canal preparation]. PMID- 6575416 TI - [Histological and radiographic aspects of the periapex]. PMID- 6575417 TI - [Long-term results of endodontic treatment of lesions of the periapex. Critical analysis]. PMID- 6575418 TI - [Endodontic treatment of periapical lesions: surgical principles and technics]. PMID- 6575419 TI - [Current perspectives in analgesia using electroacupuncture]. PMID- 6575420 TI - [Deciduous teeth in children with celiac disease]. PMID- 6575421 TI - [Compared advantages and disadvantages of auto- and photopolymerized composite resins]. PMID- 6575422 TI - [Pulpectomy with and without anesthesia. Surgical field]. PMID- 6575423 TI - Iatrogenic extracorporeal hemolysis during cardiac surgery in a child: a case report. PMID- 6575424 TI - Notes from underground. PMID- 6575425 TI - The use of a feeding gastrostomy as a means of preventing staple line disruption in gastric operations for morbid obesity. PMID- 6575426 TI - [Ventilators for adults]. PMID- 6575427 TI - [Lymphoscintigraphy in a case of esophageal cancer]. PMID- 6575428 TI - [Case of misguided "oral care"]. PMID- 6575429 TI - [Controlled therapeutic trials: analysis of the results]. PMID- 6575430 TI - [The accessory salivary glands in Sjogren's syndrome. Histological and ultrastructural study. Correlations with sialographic changes in the principal glands]. AB - 139 salivary gland biopsies have been studied in patients with Sjogren's syndrome. Histologically, we classified labial salivary gland injuries (127 cases) in 3 groups based on striated duct distension: first, some tubular ectasia with few interstitial lymphoid cells; second, much ectasia associated with many lymphoid cells and early pericanalar sclerosis; third, intensive ectasia, scarce lymphocytes, severe peri and intralobular sclerosis and extensive destruction of acini. This grading is positively correlated with that of parotid biopsies and also with abnormalies on 60 parotid sialographic radiogramms performed simultaneously. Histoenzymological and ultrastructural studies demonstrate, at an early stage of the disease, epithelial and myoepithelial alterations in striated ducts, with tubular ectasia. Simultaneously, an intensive regeneration from intercalated ducts takes place. Nevertheless that regeneration fails to repair myoepithelial cells. Furthermore, young myoid cells, leaving tubular walls, migrate in interstitial tissue and are responsible for accumulation of membranoid material and later of collagen sclerosis. PMID- 6575431 TI - [Growth of the jaws and anisochronia of bone growth]. AB - Teleradiographic recordings were employed to compare growth of maxillary skeleton and changes in dental systems. Facial growth occurs at a constant rate during the period when growth in stature is firstly slowed, and then accelerates with the approach of puberty. Growth rates of different parts of the skeleton are not parallel and the face is not involved in the prepubertal acceleration in statural growth. In contrast, puberty affects the adaptation of the dental system to its maxillary insertion bases by its action on buccal musculature. PMID- 6575432 TI - [Permanent constriction of the jaws due to an osteoma of the temporal muscle. Apropos of 2 cases]. AB - Authors report 2 cases of pseudoankylosis of the mandible secondary to myositis ossificans of the temporal muscle. Diagnostic workup is based on a clear history of trauma and clinic and X ray examinations. In the treatment of such a lesion the calcified part of the temporal muscle must be excised and an intraoral coronoidectomy performed to prevent further recurrence. Selected jaw exercises are useful too. PMID- 6575433 TI - [Cranio-facial and dental manifestations of erythrocyte abnormalities]. AB - Various types of erythrocyte lesions are observed: hemoglobin anomalies, enzyme disorders, membrane anomalies. This leads to a reduction in the duration of life of the erythrocytes or to abnormal erythropoiesis with, in both cases, reactive development of hematopoietic tissue. This extension of the medullary field in bones results in alterations that are initially visible on radiography, and then, in the severe forms, in the development of mainly craniofacial and dental dysmorphia with, in some cases, additional secondary enamel and dentine anomalies of the hemolytic origin. These anomalies were present to varying degrees in a series of patients in whom cranial radiographies were performed. In two cases there was a fortuitous association of dental anomalies of the melanodontia and opalescent dentine types. These patients may raise particular problems during dental care and treatment: risk of infection, respect of drug contraindications, latent cardiac insufficiency. PMID- 6575434 TI - [Sickle cell anemia, an example of a constitutional disease of hemoglobin]. AB - Sickle cell anemia is a congenital haemolitic anemia. The replacement of the hydrophilic glutamine residue at the 6 position of the beta chain by the hydrophobic valine leads to severe conformation change in the molecule resulting in sickling. The consequences are haemolysis, vascular stasis and thrombotic crisis. Infection triggers thrombosis and vice-versa. Clinical manifestation is anemia punctuated by intermittent crisis producing infarction. Pneumococcal and salmonella infections are frequent mainly in the lungs and bones. Prognosis is poor, half of the patients dying before 20 years. Prompt treatment of infection is important. Treatment includes good nutrition and administration of folic acid. Transfusions are often usefull to avoid hazards of anesthesia or surgery. Ante natal diagnosis based on smaller sample of foetal blood or amniotic liquid is now possible. PMID- 6575435 TI - [Use of radioactive isotopes in clinical hematology]. AB - Principles underlying the use of radioactive isotopes for diagnostic, prognostic, and therapeutic purposes in human biology are briefly discussed, and the possibilities of the employ of isotopic techniques in general illustrated by the results obtained in human hematology. PMID- 6575436 TI - [Malignant ameloblastoma. Apropos of a case]. AB - Ameloblastoma is a locally invasive, histologically nonmalignant tumor that may on very rare occasions give rise to metastases. A patient with a mandibular ameloblastoma presenting typical histologic appearances developed a pulmonary metastasis confirmed by histology as arising from the primary tumor. Two groups of these extremely rare malignant ameloblastomas can be distinguished: those without histologic signs of degeneration that give rise to metastases identical to the primary lesion, and those with degenerative signs provoking metastases with the histologic appearance of undifferentiated carcinoma. No relation appears to exist between size of primary tumor, histologic type of ameloblastoma, or its course and tendency to produce metastases. PMID- 6575437 TI - [A variety of lymphomatoid granulomatosis, pseudosarcoid granulomatosis. An anatomo-clinical observation with an ultrastructural study]. AB - A case of sarcoid-like granulomatosis involving the lung, skin and a large cervical vessel is presented. The patient died 4 years after the beginning of the disease with a diffuse angioimmunoblastic lymphadenopathy and a sarcomatous change. Although peculiar histological lesions were seen, with a majority of epithelioid and giant Langhans cells, the extra-pulmonary involvement and the poor prognosis were similar to those of the typical lymphomatoid granulomatosis (Liebow's disease). PMID- 6575438 TI - [Metabolic hypercorticism diagnosed during dental care]. AB - Excess amounts of adrenocortical hormones might be clinically observed most notably in the upper part of the face. The diagnosis of Cushing's syndrome depends on a simple laboratory evaluation. Computer scanning may be of considerable value in localising adrenal tumors and differentiating them from bilateral hyperplasia, which has a pituitary origin. PMID- 6575439 TI - [Hirsutism, diagnostic steps]. AB - Hirsutism is currently observed, especially by stomatologists. Nowadays it is possible to treat efficiently this common disease after undertaking a simple laboratory evaluation. However it will take a few months in most cases to observe a clinical efficacy of treatment. PMID- 6575440 TI - [Long-term survivors of acute lymphatic leukemia in adults]. AB - A long-term survival study was carried out in a group of 28 adult patients with acute lymphathic leukemia. The complete remission rate was 67.8%, the 50% survival rate is 21.5 months and 41 months in those with complete remissions. Six of 28 patients are long-term survivors and are living at least 5 years after diagnosis. There was a significant majority of female patients among the long term survivors, with a female to male ratio of 4:2. The 50% survival rate of female patients (n = 11) was 42.5 months and thus considerably higher compared with the corresponding male patients (n = 17, 50% survival rate 7 months). No further clinical or hematological parameters of prognostic relevance were found as a common feature of the long-term survivor group. PMID- 6575441 TI - [The Zurich experience with preoperative high-dose methotrexate in osteosarcomas]. AB - 15 consecutive patients with osteosarcoma underwent preoperative chemotherapy with high dose methotrexate (HDMTX) containing regimens according to the T7 or T10 protocols of ROSEN, Preoperative chemotherapy was well tolerated and did not impair surgical procedures. 67% of the patients responded clinically with reduction of pain and tumor size. Histologic examination of the tumor after preoperative chemotherapy revealed extensive necrosis in 53% of patients. In a retrospective analysis, patients with extensive necrosis (group B) were compared with those with little or no necrosis (group A). Patients from group B had a longer relapse free and overall survival period than group A. In addition, patients of group A had significantly higher initial levels of alkaline phosphatase than group B. The incidence of a 2.5-fold increase of the transaminases 2-3 days after HDMTX was significantly greater in patients of group B compared to group A. In the absence of documented necrosis after chemotherapy according to the T7 or T10 protocols, further use of HDMTX is not indicated. New aspects on the treatment of osteosarcoma, derived from recent publications, are discussed. PMID- 6575442 TI - Fifty one year old caucasian female with persistent diarrhea. PMID- 6575443 TI - Echovirus 11 infections in South Dakota, 1979-1980: spectrum of disease. PMID- 6575444 TI - Gallium-67 uptake by the heart. PMID- 6575445 TI - Intracortical osteosarcoma: rare entity or early manifestation of classical osteosarcoma? PMID- 6575446 TI - Medical or other emergency situations in dentistry. PMID- 6575447 TI - General anaesthesia--training a new generation. PMID- 6575448 TI - Midazolam (Hypnovel) PMID- 6575449 TI - Atropine with Valium or Diazemuls. PMID- 6575450 TI - Unexpected allergic reaction to diazepam. PMID- 6575451 TI - [Restoration for class III, IV and V cavities]. PMID- 6575452 TI - [Treatment of root caries in the aged. Consideration of adhesive materials based on a clinical study]. PMID- 6575453 TI - [Composite resin restorations in posterior teeth]. PMID- 6575454 TI - [Restoration of young permanent teeth]. PMID- 6575455 TI - [Restoration of cervical lesions caused by toothbrushing]. PMID- 6575456 TI - [Restorative technics in clinical cases of fractured incisors using adhesive composite resins]. PMID- 6575458 TI - [Adhesiveness of composite resins: sequential clinical observations]. PMID- 6575457 TI - [Restoration of mottled enamel and caries extending over many teeth]. PMID- 6575460 TI - [Effective cementing technics using a non-adhesive cement]. PMID- 6575459 TI - [Procedures for applying adhesive resins to crown restorations. Clinical procedures for adhesion inlays and adhesion crowns]. PMID- 6575461 TI - [Restoration and adhesion in deciduous teeth. Consideration of adhesive materials based on a clinical study]. PMID- 6575462 TI - [Application of the adhesive material "Orthomite Super Bond" in clinical orthodontics]. PMID- 6575463 TI - [Use of 4-META adhesive acrylic resin in general practice. Fixation for mobile teeth]. PMID- 6575464 TI - [Cavity design and preparation for adhesive composite restorations]. PMID- 6575465 TI - [Cavity design and preparation for glass ionomer cements]. PMID- 6575466 TI - [Pulp response to adhesive restorative materials]. PMID- 6575467 TI - [Visual diagnosis of oral diseases. 4]. PMID- 6575468 TI - [Experimental and clinical use of dental xeroradiography--the Xerox 110 system]. PMID- 6575469 TI - [Dental caries in subgingival area--etiology and management]. PMID- 6575470 TI - [Various clinical problems of subgingival caries in endodontic and periodontic treatments]. PMID- 6575471 TI - [Maintenance after treatment of subgingival caries]. PMID- 6575472 TI - [Mutation of Streptococcus mutans. II. Mutants as a modifying factor in cariogenicity]. PMID- 6575473 TI - [Tracing technics for the Gothic arch]. PMID- 6575474 TI - [Maladjustment cases following orthodontic treatment]. PMID- 6575475 TI - [Apexification: therapy for the divergent pulpless tooth]. PMID- 6575476 TI - [Periodontal surgery and pathologic occlusion. Periodontal prosthesis (2)]. PMID- 6575477 TI - [Effects of diet on health and periodontal diseases]. PMID- 6575478 TI - [Diagnostic problems in mottled enamel]. PMID- 6575479 TI - [Jurisprudence and dentistry--recent trends]. PMID- 6575480 TI - [Forensic dentistry (2)]. PMID- 6575481 TI - [Pin retention, pin technics]. PMID- 6575482 TI - [Acute toxicity tests on prones-pasta]. PMID- 6575483 TI - [Chinese pain medicine for trigeminal neuralgia and other pain in the maxillofacial area]. PMID- 6575485 TI - Dental composites reinforced with microporous sintered glassfiber networks. PMID- 6575484 TI - [Efficacy and toxicity of preventive treatment with cranial irradiation and intrathecal methotrexate on the central nervous system in childhood lymphoblastic leukemia]. PMID- 6575486 TI - [Ascaroidea and Ancylostoma infections in the dog]. PMID- 6575487 TI - Treatment of the blastic crisis of chronic myelogenous leukemia with the combination of vindesine and prednisolone, and cytosine arabinoside. AB - Sixteen patients with chronic myelogenous leukemia in blast crisis were classified into three subgroups on the basis of blast cell morphology and a relation to the chemotherapeutic responsiveness was investigated. All of the four patients with lymphoid morphology, and seven of the eight with myeloid morphology (88%) achieved complete remission while none of the four with monocytoid morphology achieved complete remission. PMID- 6575488 TI - Treatment of acute lymphoblastic leukemia in adults with combination chemotherapy incorporating vindesine and prednisolone. AB - Seven adult patients with acute lymphoblastic leukemia (ALL) were treated with induction regimen incorporating vindesine (VDS) and prednisolone (VDS-P). After achieving complete remission, multidrug regimens for remission consolidation and maintenance were given. All patients achieved complete remission including five cases of continuous complete remission. PMID- 6575489 TI - [Osteogenic sarcoma in siblings]. PMID- 6575490 TI - Bile salt sulphation in man. Liver bile salt sulphotransferase activity in patients with primary biliary cirrhosis. AB - Bile salt sulphation in primary biliary cirrhosis was studied by measurements of the liver bile salt sulphotransferase levels in 16 patients. Although the enzyme activity varied among the patients it did not correlate with the severity of cholestasis. Furthermore, the mean bile salt sulphotransferase magnitude in patients with primary biliary cirrhosis did not differ significantly from corresponding enzyme activity in patients with non-cholestatic, alcohol induced liver disease. The present data indicates that chronic cholestasis, as evidenced in patients with primary biliary cirrhosis, does not lead to increased levels of liver bile salt sulphotransferase. It is suggested that mechanisms other than enzymic induction are responsible for the increased bile salt sulphate synthesis as observed in primary biliary cirrhosis. PMID- 6575491 TI - Acute leukemia: diagnosis and management of testicular involvement. AB - Contemporary therapy of acute leukemia frequently achieves long-term continued complete remission (CCR) of bone marrow disease and prevents central nervous system relapse. However, accompanying improved survival is an increasing incidence of overt testicular relapse either during CCR or associated with bone marrow relapse. In 7 boys testicular abnormalities developed during CCR, 6 had open biopsy and 5 had histologically confirmed leukemic infiltration. Despite local therapy of orchiectomy or irradiation and chemotherapy reinduction, 2 of 6 had testicular relapse and 4 of 6 died. Three boys with coexistent overt testicular and systemic relapse died. Nine boys with normal testes had testicular biopsy during CCR prior to discontinuation of chemotherapy. Results of all biopsies were benign, but one boy had a relapse. The diagnosis of occult testicular leukemia prior to discontinuation of chemotherapy allows selection of high-risk boys requiring prolonged, intensive, and possibly alternative therapy. The indication for testicular biopsy in boys with acute leukemia is documented, and appropriate clinical management of testicular leukemia is presented. PMID- 6575493 TI - Testicular biopsy and occult tumor in acute lymphocytic leukemia. AB - Testicular biopsy has become a routine procedure before discontinuing chemotherapy in male children being treated for acute lymphocytic leukemia (ALL). Before a decision can be made to discontinue multiple drug therapy, all possible sites of occult tumor such as the testis, cerebrospinal fluid, and bone marrow must be sampled. Between December, 1978, and November, 1981, 25 male children underwent testicular biopsies after two or more years of combination chemotherapy at the Babies Hospital, Columbia-Presbyterian Medical Center. Only 3 of the 25 patients (12%) were found to have leukemic infiltrates on histologic sections. Two of 3 patients, however, were noted preoperatively to have either irregular testicular contours or testicular enlargement and induration. Occult testicular infiltration discovered after two or more years of chemotherapy is rare. Most children with a histologically positive biopsy result were at least suspected preoperatively to have testicular involvement. PMID- 6575492 TI - Synchronous independent primary osteosarcoma and adenocarcinoma of kidney. AB - Primary osteogenic sarcomas are extremely rare tumors of the kidney. The association with a juxtaposed renal "clear" cell carcinoma would appear to be unique, although several cases of osteogenic sarcomatous differentiation have been described within so-called sarcomatoid renal cell carcinoma variants. We report a case of synchronous independent development of both renal cell carcinoma and osteogenic sarcoma within the same kidney. PMID- 6575494 TI - Inappetent tortoises. PMID- 6575495 TI - Mapping of the major histocompatibility complex and viral antigens on the plasma membrane of a measles virus-infected cell. AB - The two measles virus glycoproteins, the hemagglutinin and fusion protein, are expressed on the surfaces of infected cells. Although the two molecules are chemically distinct, they associate on the cell surface, judging from their ability to comigrate (co-cap). However, neither is directly complexed with the major histocompatibility (MHC) gene products, HLA-A, -B, -C or -D, on the plasma membrane, based on results from three distinct assays. First, in tests of capping, these viral glycoproteins failed to comigrate with any HLA determinant. Second, electron microscopy showed that the viral glycoproteins occupied domains on the plasma membrane distinct from MHC gene products; 125I labeling of cell surface determinants and subsequent analysis by immune precipitation and PAGE confirmed this result. Third, incubation of measles virus-infected cells in the presence of monoclonal or polyclonal antibodies to measles virus glycoproteins removed the viral glycoproteins from the cells' surfaces but did not cause a corresponding decrease in amounts of HLA molecules. These results indicate that the hemagglutinin and fusion polypeptides of measles virus lie in close association on the plasma membrane; however, neither is linked with MHC gene products. PMID- 6575496 TI - Hypokalemic myopathy in hyperemesis gravidarum: its historical significance. PMID- 6575497 TI - Diagnosis and treatment of Alzheimer's disease. PMID- 6575498 TI - [Austrian Society of Lung Diseases and Tuberculosis Working Group on Clinical Respiration Physiology. 1982 Workshop, Graz, 11-13 November 1982. Abstracts of presentations]. PMID- 6575499 TI - [Differential diagnosis of the pathologic blood picture (12). Chronic myelocytic leukemia (CML)]. PMID- 6575500 TI - [Strategies to overcome anxiety in the dentist]. PMID- 6575502 TI - [Electronic data processing accounting for dentists]. PMID- 6575501 TI - [Dental philatelic exhibits]. PMID- 6575503 TI - [Indications and use of ceramic anchor implants]. PMID- 6575504 TI - [What do parents think of prevention in kindergarten]. PMID- 6575505 TI - [Caries prevention is also treated with fluoride preparations]. PMID- 6575506 TI - [Role of assistants in history taking, counseling and planning]. PMID- 6575507 TI - [Cost reduction! But how and where?]. PMID- 6575508 TI - [Dental philatelic exhibits]. PMID- 6575509 TI - [Cementation of inlays, crowns and bridges]. PMID- 6575510 TI - [Surgical treatment of anomalies of prognathism]. PMID- 6575511 TI - [Blood supply of the dental pulp after mandibular orthodontic surgery]. PMID- 6575512 TI - [A technic for the surgical exposure of impacted teeth]. PMID- 6575513 TI - [Interdisciplinary cooperation between orthodontists and oral surgeons]. PMID- 6575514 TI - [Radiographic analysis for treatment planning of skeletal dysgnathia]. PMID- 6575515 TI - [Correction of asymmetric facial bones and an over-developed maxilla]. PMID- 6575516 TI - [Segmental osteotomy of upper and lower jaws]. PMID- 6575517 TI - [Genetic factors in etiology of dysgnathias]. PMID- 6575518 TI - [Micromorphologic and mineralogic observations of the structure of tooth enamel]. PMID- 6575519 TI - [Questions on the treatment of lower anterior crowding with overbite]. PMID- 6575520 TI - [Bacteriological aspects of the medicaments applied to apex of the pulp cavity]. PMID- 6575521 TI - [The stomatologic system. 3]. PMID- 6575522 TI - [Fetor ex ore - causes and cure]. PMID- 6575524 TI - [Enamel remineralization - fluoride toothpastes - prevention?]. PMID- 6575523 TI - [Biocompatibility of Isopast]. PMID- 6575526 TI - [Dental assistant, a qualified team member in gnathologic practice]. PMID- 6575525 TI - [Enamel remineralization in vivo]. PMID- 6575527 TI - [Crozat appliance in daily practice]. PMID- 6575528 TI - [Quick firing of porcelain inlays]. PMID- 6575529 TI - [Organization and problems of dental emergency services in greater Munich]. PMID- 6575530 TI - [The place of the private practitioner in social medicine]. PMID- 6575531 TI - [Properties of auxotrophic mutants of Pseudomonas mallei]. PMID- 6575532 TI - Significance of CoA-transferase in the reaction of maleate with amino acids and proteins. AB - Maleate reacts, in the presence of acetoacetyl-CoA and CoA-transferase with amino acids containing no sulphydryl groups. The physico-chemical properties of the reaction products are the same as those of the derivatives obtained in the reaction of amino acids with maleic anhydride, which indicates that the amino groups became acylated. In the presence of the transferase system, maleate also reacts with such proteins as histone IIA, cytochrome c and albumin. The reaction also occurs after blocking SH groups, thus it could involve amino groups as well. The reacting agent is not maleate itself but a product of the reaction of maleate with acetoacetyl-CoA, catalysed by the transferase, i.e. maleyl-CoA. PMID- 6575533 TI - Acute myeloblastic leukemia occurring with an extranodal lymphoma: an unusual association. PMID- 6575534 TI - The significance of endocervical cells in the diagnosis of cervical epithelial changes. AB - A study was made of the relationship of endocervical columnar cells to the cytologic identification of abnormality in the cervix. From a population of women participating in a cervical cancer screening program, a group of women was selected whose smears theoretically should have contained endocervical columnar cells. Endocervical cells were present in 93.1% of the smears and absent in 6.9%. A significantly higher number of moderately and severely atypical epithelial changes was found in smears with endocervical cells as compared with smears without endocervical cells. PMID- 6575535 TI - Significance of the morphology of anucleated squames in the cytologic diagnosis of vulvar lesions. A new approach in diagnostic cytology. AB - Vulvar smears from 80 patients with various vulvar lesions were analyzed. In each case, 10 anucleated horny squames were identified and the perimeters measured by a graphic tablet (digitizing board) equipped with a camera lucida system. The internal computer of the system calculated areas and shape factors, with the latter characterizing the degree of cellular pleomorphism. PMID- 6575537 TI - Comparison of suspicious and positive colposcopic, cytologic and histologic findings in the uterine cervix. AB - One hundred thirty-five cases of suspicious or positive colposcopic or cytologic findings were histologically analyzed. In cases of colposcopically detectable atypical changes or suspicious findings as well as of cytologic dysplasias or carcinomas, the histologic diagnoses were almost the same. The results demonstrated that colposcopy and cytology with a quick staining method are of value. Biopsy can quickly follow in cases of suspicious findings. PMID- 6575536 TI - Hematoidin crystals in cervicovaginal smears. Review of 27 cases seen in one year. AB - The occurrence of hematoidin crystals in cervicovaginal smears has recently been described. A prospective search for hematoidin crystals in smears taken during a one-year period was carried out, with a subsequent retrospective chart review. This study revealed that the occurrence of hematoidin crystals was more common than previously thought and was often associated with pregnancy or pregnancylike states. The clinical correlations and possible etiologies of this finding are discussed. PMID- 6575538 TI - Diagnosis of Legionella micdadei pneumonia from cytologic specimens. AB - Legionella micdadei is a recently described opportunistic pulmonary pathogen that produces an acute, suppurative pneumonia in patients receiving steroid therapy. Most prospective diagnoses have been made by open lung biopsy. We present a case in which the diagnosis was made from cytologic material. The clinicopathologic features of L. micdadei pneumonia are discussed, and criteria for diagnosis from cytologic specimens are presented. PMID- 6575539 TI - Imprint cytology in the intraoperative diagnosis of malignant melanoma. AB - Imprints were prepared from 73 pigmented skin lesions, 19 of which were diagnosed as malignant melanoma. The cytologic findings in malignant melanoma, large clusters of cells with loss of cellular cohesiveness and large pleomorphic nuclei, were positive in 17 of the 19 cases. In other malignant and benign pigmented lesions the few cells adherent to the glass showed characteristic cytologic features of the particular lesion. Imprint cytology seems to be a valuable adjunct to the examination of frozen sections for the intraoperative diagnosis of malignant melanoma. PMID- 6575540 TI - Cytodiagnosis of Hodgkin's disease in sputum specimens. AB - In patients with histologically proven Hodgkin's disease, knowledge of the extent of involvement of lymph nodes and other organs has proven valuable in the determination of treatment and prognosis. One of the most common sites of involvement outside the hematopoietic system has been shown to be the lung parenchyma; in this study, six patients with a tissue-proven diagnosis of Hogdkin's disease and positive cytologic findings in the sputum were reviewed. Three cell types not found in normal sputum specimens were identified in these patients and were correlated with the histologic patterns of the tumors as seen in lung biopsies. Our results suggest the usefulness of sputum examination as an adjunctive or possibly a substitute diagnostic procedure in the evaluation of patients with Hodgkin's disease and possible lung involvement. They also suggest that in some cases the cytologic diagnosis can be quite specific in the identification of neoplastic cells as consistent with a diagnosis of Hodgkin's disease. PMID- 6575541 TI - Cytology of the cerebrospinal fluid in primary malignant lymphomas of the central nervous system. AB - Two cases of primary malignant lymphoma of the central nervous system are reported. Clinical and pathologic findings did not indicate systemic lymphomatous involvement of lymph nodes and bone marrow. The patients presented with different neurologic deficits. Cytologic examination of the cerebrospinal fluid was the first and most useful technique for establishing the diagnosis. PMID- 6575543 TI - Cytologic diagnosis of schistosomiasis in routine urinary specimens. A case report. AB - A voided urine specimen from a 29-year-old male living in New York was sent for cytologic study, which revealed five schistosome ova, two with terminal spines, and one free miracidium in a cytocentrifuge specimen. The patient, who had been in West Africa three years earlier, underwent cystoscopy, with the finding of bladder mucosal ulcerations. Subsequent cytologic specimens, bladder biopsy and wet-mount preparations established a diagnosis of Schistosoma haematobium infection, which was treated, apparently successfully, with Metrifonate. The case is presented to focus attention on the cytologic diagnosis of S. haematobium in routine urinary specimens since the opportunity to make such a diagnosis is increasing in the continental United States as more Americans visit areas of endemic infestation and more residents of those areas immigrate to this country. PMID- 6575542 TI - The squash-smear technique in the diagnosis of spinal cord neurinomas. Report of three cases. AB - The squash-smear technique was used instead of frozen sections for the rapid intraoperative diagnosis of three neurinomas of the thoracic spinal cord. Characteristic cytologic features that could be considered of diagnostic value were the absence of recognizable cytoplasmic outlines, the elongated, sometimes wavy appearance of the nuclei and the dense fibrillary background. Nuclear palisades with formation of Verocay bodies were present in one case; these were also identified in the paraffin-embedded permanent sections. Histologically, the tumors were predominantly Antoni type A neurinomas. PMID- 6575544 TI - Meningitis with Acinetobacter calcoaceticus in cerebrospinal fluid. A case report. AB - A case of meningitis due to Acinetobacter calcoaceticus occurred after neurosurgery. The cerebrospinal fluid cytology showed intracellular diplococci that strongly resembled Neisseria meningitidis. However, subsequent bacteriologic studies revealed a bacterium identical to A. calcoaceticus. It is of practical importance for cytology laboratories to recognize this diplococcal form of organism. PMID- 6575545 TI - Blastomycosis in a Papanicolaou Smear. Report of a case with possible venereal transmission. AB - An incidental case of cervical blastomycosis discovered by examination of a Papanicolaou smear is reported. Examinations revealed no other focus of blastomycosis in the patient. Since her husband was undergoing treatment for disseminated blastomycosis involving the lungs and prostate at the time the fungus was found, this case may represent venereally transmitted blastomycosis. PMID- 6575546 TI - An unusual cytologic presentation of mesothelioma in serous effusions. AB - Three cases of diffuse malignant mesothelioma in which samples of pleural fluid showed an unusual cytologic picture are presented. Instead of cells of an obvious mesothelial type forming organized clusters, the smears were dominated by foamy macrophage-like cells, with or without certain nuclear features suggesting malignancy. It is suggested that these cells were derived from neoplastic mesothelial cells by a process of differentiation. PMID- 6575547 TI - Giant-cell carcinoma of the lung. A cytologic study. AB - A case of giant-cell carcinoma of the lung, confirmed at autopsy, is presented. The cytologic features seen in sputum samples, bronchial washings and brushings and fine needle aspiration biopsy material as well as the histologic findings are described. The possible relationship to bronchioloalveolar carcinoma is discussed. The cytologic features of giant-cell carcinoma of the lung, when seen in the context of the clinical and radiologic setting, should allow the cytologic identification of the tumor prior to surgical intervention. PMID- 6575549 TI - Cytology of primary squamous carcinoma of the endometrium. PMID- 6575548 TI - Cytologic diagnosis of olfactory neuroblastoma. Report of a case with multiple diagnostic parameters. AB - We present the first case report of an olfactory neuroblastoma (esthesioneuroblastoma) diagnosed by cytologic examination. The patient was a 40 year-old male who had a 13-year history of "adenocarcinoma" of the nasal cavity until the correct diagnosis of olfactory neuroblastoma was made cytologically from pleural fluid shortly before his death. The cells had the typical features of rosette formation, scanty elongated cytoplasm, clustering of cells and nuclear compression resulting in an "onion-skin" appearance. Surgical specimens, several biopsies and fine needle aspiration of a metastatic deposit in a lymph node all showed, retrospectively, features of esthesioneuroblastoma. Electron microscopy showed membrane-bound dense-core secretory granules. Autopsy findings revealed multiple metastases but no tumor at the original site; that tumor had been treated with high-dose radiation therapy as well as systemic chemotherapy. Olfactory neuroblastoma is a rare tumor, but it is important to recognize because it has a better prognosis than the more commonly encountered malignancies of the nose. PMID- 6575550 TI - Aspiration cytology of carcinoid tumor of the breast. A case report. AB - A primary carcinoid breast tumor was evaluated by fine needle aspiration cytology in an 87-year-old female. The subsequent operative material contained a tumor with the typical histopathologic features of carcinoid tumors in other sites; thorough evaluation of the patient did not reveal carcinoid lesions elsewhere in the body. The tumor contained argyrophil-positive cytoplasmic granules on light microscopy. The cytomorphology of this tumor contains features helpful in identifying it on aspiration cytology material. The differential diagnosis with fine needle aspiration cytology of other breast tumors is discussed. PMID- 6575551 TI - Fine needle aspiration cytology of an unusual presentation of leukemia. A case report. AB - A 17-year-old active sportsman presented three weeks after a football injury with pain in the right hip and back. Osteomyelitis was the initial clinical diagnosis. A full blood count and erythrocyte sedimentation rate were normal. Fine needle aspiration of the anterior inferior iliac spine showed the presence of numerous blasts. This case represents an unusual presentation and method of diagnosis of acute leukemia. PMID- 6575552 TI - Parathyroid adenoma diagnosed as papillary carcinoma of thyroid on needle aspiration smears. AB - Needle aspiration of a neck mass was performed on a 55-year-old white female with hypercalcemia. The cytologic material showed cohesive clusters of monomorphic hyperchromatic cells resembling follicular cells. Papillary formation and follicle-like arrangements suggested papillary carcinoma of the thyroid. The histopathologic section of the excised mass, however, revealed a parathyroid adenoma. The diagnostic difficulties in differentiating parathyroid adenoma from well-differentiated thyroid carcinoma are discussed. Data published in the literature emphasize similar difficulties, and it is concluded that a final diagnosis can be established only on histopathologic sections. PMID- 6575554 TI - Fine needle aspiration biopsy cytology of chondrosarcoma. AB - Fine needle aspirates of ten chondrosarcomas were evaluated, and the cytologic features of this tumor were described. Some malignant cells in the smears of chondrosarcoma resembled cells of an epithelial origin and could be misinterpreted as carcinoma cells. The morphologic features described for chondrosarcoma should be helpful in avoiding such a diagnostic error. PMID- 6575553 TI - Intranuclear cytoplasmic invaginations in a Hurthle-cell carcinoma of the thyroid. AB - According to the literature, the finding of intranuclear cytoplasmic invaginations in fine needle aspiration biopsies from thyroid tumors is indicative of a papillary thyroid carcinoma. A case is presented in which the aspiration specimen showed marked intranuclear cytoplasmic invaginations from a tumor that histologically was a Hurthle-cell (oncocytic) carcinoma with a trabecular pattern. The classification of thyroid carcinomas and the significance of intranuclear cytoplasmic invaginations as a criterion for thyroid malignancy are discussed. PMID- 6575555 TI - Application of in vitro autoradiography for monitoring drug response in cancer chemotherapy. AB - Primary cultures of human breast carcinoma cells were treated for 24 hours with different concentrations of anticancer drugs followed by labelling with 3H thymidine and 3H-uridine and subsequent autoradiographic processing to study the effect of drugs on nucleic acid synthesis in these cells. 3H-uridine autoradiography was more sensitive than 3H-thymidine autoradiography in the assessment of lethal effects. The results showed that individual neoplasms varied in drug response. This method may be useful for predicting the effectiveness of drugs for treatment of individual cases and also for screening new drugs for anticancer activity. PMID- 6575556 TI - Adhesives for retaining prefixed urothelial cells on slides after imprinting from cellulosic filters. AB - Cells of prefixed urine specimens collected on Millipore filters can be imprinted onto labelled microslides coated with adhesives. The proportion of cells transferred to the slides and recovered from the filters was investigated using three different adhesives. Egg albumen-glycerin and Apathy's syrup did not increase the transfer of cells as compared with experiments without adhesives; the proportion of transferred cells varied from less than 10% to more than 70%. Gelatin-chrome alum had, with minor variations, a pronounced adhesive effect: at least 94% of the cells was always recovered after the cells were transferred from filters to slides. Practical details, including advantages of the filter imprint method, are discussed. PMID- 6575557 TI - Brush cytology of gingival metastasis from pulmonary carcinoma. PMID- 6575558 TI - Psammoma bodies in pelvic washings. PMID- 6575559 TI - Cervical carcinoma in both mother and daughter. PMID- 6575560 TI - Clinical insignificance of a "dirty" background in cervicovaginal smears. PMID- 6575561 TI - Cell indices in amniotic fluid as indicators of gestational age: with comparison of two stains. PMID- 6575562 TI - Plasma lipoprotein alterations in thyroid dysfunction. Roles of lipoprotein lipase, hepatic lipase and LCAT. PMID- 6575563 TI - Cerebrovascular transport mechanisms. International Congress of Neuropathology, Vienna, September 5-10, 1982. PMID- 6575564 TI - Revised pathophysiology on BBB damage: the edema as an ingeniously provided condition for cell motility and lesion repair. AB - Probably, the most important evidence concerning the breakdown of the BBB is a large inflow of hematogenous fluid into the extravascular spaces. Thus all parenchymal cell elements represent freely floating cells in this fluid medium called the edema fluid. These essential morphological alterations, such as extremely expanded extracellular space and freely floating cells within the fluid, were also observed in the developing normal fetal brain. Many neuroblasts were vigorously migrating in the fetal brain, as were the macrophages and reactive astrocytes in the edema fluid. Obviously, hematogenous cells and reactive astrocytes in the edematous lesion take part in its repair. Many astrocytes, GFAP positive, in the 3 or 4 day-old lesions, revealed mitosis. And in vitro, when we immersed these astrocytes in the protein and glucose rich medium, they demonstrated a remarkably changed morphology and were moved into the M and G1 phases, thus gaining the ability of cell motility. This was also true in the edema fluid. Brain edema is definitely a serious "pathological" condition. But it is also conceivable from a different biological aspect that as a result of BBB "opening", free extracellular space essential for cell motility and a source of their energy is ingeniously provided for these cells, and thus the lesion can be effectively repaired. The biological significance of the edema fluid was emphasized and stereotaxic morphology and cinematography, supporting the above evidence, have also been presented. PMID- 6575566 TI - Neurogenic control of blood-brain barrier permeability. AB - Evidence from several laboratories strongly suggests that brain capillaries play a dynamic role in the regulation of the internal environment of the brain and, further, that these activities are under neuroendocrine control. First, brain capillaries exhibit a number of anatomical and biochemical features unique to membranes known to regulate water and electrolyte permeability. These include tight junctions between endothelial cells, a high mitochondrial content and a unique compliment of intracellular enzymes. Second, brain capillaries appear to be functionally innervated by adrenergic neurons originating in brain. Finally, brain capillaries exhibit several functional characteristics of membranes that dynamically regulate water and electrolyte permeabilities. These include a restricted permeability to water, a prompt and reversible increase in water permeability to transient hyperosmolarity, a prompt and reversible decrease in permeability to increase perfusion pressure, a change in permeability associated with activation of the central as well as peripheral sympathetic nervous system, and an increase in permeability to centrally administered vasopressin as well as angiotensin II. PMID- 6575565 TI - Therapeutic considerations in blood-brain barrier disturbances. AB - Current methods of treatment of brain damage, as e.g. edema by steroids and barbiturates, have components which benefit the blood-brain barrier. Protection of the blood-brain barrier may result from: (a) prevention of endothelial lesions, perhaps pinocytosis (b) reduction of secondary necrosis formation, (c) interference with release, or activation of mediator compounds causing endothelial lesions such as: biogenic amines, free fatty acids, prostaglandins, free radicals, or kinins, (d) stabilization of lysosomal membranes, and (e) prevention of microcirculatory disturbances. Other methods, or compounds aiming at mechanisms of barrier damage have a therapeutic potential as shown with regard to indomethacin, free radical scavengers, or phenothiazines. However, further studies appear necessary to demonstrate the benefit of these compounds under clinical circumstances. Reversible opening of the blood-brain barrier may be considered as a therapeutic approach to provide access of drugs to brain tissue which are normally excluded by the barrier. PMID- 6575567 TI - Disturbances of the blood-brain barrier in cerebrovascular disorders. AB - The disturbances of the BBB in cerebrovascular disorders may affect adversely an underlying basic pathological condition. Breakdown of the barrier associated with extravasation of serum proteins leads to development of vasogenic edema in the brain tissue. An abnormal passage of pharmacologically active substances, such as biogenic amines, may significantly affect cerebral blood flow and metabolism and activate neurons equipped with receptors for these substances. Also, a barrier dysfunction related to faulty out-transport of metabolites may contribute to edema and tissue damage. In cerebral ischemia, following release of arterial occlusion there can be two separate openings of the barrier: the first - occurring promptly after recirculation and related to ensuing reactive hyperemia, the second - after some delay and related to pathological changes in the brain tissue. In some circumstances, such as epileptic seizures, both "hemodynamic" and "tissue" factors may be operative at the same time. The selective features of BBB changes are related to multiplicity of barrier systems residing in cerebral endothelium. These selective features are demonstrable during development and during reversibility of postichemic barrier disturbances. Intermittent openings of the barrier observed in chronic hypertension may lead to accumulation of extravasated serum proteins and be responsible for frequently observed edematous changes in this condition. PMID- 6575568 TI - Pathophysiological aspects of blood-brain barrier disturbances in experimental brain tumors and brain abscesses. AB - Experimental tumors and abscesses were produced by intrahemispheric inoculation of a blastomatous glial cell clone and of staphylococcus aureus, respectively. In both models severe vasogenic brain edema developed. The site of the barrier lesion was identified by systemic application of Evans blue or peroxidase, and the spread of edema by immunoautoradiographic localisation of extravasated serum proteins. In both experimental conditions, serum proteins accumulated diffusely in the white matter of the ipsilateral hemisphere, although the barrier lesion was strictly confined to the pathological focus. Water content of the edematous white matter in the vicinity of tumors and abscesses increased from 69.1 to 80.6 and 82.3 ml/100g w.w., respectively. This increase was associated with a volume dependent decrease of flow, a parallel increase of sodium and an increase of extravasated serum proteins. The latter was determined by a newly developed immunochemical approach with appropriate corrections for the intravascular fraction of total serum protein content. The calculated concentration of sodium in edema fluid of tumors and abscesses amounted to 132 and 129 ueq/ml, respectively. The concentration of serum proteins was 8.7 and 6.4 mg/ml, respectively. Protein content of edema fluid, in consequence was less than 10% of blood serum. This suggests that fluid accumulation in vasogenic edema cannot be explained by the oncotic properties of extravasated proteins alone. PMID- 6575569 TI - Dental filling therapy as a possible etiological factor regarding mandibular dysfunction. A comparative anamnestic and clinical study. AB - A group of 29 individuals, 17-23 years old, with intact teeth, has been compared with a control group with respect to occurrence of mandibular dysfunction. A statistically significant difference between the groups, with a lower frequency and degree of dysfunction among the intact individuals was established. The results suggest that filling therapy per se may be a possible etiological factor in the mandibular dysfunction. Disorders in the masticatory neuromuscular system may arise from an abnormal tactile response to contacts on fillings, including an abnormal pattern of mandibular movement, possibly exceeding the tolerance level of the system. PMID- 6575570 TI - Factors affecting the color stability of restorative resins. AB - The color change resulting from storage in water was measured on a number of experimental and proprietary complex resins. The experimental resins contained varying amounts of amine (DEPT or DEBA), benzoyl-peroxide (BPO) and inhibitor (MHQ). The proprietary resins had earlier been analyzed as regards the composition of the monomer and the content of amine and peroxide. The color change of DEPT-containing resins was positively correlated with the DEPT/BPO ratio, and negatively correlated with the monomer content of BISGMA. DEBA containing resins were more color stable than resins containing equimolar concentrations of DEPT. The color change was independent of MHQ up to a certain concentration; above this the color change increased with the amount of MHQ. In general, the light activated materials were more color stable than the chemically activated materials. The color change was not affected by pH, but decreased when the oxygen had been removed from the storage water. The test for color stability using UV-light irradiation gave results for proprietary resins that were not correlated with the results obtained by water storage. PMID- 6575571 TI - Long-term evaluation of autotransplanted maxillary canines with completed root formation. AB - Autotransplantation of 33 maxillary canines was followed up in 29 patients with an average age of 27.5 years. The mean follow-up period was 6.0 years. Endodontic treatment was performed in 23 teeth. Signs of root resorption were found in an increasing number of canines during the follow-up period. At the last examination eight canines showed no signs of resorption. External and internal resorption of inflammatory type were the most frequent forms of resorption and were also found to be the most hazardous factors for the prognosis of the transplanted tooth. Extraction of the transplant was necessary in four cases because of root resorption or poor bone regeneration. PMID- 6575572 TI - A combined clinical, mycological and histological study of denture stomatitis. AB - The clinical and histological appearance of the different types of denture stomatitis are in many respects very similar and confluent. In order to study the correlation between clinical and histological appearance and amount of yeasts, 48 patients with denture stomatitis and 24 with a healthy palatal mucosa were examined. The terms atrophic and hyperplastic denture stomatitis were introduced. The intensity of the palatal erythema and the growth of yeasts were most prominent among patients with hyperplastic lesions. Dryness and soreness of the mouth, angular cheilitis, spontaneous hemorrhage, glossitis and leukoplakias were found to a varying extent. No statistical evidence of correlation between the intensity of clinical erythema, amount of yeasts and grade of subepithelial inflammation could be found. The disease has most certainly a background other than solely increased growth of yeasts. PMID- 6575573 TI - Observations of dental disease and anomalies in 9- to 11-year-old Norwegian children. AB - Sets of intraoral radiographs consisting of ten periapicals and, in most cases, two posterior bitewings, from 99 girls and 101 boys aged 9-11 years were examined by four dentists. The study was undertaken to quantitate the disease and anomalies present in the sample and investigate the inter-examiner variability of the diagnosis. Each of the examiners independently recorded the disease and anomalies from the radiographs. Knowledge of previous dental treatment and abnormalities noted by the community dental officers were obtained from the children's dental records. The prevalence of disease and anomalies in the sample was low. Considerable examiner variability revealed a need for more objective criteria for the radiographic diagnosis of some of the dental anomalies. Girls had a significantly higher DMFT than boys. Hypodontia was found in 13 children, and dens invaginatus class III/IV (9) was observed on radiographs from 5 children. PMID- 6575574 TI - The snuff-induced lesion. A clinical and morphological study of a Swedish material. AB - Snuff-induced oral lesions were studied clinically, histologically and by electron microscopy. The material was collected from 21 male snuff users. The lesions had a characteristic whitish appearance with a wrinkled swollen texture and the most common localization was in the vestibular area of the upper jaw. In two cases gingival retraction was observed. The light-microscopical examination showed a mild epithelial dysplasia in five cases. No carcinoma in situ or invasive carcinoma was recognized. In some of the cases ultrastructural changes in the basement lamina region, such as defects of the basement lamina and the occurrence of basal cell processes in the connective tissue, were observed. Odland bodies were seen in the epithelium. In the connective tissue filamentous material of unknown nature was found. The ultrastructure of the filamentous material suggested that it might be amyloid. In summary, snuff-induced lesions should be diagnosed, patients should be informed and made to quit the habit, and remaining lesions should be followed up regularly. PMID- 6575576 TI - Use of oral oxytocics for stimulation of labor in cases of premature rupture of the membranes at term. A randomized comparative study of prostaglandin E2 tablets and demoxytocin resoriblets. AB - The efficacy of oral PGE2 tablets and buccal demoxytocin (resoriblets) for the induction of labor in cases of premature rupture of the membranes (PROM) after the 37th week of gestation has been evaluated in a prospective, randomized investigation of 193 women. PGE2 tablets (Prostin) were given to 109 parturients and demoxytocin resoriblets (Sandopart) to 84. The former were given in increasing doses from an initial 0.5 mg to a maximum of 1.5 mg every hour. The demoxytocin was administered at a constant dosage of 50 I.U. every 30 min. The treatment was unsuccessful in 10 of the women treated with PGE2 tablets and in 19 women receiving demoxytocin resoriblets. In addition, the treatment had to be discontinued in 5 women in the PGE2 group due to gastrointestinal side effects. This gives a total success rate of 86.3% for treatment with PGE2 against 77.4% in respect of demoxytocin. This difference is not significant. No difference was observed between the two treatment groups as regards: the stimulation-delivery interval, duration of the various stages of labor, efficacy in primiparae and multiparae, efficacy in patients with a high/low Bishop score. A significantly higher frequency of gastro-intestinal side effects was seen in those treated with PGE2 (21.7%) as compared with demoxytocin (3.6%). The frequency of surgical intervention was 17% in the PGE2 group and 10% in the demoxytocin group. In 4 cases where the stimulation was successful, cesarean section was carried out for reasons unrelated to the drug therapy. Despite the fact that demoxytocin treatment results in fewer side effects than PGE2, the efficacy of the drug is not superior. Based on experience from previous investigations carried out in this department, where intravenous oxytocin was found to be clearly better than oral PGE2 for the induction of labor in cases of PROM, intravenous oxytocin will remain the method of choice due to the shorter period of treatment, which must take priority. PMID- 6575575 TI - Oral oxytocics for induction of labor. A randomized study of prostaglandin E2 tablets and demoxytocin resoriblets. AB - A randomized comparative study of 387 consecutive patients admitted for induction of labor was carried out using two orally administered oxytocics (prostaglandin E2 tablets (Prostin) or Demoxytocin resoriblets for buccal administration (Sandopart)), the results of which are reported here. One-hundred and twenty three cases were suitable for primary amniotomy; of these 48 were given PGE2 tablets and 75 received demoxytocin resoriblets. In a further 264 cases, primary amniotomy was inadvisable and of these, 133 patients were allotted to the PGE2 treatment group and 131 to treatment with demoxytocin. A significantly higher success rate was observed (p less than 0.05) in the PGE2 group in cases where primary amniotomy had been carried out, as compared with the demoxytocin group. Parturition was successfully induced in 82.0% of the patients given PGE2 tablets, as against only 63.4% of those receiving demoxytocin following 2 days of stimulation without primary amniotomy. This difference is statistically significant at the 0.001 level, and presumably due to the highly significant difference (p less than 0.0001) between patients with a Bishop score of 5 or less, where induction was successful in 75.4% given PGE2 tablets, in contrast to a success rate of only 36.7% in patients receiving demoxytocin resoriblets. No difference was observed in the success rate between the two treatment groups when the Bishop score was 6 or more. No difference was recorded in the incidence of fetal distress, instrumental delivery or low Apgar score between the two treatment groups. However, a higher incidence of vomiting and diarrhea were observed in patients treated with PGE2 tablets (11%) as compared with those receiving demoxytocin (1.5%). There was no difference with regard to the induction-delivery time, nor to the different stages of labor between otherwise comparable treatment groups when the induction was successful. It is concluded in respect of induction of labor using orally administered oxytocics that PGE2 (tablets) are preferable to demoxytocin (resoriblets) as it is the more effective of the two. PMID- 6575577 TI - The dislocating patella. Etiology and prognosis in relation to generalized joint laxity and anatomy of the patellar articulation. AB - The material of this investigation consisted of 104 patients (37 males and 67 females), treated for dislocation of the patella at the Department of Orthopedics in Lund during 1975-1977. The patients were examined clinically and radiographically in order to identify the etiologic importance of trauma, generalized joint laxity, and an anatomically abnormal patellar articulation. All patients were examined for generalized laxity, other orthopedic conditions, relatives with patellar dislocation or congenital dislocation of the hip, dislocation frequency, bilateral patellar dislocation, age and the nature of the trauma at initial dislocation, incidence and type of articular fractures associated with patellar dislocation, and three radiographic parametres of anatomically abnormal patellar articulations. Generalized joint laxity was observed in two thirds of the patients, frequent dislocations in one half and bilateral dislocations in one third. In half of the patients the initiating trauma was insignificant, and one third had avulsion or osteochondral fractures. The majority had definite anatomic abnormalities but patella alta was observed in only one fourth of the patients. The material was subjected to an analysis of the covariation of etiologic factors operating in patellar dislocation. On this basis the material was classified in four grades of increasing patellar instability, from Grade I with neither laxity, nor increased Insall index, to Grade IV with both these factors. With increasing patellar instability the frequency of recurrent and bilateral dislocations increased whereas the degree of trauma and incidence of fractures decreased. The type and degree of anatomic abnormalities were correlated to the different grades of patellar instability. The classification of patellar instability proposed here should permit more precise evaluation of treatment of patellar instability, and, eventually, provide a basis for the choice of therapy in patellar dislocation. PMID- 6575578 TI - CNS involvement in leukaemia. An autopsy study of 100 consecutive patients. AB - The central nervous system has been examined in a consecutive autopsy material of 100 adult patients with acute (N = 67) or chronic (N = 33) leukaemia. In all patients the disease was active at the time of death, infiltrating several organs, and in 45% of the cases CNS was involved. 81% of the patients with ALL had leukaemic infiltrates in CNS, and in the total AML group they were seen in 46% (P less than 0.05). A comparison between the subtypes of the AML group revealed CNS involvement in 39% of M1 + M2 and in 69% of M4 + M5 (P less than 0.05). Only in a single case of CML was the central nervous system affected, whereas 8 of 16 patients with CLL has CNS involvement. Furthermore, other pathological findings such as haemorrhages and infarcts were registered at the time of death in 33% of all patients. Terminal neurological symptoms could be ascribed either to leukaemia, other CNS pathology or a combination of both. The rate of CNS involvement is higher than reported in similar studies, and it is supposed that this may partly be ascribed to the inclusion of the spinal cord in this investigation. PMID- 6575579 TI - Environmental exposure to neurotoxic agents and psychiatric disease--a new problem? PMID- 6575580 TI - Specificity of psychiatric manifestations in relation to neurotoxic chemicals. AB - Previous impressions of specificity of psychiatric manifestations in relation to particular chemical intoxications have been confirmed by comparisons of the symptoms and signs of two groups of individuals. Nine persons exposed to inorganic mercury had "erethism" and xenophobia in addition to non-specific features of central nervous system poisoning. Twelve men with heavy exposure to organotins, in contrast to ten men with light or no exposure, more frequently presented an unique alternation between outbursts of range and deep depression, the later lasting from a few hours to a few days. The more heavily exposed men also had a greater number of nonspecific symptoms from neurotoxins. PMID- 6575581 TI - Lead at low dose and the behavior of children. AB - Over 3,000 children attending first and second grade in public school were classified as to past lead exposure according to the concentrations of lead in their teeth. Those in the highest and lowest deciles for lead were evaluated by a broad panel of neuropsychologic outcome measures. Controlled either by matching or analysis of covariance were 39 other variables which could effect outcome. High lead children were significantly impaired on IQ auditory processing and reaction time under varying intervals of delay. Teacher's rating scales showed a dose-related increase in non-adaptive classroom behavior with no evidence of a threshold. EEG scores and observations of children in class demonstrated differences in high and low lead subjects. PMID- 6575582 TI - The role of occupational lead exposure in the genesis of psychiatric and behavioral disturbances. AB - In a prospective study of lead neurotoxicity, exposed foundry workers and referents were evaluated using a comprehensive set of neurobehavioral tests. Other performance indexes were used including a questionnaire, physical examination, and nerve conduction testing. Results show increased rates of depression, confusion, anger, fatigue and tension among workers with blood levels over 40 mcg/dl. Other aspects of neurobehavioral function, including verbal concept formation, memory, and visual/motor performance were also impaired. In view of the large number of individuals exposed to lead in their work, specific inquiries should be made of individuals with affectual complaints to clarify the nature of their work and workplace exposure to lead. PMID- 6575583 TI - Psychiatric illness due to manganese poisoning. AB - Rats were exposed to manganese (1 mg/ml through drinking water) daily to study behavioral and neurochemical changes 14 and 30 days after the treatment. Manganese produced hyperactivation after 14 and 30 days with greater magnitude of alteration at the latter period. Reduction in the percentage of conditional avoidance response and increase in fighting score were also observed after 30 days. These behavioral changes were associated with increased levels of striatal dopamine and norepinephrine in rats exposed to manganese. Thus, it was indicated that increased turnover of striatal catecholamines was responsible for producing behavioral changes in early manganese intoxication. PMID- 6575584 TI - Neuropsychiatric symptoms in workers occupationally exposed to jet fuel--a combined epidemiological and casuistic study. AB - Some aircraft personel and airline industry workers are exposed to jet fuel, a mixture of aliphatic hydrocarbons (petroleum 80%) and some organic solvents (petroleum 80%) and some organic solvents (aromatic hydrocarbons 20%). In order to evaluate the possible neuropsychiatric sequeale of such long-term occupational exposure, we examined 30 workers exposed at about 250 mg/m3 for 4-32 years at a jet motor factory. They were compared with two control groups (2 x 30) of matched non-exposed workers. The medical history was first assessed by standardized interviews and examination of medical records kept by the factory physician. The exposed subjects had, after their employment, much more often sought medical advice because of emotional dysfunctions, such as depression and anxiety, than had the control groups (P less than 0.005). When the prevalent mental symptoms, indicative of brain lesion, later were rated by psychiatrists, the exposed workers scored higher than did the controls (P less than 0.001). 14 subjects showing most symptoms were then selected for a thorough neuropsychiatric clinical investigation comprising psychosocial inquiries, psychological testing, personality assessment and neurological/neurophysiological examination. Seven were judged to suffer from mild organic brain syndrome (i.e. "organic neurasthenia") of which one subject was a severe case. The subjects had all undergone a slow but steady personality change over the years--starting from an ordinary strength without neurotic traits and moving towards an asthenic state with fatigue, anxiety and vegetative hyperreactivity. No other cause for this change could be identified as an alternative to the occupational exposure to jet fuel. It is concluded that personality changes and emotional dysfunctions are the foremost effects of such long-term exposure to petroleum products. PMID- 6575585 TI - Toxic exposures and psychiatric disease--lessons from the epidemiology of cancer. AB - Toxic chemicals such as lead, methyl mercury, organic solvents, manganese, kepone, and the organophosphates are recognized to cause psychiatric disease. Whether such associations are exceptional, or if in fact a high proportion of all psychiatric illnesses are of toxic environmental etiology, and therefore potentially avoidable, is not known. Epidemiologic studies of cancer, particularly analyses of geographic variations in mortality, of variations in incidence in migrant populations, of trends over time, and of induction by environmental agents suggest that extragenetic environmental factors (tobacco, alcohol, drugs, diet, radiation, air pollution, and industrial chemicals) may account for the majority of all human cancers. Similar application of epidemiologic techniques to the study of psychiatric illnesses might yield etiologic clues in relation to toxic environmental exposures and may also suggest approaches to disease prevention. PMID- 6575586 TI - Psychiatric and neurological symptoms in workers occupationally exposed to organic solvents--results of a differential epidemiological study. AB - It is accepted knowledge today that repeated intoxication with organic solvents damages the central nervous system and causes persistent psycho-organic symptoms. That long-term but low-level occupational exposure--typical o painters and other blue-collar workers--can also induce such disorders has not generally been recognized. The present epidemiological study was undertaken to evaluate the possible neuropsychiatric effects of such exposure. 80 laquerers exposed to a mixture of industrial solvents (average hygienic effect 0.3) and 37 printers exposed almost only to toluene (average hygienic effect 1.0) were compared with a control group of 80 age-matched non-exposed subjects. In psychiatric interviews, the painters showed more mental symptoms. Fatigue, nervousness and lack of manual dexterity were most important and formed a typical neurasthenic syndrome. A general decrease in conduction velocity and action potential amplitude was also observed for the peripheral nerves. The printers showed a large decrease of the nerve action potential amplitude only for the sural nerve. No EEG abnormalities were found. Nor could any increase in mental symptoms be detected through psychiatric interviews compared to the controls. The results are interpreted as evidence for a CNS affection with consequent neuropsychiatric signs and symptoms after long-term occupational exposure to mixtures of industrial solvents below the current threshold limit values (TLV) but not after exposure to a single substance like toluene at about the TLV. The differential effects may be explained by synergistic amplification of the toxicity of solvent mixtures. PMID- 6575587 TI - Psychological function changes among maintenance house painters exposed to low levels of organic solvent mixtures. AB - The adverse psychological effects of long-term exposure to organic solvent mixtures were studied among 219 maintenance house painters. Their mean age was 42 years and the duration of exposure 22 years. 229 reinforcement workers of the same mean age served as a nonexposed reference group. The groups were also matched according to pre-exposure intellectual level. The painters average exposure to white spirit was estimated to be 40 ppm. The maintenance house painters were characterized by defects in short-term visual memory and prolonged simple reaction times. Some slight relationships were found between low test performances and various individual indices of long-term exposure to solvents. The results implied that adverse psychological effects existed even though the exposure level was much lower than the hygienic standard applied for white spirit in many countries. PMID- 6575588 TI - Histamine symptoms and histamine metabolism in chronic granulocytic leukaemia. AB - Histamine metabolism was investigated in three patients with chronic granulocytic leukaemia (CGL) during symptoms suspected to be caused by histamine release. Plasma histamine levels were excessively high compared with periods when the patients were symptomless or with CGL patients without such symptoms. The patients seemed to be adapted to high plasma histamine levels as the symptoms were not typically systemic in nature, but rather localized phenomena like oedema and pruritus in the extremities. Also CGL patients without symptoms showed abnormally high plasma histamine concentrations, which were significantly related to the whole blood histamine concentration. The possibility must be considered that part of the plasma histamine increase is artificial due to rupture of the basophils during the blood collection procedure. PMID- 6575589 TI - Pharmacology of asthma. Workshop at the Cardiothoracic Institute, London, March 16-17, 1982. PMID- 6575590 TI - Prospects for inhaled xanthines in asthma. PMID- 6575591 TI - Adenosine antagonism as an alternative mechanism of action of methylxanthines in asthma. PMID- 6575592 TI - The effect of xanthines on the diaphragm. PMID- 6575593 TI - In vitro effects of nifedipine on airways smooth muscle. PMID- 6575594 TI - Phospholipids, particularly platelet-activating factor (PAF-acether), in experimental bronchoconstriction. AB - Anaphylactic shock and chemical stimulation of isolated lungs are followed by the release of pharmacologically active lipids, such as the eicosanoids. The metabolic modifications that lungs undergo during stimulation, and the effects of the various chemical agents, indicate that other mediators should be released as well. The effects of one of these potential mediators, "platelet-activating factor", are reviewed, particularly with respect to the inhibition of its bronchopulmonary and platelet effects. PMID- 6575595 TI - PAF-acether: a putative mediator of asthma and inflammation. PMID- 6575596 TI - Implications of NSAID effects during allergen-induced bronchospasm. PMID- 6575597 TI - Longterm assessment of Tiaramide in asthma. PMID- 6575598 TI - Airway reactivity: a brief perspective. PMID- 6575599 TI - Comparative effects of adrenaline as a hormone on airway conductance, plasma glucose, pulse rate and blood pressure in normal subjects. PMID- 6575600 TI - Studies on the mechanisms of exercise-induced asthma. PMID- 6575601 TI - An animal model for the study of the relation between non-specific bronchial reactivity and immunological hypersensitivity. PMID- 6575602 TI - Mechanics of airways obstruction induced by hyperventilation with cold air in asthmatics. PMID- 6575603 TI - Asthma and suggestion: psychological or physical? AB - The effect of suggestion on the airway response to ten inhalations of normal saline followed by doubling concentrations of isoprenaline was assessed in 12 normal and 30 asthmatic subjects. It was suggested that the first 5 saline solutions contained a bronchoconstrictor and the second 5 a bronchodilator, or vice-versa, and that the first four isoprenaline solutions were inert whilst the last was a bronchodilator. Nine asthmatic but no normal subjects bronchoconstricted after saline inhalation with a mean 40% fall in specific airway conductance (sGaw). This was dose-dependent and abolished when inhalations were carried out at 37 degrees C 100% relative humidity. Suggestion did not affect the airway response to saline or isoprenaline in either group. We conclude that bronchoconstriction following saline inhalation, previously attributed to the effect of suggestion, is caused by airway cooling. PMID- 6575604 TI - [Maxillofacial surgical treatment of basaliomas in the basocellular nevus syndrome]. PMID- 6575605 TI - [Anatomo-clinical study of epulis]. PMID- 6575606 TI - [A case of sarcoidosis in the area of the submandibular and sublingual glands]. PMID- 6575607 TI - [The third molar]. PMID- 6575608 TI - [Evaluation of the use of the fibroscope in endotracheal intubation: indications and technic]. PMID- 6575609 TI - Endodontic management of mid-root fractures. PMID- 6575610 TI - Prosthetic treatment for children with syndromes of congenitally missing teeth. PMID- 6575611 TI - Demonstration of prostaglandin E2 and F2 alpha in atrial tissue of patients with heart disease. PMID- 6575612 TI - Prostaglandins and the kidney. PMID- 6575613 TI - Salt and hypertension. PMID- 6575614 TI - A soft-tissue cephalometric analysis and its use in orthodontic treatment planning. Part I. AB - This article presents a soft-tissue analysis which demonstrates the inadequacy of using a hard-tissue analysis alone for treatment planning. The material and methods used to develop this technique came from years of observation and description of patients from the private practice of the author. The findings indicate that, in general, for adolescents the normal or usual thickness of the soft tissue at point A is 14 to 16 mm. As point A is altered by tooth movement, headgear, etc., the soft tissue will follow this point and remain the same thickness. When there is taper in the maxillary lip immediately anterior to the incisor, as in protrusive dentures, the tissue will thicken as the incisors are moved lingually until the tissue approaches the thickness at point A (within 1 mm. of the thickness at point A). When the lip taper has been eliminated, further lingual movement of the incisor will now cause the lip to follow the incisors in a one-to-one ratio. These concepts are predictable in adolescents when the lip thickness at point A is within the normal range. Some exceptions are as follows: Even if there is lip taper, if the tissue thickness at point A is very thin (for example, 9 to 10 mm.), the lip may follow the incisor immediately and still retain the taper. If the tissue at point A is very thick (for example, 18 to 20 mm.), the lip may not follow incisor movement at all. Adult tissue reaction is similar to the first exception. Even though there may be lip taper, the lips will usually follow the teeth immediately. Cases are presented to demonstrate these concepts and to illustrate a normal or acceptable range of variation for facial harmony related to variations in skeletal convexity. PMID- 6575615 TI - The short-term and long-term soft-tissue profile changes accompanying mandibular advancement surgery. AB - To provide an improved data base for predicting the soft-tissue changes that accompany mandibular advancement surgery, short- and long-term serial cephalograms from the records of eighteen patients were analyzed. Hard- and soft tissue landmarks were located on serial tracings and later were reduced to rectangular X-Y coordinates for computer-generated measurement data and statistical analyses. The interpretation of mean value, ratio, and regression equation data showed that the lower lip, inferior labial sulcus, and chin tissues moved forward and downward. The mandibular short-term (mean = 3.7 months postsurgery) horizontal change means were greater than the long-term (mean = 18 months postsurgery) horizontal change means. The posteriorly directed long-term means may result from functional adaptations that follow the short-term surgery related spatial changes. These data also show the need for long-term prediction data to supplement the short-term data base. PMID- 6575616 TI - An evaluation of soft-tissue changes resulting from Le Fort I maxillary surgery. AB - The soft-tissue profile response to maxillary surgery (impaction and advancement) at the Le Fort I level was evaluated. Data were derived from quality-controlled preoperative and postoperative cephalograms of nongrowing patients with their lips in repose. A standardized tracing technique was used, and this was followed by landmark identification and digitization. Computer measurement of the linear distance of each cephalometric point from horizontal and vertical reference lines was then obtained. Soft-tissue change to hard-tissue change ratios, as well as single and multiple regression equations, were calculated from a patient pool representing fourteen impactions and seven advancements. The results demonstrated many statistically significant correlations. The soft-tissue response to maxillary surgery appeared to be predictable, and the anticipated changes following both impaction and advancement surgical procedures were summarized. Prediction schemes for soft-tissue change evaluation were presented and tested, with a mean error value of approximately 22 percent. In addition, the results of this study led to the following abbreviated conclusions: For the impaction group, (1) the upper lip closely followed the movement of the maxillary central incisor in the horizontal plane, (2) the mandibular soft tissue followed the skeletal mandibular autorotation on an approximately 1:1 basis, (3) the lower border of the upper lip moved superiorly approximately 40 percent of the vertical maxillary change, and (4) there was a superior vertical change in all of the maxillary soft tissue points. For the advancement group, (1) a progressive increase in the horizontal soft-tissue movement from the tip of the nose to the free end of the upper lip was observed and (2) vertical change in the soft-tissue and horizontal movement of the mandibular soft tissue was unpredictable. PMID- 6575618 TI - American Board of Orthodontics case report. AB - This case report met a specific requirement of the American Board of Orthodontics for a patient exhibiting a high mandibular plane angle and treated to ABO standards. The patient had previously undergone complete nonextraction orthodontic treatment. Subsequent treatment involved extraction of the maxillary first premolars and the mandibular second premolars. PMID- 6575617 TI - A functional approach to treatment of skeletal open bite. AB - In general orthopedics the relationship between postural behavior and skeletal deformities has long been recognized. The primary therapeutic problem in functional orthopedics is to overcome functional disorders. In this article the applicability of this functional concept to orofacial orthopedics is discussed on the basis of a longitudinal study of skeletal open bite. A comparison of a series of lateral cephalograms of thirty patients with skeletal open bite who were treated with functional regulators developed by Frankel and those of eleven untreated open bite cases suggests that some dentofacial deformities in the skeletal open bite cases can be corrected to the average norms. In addition, as a result of overcoming the poor postural pattern of the orofacial musculature and re-establishment of a competent lip seal, a considerable change in the soft tissue profile occurred. PMID- 6575619 TI - Beyond roentgenographic cephalometry--what? PMID- 6575620 TI - Mandibular advancement and mandibular growth. PMID- 6575621 TI - Propositions and hypotheses. PMID- 6575622 TI - Bulimia associated with dysphoria rather than with affective disorder. PMID- 6575623 TI - Electrical disconnexion. PMID- 6575624 TI - Breathing system disconnexions and misconnexions. A review of some common causes and some suggestions for improved safety. AB - Reports of breathing system disconnexions and misconnexions suggest that such occurrences are now amongst the most frequent causes of accident or near accident during anaesthesia or lung ventilation in which equipment is involved. These reports usually blame the breathing system connectors for failing to make a secure joint but much of the evidence suggests that the choice of an unsuitable or unsatisfactory component or the manner in which it is used may be more likely to be at fault. Several previous articles in Health Equipment Information have drawn attention to these problems. The purpose of this one is to review the various types of connector that are available, to explain how some accidents have occurred, and to mention some developments intended to provide better security. PMID- 6575625 TI - An Ecteola-cellulose chromatography assay for 3'-phosphoadenosine 5' phosphosulfate: phenol sulfotransferase. AB - A new assay procedure for phenol sulfotransferase which employs [35S]-3' phosphoadenosine-5'-phosphosulfate as a sulfate donor and a variety of phenols as sulfate acceptors was developed. The appearance of the 35S-sulfated products or the disappearance of the [35S]-3'-phosphoadenosine-5'-phosphosulfate are determined simultaneously by chromatography of the assay incubation mixtures on Ecteola-cellulose columns, eluting with an NH4HCO3 step gradient. Various acidic, neutral, and basic phenols can be employed as substrates for phenol sulfotransferase using this procedure. PMID- 6575626 TI - Use of prostaglandin F2 alpha in the treatment of unobserved estrus in lactating dairy cattle. AB - A field trial was conducted to evaluate the use of prostaglandin F2 alpha (PGF2 alpha) (lutalyse)a in lactating dairy cattle with unobserved estrus in the presence of a functional corpus luteum (CL) and clinically normal reproductive tract. Seventy-three Holstein and 9 Jersey cows, weighing between 340.0 and 772.7 kg, were allotted to treatment and control groups. All treated cows were inseminated within 80 hours after treatment as assigned by this trial. Control cows were inseminated at the first observed estrus. Of the treated cows, 50% showed estrus within 80 hours after treatment. In this trial, 96% of the treated cows and 92% of the control cows were determined to have at least 1 functional CL on the day of treatment. For the treatment group and the control group, mean serum progesterone concentrations were 4.1 ng and 3.5 ng (P less than 0.2, by Student's t test), respectively, on day of treatment and were 0.4 ng and 5.0 ng (P less than 0.005, by Student' t test) on day 5 after treatment. Pregnancy rates were 57% for treated and 47% for control cows (P = 0.5, by X2). Days from treatment to first-observed estrus, treatment to first service, and treatment to conception were significantly reduced in the treatment group compared with these criteria for the control group (P less than 0.05, 0.005, and 0.01 respectively). It was concluded that induction of luteolysis with PGF2 alpha in lactating dairy cattle with unobserved estrus and a palpable functional CL will be an effective addition to reproductive health programs. PMID- 6575627 TI - Induction of luteolysis in goats with prostaglandin F2 alpha. AB - On day 10 of each estrous cycle, 19 cycling does were given (IM) 1 of 3 dosage levels of prostaglandin F2 alpha (PGF2 alpha) or saline solution. After injections, goats were observed twice daily for behavioral estrus, and serum concentrations of progesterone (P4) were determined from daily blood collections to measure response to treatment. Every dose of PGF2 alpha (0.0165 mg/kg of body weight, 0.0275 mg/kg, and 0.0385 mg/kg) was administered during 20 estrous cycles, and 0.25 ml of saline solution was administered during 12 estrous cycles. Fourteen of 20, 15 of 20, 20 of 20, and 0 of 12 does exhibited signs of behavioral estrus within 96 hours of injections of 0.0165 mg of PGF2 alpha/kg, 0.0275 mg of PGF2 alpha/kg, 0.0385 mg of PGF2 alpha/kg, and saline solution, respectively. A decline in mean concentrations of peripheral P4 from 3.6, 3.8, 4.4, and 4.3 ng/ml to less than 1 ng/ml within 24 hours was observed in 15 of 20, 16 of 20, 20 of 20, and 0 of 10 does after injections of 0.0165 mg of PGF2 alpha/kg, 0.0275 mg of PGF2 alpha/kg, 0.0385 mg of PGF2 alpha/kg, and saline solution, respectively. The dosage level of 0.0385 mg of PGF2 alpha/kg (1.75 mg of PGF2 alpha/45.36 kg) was effective for induction of estrus in 100% of the does. PMID- 6575628 TI - Fourth International Conference on Physicochemical Hydrodynamics. PMID- 6575629 TI - Aggregation of red blood cells. Energy balance at the interface. PMID- 6575630 TI - Transient oxygen transport in hemoglobin solutions under conditions of the microcirculation. PMID- 6575631 TI - Spatial characteristics of turbulence in the aorta. PMID- 6575632 TI - The vascular interface between tissue and blood. PMID- 6575633 TI - A model of epithelial water transport. PMID- 6575634 TI - Determinants of water flow across the capillary wall and tissue interstitium. PMID- 6575635 TI - Microstructural and peripheral layer viscosity effects on the flow of blood through an artery with mild stenosis. PMID- 6575636 TI - Cochlear prostheses. PMID- 6575637 TI - The impact of auditory nerve experiments on cochlear implant design. PMID- 6575638 TI - Biophysical considerations in electrical stimulation of the auditory nervous system. PMID- 6575639 TI - Current distributions in cochlear stimulation. AB - Animal experimental studies have shown length constants of 2-4 mm for bipolar and 8-16 mm for monopolar stimulations. Studies in models using saline-solution filled tubes have allowed us to examine the radial and longitudinal current distribution for pseudobipolar stimulation and have demonstrated that current localization is the same for bipolar and pseudobipolar stimulation over a 6-10-dB operating range. With coincident pseudobipolar multiple-channel stimulation there was suppression of the current between the stimulus maxima and enhancement at the edges leading to less stimulus interaction. Experiments performed with a pseudobipolar electrode implanted into the human cochlea showed that there was significant spread of current along the ground electrode because the electrode ground impedance was significantly greater than the cochlear tissue impedances. Because this leads to less current returned at each ground electrode, the pseudobipolar array will result in less interaction for coincident stimulation. PMID- 6575640 TI - Criteria for selecting electrodes for electrical stimulation: theoretical and practical considerations. AB - Smaller, more charge-intensive electrodes are needed for "safe" stimulation of the nervous system. In this paper we review critical concepts and the state of the art in electrodes. Control of charge density and charge balance are essential to avoid tissue electrolysis. Chemical criteria for "safe" stimulation are reviewed ("safe" is equated with "chemically reversible"). An example of a safe, but generally impractical, charge-injection process is double-layer charging. The limit here is the onset of irreversible faradaic processes. More charge can be safely injected with so-called "capacitor" electrodes, such as porous intermixtures of Ta/Ta2O5. BaTiO3 has excellent dielectric properties and may provide a new generation of capacitor electrodes. Faradaic charge injection is usually partially irreversible since some of the products escape into the solution. With Pt, up to 400 muc/cm2 real area can be absorbed by faradaic reactions of surface-adsorbed species, but a small part is lost due to metal dissolution. The surface of "activated" Ir is covered with a multilayer hydrated oxide. Charge injection occurs via rapid valence change within this oxide. Little or no metal dissolution is observed, and gassing limits are not exceeded even under stringent conditions. PMID- 6575641 TI - Design and fabrication of multiwire scala tympani electrodes. PMID- 6575642 TI - Speech coding: recognizing what we do not hear in speech. AB - Speech is a highly redundant signal. The redundant nature of speech is important for providing reliable communication over air pathways. A large part of this redundancy is useless for speech communication over digital channels. Speech coding aims at minimizing the information rate needed to reproduce a speech signal with specified fidelity. In this paper, we discuss factors that influence the design of efficient speech coders. The encoding and decoding processes invariably introduce error (noise and distortion) in the speech signal. Inability of the human ear to hear certain kinds of distortions in the speech signal plays a crucial role in producing high-quality speech at low bit rates. The physical difference between the waveforms of a given speech signal and its coded replica generally does not tell us much about the subjective quality of the coded signal. A signal-to-noise ratio as small as 10 dB can be tolerated in the coded signal provided the errors are distributed both in time and frequency domains where they are least audible. Recent work on auditory masking has provided us with new insights for optimizing the performance of speech coders. This paper reviews this work and discusses new speech coding methods that attempt to maximize the perceptual similarity between the original speech signal and its coded replica. These new methods make it possible to reproduce speech signals at very low bit rates with little or no audible distortion. PMID- 6575643 TI - Thin-film electrode fabrication techniques. AB - After a long developmental effort, we can now fabricate, using thin-film techniques, both rigid modiolar multielectrodes and flexible scala tympani multielectrodes which we believe appropriate for long-term implantation in human subjects. In vitro and in vivo life tests are in progress to confirm this expectation. PMID- 6575644 TI - Design and fabrication of the banded electrode array. AB - The banded electrode array is a simple and effective array for multiple-channel cochlear stimulation and meets the necessary design requirements. PMID- 6575645 TI - Acoustic properties used for the identification of speech sounds. PMID- 6575646 TI - Cochlear pathology with chronically implanted scala tympani electrodes. AB - In summary, these results with chronic implantation of three types of scala tympani electrode indicate the critical importance of two factors in reducing the risk of additional damage to cochlear structure by implantation surgery: (1) The shape and mechanical characteristics of the array must be precisely controlled such that insertion can be performed with an acceptably low incidence of trauma; and (2) the specific electrode materials and fabrication procedures must be demonstrated to be highly biocompatible in in vivo animal control studies. It appears that the neuronal elements of a prior normal cochlea (in the cat) can withstand chronic implantation of scala tympani electrodes (for at least 1 year) if these two prerequisites are met. The effects of chronic electrical stimulation with these arrays at current levels appropriate for the operation of such devices in patients is not known at present. PMID- 6575647 TI - Relation of cochlear implant function to histopathology in monkeys. PMID- 6575648 TI - Speech recognition in deaf subjects with multichannel intracochlear electrodes. PMID- 6575649 TI - Percepts from modiolar (eighth nerve) stimulation. PMID- 6575650 TI - Percepts from scala tympani stimulation. AB - The characteristics of the sensations produced by activating one electrode at a time are summarized as follows: (a) Loudness was found to increase with current level and pitch with repetition rate. (b) Pitch and sharpness increased in the apical-to-basal direction, and vowel labels could be assigned to sensations produced by individual electrodes in accordance with the tonotopical organization of the cochlea. (c) Results from triadic comparisons provided evidence that the sensations produced by repetition rate and electrode position are perceptually separable. (d) For short-duration stimuli, the discrimination performance for electrode trajectories was much better than that for repetition rate trajectories. For noncoincidental two-electrode stimulation, triadic comparisons showed that two perceptual components, one related to the more basal electrode and the other to the more apical one, could be discerned. Speech-coding considerations based on these psychophysical results are discussed. PMID- 6575651 TI - Percepts elicited by different speech-coding strategies. PMID- 6575652 TI - Speech perception with promontory stimulation. PMID- 6575653 TI - Clinical results with cochlear prostheses. Introductory remarks. AB - Reports on results of cochlear prostheses have left open many questions. More information on implanted persons is needed to counterbalance the fact of small sample size and heterogeneous makeup of the implanted patient groups. The precise use of audiological and phonetic terms in reporting on postimplantation test results could help to clarify the influence of different electrode setups, electrode locations, and coding features, and to make results comparable between different centers. PMID- 6575654 TI - The effects of signal processing by the House-Urban single-channel stimulator on auditory perception abilities of patients with cochlear implants. PMID- 6575655 TI - Clinical aspects of extracochlear electrical stimulation. PMID- 6575656 TI - Auditory results with single-channel implants. PMID- 6575657 TI - Surgical approach for insertion of multichannel electrodes into the scala tympani. PMID- 6575658 TI - Computerized testing of signal-encoding strategies with round-window implants. AB - After extensive testing of a patient with two bipolar modiolar electrodes connected to a percutaneous plug in 1977, we provided four patients with a single channel monopolar round-window electrode connected to a tuned radio-frequency receiver coil. Loudness and pitch discrimination and results of psychophysical scaling experiments of extracochlear electrodes are comparable to those with intracochlear stimulation. Extensive testing with a computerized test system and with tape-recorded and live speech material showed that accurate vowel and speaker identification by stimulation alone is possible and that discrimination by lipreading is considerably improved. Interactive training sessions further improve discrimination results. Different signal-encoding algorithms can be used to generate in real time stimulation signals from prestored speech parameters (such as pitch, gain, formants, and zerocrossing intervals). PMID- 6575659 TI - Clinical results with a multichannel pseudobipolar system. PMID- 6575660 TI - Results of stimulus and speech-coding schemes applied to multichannel electrodes. PMID- 6575661 TI - Long-term results of the multichannel cochlear implant. AB - Clinical results obtained with the multichannel cochlear implant are described in 48 cases of total deafness (27 cases of prelingual and 21 cases of postlingual deafness). The tolerance for implanted material and the survival of the electrode nerve interface have not yet been altered after more than 5 years. After some months of training the patients, the percentages of phoneme-, word-, and sentence recognition vary from one patient to another, but depend approximately on the value of the threshold level of the round-window stimulation test, and the degree of socialization of each patient. These results suggest that the multichannel cochlear implant may now be considered as a useful tool in the rehabilitation of totally deaf persons. PMID- 6575662 TI - Techniques for computers recognition of speech. AB - This paper provides a review of the state of the art in speech recognition by machine. Although many speech recognition systems have been demonstrated and several commercial products are currently being used in selected environments, computer speech recognition has still very limited capabilities when compared with human performance. Typical component subsystems at the acoustic, phonetic, syntactic, and semantic level are described. The major problems in developing recognition systems and their performance under various conditions are presented. PMID- 6575663 TI - Comparison of percepts found with cochlear implant devices. AB - Much of what has been observed in psychoacoustic testing of implanted listeners is similar to that seen in normal or hearing-impaired listeners with only parametric modification. What is lacking is evidence for critical band phenomena and for frequency selectivity. The unique interaction of waveform and sensation level with pitch, loudness, and threshold appears only in implanted listeners. Direct waveform processing, without spectral decomposition, appears to be the means by which information is brought to the nervous system through electrical stimulation. The operations by which this is coded to create percepts of pitch and loudness remain to be elucidated. PMID- 6575664 TI - Estimating nerve survival by electrical ABR. PMID- 6575665 TI - Auditory assessment strategy and materials for adult and child candidates for cochlear implantation. PMID- 6575666 TI - Results for some patients with cochlear implants on the minimal auditory capabilities (MAC) battery. PMID- 6575667 TI - Impact of FDA regulations on the cochlear implant field. AB - An overview of the impact of the FDA's investigational device regulation on the field of the cochlear implants has been presented. It can be seen that the regulation has been established to provide a legal framework for conducting clinical investigations with medical devices. The regulation incorporates the concepts of institutional review and the informed consent of the patient. These concepts are not new; they have existed for a long time as part of medical research in the United States. We believe that the institutional review board will serve to effectively review and monitor the clinical course of patients receiving cochlear implants. We also believe that we have developed a regulation that maximizes patient safety, while encouraging investigation of the device. We understand and appreciate that IRB monitoring is far more efficient and effective than having FDA personnel on hand at various institutions around the country to monitor investigational studies. We know full well the added complexity that a bureaucratic monitoring process can bring to a clinical investigation. We think that the IRB approach is the most direct, straightforward, protective, and cost effective approach that can be taken. We appreciate the benefit that a patient receives in having a competent and expert investigator. The regulations were written to rely on these investigators for expertise in their particular specialty in conducting and evaluating the clinical studies. We recognize the role of the sponsor, who has made a commitment to the improvement of health care through advancement in technology, and who seeks to restore or to produce some degree of hearing for the totally deaf. Without a sponsor, these studies would not be possible. And last, but not least, we recognize the all-important role of the patient, who provides the clinical data base. The patient's welfare and safety must be considered in any clinical study. The IDE regulation has been in effect since July 1980. It provides the opportunity for the FDA and the medical and scientific communities to work together for the success of medical-device investigations. We can all pride ourselves on our high standard of medical excellence. When we can work together, this standard will rise even higher. PMID- 6575668 TI - Histopathology of profound sensorineural deafness. AB - In all the cases of profound deafness that we examined, the sensory epithelium along the basilar membrane had severely degenerated. However, ganglion cell counts and peripheral fiber estimates demonstrated a high degree of variability when analyzed with respect to the state of the organ of Corti or the etiology of the original cochlear disorder. We conclude that a complex interplay of factors determines the number of cells remaining in the spiral ganglion at a given time. It appears impossible at present to predict which diseases or toxic states produce primarily a sensory loss while leaving a uniform and adequate number of cochlear neurons functionally intact. We would like to emphasize that although the ganglion cell counts were consistently reduced in all our cases of profound sensorineural deafness, it has always been a surprise to us to find that the actual numbers of surviving cells are considerable. Of 15 patients, all of whom were totally deaf, only 3 had ganglion cell counts less than 10,000, whereas the majority had counts well above 15,000. Observations of this kind are possible only if accurate ganglion cell counts are carried out. Estimating the number of spiral ganglion cells by only looking at microscopic sections usually results in estimates of greater cell loss than is actually present. PMID- 6575669 TI - The perception of fluent speech. AB - The perception of fluent speech involves both acoustic-driven and knowledge driven sources of information. Acoustic sources that directly convey information about higher-order linguistic characteristics include the suprasegmental aspects of speech, associated with the acoustic cues of fundamental frequency, duration, and intensity. From the standpoint of cochlear prostheses, interest in listeners' perception of these suprasegmentals is heightened by the fact that these properties are typically among the best preserved sources of speech information in the sensorineural hearing-impaired. Studies with normal listeners indicate that suprasegmentals provide cues to such linguistic factors as word stress, syntactic structure, and semantic interpretation. In addition, they supply information about many nonlinguistic characteristics of the speaker. Research on knowledge-driven processes indicates that normal listeners utilize knowledge of lexical, syntactic, and semantic constraints of the language to guide the segmentation of speech into word-like units and to select among candidate word choices. These findings are related to research with hearing-impaired listeners and prosthesis testing. PMID- 6575670 TI - Coding of the speech spectrum in three time-varying sinusoids. AB - Recent perceptual experiments with normal adult listeners show that phonetic information can readily be conveyed by sinewave replicas of speech signals. These tonal patterns are made of three sinusoids set equal in frequency and amplitude to the respective peaks of the first three formants of natural-speech utterances. Unlike natural and most synthetic speech, the spectrum of sinusoidal patterns contains neither harmonics nor broadband formants, and is identified as grossly unnatural in voice timbre. Despite this drastic recoding of the short-time speech spectrum, listeners perceive the phonetic content if the temporal properties of spectrum variation are preserved. These observations suggest that phonetic perception may depend on properties of coherent spectrum variation, a second order property of the acoustic signal, rather than any particular set of acoustic elements present in speech signals. PMID- 6575671 TI - A fiber sum modulation code for a cochlear prosthesis. PMID- 6575672 TI - Coding of sound in a cochlear prosthesis: some theoretical and practical considerations. PMID- 6575673 TI - Spatiotemporal response patterns in populations of cochlear nerve fibers: single- and two-tone studies. PMID- 6575674 TI - Adaptation in the auditory periphery. PMID- 6575675 TI - Speech encoding in the auditory nerve: implications for cochlear implants. PMID- 6575676 TI - The conversion of fibrinogen to fibrin: events and recollections from 1942 to 1982. PMID- 6575677 TI - Molecular biology of fibrinogen and fibrin. PMID- 6575678 TI - The plasma fibrinogen fraction with elevated sialic acid content and elongated gamma chains. Discussion paper. PMID- 6575679 TI - Heterogeneity of normal human fibrinogen due to two high molecular weight variant gamma chains. PMID- 6575680 TI - Congenital fibrinogen abnormalities. PMID- 6575681 TI - The structure and evolution of vertebrate fibrinogen. PMID- 6575682 TI - Electron microscopy of fibrinogen, its plasmic fragments and small polymers. PMID- 6575683 TI - Morphology of fibrinogen monomers and of fibrin protofibrils. PMID- 6575684 TI - The structure of fibrinogen and fibrin: I. Electron microscopy and X-ray crystallography of fibrinogen. PMID- 6575685 TI - Laser diffraction of oriented fibrinogen molecules. PMID- 6575686 TI - New approaches to old problems in the clotting of fibrinogen. PMID- 6575687 TI - Factors influencing fibrin gel structure studied by flow measurement. PMID- 6575688 TI - Fibrinopeptide B in fibrin assembly and metabolism: physiologic significance in delayed release of the peptide. AB - The delayed release of peptide B that accelerates towards the end of fibrin formation unmasks accessory (b-) epitopes for monomer interaction. Ultracentrifuge and chromatographic analysis of the composition and dissociation of soluble complexes formed by monomers in fibrinogen solution indicate that the b-epitope augments aggregation by acting cooperatively with the a-epitope to reinforce rather than cross-bridge oligomer assembly. Monomer/fibrinogen association by coordinated interactions through both epitopes is strengthened by an additional order of magnitude over associations (10(7) and 1.6 X 10(6) M-1) through the a- and b-epitopes individually, without affecting oligomer thickness. It is suggested that the delayed release of B has purpose in allowing early complexes to dissociate for (1) rapid equilibration across interstitial fluids, and for (2) rapid uptake by phagocytic cells which depend on access to the a epitope for monomer absorption. In late stages of coagulation, stabilization of oligomer assembly imparted by the b-epitope blocks both equilibration of fibrin concentrations and phagocytic clearance of the fibrin to localize deposition. PMID- 6575689 TI - Covalent structure of fibrinogen. PMID- 6575690 TI - Chemical modification of fibrinogen and the effect on fibrin formation. PMID- 6575691 TI - Fibrin polymerization sites in fibrinogen and fibrin fragments. PMID- 6575692 TI - Synthetic peptides modeled on fibrin polymerization sites. PMID- 6575693 TI - Interaction of thrombin and fibrinogen and the polymerization of fibrin monomer. PMID- 6575694 TI - The structure of fibrinogen and fibrin: II. Architecture of the fibrin clot. AB - Our present low resolution model for fibrinogen based on electron microscopy and x-ray diffraction data has been described by Cohen et al. A unique aspect of the structural analysis of fibrous proteins is that the molecular packing in ordered arrays reflects biologically significant intermolecular interactions. We have shown that the orthogonal sheet microcrystals, which are closely related to fibrin, are made up of a highly regular arrangement of two-stranded protofibrils, and we have visualized aspects of both the substructure of the protofibrils as well as their packing to form the fibrin clot. By correlation of structural data with biochemical studies we have begun to identify certain functional regions of the fibrinogen model related to fibrin. Many aspects of fibrinogen's physiological activity remain to be related to its structure. As our present model is improved by higher resolution studies, we will see with increasing clarity molecular features critical for clot formation and fibrinolysis. PMID- 6575695 TI - Orientation of fibrin in strong magnetic fields. AB - Magnetic field orientation can be considered as a new valuable technique for the study of fibrin. Birefringence measurements during polymerization in the magnetic field enables a new approach to study the mode of association of fibrin monomers. Stable fully oriented clots can be obtained for investigation of the three dimensional and the secondary structures of the fibrin fiber. Such experiments could be useful to assess the structure of other biopolymers diamagnetically anisotropic. PMID- 6575696 TI - The abnormal carbohydrate composition of the dysfibrinogenemia associated with liver disease. PMID- 6575697 TI - The occurrence and clinical relevance of fibrin fragments in blood. PMID- 6575698 TI - Vasoactive peptides derived from degradation of fibrinogen and fibrin. PMID- 6575699 TI - Translational and cotranslational events in fibrinogen synthesis. AB - What we have shown in these studies are some of the first steps in the assembly of fibrinogen. We believe that using the hepatocyte culture system together with molecules capable of stimulating an increase in synthesis holds much promise in helping to learn how the cell puts together this elegant and complicated molecule. Moreover, these studies may also provide clues to mechanisms operant for other complex proteins produced by the liver. PMID- 6575700 TI - Cloning of fibrinogen genes and their cDNA. AB - Cross-species hybridizations have enabled us to isolate and clone the gene for the beta chain of human fibrinogen. Highlights of the gene for the beta chain revealed by nucleotide sequence analyses, particularly in areas that have a direct bearing on defining the overall organization of the gene, have been presented. Nucleotide sequence determination has confirmed the presence of seven intervening sequences. The positions where several of these intervening sequences interrupt the coding region appear to be related to the functional domains of the polypeptide. A putative signal peptide has been identified. Studies on the cDNA for the human alpha chain indicate that the alpha chain polypeptide may be synthesized in a precursor form with a COOH-terminal extension of 15 amino acids as compared to the alpha chain present in the mature molecule found in plasma. We are in the process of isolating the genes for the alpha and gamma chains by a similar approach. We are hopeful that these studies will provide information as to how they are regulated and how they have undergone changes in the course of evolution. PMID- 6575701 TI - Regulation and characterization of the mRNAs for the A alpha, B beta and gamma chains of fibrinogen. PMID- 6575702 TI - The biosynthesis of fibrinogen: in vivo studies. PMID- 6575703 TI - Enhancement of the streptokinase-induced activation of human plasminogen by human fibrinogen and human fibrinogen fragment D1. PMID- 6575704 TI - Binding of soluble fibrin to macrophages. PMID- 6575705 TI - Calcium-binding regions in fibrinogen. PMID- 6575706 TI - Fibrinogen heterogeneity. PMID- 6575707 TI - The secretory immune system. PMID- 6575708 TI - Salivary antibodies and systemic tolerance in mice after oral immunization with bacterial antigens. PMID- 6575709 TI - IgA rheumatoid factor: evidence for independent expression at local sites of tissue inflammation. PMID- 6575710 TI - Differences in processing of polymeric IgA and asialoglycoproteins by the rat liver. PMID- 6575711 TI - Comparative aspects of the hepatobiliary transport of IgA. PMID- 6575712 TI - Induction and expression of antibodies in secretions: the ocular immune system. PMID- 6575713 TI - The origins of secretory IgA in milk: a shift during lactation from a serum origin to local synthesis in the mammary gland. PMID- 6575714 TI - Abrogation of tolerance to fed antigen and induction of cell-mediated immunity in the gut-associated lymphoreticular tissues. PMID- 6575715 TI - Synthesis and secretion of IgA, IgM, and IgG by peripheral blood mononuclear cells in human disease states, by isolated human intestinal mononuclear cells, and by human bone marrow mononuclear cells from ribs. AB - We have examined the secretion of IgA, IgM, and IgG by isolated human intestinal MNC, human bone marrow MNC from rib specimens, and peripheral blood MNC from patients with CD, UC, SLE, and HSP. "Normal" control intestinal MNC exhibited high spontaneous secretion of IgA, whereas intestinal MNC from UC and CD patients exhibited only modest increases in IgA secretion. Peripheral blood MNC from patients with CD, UC, SLE, and HSP exhibited markedly elevated spontaneous secretion of immunoglobulins in general and IgA in particular. Pure human bone marrow MNC exhibited high spontaneous secretion of IgA with modest amounts of IgG and normal IgM being secreted. The addition of PWM to cultures in which high spontaneous synthesis and secretion of immunoglobulins was seen, resulted in no further enhancement, and in some instances suppression, of antibody secretion. In patients with autoimmune disease, there appeared to be dual immunoregulatory defects, one involving a lack of normal T-suppressor cell functional capabilities for spontaneous antibody synthesis, and the other the presence of PWM activable T suppressor cells. In human bone marrow, we have identified MNC that secrete suppressor factors in the presence of PWM and that are capable of inhibiting antibody synthesis and secretion. Column separation using Sephacryl S-300 revealed that the IgA secreted by "normal" control intestinal MNC is predominantly dimeric, whereas the IgA secreted by human bone marrow MNC is predominantly monomeric. Furthermore, mucosal MNC from patients with CD and uninvolved intestine from patients with UC exhibited patterns similar to control intestinal MNC, being predominantly dimeric IgA with some monomeric IgA secreted. By contrast, intestinal MNC from patients with UC had a decreased proportion of dimeric IgA and increased proportion of monomeric IgA, thus indicating that IgA precursor B-cells may have migrated into the intestine from extraintestinal sites, or that the normal dimeric IgA-secreting cells in the intestine had begun secreting increased proportion of monomeric IgA as well. These studies indicate that homing patterns and/or immunoregulation of IgA-secreting cells are altered in human intestine, bone marrow, and autoimmune disease states. PMID- 6575716 TI - Estrogen-mediated control of the secretory immune system in the uterus of the rat. PMID- 6575717 TI - The properties and role of receptors for IgA on human leukocytes. PMID- 6575718 TI - The influence of muramyl dipeptide on the secretory immune response. PMID- 6575719 TI - Passive immunity to transmissible gastroenteritis virus: intramammary viral inoculation of sows. AB - Sows were injected intramammarily with live-attenuated TGE virus, an enteric coronavirus--one sow during pregnancy and three sows during lactation. All sows were TGE antibody seronegative prior to inoculation except for one naturally infected sow inoculated during lactation. The animal injected during pregnancy had primarily IgG TGE antibodies in milk from all glands. By contrast, sows injected during lactation had IgA and IgM initially, and later IgA and IgG TGE antibodies in milk from injected and noninjected glands. The seropositive sow had elevated IgA TGE antibody titers in milk after IMm injection. Both seronegative sows inoculated intramammarily during lactation shed TGE virus in milk from injected glands, and their nursing piglets developed mild diarrhea and shed virus in their feces at three to nine DPE of the sows. Milk from IMm injected glands generally had higher TGE antibody titers than milk from noninjected glands. These results suggest that TGE virus replicates in lactating mammary gland tissue, thereby stimulating IgA immunocytes, leading to secretion of IgA antibodies in milk. Whether the intramammary route presents a natural route of enteric virus exposure in lactating animals (by way of infected nursing piglets), leading to IgA-antibody secretion in milk, requires further investigation. PMID- 6575720 TI - Monoclonal antibodies recognizing the secreted and membrane domains of the IgA dimer receptor. AB - The receptor that mediates the specific uptake and intracellular transport of dimeric immunoglobulin A (IgA dimer) in mucosal and glandular epithelia is identical with a transmembrane precursor of secreted secretory component. During transport, the IgA dimer receptor (membrane SC) is cleaved into two domains, a membrane anchorage peptide and secreted secretory component. We have produced monoclonal antibodies with distinct specificity against both domains of the rabbit IgA dimer receptor. Two mouse hybridoma lines were obtained by fusion of SP2/0 myeloma cells with spleen cells from mice immunized with purified receptor from rabbit liver and by screening of culture supernatants in an immunoprecipitation assay with radiolabeled receptor. One antibody, designated anti-SC 303, reacts both with membrane and secreted SC and is therefore directed to a determinant on the secreted domain of the IgA dimer receptor. The other antibody, anti-SC 166, unable to interact with secreted SC, recognizes the membrane domain of the receptor. We discussed the unique precursor relationship between a cell-surface receptor and a secreted protein and its implications in the IgA dimer transport system. PMID- 6575721 TI - In vitro antibacterial properties of AT-2266, a new pyridonecarboxylic acid. AB - AT-2266, 1-ethyl-6-fluoro-1,4-dihydro-4-oxo-7-(1-piperazinyl)-1,8-naphthyridine-3 -carboxylic acid, is a new pyridonecarboxylic acid derivative with broad and potent antibacterial activity. It inhibited some gram-positive bacteria, such as staphylococci and Bacillus subtilis, and most gram-negative bacteria, including Serratia marcescens, Pseudomonas aeruginosa, Haemophilus influenzae, and Campylobacter jejuni, at concentrations of 0.1 to 0.78 microgram/ml, and most gram-positive bacteria, glucose-nonfermenters, and Mycoplasma pneumoniae at concentrations of 1.56 to 12.5 micrograms/ml. Most of the clinical isolates tested were as susceptible to AT-2266 as were laboratory strains. The antibacterial potency of AT-2266 was higher than those of pipemidic acid and nalidixic acid and similar to that of norfloxacin. AT-2266 was not cross resistant with antibiotics and inhibited most highly nalidixic acid-resistant bacteria at concentrations of 1.56 to 3.13 micrograms/ml. Its activity was barely affected by the addition of horse serum or sodium cholate but weakened by lowering the medium pH or increasing the inoculum size. AT-2266 was bactericidal at concentrations near its minimal inhibitory concentrations. Frequencies of mutants resistant to 10 micrograms of AT-2266 per ml were lower than 4.0 x 10( 9). PMID- 6575722 TI - [Detection of human osteosarcoma-associated antigens by monoclonal antibodies]. AB - Hybrid cell lines have been derived from a fusion between mouse myeloma cell line, NS1/Ag 4-1, and spleen cells from BALB/c mice immunized with freshly resected osteosarcoma cells from an untreated patient. Of the 276 hybrids obtained, five secreted antibodies which bound to osteosarcoma tissues but not to autologous skin fibroblasts. Antibodies secreted by individual hybrids were tested for their reaction with a panel of human normal and tumor tissues in an immunofluorescence assay, and they displayed different specificities. Two of these antibodies, OST2 and OST4, bound to osteosarcoma tissues and to some other tumors and normal tissues. The antibodies from three of these five hybrids, OST6, OST7, and OST15, reacted with all of seven osteosarcoma tissues and one chondrosarcoma tissue but not with other malignant or benign tumors. Tests of various normal tissues were negative, except for weak binding to a subpopulation of chondrocytes in calcified areas of cartilage near the subchondral bone. Interestingly, none of the antibodies showed reactivity with three osteosarcoma cell lines, Te 85, Te 418, and MG 63. The experiments established the usefulness of the hybridoma technique in preparing monospecific antibodies against human osteosarcoma associated antigens. In particular, this study demonstrates that the use of freshly resected tumor tissues in preparing monoclonal antibodies would provide a necessary tool for the study of tumor associated antigens. PMID- 6575723 TI - [Combination chemotherapy of primary adenocarcinoma of the lung using adriamycin, ACNU, and vindesine]. AB - Since July 1980, thirty patients with inoperable adenocarcinoma of the lung have been treated with ANV. Induction chemotherapy (Adriamycin 35 mg/m2 i.v. days 1 and 22, ACNU 2 mg/kg i.v. day 1, vindesine 2 mg/m2 i.v. days 1, and 22) was given for 2 courses (or 1 course) at 3-week intervals. Maintenance chemotherapy was performed with reduced doses and elongated intervals. Characteristics of 30 patients were as follows: 13 males and 17 females; mean age 55 (range 32-77); mean PS 1.6, prior chemotherapy 3 cases; tumor involving bone (53%), brain (20%) and cervical node (23%). Of 27 patients who received no prior chemotherapy, 2 patients were unmeasurable because of pleural effusion. After one course of induction chemotherapy, 7 out of 25 patients achieved PR (response rate: 28%), 5 MRS (20%), 10 NCS, and 3 PDS. When patients were divided into the youngers (32-59 years old, mean 47) and the older (60-77 years old, mean 67), the youngers showed apparently higher response rate (6/17, 35%) than the olders (1/8, 13%). When patients were divided into three groups by the grade of cell differentiation, response rates were 0/5 (0%) in the well differentiated group, 2/6 (33%) in the moderately differentiated group, and 5/11 (45%) in the poorly differentiated group. The median survival time for all patients was 9 months; the younger 8 months, the older 9 months, well differentiated 11 months, moderately differentiated 9 months, and poorly differentiated 7 months. Survival time of responders was not significantly (P greater than 0.05) longer than that of non responders. Toxicities were mild: leucopenia (less than 4,000) found in 85%, thrombocytopenia (less than 100,000) in 8%, anorexia in 54%, nausea and vomiting in 39%, and alopecia in 82%. PMID- 6575724 TI - [Drug sensitivity of human acute myelocytic leukemia cells (HL-60) and normal human myelocytes (CFU-C) in a co-culture]. AB - The chemotherapeutic susceptibility of normal human granulocyte-macrophage progenitor cells (CFU-C) and established human acute myelogenous leukemia (AML) cells (HL-60) in co-culture were determined. Nucleated marrow cells (2 X 10(5)) and HL-60 cells (5 X 10(3)) were mixed in 0.33% agar containing McCoy's 5a medium, 10% fetal calf serum, 0.1 ml of human placenta-conditioned medium and various concentrations of vincristine, cytosine arabinoside or daunorubicin to a total of 1.1 ml. They were incubated in 5% humidified CO2 at 37 degrees C for 8 to 10 days. CFU-C and HL-60 colonies were differentiated morphologically. In the absence of chemotherapeutic agents, the CFU-C colony formation was inhibited with the increasing number of HL-60 cells. CFU-C is equivalent or less sensitive than the leukemic cells in separate culture, but in co-culture it becomes more susceptible to vincristine and daunorubicin. These data indicate AML cells exert inhibitory effects on normal marrow CFU-C. In such state, normal hematopoietic cells become more susceptible to certain chemotherapeutic agents. PMID- 6575725 TI - [Clinical effects of human lymphoblastoid interferon in patients with hematologic neoplasms]. AB - Sixteen patients with hematologic neoplasms were treated with Human Lymphoblastoid Interferon (HL-BI) derived from Namalwa cell line. They were 6 multiple myeloma, 8 acute leukemia and 2 malignant lymphoma patients. All patients were previously treated with anticancer agents except one case with multiple myeloma. HLBI, 3.0 X 10(6) IU/day, was daily administered by intramuscular injection at least for 4 weeks. Three of 6 multiple myeloma responded to HLBI with a decrease of more than 25% in serum myeloma protein level. A case with pleural effusion due to massive infiltration of myeloma cells treated with intrathoratic administration of HLBI, in whom complete disappearance of pleural effusion was recognized. On the other hand, no patients with acute leukemia and malignant lymphoma responded except one case with acute lymphocytic leukemia, in which bone marrow lymphoblasts decreased transiently. Fever episodes, 13 of 16 cases, were more frequently seen but were manageable. Transient leukocytopenia and thrombocytopenia were also observed in 4 and 7 of 8 cases, respectively. No anaphylactoid reaction was seen. Thus, HLBI was expected useful in the clinical management of multiple myeloma. PMID- 6575726 TI - [Preservation of the affected limbs in the treatment of osteosarcoma in children]. AB - The pre-operative radiotherapy and systemic chemotherapy is effective in reducing the size of tumor and making the tumor resectable. The results achieved with systemic chemotherapy are ultimately reflected in improved survival. Moreover, limb-saving procedure in the treatment of osteosarcoma has become possible with rationality in carefully selected patients. Sixty-seven patients with osteosarcoma within a range of 5 to 27 years of age were treated at Chiba Cancer Center Hospital in the recent 12 year-duration. Seventeen of 67 patients underwent en bloc resection for osteosarcoma of the femur, (12 patients) and the tibia (5 patients). No patients had evidence of local recurrence of the tumor and overall 15 patients are alive without distant metastasis after 9 to 120 months follow-up. Based on the effective chemotherapy schedule, the limb salvation in the treatment of osteosarcoma is most desirable if it is indicated without risk of decreased radicality of the treatment. PMID- 6575727 TI - [Adriamycin-aclacinomycin therapy (AA therapy) for acute leukemia unresponsive to BH-AC-DMP therapy]. AB - Eight adults with acute non-lymphocytic leukemia refractory to BH-AC.DMP therapy (N4-behenoyl-1-beta-D-arabinofuranosylcytosine, daunomycin, 6-mercaptopurine and prednisolone) were treated with a combination therapy of anthracycline antibiotics: adriamycin and aclacinomycin A (AA therapy). Four of five patients, who had received neither adriamycin nor aclacinomycin A previously, achieved complete remission after one course of AA therapy with a median time to remission of 24.5 days (ranging from 21 to 31 days). Two cases were in first remission induction phase and the other two were in first of third relapse. Three cases still maintain complete remission and the durations of remission range from 3 to over 14 months. Major side effects were loss of hair (100%) and myocardial damage (64%). T wave flattening and appearance of U wave in ECG were noted a few days after receiving chemotherapy but those changes returned to normal within 2 to 3 weeks. Ventricular fibrillation was observed in one case, which was refractory to chemotherapy and complicated by sepsis and electrolytes imbalance. Thus, this regimen deserves to be tried as a remission induction in patients with refractory acute non-lymphocytic leukemia. PMID- 6575728 TI - [Pancreatic and biliary excretion of 1-(4-amino-2-methyl-5-pyrimidinyl) methyl-3 (2-chloroethyl)-3-nitrosourea hydrochloride (ACNU) in man]. AB - For the purpose of examining the transfer of anticancer drug into pancreatic juice and hepatic bile, 1-(4-amino-2-methyl-5-pyrimidinyl) methyl-3-(2 chloroethyl)-3-nitrosourea hydrochloride (ACNU) was given to 6 pancreaticoduodenectomized patients with periampullary cancer. The pancreatic juice and bile were collected through the pancreatic or biliary duct drainage before and after the intravenous administration of ACNU (2 mg/kg) for 210 minutes. ACNU concentrations of the pancreatic juice and hepatic bile reached to the maximum 15 minutes and 30 minutes after administration, respectively, and high transfer rates were sustained in both fluids. ACNU concentrations in the hepatic bile were higher than in the pancreatic juice in all cases. PMID- 6575729 TI - [Administration of aclarubicin in malignant lymphoma]. PMID- 6575731 TI - Infective endocarditis in a patient with acute leukemia. PMID- 6575730 TI - [Prediction of resistance to remission induction in acute leukemia in adult]. AB - Twenty-two patients with adult acute non-lymphocytic leukemia treated with intensive combination chemotherapy between November 1975 and April 1982 were retrospectively analyzed to see if we could find useful clinical parameters which could predict those patients who, after failing their initial treatment cycle, would respond to subsequent cycles of the same regimen. Three groups of patients were identified. Eight patients achieved complete remission with one cycle of chemotherapy; seven patients achieved complete remission with a second cycle of the same regimen and seven patients did not respond. Marrow studies performed approximately 3 weeks following the first cycle of therapy were analyzed. Patients who subsequently responded to the regimen differed from non-responders in the residual blasts percentage in the marrow obtained 20-24 days after the initiation of the first cycle. Patients who responded to a second cycle had 11 36% blasts (mean 24%), while non-responders had 35-96% blasts (mean 66%) (p less than 0.01). No patients with more than 40% blasts in their bone marrow achieved complete remission. We concluded that patients with more than 40% blasts in their bone marrow 20-24 days after the initiation of the first cycle of the chemotherapy regimens used should receive an alternate regimen for a second cycle of induction therapy. PMID- 6575732 TI - In vitro expression of nitrogenase activity in Parasponia-Rhizobium strain ANU 289. AB - Rhizobium strain ANU 289 derepressed nitrogenase activity under defined in vitro conditions. Acetylene reduction was detected both in agar and liquid stationary culture. The strain is capable of nitrogen-fixing nodulation of legumes [such as siratro (Macroptilium atropurpureum Urb] as well as the non-legumes Parasponia andersonii and P. rugosa. Nitrogenase activity as high as 40-70 nmol C2H4 per mg protein after 7 days of incubation was detected. Strain ANU 289 was similar to Rhizobium strains 32 H1 and CB 756 with regard to oxygen requirement in the gas phase for development of nitrogenase activity between 0 and 10% O2, but showed increased sensitivity to oxygen repression at 20% O2. Strain ANU 289 also showed pronounced sensitivity to exogenous glutamine compared to strains 32 H1 and CB 756. PMID- 6575733 TI - Methylamine metabolism and its role in nitrogenase "switch off" in Rhodopseudomonas capsulata. AB - In the photosynthetic bacterium Rhodopseudomonas capsulata, NH4+ switch-off of nitrogenase activity can be mimicked by its analog, methylamine. Like NH4+, methylamine appeared to require processing by glutamine synthetase (GS) before it was effective; gamma-glutamylmethylamide was shown to be the product of this reaction. Evidence that this glutamine analog functioned directly to initiate nitrogenase inactivation was suggested first by the fact that it was a poor substrate for glutamate synthase (i.e., it was not further metabolized by this pathway) and secondly, azaserine which blocks the transfer of the glutamine amide group had no effect on CH3NH3+ (or NH4+) switch-off. These observations are taken as preliminary evidence to suggest that when NH4+ inhibits nitrogenase activity, inactivation is initiated by glutamine itself, and not a molecule derived from it. Finally, evidence was presented that R. capsulata would use CH3NH3+ as a nitrogen substrate, but lag periods and generation times increased with subsequent passages. PMID- 6575734 TI - Whole cell respiration and nitrogenase activities in Azotobacter vinelandii growing in oxygen controlled continuous culture. PMID- 6575735 TI - Immuno-radiometric assays for human salivary acidic proline-rich proteins and their N- and C-terminal fragments. AB - An immuno-radiometric assay was developed for acidic proline-rich proteins from human saliva, and assays designed which specifically detect the N- or C-terminal parts of the proteins. The immuno-radiometric assay depends on the binding of antigen to paper discs coated with specific antibodies. Subsequently, the discs are incubated with radioactive specific antibodies. The amount of radioactive antibodies bound to the discs depends on the amount of antigen already adhering to the discs. PMID- 6575736 TI - A comparison of the acid-base metabolisms of pooled human dental plaque and salivary sediment. AB - The acid-base metabolisms of the mixed bacteria in pooled dental plaque and salivary sediment sampled from the same subjects were compared in vitro. Plaque at a suspension concentration of 8.3 per cent (v/v) was found to produce pH responses like those of sediment at 16.7 per cent (v/v) with all substrates and under all incubation conditions tested. The substrates examined included several carbohydrates (glucose, sucrose and starch) and several nitrogenous substrates (urea, arginine and the arginine peptide glycyl-glycyl-lysyl-arginine also called sialin). Also examined were the effects of endogenous substrates and of salivary supernatant and fluoride. A difference in suspension concentration was necessary to achieve similarity in pH response which was attributed to the presence of more non-viable epithelial cells in sediment than in plaque. Under these conditions, salivary sediment showed a slightly greater buffering capacity than plaque, a difference that was not evident if salivary supernatant was present. It was clear from this study that salivary sediment and pooled dental plaque from the same subjects have similar acid-base metabolisms and that the more abundant and readily available sediment could be used to study such metabolism in dental plaque. PMID- 6575737 TI - Changes in polyamine metabolism during experimental periodontitis in dogs and the role of putrescine in recovery. AB - There are many reports showing a close relationship between polyamine metabolism and tissue growth or the recovery of damaged tissues, such as that occurring after partial hepatectomy. Therefore, it was proposed that the metabolism of polyamines might change in periodontitis induced by attaching surgical ligatures below the gingival margin of dog molars. One to two days after fixing the ligatures, the putrescine content and activity of ornithine decarboxylase in the tissue rose to about twice the control levels and then decreased gradually to control levels on day 7. No significant change in spermidine or spermine concentration was observed during this period. When the ligatures were removed on day 7, the putrescine content increased to about 2.5 times the normal level within 12 h. Ornithine decarboxylase activity changed in parallel with the change in putrescine content. Clinical and histopathological indications of periodontitis then started to decrease and had almost disappeared 2 weeks after removal of the ligatures. On the other hand, when the ligatures were removed on day 14, no significant increase in putrescine content was observed within 36 h and the rate of recovery from periodontitis was significantly slower than when the ligatures were removed on day 7. However, application of putrescine to the periodontal pocket immediately after removal of the ligatures on day 14 increased the rate of recovery, as determined by histological criteria. These findings suggest that putrescine or its metabolites are important in the process of recovery from periodontitis. PMID- 6575738 TI - Relationship of the basic glycoprotein to the basic proline-rich proteins in human parotid saliva. PMID- 6575739 TI - Effect of developmental stage of explants on further in-vitro development of hamster molars. AB - With morphometrical and biochemical methods the in-vitro development of 1-4-day old 2nd maxillary molars was studied up to 10 days and compared with previously reported in-vivo development. Incorporation of [3H]-thymidine and increase in dry weight were used as biochemical parameters for cell proliferation and growth respectively specific alkaline phosphatase activity and uptake of 45Ca as the measure for mineralization. In explants of 2-4-day-old hamsters, formation of dentine and enamel matrix was consistent: both mineralized. These explants attained stages beyond enamel matrix formation, possibly the transitional stages of amelogenesis. The amounts of matrices produced appeared to be related to the final size the explants attained. Best in-vitro development histologically was in explants of 2 and 3-day-olds. Thus in-vitro development was qualitatively similar to in vivo. PMID- 6575740 TI - Structural organization of calcospherites in normal and rachitic human dentine. AB - The structure of human dentine affected by familial hypophosphataemic rickets was investigated by polarized light and electron microscopy. Within the calcospherites both radially-orientated and collagen-orientated crystals were present, in approximately equal numbers. This was so, but less distinctly, in the calcospherites of normal dentine. It is concluded that dentine mineralizes entirely by formation of calcospherities which coalesce. It is proposed that matrix vesicles are probably responsible for the initiation of mineralization, and that growth of the calcospherites may depend on scavenging of inorganic pyrophosphate by the first-formed crystals. Growth of these crystals is thus poisoned but the resulting removal of inhibition allows deposition of further crystals by precipitation and by nucleation on collagen. The rachitic structure of dentine appeared to be due to slow calcospherite growth, probably as a result of the depressed serum phosphate characteristic of the disease. PMID- 6575741 TI - The occurrence of a lamellated nerve terminal in the periodontal ligament of the rat incisor. PMID- 6575742 TI - Diffusion of small ionic species in human saliva, plaque fluid and plaque residue in vitro. AB - The tracer diffusion of small ionic species was investigated in water, saliva, dental plaque fluid and in plaque residue packed by a range of g forces. Diffusion rate of NaCl was similar in water, saliva and plaque fluid. The rate of CaCl2, NaH2PO4, Na2HPO4 and Na2SO4 was less in both saliva and plaque fluid. Diffusion rate of all ionic species tested was significantly less in plaque residue, most of all for CaCl2. In plaque fluid, plaque residue and water, an inverse linear relationship was found between log diffusion coefficients and log molecular weights. Increasing the tortuosity of the diffusion path, by packing plaque residue, further reduced the diffusion rate of NaH2PO4 and NaHCO3. In terms of three-dimensional diffusion, in plaque fluid, NaH2PO4, Na2HPO4 and CaCl2 diffused a distance of 300 microns within 25 s, whereas in plaque residue the equivalent diffusion times were 1.5-5.7 min. The unique retardation of CaCl2 in plaque residue implicated both non-specific and specific binding interactions. PMID- 6575743 TI - On the self-perception of jaw positions in man. AB - A longitudinal study shows that, in the short-term, dentate subjects are able to match fairly well the magnitude of jaw separations to any of three types of memorized standards (imagined, verbally imposed and physically imposed) of various dimensions. All subjects showed instability of the comparison mechanism or long-term changes in the engram. About 66 per cent of the matches were performed with the same precision. The relative precision of the matches is almost independent of the size of the standard. The absolute precision of matching of dentate subjects is similar to that of edentulous subjects. In half of the experiments, the subjects showed a match that equals the magnitude of the verbal standard or the real standard. The subjects tend to give more accurate matches when they refer to a verbal standard than when they refer to a real standard, but the long-term instability of matching is much greater when the subjects refer to a verbal standard than when the subjects refer to a real standard. PMID- 6575744 TI - Control of sugar utilization in the oral bacteria Streptococcus salivarius and Streptococcus sanguis by the phosphoenolpyruvate: glucose phosphotransferase system. AB - Three different Strep. salivarius (G2, G5 and G29) and two Strep. sanguis (GS3 and GS12) mutants affected in the phosphoenolpyruvate: glucose phosphotransferase system were selected on agar plates containing lactose and 2-deoxyglucose. All 5 were defective in a membrane-bound component of the transport system and grew less rapidly than the parent strain in 5 mM glucose-containing medium. Mutants G2 and G29 grew poorly in the presence of 5 mM mannose. Growth on mixed substrates revealed that the mutants and wild-type parents behaved differently. Wild-type strains in medium containing glucose plus another sugar (lactose, galactose, melibiose, raffinose or trehalose for Strep. salivarius and lactose, galactose or trehalose for Strep. sanguis) always exhausted most of the glucose before utilizing the other sugar. The mutants used the second sugar concurrently or preferentially to glucose. In medium containing glucose plus fructose or mannose, the wild types consumed both sugars concurrently whereas the mutants utilized the second sugar before glucose. Mutants G2 and G5 were insensitive to repression by fructose and released glucose into the medium when grown in the presence of 0.4 per cent lactose. Mutant G5 also released galactose. Sugar release was not detected with the wild types. The Strep. salivarius mutants contained normal levels of glucokinase and beta-galactosidase but G5 was almost totally devoid of galactokinase activity after growth on lactose. On galactose, the activity was restored. It seems that the phosphoenolpyruvate: glucose phosphotransferase system is involved in the regulation of sugar utilization in these two streptococci. PMID- 6575745 TI - Architecture of minor salivary gland duct/lymphoid follicle associations and possible antigen-recognition sites in the monkey Macaca fascicularis. AB - In Macaca fascicularis, lymphoid follicles with germinal centres related to minor salivary gland ducts are frequently found in the mucosa of lips, cheeks and the soft palate. Three semi-three-dimensional reconstructions, each based on 3 sets of 230-300 serial Epon sections, of such duct/follicle-assemblies (2 in the soft palate and 1 in the lip) and electron microscopic observations were made. These revealed that (1) these structures were about 0.05-0.1 mm3 in size, (2) they were found preferentially at sites where small interlobular ducts fused to form a pelvis-like basin from which blind duct portions protruded into the surrounding lymphoid tissue and (3) they often included a germinal centre which partly embraced blind ducts. The walls of such blind ducts were heavily infiltrated by lymphocytes and in part blast-forming T-cells. Portions of the walls of interlobular and main secretory ducts, passing directly or peripherally through follicles, were also infiltrated with lymphocytes. The duct lumen within the follicles contained clusters of Gram-negative bacteria, probably rods. Based on these findings, it is argued that gland duct/follicle assemblies represent physiological entities, either formed and re-formed temporarily or of long standing nature, which may provide the locus (i.e. tonsillar microcrypt-like pouches) and the structural matrix necessary for local antigen recognition. The antigens (bacteria, macromolecules in salivary fluid, etc.) might enter the above structure by way of the secretory ducts. Such matrices may also exist in man. PMID- 6575746 TI - Retrograde access of antigens to the minor salivary glands in the monkey Macaca fascicularis. AB - Several authors have postulated that the ducts of minor salivary glands may provide pathways for the presentation of oral antigens to cells involved in a local immune response. This would imply a retrograde passage of oral antigens into the minor salivary glands. Various sites of the oral mucosa of anaesthesized M. fascicularis monkeys were labelled topically with a multiple tracer consisting of horseradish peroxidase (HRP), ferritin and Indian ink for a continuous period of 4-5 h. Serial cryosectioning of labelled lips and soft palates revealed retrograde passage of this tracer deep into some of the corresponding minor salivary glands. Minor salivary gland ducts can therefore serve as "portal of entry" for oral antigens, at least in the M. fascicularis monkey. PMID- 6575747 TI - Reproducibility of dental caries in BALB/c mice induced by the bacterium Streptococcus mutans. AB - Dental caries induced by infection with Strep. mutans C67-1 (serotype c) or Strep. mutans 50B4 (serotype d/g) and feeding a 30 per cent sucrose-containing diet was found mainly in fissures; smooth surface caries was not detected. A decrease in the mean caries score was observed with time, coinciding with lower recoveries of Strep. mutans at the end of the experimental period. The decrease in caries formation may be attributed to changes in some of the cariogenic properties of the individual Strep. mutans strains during maintenance in the laboratory, as re-isolation of the strains from caries-active mice yielded similar and reproducible caries scores to those in early experiments. Hence Balb/c mice can be used as an experimental model in caries research, provided that great care is taken in selecting and storing the bacteria. PMID- 6575748 TI - Microscopy of the dentine of enamel-free areas of rat molar teeth. AB - Dentine of the enamel-free areas (EFA) of first mandibular molar teeth of rats aged between 20-150 days was examined by scanning electron microscopy. Demineralized sections were stained with Gram-Twort's stain and examined for dental caries. In newly erupted teeth, a few dentinal tubules opened on the EFA surface. As teeth became worn down, extensive areas of EFA showed numerous patent tubules. In primary dentine, no occlusion or partial occlusion of tubules was apparent at any age except at the occlusal surface. It is postulated that this surface narrowing was caused either by dentine debris or salivary deposits. The only other covering of tubule openings appeared to be a thin salivary pellicle which in older animals was plaque-like. Patent tubules in primary dentine contained odontoblast processes which even in worn teeth extended to EFA surfaces. Processes in adjacent enamel-covered dentine also extended to the enamel-dentine junction. Only a few examples of bacterial invasion of EFA dentine were seen: in younger animals bacteria occupied cracks in the EFA surface, but in older animals they also occupied tubules. The EFA dentine does not appear to respond to attrition by infilling of the tubules; the persistence of vital odontoblast processes in worn teeth suggests that dead tract formation is not extensive. Continuous occlusal wear may restrict the progress of caries in EFA but odontoblasts in the rat may be also physiologically and immunologically involved in restricting the ingress of bacteria into otherwise poorly protected EFA. PMID- 6575749 TI - Fine structure of secretory ameloblasts in kitten tooth germs, with special regard to intercellular junctions as revealed by freeze-fracture. AB - Using both thin sectioning and freeze-fracture replication, junctional complexes at both proximal and distal ends of the cells consisted of tight junctions in close association with gap junctions and desmosomes. The tight junctions generally consisted of smooth, continuous rows of particles on the P-face and corresponding patterns of shallow grooves on the E-face of cell membranes. Though sealing of paracellular spaces around the ameloblasts in the proximal junctional complex was incomplete, there was complete sealing around the ameloblasts and well-developed meshwork structures of tight junctions in distal junctional complexes. Discontinuous and free-ending strands of tight junctions were frequent in junctional complexes, suggesting that ameloblast distal junctional complexes serve, not only as a barrier to high molecular passive substances through the ameloblast layer, but also as a channel for ions and low-molecular substances. Ameloblasts were firmly connected with stratum intermedium cells by desmosomes and gap junctions. The gap junctions on ameloblast basal and lateral surfaces probably function in intercellular transfer of ions and low-molecular substances between the stratum intermedium and ameloblasts and in control of ameloblast cytodifferentiation. PMID- 6575750 TI - Partial pulp resection increases unimpeded eruption rates of the rat incisor. AB - Thirty rats were divided into 3 equal groups. Following 9 days of induced unimpeded eruption, a single partial pulp resection was performed on the repeatedly-shortened lower left incisor of one group. A total of 3 resections, each repeated after 48 h, was performed on the animals in a second group. The lower left incisor was shortened but the pulp was not resected in the 3rd sham operated control group. Eruption rates of all of the incisors were recorded daily. Partial resection of the pulp increased the unimpeded rate of the experimental incisors in the first group by 50 per cent at 24 h after operation and an increase occurred 3 times in the second group of rats (by 45, 36 and 25 per cent respectively). The rate returned to control levels 24 h later. No significant differences were observed between the eruption rates of the right maxillary and mandibular incisors of the animals in the 3 groups. The increased rate of eruption may be induced by local regulators from the traumatized pulp that are transmitted to components of the periodontal ligament which provide the force for eruption. PMID- 6575751 TI - Pregnancy-associated plasma protein levels at term in normal pregnancy, preeclampsia and essential hypertension. AB - The levels of protein associated with pregnancy (placental specific beta 1 glycoprotein, SP1, and pregnancy associated -alpha 2- globulin, alpha 2-PAG), immune function (complement, C3c) and inflammation (ceruloplasmin, C), were studied at term in groups of patients with normal and complicated primigravid and multigravid pregnancy. The levels of SP1 and C3c were similar in all the groups studied. In patients matched for parity, the levels of alpha 2-PAG were significantly lower than normal in preeclamptic primigravidas and in multigravidas with a history of preeclampsia in their first pregnancy. Ceruloplasmin levels were significantly elevated in preeclampsia patients and in patients with essential hypertension. It is suggested that reduced plasma alpha 2 PAG may be of prognostic value and have a role in the aetiology of preeclampsia whereas increased ceruloplasmin levels may be no more than an acute phase reactant resulting from pathological changes due to hypertension. PMID- 6575752 TI - Maternal alcohol, tobacco and cannabis consumption and the outcome of pregnancy. AB - In a prospective study of 7,301 births, associations were sought between maternal alcohol, tobacco and cannabis use and several adverse outcomes of pregnancy. Apparent effects of alcohol use on prematurity, intrauterine growth retardation, congenital abnormalities and low Apgar score were consistent with previously reported work, but were not statistically significant. Infants born to smokers had lower birthweights and were more prone to intrauterine growth retardation, but they did not appear to have an increased risk of prematurity or perinatal death. Only 36 women reported using cannabis 2 or more times a week, not merely as smokers of marijuana but also as users of the more potent resin forms of cannabis. Subsequently 25% of these women gave birth to premature infants. PMID- 6575753 TI - The management of antepartum haemorrhage (excluding placenta praevia). AB - A 3-year retrospective survey of patients presenting with an antepartum haemorrhage (APH) to The Royal Women's Hospital, Melbourne, was undertaken. Cases of placenta praevia were excluded from the series. The overall perinatal mortality (PNM) was 14.5%. There were 98 patients with accidental haemorrhage (PNM 23.4%) and 101 patients with an APH of unknown aetiology (PNM 6%). Generalized uterine tenderness and tenseness were the most consistent features associated with imminent fetal compromise and it is in this group that an early resort to Caesarean section may be beneficial. The routine use of a clotting profile was found to be of little value, especially in patients with a mild haemorrhage. PMID- 6575754 TI - Term breech delivery--is a high Caesarean section rate justified? AB - The Caesarean section rate for breech presentation has fallen from 60% in 1978 to 38% in 1980 at the University teaching hospital in Hong Kong. The number of Caesarean sections carried out for the indication of "unfavourable pelvis' in 1980 was approximately half that in 1978. No significant difference in perinatal outcome was noted in the group delivered vaginally in these 2 years. It was concluded that a high Caesarean section rate in term breech presentation may not be justified in modern obstetric practice because of the associated increase in maternal morbidity. Many patients labelled as having an "unfavourable pelvis' can in fact have a safe vaginal breech delivery. PMID- 6575755 TI - Impacted shoulders--a personal experience. AB - Failure of the shoulders to follow readily after delivery of the head is a life threatening emergency for the mother and baby which is occasionally encountered by most obstetricians, and receives scant attention in current obstetric textbooks. This is a record of my personal experience of the condition, including 7 patients in whom a destructive procedure was required. PMID- 6575756 TI - Adolescent primigravidae and their obstetric performance. AB - The obstetric performance of adolescent primigravidae in a major metropolitan teaching hospital was analysed retrospectively and found to be similar, if not superior, to that of a control group of primigravidae. This was surprising in view of the late antenatal presentation of the adolescents and their smaller physique. More low birth weight infants, however, were born to adolescent than to older primigravidae, although the perinatal mortality was not increased because of this. PMID- 6575757 TI - A comparison of intraamniotic prostaglandin and extraamniotic prostaglandin gel for midtrimester termination of pregnancy. AB - A comparison between midtrimester abortion induced by the intraamniotic injection of prostaglandin F2 alpha and abortion induced by prostaglandin F2 alpha in Tylose gel administered extraamniotically was made in a group of 40 patients. The induction-abortion interval in the extraamniotic group was 12.1 hours which was significantly shorter (P less than 0.001) than the intraamniotic group (27.6 hours). The placenta was expelled completely more often and there were no cervical lacerations using the extraamniotic method whereas 2 patients required repair of cervical lacerations after intraamniotic prostaglandin. Extraamniotic administration of prostaglandin F2 alpha in Tylose gel is recommended as a safe and more effective method for inducing midtrimester abortion than intraamniotic prostaglandin. PMID- 6575758 TI - Acute appendicitis complicating pregnancy and the puerperium. A study of 5 cases. AB - This series of 5 cases of appendicitis complicating all stages of pregnancy and the puerperium illustrates particularly the potentially rapid course of the disease and the need to perform laparotomy on suspicion. Diagnosis may be aided, in later pregnancy, by the finding of pain increments when the fetus moves, as well as by the use of Alders test. Though a muscle-splitting incision over the point of maximal tenderness is usually suggested, we recommend a right paramedian incision when the fetus is viable as it gives greater flexibility. PMID- 6575759 TI - A double-blind trial of ethinyl oestradiol and norethisterone separately and together, in menopausal women. AB - In previous publications (Jones et al., 1977; Nordin et al., 1980) we have shown that menopausal symptoms respond well to 15 micrograms of ethinyl oestradiol and rather less well to 5 mg daily of norethisterone. We have not previously established whether even smaller doses of ethinyl oestradiol might be effective or whether combining this preparation with norethisterone might produce an additive effect. The present paper describes a trial designed to answer these questions. PMID- 6575760 TI - Menstrual pattern and fertility after treatment for anovulatory infertility. AB - Sixty-four patients who had been treated for anovulatory infertility and subsequently conceived were reviewed. Information was obtained on subsequent menstrual pattern, contraception used, treatment required to achieve a further pregnancy and the interval to any such pregnancy. Almost half the group had regular cycles following delivery but 2 patients had a recurrence of post oral contraceptive amenorrhoea. Most patients conceived without treatment within 2 years of the initial pregnancy but 10 again required ovulation induction. It is concluded that there is no long-term irreversible suppression of hypothalamic function in this group of patients and, once a pregnancy has been achieved, the prognosis for future fertility without therapy is good. PMID- 6575761 TI - Ptyalism and partial hydatidiform mole associated with a normal term male fetus. AB - The case is described of a subfertile woman whose only successful pregnancy was complicated by the unusual combination of ptyalism and a partial hydatidiform mole. Review after delivery of an ultrasonic scan taken at 17 weeks showed the mole to be present at that time. A normal male child was delivered at term. It is concluded that there was no causal relationship between these 2 conditions. PMID- 6575762 TI - A giant lutein cyst in pregnancy. PMID- 6575763 TI - Risks or advantages of hormonal contraceptives. PMID- 6575764 TI - The utilization of prenatal cytogenetic diagnosis in Western Australia. AB - Prenatal cytogenetic diagnostic services for the whole of Western Australia are undertaken by 1 central department in Perth. The records of this unit have been used to calculate the utilization rates of amniocentesis by women aged 35 years or older at the estimated date of confinement for the 5-year period 1977-1981. During this time there were 5076 livebirths to mothers aged 35 years or more and 1,408 pregnancies in this age group were cytogenetically monitored, giving an overall utilization rate of 28%. This rate is comparable to similar rates in other developed countries. Possible directions for future expansion of the service are suggested. PMID- 6575765 TI - Follow-up of attempted suicide in Christchurch. AB - Ninety-eight subjects who had attempted suicide and 102 general practice controls previously interviewed were followed-up at 18-24 months. The former continued to show greater social and psychiatric disability than controls and more than one third made repeat suicide attempts. Nevertheless, as a group, the attempted suicides showed significant improvement in mental state, and familial and interpersonal relationships, whereas controls reported little change in most measures. Persistence of suicidal ideation and repeat attempts were correlated with the diagnosis of psychosis and personality disorder and predictions about the likelihood of further suicidal activity were accurate. Although 92% of patients were referred for further treatment, 38% of these were judged to have dropped out prematurely. Completion of treatment and being in ongoing treatment were positively correlated with patients' self reports of improvement. The findings are compared to experience elsewhere and to a previous Christchurch follow-up study. PMID- 6575766 TI - The Squibb academic address. The innocent psychiatrist. PMID- 6575767 TI - Law reform, politics and mental health. AB - A major problem of democratic government is to get lawmakers to address controversial and sensitive subjects such as mental health law reform. By reference to current and past projects in the Australian Law Reform Commission, its Chairman outlines the way in which permanent law reform agencies can mobilise expert and community opinion to help the lawmaking process address sufficiently the needs of law reform. After outlining briefly the history of mental health law reform in English-speaking countries, the author suggests that moves for reform tend to come in 'cycles' or 'waves'. This is especially so in federations such as Australia. Reforms introduced in South Australia in 1976 are now working their way into the laws of other jurisdictions of Australia, where mental health law is basically a state concern. The reforms deal with such matters as legal representation for persons involuntarily committed and stricter definitions of circumstances for and objectives of hospitalisation of the mentally ill. Some comments are offered on new approaches to the defence of insanity in criminal trials following the jury verdict in the Hinkley case arising out of an attempt on the life of a President of the United States. The implications of this and other cases for the 'anti-psychiatry' movement are referred to and discussed. The author concludes with comments on the implications of mental health law reform for democracies. He suggests a law for law reform agencies in reconciling needs for law reform and community tolerance of change. PMID- 6575768 TI - Politics of mental health: circles or spirals. AB - A brief reference to history suggests that there is a recurrent alternation of providing service to the indigent disturbed through asylum, general hospital and community. Despite modern knowledge about mental health, public attitudes remain seriously prejudiced against this group of mentally ill, and political decisions reflect these attitudes. Many developments for the emotionally disturbed deny the needs of the most disturbed. This paper considers the alienation of the severely mentally ill, the fear about the mentally ill, the guilt about their care, community education about the mentally ill, the development of advocacy on their own behalf by the mentally ill, and therapeutic advances in their care. The paper, although pessimistic about the future, concludes with the hope that the combination of modern humanism, modern communication technology and therapeutic advances may lead to an improvement in the lives of 'hard core' chronically ill psychiatric patients. PMID- 6575769 TI - Psychosocial stress and ischaemic heart disease: a rejoinder to Boman's response. PMID- 6575770 TI - Psychotherapy and health insurance. AB - The Australian health insurance industry has been critical of psychiatry. The data on patterns of claims which have been the focus for some of their concerns are reviewed. The evidence on the efficacy of psychotherapy is also reviewed. Psychotherapy has been shown to be an effective treatment for persons with incapacitating neurotic and personality disorders, a treatment too important to be endangered by dissent over health insurance payments. Proposals for a peer review process for long term psychotherapy are mooted in the expectation that agreement between the health insurance industry and psychiatry would benefit those patients in need of psychotherapy. PMID- 6575771 TI - A comparative study of neurotic depression in symptomatic volunteers and psychiatric patients. AB - A comparative study of neurotic depression in 66 symptomatic community volunteers (SVs) and 43 formal psychiatric patients is reported. Compared to the psychiatric patients the SVs were older and there was a less marked female preponderance. Thier depression was of a longer duration and vegetative symptoms (e.g. appetite and weight loss) were less marked. They were less likely to have made a suicide attempt in the past, less likely to be single or divorced, and much less likely to have experienced a disruption in an intimate relationship in the preceding year. On personality measures the SVs rated as having a more internal locus of control and a higher self-esteem. An Index of Definition cut-off point of 5 or more on the PSE for a neurotic depressive 'case' is supported by the finding that only 2% of the patients, compared with 26% of the SVs, did not rate as 'cases'. PMID- 6575772 TI - Depressive illness as a presentation of primary lymphoma of the central nervous system. AB - A 65-year-old man was referred from a medical unit for psychiatric assessment of a depressive illness associated with intermittent vomiting. No organic disorder was identifiable after the initial clinical examination and extensive investigations. A primary lymphoma involving the limbic system was eventually detected on repeat CAT scan and was confirmed at autopsy. This tumour, which is increasing in incidence, is notoriously difficult to diagnose and frequently presents with combined psychological and organic symptoms. It may be radiosensitive if detected early enough. PMID- 6575773 TI - Tardive dyskinesia. PMID- 6575774 TI - Vietnam veterans. PMID- 6575775 TI - Unemployment and the avolitional syndrome. PMID- 6575776 TI - Agent Orange. PMID- 6575777 TI - Characterization and partial purification of a haemopoietic cell growth factor in WEHI-3 cell conditioned medium. AB - A myelomonocytic leukaemia cell line, WEHI-3, releases into its growth medium factors which stimulate the development of pluripotential cells, granulocyte/macrophage progenitor cells, megakaryocytic and erythroid progenitor cells. Also present is a factor which is essential for the continued proliferation in vitro of a variety of haemopoietic precursor cell lines of a granulocytic nature (FDC-P cells). Characterization of this growth factor has demonstrated that it is a glycoprotein of apparent Mr 25 800, in which the carbohydrate component appears to be important for activity. After several purification steps, there is an increase in specific activity of approx. 4000 fold over the starting material. At each stage of purification, the factor necessary for the proliferation of FDC-P cells 'co-purifies' with activity which stimulates the proliferation and development of normal multipotential haemopoietic cells as well as megakaryocytic, erythroid and granulocytic committed progenitor cells. This 'co-purification' occurs to the extent that the multilineage stimulating factor and the FDC-P growth factor can be eluted from the same region of sodium dodecyl sulphate/polyacrylamide gels. Thus, evidence so far, using different starting methods and purification regimes, suggests that one molecule may have multiple activities on diverse cell types. PMID- 6575778 TI - Novel prostaglandin dehydrogenase in rat skin. AB - Present evidence suggests that skin is an important organ of prostaglandin metabolism. To clarify its role, the basic kinetics of 15-hydroxyprostaglandin dehydrogenase (PGDH) from rat skin were investigated with either NAD+ of NADP+ as co-substrate. Prostaglandin F2 alpha (PGF2 alpha) and prostaglandin E2 (PGE2) were used as substrates and preliminary studies were made of the inhibitory effects of the reduced co-substrates NADH and NADPH. A radiochemical assay was used in which [3H]PGF2 alpha or [14C]PGE2 were incubated with high-speed supernatant of rat skin homogenates. The substrate and products were then extracted by solvent partition, separated by t.l.c. and quantified by liquid scintillation counting. At linear reaction rates and at an NAD+ concentration of 10 mM the mean apparent Km for PGF2 alpha was 24 microM with a mean apparent Vmax. of 9.8 nmol/s per litre of reaction mixture. For PGE2 the mean apparent Km was 8 microM, with a mean apparent Vmax, of 2.7 nmol/s per litre of reaction mixture. With NADP+ as a co-substrate at a concentration of 5 mM a mean apparent Km of 23 microM was obtained for PGF2 alpha with a mean apparent Vmax. of 5.2 nmol/s per litre. For PGE2 values of 7.5 microM and 3.0 nmol/s per litre were obtained respectively. These results show that skin contains NAD+- and NADP+ dependent PGDH. An important finding was that the NADP+-linked enzyme gave Km values for PGE2 that were considerably lower than those reported for NADP+-linked PGDH from other tissues. Furthermore, preliminary inhibition studies with the NAD+-linked PGDH system indicate that this enzyme is not only inhibited by NADH, but also by NADPH, a property not previously reported for NAD+-linked PGDH derived from other tissues. PMID- 6575779 TI - The interaction between lipid peroxidation and prostaglandin synthesis in rabbit kidney-medulla slices. AB - Lipid peroxidation induced by ascorbic acid and Fe2+ was inhibited by mepacrine (phospholipase A2 inhibitor) and aspirin (prostaglandin cyclo-oxygenase inhibitor) in rabbit kidney-medulla slices. Moreover, ascorbic acid and Fe2+ potentiated the inhibitory effect on prostaglandin E2 formation by mepacrine, but they had no influence on prostaglandin E2 production decreased by aspirin. Lipid peroxidation induced by ascorbic acid and Fe2+ appears to be affecting the activity of prostaglandin endoperoxide synthase. These results suggest that lipid peroxidation is connected closely with the prostaglandin-generating system, and it has the potential to modulate the turnover of arachidonic acid and prostaglandin synthesis. PMID- 6575780 TI - Enzymatic sulfation of triglucosyl monoalkylmonoacylglycerol in rat salivary glands. AB - A sulfotransferase activity present in the cytosol fraction of rat submandibular and parotid salivary glands catalyzes the transfer of sulfate group from 3' phosphoadenosine-5'-phosphosulfate to C-6 of the terminal glucose residue of Glc alpha 1 leads to 6Glc alpha 1 leads to 6Glc alpha 1 leads to 3-1, (3)-0-alkyl-2-0 acylglycerol to form sulfated triglucosyl glyceroglucolipid. The reaction proceeds at its optimum at pH 7.8, and requires the detergent Triton X-100, F1- and Mg2+. The enzyme does not catalyze the sulfation of glycosphingolipids. The apparent Km of the submandibular enzyme for triglucosyl glyceroglucolipid is 78.4 microM, and that of parotid, 58.8 microM. Analysis of the permethylated 35S labeled enzymatic product demonstrated that the sulfate group is located at C-6 of the terminal glucose residue. PMID- 6575781 TI - Rapid decrease in N-hydroxy-2-acetylaminofluorene sulfotransferase activity of liver cytosols from rats fed carcinogen. PMID- 6575783 TI - [Granulocytic sarcoma of the mediastinum]. AB - The occurrence of a granulocytic sarcoma before any signs of leukemia is unusual and may pose confusing diagnostic problems. This report deals with such a case who presented with a mediastinal thymic tumor and superior vena cava syndrome. The authors emphasize the localization and the histological techniques that are utilized to ascertain the diagnosis. PMID- 6575782 TI - [N-Formimidoyl-thienamycin in Animal Studies]. AB - The beta-lactam antibiotic thienamycin is rather unstable and is metabolized in man by renal dehydropeptidase-I. The derivatives of the antibiotic, especially N formimidoyl-thienamycin (MK-0787) are reported to be more resistant. The antibacterial activity of N-formimidoyl-thienamycin was tested by means of the infection- and therapy model of the acute, occlusive pyelonephritis in rats. Cefotaxime was used as control agent. Even with a low dosage a clear anti bacterial activity was proved with the E. coli- as well as especially with the Pseudomonas pyelonephritis. In our tests N-formimidoyl-thienamycin was more potent than cefotaxime. PMID- 6575784 TI - Esophageal atresia and tracheoesophageal fistula at the Ponce Regional Hospital. PMID- 6575785 TI - [Mammographic patterns in Puerto Rico]. PMID- 6575786 TI - Rehabilitation of patients with bone tumors treated by various methods including cryosurgery. PMID- 6575787 TI - [Pediatric electrocardiography (congenital dextrocardia)]. PMID- 6575788 TI - The clinical, biochemical, operative and pathological analysis of 38 cases with primary hyperparathyroidism. PMID- 6575789 TI - Incidence of hypothyroidism after radioiodine treatment for Graves disease. PMID- 6575790 TI - Pregnancy in the hyperthyroid patient. PMID- 6575791 TI - Thyroid gland suppressibility in patients treated with radioiodine for diffuse toxic goiter. PMID- 6575792 TI - [True hermaphroditism: presentation of 3 cases and review of the literature]. PMID- 6575793 TI - [Fine needle aspiration of hypofunctioning thyroid nodules]. PMID- 6575794 TI - [Cerebral vasospasm: comparison of contractile responses in isolated human and canine basilar arteries]. AB - Differences between human and canine basilar arteries in contractile responses to various agents were studied in vitro. Human basilar arteries were obtained at postmortem. Serotonin or prostaglandin F2 alpha contracted greatly both human and canine basilar arteries. There was no difference between the two vessels in serotonin- or prostaglandin F2 alpha-induced contractions. In contrast, great differences were found between the two arteries in response to norepinephrine or hemoglobin. Human basilar arteries contracted markedly to norepinephrine while canine basilar arteries did not contract to norepinephrine. This data suggests that sympathetics might play a more important role in the genesis of vasospasm after subarachnoid hemorrhage than has been previously thought. Hemoglobin did not elicit a contraction in human basilar arteries whereas it produced marked contractions in canine basilar arteries. This result indicates that possible participation of hemoglobin as a causative agent in vasospasm could be ruled out. In view of these differences between human and canine cerebral arteries, the canine seems unsuitable for an experimental model of cerebral vasospasm. PMID- 6575795 TI - Women in dentistry. PMID- 6575796 TI - Endodontic treatment. PMID- 6575797 TI - Facial fractures and seat belts. PMID- 6575798 TI - Myofascial pain and migraine. PMID- 6575799 TI - The nature of restorative dental treatment decisions. PMID- 6575800 TI - Oral white plaques in uraemic patients. PMID- 6575801 TI - Conservative management of ameloblastoma in a young patient. PMID- 6575802 TI - The use of operating gloves in dental practice. PMID- 6575803 TI - Treatment and rehabilitation: Report of the Advisory Council on the Misuse of Drugs. 1982 (London: HMSO). PMID- 6575804 TI - The coordination of treatment services for problem drinkers: problems and prospects. PMID- 6575805 TI - Methodological problems in the analysis of temporal covariation between alcohol consumption and ischemic heart disease. PMID- 6575806 TI - Describing relationships in families with alcohol problems. The Family Relations Index: 1 graphic representation. PMID- 6575807 TI - Marital histories of women whose first husbands were alcoholic or antisocial. PMID- 6575808 TI - Hypercalcaemia and in vitro osteolysis associated with xenografts of squamous carcinomas of the tongue. PMID- 6575809 TI - Cellular abnormalities of folate deficiency. AB - To trace the development of folate-deficient abnormalities of morphology and DNA synthesis, Friend erythroleukaemia cells were grown in media containing 10(2), 10(3) and 10(4) ng of [3H]PteGlu1/ml and then transferred to folate-free media. Parameters examined were: intracellular folate levels; growth potential; morphology; dU suppression; and DNA content by flow microfluorimetry. The most sensitive indicators of folate-deficient cell growth were those related to DNA synthesis (dU and flow microfluorimetry). These became abnormal at intracellular folate levels of 0.2-0.5 ng/10(6) cells and markedly so below 0.1 ng/10(6) cells. Morphological criteria were less sensitive. Cells became megaloblastic at intracellular folate levels below 0.06 ng/10(6). The capacity of the cells to replicate in folate-free media was a function of the intracellular folate (ICF): duplications = 4.01 + ln(ICF)/0.67 (r = 0.993, P less than 0.001). These studies demonstrate that regardless of initial intracellular folate levels, cellular stigmata of folate deficiency appear when cellular folate falls below 3 X 10(5) molecules per cell (dU and flow microfluorimetry) and cells lose the capacity for further replication below 7-10 X 10(5) molecules. The intracellular folate level not only predicts early defects, but also determines the replicative capacity. PMID- 6575810 TI - Iron metabolism in murine erythroleukaemic cells. AB - In an attempt to develop a model system for analysing iron metabolism in a relatively homogeneous population of early red cell precursors, the intracellular distribution of 59Fe was examined in Friend murine erythroleukaemic cells after induction of haemoglobin synthesis with dimethylsulphoxide. After incubation of the cells with 59Fe-labelled transferrin, 59Fe was incorporated into haemoglobin, various ferritin fractions, and into the pellet obtained by centrifugation. No intracellular transferrin or low molecular weight compounds were found. In a series of 'chase' experiments 59Fe accumulated in haem, and some of this radioactivity appeared to be derived from the ferritin fraction. Extra iron could be mobilized from ferritin during chase experiments using iron deficient incubation medium. These studies indicated that, at least under these experimental conditions, ferritin iron in early red cell precursors can be utilized for haemoglobin synthesis. PMID- 6575811 TI - Effect of cervical application of prostaglandin (PG) E2 on plasma 13,14-dihydro 15-keto-PGF2 alpha and oxytocin in pregnant women at term. AB - The concentrations of 13,14-dihydro-15-keto-prostaglandin F2 alpha (PGFM) and oxytocin were measured by radioimmunoassay in the peripheral plasma of 21 women with low Bishop scores in whom cervical ripening and labour were induced with a cervical cap containing 1.5 mg of prostaglandin (PG) E2, left in place for 6 h. Blood samples were taken before and at 3, 6, 9 and 24 h after the cap was applied. Four women (control group) had a cap without PGE2. Labour began in 13 women receiving PGE2, 12 of whom were delivered within 24 h. In these women plasma PGFM rose progressively to levels seen during spontaneous labour, paralleling the changes in cervical dilatation. The increase became significant at 6 h, when cervical dilatation was 4.5 cm (SEM 0.5). Plasma oxytocin also increased significantly while the cap was in place and then decreased. Plasma PGFM and oxytocin did not change in the control subjects, and in the eight women needing further induction of labour the initial rises were transient and not statistically significant. PMID- 6575812 TI - Degrees of injury to the inferior alveolar nerve sustained during the removal of impacted mandibular third molars by the lingual split technique. PMID- 6575813 TI - An unusual presentation of orbital floor fracture. PMID- 6575814 TI - Some interesting complications of a malar bone fracture. AB - A case is described of the treatment of a malar bone fracture which was complicated by the development of a lower eyelid abscess, dehiscence and discharge from the temporal wound and prolapse of necrotic temporal fascia. PMID- 6575815 TI - The irreducible middle third fracture, a problem in management. PMID- 6575816 TI - Immunology and oral cancer. AB - This paper summarises the evidence for the involvement of the immune response in the development of neoplasia, discusses the immunological abnormalities found in patients with head and neck carcinoma, and outlines recent attempts at treatment of patients with head and neck carcinoma by modulation of the immune response (immunotherapy). PMID- 6575817 TI - The surgical anatomy of secondary cleft lip and palate deformity and its significance in reconstruction. AB - This paper discusses the significance of the surgical anatomy of the adult cleft deformity in reconstruction. The essential asymmetry of the unilateral cleft is explained and methods suggested for reconstruction in three categories of cases; those with simple alveolar defects; those with additional retroposition of the maxillae; and those with vertical maxillary deficiency. The indications for two stage osteotomies are presented. Finally a new surgical approach for osteotomy of the premaxilla in bilateral clefts is described and illustrated. PMID- 6575818 TI - Cranio-facial and dental anomalies in the Branchio-Skeleto-Genital (BSG) syndrome with suggestions for more appropriate nomenclature. AB - A Syndrome combining developmental, facial, skeletal, dental and genital abnormalities previously reported as the Branchio-Skeleto-Genital (BSG) Syndrome is discussed and the dental anomalies described more fully. The dentine dysplasia does not fit into the Shield's classification type I or II. The prefix Branchio- is misleading and suggestion is made of a more appropriate nomenclature. PMID- 6575820 TI - The anchorage bend in the Begg technique. AB - The anchorage bend is an essential feature of the Begg technique. The factors which affect the degree of the anchorage bend include operator preferences as well as certain mechanical features of the case being treated. A test jig was constructed so as to be able to measure on the bench the intrusive forces developed by an anchorage bend over the six anterior teeth for a selection of different archwires. The amount of force developed was proportional to the degree of anchorage bend and also to the diameter of the archwire. The jig was modified in order to measure the frictional resistance to distal movement generated by the anchorage bend. The resistance was found to be greater than the usually quoted forces designed to slide the upper archwire distally. An oval tube was placed on to the test jig and doubled back archwires used. A reduction in intrusive force for a particular degree of anchorage bend was seen although frictional resistance was not affected when using doubled back archwires. PMID- 6575819 TI - Lip and mentalis activity and its influence on incisor position--a quantitative electromyographic study. AB - In order to investigate both the relationship between perioral muscular activity and tooth position and also the clinical indicators of this activity, two quantitative EMG studies were carried out. The first investigated the reproducibility of the method in 16 adults. Subsequently, a study employing the same protocol was conducted on 41 subjects with untreated malocclusions. Activity was measured during speech, whilst chewing biscuit, swallowing saliva, resting, and in those subjects with incompetent lips, during lip-seal. In addition to the EMG recordings, measurements were taken from study models, lateral skull radiographs and of the clinical lip heights. In general between visits random variability was sufficiently small for the method to be applied experimentally. The results suggest that the effects of perioral muscular activity are determined by the presence or absence of competent lips. This was despite similar levels of activity in both groups except during chewing. Resting activity did influence incisor position in subjects with competent lips but the intermittent activity from chewing, speaking and swallowing, did not. No clinical indicators of the level of perioral activity were found. PMID- 6575821 TI - Co-ordinate grids for three-dimensional facial measurements. AB - Alternative methods for recording the shape of the facial soft tissue integument in three dimensions are discussed. The requirements for and problems associated with head positioning are indicated, and a technique is described by which head positioning errors can be overcome. The results of three-dimensional analysis of a sample of human subjects are described, with particular reference to the method of analysis and orientation planes selected. Finally, possible clinical uses for three-dimensional recording are suggested. PMID- 6575822 TI - The feasibility and validity of orthodontic screening of children in their tenth year. AB - The study set out to investigate the problems of the implementation of the Court Report's suggestion that every child in its tenth year be screened for orthodontic treatment by "a dentist with special training in orthodontics' using Grainger's Treatment Priority Index (TPI). The study was divided into two parts. The standardization exercises used 31 orthodontic models of children in their tenth year. The problem of examiner variability, using a Community Dental Officer instead of an orthodontist and of bias that the TPI might have were examined. The main study involved the examination of 362 children in ten separate schools in Oxfordshire and investigated the problem of orthodontic screening at annual school inspections. The findings showed that the TPI may be able to provide a method for screening children in their tenth year if the weights of the clinical entities which are reducing the level of validity of the TPI are identified. The problem of scoring tooth displacements consistently would have to be taken into consideration when training personnel to use the TPI. PMID- 6575823 TI - Skeletal changes during the treatment of Class II/I malocclusions. AB - Three groups of Class II/I patients were compared where treatment was carried out using Begg, Andresen and removable appliance techniques. Skeletal growth, as assessed by the dimensions S-Me, N-Me, ALFH and Me-Ar did not show any difference between the groups. All three groups showed an apparent improvement in skeletal pattern during treatment. PMID- 6575824 TI - Orthodontic treatment--time for a change? AB - There was a fall in the birthrate in England and Wales from 1964 until 1977 from 875,972 to 569,259 per annum. This short paper draws attention to the implications for the provision of orthodontic treatment and suggests that, since fewer patients are likely to present for treatment, an opportunity exists to improve the standard of care provided. PMID- 6575825 TI - Tooth resorption in the two-stage transplantation technique--a case report. AB - A case is reported in which considerable external resorption of the crown of a lateral incisor occurred during storage in a buccal pouch. PMID- 6575826 TI - The crown to root angle of maxillary central incisors in different incisal classes. AB - The angulation of the maxillary central incisor crown to its root has been measured in 191 patients representing the four classes of incisor malocclusion. Significant differences were only found between Class II Division 1 and Class II Division 2 groups. PMID- 6575827 TI - A modified lower removable appliance using lingual clasping and soft tissue anchorage. AB - A lower removable appliance utilizing a buccal baseplate and lingual clasps is described. Its successful use is illustrated with a case history. PMID- 6575828 TI - Two modifications of fixed appliances. AB - The use of a 1.0 mm auxiliary archwire to reinforce anchorage and provide an attachment for an orthodontic force is described. The use of tie-back circles in flexible archwires to stabilize long buccal spans is described. PMID- 6575829 TI - The development of removable appliances in the United Kingdom. PMID- 6575830 TI - Binding of metal cyanide complexes to bovine liver rhodanese in the crystalline state. AB - Bovine liver rhodanese, which catalyzes the transfer of sulfur atoms between a variety of sulfur donor and sulfur acceptor substrates, is inhibited by metal cyanide complexes [Volini, M., Van Sweringen, B., & Chen, F.-Sh. (1978) Arch. Biochem. Biophys. 191, 205-215]. Crystallographic studies are described which reveal the binding mode of four different metal cyanides to bovine liver rhodanese: Na[Au(CN2], K2[Pt(CN)4], K2[Ni(CN)4], and K2[Zn(CN)4]. It appears that these complexes bind at one common site at the entrance of the active site pocket, interacting with the positively charged side chains of Arg-186 and Lys 249. This observation explains the inhibition of rhodanese by this class of compounds. For the platinum and nickel cyanide complexes virtually no other binding sites are observed. The gold complex binds, however, to three additional cysteine residues, thereby also displacing the extra sulfur atom which was bound to the essential Cys-247 in the sulfur-rhodanese complex. The zinc complex binds to completely different additional sites and forms complexes with the side chains of Asp-101 and His-203. Possible reasons for these different binding modes are discussed in terms of the preference for "hard" and "soft" ligands of these four metal ions. PMID- 6575831 TI - Myocardial xanthine oxidase/dehydrogenase. AB - High-energy phosphates in heart muscle deprived of oxygen are rapidly broken down to purine nucleosides and oxypurines. We studied the role of xanthine oxidase/dehydrogenase (EC 1.2.3.2/EC 1.2.1.37) in this process with novel high pressure liquid chromatographic techniques. Under various conditions, including ischemia and anoxia, the isolated perfused rat heart released adenosine, inosine and hypoxanthine, and also substantial amounts of xanthine and urate. Allopurinol, an inhibitor of xanthine oxidase, greatly enhanced the release of hypoxanthine. From the purine release we calculated that the rat heart contained about 18 mU xanthine oxidase per g wet weight. Subsequently, we measured a xanthine oxidase activity of 9 mU/g wet wt. in rat-heart homogenate. When endogenous low molecular weight inhibitors were removed by gel-filtration, the activity increased to 31 mU/g wet wt. Rat myocardial xanthine oxidase seems to be present mainly in the dehydrogenase form, which upon storage at -20 degrees C is converted to the oxidase form. PMID- 6575832 TI - [Properties of two forms of ferredoxin from Rhodopseudomonas capsulata]. AB - Electrophoretically homogenous preparations of two forms of ferredoxin were isolated from the nitrogen-fixing cells of the purple non-sulphur bacterium Rhodopseudomonas capsulata B10. The values of Mr for ferredoxins I and II are 12000 and 18000, respectively. Ferredoxin I contains 8 atoms of Fe+2 and 8 atoms of S2-; ferredoxin II--4 atoms of Fe2+ and 4 atoms of S2- per molecule. The ferredoxins differ also in their absorption spectra, stability and catalytic activity during electron transfer to nitrogenase of Rh. capsulata. The reduction of C2H2 and evolution of H2 in the presence of ferredoxin I occurs twice as fast as compared to that in the presence of ferredoxin II. Ferredoxin I synthesis takes place in the nitrogen-fixing cells of Rh. capsulata alone, whereas ferredoxin II formation does not depend on the growth conditions. PMID- 6575833 TI - Relaxin enhances synchronization of parturition induced with prostaglandin F2 alpha in swine. AB - To investigate the effects of relaxin on induction of parturition in swine, 59 sows and gilts were randomly allotted within parity to 4 treatment groups. Control animals were injected with saline while the other 3 groups received prostaglandin F2 alpha (PGF, 10 mg i.m.) at 0800 h on Day 112 of gestation to induce luteolysis and parturition. Relaxin (600 U i.m.) was administered either on Day 111 or on both Days 110 and 111 to 2 groups of sows receiving PGF. All farrowings were attended and the time of delivery of each piglet was recorded. PGF injection on Day 112 of gestation induced parturition in 43 of 44 treated animals. The interval (mean +/- SD) from Day 112 to parturition in control animals was 70 +/- 30 h and this was decreased to 30 +/- 9 h with PGF alone. When relaxin was administered prior to PGF on Day 111 or on both Days 110 and 111, parturition occurred after 26 +/- 4 or 27 +/- 3 h, respectively. Thus, relaxin treatment had little effect on reducing the interval to parturition, but improved the synchrony of onset of farrowing as indicated by a decrease (P less than 0.01) in variation. Relaxin pretreatment prevented any instances of delayed parturition (after 35 h) which occurred in 1/3 of the cases in response to PGF alone. This variation in response appeared unrelated to parity of sow. The mechanism by which relaxin enhanced the synchronous onset of parturition after PGF treatment in swine is unknown, but the most likely suggestions are through sensitization of the uterus to the withdrawal of progesterone and the well-known effects of relaxin on cervical dilatation. PMID- 6575834 TI - Induction of porcine uterine estrogen sulfotransferase activity by progesterone. AB - Studies have been carried out which were designed to examine the hormonal requirement for the appearance of estrogen sulfotransferase activity in porcine uteri. Mature, ovariectomized (OVX) gilts were housed for 3 weeks before being treated with various regimens of estradiol-17 beta (E2) and progesterone (P). Uteri were then removed, minced, incubated for 2 h with [3H] E2 (10(-8) M) and Na2 35SO4 (10(-4) M) and the labeled metabolic products were extracted and analyzed. Endometrial samples were also taken for the determination of E2 and P cytoplasmic and nuclear receptors (R). It was found that 4 daily injections of 250 micrograms of E2 was sufficient to bring plasma E2 concentrations to that representative of a normal estrous cycle (approx. 30 pg/ml) and to induce cytoplasmic PR to high levels (7000--19000 fmol/mg DNA). Estrogen sulfotransferase activity, which was negligible in OVX and E2-treated pigs, increased to near normal secretory levels (4 pmol product/h per 0.4 g tissue) only in pigs primed with E2 and subsequently treated with E2 and P (25--250 mg/day, 3 days). This treatment also brought about the translocation of PR to the nuclear compartment. The steroid alcohol sulfotransferase activity in these tissues decreased upon ovariectomy and remained unaffected by the hormone treatments. Endometria from treated and untreated pigs were cultured for a period up to 7 days. During this time E2 (10(-8) M) induced and/or maintained PR and P (10(-6) M) was shown to stimulate estrogen sulfurylation concomitant with the translocation of PR to the nucleus. These studies have demonstrated that, in OVX pigs and endometrial cultures, P stimulated uterine estrogen sulfotransferase activity to a level normally found in secretory uteri. In order for P to bring about elevated levels of estrogen sulfurylation it was necessary that the endometrium contain adequate concentrations of cytoplasmic PR (which required E2 priming of the system) and the P receptor complex must display nuclear translocation. PMID- 6575835 TI - Membrane homeostasis: is there an optimum level of membrane cholesterol? AB - The hypothesis is proposed that the relationship between the level of cholesterol in a cellular or sub-cellular membrane and the activity of any membrane function affected by cholesterol is ogival in nature, i.e, there is an optimum level of membrane cholesterol at which functional activity is maximal, and above or below this level activity declines. Data already published from other laboratories, when analysed in this manner, show clearly that this hypothesis appears to hold true for at least several membrane-bound systems, in particular the microsomal enzyme cerebroside sulfotransferase and transmembrane ATP/ADP exchange and glucose transport. PMID- 6575836 TI - Comparison of central nervous system prophylaxis with cranial radiation and intrathecal methotrexate versus intrathecal methotrexate alone in acute lymphoblastic leukemia. AB - In acute lymphoblastic leukemia (ALL), central nervous system (CNS) prophylaxis with cranial irradiation plus 5 doses of intrathecal methotrexate (i.t. MTX) reduces the incidence of CNS relapse to 7%-15%. However, increased evidence of CNS delayed toxicity started to be recognized as CT scan abnormalities and neuropsychologic alterations, mainly in children. Two questions were analyzed in the present report: (1) Will further doses of i.t. methotrexate and dexamethasone (i.t. MTX-DMT) decrease the incidence of CNS relapse in patients treated early in remission with cranium irradiation plus i.t. MTX-DMT even more? (2) Is i.t. MTX DMT given during induction and maintenance equally as effective as cranium irradiation plus i.t. MTX-DMT? A randomized study was designed to answer the first question. Incidence of primary CNS relapse in i.t. MTX-DMT-treated patients with a WBC count less than 50,000 was 11% (15 of 135 patients) and was 11% (17 of 150) in the untreated group. In patients with a WBC count greater than 50,000, it was 16% (6/37) in the treated group and 19% (6/31) in the control group. No difference was observed according to treatment in both prognostic groups. Patients in this study were retrospectively compared with a consecutive protocol in which patients received 3 doses of i.t. MTX-DMT alone during induction plus 3 doses weekly during the first month of remission and every 3 mo thereafter. The incidence of primary CNS leukemia at 60 mo in patients with a WBC count less than 50,000 was 20% in the irradiated group and 32% in the group with i.t. MTX-DMT alone. This difference was not significant. However, the relapse-free survival at 60 mo was 26% and 41%, respectively, (p less than 0.0005). The incidence of primary CNS relapse in patients with a WBC count more than 50,000 at 48 mo was 28% in the irradiated group and 42% in the nonirradiated group. The difference was not significant. The duration of complete remission was similar, remaining at 15% and 16% of patients disease-free at 48 mo, respectively. We conclude that (A) after cranial irradiation plus i.t. MTX-DMT X 5, the use of additional doses of i.t. MTX-DMT is not of further benefit in preventing CNS relapse; (B) the use of i.t. MTX-DMT alone compares similarly with cranial irradiation plus i.t. MTX-DMT in the incidence of CNS relapse; and (C) relapse-free survival and survival in patients with a WBC count less than 50,000 were significantly longer in those without cranial irradiation. PMID- 6575837 TI - Chemotherapy for acute myelogenous leukemia in children and adults: VAPA update. AB - We designed a protocol (VAPA) that featured 14 mo of intensive postremission induction chemotherapy in an effort to improve remission durations for patients with acute myelogenous leukemia (AML). One hundred and seven patients under 50 yr of age were entered into this study. The rate of complete remission is 70%. A Kaplan-Meier analysis of patients entering remission predicts that 56% +/- 7% (+/ SE) of patients less than 18 yr and 45% +/- 9% of patients aged 18-50 yr will remain in remission at 3 yr (median follow-up is 43 mo). Patients with the monocytic subtype had a statistically significant shorter duration of remission (2-sided p less than 0.05). There was a high incidence of primary CNS relapse in children. Thirty-one of 41 patients who completed the regimen remain in remission without maintenance therapy. We conclude that the VAPA protocol continues to offer a promising approach to treatment of AML. PMID- 6575838 TI - Proliferative potential of subpopulations of granulocyte-macrophage progenitor cells in normal subjects and chronic myelogenous leukemia patients. AB - The studies described compare the subpopulations of granulocyte-macrophage progenitor cells present in normal marrow with those derived from the marrow of patients with Ph1-positive chronic myelogenous leukemia (CML). The subpopulations were separated on the basis of size by velocity sedimentation and measured for their proliferative capacity by the colony formation technique. A pattern of development of colonies in the individual fractions was obtained by assaying the absolute number of colonies present at time intervals from 3 to 21 days. The number of colonies present at 3 days was taken as 100%, and the percentage of increase or decrease from this value was determined on subsequent days. In the fractions containing the most rapidly sedimenting large cells, the pattern of development of colonies derived from normal and CML marrow was similar. The CML colony-forming units in culture (CFU-C) began to show a deviation from the normal CFU-C pattern of development in the fractions containing CFU-C intermediate in size, and this deviation became progressively more pronounced in the slowest sedimenting small cell fractions. In these latter fractions, the CFU-C derived from CML marrow decreased in number at a rate similar to those arising from the more rapidly sedimenting fractions. This is in contrast to CFU-C derived from normal marrow, which increased in number in the more slowly sedimenting fractions and in the intermediate fractions, remained constant in number, or decreased at a rate slower than those arising from the more rapidly sedimenting fractions. The most likely explanation for these findings is accelerated maturation of the early small granulocyte-macrophage progenitor cells in CML so that these cells show the same limited proliferative capacity as do the later larger progenitor cells. PMID- 6575839 TI - Expression of multiple isozymes of granulocyte, monocyte, and macrophage esterases in polycythemic Friend erythroleukemia cells. AB - We examined the expression of cytochemical markers of myeloid and monocyte macrophage differentiation in conjunction with ultrastructural studies of different malignant erythroleukemic cells isolated from mice infected with the Friend polycythemic virus complex (FLV-P). The amounts of fluoride-sensitive and resistant nonspecific esterase activity increased with the progression of malignancy. Isoelectric focusing resolved this enzyme activity into 13 isozymes in the most malignant Friend cell type tested. These same isozymes were found in the adherent cell population of normal spleens. Two of these isozymes were shown to have chloroacetate esterase activity characteristic of granulocytes. Despite these myeloid and monocyte characteristics, light and electron microscopy showed no morphological evidence of differentiation in either of these lineages. This study demonstrates that the Friend erythroleukemic cell contains markers of three different hemopoietic cell types. The expression of myeloid, monocytic, and erythroid traits in these erythroleukemic cells can be used to monitor their malignant progression. PMID- 6575840 TI - Analysis of isoenzyme patterns of acid phosphatase in acute leukemias. AB - The status of acid phosphatase isoenzymes was evaluated in cells of patients with acute lymphocytic leukemias or lymphomas by analytical isoelectric focusing in polyacrylamide gels (IEF) on horizontal thin-layer slabs. The isoenzyme patterns were correlated with routine immunological cell surface markers and the relationship of enzyme activity to specific immunological subclasses of ALL is discussed. By isoelectric focusing up to five isoenzyme groups (I-V) containing several isoenzyme were observed. No leukemia specific or additional isoenzyme could be demonstrated. This biochemical characterization showed a marked heterogeneity within two major immunologic subgroups indicating that various differentiation stages of cell maturation could be involved in cALL and T-ALL. According to their degree of maturation along T-cell differentiation axis the leukemic cells displayed no enzyme activity, weak isoenzyme bands or the incomplete or complete isoenzyme pattern seen with normal lymphocytes from human tonsils which were used as controls. The investigation of specific enzymatic patterns can lead to a further definition of subsets of acute leukemias and give insight into lymphopoietic differentiation. PMID- 6575841 TI - Two new estrogen-supersensitive variants of the MCF-7 human breast cancer cell line. AB - Two new estrogen-sensitive variants of MCF-7 human breast cancer cells, CG-4 and CG-5, are described in this report. These cells were derived from a casual contamination by MCF-7 cells of primary cultures from a human adenocarcinoma of the breast and a pleural effusion of a patient with advanced breast cancer, respectively. Careful characterization of these variants revealed chromosomal properties highly similar to and alloenzyme phenotypes identical to those of MCF 7 cells which were simultaneously cultured in the laboratory. MCF-7, CG-4 and CG 5 cells were tested for estrogen responsiveness under identical growth conditions, that is in the presence of culture medium supplemented with 5% charcoal-treated serum. While the number of MCF-7 cells increases by about 40% over the controls in the presence of physiological concentrations of estradiol, the number of CG-4 cells doubles and the number of CG-5 cells triples. All these cell lines have approximately the same number of estrogen, androgen, glucocorticoid, and progesterone receptor sites/cell. Since several difficulties arise in demonstrating the estrogen responsive growth stimulation of currently available human breast cancer cells, these two new variants, characterized by a high and reproducible estrogen responsiveness, afford a new model for studying the mechanisms by which estrogen regulates cell proliferation. The problems related to the careful characterization of every established cell line are discussed. PMID- 6575842 TI - Monoclonal antibodies for radioimmunodetection of tumours and for targeting. AB - A monoclonal antibody 791T/36 prepared against human osteogenic sarcoma has been used to detect primary and metastatic colorectal carcinomas by external imaging of patients following injection of 131I-labelled antibody. In 10 of 11 patients radiolabelled 791T/36 antibody localized in tumours, the tumour: non tumour ratio of radioactivity ranging from 1.5:1 to 8.1. 791T/36 antibody was also evaluated for its potential for targeting anti-tumour agents including cytotoxic drugs (Vindesine) and immunomodulating agents (interferon0. Vindesine-791T/36 conjugates were preferentially cytotoxic in vitro for target cells expressing the 791T/36 antibody defined antigen. Also interferon conjugated to 791T/36 antibody, like free interferon activated peripheral blood natural killer cell activity. These in vitro tests together with related studies on antibody localization in vivo indicate the potential of monoclonal antibody targeting of anti-tumour agents. PMID- 6575843 TI - Obtention of rat monoclonal antibodies reactive with human leukaemic lymphoblasts. AB - The Louvain rat-rat hybridoma technology was used to analyse membrane antigens present on human leukaemic lymphoblasts. Three fusions directed against non T non B leukaemic lymphoblasts finally yielded 42 distinct, stable, and specific antibody-secreting hybridomas. The cellular and molecular specificities of these monoclonal antibodies are still under investigation. However, a striking feature of our preliminary characterization is the obtention, in single fusions, of several distinct hybridomas that secrete antibodies binding to the same membrane molecule. PMID- 6575844 TI - Laser trabeculoplasty in the exfoliation syndrome. PMID- 6575845 TI - Coronary artery spasm: analysis of seventy-one patients. PMID- 6575846 TI - Intrapartum management of twin gestation: what is best for the second and the small? PMID- 6575847 TI - Experimental radiation cataract--its clinical relevance. PMID- 6575848 TI - Typical diagnostic and therapeutic errors in Manhattan shared health facilities. PMID- 6575849 TI - Statement and resolution on the setting of obstetrical delivery. PMID- 6575850 TI - Bulimia nervosa. PMID- 6575851 TI - Influence of extracellular calcium and calcium antagonists on contractions induced by potassium and prostaglandin F2 alpha in isolated cerebral and mesenteric arteries of the cat. AB - 1 The effects of a number of calcium antagonists (diltiazem, nifedipine, nimodipine and verapamil) have been studied on feline isolated pial arteries contracted by potassium (127 mM) or prostaglandin F2 alpha (PGF2 alpha, 2.5 microM) and mesenteric arteries contracted by potassium (127 mM). 2 Withdrawal of Ca2+ from the extracellular medium for 30 min reduced the contractile response to potassium in cerebral vessels by 92% and in mesenteric vessels by 96%. Subsequent addition of Ca2+ caused reproducible contractions which were inhibited by both nifedipine and nimodipine. 3 The four calcium antagonists relaxed the isolated middle cerebral artery contracted either by potassium or PGF2 alpha, and mesenteric arteries contracted by potassium, in the following order of potency: nimodipine greater than nifedipine greater than verapamil greater than diltiazem. 4 Nimodipine was more potent than nifedipine in cerebral arteries, and more potent in cerebral than in mesenteric arteries. Otherwise, the potassium contracted cerebral and mesenteric vessels showed no major differences in sensitivity to calcium antagonists. PMID- 6575852 TI - Characterization and partial purification of 'renocortins': two polypeptides formed in renal cells causing the anti-phospholipase-like action of glucocorticoids. AB - 1 Anti-inflammatory steroids reduce prostaglandin E2 (PGE2) synthesis in rat renomedullary interstitial cells in culture by inhibiting the release of arachidonic acid from membranous phospholipid stores, exhibiting antiphospholipase-like properties. 2 After treatment of the cells with dexamethasone 10(-6)M, these cells release a protein in the supernatant. 3 This supernatant is able to inhibit PGE2 secretion in untreated cells and to inhibit phospholipase A2 activity in an in vitro system. 4 Using chromatofocusing separation, we showed that two distinct proteins exist with isoelectric points of 5.8 and 8.3. 5 Using gel permeation separation, we showed that two proteins exist with apparent molecular weights of 15,000 and 30,000 daltons. 6 We conclude that, in renal cells in culture, anti-inflammatory steroids induce the synthesis and the release of two polypeptides which we have named 'Renocortins' (induced by corticoids in renal cells) causing the antiphospholipase-like action of glucocorticoids. 7 Our results are in good agreement with others, but as renal cells are not directly involved in the inflammatory process, we suggest that this steroid-induced phenomenon is not solely involved in the inflammatory reaction but is of more general physiological relevance. PMID- 6575853 TI - Japan and dentistry. PMID- 6575855 TI - Philosophy in dentistry. PMID- 6575854 TI - Tracking the Tooth Fairy: blazing the way. PMID- 6575856 TI - Recall: the practice reinforcer. PMID- 6575857 TI - Clinical course and response to treatment of patients with acute myelogenous leukemia presenting with a high leukocyte count. AB - The natural history and response to treatment of 46 patients with acute myelogenous leukemia and a pretreatment leukocyte count of 100,000/microliters or higher were reviewed to identify the clinical features and response characteristics to the treatment of this group of patients. While the response rate of 52% was similar to that of patients with lower leukocyte counts, remission durations were shorter and related inversely to the height of the initial leukocyte count and to the number of treatment courses necessary to achieve a complete remission. A high incidence of hemorrhagic deaths was observed during the first 8 days of treatment. These hemorrhages occurred at a time when the leukocyte count was falling secondary to chemotherapy and the platelet count was still greater than 15,000/microliters. Pretreatment coagulation disorders and poor performance status were factors associated with this fatal complication. Antimetabolites to rapidly arrest leukemic cell proliferation and leukapheresis to avoid further leukostatic plug formation may be useful immediate measures to reduce the incidence of these fatal hemorrhages until the underlying pathogenic mechanisms have been elucidated. PMID- 6575858 TI - Hypercalcemia and diffuse osteolytic lesions in the acute phase of chronic myelogenous leukemia. A possible relation between lymphoid transformation and hypercalcemia. AB - A patient with blastic crisis of chronic myelogenous leukemia (CML) is presented. The acute phase was localized in the lymph nodes and bones, causing severe osteolytic lesions and hypercalcemia. The blast cells were undifferentiated in light microscopy and by histochemical stains. As viewed under electron microscopy, a considerable proportion of the blast cells were of myeloid origin, while immunologic markers and cytogenetics indicated a lymphoid origin. It seems plausible that the patient had a mixed myeloid-lymphoid blast crisis, but that the lymphoid blasts were responsible for the severe osteolytic lesions and the hypercalcemia. PMID- 6575859 TI - Hodgkin's disease in a child with acute lymphoblastic leukemia. AB - Hodgkin's disease as a second malignancy in childhood acute lymphoblastic leukemia is of rare occurrence, with the first such case having only recently been described. The therapy for acute lymphoblastic leukemia may alter the pattern of presentation of Hodgkin's disease and its histology, making diagnosis difficult. In this report we discuss the clinical, histologic, and ultrastructural findings of a child with acute lymphoblastic leukemia in remission who had pulmonary involvement as an unusual initial presentation of Hodgkin's disease. PMID- 6575860 TI - 3q-, 3q+ anomaly in malignant proliferations in humans. AB - Anomalies of both No. 3 chromosomes, of the t(3q-; 3q+) type can be observed in human malignancy as reported previously. It is our experience that this anomaly is found predominantly in myeloproliferative disorders, as a rather rare event, though occurring more frequently than similar exchanges between other homologous chromosomes. Previous claims about a relationship between this anomaly and thrombocytosis could not be confirmed, but the features found in a few patients indicate that further research should be undertaken to clarify this point. PMID- 6575861 TI - A possible subgroup of ALL with 9p-. PMID- 6575862 TI - Novel reciprocal translocation between chromosomes 8 and 9 found in a patient with myeloproliferative disorder. AB - A reciprocal translocation between the short arm of chromosome 8 and the long arm of chromosome 9 is described. What appears to be a balanced translocation with breakage and reunion at bands 8p11 and 9q34 has not to our knowledge been previously observed. The abnormality is shown to be an acquired characteristic and was found in a patient with a myeloproliferative disorder whose clinical and laboratory findings were also compatible with Ph1-negative chronic granulocytic leukemia. PMID- 6575863 TI - Absence of hypoxanthine:guanine phosphoribosyltransferase activity in murine Dunn osteosarcoma. AB - The transplantable murine Dunn osteosarcoma has no detectable hypoxanthine:guanine phosphoribosyltransferase (EC 2.4.2.8) activity. This was established from the tumors directly and from tissue culture cell lines derived from the tumor using a variety of assays: e.g., no [3H]hypoxanthine uptake into tumor or tissue culture cells, no conversion of [3H]hypoxanthine to [3H]IMP by cell extracts from tumors or tissue culture cells, no growth of tissue culture cells in hypoxanthine:aminopterin:thymidine medium, and normal growth of these cells in 10 microM 6-mercaptopurine. Ten human osteosarcomas have been assayed, and two have no apparent hypoxanthine:guanine phosphoribosyltransferase enzyme activity. After high-dose methotrexate treatment in vivo, murine tumors could be selectively killed and normal tissues could be spared by using a rescue regimen of hypoxanthine-thymidine-allopurinol. PMID- 6575864 TI - Morphological and biochemical characterization of four clonal osteogenic sarcoma cell lines of rat origin. AB - The ultrastructural and biochemical properties of four clonal osteogenic sarcoma lines, UMR 104, 105, 106, and 108, have been compared with uncloned osteogenic sarcoma cells and normal osteoblast-rich cells derived from newborn rat calvaria. High alkaline phosphatase activity and activation of adenylate cyclase by parathyroid hormone were used as biochemical markers of osteoblastic cells. Cloning enriched both of these parameters above those of the parent tumor and far higher than that seen in normal cells, suggesting enrichment of the osteoblast phenotype. Both of these properties have been retained through many passages in culture. Morphologically, the clonal lines have also retained the "blast"-like appearance of the uncloned osteogenic sarcoma cells and consist mainly of flat, relatively featureless cells. Many cells with mitotic figures were observed, indicating continuous cell division taking place in the malignant cells. Each clonal line gave rise to characteristic tumors when reinjected into rats. It is concluded that the clonal osteogenic sarcoma lines are highly differentiated tumor lines which have conserved the differentiated properties of the mature osteoblast, making them a suitable model for the study of the effects of hormones on the growth of a differentiated tumor, as well as for the study of hormonal regulation of the osteoblast. PMID- 6575865 TI - Synthesis, antitumor activity, and cardiac toxicity of new 4 demethoxyanthracyclines. AB - The new anthracycline glycosides 4-demethoxy-4'-deoxydaunorubicin and 4-demethoxy 4'-O-methyldaunorubicin, synthesized by coupling 4-demethoxydaunomycinone with 1 chloro-derivatives of protected 4-O-methyl and 4-deoxydaunosamine derivatives, have been converted into the corresponding doxorubicin analogs. The new compounds have been compared for antitumor effect with the parent drugs and with the previously described 4-demethoxydaunorubicin, 4-demethoxy-4'-epidaunorubicin, and their doxorubicin analogs. All of the new analogs were more cytotoxic against HeLa cells in vitro and were more toxic and more potent in mice than the parent drugs. Comparison at optimal antitumor doses showed that the new analogs were as active as the parent drugs against ascitic P388 leukemia and disseminated Gross leukemia. They were also active when administered orally. The new doxorubicin analogs were slightly more active than doxorubicin against ascitic L1210 leukemia and were markedly more active against disseminated L1210 leukemia. In a parallel activity-cardiotoxicity test in C3H mice repeatedly treated iv, 4 demethoxydoxorubicin, 4-demethoxy-4'-epidoxorubicin, 4-demethoxy-4'-O methyldoxorubicin, and 4-demethoxy-4'-deoxydoxorubicin showed antitumor activity against mammary carcinoma without inducing the typical myocardial lesions observed after doxorubicin treatment, 4-Demethoxy-4'-O-methyldoxorubicin, because of its high antitumor effectiveness, lack of cardiac toxicity in mice, and activity by the oral route, deserves further study. PMID- 6575866 TI - Cardiomyopathy in generalised glycogenosis type II in cattle. AB - The clinical, electrocardiographic and postmortem findings in five cattle affected by generalised glycogenosis type II are described. Three of the affected animals showed generalised muscle weakness for some months before being killed at 11, 15 and 16 months of age. Of the remaining two, one developed severe respiratory distress when 3 months old and died within 6 h of first being noticed to be ill. The other animal showed respiratory distress on exertion at 5 months of age, became recumbent and died when 7 months old. The sum of the QRS complex amplitudes in ECG leads I, II, a VR, aVL and aVF of the affected animals was significantly increased from the control or carrier animals, but only the two affected animals which showed clinical and pathological signs of congestive heart failure had increased heart weight to body weight, left and right ventricular weight to body weight ratios. In view of the lack of correlation between the increased QRS amplitudes and the presence of cardiac enlargement, it is suggested that the increased QRS amplitudes are a reflection of a conduction disorder. It is further suggested that QRS complex abnormalities in generalised glycogenosis in man, particularly in the late onset form may be due to a similar phenomenon. PMID- 6575867 TI - Effect of surface-active agents on fluoride enamel interactions. II. PMID- 6575868 TI - Accumulation of Cu and Zn in human dental plaque in vivo. PMID- 6575869 TI - Movement of plaque fluoride under cariogenic conditions. PMID- 6575870 TI - A mathematical model of salivary clearance of sugar from the oral cavity. PMID- 6575871 TI - Acid production from isomaltulose, sucrose, sorbitol, and xylitol in suspensions of human dental plaque. PMID- 6575872 TI - A purified cariogenic diet for rats to test sugar substitutes with special emphasis on general health. PMID- 6575873 TI - Effect of chewing gums containing xylitol, sorbitol or a mixture of xylitol and sorbitol on plaque formation, pH changes and acid production in human dental plaque. PMID- 6575874 TI - Plasma fluoride concentrations in pre-school children after ingestion of fluoride tablets and toothpaste. PMID- 6575875 TI - Delta 5-3 beta-hydroxysteroid dehydrogenase in chick embryo testis: ultracytochemical localization and hypotheses on the steroidogenic activity related to the presence of the enzyme. PMID- 6575876 TI - Phenotypic modulation of adrenal cortical cells of the rat in primary culture. AB - Rat adrenal cells in secondary culture have been reported to exhibit a more or less differentiated phenotype as indicated by their morphology (epithelial or fibroblastic) and their level of steroid production. Analysis of growth characteristics, delta 5-3 beta-hydroxysteroid dehydrogenase activity, and fluorogenic steroid output of adrenal cortical cells of the rat in primary culture indicates that morphology and steroid production can be quantitatively and qualitatively altered with little change in the activity of the basic steroidogenic enzyme delta 5-3 beta-hydroxysteroid dehydrogenase. These results confirm the origin from steroidogenic tissue of the adrenal cells in culture, and indicate that the changes they show in vitro are best interpreted as phenotypic modulation rather than dedifferentiation. PMID- 6575877 TI - A fresh look at the functionally generated path. PMID- 6575878 TI - Modulation of endogenous prostaglandins by thymosin-alpha 1 in lymphocytes. AB - The effects of thymosin-alpha 1 on the stimulation of specific release of prostaglandin E2 (PGE2) from splenic lymphocytes and thymocytes were studied. Experiments were also performed to study in parallel the absolute levels of thymosin-alpha 1 in the blood and the induction of serum FTS activity and of azathioprine sensitivity of spleen cells from adult thymectomized (ATx) mice. A significant difference in the release of PGE2 between normal splenocytes and splenocytes from ATx mice was observed. Thymosin-alpha 1 at certain concentrations was able to stimulate PGE2 release from lymphocytes of ATx mice while inhibiting release in lymphocytes of normal mice. Also, thymocytes were stimulated to release PGE2 after incubation with alpha 1 in a manner similar to that seen in spleen cells of ATx mice. Approximately the same concentrations of alpha 1 was found to also correct the low azathioprine sensitivity of splenocytes from ATx mice. Determinations of FTS-like activity in the blood and the pharmacokinetics of alpha 1 after administration of this synthetic molecule show a clear dissociation. A maximum peak of alpha 1 activity was obtained after 1 hr, while maximal FTS-like activity was observed after 24 hr. The inhibition of the induction by alpha 1 of FTS-like activity and of Thy 1.2 antigen by indomethacin suggests that the action of alpha 1 requires prostaglandin biosynthesis. PMID- 6575879 TI - [Hereditary sensory neuropathy, questions of nosology and its relation to other degenerative diseases]. PMID- 6575880 TI - A simple method for measuring cholesterol of serum lipoproteins directly in the effluent from a zonal rotor. PMID- 6575881 TI - Treatment of murine immune complex glomerulonephritis with prostaglandin E2: dose -response of immune complex deposition, antibody synthesis, and glomerular damage. AB - A model of immune complex glomerulonephritis (ICGN) produced in mice by the daily injection of apoferritin was employed to study the effect of treatment with various doses of prostaglandin E2 (PGE2) on glomerular damage, immune complex deposition, proteinuria, and serum anti-apoferritin antibody. Administration of PGE2, 200 micrograms twice daily, resulted in a significant decrease in glomerular damage and immune complex deposition, prevented the development of proteinuria, and significantly reduced serum levels of anti-apoferritin antibody. PGE2, 100 micrograms twice daily, resulted in a decrease in immune complex deposition as assessed by immunofluorescence microscopy, but this dosage did not significantly alter glomerular damage, proteinuria, or antibody levels. PGE2 dosages of 50 and 25 micrograms twice daily had no effect on any of these parameters. The protective effect of PGE2 on the development of ICGN occurred only at dosages that were associated with decreased anti-apoferritin antibody. PMID- 6575882 TI - Renal gallium accumulation in the absence of renal pathology in patients with severe hepatocellular disease. AB - Visualization of Ga-67 citrate in the kidneys at 48 hours and 72 hours post injection is usually interpreted as evidence of renal pathology. In reviewing approximately 200 consecutive patients referred for gallium scans, 40 patients who also underwent liver/spleen Tc-99m sulfur colloid (SC) studies within one month of the gallium study were identified. Fourteen of these patients showed advanced hepatocellular dysfunction on the Tc-99m SC liver/spleen images. Of these 14 patients, nine had persistent renal accumulation of gallium at 48 or 72 hours. Five of these nine patients had no evidence of primary renal disease by clinical or postmortem examination and subsequent clinical information indicated that two additional patients probably had no significant renal pathology. Therefore, bilateral symmetrically increased renal uptake of gallium in patients with advanced hepatocellular disease should not necessarily be interpreted as evidence of renal pathology. PMID- 6575883 TI - Ga-67 imaging in pediatric oncology. AB - One hundred sixty-nine children suspected of having malignant disease were examined by Ga-67 scintigraphy. In 99 children with untreated diseases at the time of examination, abnormal accumulation of Ga-67 was found in 51 patients, including 40 with malignant tumor. Forty-three negative results were obtained in children with benign disorders. Five false-negative results were obtained in patients with neuroblastoma of the adrenal gland. In 70 children with malignant diseases treated before the examination, abnormal accumulation of Ga-67 was seen in 40 patients, including 38 with malignant disease and two with no clinical evidence of recurrence. Normal results were obtained in 30 patients, including 11 still suffering from malignant disease. The results of Ga-67 scintigraphy in all of the children were evaluated qualitatively. For the final diagnosis of malignant disease, diagnostic specificity was 86% and diagnostic sensitivity 79%. The prevalence of malignant disease was 56%. It is concluded that Ga-67 scintigraphy should be used for primary visualization and control of malignant tumors in children. PMID- 6575884 TI - The role of the laboratory in rheumatology. HLA antigens. PMID- 6575886 TI - The dentist in the gray flannel suit: (marketing in dentistry). PMID- 6575885 TI - Liquid chromatographic profile classification of acute and chronic leukemias. AB - Reversed-phase high performance liquid chromatography and multivariate discriminant analysis are used for the classification of acute and chronic leukemias. Plasma or serum profiles, mainly of nucleosides, bases, and aromatic amino acids, are segmented into specific retention time intervals. Peak areas in each retention time interval are summed such that the chromatographic profile can be represented as a pattern vector formed from the linear combination of peak areas. The preprocessing techniques of autoscaling and variance weighting minimized inadvertent weighting and reduced the contribution of nondescriptive data components in the development of the discriminant function. The acute lymphocytic leukemia plasma samples and controls were classified with 100% sensitivity and specificity. Chronic leukemia serum samples and controls were categorized with sensitivity and specificity values of 93.7 and 87.6%, respectively. PMID- 6575887 TI - Comprehensive patient care. PMID- 6575888 TI - Competence & confidence: a look at a superior endodontic program. PMID- 6575889 TI - [Erythroplakia of the oral mucosa]. PMID- 6575890 TI - [Statistical analysis of clinical and pathological diagnosis of pulp diseases in 541 cases]. PMID- 6575891 TI - [Clinical orthodontic study of titanium nickel shape memory alloy]. PMID- 6575892 TI - [Calcifying epithelial odontogenic tumor]. PMID- 6575893 TI - [Dental restoration with metal-fused porcelain]. PMID- 6575894 TI - [Clinical value of bone scanning of the maxillofacial region]. PMID- 6575895 TI - [Application of pectoralis major musculocutaneous flap in oral cancer operation]. PMID- 6575896 TI - [Clinical and pathological study of parotid capillary tumors in an infant]. PMID- 6575897 TI - [Degenerative sialosis]. PMID- 6575899 TI - [Free forearm flap transplantation in repair and reconstruction of tongue defects]. PMID- 6575898 TI - [Treatment of incomplete developed roots of non-vital pulp teeth with a camphorated parachlorophenol paste]. PMID- 6575900 TI - [Primary hyperparathyroidism complicated with a "brown maxillary tumor"]. PMID- 6575901 TI - [Periadenitis mucosa necrotica recurrens (report of 12 cases)]. PMID- 6575902 TI - [Treatment of true temporomandibular ankylosis with rib transplantation]. PMID- 6575903 TI - [Analysis of trace elements in the hair of patients with lichen planus and leukoplakia]. PMID- 6575904 TI - [Survey and analysis of bruxism in 2,695 young persons]. PMID- 6575905 TI - [Application of tongue flaps in repairing the defects of posterior oral tissue]. PMID- 6575906 TI - [Reconstruction of fractured teeth]. PMID- 6575907 TI - [Experimental production of mucous leukoplakia on the palate with chronic mechanical irritation of cigarettes and alcohol lesions]. PMID- 6575908 TI - [Ultrastructural observation on the red cell series in the bone marrow of patients with nutritional megaloblastic anemia]. PMID- 6575909 TI - [Subgroups of myasthenia gravis. Association of the early form with HLA B8/DR3]. PMID- 6575910 TI - [Anthracycline-induced cardiotoxicity in patients with acute leukemia]. PMID- 6575911 TI - Antagonistic action of estrogens, flutamide, and human growth hormone on androgen induced changes in the activities of some enzymes of hepatic steroid metabolism in the rat. AB - The dose-dependent effects of daily estrogen (estradiol, ethinyl estradiol, diethylstilbestrol) administration on the activities of three hepatic androgen dependent microsomal enzymes (3 alpha- and 3 beta-hydroxysteroid dehydrogenase and 5 alpha-reductase) in male rats were examined. Antiestrogens were then tested for their ability to block the feminizing action of 10 micrograms estradiol/day on these enzyme activities; nafoxidine and monohydroxytamoxifen were the most effective. The prevention of 5 alpha-dihydrotestosterone-induced changes in these activities in ovariectomized females was investigated. All three estrogens at a dose of 1 microgram blocked the action of 500 micrograms androgen. A similar androgenic blockade was achieved by daily administration of 5 mg flutamide or constant infusion of human GH (5 micrograms/h). Simultaneous administration of 200 micrograms monohydroxytamoxifen prevented the androgen-antagonizing action of estrogens, but not of flutamide nor of GH. Large doses of estrogens have the same repressive effect as androgens on 5 alpha-reductase activity in female castrates. Using the diethylstilbestrol-treated rat as a model, it is demonstrated that this effect can be prevented by antiestrogen, but not by GH. It is concluded that androgens and low doses of estrogens affect these enzyme activities by acting at different levels of central regulation, whereas large doses of estrogens act directly on the liver via hepatic estrogen receptors. These conclusions are corroborated by studies of hepatic estrogen receptor concentrations. PMID- 6575912 TI - Non-specific binding of transferrin and lactoferrin to polystyrene culture tubes: role of the radioligand. AB - While evaluating the role of iron-binding glycoproteins on the in vitro uptake of 67Ga and 59Fe by tumor cells, it was observed that these radiometals bind to polystyrene culture tubes in the presence of transferrin or lactoferrin. The amount of 67Ga or 59Fe bound to the tube increases with glycoprotein concentrations up to 20 microgram/ml and decreases thereafter. This biphasic response is a reflection of metal-protein affinity and is greatest for 59Fe lactoferrin. With 125I-labeled transferrin and lactoferrin, the amount of tube bound radioactivity was inversely dependent on the glycoprotein concentration suggesting that glycoproteins bind to a limited number of binding sites on the tube wall. Approximately 10(13) glycoprotein molecules were bound per tube with an affinity constant of 1.89 X 10(7) 1/M for transferrin and 1.08 X 10(7) l/M for lactoferrin. These sites are not specific since addition of albumin inhibited the binding of radiolabeled glycoproteins to the tube. In the light of these observations, caution is required in interpreting results of cell culture experiments which have not directed attention to protein-plastic interaction. PMID- 6575913 TI - 67Ga and 59Fe uptake by tumor cells treated with hyperthermia or hyperthermia plus lanthanum. AB - The uptake of 67Ga-citrate and 59Fe-citrate by tumor cells treated with hyperthermia or with hyperthermia plus lanthanum has been studied. The comparison of these results with ion flux determinations (42K) appears to indicate that hyperthermia alone or combined with lanthanum modifies the ionic permeability of the plasma membrane. This phenomenon seems to be responsible for the increased accumulation of 67Ga and 59Fe. PMID- 6575915 TI - Cell differentiation and the plasma membrane. International symposium organized by the Dutch Society for Cell Biology under the auspices of ECBO. Noordwijkerhout, June 5-8, 1983. Abstracts. PMID- 6575914 TI - Intractable diarrhoea associated with continuation of cytotoxic chemotherapy during acute infective enteritis. AB - Severe intractable diarrhoea which required prolonged parenteral nutrition is reported in a child with acute leukaemia. The enteropathy is likely to have been the consequence of continuing cytotoxic therapy during an episode of acute infective diarrhoea. It is postulated that the inhibition of crypt mitotic activity prevented the rapid recovery of small intestinal mucosa normally seen after viral infection and resulted in persisting small intestinal dysfunction. The inter-relationship between viral and cytoxic-induced enterocyte damage is discussed and the risks of continuing therapy under such conditions is considered. PMID- 6575916 TI - Pharmacokinetics of isotretinoin and its major blood metabolite following a single oral dose to man. AB - A pharmacokinetic profile of isotretinoin and its major dermatologically active blood metabolite, 4-oxo-isotretinoin, was developed following a single 80 mg oral suspension dose of isotretinoin to 15 normal male subjects. Blood samples were assayed for isotretinoin and 4-oxo-isotretinoin using a newly developed reverse phase HPLC method. Following rapid absorption from the suspension formulation, isotretinoin is distributed and eliminated with harmonic mean half-lives of 1.3 and 17.4 h, respectively. Maximum concentrations of isotretinoin in blood were observed at 1 to 4 h after dosing. Maximum concentrations of the major blood metabolite of isotretinoin, 4-oxo-isotretinoin, are approximately one-half those of isotretinoin and occur at 6 to 16 h after isotretinoin dosing. The ratio of areas under the curve for metabolite and parent drug following the single dose suggests that average steady-state ratios of metabolite to parent drug during a dosing interval will be approximately 2.5. Both isotretinoin and its metabolite can be adequately described using a single linear pharmacokinetic model. PMID- 6575917 TI - Pharmacokinetics of isotretinoin during repetitive dosing to patients. AB - The multiple dose pharmacokinetics of isotretinoin and its major blood metabolite, 4-oxo-isotretinoin, were studied in 10 patients with cystic acne and 11 patients with various keratinization disorders. Blood samples were obtained at predetermined times following the first dose, interim doses and the final dose. Blood concentrations of isotretinoin and 4-oxo-isotretinoin were measured by a specific and sensitive HPLC method. A lag time was usually observed prior to the onset of absorption following oral administration of the drug in a soft elastic gelatin capsule. Absorption then proceeded rapidly and maximum blood concentrations usually occurred within 4 h of drug administration. The harmonic mean half-life for the elimination of isotretinoin by the cystic acne patients was approximately 10 h after the initial dose and did not change significantly following 25 days of 40 mg b.i.d. dosing. Steady-state blood concentrations remained relatively constant after the fifth day of dosing. The harmonic mean elimination half-life in the patients with various disorders of keratinization was about 16 h. The results of the 2 studies suggest that no significant changes in the pharmacokinetics of isotretinoin occur during multiple dosing and that the multiple dose pharmacokinetic profile is predictable and can be described using a linear pharmacokinetic model. This suggests that the steady-state concentrations of isotretinoin can be predicted from single dose data. PMID- 6575918 TI - Erythroid properties of K562 cells. Effect of hemin, butyrate and TPA induction. AB - Two sublines of the human leukemia cell line K562 including the original cell line and three clones have been investigated for their erythroid features. All of them produce embryonic and fetal hemoglobins, glycophorin A, spectrin and true acetylcholinesterase, but to a varying extent among the cell lines. The Hb and glycophorin contents were correlated in the different K562 cell lines, whereas acetylcholinesterase was independently expressed from these two other erythroid markers. Hb accumulation is enhanced by exposure of the cells to 100 microM hemin without a significant modification of the expression of the other erythroid markers. Butyrate greatly increased the activity of acetylcholinesterase, slightly enhanced the production of hemoglobin, but did not modify the expression of glycophorin and spectrin. 12-O-tetradecanoyl-phorbol-13-acetate (TPA) induced an almost complete disappearance of glycophorin, reduced the synthesis of Hb by K562 cells and also abolished the action of hemin on Hb accumulation. Therefore, all the different K562 cell lines exhibit clear erythroid features including acetylcholinesterase. Butyrate or hemin did not induce terminal differentiation of K562 cells, whereas TPA significantly diminished the erythroid phenotype. PMID- 6575919 TI - Fasciola hepatica: increase of glycogen phosphorylase activity due to prostaglandins. AB - Both prostaglandin E1 (PGE1) and prostaglandin F2 alpha (PGF2 alpha) stimulate the glycogen phosphorylase (EC 2.4.1.1.) activity of Fasciola hepatica. Whole or sliced parasites were incubated with PGE1 (2.8 X 10(-7) and 2.8 X 10(-5) M) and PGF2 alpha (2.1 X 10(-7) and 2.1 X 10(-5) M) and enzyme activity was measured in homogenates prepared immediately following the incubation. No substantially different effect was noted between the two assayed doses of prostaglandins. Prostaglandins appeared to be less effective in sliced parasites. PMID- 6575920 TI - [Substances inhibiting monoamine oxidase. II. Inhibition of bovine plasma amine oxidase by N-cyclopropyltryptamines]. AB - In this paper, we report the inhibition constants obtained with N-cyclopropyl-5,6 dimethoxytryptamine and with N-cyclopropyl-6,7-dimethoxytryptamine on the activity of beef plasma amineoxidase. The inhibition constants are respectively: 0.3 x 10(-3) M and 0.65 x 10(-3) M. A dixon graph of the enzymic oxidation of benzylamine indicates a non-competitive inhibition of the enzyme by these dimethoxytryptamines. PMID- 6575921 TI - Mouse invariant chain gamma exhibits structural homology to both polymorphic subunits of the alpha, beta-core complex of I-Ak antigens. AB - The 3 major constituents of the I-Ak subregion-associated complex alpha, beta and gamma were obtained from splenocytes in homogeneous form by differential isolation methods. alpha, beta and gamma were compared on the primary structural level by enzymatic fragmentation procedures and tryptic peptide map analysis of radiolabeled proteins. The data indicate that the invariant chain gamma exhibits extensive structural homology to the polymorphic beta-light and the alpha-heavy chain. Thus, although not being encoded within the MHC gamma appears to belong structurally to the MHC-encoded class II proteins. PMID- 6575922 TI - The answer to fast growth: buy a business. PMID- 6575923 TI - Strategy and understanding stop employee turnover. Interview by Carl M. Caplan.. PMID- 6575924 TI - [Effect of high altitude climate therapy on skin reactivity to prostaglandins E1, E2 and F1 alpha in allergic dermatoses]. PMID- 6575925 TI - Quail fetal antigen (QFA): identification and comparison with chicken fetal antigen. AB - Quail fetal antigen (QFA), an analogous hematopoietic antigen to chicken fetal antigen (CFA), was identified and shown to be a developmental antigen on the blood cells of Japanese quail and other avian species. Rabbit antiserum against 14-day embryonic quail red blood cells (RBCs) was specifically adsorbed to achieve fetal specificity and to eliminate any cross reactivity with the CFA system. Complement-mediated microcytotoxicity and hemagglutination assays were used to detect the presence of QFA on hematopoietic cells. QFA was found on 100% of the peripheral RBCs from 10-day quail embryos but incidence of the antigen gradually declined with increasing development. Complete loss of QFA from RBCs occurred just prior to sexual maturation between 31 and 42 days of age. No qualitative differences in erythroid expression of QFA were observed during development; however, RBCs from both embryonic duck and interspecific quail- chicken hybrids reacted with R-anti QFA. Like CFA, quail fetal antigen was associated with lymphocytes, particularly those from primary lymphoid organs. Similarities in the developmentally controlled tissue distribution of QFA and CFA suggest that developmental hematopoietic antigens are a common feature of avian species and are useful cell surface markers for studies of development and differentiation. PMID- 6575926 TI - Trichosporon hepatitis. AB - A 33-yr-old Puerto Rican women was hospitalized for chemotherapy and multiple antibiotic treatment for relapse of acute myelomonocytic leukemia. While she was already receiving amphotericin for suspected Aspergillus infection, she developed hepatomegaly and abnormal liver enzymes with high serum bilirubin. The blood cultures were negative. Percutaneous liver biopsy revealed granulomatous fungal hepatitis identified by cultures as Trichosporon cutaneum. In spite of the continued administration of amphotericin, with the addition of 5-fluorocytosine, Trichosporon was later cultured from her blood, and she succumbed to fungemia and polymicrobial sepsis. PMID- 6575927 TI - Burning sensation in the mouth. PMID- 6575929 TI - Patient accounting: keeping tabs on practice growth. PMID- 6575928 TI - Sudden facial enlargement. PMID- 6575930 TI - Geriatric dentistry's place in curriculum development. PMID- 6575931 TI - Evaluating the restoration of endodontically treated teeth. PMID- 6575932 TI - Retail dentistry: a study of patient utilization patterns. PMID- 6575933 TI - Protecting the tongue during head and neck irradiation. PMID- 6575934 TI - Multiple techniques of mandibular analgesia. PMID- 6575935 TI - Esthetic composite resin facings for amalgam restorations. PMID- 6575936 TI - [Theoretical evaluation of the expected yield of osteosarcomas after radium isotope intake]. PMID- 6575937 TI - Effect of in vitro administration of LH, prolactin separately and LH and prolactin in mixture, on cultured Leydig cells from mouse testes: I. Changes of delta 5, 3 beta-hydroxysteroid dehydrogenase during postnatal life. AB - Activity of delta 5, 3 beta-hydroxysteroid dehydrogenase in cultured Leydig cells isolated from mouse testes of various age was quantitatively investigated. Activity of delta 5, 3 beta-HSD was low in testes after birth and increased in 21 day old mouse, and then decreased in Leydig cells of 28 day old animals. Maximum activity of dehydrogenase within Leydig cells was observed in 60 day old mice and then gradually declined simultaneously with ageing process. Significant increase of enzymes activity was observed in Leydig cells cultured in medium containing a mixture of 100 ng LH and 100 ng PRL/ml. Doses of either 100 ng LH alone or 100 ng PRL alone showed higher stimulation than lower doses of 10 ng. Changes of activity were statistically significant. PMID- 6575938 TI - [Experimental oro-maxillo-facial surgery. Microsurgical interventions. Proceedings of the congress of the German Society for Oro-Maxillo-facial Surgery. Lubeck, 1982]. PMID- 6575939 TI - [Open bite in relation to breathing]. PMID- 6575940 TI - [Treatment problems in adult patients]. PMID- 6575942 TI - [Inclination of and type of tooth contacts on functional and non-functional sides in children and adults with normal occlusion]. PMID- 6575941 TI - [Experimental animal studies on a "vibration theory"]. PMID- 6575943 TI - [Functional easing of problem orthodontic patients]. PMID- 6575944 TI - [Size of the anterior Bolton Index and frequency of the Bolton discrepancy in the anterior tooth segment in untreated orthodontic patients]. PMID- 6575945 TI - [Treatment of Angle class II anomalies]. PMID- 6575946 TI - [Biomechanical and biofunctional therapy, evaluation under the conditions of "form" and "function"]. PMID- 6575947 TI - Open Bite. Skeletal morphology. PMID- 6575948 TI - [A case report of interceptive treatment with the Frankel functional type III appliance in early mixed dentition]. PMID- 6575949 TI - [Movement of the anterior teeth in different directions with functional appliances]. PMID- 6575950 TI - [Oral hygiene with fixed orthodontic appliances]. PMID- 6575951 TI - [Set-up trimming. Rational finishing system for positioner models]. PMID- 6575952 TI - [Bite modification, eruption and arrangement of the permanent teeth in dogs following interruption of the innervation and blood supply of the mandible]. PMID- 6575953 TI - Medical records completion: new guidelines specified. PMID- 6575955 TI - Chromosome aberrations induced in patients treated with chemotherapeutic drugs and irradiation for acute lymphatic leukemia. AB - Chromosome analyses were carried out in lymphocytes of ten children with ALL, prior to and during combined therapy with antineoplastic drugs and cranial irradiation. Chromosome preparations from group I (four patients) were analysed by conventional staining. For group II (six patients) the FPG technique (fluorescence plus Giemsa) was applied after BrdU treatment of cultures and cells were scored exclusively in first division. A significant clastogenic effect could not be detected in samples collected during or after chemotherapy for either group. After cranial irradiation of those patients in group II. linear dose effect relationships for dicentric plus ring chromosomes, and for excess acentrics, could be demonstrated after correction for the relative amount of irradiated volume. PMID- 6575954 TI - Gene mapping of the gibbon. Its position in primate evolution. AB - Comparative karyotyping of the Hylobatidae has revealed only very few chromosome homoeologies with other primates. Their position in the phylogenetic tree thus remains uncertain. With the hope that comparative gene mapping might allow overcoming these difficulties, somatic cell hybrids were obtained by fusion of fibroblasts from a Hylobates (Nomascus) concolor and cells from a HPRT-Chinese hamster cell line. Of 34 investigated enzyme markers, 20 could be mapped, and 7 syntenies were established. When compared with man, there were 7 synteny disruptions. These results strongly suggest that the Hylobatidae diverged from the common stem leading to the Pongidae after the Cercopithecoidae had diverged. PMID- 6575956 TI - 46,XX/46,XY chimerism in a phenotypically normal man. AB - Some twenty cases of dispermic chimeras with the karyotype 46,XX/46,XY, discovered because of gonadal dysplasias or a true hermaphroditism, have been reported. This is a report of a phenotypically normal man with 46,XX/46,XY chimerism in whom a prepubertal finding of positive X-chromatin was interpreted as Klinefelter syndrome. The diagnosis was revised 11 years later when the family doctor, who doubted the earlier diagnosis because of the patient's normal-sized testes, sent him to an outpatient clinic. The young man was 23 years old, athletic (74kg, 180cm), with normal body proportions, normal sexual hair distribution, normal libido and potency, normal endocrine parameters, and a normal spermiogram. The karyotype revealed an XX/XY mosaic in a proportion of 1:2. An identical set of maternal markers (Q- and C-banding) was present in male and female cells. Differences were found with respect to two paternal markers. Furthermore, blood, serum, and red cell enzyme groups in five systems showed two phenotypes, again with duality of paternal origin. It is concluded that a positive X-chromatin in prepuperty, especially in the absence of supporting clinical features, must be followed by a karyotype study. PMID- 6575957 TI - Taste sensitivity to phenylthiocarbamide in the Salamis Island population (Greece). PMID- 6575958 TI - Cultivation of human osteosarcoma cell lines in serum-free hormone supplemented medium. AB - Two human osteosarcoma cell lines (TE-85, LM-1) were adapted to grow in serum free hydrocortisone supplemented medium. Human osteosarcoma associated antigens were detected both on the cell membrane as well as in the concentrated culture medium. TE-85 cells produced bone specific alkaline phosphatase and LM-1 cells produced both bone specific and placental-like alkaline phosphatases when cultured in this medium. Successful proliferation of human osteosarcoma cell lines in serum-free medium is valuable in human osteosarcoma research. PMID- 6575959 TI - Investigation of porcine natural-killer cell activity with reference to African swine-fever virus infection. AB - The natural killing of the human myeloid leukaemia cell line by pig mononuclear cells was investigated in an 18 hr assay; the most active natural-killer (NK) effectors were those cells not adhering to nylon-wool columns or rosetting with sheep red blood cells. Mononuclear cells cultured in the presence of African swine-fever virus maintained NK activity. Pigs infected with African swine-fever virus exhibited a suppressed NK activity, possibly due to the sensitivity of NK cells to increased temperatures. The possible role of NK cells in recovery from African swine fever is discussed. PMID- 6575960 TI - Periodontally treated dentitions: their maintenance and prognosis. AB - At the beginning of a 2-year clinical study patients were subjected to five different periodontal surgical procedures. The oral hygiene of 50 test patients was then maintained by professional cleaning at intervals of 2 weeks. Patients in the control group (n = 25) were recalled only once per year for scaling and polishing. In the test subjects further periodontal destruction was arrested; in the control group inadequate plaque control led to progressive periodontitis. Further study, over 4 years, of the test subjects demonstrated that continued vigorous plaque control measures maintained their periodontal status. These results were obtained irrespective of the type of surgery performed initially. PMID- 6575961 TI - Health educational aspects of preventive dental programs for school-age children in 34 countries--final results of an FDI international survey. AB - The survey was conducted as part of a project of the Working Group on Oral Health Promotion of CORE, in order to provide a basis for the FDI to plan ways to assist its member associations in developing successful preventive dental programs for school-age children. Mail questionnaires were distributed through national dental associations and completed by dental program directors. A total of 119 responses from 34 countries has been analysed. The programs reported tended to be young, supported by public funds, carried out in schools and part of ongoing agency or organizational programs. Instructional activities were the most frequently mentioned service provided routinely for all children, followed by early detection and treatment services. Primary preventive services appeared to be provided least frequently. About 60 per cent of programs served children drinking water from central sources, but only 16 per cent of programs served children drinking optimally fluoridated water. Water fluoridation was the most frequently mentioned procedure that respondents would have liked to see added or extended if additional resources were to be made available. Program organization was the most frequently mentioned reason for program success. The five most frequently mentioned barriers were insufficient financial resources (most often cited), manpower limitations, low public acceptance, non-supportive attitudes among policy makers and inadequate facilities. As a result of the survey three major needs were identified: (1) the need for more efficient application of known effective primary protective methods, especially against dental caries; (2) the need to improve the correspondence between program objectives, the types of services provided and the evaluation methods used to assess and evaluate program achievements; and (3) the need for greater understanding of the scope of community health educational aspects of oral health, prevention and dental treatment. Specification of these and similar problems should lead the FDI working group to recommend priorities on the type of assistance to provide to member nations and the manner of its provision, perhaps in concert with the World Health Organization and the International Association for Dental Research. PMID- 6575962 TI - Effective oral health education and promotion programs to prevent dental caries. AB - Dental caries is nearly universal--no nation is free of this disease. Although the ability to prevent dental caries is imperfect, scientifically evaluated protective measures are available. These can substantially decrease caries when implemented and sustained, yet a large portion of the world's population, especially children, is unaided or receives outdated or unproved measures. The best individual and community protection against dental decay today is offered by the proper use of fluorides. Community water fluoridation is the most effective, practical and least expensive method. Because community water fluoridation is unavailable to many, effective alternatives must be introduced. The majority of carious lesions in children during their school years occur on occlusal surfaces. Because this surface is least protected by fluorides, adhesive sealants should be used to augment the partial protection derived from fluorides. Sound health education and health promotion activities, validated by research, form the foundation upon which prevention is organized, implemented and perpetuated. PMID- 6575963 TI - Promoting periodontal health--effective programmes of education and promotion. AB - A realistic aim for a preventive programme is to reduce dental plaque to levels compatible with rates of progression of periodontal disease which will allow functional and aesthetically and socially acceptable dentitions to be maintained throughout life. Since tooth cleaning is mainly influenced by socialization, and most people do brush their teeth, the objective of health education is to improve the effectiveness of oral hygiene behaviour. However, most dental health education programmes, whether directed at individuals or groups, are based upon an incorrect concept. Instead of attempting to change the commonly used scrub technique, encouragement should be given to use the scrub method more effectively. Oral health should be integrated with programmes dealing with general hygiene and grooming; a diversity of approaches and maximal participation by the community, individuals and professionals should be encouraged. The dentist/hygienist-centred strategy is not likely to be effective in reducing periodontal disease at a community level. Social and educational strategies directed at groups are more likely to be useful. Programmes should concentrate on educating significant individuals in the community, educating educators and educating the dental team. The programme should be continuous and low key and refrain from victim-blaming exhortations to clean teeth with devices of questionable usefulness. PMID- 6575964 TI - The prevention connection: linking dental health education and prevention. AB - Education and prevention are inextricably linked. In what proportion these two entities should be represented in any prevention/education programme is a question now to be faced. The proportions are likely to be different in programmes which aim to prevent the two major diseases which challenge dentistry. Dental caries, already declining sharply in economically developed countries, is largely preventable at the community level with relatively little need for individually based dental health education. Here, the concept of education must be broadened to go beyond the 'motivation' of the individual patient: it is best directed at community decision-makers rather than at individuals. As yet periodontal disease is not amenable to community-based prevention. There is no equivalent in the prevention of periodontal disease to the use of fluoride. Control of periodontal disease in the long run must be through individual education supported by an appropriate level of professional care. All this presents a major challenge to the way dentistry is practised and to the way public educational programmes are developed. Existing programmes need to be constantly reassessed and matched against demographic information and epidemiological data on disease trends. Overall, it is clear that oral diseases can never be successfully controlled without firmly linking education and prevention. PMID- 6575965 TI - Where does the FDI go from here? AB - In adhering to Article III of its Constitution the FDI must take the initiative to promote oral health programmes worldwide by disseminating information, by developing and monitoring new programmes and recommending improvements after evaluation. These activities should be mediated through the Commission on Oral Health Research and Epidemiology which brings together the necessary internationally based expertise. PMID- 6575966 TI - Perceptions of occlusal conditions in Australia, the German Democratic Republic and the United States of America. AB - An instrument developed by Jenny et al. (1980) for rating the public's perceptions of the social acceptability of a wide variety of occlusal configurations was administered to children and adults in Australia, the German Democratic Republic and the United States of America and also to US orthodontists. Mean scores for the 7 groups of subjects from the 3 countries were arranged in rank order from the least socially acceptable to the most socially acceptable and compared. The results indicate that use of the social acceptability scale of occlusal conditions (SASOC) is a highly reliable method for scoring and rank-ordering the aesthetic acceptability of occlusal morphologies. Spearman rank-order correlation coefficients between the ranking of SASOC stimuli by all 7 groups of subjects from the 3 countries ranged from 0.85 to 0.97. The probability of such correlations occurring by chance is less than 1 in 10000 (P less than 0.0001). SASOC proved capable of rank-ordering a wide range of occlusal morphologies for aesthetics with excellent consistency along the entire spectrum from the least acceptable to the most socially acceptable in all 3 countries. The data indicate that norms for socially acceptable dental appearance are essentially the same in Australia, the German Democratic Republic and the United States of America. PMID- 6575967 TI - Identification by a monoclonal antibody of a glycolipid highly expressed by cells from the human myeloid lineage. AB - A monoclonal antibody (MAb) HL-C5, which bound selectively to cells of the myeloid lineage tested, was derived from a fusion between P3/NS2/1-AG8 myeloma cells and splenocytes from a mouse immunized with cells of the promyelocytic leukemia line HL-60. Among a panel of 29 human cell lines derived from either hematopoietic or solid tumors, MAb HL-C5 was found to react exclusively with cells from the five differentiated acute myeloid leukemia lines, HL-60, ML1, ML2, ML3, KG-1B and not with the less differentiated myeloid lines. Fluorescence activated cell sorter analysis of normal bone marrow samples confirmed that the reactivity of MAb HL-C5 was limited to myeloid cells, from the promyelocytic stage of differentiation to the mature granulocytes. Indirect immunoperoxidase staining of cytocentrifuge preparations of normal bone marrow and peripheral blood leukocytes confirmed these results and showed that MAb HL-C5 stained neutrophils but not eosinophils or basophils. The antigen recognized by HL-C5 was recovered in the upper phase of chloroform-methanol-water lipid extracts prepared from HL-60 cells. By competitive binding experiments, it was found that MAb HL-C5 recognizes the same antigenic determinant as MAb WGHS 29-1, which has been reported to react with glycolipids containing the sugar sequence lacto-N fucopentaose 111. Autoradiographs of thin layer chromatograms of HL-60 glycolipid extracts which were revealed by incubation with MAb HL-C5 or WGHS 29-1 followed by the addition of 125I-labelled rabbit anti-mouse immunoglobulin antibody confirmed that the two MAbs reacted with the same or structurally very similar glycolipids. PMID- 6575968 TI - Variance in resistance to natural and antibody-dependent cellular cytotoxicity and to complement-mediated lysis among K562 lines. AB - Isolation of sub-populations of the NK-sensitive erythro-leukaemic cell line K562 by limiting dilution techniques has revealed marked clonal variation in susceptibility to natural cytotoxicity. Detailed examination of two such lines (E10/P2 and F9/P2) which differed significantly in their susceptibility to both native and activated NK-cell-mediated lysis revealed that their differences were stable and independent of culture conditions. The resistant (F9/P2) and sensitive (E10/P2) lines had comparable cold-inhibitory and effector-cell adsorption capacities, indicating that differential susceptibility was not attributable to variable expression of NK target structures. F9/P2 was also less susceptible to antibody-dependent cellular cytotoxicity (ADCC) and complement-mediated lysis, indicating the existence of variants with a generalized capacity to resist several immunolytic processes. PMID- 6575969 TI - Malignant myeloblastic transformation of murine long-term bone marrow cultures by F-MuLV: in vitro reproduction of a long-term leukemogenesis, and investigation of preleukemic events. AB - A Friend helper virus I-5(F-MuLV) which induces myeloblastic leukemias in mice after a latency of several months, was used to infect long-term bone marrow cultures. From 48 to 71 weeks after in vitro infection, 4/14 cultures gave rise to transplantable malignant myeloblastic cells. These cells were shown to genuinely result from as in vitro transformation of virus-infected normal bone marrow cells. The in vitro transformation reproduced the course of the in vivo disease. It provided unique material for in vitro investigation of the preleukemic stages of long-term leukemogenesis. Successive cellular events were: (1) freezing of the normal myelomonocytic differentiation process; (2) change from factor-dependent to an autonomous growth; (3) acquisition of in vivo tumorigenicity. PMID- 6575970 TI - Ocular penetration of N-formimidoyl thienamycin (MK-787) and potentiation by dipeptidase inhibitor (MK-791). AB - N-formimidoyl thienamycin (MK-787) is a new beta-lactam with potent activity against both aerobic and anaerobic gram-positive and gram-negative bacteria. Its spectrum and activity suggest it may be useful in treatment of complicated intraocular infections. Its ocular penetration was studied in New Zealand white rabbits immediately before and after the third dose of 40 mg/kg administered intravenously at q6h intervals. Plasma, aqueous humor, and vitreous humor were obtained by direct aspiration, and antibiotic levels were assayed using an agar well diffusion method. MK-787 penetrated uninflamed intraocular fluids, including vitreous humor, although vitreous concentrations achieved (0.1-0.2 micrograms/ml) were significantly lower than the mean peak plasma (15 micrograms/ml) and aqueous concentrations (7 micrograms/ml). Nevertheless, the intraocular levels attained approached or exceeded the MIC90 for most sensitive organisms including some gram negative bacilli important in bacterial endophthalmitis. When administered in combination with the renal enzyme inhibitor MK-791, plasma and aqueous concentrations of MK-787 were markedly potentiated, although vitreous concentrations were minimally affected. The potential usefulness of MK-787 in conjunction with MK-791 in the infected eye should be examined further in an animal model of bacterial endophthalmitis. PMID- 6575971 TI - Extramedullary lesions in non-lymphocytic leukemia: results of radiation therapy. AB - Fifty-four courses of radiotherapy were given to 33 patients with symptomatic extramedullary involvement by non-lymphocytic leukemia. Among them were 23 cases of granulocytic sarcoma. Analysis of the treatment response showed that age, hematopathologic type and quality of irradiation did not influence the radiation response. However, a dose response relationship could be demonstrated with a statistically significant difference in response among the four groups of patients treated to total doses of less than 1000 rad, 1000-1999 rad, 2000-2999 rad, and greater than or equal to 3000 rad (p = 0.003). We suggest irradiating all extramedullary lesions to at least 1100 ret. PMID- 6575972 TI - Ionic regulation of MEL cell commitment. AB - A key event in the initiation of the dimethyl sulfoxide (DMSO)-induced program of murine erythroleukemia (MEL) cell differentiation is a rise in the level of cytoplasmic calcium ions. Our interest in the present study is whether other inducers of the terminal erythroid differentiation program also act via a calcium dependent pathway. Inhibition of calcium transport has been found to prevent the induction of MEL cell commitment by DMSO, butyric acid (BA), or hypoxanthine (HX). Enhancement of the calcium flux rate with A23187 or elevation of cytoplasmic calcium levels with FCCP stimulates the kinetics of commitment in response to all three inducers. These results suggest that of the inducers we have tested (DMSO, BA, and HX), all three act to initiate commitment via a common mechanism which involves modulation of cytoplasmic calcium levels. PMID- 6575973 TI - Improved concanavalin A-Sepharose elution by specific readsorption of glycoproteins. AB - Elution of bound glycoproteins from concanavalin A-Sepharose can be made more efficient by their readsorption to a Blue A agarose column (specific) and Green A agarose column (less-specific) during recycling of the elution buffer. Three lysosomal enzymes were eluted in this way with marked improvement in their specific activities, time and handling and amount of eluting ligand used. PMID- 6575974 TI - High-performance liquid chromatographic method for pharmacokinetic studies on the new anthracycline 4-demethoxydaunorubicin and its 13-dihydro derivative. AB - The anthracyclines are a group of antitumoral antibiotics with significant clinical efficacy. Among the new anthracycline derivatives, 4 demethoxydaunorubicin showed interesting biological properties in terms of both spectrum of activity and therapeutic index and was recently introduced in clinical trials. The present paper describes the analytical method developed to investigate the pharmacokinetics of this derivative. The method consists of the extraction of 4-demethoxydaunorubicin and its 13-dihydro metabolite from plasma with chloroform--1-heptanol (9:1) and re-extraction with 0.3 M phosphoric acid, separation by high-performance liquid chromatography and quantification by sensitive fluorescence detection. Plasma level curves obtained from cancer patients treated with the drug are shown. PMID- 6575975 TI - High-performance liquid chromatographic assay for cytosine arabinoside, uracil arabinoside and some related nucleosides. AB - A novel, dual-column high-performance liquid chromatographic method for determination of the anti-cancer drug cytosine arabinoside (Ara-C) and its major metabolite uracil arabinoside (Ara-U) has been developed. The analytical procedure is sensitive (25 ng/ml) and specific for Ara-C, Ara-U and the endogenous nucleosides that may influence response to Ara-C therapy, cytidine and deoxycytidine. Conventional and high dose calibration curves were linear and the method precise with the assay coefficient of variation for Ara-C and Ara-U not greater than 9.1% over the range of 0.1-10 micrograms/ml. Accuracy was determined to be within +/- 3 to 9% over this concentration range. Using this method, patient plasma samples from both conventional dose (100-200 mg/m2 per day) and high dose (3500-6500 mg/m2 per day) Ara-C can be simultaneously analyzed for Ara C, Ara-U and nucleosides so that comparative pharmacokinetic and pharmacodynamic studies can be conducted. PMID- 6575976 TI - Cross-channel contamination of prostaglandins during separation by thin-layer chromatography. PMID- 6575978 TI - A new bone marrow aspiration needle to overcome the sampling errors inherent in the technique of bone marrow aspiration. PMID- 6575977 TI - Angiotensin II-induced hypertension in the rat. Effects on the plasma concentration, renal excretion, and tissue release of prostaglandins. AB - We examined in rats the effects of intraperitoneal angiotensin II (AII) infusion for 12 d on urinary excretion, plasma concentration, and in vitro release of prostaglandin (PG) E2 and 6-keto-PGF1 alpha, a PGI2 metabolite. AII at 200 ng/min increased systolic blood pressure (SBP) progressively from 125 +/- 3 to 170 +/- 9 mmHg (P less than 0.01) and elevated fluid intake and urine volume. Urinary 6 keto-PGF1 alpha excretion increased from 38 +/- 6 to 55 +/- 5 and 51 +/- 7 ng/d (P less than 0.05) on days 8 and 11, respectively, of AII infusion, but urinary PGE2 excretion did not change. Relative to a control value of 129 +/- 12 pg/ml in vehicle-infused (V) rats, arterial plasma 6-keto-PGF1 alpha concentration increased by 133% (P less than 0.01) with AII infusion. Aortic rings from AII infused rats released more 6-keto-PGF1 alpha (68 +/- 7 ng/mg) during 15-min incubation in Krebs solution than did rings from V rats (40 +/- 3 ng/mg); release of PGE2, which was less than 1% of that of 6-keto-PGF1 alpha, was also increased. Slices of inner renal medulla from AII-infused rats released more 6-keto-PGF1 alpha (14 +/- 1 ng/mg) during incubation than did slices from V rats (8 +/- 1 ng/mg, P less than 0.05), but PGE2 release was not altered. In contrast, AII infusion did not alter release of 6-keto-PGF1 alpha or PGE2 from inferior vena cava segments or from renal cortex slices. Infusion of AII at 125 ng/min also increased SBP, plasma 6-keto-PGF1 alpha concentration, and in vitro release of 6 keto-PGF1 alpha from rings of aorta and renal inner medulla slices; at 75 ng/min AII had no effect. SBP on AII infusion day 11 correlated positively with both 6 keto-PGF1 alpha plasma concentration (r = 0.54) and net aortic ring release (r = 0.70) when data from all rats were combined. We conclude that augmentation of PGI2 production is a feature of AII-induced hypertension. The enhancement of PGI2 production may be an expression of nonspecific alteration in vascular structure and metabolic functions during AII-induced hypertension, as well as the result of a specific effect of the peptide on the arachidonate-prostaglandin system. PMID- 6575979 TI - Initial observation that cyclosporin-A induces gingival enlargement in man. PMID- 6575980 TI - Clinical parameters as predictors of destructive periodontal disease activity. PMID- 6575981 TI - Plaque-induced gingival inflammation in the absence of attached gingiva in dogs. AB - The purpose of this experiment was to evaluate the effect of plaque infection on gingival units (1) with or without support of attached gingiva and (2) with different height of the attachment apparatus. 7 beagle dogs were used. Prior to the initiation of the study 4 different types of "dentogingival" units had been established in each dog by the use of excisional and grafting procedures, namely (1) normal non-operated free gingival units supported by a wide zone of attached gingiva and normal height of the attachment apparatus, (2) regenerated free gingival units supported by loosely attached alveolar mucosa and normal height of the attachment apparatus, (3) regenerated free gingival units supported by loosely attached alveolar mucosa and reduced height of the attachment apparatus and (4) regenerated free gingival units supported by a wide zone of attached gingiva and reduced height of the supporting apparatus. A baseline examination involved assessments of plaque, gingivitis, gingival exudate, probing depth, clinical attachment level, position of the "soft tissue margin" and width of attached gingiva. Following this examination 2 of the dogs were scheduled for biopsy and sacrificed. The remaining 5 dogs were for 40 days placed on a diet regimen which allowed plaque accumulation. The clinical examination was repeated and biopsies sampled at the end of this period. Following preparation the biopsy material was subjected to histometric and morphometric analysis. The results showed that the free gingiva which regenerated following surgical excision of the entire gingiva or following soft tissue grafting, was in most respects, clinically as well as histologically, similar to the "normal" free gingiva. The data obtained after 40 days of plaque accumulation did not reveal any differences between the various "dentogingival" units regarding size and apical extension of the infiltrated portion of the connective tissue. It was concluded that a free gingival unit which is supported by loosely attached alveolar mucosa is not more susceptible to inflammation than a free gingival unit which is supported by a wide zone of attached gingiva. PMID- 6575982 TI - Comparison of different data analyses for detecting changes in attachment level. AB - The purpose of the present investigation was to evaluate methods to detect periods of destructive periodontal disease activity in individual sites using pairs of repeated attachment level measurements. Attachment level measurements were made at 6 sites on every tooth in 22 individuals with radiographic evidence of periodontal destruction, and were repeated within 7 days. A total of 3414 sites were monitored at 2-month intervals for approximately 1 year. 3 analytical procedures were used to test for significant changes in attachment level. For regression analysis, a linear least squares fit function of time in days vs attachment level was computed for each site and the slope tested for difference from 0. Running medians of 3 were used to smooth attachment level measurements and changes greater than 2 mm in the smoothed curves were considered significant. By the tolerance method, differences between pairs of attachment level measurements were used to compare the mean change and the site specific variability of that change. The proportion of specific agreement (Ps) for breaking down sites was highest between the tolerance and running median methods (Ps = 0.63). Overall agreement (kappa), which included sites which showed "loss", "gain", and no change was 0.56. By regression analysis (P less than 0.01), 175 sites were identified as having significant attachment loss and 79 sites were identified as improving. By running medians these figures were 90 and 50, and by tolerance 94 and 40, respectively. Each of the 3 methods had certain advantages. Regression analysis was particularly sensitive to gradual changes in slope whereas the running median method detected abrupt changes in attachment level. The tolerance method was well suited to detecting changes over a short period of time. The tolerance and running median methods detected more breaking down sites on the molars and lower incisors and on interproximal surfaces; whereas regression analysis did not show these differences. PMID- 6575983 TI - Efficacy of paracetamol in reducing post-operative pain after periodontal surgery. AB - In a double-blind, placebo-controlled study, the efficacy of 2 doses of paracetamol (500 and 1000 mg) was assessed in post-operative pain after periodontal flap surgery. Both doses of paracetamol provided greater analgesia than placebo, however, significant analgesia (P less than 0.05) was only noted in the early post-operative period. The analgesia from both doses of paracetamol did not differ significantly throughout the 3-day observation period, however, greater analgesia was attributable to 1000 mg paracetamol in the immediate post operative period. The results from this study suggest that paracetamol is an effective analgesic for controlling post-operative pain after periodontal flap surgery, with 1000 mg dose being more effective than 500 mg immediately after surgery. PMID- 6575984 TI - A long junctional epithelium--a locus minoris resistentiae in plaque infection? PMID- 6575985 TI - Link between bulimia and depression unclear. PMID- 6575986 TI - Dentists and career satisfaction: an empirical view. PMID- 6575988 TI - Iatrogenic erosion of teeth. PMID- 6575987 TI - Enamel fluoride content after using amine fluoride- or monofluorophosphate-sodium fluoride-dentifrices. AB - The fluoride retention in enamel was determined in vivo comparing the short-term unsupervised use of amine fluoride- and monofluorophosphate-sodium fluoride dentifrices. Acid-etch enamel biopsies in the double-blind study showed that the fluoride content in enamel was significantly higher following use of the amine fluoride dentifrice, 959 ppm F vs 330 ppm F. Both dissolution of the enamel, determined by the amount of phosphorus (33.9 micrograms vs 50.9 micrograms) and the depth of etch (6.2 microns vs 9.6 microns) were significantly reduced after use of the amine fluoride compared to the monofluorophosphate-sodium fluoride combination. PMID- 6575989 TI - Prevalence of ankylosis of primary molars in different regions of the United States. PMID- 6575990 TI - Low dental caries in Jewish adolescent school pupils in South Africa. PMID- 6575991 TI - Cystic lesion associated with a primary canine with a treated pulp. PMID- 6575992 TI - Perleche: report of case. PMID- 6575993 TI - Phase variation of hyaluronidase-producing peptostreptococci associated with periodontal disease. AB - Peptostreptococci isolated from diseased periodontal pockets produced large amounts of extracellular hyaluronidase throughout their growth cycle. Phase variants, obtained by re-streaking aged colonies of the wild types, had different colonial morphology and shorter generation times. These variants produced less hyaluronidase, and enzyme production occurred only during the early stationary phase. PMID- 6575994 TI - Effect of eugenol on constrictor responses in blood vessels of the rabbit ear. AB - Aqueous solutions of eugenol depressed vasoconstrictor responses to exogenous norepinephrine (NE), histamine, and peri-arterial sympathetic nerve stimulation in the isolated central artery of the rabbit ear and in the isolated perfused whole rabbit ear. The depression was dose- and time-dependent, and was slowly reversible. Eugenol appeared to act as an inhibitor of smooth muscle contractility. PMID- 6575995 TI - Plastic deformation of orthodontic wires. AB - Theoretical predictions of the bending moments in the region of plastic behavior were accurate for beta titanium and stainless steel, but were consistently low in the far-elastic region for the three alloys studied. PMID- 6575996 TI - Quantitation of human salivary acidic proline-rich proteins in oral diseases. AB - Acidic proline-rich proteins (APRP) were quantitated immunochemically in salivary secretions from groups of: caries-resistant (CR) and caries-susceptible (CS) subjects; heavy- and light-calculus-formers; and patients with Sjogren's Syndrome, drug-induced xerostomia, and recurrent parotitis. In all groups except the parotitis patients, there were comparable levels of APRP, about 40-50 mg%, with similar values in parotid and submandibular saliva. In chronic recurrent parotitis, the values were somewhat higher (about 60 mg%). There were no differences in the proportion of APRP-A to C in a subset of CR and CS. Taken as a whole, the data support the view that the secretion of APRP is stable and that caries status and propensity to calculus formation are not associated with abnormal levels of these phosphoproteins. PMID- 6575997 TI - Comparative growth responses of oral streptococci on mixed saliva or the separate submandibular and parotid secretions from caries-active and caries-free individuals. AB - Growth of S. mutans on mixed or parotid saliva from CF individuals may be influenced by the availability of growth-supportive proteins or the inhibitory activity present in parotid saliva. A deficiency in growth-supportive proteins may explain the limited growth of S. sanguis on mixed or submandibular saliva from these individuals. PMID- 6575998 TI - Dentin permeability: effects of temperature on hydraulic conductance. AB - The rates of fluid movement across dentin discs, in vitro, were measured at 10, 20, 30, 40, and 50 degrees C in unetched and acid-etched dentin. Increasing the temperature 40 degrees (i.e., from 10 to 50 degrees C) resulted in a 1.8-fold increase in fluid flow in unetched dentin, which was of a magnitude similar to the decrease in viscosity that occurred over the same temperature range. In acid etched dentin, the 40 degrees C temperature change produced more than a four-fold increase in fluid conductance, more than double that which could be accounted for by changes in viscosity. Analysis of the data suggests that this additional increment in hydraulic conductance is due to thermal expansion-induced increases in tubular diameter. PMID- 6575999 TI - Fusobacterium periodonticum, a new species from the human oral cavity. AB - Isolates of Fusobacterium that differ from type strains of various fusobacterial species with respect to DNA sequence, cellular fatty acid composition, and biochemical activity, were obtained from periodontitis lesions in a patient with insulin-dependent diabetes mellitus. These isolates have the following distinguishing characteristics: 28% guanine + cytosine content; 40% or less DNA homology with type strains of representative fusobacterial species; cell size, 0.5 - 1 X 4 -100 microns; absence of motility; ability to ferment glucose, fructose, and galactose, but not 25 other carbohydrates; ability to produce indole; ability to hydrolyze hippurate but not esculin; sensitivity to bile; ability to produce little or no gas; ability to utilize threonine but not lactate. We propose that the organisms be classified as a distinct species of Fusobacterium to be named Fusobacterium periodonticum. The type strain of this new species has been deposited with the American Type Culture Collection under the designation ATCC 33693. PMID- 6576000 TI - Concentration changes in surface Ca, P, F, Zn, Fe, and Sr during white spot formation. AB - The purpose of this study was to investigate the mechanism of surface layer formation in artificial white spots. Two nondestructive nuclear micro-analysis techniques were employed to analyze windows of human dental enamel at progressive stages of an artificial lesion. Fluoride concentrations were measured to a depth of 9 micron using resonant reaction profiling. Surface concentrations of Ca, P, Zn, Fe, and Sr were measured using proton-induced X-ray emission. The enamel windows were analyzed longitudinally after zero, four, and 16 hours' exposure to lactic acid gels of pH 3.7 and pH 4.5. During the first four hr of lesion formation, nonfluoridated apatite was preferentially removed from the surface with up to a 40% loss of Ca and P, depending on the gel pH. The next 12 hr saw a build-up of Ca and P in the surface to values approaching those of healthy enamel. In comparison, F and Sr concentrations changed very little, Fe tended to show a small increase at the end of each demineralization period, and Zn was less readily lost and gained than was Ca. These results and others suggest that the white spot surface layer phenomenon is a combined demineralization/remineralization process aided by, but not requiring, the presence of endogenous fluoride. PMID- 6576001 TI - A microradiographic and chemical comparison of in vitro systems for the simulation of incipient caries in abraded bovine enamel. AB - An acetate buffer system, supersaturated with fluorapatite but not with hydroxyapatite, produced lesions in abraded bovine enamel which resembled human enamel caries lesions, both morphologically and in their F distribution. A gelatin-lactate system gave similar results when unpurified gelatin was used. Systems containing deionized gelatin, diphosphonate, or Ca and phosphate but no F, failed to produce caries-like lesions. PMID- 6576002 TI - The effect of non-steroidal anti-inflammatory drugs on the metabolism of 14C arachidonic acid by human gingival tissue in vitro. AB - We investigated the effect of non-steroidal anti-inflammatory drugs on prostaglandins (PGs) and 12-hydroxyeicosatetraenoic acid (12-HETE) formation by inflamed human gingival tissues. Gingival tissue homogenates were incubated with 14C-arachidonic acid in the presence of indomethacin, piroxicam, or ibuprofen, and the organic solvent extracts were chromatographed on silica gel plates with standards for radiometric assay. There was a significant negative trend between the doses (10(-7)-10(-3) M) of each of indomethacin, piroxicam, and ibuprofen, and the amounts of PGF2 alpha, PGE2, PGD2, and 15-keto-PGE2 produced. All three drugs have a significant inhibitory effect on PGs and 12-HETE production at 10( 3) M when compared with the control. The rank order effectiveness of the drugs, at 10(-3) M, on PG inhibition was indomethacin greater than piroxicam greater than ibuprofen, and on 12-HETE inhibition was indomethacin greater than ibuprofen greater than piroxicam. PMID- 6576004 TI - Human factors in the measurement of the masseteric silent period. AB - Human variability in the measurement of the masseteric silent period (SP) was quantified. There were significant differences among (1) observer groups (technicians and dental students), (2) individual observers, (3) repeated measures of the same SP, and (4) trials. No significant observer bias was found. SP's were significantly longer at an inter-incisal distance of 10 mm (48.8 +/- 5.4 ms) than at 14 or 19 mm (44.7 +/- 9.8 ms, 44.5 +/- 6.5 ms). PMID- 6576003 TI - Murine tooth organ transplantation after in vitro culture. AB - Molar tooth organs were transplanted from fetal and neonatal mouse donors as well as from cap-stage molar tooth organs following ten days of in vitro culture. Tooth organs from neonatal donors appeared to develop better than those from fetal donors in syngeneic recipients. Cultured allogeneic molar tooth organs appeared to survive longer than uncultured controls. PMID- 6576005 TI - Dental caries and strontium concentration in drinking water and surface enamel. AB - We investigated the possible cariostatic effect of strontium in the absence of effective amounts of fluoride by relating the DMFT index of the population to the strontium and fluoride concentrations in drinking water and enamel surfaces. The epidemiological survey was conducted in two neighboring districts in the northwest part of Greece, involving 582 children ranging in age from 11 to 14. The average DMFT values were 5.26 in the high-strontium (2.9-7 ppm Sr) area and 6.95 in the low-strontium (0.2-1.3 ppm Sr) area, while fluoride was low (less than 0.06 ppm) in both districts. Further, the average strontium concentration in surface enamel was higher in the high-strontium area. PMID- 6576006 TI - Estimates of the gain in power utilizing transformations of DMFS scores. AB - More than 100,000 clinical caries trials were simulated utilizing the negative binomial distribution on a UNIVAC 1100 computer. In each trial, the raw data and logarithmic transformed data were analyzed using a standard t test analysis. The results were summarized as estimates of the power functions for each case. In almost all cases, the transformed data gave greater power than did the untransformed data. In several common situations, the differences were dramatic. PMID- 6576007 TI - Media and promoting dentistry. PMID- 6576008 TI - Keyes' method. PMID- 6576009 TI - Battle for fluoridation. PMID- 6576010 TI - Fluoride therapy. PMID- 6576011 TI - Conservative treatment. PMID- 6576012 TI - Sealant questions. PMID- 6576014 TI - Contract practice: an alternative. PMID- 6576013 TI - Dental hygiene in a new light. PMID- 6576015 TI - The legalities of the employer-employee relationship. PMID- 6576016 TI - Dentists' perceptions of the 'good' adult patient: an exploratory study. PMID- 6576017 TI - Summary results of the Kentucky dental practice demonstration: a cooperative project with practicing general dentists. PMID- 6576018 TI - Residual cysts masquerading as periapical lesions: three case reports. AB - A residual cyst is an odontogenic lesion that survives after the removal of the associated tooth. The presence of this lesion adjacent to a remaining tooth may lead to incorrect, incomplete, or delayed treatment because it mimics a periapical lesion on the retained tooth. Three cases are reported that describe such conditions. PMID- 6576019 TI - Subcutaneous emphysema after extraction of maxillary teeth: report of a case. AB - Inappropriate use of dental equipment that is powered by highly compressed air may directly lead to the formation of subcutaneous emphysema that involves the fascial planes of the head and neck. The high-speed dental handpiece and the air and water dental syringe are the instruments that are most commonly implicated in the reported cases. The treatment of such cases requires a reassured patient, prophylactic antibiotic coverage, and close postoperative follow-up care. Patients should avoid maneuvers that could increase intraoral pressure. Complete resolution should be expected within one week. PMID- 6576020 TI - The application of blue polymer curing lights for diagnostic transillumination. PMID- 6576021 TI - A laboratory study of changes in vertical dimension using acrylic resin and porcelain teeth. AB - A controlled investigation was conducted to compare the increase in vertical dimension of complete dentures after processing using acrylic resin and porcelain teeth. The smallest increase in vertical dimension was obtained using acrylic resin teeth. PMID- 6576022 TI - An evaluation of the six-year combined predental-dental program at Case Western Reserve University: the first decade. PMID- 6576023 TI - The Minnesota dental practice analysis system. AB - The Minnesota Dental Practice Analysis System (DPAS) is a three-year project sponsored cooperatively by the University of Minnesota's School of Dentistry, Health Services Research Center, and the Minnesota Dental Association. The primary intent of the DPAS is to generate timely, reliable information on dental practice conditions for dental work force planning efforts. The system semiannually collects data from a representative sample of Minnesota dentists to monitor trends in such important areas as practice productivity, auxiliary utilization, types of procedures performed, payment mechanisms, and dental fees. Preliminary results of the project indicate that, in comparison with 1980 indicators, overall practice conditions among established Minnesota dentists have declined. PMID- 6576024 TI - Asymptomatic, nonulcerated, freely movable nodule in the anterior floor of the mouth. AB - Small, localized aggregations of lymphoid tissue can occur commonly in the oral cavity, especially in the soft palate, the floor of the mouth, and the ventral surface of the tongue. They normally appear clinically as asymptomatic, small, soft, pink, and discrete swellings situated immediately beneath the surface epithelium. Chronic irritation may cause the tissue to enlarge and become symptomatic. Clinicians should be aware of the existence of these rather common oral lesions and include them in a differential consideration of small, freely movable, nonulcerated subepithelial swellings in the oral cavity. Microscopic examination is indicated to rule out a more serious disease, especially a developing neoplastic process. PMID- 6576025 TI - Continuing education course listing for July to December 1983. PMID- 6576026 TI - Dental hygiene education. PMID- 6576027 TI - Keyes' method. PMID- 6576029 TI - Promoting the value of dental health. PMID- 6576028 TI - Pigmented macule on the lower lip. PMID- 6576030 TI - Tetracycline and lactation. PMID- 6576031 TI - Safety of dental amalgam. PMID- 6576032 TI - Saccharin questions and answers. PMID- 6576033 TI - Overcoming dental fear: strategies for its prevention and management. PMID- 6576034 TI - Research holds promise for new techniques in pain prevention. PMID- 6576035 TI - AIDS: an occupational hazard? PMID- 6576036 TI - Practice patterns of recent female dental graduates. AB - Current practice patterns of female dentists were recorded through a survey of 130 women who received their professional degrees between 1975 and 1981. Replies were received from 95 individuals, a 73% response rate. More than three quarters of the respondents are in private practice full- or part-time. Those in part-time practice most frequently combine that activity with another dental activity such as teaching or hospital service. Most respondents are in general practice, with 24% in various specialty fields. In general, practice patterns of women dentists approximate those of recent male graduates. Important elements that have an effect on individual female practitioners include not only the drive for professional achievement, but also personal factors such as societal attitudes toward professional women and the role of the female dentist as a wife and mother. Unresolved conflicts that exist in these areas require further attention and evaluation by the profession. PMID- 6576037 TI - Inhibition of experimental dental caries using an intraoral fluoride-releasing device. AB - An intraoral fluoride releasing device designed to provide continual topical fluoride therapy for the prevention of dental caries was found to be effective in inhibiting caries in the rat model. Animals fitted with an intraoral device that released approximately 0.15 mg of fluoride per day developed 63% fewer carious enamel areas than animals receiving no treatment. Fluoridated drinking water (10 ppm) produced a 25% reduction in carious enamel areas. The fluoride-releasing device was more effective than ad libitum fluoridated drinking water in inhibiting caries on the approximal and sulcal surfaces. These results agree with the hypothesis that the continual presence of fluoride in oral fluids enhances the cariostatic effect of fluoride and, when combined with the results of earlier primate and human trials of the intraoral fluoride-releasing device, suggest that this fluoride delivery system can be developed into an effective anticaries agent. PMID- 6576038 TI - Recommendations on administratively required dental radiographs. AB - The FDA recommendation on administratively required dental X-ray examinations states a principle that has been frequently endorsed by the American Dental Association. This recommendation, developed through a formal review process, reflects the views of dentists, educators, insurance carriers, professional societies, and other interested health professionals. Simply stated, it urges dentists to perform only X-ray examinations that are necessary for the patient's immediate dental needs. Dentists and others are urged to refer to this recommendation when presented with requests for radiographs considered unnecessary for patient care. PMID- 6576039 TI - Incisor mamelon morphology: diagnostic indicators of abnormal development. PMID- 6576040 TI - Preferred provider organizations and dentistry. Council on Dental Care Programs. PMID- 6576041 TI - Statement on diet and dental caries. Council on Dental Health and Health Planning, Council on Dental Research, Council on Dental Therapeutics. PMID- 6576042 TI - Suggestions for dietary assessment. Council on Dental Health and Health Planning. PMID- 6576043 TI - Accredited dental schools. Commission on Dental Accreditation. PMID- 6576044 TI - [Biodegradable ceramics as a biomaterial]. PMID- 6576046 TI - [Statistical survey on cysts of the jaw]. PMID- 6576045 TI - [The effect on dental caries of topically applied acidulated phosphate fluoride solution. Evaluation by double-blind test]. PMID- 6576047 TI - [Mass application of the advanced Snyder test to 5-year-old children in kindergarten]. PMID- 6576048 TI - [Oral trichomonads. 3. Cryo-preservation of Trichomonas tenax and its antimicrobial susceptibilities to various antibiotics]. PMID- 6576049 TI - [Electron microscopic study of the dental plaque on human wisdom teeth]. PMID- 6576050 TI - Enzymatic determination of polyamines. Polyamines as biochemical markers for cancer. PMID- 6576051 TI - Morphogenesis of the neural fold and the otic vesicle in cultured mouse embryos. PMID- 6576052 TI - Rate of protein excretion of rat submandibular and parotid saliva elicited by different stimuli. PMID- 6576053 TI - [Two cases of emphysema after tooth extraction]. PMID- 6576054 TI - A comparison of the effects of Class III and Ten-Two mechanics on the mandibular incisor. PMID- 6576055 TI - Evaluation: tipped teeth, anchorage, and Tweed occlusion. PMID- 6576056 TI - A statistical study of Tweed cephalometric variations before and after treatment. PMID- 6576057 TI - Re-treatment of an extreme class II, division I malocclusion in an adult patient: a case report. PMID- 6576058 TI - Treatment of class II division I malocclusion: a case report. PMID- 6576059 TI - A class II, division I bimaxillary protrusion: a case report. PMID- 6576060 TI - Predictive signals in the developing mandibular dentition of the growing child. PMID- 6576061 TI - Control--the key to successful treatment. PMID- 6576062 TI - Treatment goals of the Charles H. Tweed Foundation after 50 years. PMID- 6576063 TI - HLA A*, B*-BF* and C4 A*, B* allele associations, with special reference to BF*S07, in the Tunisian population. AB - The HLA A*2, Bw*50-BF*S07-C4 A*2, B*1 linkage group was transmitted unambiguously in four unrelated Tunisian families. In one of these, another allele association, also carrying BF*S07, HLA A*9, Bw*50-BF*S07-C4 A*1, B*1, was encountered. The previously reported linkage disequilibrium between BF*S07 and HLA Bw*50, a subtypic specificity of HLA Bw*21, is confirmed in our study. The C4 A*2, B*1 haplotype, rare in the other populations until now studied, seems more frequent in Tunisia since it has been also found linked to HLA A*11, B*27 and BF*S in one of these families. Other allele associations were unambiguously demonstrated with predominantly the C4 A*3, B*1 haplotype, particularly a rare HLA A*3, B*18-BF*F1 C4 A*3, B*1 linkage group. A silent gene at the C4 A locus was found linked to HLA B*8. PMID- 6576064 TI - Part III. Everything you always wanted to know about X-rays (but were afraid to ask). PMID- 6576065 TI - Update on erosion--an operative dentistry problem. PMID- 6576066 TI - Trichosporon capitatum: thrush-like oral infection, local invasion, fungaemia and metastatic abscess formation in a leukaemic patient. AB - A thrush-like oral infection with subsequent alveolar abscess formation and a positive blood culture due to Trichosporon capitatum developed in a patient with acute myelogenous leukaemia. Later T. capitatum was identified by indirect immunofluorescence in multiple splenic abscesses. The infection was controlled by immediate aggressive treatment with amphotericin B, flucytosine and rifampicin and by splenectomy. This case of systemic T. capitatum infection resembles somewhat the invasive mycosis due to candida. PMID- 6576068 TI - ["Painless" pedodontic treatment]. PMID- 6576067 TI - [Intrafamilial transfer of Streptococcus mutans]. PMID- 6576069 TI - [Surgical approach to reversed occlusion]. PMID- 6576071 TI - [Trends of dental materials and dental engineering]. PMID- 6576070 TI - [Accidents related to anesthesia]. PMID- 6576072 TI - [Dental materials in conservative dentistry]. PMID- 6576073 TI - [New trends in dental materials]. PMID- 6576074 TI - [Characteristics and methods of various root filling technics]. PMID- 6576075 TI - [Present status and prospects of dentistry in Japan]. PMID- 6576076 TI - [Management of the cervical area in preparation for crown restoration]. PMID- 6576077 TI - [National dental health survey and its implications]. PMID- 6576078 TI - [Plaque control in clinical dentistry]. PMID- 6576079 TI - [Dental hygienists: scope of their work]. PMID- 6576080 TI - [Dental radiography: discussion]. PMID- 6576081 TI - [Dental health survey of 1981]. PMID- 6576082 TI - [Maxillary anterior caries in children and DMF index in 3-year-old children in the Yamanashi prefecture]. PMID- 6576083 TI - [Diagnosis of ovarian tumors by CT and 67Ga-citrate scintigraphy]. AB - Computed tomography (CT) and 67Ga-citrate computer scintigraphy (67Ga-CS) were carried out on 184 patients with ovarian tumors. CT(EMI scanner model 5005/12 or General Electric model CT/TX-2) was performed in 169 cases and 67Ga-GS in 128, after visualization and calculation by computer. In 113 cases diagnosis was made with the combined use of both methods and CT number and ROI counts in 67Ga-CS were obtained. Dermoid cysts were easily detected by their characteristic CT image and CT number. The mechanism by which 67Ga accumulated in malignant tumors was investigated and 67Ga was found mainly in microsome and mitochondria fractions of the cell, and bound to protein with a molecular weight of about 70,000 daltons. The accuracy and clinical evaluation of CT, 67Ga-CS and their combined use were compared to those of bimanual pelvic examination. The diagnostic accuracy in differentiating between cystic and solid tumors was 77.9% by bimanual, 85.8% in CT, 75.2% in 67Ga-CS and 87.6% in combined use. The accuracy in differentiating between benign and malignant tumors was 74.3%, 88.5%, 92.0% and 94.7% respectively. The combined use of CT and 67Ga-CS could guarantee higher accuracy in diagnosis than bimanual pelvic examination, and was considered to be a valuable diagnostic method. PMID- 6576084 TI - Osteogenic sarcoma of the temporal bone. AB - A case of osteogenic sarcoma of the temporal bone is reported. Most probably the sarcoma was induced by previous irradiation. The patient was treated by a wide temporal bone resection, but the tumour recurred three months after operation. The possibility of late-induced osteosarcoma of the temporal bone must be kept in mind when planning the irradiation of tumours of the nasopharynx. PMID- 6576085 TI - Improvement in the augmentation genioplasty via suprahyoid muscle repositioning. AB - The surgical correction of chin deficiency has been accomplished by a variety of surgical procedures. In most instances the surgical augmentation of the chin produces good improvement in chin-lips-nose balance as well as the neck-chin angle. However, in certain patients, the neck-chin angle is not satisfactorily improved with augmentation genioplasty alone, due to an aberrant position of the hyoid bone and its associated suprahyoid muscles. In such instances, one should consider simultaneous suprahyoid muscle repositioning additionally, to improve the neck-chin angle. The indications, surgical technique and a representative case are presented. PMID- 6576086 TI - Formhydroxamic acid-induced malformations of the temporo-mandibular joint. AB - Formhydroxamic acid was given to pregnant rats in order to produce anomalies of the temporo-mandibular joint. Especially successful in our hands was the dosage of 500-550 mg./kg. given intraperitoneally on day 13. The resulting malformations were very much akin to those seen in human patients. PMID- 6576087 TI - Persistent mandibular infection in three patients with lazy and incompetent phagocyte syndromes. AB - Three patients with the lazy phagocyte syndrome suffered from recurrent infections in the orofacial region which persisted despite treatment with antibiotics. All had neutrophil counts at the lower normal limits which did not increase after strenuous exercise or rise during infections. Tests of chemotaxis, random mobility and the skin window were abnormal. Ingestion and intracellular killing, however, were normal in one patient and abnormal in two. The findings are compatible with the lazy leucocyte syndrome but the symptoms were not manifest in early childhood as originally described by Miller et al. (1971), and the neutrophil counts were not as low as in his patients. Two of our patients also differed in showing a defective intracellular killing for Candida albicans. The lazy leucocyte syndrome should now be recognized to include different variants, some with late onset, a range in the degree of neutropenia, and some with defective ingestion and killing, though all possess a basic intrinsic defect of movement. PMID- 6576088 TI - Therapeutic implications of an intraoral malignancy complicated by Darier-White's disease. AB - A 69-year-old white male with a long history of severe Darier-White's disease presented with an extensive intraoral malignancy. High dose external supervoltage radiotherapy (Cobalt-60) to the tumour caused remarkable clearing of the hyperkeratotic lesions involving the overlying skin. Subsequently, surgical resection of the tumour with staged reconstruction of the jaw was carried out. The presence of the skin disorder did not adversely affect the surgical procedure nor the subsequent wound healing. Darier-White's disease, therefore, should not be a deterrent to radical radiotherapy and/or surgery for concomitant malignancy. PMID- 6576089 TI - Marsupialization as a possible diagnostic aid in cystic ameloblastoma. Case report. AB - Two cases of cystic ameloblastoma are described in which the diagnosis was established after marsupialization. Although the clinical and radiographic findings strongly suggested the diagnosis of ameloblastoma, the initial incisional biopsy specimens consisted of cystic walls lined with squamous epithelium which showed in both cases no evidence of ameloblastic proliferation. Marsupialization could be a diagnostic aid in these cases since relief of intracystic pressure may trigger regeneration of a solid mass of tumour in a monocystic ameloblastoma with cells possessing potentiality for spontaneous proliferation. PMID- 6576090 TI - Fractures of the facial skeleton in Greece. A retrospective study covering 1791 cases in 10 years. AB - 1791 fractures of the facial skeleton covering 10 years are reviewed. There was a 3:1 male/female relationship and the majority of the cases involved the 11 to 30 years old group. Road traffic accidents by far (58%) outnumber any other cause for the injury. 56.03% of the cases arrived from the greater Athens area, which is inhabited by 40% of the population of the country. There were 1.5 fractures per patient and in the majority of the cases (78%) the mandible was involved. PMID- 6576091 TI - Mandibular reconstruction using a special plate. Animal experiments and clinical application. AB - The use of a variety of procedures and techniques for mandibular reconstruction suggest that no satisfactory solutions have been found with regard to restoration of functional stability, joint function and masticatory function. In view of the varied clinical problems involving restoration of mandibular function, we developed our own reconstruction plate, a condylar prosthesis, and a reconstruction plate with a condylar head. The U-shaped notches of the reconstruction plate permitted universal adaptation of the plates by means of special pliers. The most important result of the animal experiments was the achievement of stability under functional stress. This made intermaxillary fixation unnecessary. The preliminary experience in our clinical cases with the reconstruction plate showed a reduction of masticatory disability. The clinical results corresponded well with those of the animal experiments, and thus confirmed the value of the experimental model chosen. PMID- 6576093 TI - Biomechanics of the knee joint in normal and pathological gait an electrogoniometric study. PMID- 6576092 TI - Somatic and germline mosaicism in interspecific chimaeras between Mus musculus and Mus caroli. AB - Detailed analysis of mosaicism in interspecific chimaeras between Mus musculus and Mus caroli revealed that cells of the two species could coexist and interact normally in all tissues studied. No selection occurred against M. caroli cells during gestation of chimaeras in the M. musculus uterus, but some tissue-specific differential growth of M. musculus and M. caroli cells occurred during postnatal development. Similar effects have, however, been reported in interstrain M. musculus chimaeras. The similarity between inter- and intraspecific chimaeric growth patterns supports the use of this interspecific system as a model for analysing cell lineage relationships during development. PMID- 6576095 TI - Intrahepatic stones: probable factors, clinical manifestations, and recent advances in diagnosis. PMID- 6576094 TI - Tetralogy of Fallot with classic and unusual ventricular septal defect. PMID- 6576096 TI - Afibrinogenemia and thrombocytopenia following crotalid snake bites in Taiwan. PMID- 6576097 TI - Normalization of electrocardiogram after myocardial infarction-a hemodynamic and angiographic study. PMID- 6576098 TI - Platelet aggregation in severe hypophosphatemia. PMID- 6576099 TI - Serum creatine kinase activity and its isoenzymes in Duchenne muscular dystrophy. PMID- 6576100 TI - [A canine model for porous ingrowth in total hip replacement]. PMID- 6576101 TI - [Electrophysiological changes in carpal tunnel syndrome]. PMID- 6576102 TI - [Endoscopic injection sclerotherapy of esophageal varices]. PMID- 6576103 TI - [Evaluation of functional recovery following digital replantation]. PMID- 6576104 TI - [Spontaneous biliary enteric fistula]. PMID- 6576105 TI - [The development of the prepuce]. PMID- 6576106 TI - [Blunt abdominal trauma: a review of 217 cases undergoing surgery]. PMID- 6576107 TI - [Fibrosarcoma of the larynx - a case report]. PMID- 6576108 TI - Subclavian pseudoaneurysm after clavicle fracture - a case report - . PMID- 6576109 TI - Acute emphysematous cholecystitis - 2 case reports. PMID- 6576110 TI - Neuropsychological abnormalities in Gilles de la Tourette's syndrome. AB - Seven patients with Gilles de la Tourette's syndrome underwent an extensive psychological and neuropsychological examination. On psychological examination, it was found that consistent with previous reports these patients had a high incidence of Verbal IQ-Performance IQ discrepancies on the Revised Wechsler Intelligence Scale for Children, and had average mental arithmetic but poor written arithmetic. On neuropsychological examination, no single measure was performed poorly by all subjects, but there was a high incidence of poor performance on several measures from the Halstead-Reitan Battery. High frequency of abnormal performance for age was observed on the Category, Trail Making and Tactual Performance Tests. In addition, the patients had an interesting pattern of average auditory attention span but poor visual attention span. The pattern of visuomotor and visuospatial deficits was discussed with respect to possible underlying mechanisms. PMID- 6576111 TI - The normal and aberrant development of synaptic structures between parallel fibers and Purkinje cell dendritic spines. AB - Under normal circumstances the dendritic spines of the cerebellar Purkinje cell differentiate in association with the parallel fibers formed by the descending granule cells. In the adult these elements form the most frequent synapse of the cerebellar cortex. In certain conditions, however, the granule cells are destroyed before they form the parallel fibers. Nevertheless, unattached dendritic spines are found which are complete with submembranous densities. Their cytochemical reactions and their morphology in both thin section and after freeze fracture are indistinguishable from normal spines except for the fact that they are unattached to any presynaptic elements. Examples of the formation of unattached presynaptic endings have also been observed. We conclude, therefore, that at least in some instances, pre- and postsynaptic terminals may form without benefit of the direct one-to-one influence of their synaptic mates. PMID- 6576112 TI - The search for selective dopaminergic autoreceptor agonists. AB - In the course of a search for new selective dopamine (DA) autoreceptor agonists the DA analogue 3-(3-hydroxyphenyl)-N-n-propylpiperidine, 3-PPP, was resolved into its dextro-(+) and levo-(-) rotatory enantiomers. The compounds were pharmacologically evaluated by means of behavioural and biochemical methods. Surprisingly, both (+)-and (-)-3-PPP show clearcut, but differential, effects on the DA receptors. Thus, (+)-3-PPP is a DA receptor agonist with activity on autoreceptors as well as postsynaptic receptors, whereas (-)-3-PPP similarly activates DA autoreceptors but, in contrast, concomitantly acts as an antagonist on postsynaptic DA receptors. Moreover, the behavioural/biochemical profile seems to indicate a preferential limbic action for the (-)-enantiomer. Such an action could be explained on the basis of different feedback arrangements in the nigrostriatal and mesolimbic DA systems and it is suggested that compounds such as (-)-3-PPP may find future clinical application as "second-generation" antipsychotic agents, lacking in the debilitating motor side effects produced by drugs in current therapeutic use. PMID- 6576113 TI - Dopamine receptor sites and states in human brain. AB - Of the several dopamine-sensitive sites in the brain, the one that most correlates with psychomotor behaviour is the D2 receptor. This receptor has two states. The D2Hi state is characterized by its nM affinity for dopamine. The D2Lo state is typified by its microM affinity for dopamine. Neuroleptics have the same affinity (50 pM for spiperone) for both states. Guanine nucleotides convert most, if not all, of the D2Hi sites into D2Lo sites. Any D2Hi sites which are insensitive to GTP, if such exist, may be separate D4 sites. In addition to the binding of 3H-spiperone being higher in post-mortem schizophrenic brains, the proportions of the D2 receptor in the D2Hi state appear to be less in preliminary data on the schizophrenic brain. PMID- 6576115 TI - D2-protein and D3-protein as markers for synaptic turnover and concentration. AB - The D2-protein is in the brain present on the external surface of neurones, especially in newly formed processes and in synapses. In olfactory bulb, where synaptogenesis occur at a high rate, the concentration is twice the concentration in rat forebrain. D2-protein is probably involved in interneuronal adhesion during neuronal migration and synaptogenesis. The D3-protein is mainly present in mature synapses. Both proteins were studied in density gradient fractionated microsomes and osmotically shocked synaptosomes. It is suggested that the concentration of these proteins may be used as an index for synaptic turnover and density in both rodent and human brain. PMID- 6576114 TI - Interactions of ergot compounds with dopamine receptors and endocrine functions. AB - Ergot compounds may affect endocrine systems through stimulatory and inhibitory dopamine receptors at the hypothalamic and the pituitary level. In most cases, with the exception of the prolactin and the melanotropin cell receptors, the characterization of the dopamine receptor involved is not yet satisfactory. Comparing in vivo or in vitro dopaminomimetic activities of ergot compounds produces a multiplicity of profiles of actions without a clear pattern. PMID- 6576116 TI - General properties of 14C-L-Valine-binding to human brain tissue. AB - L-Valine (VAL) binding is saturable, reversible, linear within a protein concentration of 0.2 to 0.8 mg prot./ml, pH dependent (pH-optimum 7.1 to 7.4), temperature dependent with extremely low binding at 0-4 degrees C; the assay runs at 37 degrees C; it is ion dependent (Bmax:CaCl2 (5mM): + 100%; NaCl (5 mM): 50%); very sensitive to TRITON X-100 (Bmax at 0.01%; -70%); N-ethylmaleimide (0.5 mM): Competitive inhibition; no change in non-specific binding; there are no effects by puromycin plus GTP; VAL binds to synaptic membranes of human frontal cortex with KD-values several fold lower than that observed with homogenates, the distribution of VAL-binding is different in various human brain areas and can be inhibited by L-leucine, L-isoleucine, L-serine, DL-threonine, glycine and D valine, while aromatic amino acids, beta-alanine, GABA, taurine, glutamate, proline and gamma-glutamyltaurine have no effects of 10(-3) M. PMID- 6576117 TI - 5-Hydroxytryptamine receptors in neurones and glia. AB - Crude membranal fractions isolated from mammalian brain tissue contain two classes of recognition sites capable of binding [3H]5-HT with high affinity constants. These classes of sits are characteristics of the postsynaptosomal membrane fraction for the higher affinity and of a glial cell membrane fraction for the lowest. They are observed with similar properties in cultured neuronal and glial cell respectively. Two 5-HT stimulated adenylate cyclases are present in crude membrane fraction; they are also separable as neuronal and glial components. These observations correspond likely to the existence of two classes of receptors for 5-HT. Their mechanisms of regulation involve presumably structural conformation changes of the recognition site coupled to various states of the activity of the receptor. PMID- 6576118 TI - A possible relationship between folic acid neurotoxicity and cholinergic receptors in the pyriform cortex and amygdala. AB - The substantia innominata complex (SI) is the major source of cholinergic innervation to the amygdala, entorhinal and pyriform cortices, and the neocortex. Immunohistochemical studies using both monoclonal and polyclonal antibodies to choline acetyltransferase (ChAT) have clearly identified that the large size neurons of this area are cholinergic. We have lesioned this area by three methods: electrocoagulation, kainic acid (KA) injection and folic acid (FA) injection. Biochemical (GAD, ChAT and QNB binding) and histological studies of the SI and its known target areas as well as the hippocampus, thalamus and striatum were undertaken. Histologically, electrolytic and KA (2 nmol) lesions produced extensive local damage, but local damage was minimal with FA (100-250 nmol). Electrolytic lesions produced no remote neuronal damage. KA injections produced mild to moderate damage in the amygdala and cortex, while FA produced severe damage in the amygdala and pyriform cortex, with less severe damage in the entorhinal cortex and neocortex. Biochemically, electrolytic lesions produced drops in ChAT only in remote areas. Kainic acid produced moderate drops in ChAT, GAD and QNB binding. FA, on the other hand, produced only a minimal change in ChAT, but very heavy reductions in GAD and QNB binding. Thus, GABA neurons of the cortex were damaged. They may also be the cholinoceptive neurons that were damaged. The remote damage following KA and, particularly, FA, is presumed to be due to the epileptiform activity induced by the local injection of these agents. Reduction in both seizures and remote damage was brought about by pre-treatment of the animals with valium (20 mg/kg) or scopolamine (50 mg/kg). Injection of FA into the amygdala or striatum produced some remote damage but it was much less in magnitude than after SI injection. PMID- 6576119 TI - Differentiation--dependent changes of the nicotinic acetylcholine receptor and other synapse-associated proteins. AB - Developmentally regulated changes were followed by analyzing the appearance of synapse-associated proteins of the electric organ of Torpedo marmorata. At early stages of development acetylcholine receptor and acetylcholine esterase are distributed diffusely over the myotube surface. With differentiation they become increasingly restricted to the central cell surface. This process occurs before axons contact the electrocytes. As soon as axons begin to contact electrocytes one finds a rapid increase in acetylcholine receptor concentration, which is shortly followed by an increased synthesis of 17 S AChE. The final stages of the synapse formation coincide with increasing amounts of a hydrophobic 6 S AChE and increasing amounts of Mr43000 polypeptides, suggesting that the appearance of these components is linked to the maturation of receptor and synapse function. PMID- 6576120 TI - Receptor blockade and synaptic function. AB - When a neurotransmitter substance is released into a synaptic cleft it acts upon subsynaptic receptors to induce a response of the target cell and also interacts with systems which act to remove the substance. At no time is there an equilibrium, and it is inappropriate to apply equilibrium kinetics to predict the consequences of modifying the system, e.g. by blocking receptors. A mathematical model predicts that the subsynaptic response to each package or "quantum" of transmitter may be insensitive to competitive receptor blockade, or to quite large changes in receptor density, provided the density of receptors is normally enough for efficient capture of transmitter. This prediction is borne out by experimental data from the voltage-clamped mouse neuromuscular junction; it requires blockade or removal of about 80% of receptors (90% after poisoning of acetylcholinesterase) to reduce the miniature end-plate current, i.e. the action of a quantum if nerve-released acetylcholine (ACh), by 50%. On the other hand, drugs that interfere with receptor function without preventing ACh binding to receptors can be just as (or more) effective in blocking nerve-applied as in blocking exogenously applied transmitter substances. At the neuromuscular junction this is seen with receptor desensitization, and "non-specific" agents such as local and general anaesthetics. We conclude that care must be taken in extrapolating from data re receptor number and/or occupancy by blocking drugs to consequences in terms of synaptic function. PMID- 6576121 TI - High-resolution radioautographic study of dopamine binding sites in the rat neostriatum using 3H-domperidone. AB - The possibility to use the new ligand 3H-domperidone to identify some dopamine binding sites at the ultrastructural level was assessed in the neostriatum after in vivo administration and high-resolution radioautography. Since this ligand does not cross the blood-brain barrier, intracerebral injections were performed, which resulted in a gradient of diffusion of the tracer. According to increasing distances to the injection site, a quantitative study of the radioautographic reaction was realized. An intense and diffuse reaction took place in the vicinity of the injection site in control rats. On the contrary, numerous accumulations of silver grains were observed in the peripheral zone. The statistical analysis of the distribution of the clusters showed that they were more numerous over the contacts between nerve terminals and dendritic spines than expected from a distribution at random; moreover half of these labelled contacts were differentiated in synapses of the asymmetric type. When the animals were pretreated with haloperidol in order to block the dopaminergic binding sites, we found a decrease in the total number of the number of silver grains. A decrease in the number of clusters of silver grains was noted over nerve terminals and synaptic contacts in both peripheral zones while the nonspecific labelling was increased over other structures. We conclude to the possibility of the detection of the dopaminergic binding sites by electron microscopic radioautography. Moreover we confirm the existence of dopaminergic synapses in the neostriatum with this new technique. PMID- 6576122 TI - Human platelet phenol sulfotransferase: partial purification and detection of two forms of the enzyme. AB - To begin to study the usefulness of platelet phenol sulfotransferase (PST) as a possible measure of the enzyme activity in other organs such as the brain, we purified human platelet PST 36-120-fold. Activity toward 3-methoxy-4 hydroxyphenylglycol (MHPG), dopamine, 5-hydroxytryptamine (5-HT), and phenol eluted in the same Sephadex G-100 and Affi-Gel Blue column fractions. Specific activities of the enzyme with MHPG, dopamine, 5-HT, and phenol as substrates were 1198, 1068, 401, and 408 units/mg protein, respectively. Optimal assay conditions were established for each substrate. Apparent Km values were 598 microM, 21 microM, 19 microM, and 500 microM for MHPG, dopamine, phenol, and 5-HT, respectively. Apparent Km values for 3'-phosphoadenosine-5'-phosphosulfate (PAPS) with the same four substrates ranged from 0.11 to 0.25 microM. The pH optima were 6.3 for phenol, 6.8 for dopamine, and 7.0 for MHPG and 5-HT. An additional pH optimum at 8.6 was present for 5-HT. A thermolabile form of the enzyme measured with dopamine and 5-HT, as well as a thermostable form measured with phenol, were present. Dichloronitrophenol (10(-5) M) noncompetitively inhibited the thermostable enzyme activity by 96% but decreased the thermolabile activity by only 36%. These studies provide the basis for a more accurate comparison of human platelet PST with the enzyme in the human brain and in other tissues. PMID- 6576123 TI - Life-threatening diarrhea caused by Cryptosporidium in a child undergoing therapy for acute lymphocytic leukemia. PMID- 6576124 TI - Salivary ABO antibodies and periodontal disease. AB - The purpose of this study was to determine and to compare the titers of salivary anti-A and anti-B antibodies in two groups of patients with periodontal disease as measured by Russell's Periodontal Index (PI). Forty volunteer subjects, who were new patients assigned to a screening clinic, were selected for the study based on the following criteria: (1) blood group, (2) medical history, (3) age and (4) periodontal condition. One group of patients (N = 20) had a PI of less than 2.0 and the other group of patients (N = 20) had a PI of greater than 4.0. Following screening, a 10-ml sample of unstimulated whole saliva was collected, centrifuged and frozen. Within 30 days the saliva was thawed, titrated and tested for presence of anti-A and anti-B. Saliva agglutinin titers were determined using a variation of previous testing techniques. Statistically significant differences between the two groups were not obtained in the titers of salivary anti-A (U = 192.5; P greater than 0.1) or the titers of salivary anti-B (U = 162.8; P greater than 0.1). All 40 group O patients were found to have anti-A and anti-B in their saliva. PMID- 6576125 TI - The evaluation of a new technique for anaerobic sampling of deep periodontal pockets. AB - A new technique for the anaerobic sampling of deep periodontal pockets has been developed and evaluated in vitro and in vivo. The mean percentage difference of total viable counts from pairs of samples from nine deep periodontal pockets was found to be 76.4%. This compared favorably with an established technique for which the equivalent figure was 147.4%. Evidence was obtained that the first sample taken with the new sampler depleted the site. When correction was made for that effect, the mean percentage difference was found to be 31.1%. That value was in good agreement with the variation obtained by taking repeat samples from centrifuged deposits of pure cultures of bacteria. PMID- 6576126 TI - Effect of inflammation on periodontal attachment levels in miniature swine with mucogingival defects. AB - Previous authors have postulated that a dense band of keratinized, attached gingiva prevents the spread of inflammation from the gingival margin to the subjacent attachment apparatus. Chronically inflamed mucogingival defects were created over the vestibular surface of 12 central incisors in miniature swine. The untreated contralateral incisors were identified as paired controls. Placement of horizontal reference notches on the tooth surfaces was followed by measurement of Probing Depth (PD) and Probing Attachment Level (PAL) on the vestibular aspect of each experimental and control tooth. No plaque removal was accomplished at any time during the study. One year following the attainment of baseline data, all measurements were repeated. Results show an increase in PD and a loss of PAL in both experimental and control regions. No difference in increase of PD or loss of PAL between the groups could be discerned. PMID- 6576127 TI - Risk factors in phenytoin-induced gingival hyperplasia. AB - A survey was carried out into the degree of gingival hyperplasia in 68 patients receiving phenytoin in a hospital for the mentally handicapped. Comparisons of degree of gingival hyperplasia exhibited by the patients were made with a range of parameters by analysis of variance and Chi square tests. The severity of the hyperplasia increased with increasing dose, increasing dose per unit body weight and serum levels of phenytoin and also with decreasing age and weight of the patients. No significant relationship (P less than 0.2) was found between serum folate levels and degree of hyperplasia. Poor oral hygiene predisposed patients to hyperplasia. PMID- 6576128 TI - Proceedings from the State of the Art Workshop--May 13-14, 1981. PMID- 6576129 TI - Poly-L-methionine sulfoxide: a biologically inert analogue of dimethyl sulfoxide with solubilizing potency. AB - Poly-L-methionine sulfoxide is a water-soluble polymer containing the sulfoxide moiety. The preparation and radiolabeling of this polymer is described and its bioeffects are compared with those of dimethyl sulfoxide. Poly-L-methionine sulfoxide is similar to dimethyl sulfoxide in that it is a potent solubilizer of lipophilic compounds in water. Although the partition coefficient of poly-L methionine sulfoxide in 1-octanol-water is only 20 times lower than that of dimethyl sulfoxide, it was found not to penetrate into intracellular spaces. In contrast to dimethyl sulfoxide, poly-L-methionine sulfoxide and L-methionine sulfoxide were found to be ineffective in inducing differentiation in murine erythroleukemia cells and inhibiting differentiation of avian neural crest cells, suggesting that compounds effective in these processes must have the ability to penetrate into cells or membrane proteins. Overall lack of bioactivity of poly-L methionine sulfoxide, combined with low toxicity (2 g/kg, iv, in the mouse with no effect), makes this compound a suitable inert solubilizer and carrier for lipophilic drugs. PMID- 6576131 TI - Shrink-free ceramic crown versus ceramometal: a comparative study in dogs. PMID- 6576130 TI - Prostaglandin E2 excretion, urine flow and papillary osmolality during saline or dextrose infusion in the conscious rat. AB - Conscious rats received infusions at 5.8 ml./hr of either 0.9% NaCl or 5% dextrose, via a tail vein, for 6 hr. During this infusion period, urine was collected from the animals, and the urine volume, sodium concentration and immunoreactive PGE2 were determined. Urine flow in both groups was stable during the 2-6 hr period of the infusion and was not significantly different between the two groups. Sodium output was also stable over the 2-6 hr infusion period but obviously the output of the saline-infused group was higher than that of the dextrose-infused group. Urinary PGE2 output was not significantly different between the groups in the 2-4 hr period (79.4 +/- 8.6 p-mole/2 hr in the saline infused group, 82.1 +/- 5.7 p-mole/2 hr in the dextrose-infused group). In the 4 6 hr period, PGE2 output remained at this level (82.0 +/- 7.8 p-mole/2 hr) in the dextrose-infused group, but fell significantly (to 53.7 +/- 5.0 p-mole/2 hr) in the saline-infused group. In separate groups of animals which received saline or dextrose infusions as above, renal papillary osmolality was determined. The osmolality was significantly (P less than 0.001) higher in the saline-infused group. It is concluded that renal PGE2 synthesis is unlikely to be directly involved in sodium homeostasis and that PGE2 synthesis as measured by urinary PGE2 excretion is not controlled by the papillary osmolality. PMID- 6576132 TI - Amelogenesis imperfecta: the genetics, classification, and treatment. PMID- 6576133 TI - Custom ocular prosthesis with dilating pupil. AB - The manually adjustable pupil has two diameters: one constricted, the other dilated. The patient may select the appropriate diameter for the existing light conditions by moving a small magnet over the surface of the prosthesis. In the discerning patient this prosthesis will eliminate the need for two separate prostheses, which are commonly provided today. Patient privacy and hygiene are maintained because the prosthesis need not be removed to alter pupil size. PMID- 6576134 TI - Stress: a common denominator for nonorganic TMJ pain-dysfunction. PMID- 6576135 TI - Long-term results of treatment for temporomandibular joint pain-dysfunction. AB - The frequency and severity of functional disturbances of the masticatory system were studied in 154 women 7 years after treatment for TMJ pain-dysfunction at the Department of Stomatognathic Physiology, University of Goteborg, Sweden. The results of the 7-year examination were compared with records made prior to treatment. There was a significant reduction of both reported symptoms and clinical signs of dysfunction at 7 years. Although less severe than at the initial examination, clicking of the TMJ and slight muscle tenderness to palpation were the most common clinical findings at 7 years. Eighty-four percent of patients reported that treatment received had resulted in reduction of symptoms. During the 7-year period, 80% of patients had few or no symptoms. Recurrent symptoms of some significance were found in less than 20% of patients, and 14% had returned for further treatment during the 7-year period. It can be concluded that most patients with TMJ pain-dysfunction have minimal recurrent symptoms 7 years after conservative treatment procedures. This indicates that a favorable prognosis may be considered for TMJ pain-dysfunction. This favorable prognosis should be emphasized to patients prior to treatment, as optimistic counseling has been shown to have a favorable effect on patient response to treatment. PMID- 6576136 TI - Anterior guidance: its effect on electromyographic activity of the temporal and masseter muscles. PMID- 6576137 TI - The edentulous milieu. PMID- 6576138 TI - Biocompatibility of titanium implants: surface science aspects. PMID- 6576139 TI - Molecular forces governing tight contact between cellular surfaces and substrates. PMID- 6576140 TI - Biomechanical considerations in osseointegrated prostheses. AB - On the basis of the previous discussions, several conclusions may be drawn. 1. The close apposition of bone to the titanium implant is the essential feature that allows a transmission of stress from the implant to the bone without any appreciable relative motion or abrasion. The absence of any intermediate fibrotic layer allows stress to be transmitted without any progressive change in the bond or contact between the bone and implant. 2. The use of a threaded screw provides a form of interlocking with the bone on a macroscopic scale that allows full development of the strength of the bone in shear or compression. A smooth, cylindrical implant may require an adhesive bond for satisfactory performance, but a screw shape is able to work as long as the apposition of bone and implant is close, whether or not a true adhesive bond is developed. 3. The distribution of a vertical or lateral load applied to a fixed partial denture depends on the number, arrangement, and stiffness of abutment fixtures used, as well as the form and stiffness of the fixed prosthesis itself. In general a stiff fixed partial denture will distribute loads to several fixtures more effectively. A flexible prosthesis may be adequate if the strength developed by each fixture is able to carry the full load that is applied. Cantilevered ends of a fixed partial denture increases the loading on the first screw nearest the cantilevered end. Moderate overhangs may be tolerated if the fixtures are sufficiently strong. 4. A tight connection of the fixed partial denture to fixtures provides a combined structure that can act in concert with the bone to provide a greater strength than that of the fixture or the jaw bone alone. 5. The osseointegrated implant provides a direct contact with bone and therefore will transmit any stress waves or shocks applied to the fixtures. For this reason it is advisable to use a shock-absorbing material such as acrylic resin in the form of acrylic resin artificial teeth in the fixed partial denture. This arrangement allows for the development of a stiff and strong substructure with adequate shock protection on its outer surface. PMID- 6576141 TI - Accelerated setting of dental stone. PMID- 6576143 TI - Simple solution of a sensitive problem. PMID- 6576142 TI - A modified survey table for mounted casts. PMID- 6576144 TI - The prosthodontic management of cleft palate patients. PMID- 6576145 TI - Temperature threshold levels for heat-induced bone tissue injury: a vital microscopic study in the rabbit. PMID- 6576146 TI - Structural aspects of the interface between tissue and titanium implants. PMID- 6576147 TI - Evaluation of the results of treatment with osseointegrated implants by the Swedish National Board of Health and Welfare. PMID- 6576148 TI - Physiologic occlusal contacts: premarked for prevention. PMID- 6576149 TI - Analysis and correction of condylar displacement of the TMJ. PMID- 6576150 TI - The importance of face-bow recordings. PMID- 6576151 TI - Epidemiologic studies of mandibular function. PMID- 6576152 TI - The effectiveness of ultrasonic denture cleaning: a scanning electron microscope study. PMID- 6576153 TI - Three-year clinical study of UV-cured composite resins in posterior teeth. AB - Four proprietary composite resins cured with ultraviolet light were inserted into Class I and II cavity preparations. The restorations were evaluated over a 3-year period for color match, interfacial staining, secondary caries, loss of anatomic form, marginal adaptation, and surface texture. The percent of restorations exhibiting no generalized loss of anatomic form ranged from 47% to 93%. PMID- 6576154 TI - Visible lights and visible light-activated composite resins. PMID- 6576155 TI - The castability of alloys for small castings. PMID- 6576156 TI - The tensile strength of a composite resin reinforced with carbon fibers. AB - A study was undertaken to compare the flexure strength of unmodified and carbon fiber-reinforced composite resins. If the addition of carbon fibers to a dental composite resin increases the resin's resistance to fracture, some of the shortcomings associated with acid-etched bonded fixed partial dentures can be overcome. The findings of the study, however, showed that the addition of carbon fibers to a dental composite resin actually decreased the flexure strength. PMID- 6576157 TI - A proposed format for mandibular displacement analysis in fixed prosthodontics. PMID- 6576158 TI - Mercury vaporization during amalgam removal. PMID- 6576159 TI - A technique for fabrication of polydimethylsiloxane-acrylic resin obturators. AB - A flexible silicone obturator is an alternative to the acrylic resin obturator. It can be useful for patients with severe trismus who cannot insert a large prosthesis, as the flexibility of the hollow silicone section allows easy placement and removal (Fig. 9). Other patients cannot tolerate an unyielding substance against sensitive nasal tissues. Silicone can provide the necessary comfort without compromising retention. Silicone obturator sections can often be modified when further surgery is needed and result in a savings of time and expense (Fig. 10). For patients who can be reevaluated only twice a year, several silicone obturator sections can be made initially. One can be used while another is being cleaned or duplicated. PMID- 6576160 TI - Flexible intraoral stents. PMID- 6576161 TI - The single-crystal sapphire endosteal dental implant. A longitudinal human study: one-year results. PMID- 6576162 TI - The prevalence of mandibular dysfunction. Part I: Sex and age distribution of related signs and symptoms. AB - This study concludes the following: 1. Mandibular dysfunction is extensive. 2. Age and sex differences are apparent with various signs and symptoms. 3. Women and younger patients tend to respond positively more often than men and older patients to questions relating to subjective TMJ and muscle symptoms. 4. Objective TMJ and occlusal signs show little age or sex differentiation. 5. Positive responses to questions regarding bruxism were more common in men. 6. Age and sex differences in the prevalence of mandibular dysfunction may be influenced by the method of investigation (anamnestic versus clinical examination) and by the signs and symptoms selected to be representative of this disorder. When compared with the findings of earlier investigations, the conclusions suggest that social, cultural, psychologic, sex, and age differences contribute to the responses to questions pertaining to mandibular dysfunction. However, this may not be an accurate reflection of the prevalence of mandibular dysfunction since the objective signs do not show the age and sex differences that the subjective symptoms indicate. Therefore, additional studies are needed to correlate all data to establish a more reliable profile of both signs and symptoms of mandibular dysfunction. PMID- 6576163 TI - A comparison between clinical and radiologic findings in 259 temporomandibular joint patients. PMID- 6576164 TI - Patients with restored occlusions. Part III: The effect of occlusal splint therapy and occlusal adjustments on TMJ dysfunction. AB - An earlier study of 50 patients with occlusions restored by fixed partial dentures indicated a high percent (68%) of TMJ dysfunction. Occlusal interferences can play a significant role in causing TMJ dysfunction. To determine the significance of occlusal interferences, occlusal splints were placed in 10 of these restored patients who had moderate to severe dysfunction. The PRI was used to detect the presence or absence of TMJ dysfunction. The PRI TMJ dysfunction scores were reduced in all 10 patients after use of the occlusal splint. Five of the patients achieved reproducible tracings (no TMJ dysfunction) during the experiment time of 7 months. The occlusion of two patients was adjusted to eliminate the need for the occlusal splint. Patients who wore the splint 24 hours a day showed a significant (0.0004 level) reduction in TMJ dysfunction. Those patients who did not wear the splint regularly or had high levels of stress had PRI scores that varied. This finding indicates that the occlusal splint is not a treatment, as its removal permits reactivation of the occlusal interference. Resolution of dysfunction did not occur until occlusal interferences were removed. The changes in PRI scores to different dysfunction categories (none, slight, moderate, and severe) for the experimental group were significant at the 0.01 level. A control group of five patients had similar pantographic tracings but no other treatment. Their PRI scores varied, but there was no significant change in PRI scores or dysfunction categories. It was concluded that occlusal interferences were active causes of TMJ dysfunction in 10 of 36 patients in a population with restored occlusions. PMID- 6576165 TI - Periodontal disease in America: a personal and national tragedy. A position paper prepared for the American Association of Public Health Dentists by the AAPHD Subcommittee on Preventive Periodontics, October 24, 1981. PMID- 6576166 TI - Policy implications of the epidemiology of dental diseases for the prevention and control of periodontal disease: the North Carolina studies. AB - The North Carolina Dental Manpower Study indicated that periodontal disease was widespread and little was being done to control the disease. We have continued to address issues identified by the Dental Manpower Study in order to better understand the high prevalence of periodontal disease. Drawing from the theoretical basis of behavioral science and the clinical and epidemiological knowledge of periodontal disease, we have planned a strategy for testing the feasibility for controlling periodontal disease through dental health services. Only when attention to periodontal disease pervades the thinking and behavior of all segments of the dental care system--professional education, professional certification and regulation, financing mechanisms, consumers, and dental research--will factors be totally conducive to controlling this problem. PMID- 6576167 TI - The use of mass media in community periodontal education. PMID- 6576168 TI - Implementation of maintenance of periodontal health programs--the Indian Health Service experience. PMID- 6576169 TI - Role of the dental hygienist in public health periodontal programs. PMID- 6576170 TI - Linn County Dental Health Center--a successful dental public health access program of treatment and prevention. AB - The Linn County Dental Health Center is an example of what appears to be a highly successful dental society access program. A target population, the children of the poor and working poor in Linn County, have an opportunity to enter a system of continuous dental care for the prevention and control of dental disease. This example of dental society and community involvement, in the form of the ADA's guidelines for establishment and management of such access programs, may provide an impetus for action by other concerned individuals and dental societies. PMID- 6576171 TI - Continuity of care in a county dental public health center. AB - Examination of continuity of care, periodic preventive dental visits in a county dental public health center, was the focus of this study. The purpose of the study was to investigate: a) the relation between continuity of care and untreated dental caries, the unmet restorative dental treatment need, in low SES children in a county dental health center; and b) the association of certain family characteristics with continuity of care. If children failed to return for periodic appointments, were they being cared for in the private sector or was their oral health significantly poorer than the regular users? What specific family characteristics were associated with periodic preventive dental services? The investigation was a comparative study between two groups of financially eligible families, a continuous care group and noncontinuous care group. The information gained through the study was useful in devising strategies which would aid in the satisfaction of a primary objective of a dental public health treatment facility: to provide the opportunity for low SES children to have access to regular, periodic, preventive dental visits. PMID- 6576172 TI - Community characteristics, opinion leadership, and fluoridation outcome in small Iowa communities. PMID- 6576173 TI - Measurement of effects of a state dental practice act on potential delegation and production in general dental private practice. AB - Detailed treatment information was obtained on every procedure performed for all patients seen during a two-year period in 14 private dental practices in Kentucky. This information permitted the investigation of the effect of Kentucky's State Dental Practice Act on the amount of production that could have been legally delegated in the 14 practices. The development of a new measure called the Standard Production Minute (SPM) allowed for the examination of the relations between delegation and production by measuring the two variables in the same time-based units. Results of the study indicated: In 14 private dental practices in Kentucky, 58.7 percent of all production was legally delegable under the State Dental Practice Act. The three areas of operative, hygiene/prevention, and exam/diagnostic data accounted for 74.8 percent of overall production and 67 percent of the production in these areas was legally delegable to auxiliaries in Kentucky. Within individual areas of dentistry, the greatest potential delegation rates were found in these three areas. Given the procedure-mix for the 14 practices, 31 percent of all potential delegation was restricted to hygienists and 18 percent of all production was delegable only to the hygienist under the Kentucky State Dental Practice Act. If the delegation of placing and finishing restorations was restricted by the Kentucky State Dental Practice Act, the percentage of production that could be delegated in the operative area would have decreased from 53.1 percent to 20 percent. However, the percent of production that could be delegated across all areas would have decreased from 58.7 percent to 46 percent. PMID- 6576174 TI - The new federalism: hard times, hard choices. PMID- 6576175 TI - Jewish medical ethics--a brief overview. PMID- 6576176 TI - Paracentric inversions: two new familial cases, inv (7)(q22q11) and inv (11)(q23q13). PMID- 6576177 TI - Busulfan-induced hemorrhagic cystitis. AB - We report a case of severe hemorrhagic cystitis induced by prolonged busulfan therapy. The clinical course and pathological results were similar to irradiation and cyclophosphamide cystitis. Only 1 such case has been described previously. Although hemorrhagic cystitis induced by busulfan is a rare complication it should be considered in the differential diagnosis and busulfan should be discontinued immediately. PMID- 6576178 TI - Bulimia nervosa complicated by deficiency of vitamin K-dependent coagulation factors. AB - A 28-year-old woman manifested a hemorrhagic tendency caused by a deficiency of vitamin K-dependent coagulation factors. Her condition was diagnosed as bulimia nervosa in view of a previous history of anorexia nervosa and episodes of self induced vomiting and purging. There were no remarkable lesions in her alimentary system. In treatment of bulimia nervosa, attention should be given not only to the loss of body fluids and electrolytes, but also to the possibility of a deficiency of vitamin K-dependent coagulation factors. PMID- 6576179 TI - Oral administration of prostaglandin E2 in the hypoplastic left heart syndrome. AB - Oral administration of prostaglandin E2 resulted in marked clinical and hemodynamic improvement in patients with hypoplastic left heart syndrome. A lessening of metabolic acidosis and an increase in blood pressure were evident. These results indicate that the ductus arteriosus was effectively dilated by oral prostaglandin E2 in patients with ductus-dependent systemic circulation, as in the case of ductus-dependent pulmonary circulation. Surgical risk will also be reduced by pretreatment with oral prostaglandin E2. PMID- 6576180 TI - [Case of disseminated necrotizing leukoencephalopathy following intrathecal methotrexate in acute lymphocytic leukemia]. AB - Disseminated necrotizing leukoencephalopathy was found upon autopsy of a 32-year old man with acute lymphocytic leukemia. He had been treated with intrathecal methotrexate for CNS involvement; no radiation therapy had been given. Autopsy findings revealed that in the white matter of the temporal lobe, there was widespread necrosis associated with numerous foam cells, demyelination, vacuolization and slight gliosis; in this lesion, leukemic cells infiltrated the Virchow-Robin space. In the white matter of other lesions we found discrete multifocal necroses of coagulative type associated with round or rod-shaped axonal swelling partly accompanied with calcification. However, in these lesions, there was no leukemic cell infiltration. PMID- 6576181 TI - [Clinical features and treatment of pulmonary metastasis in osteosarcoma]. AB - Ninety-seven pulmonary metastatic cases in 141 osteosarcoma from 1960 to 1981 were analysed. The overall cumulative 5-year survival rate of the cases was 38.1%, whereas that of the recent 41 cases with systemic chemotherapy was 56.2%. Eighty percent of pulmonary metastases were found within one year since their first visit to our clinic. It was revealed that there were positive relationship between the doubling time of the pulmonary metastases and the post-metastatic survival (p less than 0.001), and between the period from their first visit to our clinic to metastases and the post-metastatic survival (p less than 0.001). The favorable effects of the systemic chemotherapy using adriamycin, vincristine, methotrexate and cis-platinum were recognized. The thoracotomy revealed effective and five cases are living without disease for average 80.8 months after surgery. PMID- 6576182 TI - Effect of prostaglandin D2 on pain and inflammation. PMID- 6576183 TI - Glycosphingolipids as tumor-associated and differentiation markers. PMID- 6576184 TI - Inhibition of anchorage-independent growth of human melanoma cells by a monoclonal antibody to a chondroitin sulfate proteoglycan. AB - Anchorage-independent growth of tumor cells constitutes a phenotype highly associated with malignant transformation and appears to be important in the ultimate event of tumor metastasis, i.e., secondary tumor colonization. The role of a specific, melanoma-associated chondroitin sulfate proteoglycan population in anchorage-independent growth was assessed. Melanoma cells cultured in soft agar containing monoclonal antibody (mAb) 9.2.27, which recognizes such molecules on the surface of these cells, showed a 67-74% specific decrease in their colony formation. In contrast, neither mouse myeloma IgG nor monoclonal anti-HLA-A,B,C antibody (W6/32) had any effect on colony formation of the melanoma cells grown in soft agar. Human melanoma cells cultured in the presence of mAb 9.2.27 or W6/32 did not exhibit any changes in their DNA or protein synthetic metabolism. These findings suggest that 9.2.27-defined chondroitin sulfate proteoglycans on the surface of human melanoma cells may be involved in cell--cell interaction important in anchorage-independent growth. PMID- 6576185 TI - Immune responses of healthy humans 83-104 years of age. AB - The immune responses of 19 healthy people 83-104 years of age were compared to those of younger healthy persons. A decline in mitogen response to concanavalin A and pokeweed mitogen, but not to phytohemagglutinin, was observed. Positive skin test to two recall antigens occurred in only 5 of the 19 aged people; 4 of these 5 reported a history of blood transfusion. Antibody titers were elevated for persistent DNA viruses but not for RNA viruses. An excess of ABO blood type B was found, but no human leukocyte antigen (HLA)-A or HLA-B type was found in elevated proportion. PMID- 6576186 TI - Relationship of urinary excretion of modified nucleosides to disease status in childhood acute lymphoblastic leukemia. AB - The levels of urinary excretion of five modified nucleosides were quantitated by high-performance liquid chromatography for 15 normal children and 24 children with acute lymphoblastic leukemia (ALL). Excretion of each nucleoside decreased linearly with age when quantitation was based on urine creatinine content. Patients with childhood ALL at initial diagnosis or in relapse had significantly higher concentrations of 1-methylinosine, N2,N2-dimethylguanosine, 1 methylguanosine, and pseudouridine in their urine when compared to the concentrations in either patients in remission (P less than 0.001, P less than 0.001, P less than 0.01, and P less than 0.05, respectively) or normal controls (P less than 0.001, P less than 0.02, P less than 0.01, and P less than 0.001, respectively). Excretion of 2-pyridone-5-carboxamide-N'-ribofuranoside did not show significant differences. Urinary excretion of 1-methylinosine demonstrated a positive linear relationship with the percentage of blast cells in the bone marrow [correlation coefficient (r) = 0.90]; the other nucleosides had lower degrees of correlation. In comparison, the absolute blast cell count in the peripheral blood showed less correlation to the percentage of blast cells in the bone marrow (r = 0.47) than did four of the five nucleosides. The data demonstrate that excretion of modified nucleosides reflects disease activity in childhood ALL and that the urinary nucleosides could be useful clinical markers for this disease. PMID- 6576187 TI - Human gastric carcinoma: prognosis in relation to macroscopic and microscopic features of the primary tumor. AB - The correlation of prognosis with various clinical and pathologic factors was studied by use of multiple stepwise linear regression analysis among 77 patients undergoing resections for gastric cancer. Factors such as depth of penetration, invasion of the duodenum, macroscopic appearance, intramural and extramural growth pattern of the cancer, lymphatic or vascular invasion, and cancer cell free dense submucosal fibrosis around the cancerous area were significant, and independent factors correlated with the prognosis, in that order. When these factors were taken into account, other factors such as sex and age of the patient, location, size, and histologic classification of the tumor, and folds' convergence were not significant. PMID- 6576188 TI - Etiology of cancer of the renal pelvis. AB - A population-based case--control interview study of cancer of the renal pelvis (74 cases and 697 controls) conducted in the Minneapolis--St. Paul metropolitan area showed cigarette smoking to be the major cause of this cancer. The odds ratio (OR) for cigarette smoking was 7.6 among males [95% confidence interval (CI): 2.2-31.5] and 5.8 among females (95% CI: 2.0-17.3), with the OR exceeding 10 for heavy smokers of both sexes. Long-term use of analgesics and several occupational exposures were also found to be risk factors. In addition, there were unexpected positive associations among females for heavy tea consumption and for use of estrogen medications, although the significance of these relationships remains to be clarified. PMID- 6576189 TI - Alterations in major histocompatibility complex phenotypes of mouse cloned T10 sarcoma cells: association with shifts from nonmetastatic to metastatic cells. AB - The T10 sarcoma, induced in a (C57BL/6J X C3HeB/-FeJ)F1 (H-2b X H-2k) mouse, grows locally (L-T10) and generates spontaneous lung metastases (M-T10). L-T10 cells were found to express the H-2b haplotype, whereas M-T10 expressed both the H-2b and H-2k haplotypes. Most L-T10 cloned cells expressed the H-2b haplotype and were not metastatic. The minority expressed both H-2k and H-2b and were metastatic. Serial transplantations of H-2k-negative clones always ended in spontaneous expression of the H-2k haplotype concomitantly with the acquisition of metastatic potency. The expressed H-2k seemed to be associated with the metastatic properties inasmuch as an H-2b-positive--H-2k-negative clone, which had lost the expressed H-2b and was temporarily H-2 negative, remained nonmetastatic until reexpression of the two haplotypes occurred. Serial transfers of H-2k-positive clones resulted in the maintenance of the expressed H-2k haplotype and the retention of metastatic capacity. A shift toward increased metastatic capacity correlated with H-2k expression occurred during serial transfers of every clone tested. Expression of major histocompatibility complex components, rather than their loss, may potentiate the metastatic capacity of tumor cells. PMID- 6576190 TI - Preclinical screening for drugs effective against 5-fluorouracil-resistant cells with a murine L5178Y cell line in vitro. AB - A subline of L5178Y cells has been established in vitro that exhibits a fiftyfold order of resistance to 5-fluorouracil (FUra) as compared to that of the parent line. The cytotoxic effects of 24-hour exposures to 23 antitumor drugs and to radiation were compared in the two cell lines. Four patterns of response were identified: 1) Only two drugs, mitomycin C and adriamycin, proved significantly more cytotoxic to FUra-resistant cells. 2) Four other drugs--anguidine, 4'-(9 acridinylamino)-methanesulfon-m-anisidide, melphalan, and quelamycin--showed marginal superiority against resistant cells. 3) X-radiation and the majority of drugs tested--including 5-azacytidine, 1,3-bis(2-chloroethyl)-1-nitrosourea, cisplatin, bleomycin, dibromodulcitol, razoxane, hydroxyurea, methotrexate, teniposide, etoposide, and three experimental agents, metoprine, spirogermanium HCl, and ellipticinum--proved equally cytotoxic to both cell lines. 4) Cross resistance with FUra was exhibited with vincristine, vindesine, pyrazofurin, and indicine-N-oxide. This experimental system provides a simple method of testing agents for activity against FUra-resistant cells before phase 1 clinical studies. PMID- 6576191 TI - Lack of evidence for elevated breakdown rate of skeletal muscles in weight losing, tumor-bearing mice. AB - Protein degradation was measured as tyrosine release rate from proteins of extensor digitorum longus (EDL) muscles and as urinary excretion of 3 methylhistidine in freely fed adult nongrowing C57BL/6J mice with sarcomas, to study protein degradation in cancer-induced wasting of skeletal muscles. Whole muscle protein breakdown rate was unchanged, whereas protein synthesis was depressed, leading to an increased net degradation of skeletal muscles with loss of soluble, myofibrillar, and collagen proteins. Starvation for 24 hours elevated whole muscle protein breakdown in mice with and without sarcomas. Subsequent refeeding for 24 hours normalized the degradation. Adaptation to anorexia in pair fed controls was achieved by a decrease in muscle protein turnover evaluated by urinary excretion of 3-methylhistidine over 5 days. The measurement of "catabolic decrease" of muscle protein breakdown protected the muscle mass in mice without tumors, but it was ineffective in tumor-bearing animals. The unchanged rate of breakdown of proteins in whole EDL muscles from tumor-bearing mice was accompanied by increased maximum cathepsin D activity and by elevated autolytic activity at acid pH in some muscles. Therefore, cathepsin D activity and net protease activities did not reflect whole muscle protein degradation in tumor induced malnutrition. The results demonstrate that wasting of skeletal muscles in experimental cancer was not dependent on increased degradation but was dependent on depressed protein synthesis. PMID- 6576193 TI - Promotion by histamine of carcinogenesis in the forestomach and protection by histamine against carcinogenesis induced by N-nitroso-N-methylnitroguanidine in the glandular stomach in W rats. AB - The effect of histamine on induction of tumors in the forestomach and the glandular stomach after N-nitroso-N-methylnitroguanidine (MNNG) administration was studied in male inbred W rats. Animals were given 50 micrograms MNNG solution/ml orally for 25 weeks and then 4 mg histamine dihydrochloride sc per day in depot form. Administration of histamine in depot form after MNNG significantly increased the incidence of tumors in the forestomach, but it significantly decreased the incidence of adenocarcinomas in the glandular stomach. All of the tumors induced in the forestomach were of the squamous cell type, and 50% of them were squamous cell carcinomas. Histamine alone had no apparent carcinogenicity in rats. PMID- 6576192 TI - Modifying factors in pancreatic carcinogenesis in the hamster model. IV. Effects of dietary protein. AB - The possible effects of dietary protein on pancreatic cancer induced in outbred Syrian golden hamsters by N-nitrosobis(2-oxopropyl)amine (BOP) were studied. Three levels of casein as protein at low [LP = 9 g/385 kilocalories (kcal)], medium (MP = 18 g/385 kcal), or high levels (HP = 36 g/385 kcal) were fed in two sequences to 4 groups of hamsters. The effects of protein level on the initiation phase of BOP carcinogenesis were examined in hamsters fed LP or HP from 3 through 7 weeks of age, followed by MP for the remainder of their lives. The role of protein level on the promotional (developmental) phase of carcinogenesis was evaluated in hamsters fed (from 3 through 7 wk of age) MP, followed by LP or HP for the rest of their lives. One-half of the hamsters from each of the 4 groups received a single sc BOP injection (10 mg/kg body wt) at 8 weeks of age. Changes in diet from one type to the other occurred 2 days after BOP treatment. An MP diet fed before and after BOP served as the experimental control diet. The results demonstrated that the LP diet inhibited the developmental phase of carcinogenesis only in females, whereas the MP and HP diets did not affect initiation or promotion of cancer in either sex. The inhibitory effect of the LP diet in pancreatic carcinogenicity only in females calls for further studies. PMID- 6576194 TI - Heritable variations in growth potential and morphology within a clone of Balb/3T3 cells and their relation to tumor formation. AB - A nontransformed clone and a spontaneously transformed clone were isolated from a twice-recloned line of Balb/3T3 cells. At different times two sublines were initiated from the nontransformed clone, and three were initiated from the transformed clone. The sublines were maintained in parallel passages under the same conditions. Each subline was distinctive in appearance and fell into the same rank order in a variety of growth parameters in vitro. Colony formation in agar and tumor formation in mice occurred only in the morphologically transformed sublines, but there was no quantitative correlation between the two properties or with the rate of glucose utilization. Two of the cell populations derived from noninbred NIH nude mouse tumors of the 3 transformed sublines differed in agar colony formation from the parental sublines. The results indicate that there is an immense capacity for variation in cultured animal cells involving many unrelated characteristics expressed in a way that is difficult, if not impossible, to explain by conventional genetic models. PMID- 6576195 TI - Murine natural antitumor antibodies. III. Interferon treatment of a natural killer-resistant lymphoma: augmentation of natural antibody reactivity and susceptibility to in vivo natural resistance. AB - Treatment of a natural killer cell-resistant (NKR) DBA/2 lymphoma with L-cell interferon (IFN) enhanced its reactivity to serum natural antibody in vitro in cytolysis and absorption studies and increased the in vivo acquisition of natural and antitumor antibody in the peritoneal cavity. The IFN effects were both time- and dose-dependent. In vitro IFN-treated, [131I]5-iodo-2'-deoxyuridine-labeled tumor cells, when injected ip into normal syngeneic mice, were more rapidly eliminated than were untreated control cells. IFN treatment of the NKR tumor decreased "cold-target" inhibition of NK lysis and did not alter binding or lysis by macrophages. These findings indicated that the enhancement of natural resistance to the IFN-treated tumor did not involve NK cells or macrophages and suggested that IFN may enhance host antitumor resistance by increasing tumor reactivity to antibody. PMID- 6576196 TI - 3-methylcholanthrene: transient inhibition of the lytic step of mouse natural killer cells. AB - Female mice belonging to NMRI stock were inoculated neonatally with daily doses of 5 micrograms diethylstilbestrol (DES) or olive oil for the first 5 days after birth and in adult life with 20 or 100 micrograms 3-methylcholanthrene (MCA) or the vehicle tricaprylin only. The cytotoxic activity of spleen natural killer (NK) cells against YAC-1 target cells was studied in a 51Cr release assay at 2, 5, 10, or 15 days after the MCA injection. A dose of 20 micrograms MCA to neonatally olive oil-injected females did not influence the NK activity, whereas an injection of 100 micrograms MCA significantly depressed the NK activity to about half the value seen in controls. This suppression was transient, and the normal level was reached again 15 days after the injection. The depressed NK activity could not be related to humoral or cellular suppressor mechanisms. A study at the single-cell level revealed that the inhibition was due to interference with the lytic step of the NK cell without affecting target-binding capacity. In vitro exposure of spleen cells from MCA-treated animals to interferon fully restored the NK activity. Neonatal DES treatment resulted in a depressed NK activity in adult females to a level about half of that seen in olive oil-injected controls. The NK activity in DES-treated females was not influenced by either 20 or 100 micrograms MCA. The MCA-induced suppression of NK activity was discussed in relation to the earlier reported difference in incidence of MCA-induced sarcomas between DES-treated and control females after they were given 20 micrograms MCA in adult life, as well as in relation to the same incidence in the 2 groups treated with 100 micrograms MCA. The results are compatible with a significant role for NK cells during MCA carcinogenesis and indicate that a possible part of the tumorigenic effect of MCA is its early suppressive effect on NK cell activity. PMID- 6576197 TI - Peritoneal plasmacytomagenesis in mice: comparison of different pristane dose regimens. AB - Plasmacytomas were induced in inbred BALB/c pi mice by the ip injection of pristane with 4 different dose schedules. Three 0.5-ml doses (1.5 ml) given at 2 month intervals gave an average yield of 61% plasmacytomas in 6 experimental groups with a range from 51 to 71%; a single 1-ml dose gave an average yield of 42% plasmacytomas in 5 experimental groups with a range from 37 to 45%; and a single 0.5-ml dose gave an average of 22% from 3 experiments involving young mice with a range from 14 to 26%. Two 0.5-ml doses given at various intervals from 14 to 300 days gave yields of plasmacytomas that usually but not always were greater than that obtained with a single 0.5-ml dose of pristane. When the second injection of pristane was delayed as long as 180 days, a strong additive effect over that observed with 0.5 ml alone was obtained. The plasmacytomas developed in mice given the second dose 180 days after the first, with virtually the same latent period as observed with a single 1-ml dose. No plasmacytomas were found in 200 BALB/c pi mice inoculated with corn oil, aluminum hydroxide, or very small doses of pristane (i.e., 0.05 ml). The minimal latent period for plasmacytoma development is about 120 days. The median latent period ranged from 180 to 250 days in the groups of mice that received 3 0.5-ml injections of pristane. In a single experiment pristane freed of UV-absorbing materials was as potent as commercial grade pristane in inducing plasmacytomas. PMID- 6576198 TI - Influence of dietary fat on spontaneous lesions of Syrian golden hamsters. AB - Dietary corn oil was consumed by Syrian golden hamsters at levels of 4.5 g [low fat (LF)] or 18 g [high fat (HF)]/385 kilocalories (kcal) from 3 to 7 weeks of age followed by a diet containing 9 g [medium fat (MF)]/385 kcal for life. In other groups MF diet was given from 3 to 7 weeks of age and followed by either LF or HF for life. A separate group was fed MF continuously after 3 weeks of age. Spontaneous lesions, which were altered by these dietary protocols, are reported. An HF diet fed after 8 weeks increased the incidence of flank organ hyperplasia and prostatitis, but it decreased prostatic fibrosis in males. Consumption of HF diets after 8 weeks by females increased survival and resulted in an elevated incidence of thyroid adenomas, ovarian cell hyperplasia, vaginal papillomas, and adrenal cortical cell adenomas. In age-adjusted data the increase in ovarian cell hyperplasia and adrenal cortical cell adenomas was shown to be due to HF diet and not to be a consequence of extended survival. Periodontitis and calcification of cardiac tissues decreased in hamsters fed HF diets after 8 weeks, but cell vacuolization and hyperplasia of the anterior pituitary gland and epithelial hyperplasia in the forestomach were increased. Salivary gland adenocarcinomas were observed only in hamsters fed HF diets. Feeding HF levels, either during weeks 3-7 or after week 8, decreased osteofibrosis and otitis media and increased urinary bladder epithelial hyperplasia, adrenal cortical cell lipomatosis, and bone chondrosis. Calcification of gastric and renal arteries decreased as dietary fat levels increased either before or after 8 weeks of age in males and only when fed after 8 weeks in females. Colitis and focal glandular hyperplasia of the colon mucosa were increased in both sexes by an HF diet being given before or after 8 weeks of age. PMID- 6576199 TI - In vivo estimation of size of experimental tumors. AB - The precision and accuracy of various estimates of experimental tumor size from lineal dimensions were examined on capsules implanted subcutaneously and inflated to precisely known weights in Fischer 344 rats. The method of tying the final product of three dimensions to the measured excised weight gave a value with no significant systematic bias and the lowest error of estimate (root mean square of deviation = 4.35 g). PMID- 6576200 TI - Regression of C3HBA mouse tumor due to X-ray therapy combined with supplemental beta-carotene or vitamin A. AB - Male CBA/J mice, ingesting a vitamin A- and beta-carotene-sufficient laboratory chow, were inoculated in a hind limb with 2 X 10(5) C3HBA adenocarcinoma cells. When the mean tumor size was 6.2 mm, the mice were divided randomly into groups; some groups received supplemental vitamin A or beta-carotene, some received 3,000 rad local radiation to the tumor, and others received both radiation and one of the supplements. All mice that received only radiation or one of the dietary supplements died within 3 months. When local irradiation and supplemental vitamin A or beta-carotene were coupled, "complete" tumor regression occurred in every case (12/12), and tumor regrowth in and death of the mice occurred in only 1 of 12 in each of these groups during the succeeding 12 months. One year after irradiation and dietary supplementation, half the surviving mice were switched back to the control chow. During the next year, none of the mice remaining on the vitamin A or beta-carotene supplements developed tumors; however, of 6 mice switched from vitamin A, 5 had tumors that reappeared. In contrast, tumors recurred in only 2 of 6 mice after they were switched from beta-carotene. A second experiment yielded similar results. These results show that both vitamin A and beta-carotene supplementation added remarkably to the antitumor effect of local irradiation. beta-Carotene supplementation produced a greater residual antitumor action than vitamin A supplementation after the supplements were discontinued, which may have been due to greater tissue storage of beta-carotene. PMID- 6576201 TI - Deciphering today's composites. PMID- 6576202 TI - [Acute myelogenous leukemia in children: results of the cooperative BFM-78 therapy study after 3 3/4 years]. AB - Between December, 1978, and October, 1982, 151 children with acute myelogenous leukemia from 30 pediatric clinics entered the cooperative study. The treatment consisted of a 10-week intensive induction therapy and a subsequent maintenance therapy, which is terminated for children in complete continuous remission after 2 years. The induction treatment during the first 4 weeks consisted of a combination of prednisone, 6-thioguanine (TG), vincristine, adriamycin (ADR) and cytosine-arabinoside (ARA-C). In the following 4 weeks i.v. cyclophosphamide, i.th. methotrexate and prophylactic cranial irradiation were administered in addition to TG, ARA-C and ADR. 119 of the 151 patients (79%) achieved complete remission. 13 children (9%) died of early hemorrhages, 2 of them before onset of therapy. 5 patients died initially of other complications, another 6 after remission has been achieved. 13 children did not respond or responded poorly to the induction therapy. So far, 40 relapses occurred, mainly in the bone marrow. In 6 relapses the central nervous system was involved. The probability for a continuous complete remission for the total group is 0.41 +/- 0.05 (life table analysis) and for the total group 0.56 +/- 0.06 after 45 months. The corresponding probability for survival after 46 months are 0.43 +/- 0.06 for the remission group. The risk for occurrence of early fatal hemorrhages was higher in children with acute monocytic leukemia than in the other morphological subtypes. An initial leukocyte count of more than 100,000/microliters was found significantly more often in patients who did not achieve remission (early deaths and nonresponders) than in children of the remission group. So far, no factors could be identified which influence the risk for relapse. The present results of the study allow the conclusion, that with the applied treatment strategy it is possible to achieve not only in a high portion of children with AML remission but also to improve the chances for long-time remission and perhaps cure. PMID- 6576203 TI - [COALL-80 therapy in the management of acute lymphoblastic leukemia in childhood- an interim report]. AB - In order to reduce the toxicity of the otherwise very effective childhood ALL treatment protocol BFM 76/79 asparaginase was omitted from the 4-drug induction regimen and placed as single drug before the intensification phase. In addition the effect of 3-monthly intermediate dose methotrexate (ID-MTX) pulses versus conventional vincristine (VCR) pulses during maintenance therapy was studied. Of 145 evaluable patients 124 (85.5%) survive in continuous and complete remission (CCR) at a median observation time of 21 (1,5-47) months. The expected rate of patients in CCR at 4 years is 75% respectively 80% after exclusion of 4 patients with fatal complications and one remission failure. These relapse free survival data re equal to the BFM 76/79 and 79/81 results. There was very few therapy related morbidity and no mortality from the COALL-80 induction therapy modification. The intensification phase, however, which was adopted from the BFM study without modification was difficult to manage and was not free of life threatening mostly infectious complications which were fatal in 4 cases. ID-MTX pulses did not prove superior to conventional VCR pulses. The relapse rate in patients with the c-ALL subtype was markedly lower than in any other subtype, remarkably also than in the undifferentiated type. PMID- 6576205 TI - Developing a cancer program in a private community hospital. PMID- 6576204 TI - [Results of preventive management of the central nervous system in 275 children with acute lymphoblastic leukemia]. AB - From 1970 to 1979, two subsequent BFM studies were performed with different modalities of systemic chemotherapy and preventive central nervous system (CNS) therapy. Eighteen out of 275 children experienced isolated CNS relapses within 2 years after diagnosis. The present analysis should clarify the following questions: 1. Could the risk for CNS relapse be assessed by initial diagnostic findings? 2. Is the CNS relapse rate influenced by more intensive systemic chemotherapy? 3. Is the CNS relapse rate altered by different doses of radiation therapy? The risk for relapse was assessed using a risk index (RI) based on findings at diagnosis. All patients were treated with an 8 weeks induction and consolidation chemotherapy protocol. In part, children with increased risk for relapse (RI greater than = 3) received an additional 6 weeks reinduction protocol within the first six months after diagnosis. Preventive treatment to the CNS consisted of radiotherapy at doses of less than = 18 Gy or 24 Gy and intrathecal methotrexate given during the consolidation phase. The results are as follows: 1. The RI proved to be predictive also for the risk of CNS relapse. However, CNS relapse rates were not substantially higher in children with RI greater than = 3 when they had been exposed to radiation doses of 24 Gy instead of less than = 18 Gy. 2. Intensive systemic reinduction therapy did not influence the CNS relapse rate in children with RI greater than = 3. 3. Three percent of children with RI less than = 2 experienced CNS relapses, irrespectively of lower or higher radiation doses. In patients with RI greater than = 3, however, irradiation at doses of less than = 18 Gy instead of 24 Gy led to a 3-4 fold higher incidence of CNS relapses, irrespectively of chemotherapy. We conclude that radiation doses of less than = 18 Gy are capable of preventing CNS relapses effectively in children with RI less than = 2. The exposure of patients with RI greater tha = 3 to doses of 24 Gy is justified. PMID- 6576206 TI - Cancer detection and the primary care physician. PMID- 6576207 TI - Sixty seconds for cancer detection in children. PMID- 6576208 TI - Can the nurse make a difference in cancer care? PMID- 6576209 TI - Hospice care and the terminal cancer patient. PMID- 6576210 TI - Radioactive microspheres: a useful tool in the investigation of myocardial ischemia. PMID- 6576211 TI - Chain saw injuries in South Carolina. PMID- 6576212 TI - Quality assurance in the surgery department of a community hospital. PMID- 6576214 TI - Whither primary care? PMID- 6576213 TI - Regionalization of perinatal care: the problem behind the promise (guest editorial) PMID- 6576215 TI - Biophysical studies on molecular mechanism of abortifacient action of prostaglandins. VI. Conformation energy calculation on PGE2, PGF2 alpha and 15 (s)-methyl PGF2 alpha. AB - This paper reports the conformation energy (CE) calculations on PGE2, PGE2 alpha and 15-(s)-methyl PGE2 alpha on the basis of empirical potential energy functions for the simultaneous rotations around C7-C8 (psi), C12-C13 (theta) and C14-C15 (phi) bonds. The variation of the minimum conformation energy E for each isoenergy map in the psi theta plane with respect to phi gives two minima around 90 degrees and 240 degrees in PGE2, 60 degrees and 245 degrees in PGF2 alpha, and 60 degrees and 150 degrees in 15-(s)-methyl PGF2 alpha. The latter two forms also have a small dip at 270 degrees. The pattern of allowed low energy conformations of PGF2 alpha and 15-(s)-methyl PGF2 alpha is quite similar and is characterized by the existence of six low energy regions. PMID- 6576216 TI - The role of prostaglandins in the spontaneous and cholinergic nerve-mediated motility of guinea-pig gastric muscle. AB - The role of PGE1, PGE2 and PGF2 alpha in the spontaneous and cholinergic nerve mediated motility of guinea-pig gastric muscle strips was investigated. The prostaglandins (PGs) studied induce dose-dependent tonic activation in the longitudinal strips from fundus, corpus and antrum and inhibition of the phasic activity of circular strips from antrum and pyloric sphincter. These effects are not significantly changed in the presence of adrenergic and cholinergic blocking agents nor with tetrodotoxin, and are, therefore, direct effects on the smooth muscle. Indomethacin exerts effects opposite to those of PGs. The contractile responses of the longitudinal and circular smooth muscles to field stimulation (frequency of 10-20 Hz, duration of 0.5 ms and supramaximal voltage) are inhibited by atropine (1 X 10(-6) M), indicating that cholinergic transmission is involved. PGs potentiate the response of the longitudinal muscles but inhibit the response of the circular muscles to field stimulation. On the contrary, indomethacin (1 X 10(-6) to 1 X 10(-5) M) inhibits the response of the longitudinal and potentiates the response of the circular muscles to field stimulation. The data suggest that PGs may exert a negative feedback control over the excitatory transmission in the circular muscle of the guinea-pig stomach. PMID- 6576217 TI - [Determination of the physiological profile of patients in intensive care]. PMID- 6576219 TI - [Paratonsillar abscess]. PMID- 6576218 TI - [Quantitative evaluation of the protective action of skin protectors]. AB - The purpose of research was to study and give a comparative evaluation of cystamine, mexamine, ionol, dimethyl--sulfoxide, eugenic acid, castor oil and cholesterol as skin local radioprotectors. Experiments were made on random-bred albino rats. Skin areas 25 mm2 in size on each paw were irradiated. The exposure dose rate was 5 X 10(-3) A/kg (1160 p/min.), the surface dose 6.5 X 10(-1) and 7.7 X 10(-1) Q/kg (2500 and 3000 P respectively). The time period (in days) of weak and severe erythema, dry and moist desquamations was assessed. The most sensitive "critical" components of radiation response which are open to modification with the help of radioprotectors--severe erythema and moist desquamation were revealed. Mexamine, cystamine and ionol produce the most marked effect. The value of their protective effect is 48.3; 40.1 and 32.3 units respectively. Skin radioprotectors possessing not less than 50% efficacy can be introduced into practice. A search for new radioprotectors should be aimed at the investigation of agents with the efficacy of a reduction of radiation injuries by 70% and more. PMID- 6576220 TI - Regulation of enzymes involved in ornithine/arginine metabolism in the parasitic trypanosomatid Herpetomonas samuelpessoai. AB - The genetic regulation of enzymes involved in arginine and ornithine synthesis has been investigated in the parasitic trypanosomatid Herpetomonas samuelpessoai. The activities of two enzymes involved in arginine synthesis, ornithine carbamoyltransferase (OCTase) and argininosuccinate lyase (ASLase) were depressed whereas the enzyme citrulline hydrolase (CHase), which is involved in ornithine synthesis, was increased in arginine supplemented cultures of the parasites. The depression of OCTase activity in the presence of arginine was not due to feedback inhibition and CHase activity of uninduced cultures was not enhanced by exogeneous arginine. Studies of the kinetics of OCTase induction and repression revealed that arginine blocks OCTase synthesis but does not cause destruction of the enzyme. Ornithine, but not citrulline was found to counteract the arginine mediated repression of OCTase. Two classes of canavanine resistant mutants of H. samuelpessoai were isolated. One class was defective in arginine uptake whereas the other was affected in regulation of OCTase and ASLase which appear to be under coordinate control in H. samuelpessoai. PMID- 6576221 TI - Genetic analysis of hypertropic mutants of Phycomyces. AB - A new class of Phycomyces behavioral mutants with enhanced tropic responses has been analyzed genetically to determine the number of genes involved and the nature of their expression. These hypertropic mutants carry pleiotropic nuclear mutations. Besides their effects on sensory behavior, they also affect morphology and meiotic processes. Behavioral analyses of heterokaryons containing hypertropic and wild-type nuclei in varying proportions show that the hypertropic mutations in strains L82, L84, L86, and L88 are strongly dominant. Conversely, the hypertropic mutations carried by the strains L83, L85, and L87 are strongly recessive. We performed recombination analyses between hypertropic mutants and mutants with diminished phototropism, affected in the seven genes madA to madG. We found no evidence of linkage between the hypertropic mutations and any of these mad mutations. From crosses, we isolated double mutants carrying hypertropic mutations together with madC (night blind) and madG (stiff) mutations. The behavioral phenotypes of the double mutants are intermediate between those of the parentals. Complementation analyses show that the three recessive hypertropic mutations affect the same gene, which we call madH. The expression of the recessive hypertropic allele becomes dominant in heterokaryons carrying madC and madH nuclei; the madC gene has been implicated separately with the photoreceptor at the input to the sensory pathway, while the madH gene is associated with the growth control output. This result suggests the physical interaction of both gene products, madH and madC, in a molecular complex for the photosensory transduction chain. PMID- 6576223 TI - Cloning of a Streptomyces gene for an O-methyltransferase involved in antibiotic biosynthesis. AB - The red pigmented antibiotic of Streptomyces coelicolor A3(2) is chemically very similar to the Serratia marcescens pigment, prodigiosin. We have demonstrated by co-synthesis experiments between non-producing mutants of both species that their biosynthetic pathways are similar, and have discovered identities between specific mutants of each organism. Molecular cloning techniques have been employed in order to isolate Streptomyces chromosomal DNA segments which "complement" a mutant defective in the penultimate step of the red biosynthetic pathway: an O-methyltransferase enzyme. In one case, the lesion appears to be repaired by integrative recombination into the chromosome; another case may represent expression from the autonomously replicating recombinant plasmid. PMID- 6576222 TI - Polyamines enhance readthrough of the UGA termination codon in a mammalian messenger RNA. AB - The polyamines spermidine and spermine stimulate the readthrough of the UGA termination codon of rabbit beta-globin mRNA when it is translated in a rabbit reticulocyte cell-free system. The other major polyamine, putrescine, does not show this effect. The polyamine induced readthrough is specific for UGA as the UAA termination codon of alpha-globin mRNA is not read through and general translational misreading errors are not occurring in the presence of spermidine or spermine. The probable mechanism of this effect and some possible regulatory implications are discussed. PMID- 6576224 TI - Further evidence that aberrant segregation and crossing over in Sordaria brevicollis may be discrete, though associated, events. AB - Crosses were made between buff spore colour mutants in Sordaria brevicollis in the presence of flanking markers. Recombinant asci with one or more wild-type spores were isolated and the spores germinated and scored for buff and flanking marker genotype. The buff genotype was determined by back-crossing to each parent and looking for recombinants. It was found that the majority of the recombinant asci had aberrant segregation at one or other mutant site but not both. It was inferred that in the recombinants hybrid DNA rarely extended to both sites. When the aberrant segregation was associated with crossing-over, the crossovers were situated at either end of the gene rather than between the allelic sites where the hybrid DNA was believed to terminate. Thus, some of the crossovers were separated from the site of the aberrant segregation by a site apparently not involved in hybrid DNA and none was in the position predicted by the Meselson Radding model, that is, where the hybrid DNA terminates. PMID- 6576225 TI - [Aphthae]. PMID- 6576227 TI - Bulimia and diabetes. PMID- 6576226 TI - Exploration of the role of phenolsulfotransferase in the disposition of serotonin in human platelets: implications for a novel therapeutic strategy against depression. AB - Human platelets have been used as models to evaluate a possible role for phenolsulfotransferase (PST) in the disposition of 5-hydroxytryptamine (5HT). The platelet M-type PST, which prefers biogenic amines as substrates, appears to be unique in its ability to O-sulfate dopamine and 4,6-difluoro-5HT (diF-5HT) at rates 6-20 times faster than 5HT. The assay technique employed can make a critical difference in the measured rates of sulfation of these amines, however. For example, use of purified alveolysin toxin to disrupt cell membranes can result in as much as a 20-fold increase in the observed velocity of 5HT O sulfation. In intact platelets, only 1-3% of the total amount of radiolabelled material (as measured by a thin-layer chromatographic procedure) is the O-sulfate conjugate of 5HT. Up to 20% of the total H3-5HT taken up by cells becomes O sulfated following treatments such as reserpine which lead to a large increase in the extra-vesicular (cytoplasmic) pool of H3-5HT. Availability of a compound producing irreversible inhibition of M-type PST activity would facilitate exploration of intra-platelet 5HT metabolism, but compounds reported to inhibit essentially 100% of the PST activity in other systems do not appear to interfere with the action of human platelet M-type PST. Because of the apparent similarity between PST present in human platelets and in nerve microsacs prepared from guinea pig brains, PST inhibitors effective in human platelets might also be valuable for studies of amine metabolism in brain tissue. Possible candidates are discussed. Furthermore, the behavioral effects of compounds proving to be PST inhibitors could provide novel therapeutic approaches to the problem of depressive illness. PMID- 6576228 TI - Microgranular acute promyelocytic leukemia diagnosed by flow cytometry. PMID- 6576229 TI - Cancer control and community physicians in North Carolina. PMID- 6576230 TI - A toxin to test your mettle -- iron poisoning. PMID- 6576231 TI - The combined medical specialties unit: an innovative approach to patient care. PMID- 6576232 TI - Important facts about the menopause. PMID- 6576233 TI - Home safety for the elderly. PMID- 6576234 TI - Solar energy: good or bad? PMID- 6576235 TI - Spastic dysphonia helped by clipping recurrent laryngeal nerve. PMID- 6576236 TI - Cutaneous cholesterol embolism of the lower extremities. PMID- 6576237 TI - Don't send a dime, send artichoke seed. PMID- 6576238 TI - Habit patterns increase efficiency and save energy. PMID- 6576239 TI - Pattern of drug abuse. PMID- 6576240 TI - [The effect of education on communication skills. An attempt to evaluate]. PMID- 6576241 TI - [Variations of rest height in 'freeway space']. PMID- 6576242 TI - [Dental caries in 5-year-old Amsterdam children in 1973 and 1981 and a study of knowledge, attitude and behavior with respect to dental care of their mothers]. PMID- 6576243 TI - [Intraradicular fixation with vitamin pins of root fractures]. PMID- 6576244 TI - [A systematic clinical and radiographic study of the jaws of 331 edentulous patients]. PMID- 6576245 TI - [Periodontium or suture?]. PMID- 6576246 TI - [Periodontal surgery in the anterior mandible]. PMID- 6576247 TI - [Disturbances in tooth germ development]. PMID- 6576248 TI - [Abrasion of occlusal composite restorations]. PMID- 6576249 TI - [Treatment planning in dental care education]. PMID- 6576250 TI - Solitary intracranial chloroma in a patient with chronic granulocytic leukemia. AB - A rare case of solitary CNS chloroma in a patient with chronic granulocytic leukemia (CGL) is described. This appears to be the first reported case of intracranial chloroma in CGL without systemic blastic crisis. PMID- 6576252 TI - Periodontal health in the caries-free society. PMID- 6576251 TI - Arylsulfate sulfohydrolase C of the central myelin during ontogenic development of the rat. PMID- 6576253 TI - The aetiology, progression, and diagnosis of periodontal disease. PMID- 6576254 TI - The prevalence and severity of periodontal disease. PMID- 6576255 TI - Periodontal training and personnel. PMID- 6576256 TI - Future needs in periodontology in New Zealand. PMID- 6576257 TI - Incidence of ovulation from the menarche to the menopause: observations of 622 New Zealand women. AB - Urine samples were collected once weekly for two to four months from 622 normal women. Menstrual cycles were considered to be ovulatory if the 24 h pregnanediol output in the 12 days preceding menstruation was greater than or equal to 5 mumol on one occasion, or if the total excreted on two occasions, one week apart, was greater than or equal to 7 mumol. The incidence of ovulatory cycles increased from 48% in girls aged 10-14 yr to 72% by 20-24 yr, reached a plateau of 98% in women aged 30-39 yr, then declined with the approach of the menopause to 66% in women over the age of 50 yr. In women who were 5-8 yr from the menarche, departure from the parental home was associated with a decline in ovulatory incidence (84% for women living with parents, cf 46% for women living in flats and hostels; p less than 0.01). A similar decline was noted in women over the age of 40 yr who had experienced a break in a previously regular pattern of menstrual cycles (98% for women with regular cyclicity, cf 58% for women with variable cyclicity; p less than 0.001). Hormone patterns consistent with the occurrence of ovulation were seen at all stages from 120 days after the menarche to seven days before the menopause. PMID- 6576258 TI - Second trimester amniotic fluid acetylcholinesterase quantitation in the prenatal diagnosis of neural tube defects. AB - Amniotic fluid acetylcholinesterase (AChe) activity was assayed in second trimester amniotic fluids by inhibition of non-specific cholinesterase using lysivane. Of the 196 samples analysed, 146 were from normal pregnancies; 11 (5.6%) from severe open neural tube defects; two from small open spina bifidas; seven from fetal chromosome abnormalities and two from severe skeletal dysplasias. In addition nine amniotic fluids were meconium stained and 19 (9.7%) had varying degrees of blood staining. Acetylcholinesterase values remained relatively constant from 13-21 weeks gestation in normal pregnancies and a cut off limit of 3.2 U/l was set (mean + 2 SD). Heavily blood stained amniotic fluids were associated with AChe levels on or above the normal cut-off limit. Meconium staining caused a non-significant elevation of AChe. No significant elevation of AChe was demonstrated for fetal chromosome abnormalities, or severe skeletal dysplasias. Anencephaly and severe open spina bifida had significantly elevated AChe levels. PMID- 6576260 TI - Official Information Act 1982 and the medical profession. PMID- 6576259 TI - Cystic fibrosis. PMID- 6576261 TI - Effect of technology on medicine: the changing decision-making process. PMID- 6576262 TI - Improving health care team work by education. AB - The place of team work in health care is emphasised. Reasons for caution among members of the medical profession are defined. The importance of medical students being aware of the input of other health care professionals together with association with them in their training years and integration in activities where possible has been proposed previously, but largely neglected. A number of schemes for improving the education of other professional groups in association with the Wellington Clinical School of Medicine are described. Better teamwork in health care depends upon people learning to work together by association during their training years. PMID- 6576263 TI - Acupuncture in the prophylactic treatment of migraine headaches: pilot study. AB - This study was planned as a pilot study to determine to what extent acupuncture might help in severe cases of migraine and, if possible, to see whether the mechanism was endorphin mediated. The study was carried out on 16 subjects who had severe and regular migraine for more than five years (mean duration 24 years). The study lasted eight months and was divided into four blocks of two months each: pre-treatment, treatment block I, treatment block II, and post treatment. It was double-blind and cross-over in design. Acupuncture was found to cause a significant change in the number of headaches and their duration, with 40% of the subjects showing a 50%-100% reduction. Although pain sensation was not altered, attacks were less severe and less often accompanied by nausea and vomiting. At no stage was there any difference between subjects receiving saline or naloxone so that the possibility of a non-endorphin mechanism must be considered. PMID- 6576264 TI - The effect of personal characteristics on response levels in a health survey. AB - In a survey of everyday health in South Auckland, 207 mothers kept a diary of their families' health episodes and influences. Besides noting the problems of obtaining and maintaining respondent compliance, we found considerable variations in reporting levels between the main ethnic groups and between those willing to keep diaries for shorter or longer periods. The number of reports recorded varied on different days of the week and as time progressed. We quantified these variations and suggest correction processes which may be applied to research findings in multi-cultural areas. PMID- 6576265 TI - Life style and longevity. PMID- 6576266 TI - Confidentiality. PMID- 6576267 TI - General practice and health. PMID- 6576268 TI - Gene effect. PMID- 6576269 TI - Risk with intravenous diazepam. PMID- 6576270 TI - Insurance medical examination. PMID- 6576271 TI - Alcohol and doctors. PMID- 6576272 TI - Ultrasound staffing. PMID- 6576273 TI - What are nursing standards? She's a good nurse! PMID- 6576274 TI - Pain assessment in the terminally ill. PMID- 6576275 TI - Some aspects of nursing education. PMID- 6576276 TI - What are nursing standards? PMID- 6576277 TI - Quality assurance--towards a workable definition. PMID- 6576278 TI - Nurses need to care. PMID- 6576279 TI - Clinical evaluation of students. PMID- 6576281 TI - Health care for workers brings real benefits. PMID- 6576280 TI - Setting up a health clinic on a construction site. PMID- 6576282 TI - Hospital staffing under scrutiny. PMID- 6576283 TI - Interpositional arthroplasty for ankylosis of the temporomandibular joint. AB - The relevant literature relating to the etiology and treatment of intra-articular ankylosis of the temporomandibular joint is reviewed, and three cases of ankylosis (one unilateral and two bilateral) are reported. Two of these occurred subsequent to trauma, while the other was a manifestation of severe ankylosing spondylitis. They were successfully treated by interpositional arthroplasty with silicone rubber tubing. PMID- 6576284 TI - Therapeutic injection of the temporomandibular joint. AB - A simplified technique for a therapeutic injection of the temporomandibular joint has been presented. We have emphasized diagnosis of the condition, as well as indications and contraindications. If the injection is used where indicated, the results are quite successful. Since this technique is inherently less demanding than those so far described, it may overcome the reluctance of dentists to inject the TMJ and thereby make certain cases more responsive to treatment. PMID- 6576285 TI - Ankyloglossia superior. PMID- 6576286 TI - The role of tracheostomy in fractures of the facial skeleton. AB - The application and need of tracheostomy in the management of facial trauma have been controversial. In this report forty-four cases of facial fractures, treated between Aug. 1, 1970, and July 31, 1980, and requiring tracheostomy are presented. PMID- 6576287 TI - Unusual healing of a fracture of an atrophic mandible. Report of a case. AB - Fractures of an atrophic edentulous mandible may present a serious problem in oral surgical treatment. A case is described in which a traumatic mandibular fracture, initially treated by means of a Gunning type of splint, and a subsequent spontaneous fracture on the opposite side were treated without mechanical fixation. PMID- 6576288 TI - Chronic autoimmune thrombocytopenic purpura. A 3-year study. AB - Idiopathic (autoimmune) thrombocytopenic purpura (ATP) is accepted to be a disorder resulting from accelerated platelet destruction attributed to an autoimmune process. The patient whose case is presented in this article was first seen by a dentist. The oral findings have been documented as the case was followed for 3 years through acute exacerbations, pregnancy, and delivery of an infant with thrombocytopenia. The patient was managed with intermittent steroid therapy and splenectomy. PMID- 6576289 TI - Herpetic whitlow: report of a case with multiple recurrences. AB - A case of recurrent herpetic whitlow is discussed. The patient, a dental assistant at the time of her initial infection, developed herpetic whitlow caused by herpes simplex virus type 2 (HSV-2). She has subsequently experienced nine recurrent infections with lesion spread, scarring, and persistent paresthesia. The severity of the most recent recurrences appears to have diminished, and prodromal sensations, that is, increased local sensitivity, have occurred without the subsequent development of lesions. PMID- 6576290 TI - Malignant gingival and skin "infiltrates" in adult leukemia. AB - The clinicopathologic and histopathologic features of leukemic gingival and cutaneous "infiltrates" were studied in 1,076 adults hospitalized for cancer chemotherapy. Leukemic gingival hyperplasia was present in 3.6 percent and leukemia cutis in 3.1 percent of the patients. Only 7.6 percent of those with leukemic "infiltrates" had simultaneous gingival and skin involvement. Histologically, the lesions consisted of extravasated and proliferating monocytoid or myeloid cells. The infiltrative-proliferative tendency was most pronounced in patients with, in a sharply descending order, acute monocytic leukemia, acute myelomonocytic leukemia, and acute myelocytic leukemia. Formation of lesions in the skin and gingiva was unrelated to sex, age, and white blood cell count. Gingival lesions were particularly prone to infectious complications in patients with poor oral hygiene. Aside from the morphologic predisposition, the propensity for adults with leukemia to develop chemotherapeutically reversible malignant mucocutaneous lesions was highly individualistic and unpredictable. PMID- 6576291 TI - Metastatic chordoma to the mandible. AB - The chordoma is a slowly growing spinal cord tumor that rarely metastasizes. This is the first report in the literature of a chordoma with metastasis to the mandible. The mandibular involvement occurred 4 years after the primary sacral chordoma was controlled by excision and radiation. The jaw lesion did not respond to radiation but has been controlled by resection. PMID- 6576292 TI - A radiographic evaluation of the periapical status of teeth treated by the gutta percha--eucapercha endodontic method: a one-year follow-up study of 458 root canals. Part I. PMID- 6576293 TI - The formocresol technique in young permanent teeth. A histopathologic study. AB - Twenty-six extractions were performed at random among seventy-six young, permanent teeth, treated by the formocresol technique, between 5 and 20 months after treatment: twenty-one with penetrating caries (nine vital and twelve nonvital) and five healthy. As a control group, thirteen permanent teeth with penetrating caries were removed: seven vital and six nonvital. The histopathologic analysis compared pretreatment and posttreatment radiographic examinations. In the control cases, there was almost always inflammation and/or necrosis in the entire root canal. In the experimental cases, fibrosis and osteodentin predominated in the apical third, diminishing gradually near the cervical third. Inflammation and necrosis, very low in the apical third, increased similarly near the cervical third. This response seems to be a stage in a process of evolution in biologic scar healing. The complete cure must require a greater lapse of time than that of this experiment--around 10 to 12 months. PMID- 6576294 TI - Antimicrobial effects of endodontic filling cements on microorganisms from root canal. PMID- 6576295 TI - New intraoral x-ray fluorographic imaging for dentistry. AB - A new dental x-ray fluorographic unit has been developed. This unit is composed of small intraoral x-ray tube, a compact x-ray image intensifier, and a high resolution TV system. The purposes for developing this equipment were to (1) directly observe the tooth during endodontic procedures and (2) reduce x-ray exposure to the patient and the dentist. The radiation exposure can be reduced to about 1/600 the exposure used with conventional dental film. In clinical trials, a satisfactory fluorographic dental image for endodontic treatment was obtained with this new device. PMID- 6576296 TI - Medial sigmoid depression: a panoramic pseudoforamen in the upper ramus. AB - A radiolucency resembling a foramen was observed on a number of panoramic radiographs in the upper ramus just below and slightly anterior to the sigmoid notch. The radiolucency may be unilateral or bilateral and does not correspond to the location of any known major foramina in this region. Eighty-eight skulls with mandibles were examined, and representative samples were photographed and radiographed in order to replicate this foramen-like radiolucency. The radiolucency corresponded to an osseous depression observable in some specimens in the medial portion of the ramus just below the sigmoid notch area. The incidence of this phenomenon in a study of 1,986 panoramic radiographs was also determined. PMID- 6576297 TI - Transposition of maxillary incisors. PMID- 6576298 TI - An unusual solitary bone cyst. PMID- 6576299 TI - A follow-up study of a third-party radiographic evaluation system. AB - A follow-up study was conducted to evaluate the performance of the rating system for third-party carriers which was developed and instituted in 1976. Further, the technical quality of radiographs submitted under the system was evaluated. The conditions and parameters of the second study were identical to those of the original work. Statistical comparison of the data from both studies shows a significant decrease in the frequency of error occurrences over the 3-year span between the studies. PMID- 6576300 TI - Lateral incisor with bifid roots. PMID- 6576301 TI - Dentigerous cyst: an excellent prognostication. PMID- 6576302 TI - Factitious foreign body implantations. PMID- 6576303 TI - Use of the Abbe flap in revision of the bilateral cleft lip-nose deformity. AB - Use of the versatile Abbe flap for lip-nose revision of a representative adult with bilateral cleft lip and palate is reported. The deformity is discussed, and the surgical plans are developed and executed. Presented is a technique for reliably securing the lateral orbicularis oris muscle components to the philtrum, which ensures viability of the transposed flap and provides functional continuity across the midline while accentuating the philtral dimple. PMID- 6576304 TI - Modified distolingual splitting technique for removal of impacted mandibular third molars: technique. AB - This first of two articles describes a modified distolingual splitting technique for removal of impaction of various classes. The second article evaluates the efficacy of the technique by reporting and comparing the incidence of postoperative sequelae with earlier research findings. In this technique, the lingual soft tissue is not separated from the bone. In addition, the fragmented lingual bone attached to the periosteum is not removed. The procedure is best performed with the patient under sedation or general anesthesia. PMID- 6576306 TI - Mandibular osteotomy complicated by styloid pain. AB - Although temporomandibular joint pain is not a rare complication of mandibular surgery, styloid pain syndrome has not been recognized heretofore as a complication of mandibular osteotomy. Usually styloid pain syndrome occurs following tonsillectomy or de novo. Most styloid syndromes involve the styloid process, the stylohyoid attachments, or the carotid artery. This article presents a case of stylohyoid pain syndrome caused by stretching of the stylomandibular ligament following mandibular osteotomy. Additional surgical intervention was required to relieve the symptoms in this case. Styloid process pain syndromes are reviewed. PMID- 6576305 TI - Treatment of intraoral hemangiomas with nitrous oxide cryosurgery. AB - Nitrous oxide cryosurgery, when applied efficiently, is shown to be both effective and consistent in the management of hemangiomas of the oral cavity. Continued use of this treatment modality is indicated. PMID- 6576307 TI - Lipoma of the tongue. PMID- 6576308 TI - Myelofibrosis of the facial bones. AB - Idiopathic myelofibrosis is a hematologic myeloproliferative disorder characterized by progressive marrow fibrosis, extramedullary hematopoiesis, and a leukoerythroblastic anemia. Consequently there are frequent secondarily precipitated multiple systems problems. This is the first report of this entity presenting with orofacial findings. The histopathogenesis, clinical presentation, and the therapeutic goals of treatment are reviewed. PMID- 6576309 TI - Alveolar bone necrosis and tooth loss. a rare complication associated with herpes zoster infection of the fifth cranial nerve. AB - Eleven case reports involving herpes zoster infection associated with alveolar bone necrosis and tooth loss were reviewed in order to develop a patient profile for this rare combination of physical findings. The clinical course of a 56-year old white woman with herpes zoster infection of the fifth cranial nerve and related alveolar bone necrosis, tooth loss, and oroantral fistula development is reported. The etiology and management of herpes zoster infection associated with destructive oral sequelae are discussed. PMID- 6576310 TI - Oral amyloidosis: a late complication of multiple myeloma. AB - Amyloidosis as a complication of multiple myeloma carries with it grave prognostic implications, and the median survival of myeloma patients following a diagnosis of amyloidosis is only 4 months. This article describes a patient who survived 6 years with kappa light chain myeloma, but only 4 months after the development of oral amyloid deposits. Oral amyloidosis may be clinically difficult to distinguish from fibrous, neurogenous, or salivary gland pathosis; however, histologic specimens stained with Congo red have a characteristic "apple green" appearance when examined microscopically with polarized light. PMID- 6576311 TI - The relationship of plexiform unicystic ameloblastoma to conventional ameloblastoma. AB - The term plexiform unicystic ameloblastoma refers to a pattern of epithelial proliferation that has been described in cystic lesions of the jaws. It has been considered hyperplastic epithelium, rather than ameloblastoma, by some pathologists because it does not exhibit previously accepted histologic criteria for ameloblastoma. This article provides histologic evidence that plexiform unicystic ameloblastoma is, in fact, a variant of conventional unicystic ameloblastoma by reporting ten cases of unicystic ameloblastoma that exhibit both patterns. Further evidence of the ameloblastomatous nature of plexiform unicystic ameloblastomas is that their biologic behavior, even when this pattern occurs alone, is similar to that of conventional unicystic ameloblastoma. PMID- 6576312 TI - Central fibroma of the jaw, odontogenic or desmoplastic. AB - Discerning desmoplastic fibroma from odontogenic fibroma may present considerable diagnostic difficulty. In the present article five cases of jaw fibroma serve to emphasize the various problems. Two cases represented desmoplastic fibroma. Both were treated by curettage, which was successful in one case but failed to provide a cure in the other. Factors responsible for this differing clinical course are discussed. A third case of desmoplastic fibroma proved to have been misdiagnosed, being a low-grade fibrosarcoma that subsequently showed dedifferentiation, and two cases were diagnosed as central odontogenic fibroma. After a discussion of the various histologic aspects of the reported cases, it is concluded tha desmoplastic fibroma is a well-delineated entity. Odontogenic fibroma, on the contrary, can exhibit a varying histomorphology, perhaps because of the existence of different entities that at present are taken together. To prevent the uncertainties concerning the odontogenic fibroma from making the definition of desmoplastic fibroma also indistinct, it is proposed that a central jaw fibroma that does not show the typical morphology of a desmoplastic fibroma should be considered an odontogenic fibroma. PMID- 6576313 TI - Peripheral calcifying epithelial odontogenic tumor. AB - Most of the calcifying epithelial odontogenic tumors (CEOT) are central lesions of the jaws, but the CEOT occurs infrequently on the gingiva. A cases of peripheral CEOT arising in the right upper molar gingiva of a 31-year-old Japanese woman is presented. A direct communication between the overlying gingival epithelium and the tumor was found by examination of serial sections. As a result, it was thought that one of the sources of peripheral CEOT might be gingival epithelium with potential proliferative activity. PMID- 6576314 TI - Multifocal adult rhabdomyoma. AB - It is not well recognized that a small but significant proportion of extracardiac adult rhabdomyomas have occurred multifocally. The present example of a 60-year old man with adult rhabdomyomas of the larynx and submandibular region is the seventh multifocal case out of approximately sixty adult rhabdomyomas reported in the literature. Previously published cases are summarized in this article. PMID- 6576315 TI - A radiographic evaluation of the periapical status of teeth treated by the gutta percha--eucapercha endodontic method: a one-year follow-up study of 458 root canals. Part II. AB - In Part I, which appeared in the last issue, the authors discussed the variations that exist in nonsurgical endodontic therapy with respect to methods of treatment and analyses of success and failure. They then reported on the materials and methods that were used in their clinical study of 458 root canals treated by the gutta-percha--eucapercha method and gave the criteria that were used for the radiographic analysis of success and failure in those cases. In Part II, the results of the one-year follow-up of those 458 root canals is presented. Tables and illustrations are used to substantiate the results. PMID- 6576316 TI - Modified distolingual splitting technique for removal of impacted mandibular third molars: incidence of postoperative sequelae. PMID- 6576317 TI - The integral dose in panoramic intraoral x-ray tube radiography. AB - A Monte Carlo computer program was developed to estimate the integral dose to the head and thyroid for panoramic intraoral x-ray tube radiography. The advantage of this computer simulation is that it is able to avoid many of the difficulties associated with low-energy and low-dose x-ray dosimetry. The calculations were made for maxillary and mandibular projections separately, using 10 kv. increments between 40 and 60 kv. The results obtained were presented in terms of the integral dose per milliampere second. Typical integral doses for a routine examination of the head are 2.1 mJ. and 8.5 microJ for the thyroid during mandibular radiography and 1.7 microJ for the thyroid during radiography of the maxilla using 55 kv. and 0.5 mAs. PMID- 6576318 TI - [The use of medium- and high-dose methotrexate in the management of malignant childhood diseases]. PMID- 6576319 TI - [Morphological studies of gingival tissues in gingivitis under the influence of supra- and subgingival plaque]. PMID- 6576320 TI - [Collagen fibers in dental surgery]. PMID- 6576321 TI - [Calcifying odontogenic cysts (COC) with transformation into Pindborg's tumor]. PMID- 6576322 TI - [Effect of Silvose TPS on inflammatory gingival changes]. PMID- 6576323 TI - The bilaterally symmetrical deafferentation syndrome in macaques after bilateral spinal lesions: evidence for dysesthesias resulting from brain foci and considerations of spinal pain pathways. AB - Six macaques had been subjected to chronic left thoracic anterolateral cordotomy, which released persistent self-attacks of the hypoalgesic right hind limb. One to 4 weeks later, lesions were placed in the right thoracic spinal cord, 2-5 segments apart from the left lesion. None of these second-stage spinal lesions, including spinal hemisection, affected the continued self-attacks of the right leg. Therefore, the chronic deafferentation syndrome of contralateral anterolateral cordotomy is not dependent upon the rostral conduction, via long spinal sensory tracts, of neural activity from ipsilateral lumbosacral spinal segments. Furthermore, second-stage right thoracic spinal lesions, which damaged the anterolateral tracts in 4 macaques, caused the release of the deafferentation syndrome in the left hind limb, despite extensive prior destruction of the left anterolateral tracts. Therefore, the release of the deafferentation syndrome by contralateral cordotomy is independent of the functional activity of the ipsilateral anterolateral tracts. The bilateral symmetry of this syndrome after extensive bilateral spinal lesions suggests pathophysiological foci at the level of the brain rather than the spinal cord. This syndrome is considered to be an objective index of disturbing subjective sensations. PMID- 6576324 TI - The major histocompatibility complex of man: implications for transplantation and disease. PMID- 6576325 TI - A ten-year perspective of UMD dental hygiene program. PMID- 6576327 TI - Chronic myeloid leukaemia. PMID- 6576326 TI - The N-ras oncogene assigned to the short arm of human chromosome 1. AB - The human N-ras oncogene, isolated from the HL-60 promyelocytic leukemia cell line, is distantly related to viral oncogenes of Kirsten and Harvey sarcoma viruses. We have determined its chromosomal location by Southern blot analysis of DNAs from 37 human x rodent hybrid cell lines derived from 8 different human donors, some of whom carried balanced rearrangements of chromosome 1. The results indicate that the N-ras oncogene (RASN) is localized on the proximal part of the short arm of human chromosome 1, in region p3200 leads to cen. PMID- 6576328 TI - [Disk hernias: modern neurosurgical treatment methods]. PMID- 6576329 TI - [Determination of the degree of morphological regression following chemotherapy in malignant bone tumors]. PMID- 6576330 TI - Ia antigen-bearing decidual cells and macrophages in cultures of mouse decidual tissue. AB - The ontogeny of Ia antigen expression on cells within the decidua basalis of the placenta and on decidual cells differentiating in vitro was investigated in the mouse. The results indicate that Ia antigen expression is temporarily restricted and can be detected in short-term cultures of decidual tissue only during the final third of gestation. The Ia antigen positive cells, which are non phagocytic, non-specific esterase negative and lack Fc receptors, appear to be true decidual cells on the basis of their fine structural characteristics. In contrast, morphologically identical dendritic decidual cells arising from differentiation in vitro of endometrial cells do not express Ia antigens. A population of small rounded cells was also present in cultures of both decidual tissue and in vitro decidualized endometrial cells. These rounded cells possess the macrophage-like properties of Fc receptors, non-specific esterase and phagocytic activity. The possible function of these cell populations within the decidual tissue is discussed. PMID- 6576331 TI - Structural aspects of a placenta from a case of maternal acute lymphatic leukaemia. AB - After delivery of a healthy female child from a mother suffering from acute lymphatic leukaemia (35th week of gestation) the placenta was examined by light and electron microscopy. Morphologically, the villi in this placenta from a case of maternal acute lymphatic leukaemia differed from those in a normal placenta in the following respects: 1. The frequent occurrence of fibrinoid deposits on the free surface of the syncytiotrophoblast and the pronounced formation of syncytial cytoplasmic protrusions. 2. Dilatation of syncytial rough endoplasmic reticulum, numerous syncytial knots and numerous autophagosomes. 3. An excessive number of villous cytotrophoblastic cells. 4. Thickening of the trophoblastic basement membrane. 5. Bulbous endothelial cells with cytoplasm in fetal capillaries. 6. Strands of basement membrane-like material within the villous stroma. 7. Phagocytosis of nucleus-containing cells by the syncytiotrophoblast. 8. Cells with an abundant number of microtubular bundles within the villous stroma. It is suggested that phagocytosis of nucleus-containing cells (tumour cells?) by the syncytium could play a role in the prevention of transplacental metastasis. PMID- 6576332 TI - Participation of renal prostaglandins in the nephrotic syndrome. AB - The participation of renal prostaglandins in the nephrotic syndrome has been investigated by the measurement of the urinary excretion of prostaglandin E2 (PGE2), renal function and the renin-angiotensin-aldosterone system before, during and after the administration of indomethacin in a group of patients diagnosed as having chronic idiopathic glomerulonephritis with and without nephrotic syndrome. Our results indicate increased renal production of PGE2 in nephrotic patients. This contributes to the maintenance of renal function, probably by counteracting an activated renin-angiotensin system and could be accompanied by a simultaneous and deleterious enhancement of the degree of proteinuria. Nevertheless, the participation of angiotensin II in this last even cannot be excluded. PMID- 6576333 TI - Steady-state kinetic study of fatty acid synthase from chicken liver. AB - The steady-state kinetics of chicken liver fatty acid synthase has been studied over the pH range 5.9-8.6 in 0.1 M potassium phosphate/1 mM EDTA at 25.0 degrees C. The steady-state initial velocity, v, which was determined by measuring the rate of consumption of NADPH spectrophotometrically over a wide range of substrate concentrations, followed the rate law v = (formula; see text), in which Ac-CoA is acetyl-CoA, Mal-CoA is malonyl-CoA, the Kj are Michaelis constants, the Kj,i are inhibition constants, kcat is the turnover number, and [E0] is the total enzyme concentration. The product CoA is an inhibitor at high concentrations but activates the enzyme at low concentrations when the concentration of Ac-CoA is high. The rate law can be derived from a simple multistep mechanism; in terms of this mechanism, the Michaelis constants are lower bounds to the substrate dissociation constants, and the turnover number contains the first-order rate constants characterizing the reactions required to produce palmitic acid. Plots of kcat, kcat/KN, kcat/KA, and kcat/KM versus pH are bell shaped. Analysis of the results in terms of two ionizable groups indicates that in all cases an ionizable group with an apparent pKa of approximately equal to 6 is of importance. For kcat and kcat/KN, the apparent pKa of the second ionizable group is approximately equal to 7.8, whereas for kcat/KA and kcat/KM, it is approximately equal to 7. PMID- 6576334 TI - Protein structural domains in the Caenorhabditis elegans unc-54 myosin heavy chain gene are not separated by introns. AB - The 1,966-amino acid unc-54 myosin heavy chain sequence was determined from DNA sequence studies of the cloned gene. The gene is split by eight short introns, 48 561 base pairs long, and appears to lack a "TATA" box at its promoter. The physical map of the gene was aligned with the genetic map by locating two point mutations and three internal deletions: 0.01 map units correspond to approximately 5 kilobases. Comparison of the unc-54 protein sequence with the sequence of a second myosin heavy chain from nematode, indicates that the globular head sequence S-1 is more highly conserved than the alpha-helical coiled coil rod. Major sites of proteolysis in S-1 are associated with variable sequences that have the characteristics of surface loops. In both genes there is no correlation between the positions of introns and the major protein structural domains. PMID- 6576335 TI - Molecular cloning of the cDNA coding for rat ornithine transcarbamoylase. AB - Ornithine transcarbamoylase is a mitochondrial matrix enzyme composed of three identical subunits encoded on the X chromosome. The subunit is synthesized on cytoplasmic polysomes as a precursor that is cleaved during transport into mitochondria. We report here the isolation and characterization of cDNA clones containing sequences corresponding to the mRNA encoding the ornithine transcarbamoylase subunit. cDNA was synthesized using rat liver mRNA enriched by polysome immunoadsorption for the low-abundance messenger species encoding the enzyme subunit. After insertion of cDNA into plasmid pBR322 and cloning in Escherichia coli, identification of the desired plasmids was accomplished by (i) differential colony hybridization using cDNA probes synthesized from mRNA of various tissues; (ii) differential blot hybridization using cDNA probes synthesized from mRNA enriched for or depleted of the ornithine transcarbamoylase message; (iii) hybrid-selected translation assays; and (iv) most definitively, structural analysis, which matched 25 consecutive amino acid residues determined by sequential Edman analysis of the carboxyl-terminal portion of the purified enzyme subunit with coding sequence present in the insert of one of the plasmids. PMID- 6576336 TI - Detection of a guanine X adenine base pair in a decadeoxyribonucleotide by proton magnetic resonance spectroscopy. AB - A decadeoxyribonucleotide, d(C-C-A-A-G-A-T-T-G-G) (I), forms a duplex in solution. The base pairing pattern in this duplex was studied by proton nuclear magnetic resonance spectroscopy. Five NH...N hydrogen-bonded proton resonances were observed, and they were assigned by nuclear Overhauser enhancement experiments as well as by comparison to five previously assigned NH...N hydrogen bonded proton resonances in a self-complementary duplex of similar sequence, d(C C-A-A-G-C-T-T-G-G) (II). The results suggest that the central -G-A- residues of I form G X A base pairs in the helical state. The fact that the H2 proton of A at the sixth position from the 5' end of I showed nuclear Overhauser enhancement when the NH...N hydrogen-bonded proton resonance of G X A was irradiated suggests that the bases of the G X A base pair are oriented in an anti-anti conformation. Comparison of the linewidths at the half height of the NH...N hydrogen-bonded proton resonances of I at 1 degree C suggest that the G X A base pairs are less stable than adjacent A X T base pairs. PMID- 6576337 TI - Growth-related changes in specific mRNAs of cultured mouse cells. AB - A cDNA plasmid library has been constructed from the poly(A)+ RNA present in BALB/c3T3 cells after serum stimulation. Of 3,500 clones tested, approximately 0.5% contained inserts corresponding to mRNAs present at higher levels in serum stimulated BALB/c 3T3 cell cultures than in quiescent cultures. Most of these RNA species increased 2- to 5-fold, and the kinetics of increase for various RNAs differed. One clone (28H6) hybridized to a 1-kilobase RNA species that is present at barely detectable levels in resting cells but is increased at least 15- to 20 fold after serum stimulation, reaching a maximal level coincident with the onset of DNA synthesis. This RNA was at a high level in proliferating cells but decreased rapidly as cells reached confluence. 28H6 RNA was also increased in resting cells infected with simian virus 40 or stimulated with platelet-derived growth factor. PMID- 6576338 TI - Activation of calcineurin by limited proteolysis. AB - Calcineurin, a heterodimer of calcineurin B, a 19,000 Mr Ca2+-binding subunit, and calcineurin A, a 61,000 Mr calmodulin-binding subunit, was previously proposed to be a calmodulin- and Ca2+-regulated protein phosphatase. Like other calmodulin-stimulated enzymes, calcineurin can be activated and rendered calmodulin- and Ca2+-independent by limited proteolysis. By glycerol gradient centrifugation, the native enzyme has a s20,w of 4.5 S in EGTA and 5 S in the presence of Ca2+-calmodulin. Under the same conditions, the s20,w of the trypsin activated enzyme (4.3 S) is not affected by Ca2+ and calmodulin. The trypsin treated enzyme is a heterodimer of calcineurin B and a 45,000 Mr fragment of calcineurin A that has lost its ability to interact with calmodulin. Phosphatase activity sediments with calcineurin or its proteolytic fragments, providing further evidence that calcineurin is indeed a protein phosphatase. Calmodulin protects calcineurin against tryptic digestion; proteolysis occurs more slowly, yielding fragments with Mr 57,000, 55,000, and 54,000 that have preserved their ability to interact with calmodulin. After trypsin treatment in the presence of calmodulin, the protein phosphatase activity of calcineurin is still regulated by calmodulin. Prolonged trypsin treatment in the presence of calmodulin produces a 46,000 Mr fragment. Unlike the fragments generated in the absence of calmodulin, this 46,000 Mr fragment still interacts weakly with calmodulin. Thus, calcineurin, like other calmodulin-regulated enzymes, consists of a catalytic domain resistant to proteolysis and a calmodulin-binding regulatory domain susceptible to protease action in the absence of calmodulin but not in its presence. In the absence of calmodulin, the regulatory domain exerts an inhibitory effect on the catalytic domain; the inhibition is relieved upon calmodulin binding to or tryptic degradation of the regulatory domain. PMID- 6576339 TI - Computer simulation of the dynamics of hydrated protein crystals and its comparison with x-ray data. AB - The structure and dynamics of the full unit cell of a protein (bovine pancreatic trypsin inhibitor) containing 4 protein molecules and 560 water molecules have been simulated by using the molecular dynamics method. The obtained structure, atom positional fluctuations, and structure factors are compared with x-ray values. A way of calculating the motional contributions to structure factors is proposed. PMID- 6576340 TI - New view of lipid bilayer dynamics from 2H and 13C NMR relaxation time measurements. AB - Natural abundance 13C spin-lattice (T1) relaxation time measurements are reported for unilamellar vesicles of 1,2-dipalmitoylphosphatidylcholine (1,2-dipalmitoyl sn-glycero-3-phosphocholine), in the liquid crystalline phase, at magnetic field strengths of 1.40, 1.87, 2.35, 4.23, 7.05, 8.45, and 11.7 tesla (resonance frequencies of 15.0, 20.0, 25.1, 45.3, 75.5, 90.5, and 126 MHz, respectively), and the results are compared to previous 2H T1 studies of multilamellar dispersions. For both the 13C and 2H T1 studies, a dramatic frequency dependence of the relaxation was observed. At superconducting magnetic field strengths (4.23 11.7 tesla), plots of the 13C T1(-1) relaxation rates as a function of acyl chain segment position clearly reveal the characteristic "plateau" signature of the liquid crystalline phase, as found previously from 2H NMR studies. The dependence of T1(1) on ordering, determined previously from 2H NMR, and the T1(-1) dependence on frequency, determined from both 13C and 2H NMR studies, suggest that a unified picture of the bilayer molecular dynamics can be provided by a simple relaxation law of the form T1(-1) approximately equal to A tau f + BS2C-H omega -1/2(0). In the above expression, A and B are constants, SC-H (= SC-D) is the bond segmental order parameter, and omega 0 is the nuclear Larmor frequency. The first (A) term includes contributions from fast, local segmental motions characterized by the effective correlation time tau f, whereas the second (B) term describes slower, collective fluctuations in the local ordering. The value of tau f approximately equal to 10(-11) sec, obtained by extrapolating T1(-1) to infinite frequency, suggests that the segmental microviscosity of the bilayer hydrocarbon region does not differ appreciably from that of the equivalent n paraffinic liquids of similar chain length. PMID- 6576341 TI - Phorbol ester inhibits furosemide-sensitive potassium transport in BALB/c 3T3 preadipose cells. AB - The tumor promoter phorbol 12-myristate 13-acetate (PMA) rapidly decreased the rate of 86Rb+ uptake into BALB/c 3T3 preadipose cells. The component of total 86Rb+ influx affected by PMA is insensitive to ouabain but sensitive to the diuretic furosemide. Experiments designed to investigate the characteristics of the K+ transport system sensitive to PMA revealed that: (i) 86Rb+ uptake is highly dependent on external Na+, (ii) 86Rb+ uptake is highly dependent on external Cl-, (iii) 22Na+ uptake is dependent on external K+, and (iv) a major component of 86Rb+ efflux that is sensitive to PMA and furosemide is not dependent on extracellular K+. These features strongly implicate a Na+K+/Cl- cotransport system as the target of PMA and furosemide in these experiments. PMA caused a net intracellular accumulation of K+ within 15 min in these cells, presumably via its inhibitory effect on furosemide-sensitive K+ transport. Within 30 min after PMA treatment, the mean cell volume was significantly reduced in treated compared to control cells, with a maximum decrease of 21% attained at 4 hr after PMA. The significance of these findings for biologic changes induced by PMA is discussed. PMID- 6576342 TI - Immunocytochemical localization of alpha-D-mannosidase II in the Golgi apparatus of rat liver. AB - Mannosidase II is involved in the trimming of alpha-1,6-mannosyl residues during the biosynthesis of glycoproteins containing N-linked oligosaccharides of the complex type. A highly specific polyclonal antibody (IgG) was isolated from rabbits immunized with a homogeneous preparation of mannosidase II prepared from rat liver. With this antibody, light and electron microscopic immunocytochemical studies on rat liver reveal that essentially all mannosidase II in hepatocytes is localized in the Golgi apparatus, the only other site with reaction product being the endoplasmic reticulum. The indirect immunocytochemical method used in this study involved three major steps: exposure of aldehyde-fixed tissue to immune and nonimmune IgG, treatment with staphylococcal protein A labeled with horseradish peroxidase, and incubation in diaminobenzidine to reveal sites of peroxidase activity. The procedures described overcome major problems in immunocytochemistry, allowing preservation of antigenic sites and maintaining adequate ultrastructural integrity. The in situ localization of other carbohydrate-processing enzymes, involved in either trimming or attachment of sugar residues, should be possible with this procedure. Because biosynthetic precursors of the processing enzymes may be revealed by an immunocytochemical approach, it is potentially significant that mannosidase II reaction product is present in areas of the endoplasmic reticulum as well as in the Golgi apparatus. PMID- 6576343 TI - Comparison of secretory protein and membrane composition of secretory granules isolated from normal and neoplastic pancreatic acinar cells of rats. AB - The diversity of cytodifferentiation in a transplantable rat pancreatic acinar carcinoma provides a biological model system for the study of regulatory molecular events that differ from those in normal acinar cells. Secretory (zymogen) granule proteins and granule membranes of neoplastic and normal pancreatic acinar cells were compared to determine the differences in gene expression between apparently well-differentiated secretory granule-containing neoplastic cells and normal cells. Nineteen proteins observed in two-dimensional polyacrylamide gels of normal secretory granule extracts were seen also in tumor granule extract profiles, with reduced but detectable amounts of lipase and four basic proteins. In addition, tumor granule extracts contained a new protein of Mr 24,000, designated p24, which was not detectable in normal extracts. Neoplastic granule membranes, while having phospholipid composition similar to that of normal membranes, lacked or contained a greatly reduced amount of a major glycoprotein of Mr 80,000 and three other proteins of Mrs 50,000, 37,000, and 36,000. The nature of p24 protein in secretory granule extracts and the significance of the reduction or absence of Mr 80,000 membrane glycoprotein in this tumor remain to be elucidated. PMID- 6576344 TI - Early epochal maps of two different cell adhesion molecules. AB - N-CAM, the neural cell-adhesion molecule, has previously been found to be expressed during several epochs of development and function, first as an early marker in embryo-genesis, later during organogenesis, and finally in adult life. L-CAM, the liver cell-adhesion molecule, has now been localized in embryonic and adult tissues of the chicken by fluorescent antibody techniques. In the early embryonic epoch, L-CAM and N-CAM appeared in epiblastic and hypoblastic tissues. L-CAM was distributed thereafter across all three germ layers. By the onset of neurulation, however, L-CAM disappeared in the region of the neural plate and N CAM increased in amount in that region. L-CAM appeared strongly on all budding endodermal structures (liver, pancreas, lung, thyroid, parathyroid, thymus, and bursa of Fabricius) whereas N-CAM appeared most strongly in the neural plate, neural tube, and in cardiac mesoderm but was not found in endodermal derivatives. In placodes, both L-CAM and N-CAM were present until the formation of definitive neural structures, at which time L-CAM disappeared. In kidney precursors, the two CAMs followed a complex reciprocal pattern of appearance and disappearance. For the most part, however, the distributions of the two molecules did not overlap during organogenesis. Like N-CAM, L-CAM persisted in a distinctive pattern of expression in adult tissues. During embryonic development, the two different CAMs were distributed on tissues derived from more than two-thirds of the early embryonic surface. Interpretation of maps summarizing CAM distributions over a defined developmental epoch suggested a key role for both L-CAM and N-CAM in embryonic induction. Consistent with this interpretation and with the fact that the continuity of germ layers is lost when organ rudiments are formed, neither of the CAMs was limited in distribution to a single germ layer. The regions of the early epochal maps that lacked both L-CAM and N-CAM comprised some portions of the splanchnopleure and somatopleure. Certain adult tissues that derive from this lateral plate mesoderm such as smooth muscle also lacked L-CAM and N-CAM. Such observations suggest that at least one more CAM may exist in these and similarly derived tissues. PMID- 6576345 TI - Birds, behavior, and anatomical evolution. AB - Study of more than 200 species suggests that the anatomical differences among birds are as big as those among other vertebrates of comparable taxonomic rank. The result is notable because, for more than 100 years, many biologists have believed that birds are more uniform anatomically than other classes of vertebrates. Furthermore, assessment of biochemical and geological evidence suggests that the time scale for bird evolution could be quite short. Hence, birds may share with placental mammals the distinction of having had a high rate of anatomical evolution, compared to that in lower vertebrates. The rate appears to have been very high in songbirds and higher primates and extremely high in the genus Homo. In an attempt to explain such contrasts in rates of anatomical evolution, we advance the hypothesis that in higher vertebrates, behavior, rather than environmental change, is the major driving force for evolution at the organismal level. This hypothesis predicts accelerated anatomical evolution in species composed of numerous mobile individuals with the dual capacity for behavioral innovation and social propagation of new habits. Consistent with this hypothesis, we demonstrate a correlation between relative brain size and rate of anatomical evolution in land vertebrates. PMID- 6576346 TI - Trans-acting temporal locus within the beta-glucuronidase gene complex. AB - Mice carrying the [Gus]H haplotype of the beta-glucuronidase gene complex have considerably decreased enzyme levels and a decreased rate of enzyme synthesis. This is now shown to result from the action of two regulatory loci within the gene complex. One is a systemic regulator, Gus-u, that acts cis to cause a uniform reduction in enzyme levels in all tissues. The other is a temporal locus, Gus-t, that acts trans to cause abrupt switches in the rate of enzyme synthesis in only certain tissues and at characteristic stages of development. The distinction between these two loci was made possible by the introduction of a method for quantitating the relative numbers of A and H allozyme subunits in beta glucuronidase tetramers. The procedure involves purification of the enzyme, cleavage at methionyl residues with CNBr, isoelectric focusing to separate the peptides, and quantitation of the peptide containing the A/H amino acid substitution. The presence of a trans-acting regulatory locus within a gene complex raises evolutionary and functional questions about why it is located there and how it acts. PMID- 6576347 TI - Chromosomal assignment of a family of human oncogenes. AB - A family of human transforming genes, previously shown to share homology with the ras family of viral oncogenes, maps to three different human chromosomes. A well characterized mouse-human hybrid cell panel, combined with Southern blotting, was used in this study. The transforming gene of the T24 bladder carcinoma cell line maps to human chromosome 11. An oncogene isolated from the lung carcinoma cell line SK-Calu-1 maps to human chromosome 12. The third ras-related gene, cloned from SK-N-SH, a neuroblastoma cell line, maps to human chromosome 1. PMID- 6576348 TI - Idiotypic manipulation in mice: BALB/c mice can express the crossreactive idiotype of A/J mice. AB - The response of A/J mice to arsonate-coupled keyhole limpet hemocyanin is characterized by a crossreactive idiotype (CRIA). CRIA+ antibodies are restricted to the Igh-Ic haplotype and are never expressed in BALB/c mice after immunization with antigen. Studies at the DNA level suggest that the gene encoding the CRIA heavy chain in A/J mice is probably absent in the genome of BALB/c mice. Despite this, using the immunization cascade tool, we have been able to induce the expression of CRIA+ antibodies in BALB/c mice. These studies led to an apparent paradox, whose understanding will provide new insights into the regulatory mechanisms of the immune system. We suggest that clones secreting CRIA-like Igs in BALB/c mice are "somatic variants" that could arise from gene conversion events. PMID- 6576349 TI - Nickel-sequestering renal glycoprotein. AB - Kidney is the target organ where nickel is accumulated and subsequently excreted in the urine after an intraperitoneal administration of 63NiCl2 in rats. The radioactive nickel is found mostly bound to a low molecular weight protein in kidney, which was isolated, purified, and partially characterized in this study. Homogeneity of this protein was determined by polyacrylamide gel electrophoresis. Amino acid analysis showed the presence of high amounts of glycine and proline and low amounts of phenylalanine, tyrosine, hydroxyproline, and hydroxylysine. The protein was found to be a glycoprotein with a carbohydrate content of 10% (wt/wt). Preliminary carbohydrate analysis showed that this glycoprotein is a high mannose-type containing mannose, galactose/glucose, and glucosamine. On the basis of the amino acid and carbohydrate analyses, the molecular weight of the glycoprotein is about 15,000-16,000. In vitro addition of nickel to the kidney cytosol also showed the presence of this protein. The protein appeared not to be affected or altered in its nickel-binding capacity by intraperitoneal or intravenous administration of actinomycin D, indicating it to be a noninducible protein. The glycoprotein demonstrated many characteristics of renal basement membrane. It is proposed that this protein is either a part of the renal basement membrane or is a part of the procollagen in the process of its conversion to collagen of the renal basement protein. The protein has a high affinity for nickel. It also may possess a similar binding affinity for other metals as well and may constitute a natural process of handling toxic levels of metals to be excreted. PMID- 6576351 TI - Discovery, invention, and development: human creative thinking. PMID- 6576350 TI - Attenuation of Mach bands by adjacent stimuli. AB - Pronounced bright and dark bands are seen at the bright and dark edges of half shadows and similar distributions of illumination. These are the so-called Mach bands. A pair of vertical Mach bands was generated with a ramp pattern in the central strip of a horizontal tripartite oscilloscope display. This pattern consisted of two uniform fields (one of low luminance, one of high luminance) joined by a gradient of uniform slope. The upper and lower strips were uniform throughout. A coupled pair of pointers could be displayed in these two strips and adjusted by the observer to match the apparent location and width of either of the Mach bands in the central strip. Insertion of a vertical bar in the central strip nearby and on either side of the ramp attenuates the corresponding Mach band. The closer the bar is to the Mach band, the stronger the attenuation. The attenuation is nearly independent of the sign of the contrast of the bar, but it does depend upon the magnitude and sharpness of the contrast. Also, the attenuation is independent of the width of the bar; a narrow line is as effective as a broad bar of the same contrast. No net luminance change is required; a bipolar stimulus with equal parts above and below the mean is as effective as a monopolar stimulus. These results point to two competing physiological mechanisms with different spatial sensitivities--one that generates Mach bands and one that attenuates them. PMID- 6576352 TI - Research and invention. PMID- 6576353 TI - Evidence for the general base mechanism in carboxypeptidase A-catalyzed reactions: partitioning studies on nucleophiles and H2(18)O kinetic isotope effects. AB - Methanol does not detectably compete with water in carboxypeptidase-catalyzed cleavage of any substrate, although it is preferentially reactive in a model for the proposed nucleophilic mechanism for the enzyme that involves an anhydride intermediate. To test for such a common intermediate in the cleavage of related peptide and ester substrates, a method has been developed to examine H2(16)O H2(18)O kinetic isotope-partitioning effects. The finding that benzoylglycylphenylalanine has an isotope effect of 1.019 +/- 0.002 while benzoylglycyl-beta-L-phenyl-lactate shows a small inverse isotope effect excludes most versions of a nucleophilic mechanism having a common anhydride intermediate. The bulk of the available evidence strongly favors the previously proposed general base mechanism. PMID- 6576354 TI - ADP-ribosylation of the Mr 83,000 stress-inducible and glucose-regulated protein in avian and mammalian cells: modulation by heat shock and glucose starvation. AB - ADP-ribosylation of proteins was analyzed by in vivo labeling of cells with [3H]adenosine, followed by separation of their protein components by two dimensional isoelectric focusing/NaDodSO4 polyacrylamide gel electrophoresis. We show here that in several cell types of avian and mammalian origin the major [34H]adenosine acceptor in vivo is a polypeptide with a Mr of 83,000 and isoelectric point of approximately equal to 5.3. This polypeptide is identical to one of the stress-inducible and glucose-regulated proteins (here called SP83) previously described in avian and mammalian cells. Snake venom phosphodiesterase digestion of purified 3H-labeled SP83 releases 5'-AMP and a minor fraction of 2' (5"-phosphoribosyl)-5-AMP. In vitro labeling with [32P]NAD+ of total cell lysates made in the presence of non-ionic detergents also results in incorporation of radioactivity into SP83. Both of these results strongly suggest that the modification is an ADP-ribosylation. Heat shock and glucose starvation of cells induce a rapid and extensive decrease in the incorporation of ADP-ribose into SP83, suggesting that ADP-ribosylation may be important for the regulation of the function of this protein. PMID- 6576355 TI - Increased membrane permeability to chloride in Duchenne muscular dystrophy fibroblasts and its relationship to muscle function. AB - Previous studies have suggested an abnormality in Cl- metabolism in Duchenne muscular dystrophy (DMD) fibroblasts. In order to further characterize this abnormality, we have studied 36Cl- distribution and permeability in 11 DMD and 12 normal fibroblast lines. Under steady-state conditions Cl- efflux in fibroblasts is observed to be biphasic, revealing the presence of two major subcellular compartments. Each compartment contains approximately half of the cellular Cl-. The faster of the two observed efflux components is significantly higher in DMD than in control fibroblasts (P less than 0.001). To determine the results of a similar increase in Cl- permeability on skeletal muscle action potentials, we have simulated the effects of increased Cl- conductance on muscle by using a computer model. Effects on the simulated action potential include lower rates of membrane depolarization, lower overpotential, longer duration, and lower input resistance. These effects are similar to those actually observed in DMD muscle. PMID- 6576356 TI - "Prompt" heat shock proteins: translationally regulated synthesis of new proteins associated with the nuclear matrix-intermediate filaments as an early response to heat shock. AB - The response of mammalian cells, such as HeLa cells, to prolong exposure to increased temperature (termed heat shock) has been well characterized. In these studies new mRNA is synthesized for several proteins whose translation is best seen after a return to 37 degrees C. We show here another response to increased temperature of a distinctively different character. A set of at least 50 newly detectable proteins, exclusively associated with the nuclear matrix-intermediate filaments (NM-IF) fraction, is synthesized immediately upon exposure to high temperature. These are of very low abundance or nonexistent in the unstressed cell and none appear to correspond to the "classic" heat shock proteins produced after new transcription. Prior treatment with actinomycin D has little effect on these "prompt" proteins, and they appear to be made from preexisting mRNAs that are activated at the increased temperature. The protein synthesis in the soluble, cytoskeletal, and chromatin fractions is strongly reduced by the increased temperature, while the labeling of the prompt proteins associated with NM-IF complex rapidly rises severalfold above that in control cells. Additionally these results suggest that the four cell fractions are not arbitrary cell divisions; rather they represent physiologically significant compartments in the cell. PMID- 6576357 TI - Interaction of fibronectin with collagen: age-specific defect in the biological activity of human fibroblast fibronectin. AB - Fibronectins isolated fro early-passage and late-passage (in vitro aged) human fibroblasts were shown to differ in their ability to support cell adhesion and to influence cell morphology. Because fibroblast adhesion requires interactions between fibronectin, the cell surface, and the component of the extracellular matrix, we examined those functions in isolated cellular fibronectin. In comparison to fibronectin isolated from early-passage cells, fibronectin from late-passage cells bound poorly to native collagen types I and II. No differences were observed in the binding of the two fibronectins to denatured collagen. The binding of both fibronectins to native collagen was similarly promoted by heparin. Cell binding activity was evaluated by using a Boyden chamber assay to measure chemotaxis in response to either fibronectin. No differences were detected in cell binding. Comparisons of molecular weights by NaDodSO4/polyacrylamide gel electrophoresis reveals that fibronectin from late passage cells is larger than that from early-passage cells. That difference is observed both in fibronectins isolated from conditioned media and in fibronectins isolated from the cell layer. These data support the hypothesis that late-passage cells produce a structurally and functionally distinct fibronectin. The defective binding to native collagen may account for some aspects of the aged phenotype. PMID- 6576358 TI - Development of translationally active mRNA for larval muscle acetylcholinesterase during ascidian embryogenesis. AB - Relative quantities of translationally active acetylcholinesterase (acetylcholine acetylhydrolase, EC 3.1.1.7) mRNA present at various developmental stages were compared in embryos of the ascidian Ciona intestinalis. Purified RNA was tested for its translational capacity by microinjection into Xenopus laevis oocytes; the acetylcholinesterase produced was immunoprecipitated with antibody to Ciona acetylcholinesterase and enzyme activity was assayed radiometrically. With this protocol, enzyme synthesis was found to be directly related to the amount of RNA injected and to the oocyte incubation time. A functional template for acetylcholinesterase was first detected at 6 hr of development (late gastrula) and is probably present as early as 5 hr. The level of this template activity increased until the middle tail formation stage (11-12 hr after fertilization) and then remained constant until 16 hr of development (the final stage examined), 2 hr before hatching. These findings, and the results of previous actinomycin D inhibition experiments, indicate that mRNA for ascidian larval muscle acetylcholinesterase is first synthesized during gastrulation. PMID- 6576359 TI - Three organizations of human DNA. AB - Human DNA was denatured, annealed to low C0t, and fractionated by centrifugation to equilibrium on gradients of NaI. Three well-defined zones resulted. The topmost, least dense zone contained satellite DNA. The bottom zone contained molecules bearing infrequent sequences and short repeated DNA. The middle zone contained molecules bearing infrequent sequences, short repeated DNA, and long repeated DNA. The NaI pattern was independent of single-strand DNA chain length from 5 to 30 kilobases. Structural genes were found in the organization bearing long repeats. PMID- 6576360 TI - Novel use of synthetic oligonucleotide insertion mutants for the study of homologous recombination in mammalian cells. AB - Thymidine kinase-deficient mouse L cells have been transformed with plasmid DNAs carrying 8-base-pair Xho I linker insertion mutations in the coding region of the herpes simplex virus type 1 thymidine kinase gene. When the mutant plasmids are introduced individually into LTK- cells, transformation efficiencies are greatly reduced relative to the wild type. However, when two mutant plasmids are cotransferred into the same LTK- recipients, significantly higher frequencies of transformation are observed (30-300 times). Here we demonstrate the usefulness of linker insertions for the study of homologous recombination in detecting the existence of normal thymidine kinase gene sequences (i.e., sequences lacking the insertions after recombination are substantiated by DNA . DNA hybridization). In addition, the frequencies of recombination in the various "crosses" are consistent with the known positions of the mutations. PMID- 6576361 TI - Defective myoblasts identified in Duchenne muscular dystrophy. AB - A defect in the proliferative capacity of satellite cells, mononucleated precursors of mature muscle fibers, was found in clonal analyses of cells cultured from Duchenne muscular dystrophy (DMD) patients. The total yield of myoblasts per gram of muscle biopsy was decreased to 5% of normal. Of the DMD myoblast clones obtained, a large proportion contained a morphological class of flat distended cells that had an increased generation time and ceased to proliferate beyond 100-1,000 cells but could be induced to fuse and form myotubes. The altered muscle phenotype was detected in all cultures from DMD patients but was rarely found among myoblasts of controls. By age 14 yr, it comprised as man as 90% of DMD myoblasts. The remaining DMD myoblast clones, which initially grew well, had severely impaired proliferative capacity upon passage and further cultivation. Eventually all myoblasts from DMD muscle tissue exhibited defective growth potential. In contrast, the fibroblast yield and proliferative capacity from DMD samples did not differ from normal. Based on these findings, we propose a hypothesis for the etiology of DMD: Dividing myoblasts are required for muscle growth and maintenance, and the limited capacity of DMD myoblasts to grow is directly related to the progressive muscle degeneration characteristic of the disease. PMID- 6576362 TI - Viral nucleic acid synthesis and antigen accumulation in pancreas and kidney of Pekin ducks infected with duck hepatitis B virus. AB - Liver, pancreas, and kidney from Pekin ducks infected with duck hepatitis B virus (DHBV) were assayed for the presence of both viral antigen and replication specific forms of viral nucleic acid. In young congenitally infected ducks, antigen was detectable in hepatocytes and bile duct epithelia, in kidney glomeruli and tubular epithelia, and in cells localized to pancreatic acini. In older experimentally infected ducks, antigen was detectable in hepatocytes, in glomeruli and tubular epithelia, and in cells localized to presumptive pancreatic alpha-islets. All but the glomeruli-associated viral antigen appeared to be localized to the cytoplasm of antigen-positive cells. Much of the glomeruli associated antigen appeared to be extracellular and was detected in glomeruli that were positive for the accumulation of immunoglobulin, observations suggestive of the deposition of viral antigen-antibody complexes. As analyzed with bulk tissue, replication-specific forms of viral nucleic acid were detectable in liver and pancreas from the young congenitally infected ducks and in liver and kidney from the older experimentally infected ducks. PMID- 6576363 TI - Crosslinked myosin subfragment 1: a stable analogue of the subfragment-1.ATP complex. AB - Myosin subfragment 1 (S-1) with its two reactive cysteine groups crosslinked by N,N'-p-phenylenedimaleimide (pPDM), is shown to be a stable analogue of S-1 X ATP and S-1 X ADP X Pi, the predominant complexes present during the steady-state hydrolysis of ATP by S-1. pPDM-S-1 binds to actin with about twice the affinity of S-1 X ATP or S-1 X ADP X Pi, whereas its affinity is 1/100th of that of S-1 X 5'-adenylyl imidodiphosphate and 1/1,000th of that of S-1 X ADP. pPDM-S-1 is also similar to S-1 X ATP and S-1 X ADP X Pi in that its binding to actin is not inhibited by troponin-tropomyosin. In contrast, the binding of S-1, S-1 X ADP, and S-1 X 5'-adenylyl imidodiphosphate to actin is markedly inhibited by troponin tropomyosin in the absence of Ca2+ when actin is in large excess over S-1. This suggests that modifying S-1 with pPDM stabilizes a conformation which mimics that induced by the binding of ATP. PMID- 6576364 TI - Methylation of replicating and post-replicated mouse L-cell DNA. AB - We have introduced [alpha-32P]dGTP into permeabilized cells and measured the degree of methylation at CpG sites by nearest-neighbor analysis. This method reveals a lag of approximately 1 min between DNA synthesis and the modification event. When methylation is inhibited by the addition of S-adenosyl-L-homocysteine in the presence of continued DNA synthesis, the resulting hemimethylated sites are methylated immediately after the release of inhibition. The results suggest that the methylase activity in the cell allows immediate methylation but conditions at the replication fork bring about a short delay in the onset of the modification reaction. PMID- 6576365 TI - 12-fold difference between the critical monomer concentrations of the two ends of actin filaments in physiological salt conditions. AB - We determined the critical monomer concentrations at which association and dissociation reactions are balanced at the two ends of actin filaments. For measurement of the critical concentration of the pointed end, interference with the high dynamics of the barbed end was excluded by capping the barbed ends with an actin filament capping protein isolated from bovine brain. The critical concentration of the pointed end (1.5 microM) was found to be 12- to 15-fold higher than the critical concentration of the barbed end (0.10-0.12 microM) at a temperature of 37 degrees C and physiological salt concentrations (100 mM KCl/1-2 mM MgCl2/0.3 mM EGTA or 0.2 mM CaCl2, pH 7.5). PMID- 6576366 TI - Resolution of the diadenosine 5',5"'-P1,P4-tetraphosphate binding subunit from a multiprotein form of HeLa cell DNA polymerase alpha. AB - A diadenosine 5',5"'-P1,P4-tetraphosphate (Ap4A) binding subunit has been resolved from a high molecular weight (640,000) multiprotein form of DNA polymerase alpha [deoxynucleoside triphosphate:DNA nucleotidyltransferase (DNA directed), EC 2.7.7.7] from HeLa cells [DNA polymerase alpha 2 of Lamothe, P., Baril, B., Chi, A., Lee, L. & Baril, E. (1981) Proc. Natl. Acad. Sci. USA 78, 4723-4727]. The Ap4A binding activity copurifies with the DNA polymerizing activity during the course of purification. Hydrophobic chromatography on butylagarose resolves the Ap4A binding activity from the DNA polymerase. The Ap4A binding activity is protein in nature since the binding of Ap4A is abolished by treatment of the isolated binding activity with proteinase K but is insensitive to treatment with DNase or RNase. The molecular weight of the Ap4A binding protein, as determined by polyacrylamide gel electrophoresis under nondenaturing conditions or by NaDodSO4/polyacrylamide gel electrophoresis after photoaffinity labeling of the protein with [32P]Ap4A is 92,000 or 47,000. The binding activity of this protein is highly specific for Ap4A. PMID- 6576367 TI - High-resolution 1H nuclear magnetic resonance study of cerebral hypoxia in vivo. AB - 1H NMR spectra at 360.13 MHz were obtained of the rat brain in vivo by using a surface coil placed over the skull. Resonances of numerous metabolites were identified by comparison with the 1H NMR spectra of excised rat brain tissue and acid extracts of the tissue. Changes in cerebral lactate levels resulting from the administration of gas mixtures low in oxygen were monitored in the in vivo brain spectra with a time resolution of 2.3 min. The electroencephalogram and electrocardiogram were recorded simultaneously during the NMR experiment. Reversibility of the hypoxic response was documented when, upon oxygen administration, cerebral lactate returned to its prehypoxic level. These experiments demonstrate the applicability of high-resolution 1H NMR to monitor pathophysiology of brain metabolism in real time. PMID- 6576368 TI - Induction of ppp(A2'p)nA-dependent RNase in murine JLS-V9R cells during growth inhibition. AB - We recently reported that interferon induces the synthesis of ppp(A2'p)nA(n = 2 to greater than or equal to 4) (2-5A)-dependent RNase in the murine cell line JLS V9R. These cells normally contain very low levels of the nuclease; after interferon treatment, however, they develop levels approaching those found in murine L or Ehrlich ascites tumor cells. Here, we report a similar increase in the nuclease levels in JLS-V9R cells during the transition from the subconfluent actively growing state to the confluent stationary phase. Levels of 2-5A synthetase increased in parallel with the nuclease. The induced levels of both the nuclease and synthetase returned to low basal amounts after trypsinization, dilution, and culturing of the cells at subconfluent densities. The addition of anti-murine interferon (alpha + beta) antibodies to the medium did not affect the induction of the nuclease nor could any interferon be detected in the culture supernatants as determined by the lack of antiviral activity. The increase in the enzymes was not, therefore, due to the spontaneous production of interferon. The induction of the nuclease during confluency preceded an inhibition of [3H] thymidine incorporation by the cells into DNA. The regulation of the 2-5A dependent RNase in JLS-V9R cells may, therefore, be related to the control of cell growth. PMID- 6576369 TI - Binding of alpha-bungarotoxin to isolated alpha subunit of the acetylcholine receptor of Torpedo californica: quantitative analysis with protein blots. AB - The direct binding of alpha-bungarotoxin to the alpha subunit of the acetylcholine receptor from Torpedo electric organ immobilized onto protein blots was demonstrated. Protein blots were prepared by electrophoretically transferring resolved acetylcholine receptor subunits from 10% polyacrylamide gels onto Zetabind, positively charged nylon membrane filters. Such blots, when incubated with 125I-labeled alpha-bungarotoxin, washed, and autoradiographed, gave rise to a single labeled band corresponding to the alpha subunit of the receptor. The labeling with alpha-bungarotoxin could be inhibited by pretreating the receptor containing membranes with the affinity ligand 4-(N-maleimido)-alpha benzyltrimethylammonium iodide. In addition, the association of toxin with the alpha subunit could be inhibited by d-tubocurarine (IC50 = 0.9 mM). Furthermore, removal of high-mannose oligosaccharide chains from the alpha subunit by treatment with endoglycosidase H did not interfere with the observed toxin binding. Thus it is demonstrated that isolated, immobilized alpha subunit of the Torpedo acetylcholine receptor can bind alpha-bungarotoxin. However, the observed binding of alpha-bungarotoxin to immobilized alpha subunit is reduced in affinity to 1/1,000 to 1/10,000 of that obtained with native receptor. The endoglycosidase H-susceptible oligosaccharide side chain(s) is not required for this interaction. Binding of alpha-bungarotoxin is to the physiologically relevant acetylcholine binding site as defined by affinity ligand alkylation. PMID- 6576370 TI - Energy depletion retards the loss of membrane transport during reticulocyte maturation. AB - The effect of metabolic depletion on the maturation-associated loss of membrane functions has been studied by using sheep reticulocytes incubated in vitro at 37 degrees C for periods up to 41 hr. ATP was either maintained with glucose, adenosine plus inosine, or depleted with 2-deoxyglucose plus arsenate. Two membrane transport systems were studied: Na+-dependent glycine transport activity and the sodium pump, estimated from measurements of the number of [3H]ouabain binding sites per cell. Both transport systems were decreased during maturation. However, the decrease was much less in ATP-depleted cells compared to ATP-replete cells. It is concluded that the loss of certain functions during reticulocyte maturation is retarded by metabolic depletion. PMID- 6576371 TI - Cultural versus genetic adaptation. AB - We analyze the problem of the competition between genetic and cultural adaptation, testing various types of cultural transmission models versus a genetic (haploid) transmission model. With a vertical (parent-to-child) plus an infectious (oblique) cultural transmission, genetic adaptation always prevails, although its relative increase may be slow and polymorphism may persist for some time. Only under very special conditions of cultural transmission may a permanent polymorphism in which the two types of adaptation are represented be reached. There may, however, be an overall evolutionary advantage to a flexible mechanism of cultural transmission that allows adaptation to new situations for which no genetic mutants are available. PMID- 6576372 TI - Two-dimensional electrophoresis of plasma polypeptides reveals "high" heterozygosity indices. AB - A series of 62 plasma samples have been examined for genetic variation by the technique of two-dimensional polyacrylamide gel electrophoresis followed by silver-staining of the gels. Twenty polypeptides chosen without respect to variability were considered suitable for scoring. Of the total of 1,240 polypeptides, 29 could not be scored unambiguously. Seventy-five of the remaining 1,211 exhibited the combination of a normal and a variant polypeptide. All variants were present in either the father or the mother of the subject. This index of heterozygosity (6.2 +/- 0.7%) is substantially higher than those reported by others in similar studies of human fibroblasts, lymphocytes, kidney, or brain cells. PMID- 6576373 TI - Genetic analysis of the 15;17 chromosome translocation associated with acute promyelocytic leukemia. AB - Somatic cell hybrids have been constructed between a thymidine kinase-deficient mouse cell line and blood leukocytes from a patient with acute promyelocytic leukemia showing the 15q+;17q- chromosome translocation frequently associated with this disease. One hybrid contains the 15q+ translocation chromosome and very little other human material. We have shown that the c-fes oncogene, which has been mapped to chromosome 15, is not present in this hybrid and, therefore, probably is translocated to the 17q- chromosome. Analysis of the genetic markers present in this hybrid has enabled a more precise localization of the translocation breakpoints on chromosomes 15 and 17. Our experiments also have enabled an ordering and more precise mapping of several genetic markers on chromosomes 15 and 17. PMID- 6576374 TI - Complete nucleotide sequence of an infectious clone of Friend spleen focus forming provirus: gp55 is an envelope fusion glycoprotein. AB - The Friend spleen focus-forming provirus is 6,296 base pairs (bp) in length. Compared to Moloney murine leukemia virus, it has undergone five major deletions, three substitutions, and a number of minor alterations. Otherwise, these viruses are about 90% homologous. A 16-bp palindrome is found in the region thought to be involved in packaging and dimerization of the RNA genome. Premature termination of translation of the gag polyprotein is attributed to a 13-bp deletion in the p12 region. A substitution of xenotropic env sequences was identified in the 5' region of the env gene; 150 nucleotides 3' to this substitution, a deletion of 585 bp removes the site where the normal env precursor protein is cleaved to form gp70 and p15(E), resulting in a fusion protein of Mr 44,725. Due to these changes, the env product gp55 is expected to have a substantially different conformation on the cell surface compared to either a xenotropic or ecotropic gp70 protein, and may be responsible for the rapid erythroleukemic potential of spleen focus-forming virus. PMID- 6576375 TI - Ontogenic development of contrasuppression. AB - Using a xenogeneic graft-versus-host assay system, we have been able to document the sequential appearance of certain regulatory cells in newborn mice. Before birth, mouse spleen cells exhibit potent suppression that cannot be ameliorated by contrasuppressor cells. On the day of birth, the spleens contain equally potent suppressor cells, but these cells now can be inhibited totally by contrasuppressor cells. Between days 1 and 2 after birth, suppression, as picked up by our system, has disappeared. However, it can be found hiding behind contrasuppressor cells, as elimination of the latter cells with appropriate antisera reveals cells with the same suppressive potency as spleen cells taken 1 or 2 days earlier. Further, if the thymus is removed on the day of birth or 1 day later, the suppressor-obscuring cells do not appear. Thus, there appears to be an inherent ontogenic schedule that the thymus follows, which determines the time when different regulatory cells will emerge from it. PMID- 6576377 TI - Transmission of naturally occurring lymphoma in macaque monkeys. AB - Spontaneously occurring rhesus monkey lymphomas were transmitted into healthy rhesus monkeys by using tumor cell suspensions. The naturally arising tumors included an immunoblastic sarcoma and an undifferentiated lymphoma. Recipient animals developed undifferentiated lymphomas, poorly differentiated lymphomas, or parenchymal lymphoproliferative abnormalities suggestive of early lesions of lymphoma. Some of these animals developed such opportunistic infections as cytomegalovirus hepatitis and cryptosporidiosis. They also showed evidence of an abnormal circulating peripheral blood mononuclear cell. These findings, all characteristic of the acquired immune deficiency syndrome (AIDS) of macaques, suggest a link between these transmissible lymphomas and AIDS in macaque monkeys. PMID- 6576376 TI - Affected erythrocytes of patients with paroxysmal nocturnal hemoglobinuria are deficient in the complement regulatory protein, decay accelerating factor. AB - Paroxysmal nocturnal hemoglobinuria (PNH) is an acquired defect of bone marrow stem cells in which the affected clones produce erythrocytes (also granulocytes and platelets) with membranes that are abnormally sensitive to complement mediated lysis. Abnormal erythrocytes (E) from patients with PNH (PNH-E) are 3-5 times more sensitive (type II PNH-E) or 15-25 times more sensitive (type III PNH E) to lysis in vitro by human complement than normal E from unaffected individuals and the functionally normal E that arise from unaffected clones and the functionally normal E that arise from unaffected clones in PNH patients (type I PNH-E). After complement activation by either the classical or alternative pathway, abnormal amounts of C3b are deposited on the membranes of PNH-E compared with normal E, suggesting that the PNH-E membrane cannot regulate the events responsible for C3b deposition. Two proteins that decrease the stability of the classical and alternative pathway C3 convertases on target cells have been isolated from normal human E stroma: the 70,000 Mr decay accelerating factor of stroma (DAF) and the 250,000 Mr C3b receptor (C3bR). Specific immune precipitates of solubilized membranes from 125I-surface-labeled normal E demonstrate both proteins. In contrast, specific immune precipitates of PNH-E from three patients show C3bR but are deficient in DAF; type II PNH-E are relatively deficient and type III PNH-E are totally deficient in DAF. Antibody that neutralizes the activity of isolated DAF is adsorbed by intact normal E under conditions in which it is weakly adsorbed by type II PNH-E and not adsorbed by type III PNH-E. The deficiency of DAF antigen in PNH-E, as assessed by lack of immunoprecipitation and antibody adsorption, could explain the abnormal sensitivity of PNH-E to complement-mediated lysis and suggests that DAF may protect the membranes of normal E from damage resulting from autologous complement activation. PMID- 6576379 TI - Low density lipoprotein degradation by mononuclear cells from normal and dyslipoproteinemic subjects. AB - Three major characteristics of cell surface low density lipoprotein (LDL) receptor activity in fibroblasts or lymphocytes are high-affinity LDL binding or degradation, specificity for LDL, and "inducibility"--that is, the ability to increase when cells are cultured in the absence of lipoproteins. Cells from patients with receptor-negative homozygous familial hypercholesterolemia (FH) have been reported to express none of these characteristics, and the patients are thought to have a genetic absence of LDL receptors. We found that, although induced receptor-negative lymphocytes degraded less LDL than did normal lymphocytes, the curves for LDL degradation versus LDL concentration were biphasic, with greater concentration-dependence at LDL concentrations less than 60 micrograms/ml, indicating high-affinity LDL degradation. The percentage of specific LDL degradation by induced receptor-negative lymphocytes was two-thirds of normal with LDL at 10 micrograms/ml and increased to normal at 50 micrograms/ml, an LDL concentration still within the range of high-affinity degradation. Receptor-negative lymphocytes could be induced by incubation in the absence of lipoproteins to degrade twice as much LDL as they did when freshly isolated. Freshly isolated cells from abetalipoproteinemic patients and one receptor-negative patient degraded as much LDL as did fresh normal cells. The findings indicate that receptor-negative lymphocytes have a mechanism for facilitated uptake of LDL that resembles that of normal lymphocytes, although it is not as efficient. PMID- 6576378 TI - Human arterial wall cells secrete factors that are chemotactic for monocytes. AB - Macrophages and arterial smooth muscle cells comprise the cellular components of the atherosclerotic plaque. The vessel wall accumulation of macrophages occurs by a process of increased circulating monocyte migration into the vessel wall. In these studies it is demonstrated that human macrophages and arterial smooth muscle cells in culture secrete potent chemotactic factors for freshly isolated human monocytes. In contrast, human fibroblast-conditioned medium has no chemotactic activity. The effect of macrophage-conditioned medium is a function of macrophage differentiation and can be potentiated by macrophage activation. These results suggest that secretory products of human macrophages and arterial smooth muscle cells may be important stimuli for increased monocyte migration into the vessel wall in vivo. PMID- 6576380 TI - Proenkephalin, [Met]enkephalin, and oxytocin immunoreactivities are colocalized in bovine hypothalamic magnocellular neurons. AB - The distribution of proenkephalin and [Met]enkephalin immunoreactivities in the bovine hypothalamo-neurohypophyseal system was studied by use of specific antisera. Proenkephalin and [Met]enkephalin immunoreactivities were found in magnocellular neuronal cell bodies in the dorsal part of the supraoptic nuclei and in the peripheral part of the paraventricular nuclei. A densely staining network of nerve terminals was found in the external part of the median eminence and in the posterior hypophysis. This general distribution is identical to that of the neurohypophyseal hormone oxytocin. The precise localization of proenkephalin and [Met]enkephalin immunoreactivities was compared to the distribution of oxytocin and vasopressin in serial 5-micron sections through the magnocellular nuclei. Oxytocin immunoreactivity was nearly always present in cells that were stained with proenkephalin and [Met]enkephalin antisera. The vasopressin-immunoreactive cells were never stained with either the proenkephalin or the [Met]enkephalin antisera. PMID- 6576382 TI - Recent advances in retinex theory and some implications for cortical computations: color vision and the natural image. PMID- 6576381 TI - Identification in pituitary tissue of a peptide alpha-amidation activity that acts on glycine-extended peptides and requires molecular oxygen, copper, and ascorbic acid. AB - An enzymatic activity capable of producing an alpha-amidated peptide product from its glycine-extended precursor has been identified in secretory granules of rat anterior, intermediate, and neural pituitary and bovine intermediate pituitary. High levels of endogenous inhibitors of this alpha-amidation activity have also been found in tissue homogenates. The alpha-amidation activity is totally inhibited by addition of divalent metal ion chelators such as diethyldithiocarbamate, o-phenanthroline, and EDTA; alpha-amidation activity is restored to above control levels upon addition of copper. The alpha-amidation reaction requires the presence of molecular oxygen. Of the various cofactors tested, ascorbic acid was the most potent stimulator of alpha-amidation. The alpha-amidation activity has a neutral pH optimum and is primarily soluble following several cycles of freezing and thawing. Kinetic studies with the bovine intermediate pituitary granule-associated activity demonstrated a linear Lineweaver-Burk plot when D-Tyr-Val-Gly was the varied substrate; the apparent Km and Vmax varied with the concentration of ascorbic acid. The substrate specificity of the alpha-amidation activity appears to be quite broad; the conversion of D-Tyr-Val-Gly into D-Tyr-Val-NH2 is inhibited by the addition of a variety of glycine-extended peptides. PMID- 6576383 TI - Experimental studies on the possible combined chemotherapy to neoplasms with Fluosol-DA infusion. AB - Administration of Fluosol DA with oxygen elevated the tissue p02 in tumors primarily due to the increased local blood flow and to the higher oxygen content of Fluosol-DA. The elevated tissue p02 enhanced the tumor's sensitivity to the cytotoxic effect of some anticancer drugs. PMID- 6576384 TI - Prostaglandin E2 - like activity and senile osteoporosis. AB - Prostaglandin E2-like activity in bone samples from patients with senile osteoporosis was determined and found higher than in samples obtained from normal patients. The results suggest that endogenous prostaglandins may have a role in the pathogenesis of senile osteoporosis. PMID- 6576385 TI - Effect of prolonged treatment with acetylsalicylic acid and dipyridamole on platelet thromboxane A2 production in atherosclerotic subjects. AB - We evaluated the effect of four weeks treatment with 90 mg and 1500 mg of acetylsalicylic acid (ASA), 990 mg of ASA together with 225 mg of dipyridamole and 225 mg of dipyridamole daily on the production of thromboxane A2 (TxA2) by platelets of atherosclerotic subjects. All doses of ASA studied inhibited 99% or more of TxA2 production from the third day to the end of the treatment, whereas dipyridamole did not have any effect. After the treatment, TxA2 production recovered in two weeks. Our results argue against the clinical relevance of the recent suggestions that salicylate accumulating during prolonged treatment with ASA could reduce the effect of the parent drug on the synthesis of TxA2 by platelets. Our data also dispute the inhibition of TxA2 synthesis as an antithrombotic mechanism of dipyridamole. PMID- 6576386 TI - Metabolic factors regulating the generation of prostaglandins E1 and E2 by isolated rat uterus. AB - The generation and output of PGE2 and PGE1 by isolated rat uterus incubated with or without glucose as well as the influence of different metabolic substrates and selective enzyme inhibitors on tissue formation and release of PGE material of the 1 and 2 series, were explored. The output of PGE2 was comparable with glucose, fructose, lactate or pyruvate as the substrate but diminished significantly in citrate-containing solution. In substrate-free media uteri released more PGE2 than in the presence of glucose or other substrates. The PGE1 liberated was similar in glucose, fructose, lactate or pyruvate and decreased significantly in citrate or without substrate. 2-deoxy-D-glucose (2-DG), fluoride or arsenite failed to alter significantly the release of PGE2 whereas 2,4 dinitrophenol (DNP) evoked augmentation. The uterus released less PGE1 after 2-DG or fluoride but not following the addition of DNP or arsenite. The results suggest that the synthesis and release of PGE2 and PGE1 in the isolated rat uterus appear to be selectively modulated by different tissue metabolic pathways. PMID- 6576387 TI - Hyperreactivity of airways smooth muscle produced in vitro by leukotrienes. AB - The interactions of leukotriene C4 (LTC4) and D4 (LTD4) with histamine and acetylcholine in contracting guinea pig isolated tracheal smooth muscle have been investigated. In a bathing solution containing 2.5 mM Ca2+, threshold concentrations of the leukotrienes did not affect contractile responses of the smooth muscle to other agonists. However, at a low extracellular Ca2+ concentration (0.1 mM), LTD4 (10(-8) M and 10(-7) M) significantly enhanced contractions induced by histamine or acetylcholine. LTD4 (10(-7) M) shifted the concentration-response curves of these agents leftward by 0.27 and 0.46 log units respectively. The potentiating action of LTD4 was inhibited by the leukotriene antagonist FPL 55712 (3 X 10(-6) M), and was only partially reversible by washing. A subthreshold concentration of potassium chloride (1.5 X 10(-2) M) also increased the sensitivity of the tracheal muscle to acetylcholine in low Ca2+ medium, and this effect was not additive to that of LTD4. These results demonstrate that leukotrienes can alter the in vitro reactivity of airways smooth muscle to other bronchoconstrictor agents. The mechanism of this action may involve altered membrane binding or fluxes of Ca2+, associated with decreased resting potential of the plasma membrane of smooth muscle cells. PMID- 6576388 TI - Protective effects of thromboxane A2 synthetase inhibitors on endotoxin shock. AB - To elucidate the role of thromboxane A2 in the development of endotoxin shock following administration of endotoxin, the effects of three thromboxane A2 synthetase inhibitors, (E)-3-(4-(1-imidazolyl)phenyl)-2-propenoic acid hydrochloride monohydrate (OKY-046), sodium (E)-3-(4-(3-pyridylmethyl)phenyl)-2 methylacrylate (OKY-1581) and imidazole were examined. Intravenous administration of E. Coli endotoxin (3 mg/kg) produced shock and all rats died within ten hours. Pretreatment with thromboxane A2 synthetase inhibitors markedly improved the survival rates. The untreated endotoxin shock group showed marked increase in thromboxane B2 levels in the venous blood, while no such changes were seen in the pretreated groups. There were no statistically significant differences in 6-keto prostaglandin F1 alpha levels in the venous blood. In the untreated shock group, microthrombi were observed in 64% of the glomeruli in the kidneys two hours after endotoxin injection. In the groups pretreated with OKY-046, OKY-1581 and imidazole, microthrombi were seen only in 22, 19 and 24%, respectively. Thus, thromboxane A2 plays an important role in the development of endotoxin shock and thromboxane A2 synthetase inhibitors, in particular OKY-046 and -1581, are prophylactic. PMID- 6576389 TI - Mechanism of action of amrinone: role of thromboxane synthetase inhibition. PMID- 6576390 TI - Circadian rhythm of PGE2, PGF2 alpha and 6-keto-PGF1 alpha urinary excretion in healthy women. AB - Circadian rhythms of urinary prostaglandins: PGE2, PGF2 alpha and 6-keto-PGF1 alpha excretion were estimated by radioimmunoassay in ten healthy women aged 22 47. The correlation of prostaglandin excretion with cortisol, sodium and potassium levels was evaluated. All estimated prostaglandins had a characteristic rhythm of urinary excretion with higher levels during the day time than at night. Thus the day-night rhythm of each prostaglandin may depend on the same metabolic factors which regulate their renal synthesis. This may be important in the proper interpretation of prostaglandin behaviour in different pathological conditions. PMID- 6576391 TI - Dopamine and noradrenalin in the cerebrospinal fluid of schizophrenic patients. AB - Concentrations of both dopamine (DA) and noradrenalin (NA) were determined in the cerebrospinal fluid (CSF) of schizophrenic patients with and without neuroleptic treatment and in healthy controls. No significant differences were found between unmedicated patients and controls for either DA or NA. Patients receiving neuroleptics showed significantly higher levels of both DA and NA in the CSF. These results suggest that the reported findings of increased NA in the CSF and increased DA and NA in the brain of schizophrenic patients could be due, at least in part, to the effects of neuroleptic drugs. PMID- 6576392 TI - A histological study of the corpus callosum in chronic schizophrenia. AB - As a followup to a post-mortem study of the brains of schizophrenic and control subjects where the corpus callosum was found to be significantly thicker anteriorly in early onset compared to late onset schizophrenia, histological sections of 18 schizophrenic, 7 manic-depressive, and 11 medical/surgical control subjects were prepared using a stain for glia and a stain for callosal fibers. A quantitative study of the concentration of glial cells and interhemispheric callosal fibers revealed no difference between groups. A neuropathologist unaware of the tissue origin rated the histological sections for gliosis. There was significantly more severe gliosis in the callosi of the late onset schizophrenics compared to early onset schizophrenics as well as the control group. These preliminary findings suggesting callosal pathology are discussed, and the need for further studies is stressed. PMID- 6576393 TI - Family conflict, psychopathology, and dangerous behavior by schizophrenic inpatients. AB - Data supporting the hypothesis that history of severe discipline and parental conflict in childhood is related to current violence were obtained in a study of 100 schizophrenic inpatients. In addition to a relation between inpatient violence and degree of schizophrenic symptoms, inpatient assaults and other dangerousness measures were positively and significantly correlated with severity of parental discipline, especially involving the father, and with degree of family conflict, particularly fights between parents and others outside the home. PMID- 6576394 TI - The pharmacokinetics of mianserin in elderly depressed patients. AB - The pharmacokinetics of mianserin were examined in eight elderly depressed patients following a single oral dose of 60 mg. Plasma concentrations were measured by gas chromatography/mass spectrometry and the data analyzed using a two-compartment open model. Mean (+/- SD) estimates were: absorption half-life 0.8 +/- 1.0h, peak concentration 117 +/- 23 micrograms/l, peak time 2.2 +/- 1.3h, distribution half-life 3.4 +/- 1.2h, elimination half-life 33 +/- 15h, apparent volume of distribution 20.2 +/- 7.9 1/kg, and oral clearance 0.49 +/- 0.21 l/kg/h. These parameters were not significantly different from those found in healthy volunteers. The absorption lag time (0.6 +/- 0.2h) and area under the curve (2009 +/- 566 micrograms/l/h) were significantly different in the elderly. The clinical implications of these differences for the treatment of elderly depressed patients are discussed. PMID- 6576395 TI - Memory scanning and retrieval in affective disorders. AB - Previous studies have consistently demonstrated unimpaired memory scanning and retrieval in schizophrenic patients. Using the choice-reaction time paradigm, this study assessed the speed of short-term memory processing for pictorial information in both unipolar and bipolar depressives by comparing it with that of schizophrenics. It was found that the processing rate is comparable between depressives and schizophrenics, between unipolar and bipolar depressives, and between depressives on medication and those not on medication. It was concluded, therefore, that the short-term memory scanning and retrieval processes are not impaired in depressive patients. The results further suggested that the depressives' slowness often found in simple reaction time tasks may result from a dysfunction in their stimulus encoding and/or response execution rather than in the central information-identification process. PMID- 6576396 TI - Prolactin studies in normals: implications for clinical research. AB - Dopaminergic (DA) transmission is a major regulator of pituitary prolactin (PRL) secretion. Strategies to assess abnormalities of DA regulation in mental illness have thus included comparisons of patients' and normals' serum PRL levels before and after the administration of DA agonists and antagonists. These clinical research strategies suffer from a number of shortcomings. There is a wide interindividual variability of normal basal PRL levels, and intraindividual variability has been little studied. Large interindividual variability of PRL responses to DA antagonist challenges has also been observed in normals and reported to be strongly correlated to variation in serum levels of the challenge drug. Assessment of DA agonist challenges is hampered by the fact that low basal levels of serum PRL make suppression difficult to measure; a further problem is the confounding effect of nausea when these drugs are given in high doses. In this study of normals, individual basal serum PRL levels were found to be stable over a mean period of 10 months, with interindividual variance vastly greater than intraindividual variance. Thus, state alterations in mental illness may best be studied using a longitudinal design for measurements of PRL levels in patients, thereby avoiding confounding interindividual variability. Moreover, it appears that alterations of PRL levels between groups or within patients, even though within the normal range, may have individual physiological significance. A study of the PRL responses to haloperidol (hal) and hal + apomorphine (apo) challenges in normals revealed a strong correlation despite a highly significant 51% reduction in PRL response with the addition of apo. Because this correlation is dependent upon a normal or limited range of DA regulation, the study of these two responses in abnormal populations may be more revealing of DA abnormalities than the study of PRL responses to single DA agonist or antagonist challenges. PMID- 6576397 TI - Lithium and chlorimipramine differentially alter the stability properties of tryptophan hydroxylase as seen in allosteric and scattering kinetics. AB - Compared to control, both lithium and chlorimipramine (CMI) slow the frequency of variation in tryptophan hydroxylase (TPOH) velocity functions measured across increasing (nearly physiological) cofactor concentrations or across continuous (long residence) time. The common effect appears to be generated by different statistical mechanisms in view of the diverse patterns observed when, for multiple 60-point experiments for each condition, mean frequencies were plotted against mean amplitudes of variation: lithium constricted the frequencies over a range of amplitudes; CMI fixed amplitude across the range of frequencies. Initial rate, short residence time experiments suggest that at the micromolecular level, before the emergence of time-dependent macro-kinetic organization as seen in the long residence time assays, lithium may uncouple the elementary constituents of the system, allowing subsequent phase gathering and emergent stability around a statistically dominant frequency, whereas CMI may augment coupling, leading to unstable complexity in the population dynamics. The relationship between these effects and allosteric kinetic functions is discussed. PMID- 6576398 TI - Nutritional counseling as an adjunct to psychotherapy in bulimia treatment. PMID- 6576399 TI - [Psychological aspects of sealants]. PMID- 6576400 TI - [Long-term controls of biological root canal treatment (I)]. PMID- 6576401 TI - [Comparison of a computer-assisted registration of mandibular movement with the design of functiographs]. PMID- 6576402 TI - [Prognosis of surgically exposed retained teeth (III)]. PMID- 6576403 TI - [Flexible gingival replacement prosthesis. (II)]. PMID- 6576404 TI - [Roentgenological characteristics of probable two-sided periodontal cysts]. PMID- 6576405 TI - [Interpretation of radiographs]. PMID- 6576406 TI - [Data processing in the dental office]. PMID- 6576407 TI - [Surgical and prosthetic care after traumatic loss of the right maxilla]. PMID- 6576408 TI - [Long-term controls of biological root canal treatment (II)]. PMID- 6576409 TI - [Prognosis of surgically exposed retained teeth (IV)]. PMID- 6576410 TI - [Denticles and generalized pulp calcification]. PMID- 6576411 TI - [Improvement of radiation hygiene with Kodak Ektaspeed dental radiographic film]. PMID- 6576412 TI - [Interpretation of radiographs]. PMID- 6576413 TI - [Rationale for new preparation set-ups (I)]. PMID- 6576414 TI - [Rationale for new preparation set-ups (II)]. PMID- 6576415 TI - [Dental office of the future. Thoughts on care, equipment and organization (I)]. PMID- 6576416 TI - [Pathologic-anatomic and histological aspects of oral viral diseases]. PMID- 6576417 TI - [Release of mercury from dental amalgam by water compared to mercury uptake in normal nutrition]. PMID- 6576418 TI - [Analysis of serious office emergencies]. PMID- 6576419 TI - [Post-extraction pain and its treatment with Corti-Dynexan]. PMID- 6576421 TI - [Case report of upper and lower jaw care with metalloceramic bridges on implants]. PMID- 6576420 TI - [Use of functional diagnosis and therapy in the care of the edentulous jaw with subperiosteal implants (I)]. PMID- 6576422 TI - [Experiences with removable elastic orthodontic appliances]. PMID- 6576424 TI - [Hasselblad system in dentistry. Which choice for all-around use?]. PMID- 6576423 TI - [Removal of plaque and dark stains from enamel surfaces with the Prophy-Jet]. PMID- 6576425 TI - [Interpretation of radiographs]. PMID- 6576426 TI - [First preventive steps for small children a mother's experience]. PMID- 6576427 TI - [Work ethic of the dental auxiliary]. PMID- 6576428 TI - [Are you a personality?]. PMID- 6576429 TI - [Basic knowledge: tooth conservation information. Removal of the lesion site (II)]. PMID- 6576431 TI - [Gingivitis prevention in children and adolescents]. PMID- 6576430 TI - [Toothpastes and mouthwashes]. PMID- 6576432 TI - [Prescription]. PMID- 6576433 TI - [EDP-supported practice management - a new assignment for the assistant (I)]. PMID- 6576434 TI - [What should the dental auxiliary know about potential radiation injuries?]. PMID- 6576435 TI - [The nutrition counselling system]. PMID- 6576436 TI - [Basic knowledge: tooth conservation information. Cavity lining (II)]. PMID- 6576437 TI - [Intensive professional oral hygiene program]. PMID- 6576438 TI - [Preventive orthodontics]. PMID- 6576440 TI - [EDP-supported practice management - a new assignment for the assistant (II)]. PMID- 6576439 TI - [Dental treatment passport. Organizational and motivational aids in dental treatment]. PMID- 6576441 TI - [Oral hygiene measures - tasks for dental assistants and hygienists (I)]. PMID- 6576442 TI - [Lung changes due to dental materials]. PMID- 6576443 TI - [Preparation of a porcelain inlay]. PMID- 6576444 TI - [Retention plate (I)]. PMID- 6576445 TI - [Placement of a completely plastic bridge]. PMID- 6576446 TI - [Retention plate (II)]. PMID- 6576447 TI - Fetal-maternal secretion of prostaglandins in the cow. AB - A study was conducted to measure the blood plasma concentrations of prostaglandin F2 alpha (PGF2 alpha), 13,14-dihydro-15-keto-prostaglandin F (PGFM), 6-keto prostaglandin F1 alpha (6-keto), prostaglandin uterine artery, uterine vein, umbilical artery and umbilical vein in 24 cows from days 80 to 260 of pregnancy. Blood was collected during surgery and all prostaglandins were measured using specific radioimmunoassay procedures. Results indicate that PGF2 alpha blood levels are higher in the umbilical vessels and uterine vein than in the ovarian vein and uterine artery. PGFM and PGE2 showed a trend towards higher values in the umbilical than in the maternal vessels, but the levels of 6-keto and TBX2 were not different among the vessels studied. No differences across time could be observed in any of the prostaglandins measured, partly due to the great variability in blood levels among animals during the same stage of pregnancy. PMID- 6576448 TI - Antiabortifacient action of dibenzyloxyindanpropionic acid in mice. AB - DIPA [5,6-bis(dibenzyloxy)-1-oxo-2-propyl-2-indanpropionic acid] was evaluated for its antiabortifacient action in mice. PGF2 alpha administered intramuscularly twice daily at 525 micrograms/kg per dose starting on day-17 of gestation resulted in premature delivery (prior to day-19 of gestation) in 55% of the animals. This constituted an ED50 abortifacient dosage schedule of PGF2 alpha. Intramuscular administration of DIPA at a dose of 50 mg/kg twice daily, starting on day-15 of gestation, protected the mice against the premature delivery induced by the ED50 dosage schedule of PGF2 alpha in that only 20% of the animals delivered prematurely. In saline-treated controls, none of the animals delivered prior to day-19 of gestation. Thus, DIPA appears to be an effective antiabortifacient agent. PMID- 6576449 TI - Spread of organisms with novel genotypes: thoughts from an ecological perspective. AB - One category of objection to the release of organisms produced by genetic engineering is based on the fear that such organisms may persist in the environment and damage existing ecosystems. An assessment of environmental risk thus involves an ecological question analogous to the introduction of exotic species which has been known to produce serious ecological disruptions. An investigation of the literature on exotic introductions reveals, however, that foreign species do not invariably produce adverse changes. Ecologists believe that only a fraction of immigrating species actually produces ecological dislocation while the majority probably fail to penetrate existing biotic assemblages. Stressed or simplified environments are, however, more vulnerable to successful invasion. Unfortunately, because very little information has ever been collected to document the number or causes of failed introductions, it is impossible to quantify the probability that any introduced species will or will not cause serious disturbance purely on the basis of historical evidence. The development and spread of genotypes that confer resistance to chemical control agents in insects and microorganisms is also analogous to genetic engineering in that human activity contributes to the spread of new genotypes. In both groups of organisms, resistant genotypes can come to predominate in even geographically widespread populations with great rapidity. Resistance to pesticides in insects is usually found to be determined by single genes. In bacteria, antibiotic resistance genes are usually, if not always, associated with the extrachromosomal genetic elements known as plasmids. Bacteria seem to be able to transmit plasmid borne genes between species and genera with facility. The ease with which new genes can be inserted into bacteria via plasmid vectors in recombinant technology is thus a two-edged sword. It may be very difficult to keep inserted genes isolated in single bacterial strains. The evaluation of the literature on which this report is based suggests that an ecological approach for risk assessment is appropriate. Microorganisms, for which genetic engineering is of most immediate importance, exhibit the same ecological properties as higher organisms. The proportion of an organism's genome which is novel has no direct correlation with the magnitude of impact such a change may have in economic, medical, or ecological terms. Meaningful probabilities for persistence of engineered organisms in the environment will have to be generated by experiment, probably with model microbial ecosystems. PMID- 6576450 TI - Lactation and fertility in goats after the induction of parturition with an analogue of prostaglandin F2 alpha, cloprostenol. AB - Cloprostenol, 100 micrograms, given intramuscularly to the nanny, with 50 micrograms 10 hours later, precipitated parturition in goats after 36 +/- 1 hours (mean +/- SEM), when administered at 137 +/- 0.5 days gestation. All kids were born alive and survived to weaning. Milk yield over 40 weeks post partum was not significantly different from that after spontaneous parturition. Three hundred micrograms cloprostenol (200 micrograms with 100 micrograms 10 hours later) also initiated parturition at 137 +/- 0.5 days gestation but caused a significant (P less than 0.01) suppression of lactation. Cloprostenol-induced parturition in more than one pregnancy had no adverse effects except for an increased incidence of placental retention, which was treated successfully with intrauterine pessaries containing oestrogen. During the first eight days after spontaneous parturition efficiency of milk secretion was inversely related to udder mass, suggesting a gradual maturation of the secretory alveolar epithelium over this time. When parturition was induced by cloprostenol there was a four to eight day delay before the establishment of this relationship which appeared essential for a successful lactation. Cloprostenol proved to be a useful tool for the control of parturition in goats, having applications to both general animal husbandry and for the study of mammary development and secretory competence. PMID- 6576451 TI - [Toward the establishment of motivation]. PMID- 6576452 TI - [Motivation toward ergonomic hygiene]. PMID- 6576453 TI - [A case of impacted maxillary canines]. PMID- 6576454 TI - [Comment on clinical note no. III, 1982: apropos of a case of multiple ageneses]. PMID- 6576455 TI - Hypopituitarism with normal skull film and pituitary tumor. PMID- 6576456 TI - Case record: Rhode Island Hospital. PMID- 6576457 TI - Longitudinal study of salivary IgA in children from 1 to 4 years old with reference to dental caries. AB - The concentration of salivary IgA was measured and clinical examinations performed annually in 39 children over a period of 36 months. The age of the children ranged from 1 to 4 yr during the observation period. The geometric mean value of salivary IgA increased rapidly between the age of 1 and 2, from 0.021 g/l (log mean - 1.68 +/- 0.33) to 0.052 g/l (log mean - 1.28 +/- 0.24). After this age the mean level of salivary IgA remained fairly constant during the observation period. When the study population was divided into two groups: the caries-free group and the caries-susceptible group, it was found that in the caries-free group the mean salivary IgA value increased rapidly during the second year of life, then more slowly after the age of 2. In the caries-susceptible group the increase in the mean value between the ages of 1 and 2 was marked and at the age of 2 the values were significantly higher compared to those of the caries-free group. The concentrations did not, however, remain high, but fell to lower level and at the age of 4 there was a marked overlap in the values of the groups. PMID- 6576458 TI - Some aspects of the dynamics of Cu and Zn retained in plaque as related to their effect on plaque pH. AB - The effect of glucose on acid production in dental plaque was measured in vivo after oral rinses with CuSO4 (1.0 mM) or Zn (Ac)2 (20 mM) and compared with the retention of the metals. Plaque samples were analyzed for copper and zinc by neutron activation analysis. A rinse with the cooper salt solution significantly depressed acid formation in plaque for a period of 6 h whereas a rinse with the zinc solution was effective for 2 h. Plaque concentrations of the metals increased from less than 75 p.p.m. to more than 1000 p.p.m. 2 h after a rinse with the metal salts. Twelve hours after a rinse the mean plaque concentrations were 190 p.p.m. Cu or 358 p.p.m. Zn respectively. Reducing the pH of the copper sulfate solution from 5.7 to 2.0 yielded lower Cu concentrations in plaque 2 h after a rinse, indicating lower initial retention. The results clearly demonstrate a high and long lasting retention of metal ions in dental plaque and their biological effect in this environment. PMID- 6576459 TI - Adsorption of iron to saliva coated hydroxyapatite. AB - Saliva coated hydroxyapatite was used as a model to study iron adsorption to pellicle material. The uptake of iron was markedly influenced by its concentration in the medium. Denaturation of the protein film by chlorhexidine, tannic acid, or heating up to 70 degrees C increased the adsorption significantly. PMID- 6576460 TI - Alkali soluble and alkali insoluble fluoride retention in demineralized enamel in vivo. AB - Demineralization of enamel was induced by applying orthodontic bands in 15 patients having two of their premolars extracted for orthodontic reasons. After a 4-wk caries induction period, eight patients were instructed to rinse their teeth once daily with a neutral 0.05% NaF solution, whereas seven patients received a single treatment with a neutral 2% NaF solution. The bands were reattached to the teeth during the fluoride treatment period and the teeth were extracted after two more weeks. Three consecutive enamel layers were etched off, and a significant uptake of fluoride in all three layers were found in both treatment groups. A larger part of the deposited fluoride was retained in an alkali insoluble form (i.e. fluorapatite) compared with previous studies of sound enamel. It is suggested that the chemical conditions in the cariogenic milieu were favorable for transformation of the fluoride into a stable apatite structure. PMID- 6576461 TI - Application of statistical decision theory to radiographic diagnosis of endodontically treated teeth. AB - The presence or absence of periapical radiolucencies, after a predetermined healing period, have been used as a criteria for therapeutic success or failure in endodontic treatment. However, in radiologic diagnosis it has been shown that variations within and between examiners are substantial. In the present study six endodontists evaluated the periapical tissues in radiographs of 119 endodontically treated roots using a five-graded rating scale. An earlier study on the same radiograph material served as reference and "true" states of the periapical tissues were established. True positive and false positive reports on the presence of periapical lesions could then be calculated. For each observer it was noticed that a higher true positive percentage always was coupled with a higher false positive percentage and vice versa. If pairs of true positive and false positive percentages were plotted on a two-dimensional graph they corresponded well to a Receiver Operating Characteristic (ROC) curve. Variations between the observers could be explained by their adoption of different criteria of periapical disease resulting in different positions on the ROC curve. Influence of observer variation on reported frequencies of periapical lesions was greater, the lower the prevalence of the disease. The best opportunities for revealing relative differences in disease prevalences was created when the examiner defined a strict criterion for disease and reported a positive finding only when absolutely certain. PMID- 6576462 TI - Thermocamera studies of nitrous oxide dispersion in the dental surgery. AB - Nitrous oxide is used in dentistry for sedation and analgesia. Chronic occupational exposure of dental personnel to trace concentrations of nitrous oxide has been reported as a potential health hazard. A new application of the thermocamera technique was used to study the dispersion of nitrous oxide during dental analgesia. Four breathing systems with different evacuation systems were tested and found to vary in scavenging efficiency. A local exhaust system ensured minimal exposure when nitrous oxide leaks contaminating the air in the dentist's breathing zone occur. PMID- 6576463 TI - Formation of the periodontal attachment in developing rabbit permanent incisors. AB - Permanent incisors from fetal New Zealand white rabbits aged 25-30 days in utero and from 1-20 days postnatally were processed for light microscopy. Examination of longitudinal and cross-sections revealed that cementum deposition and fiber attachment first occurred at 27 days in utero. A tooth-to-bone course of principal fibers confined to lateral aspects of the teeth was observed in 29-day fetal incisors, whereas lingually the periodontal ligament remained undeveloped as late as 5 days postnatally. In 20-day postnatal incisors, the development of the functional periodontal ligament was complete as evidenced by the fiber arrangement on all aspects of the root-analogue tooth surface. This study shows that 25-26-day fetal rabbit permanent incisors represent the end of the follicular phase, whereas 27-day fetal to 20-day postnatal teeth demonstrate distinct histologic characteristics of initial, incomplete and complete periodontal fiber attachment. PMID- 6576464 TI - Kinetics of 111In-labelled leukaemic cells in blast crisis of chronic myelocytic leukaemia. AB - The distribution within the body of autologous leukaemic cells labelled with 111In oxine was studied in 4 patients with blast crisis of chronic myelocytic leukaemia (CML) by means of serial samples and gamma camera imaging. Leukaemic cells of the blood initially entered the spleen and liver, and the major site of localization was the former rather than the latter. A portion of leukaemic cells, which rapidly entered the liver, left temporarily 3 h after reinjection. Leukaemic cells entered the spleen maximally at 3 or 24 h and then continued to leave gradually or rapidly up to 48 h. The majority of leukaemic cells in acute myelocytic leukaemia did not leave the spleen for up to 48 h. It is suggested that the destruction of sinusoidal structures of the spleen due to marked infiltration of leukaemic cells in CML impairs the effects of filtration in endothelial cells of sinusoids and facilitates the entry of leukaemic cells into sinusoids from splenic cords. PMID- 6576465 TI - Latent period of 9 years in the presentation of a myeloproliferative disorder. AB - A woman developed a leukaemic infiltrate at the site of a smallpox vaccination; the lesion subsequently regressed spontaneously. 9 years later she developed a generalised myeloproliferative disorder. PMID- 6576466 TI - [Acute osteomyelofibrosis. An overview and 2 personal cases]. AB - Two cases of acute myelofibrosis are described which exemplify diagnostic and therapeutic possibilities in this clinical and morphologic entity. Delimiting criteria against other diseases with bone marrow fibrosis are also presented. This malignant myeloproliferative disorder is characterized by acute onset, minimal or absent splenomegaly, blood cytopenias with a highly variable percentage of blast cells in circulating blood, often unimpressive tear-drop poikilocytosis, intense marrow fibrosis, and a rapid clinical course. In one case, typical proliferation of all three hematopoietic cell lines was lacking and proliferating blast cells could be classified as myeloblasts/promyelocytes histochemically. In the other case, a single course of intensive combination chemotherapy resulted in marked dissolution of the marrow fibrosis and prolonged survival in partial remission. PMID- 6576467 TI - An evaluation of patient care at South Dakota Human Services Center. PMID- 6576468 TI - A practitioner's view of biomedical ethics. PMID- 6576469 TI - Twenty-two year old caucasian male with persistent hypertension. PMID- 6576471 TI - Columbia awarded biotechnology patent. PMID- 6576470 TI - Suppressing autoimmunity in mice. PMID- 6576472 TI - [The influence of the tapping force for registration of centric maxillomandibular relation on the anteroposterior position of the tapping area]. PMID- 6576474 TI - [Clinical survey of treatment of permanent teeth in the pedodontic clinic of Tokyo Dental College]. PMID- 6576473 TI - [Experimental studies on the influence of the change in the interocclusal contact state caused by the progress of attrition on the load supporting aspects of the periodontal tissues]. PMID- 6576475 TI - [An experimental study on regeneration of the neuro-muscular unit after facial nerve surgery]. PMID- 6576476 TI - [Experimental study on tarnishing of a Au-Ag-Pd-Cu alloy]. PMID- 6576477 TI - [Bacteriological examination in oral infectious diseases over a 4 year period]. PMID- 6576478 TI - [Use of topical anesthetic BZC jelly in the periodontal region--experimental and clinical studies]. PMID- 6576479 TI - [Diagnosis of oral diseases. 5]. PMID- 6576480 TI - [Alveolar bone--its structure, function and reaction]. PMID- 6576481 TI - [On extraction wound healing]. PMID- 6576482 TI - [What is early caries treatment? -- a question to Professor Fusayama and his response]. PMID- 6576484 TI - [Bite plane 1. Some considerations on its clinical use]. PMID- 6576483 TI - [Recent progress in dental materials and devices]. PMID- 6576486 TI - [Teeth and forensic medicine]. PMID- 6576485 TI - [Records of teeth extracted from atomic bomb victims]. PMID- 6576487 TI - [Pulp capping and lining]. PMID- 6576489 TI - [Erythroleukemia in the evolution of a Fanconi's constitutional anemia]. PMID- 6576488 TI - [Chronic myelogenous leukaemia. Report of a series of 207 patients]. PMID- 6576490 TI - Natural thermal resistance of human tumor cells and the role of prostaglandin. AB - We found that human malignant melanoma cells had varying thermal sensitivity and that some exhibited natural thermal resistance, a heretofore unrecognized phenomenon. Samples of 73 melanoma cell suspensions were heated at 42 degrees C for 1 hour before plating in the soft agar clonogenic assay or the thymidine assay for proliferating cells. We observed greater than 75% cell kill after hyperthermia in 39 (53%) tumors. Native thermal resistance was apparent in 17 (23%) tumors and growth enhancement in 17 (23%) at this temperature and exposure time. We postulated that prostaglandin, known to protect stomach mucosa against thermal injury, has a role in stabilizing the tumor cell membrane exposed to heat. Three melanoma cell lines known to be thermosensitive were heated to 42 degrees C without and with exogenous prostaglandin E2 (PGE2). The survival of colony-forming cells was increased in all three lines in the presence of 30 microM PGE2. A naturally thermoresistant cell line was exposed to 1 microgram/ml indomethacin for 24 hours before hyperthermic treatment. The survival of colony forming cells was significantly decreased compared to cells not treated with indomethacin. The addition of 30 microM of exogenous PGE2 to indomethacin-treated cells reestablished thermal resistance. These preliminary data suggest that some tumor cells synthesize prostaglandins to render the cell thermoresistant. Treatment with indomethacin blocks prostaglandin synthesis and induces thermosensitivity. These discoveries may have important clinical applications for hyperthermia treatment of human cancers. PMID- 6576491 TI - The effect of different levels of polishing of amalgam restorations on the plaque retention and gingival inflammation. AB - This study was performed to elucidate the effect of different levels of polishing of amalgam restorations as part of the treatment of patients with gingivitis and/or incipient periodontitis on plaque retention and gingival inflammation. The results indicate that contouring of restorations and removal of marginal overhangs using diamond tips and conventional finishing burrs is sufficient to permit adequate tooth cleaning and that further polishing using rubber discs, rubber tips and polishing pastes does not result in further improvement of gingival health. PMID- 6576492 TI - Clinical and radiological study of patients with anterior disc displacement of the temporomandibular joint. AB - Patients displaying temporomandibular joint clicking or with a history of clicking followed by limitation of opening were subjected to clinical and radiological examinations including arthrography. Arthrotomographically the patients were found to have anterior displacement of the disc. In patients with clicking the disc was repositioned in association with clicking during opening. In patients with limitation of opening the disc was constantly displaced anterior to the condyle, blocking anterior condylar translation. The patients with limitation of opening had more pain, more signs of mandibular dysfunction, more hard tissue changes and more frequent perforation and deformation of the disc, compared to patients with clicking only. These findings may justify two different diagnoses, displacement with and without repositioning of the disc on opening. Displacement without repositioning seems to be the more advanced condition and may in some cases be a precursor of osteoarthrosis. PMID- 6576493 TI - Marginal failure of amalgam. Effect of alloy selection and bite forces. AB - Four amalgam alloys were used in a two and a half year study. 163 class II restorations were made and the marginal breakdown was studied. The biting forces of the patients were estimated and divided in three groups. The result indicated that the conventional amalgam showed more breakdowns than the high copper amalgams. Among these a dispersed and a ternary amalgam had least marginal failures. The amount of defects tended to be correlated to the biting force for the conventional and the dispersed amalgam. PMID- 6576494 TI - Kinetics of fluorine in deciduous enamel after application of fluoride-containing varnish (Duraphat). II. A statistical approach to the design and evaluation of a clinical experiment. AB - The aim of this report is to discuss the design and technique for evaluation of an in vivo experiment on the kinetics of fluorine in deciduous enamel after application of fluorine-containing varnish (Duraphat). The analysis of variance technique used in the analysis of the results of the experiments is described in more detail than in the preceding report. The figure technique used in this report series is described. The method error study performed before carrying out the main experiment is analysed. A brief discussion follows about the consequences that different method errors have on the design of the experiment. The conclusion is that analysis of variance is a more reliable tool than multiple t-test, when evaluation of experiments is to be carried out. PMID- 6576496 TI - Aspiration during dental local anaesthetics. PMID- 6576495 TI - [Cessation of therapy in children with acute lymphatic leukemia in Norway]. PMID- 6576497 TI - Osteo-radiographic observations of the mylohoid canal. PMID- 6576498 TI - Anti-microbial agents used in dentistry--part III. PMID- 6576499 TI - Lichen planus: recent advances. PMID- 6576500 TI - Fluoride uptake and retention by sound enamel after in vivo Duraphat application. PMID- 6576501 TI - Ultrastructural observations on osteosarcoma tissue: a study of 10 cases. AB - Ultrastructural findings from the cellular, early osteoid regions of 10 osteosarcoma lesions are described. The characteristic features included irregularity in nuclear shape, margination of the chromatin, a large number of nucleoli, normal-sized nuclear pores, undifferentiated cells, poorly differentiated osteoblasts with scanty rough endoplasmic reticulum in annular or lamellar conformation, and malignant osteoblasts characterized by large accumulations of dilated rough endoplasmic reticulum (often in the form of huge anastomosing lakes) and by intracellular filaments. Several of the lesions demonstrated prominent giant cells, most of which were similar ultrastructurally to uninuclear tumor cells rather than to mitochondrialaden giant cells or osteoclasts. Variable amounts of primarily collagenous intercellular matrix were present. Cross-banded collagen fibers with diameters from 30-90 nm were seen as were thinner non-cross-banded fibrils 12-18 nm wide. PMID- 6576502 TI - [Chemotherapeutic approach to acute myeloid leukemia in adults]. PMID- 6576503 TI - Effects of some prostaglandins on urinary bladder and urethra isolated from the dog. AB - Effects of prostaglandins (PGs) E1, E2, E2 and F2 alpha on the vesical and urethral smooth muscles of dogs were isometrically investigated in vitro. In vesical smooth muscles, 10(-8)-10(-6) PGE1/ml produced biphasic responses in the dome preparations; relaxation at 10(-8) g/ml and contractions at 10(-7)-10(-6) g/ml. In the trigone preparations, 10(-8)-10(-6) g PGE1/ml caused dose-dependent contractions. 10(-8)-10(-6)M g PGE2/ml and 10(-7)-10(-6) g PGF2 alpha /ml induced dose-dependent contractions of the dome and the trigone preparations. In urethral smooth muscles, 10(-8)-10(-6) g PGE1/ml and 10(-8)-10(-6) g PGE2/ml produced dose dependent relaxations, while 10(-8)-10(-6) g PGF2 alpha /ml caused dose-dependent contractions. Results indicate that PGE, particularly PGE2, is able to stimulate micturition through vesical contraction and urethral relaxation. PMID- 6576504 TI - [Drug therapy of detrusor dysfunction]. AB - In a urodynamic study, the effect of carbachol, distigmine and prostaglandin-F2 alpha on neuropathic detrusor areflexia and on the non-contracting detrusor as well as the effect of scopolamine, emepronium bromide and flavoxate on the idiopathic unstable bladder and neuropathic detrusor hyperreflexia were examined. Carbachol and distigmine do not have any effect on detrusor contractility but reduce the bladder capacity by decreasing the detrusor compliance. The instillation therapy by prostaglandin-F2 alpha provokes detrusor contractions in some cases of non-contracting detrusor. Emepronium bromide and flavoxate therapy of the idiopathic unstable bladder and neuropathic detrusor hyperreflexia showed improvement of the subjective symptoms, but not of the urodynamic findings. The oral therapy of scopolamine has no effect on overactive detrusor function. Treatment of the idiopathic unstable bladder by prolonged detrusor distension with the aid of peridural anaesthesia showed satisfactory results in more than 50%. PMID- 6576505 TI - Generalized glycogen storage disease in Japanese quail (Coturnix coturnix japonica). AB - Two Japanese quail which were incapable of wing movement and three normal quail were examined by histological and ultrastructural methods. The diseased birds had glycogen deposits in their skeletal muscle, cardiac muscle, smooth muscle, and nerve cells of the brain and spinal cord. According to the distribution of the lesions and the characteristics of the deposited glycogen, the diseased birds had glycogenosis which was analogous to type II found in man. The usefulness of this disease as a model for glycogenosis in man is discussed. PMID- 6576507 TI - [Chronic eosinophilic myeloleukemia]. PMID- 6576506 TI - [Gilles de la Tourette's syndrome]. PMID- 6576508 TI - [Late results of chemotherapy in Hodgkin's disease]. PMID- 6576509 TI - [17th annual meeting of the Austrian Society for Lung Diseases and Tuberculosis. Abstracts of presentations]. PMID- 6576510 TI - [Metal alloys in dentistry]. PMID- 6576511 TI - [Use of metal alloys in dentistry - an overview]. PMID- 6576512 TI - [Dermoid and epidermoid cysts in the maxillofacial region]. PMID- 6576513 TI - [Incidence of pathologic findings in the temporomandibular joint and masticatory muscles in young people]. PMID- 6576514 TI - [Seasonal incidence of various mouth diseases]. PMID- 6576515 TI - [Root resorption - synopsis of degenerative radicular hard tissue changes (I)]. PMID- 6576516 TI - [Lip carcinoma in our 5-year practice]. PMID- 6576517 TI - [Scanning electron microscopic description of the surface changes in surfaces abraded by toothpaste]. PMID- 6576518 TI - [Tray system. Possibilities - limits - realities]. PMID- 6576519 TI - [Indications and technic of sectioning impacted lower wisdom teeth (contribution to surgical technics)]. PMID- 6576520 TI - [Root resorption - synopsis of degenerative radicular hard tissue changes (II)]. PMID- 6576521 TI - [Scanning electron microscopic studies of a worn occlusal surface]. PMID- 6576522 TI - [Data processing in dental practice - cost increases controlled by computer]. PMID- 6576524 TI - [Articulators. Concepts - discussion - realities]. PMID- 6576523 TI - [Incidence of dental fluorosis in an area with high fluoride content in natural drinking water in Turkey]. PMID- 6576525 TI - [Clinical pantographic studies of the reproducibility of the limited movement of articulators (Gnathomat, Denar, Panadent, and Masticator)]. PMID- 6576526 TI - [Orthodontics in general practice. Function. Cooperation. Principles]. PMID- 6576527 TI - [Follow-up study of the stability of orthodontic treatment results in the mandible]. PMID- 6576528 TI - [The significance of air emphysema in dentistry and oral medicine]. PMID- 6576529 TI - [Depiction of the mouthpieces of wind instruments using radiography]. PMID- 6576530 TI - [Thermal condensation of gutta percha - critic of a new root filling method]. PMID- 6576531 TI - [Alveolar process height, a study of anthropological and clinical material]. PMID- 6576532 TI - [Model preparation on the Dentatus articulator]. PMID- 6576533 TI - [Cementation of inlays, crowns and bridges]. PMID- 6576534 TI - [A dental-philatelic]. PMID- 6576535 TI - [Early closure of cleft lip, jaw and palate]. PMID- 6576536 TI - [Comparative evaluation of prepared tooth stumps in relation to form and size]. PMID- 6576537 TI - [Biological therapy model for trigeminal neuralgia]. PMID- 6576538 TI - [Primary prevention: catchword or needed advice]. PMID- 6576539 TI - [Side effects and early complications following cervical priming with prostaglandin F2 alpha (PGF2 alpha) in inducing abortion in young women in their 1st pregnancy]. AB - By the application of the priming with 2.5 mg Minprostin F2 alpha a statistically provable dilatation of the cervix in comparison with another group can be achieved. But the priming does not yet effect the occurrence of early complications of the interruption in comparison with conventional methods. In is to be supposed that this method has got a protecting effect on the occurrence of latent late complications of the interruption. Because of the secondary effects of prostaglandins the indication for softening of the cervix should be applied to a very limited range of patients only. PMID- 6576540 TI - Clinical evaluation of the EA-rosette test in the early detection of cervical cancer. AB - It was previously found that a negative EA-rosette test, showing EA-rosette forming cells in a cervical cell suspension, excluded the presence of cells of invasive carcinoma (predictive value of 99.9%). This study on 2,462 patients confirmed the applicability of the EA-rosette test in screening for precancerous as well as cancerous lesions. In 98.6% of the cases of dysplasia, carcinoma in situ and invasive carcinoma, the cervical cell suspensions contained EA-rosette forming cells (the rosette test was positive). With a negative EA-rosette test, the probability of missing a specimen with class III cytology (mild/moderate dysplasia) was 1.4%, of missing one with class IV cytology (severe dysplasia/carcinoma in situ) was 0.8% and of missing one with class V cytology (invasive carcinoma) was 0.25%. The predictive value of a negative EA-rosette test was 98.6%. The false-negative rate for negative EA-rosette tests was 3.7% for invasive carcinoma, 17.5% for carcinoma in situ and severe dysplasia and 41.4% for mild to moderate dysplasia. PMID- 6576541 TI - Vaginal cytology in endocrinopathies. AB - In order to evaluate the diagnostic significance of vaginal smears in endocrinopathies associated with menstrual disorders, the cytologic pattern of vaginal smears was examined in 703 patients who had a well-established diagnosis of the disorder's origin. The patients were classified into four groups according to their menstrual disorders: primary amenorrhea (159 patients), secondary amenorrhea (116 patients), primary oligomenorrhea (214 patients) and secondary oligomenorrhea (214 patients). Using the maturation index and the maturation value, three cytologic patterns of vaginal smears were distinguished: parabasal cell pattern, intermediate cell pattern and superficial cell pattern. The frequency with which the cytologic patterns occurred in the groups of patients and their subdivisions are presented. As a whole, the 703 patients showed 25.2% with a parabasal cell pattern, 58.3% with an intermediate cell pattern and 16.5% with a superficial cell pattern. Although the cytohormonal pattern of vaginal smears in endocrinopathies with associated menstrual disorders is not diagnostic of a specific endocrinopathy, the cellular patterns may prove helpful in suggesting a range of diagnoses or in excluding some possibilities. PMID- 6576542 TI - Cervicovaginal cytology in patients 16 years of age and younger. AB - A four-year survey of cervicovaginal cytology in 1,664 patients 16 years of age and younger showed 13 cases of dysplasia (0.78%). All were mild or moderate in degree. No cases of severe dysplasia, carcinoma in situ or invasive carcinoma were detected. Small numbers of cases of herpesvirus infection and of condyloma were also detected. The occurrence rate of trichomoniasis, however, was twice that normally seen in an adult population. The cytologic diagnosis of a low but significant number of cases of cervical dysplasia indicates a population whose continued surveillance by cytologic or other means is warranted. In this young population the detection of other sources of morbidity, such as trichomoniasis, offers an opportunity for beneficial medical intervention. PMID- 6576543 TI - Cytology screening program in an urban and rural community in India. Review of a ten-year experience. AB - An approach to the detection and management of early cervical cancer and its precursors utilizing basic and inexpensive equipment and a team of workers comprising physicians, cytotechnicians and social workers in an urban and rural community in India is described. In the ten-year period from 1970 to 1979, a total of 26,217 patients had Papanicolaou smears taken; 104 patients had histologically proven carcinoma in situ or microinvasive cancer of the cervix in which the clinical findings at the time of cell study did not indicate malignancy. The policy of management based on judicial conservatism and essential radicalism gave good survival rates and minimum morbidity. PMID- 6576544 TI - Morphometric studies on nuclei in smears of fine needle aspirates from oxyphilic tumors of the thyroid. AB - Morphometry was applied to smears of fine needle aspirates from 26 oxyphilic thyroid neoplasms. Thirteen tumors were considered benign as judged from histologic findings and clinical follow-up for 2 to 20 years after the operation. Thirteen tumors were considered malignant histologically; four of these had proven metastases. In each case the mean and standard deviation of the projected nuclear area were calculated from 200 nuclei in the smear. Our results indicate that morphometric estimation of mean nuclear size and/or degree of anisokaryosis is of no practical value in distinguishing between benign and malignant thyroid neoplasms of the oxyphilic type. PMID- 6576546 TI - Chromosome changes in early gynecologic malignancies. AB - Chromosome changes characteristic of fully invasive neoplasms were found in direct preparations from a noninvasive ovarian carcinoma and three carcinomas in situ of the cervix uteri, two of which showed early stromal invasion. Abnormal chromosomes present included structurally changed chromosomes 6 and an isochromosome for the long arm of chromosome 17 (in the ovarian carcinoma and one carcinoma in situ), chromosomes 1 with long arm deletions (in two carcinomas in situ) and double minute chromatin bodies (in one of two metaphases obtained from the third carcinoma in situ). A chromosome of uncertain origin with a homogeneously staining region was also present in the ovarian carcinoma. PMID- 6576545 TI - Ultrastructural diagnosis of facial nerve schwannoma using fine needle aspiration. AB - In a 14-year-old boy presenting with left facial nerve paralysis, physical examination revealed a soft, round mass in the floor of the left external auditory canal. A fine needle aspiration biopsy was performed to obtain material for light and electron microscopy. Several small groups of uniform, spindle shaped neoplastic cells were present on the slides; a malignant mesenchymal tumor was considered, but a definite diagnosis could not be established under light microscopy. The ultrastructural examination revealed spindle-shaped and stellate cells with multiple parallel cytoplasmic processes lined with a well-developed basal lamina; these features are highly characteristic of a benign schwannoma. PMID- 6576547 TI - Kinetics of cell replication in the uterine cervix. VI. Loci of DNA-synthesizing cells and arrested mitoses in the basal-cell layer. AB - The mode of proliferation in the basal-cell layer of the squamous cervical epithelium was investigated in C57B1 mice with the aid of 3H-thymidine and vincristine. Six hours after vincristine injection and two hours after thymidine injection, 33% of the basal cells were in DNA synthesis and 12% in mitosis. Of these, only 23% of the cells in DNA synthesis and 45% of those in mitosis were found as single cells. The remaining cells proliferated in clusters of two or more cells. As many as 59% of the cells in DNA synthesis and 30% of those in mitosis occurred in colonies of three or more consecutive cells, indicating that multicell clustering is a rather common pattern of basal cell proliferation. Multicell loci of DNA-synthesizing cells occurred contemporaneously with but independently of multicell loci of mitotic cells (the loci were nonconsecutive). Basal-cell replication in the squamous cervical epithelium thus appears to be an organized process of cell renewal. PMID- 6576548 TI - Localized pulmonary cryptococcosis: diagnosis by fine needle aspiration. PMID- 6576550 TI - Advance abstracts of papers. XIV Acta Endocrinologica Congress, Stockholm, Sweden, June 27-30, 1983. PMID- 6576549 TI - Influence of a prostaglandin inhibitor and a mineralocorticoid on the antidiuretic and hormonal response to an osmolar load. AB - To examine the influence of prostaglandins (PGs) and sodium-volume status on the urinary excretion and action of arginine-vasopressin (AVP), we studied the response to a hypertonic saline infusion (2.5% NaCl, 0.06 ml/kg/min for 3 h) in 8 healthy males under three different conditions: 1) on an ad libitum salt diet (C), 2) after 4-day treatment with indomethacin (IDM) 150 mg/d, 3) after 4-day treatment with fluorohydrocortisone (9 alpha FF) 0.6 mg/d. The rise of urine osmolality and the decrease of free water clearance were identical in all three studies. Basal urinary PGE2, PGF2 alpha and AVP were decreased during IDM and unchanged during 9 alpha FF, compared to C. The increment of urinary AVP was similar during C and IDM but significantly greater with 9 alpha FF (P less than 0.02) although urinary PGs were higher at the end of the infusion. In conclusion, despite markedly different hormonal patterns and sodium status in the three protocols, the antidiuretic response to an osmolar load is preserved suggesting an adaptive mechanism maintaining a constant balance between AVP and PGs. PMID- 6576551 TI - [Clinical application of alkaline phosphatase bone-isoenzyme determination with acetate foil]. AB - Clinical application of alkaline phosphatase bone isoenzyme determination using acetate foil is investigated in patients with known underlying disease and is compared with diagnostic evaluation of 112 bone-scans. The separation of alkaline phosphatase isoenzymes proves a valuable diagnostic support of bone scintigraphy. Isoenzyme determination moreover reveals primary and secondary bone changes in early stages of the disease and also offers the possibility of quantitative follow-ups. PMID- 6576552 TI - [How to keep the dental insurance cost down--what we learn from the system in West Germany]. PMID- 6576554 TI - [Apexification of immature roots]. PMID- 6576553 TI - [Tooth movement following bifurcation]. PMID- 6576555 TI - [Establishment of a dental clinic by local autonomy]. PMID- 6576556 TI - [A misprint in the table of decalcification potential in Bibby's original article?]. PMID- 6576557 TI - [Dental services in Okinawa]. PMID- 6576559 TI - [Medical cost: its trends and problems]. PMID- 6576558 TI - [Qualities we seek in dental hygienists in Japan (3)]. PMID- 6576560 TI - [Socialized medicine--merits and demerits]. PMID- 6576561 TI - [What we expect from dentistry]. PMID- 6576562 TI - [Dental hot-line "110" and what we expect from dentistry]. PMID- 6576563 TI - [Application of prostaglandins to orthodontic treatment]. PMID- 6576564 TI - [TMJ radiography in prosthodontics. 1. Simple plane radiographic method]. PMID- 6576565 TI - [Clinical significance of the check bite technic]. PMID- 6576566 TI - [Standardization of dental instruments and materials]. PMID- 6576568 TI - [Influence of drinking on the next generation (2)]. PMID- 6576567 TI - [Influence of drinking on the next generation (1)]. PMID- 6576569 TI - [Etiological factors of female alcoholism]. PMID- 6576570 TI - [Social change and cultural factors in women drinking]. PMID- 6576571 TI - [Drinking and women working in society]. PMID- 6576572 TI - [Endodontic instruments: 4]. PMID- 6576573 TI - [Dental services on Izena Island, Okinawa]. PMID- 6576574 TI - [Qualities we seek in dental hygienists in Japan (4)]. PMID- 6576575 TI - [Meeting point of endodontics and periodontics in the management of periodontitis]. PMID- 6576576 TI - [Orthodontic concepts and practice (I)]. PMID- 6576577 TI - [Surgical correction of jaw and maxillofacial deformities (III)]. PMID- 6576578 TI - [TMJ radiography in prosthodontics. 2. Special radiographic technic. 1]. PMID- 6576579 TI - [Orthodontic concepts and their practice (2)]. PMID- 6576580 TI - [Removal of various implants: an evaluation. 1]. PMID- 6576581 TI - [Taking pictures of your own hands at work]. PMID- 6576582 TI - [Use of azulene SN in oral surgery]. PMID- 6576583 TI - [Clinical caution for composite resin restorations]. PMID- 6576584 TI - [Cytotoxicity of tissue conditioners]. PMID- 6576586 TI - [Intraoral xeroradiography. The Xerox 110 System for endodontic therapy]. PMID- 6576585 TI - [Orthodontic concepts and their practice (3)]. PMID- 6576587 TI - [Removal of various implants: an evaluation. 2]. PMID- 6576588 TI - [New dental casting gold-palladium-indium-silver alloy "Kinvalley 20E"]. PMID- 6576589 TI - [Endodontic instruments: 7]. PMID- 6576590 TI - [Qualities we seek in dental hygienists in Japan (5)]. PMID- 6576591 TI - [Tooth root fractures--case presentation]. PMID- 6576592 TI - [Aging of jaw bones. I. Aging of periodontal tissue, alveolar process and gingival involution]. PMID- 6576593 TI - Natural killer cell activity during premedication, anaesthesia and surgery. AB - Natural killer (NK) cell activity of peripheral blood mononuclear cells was measured against K-562 target cells in a 51Cr release assay in eight patients undergoing total hip replacement surgery. Eight consecutive blood samples were taken from each patient. A significant increase of NK cell activity was observed after premedication with diazepam per os. The activity increased further during a combined anaesthesia (thiopentone + N2O + O2 + buprenorphene + pancuronium) and remained increased during surgery. Postoperatively, NK cell activity fell and remained depressed for a period of at least 5 days. The findings of this study indicate that premedication, anaesthesia and surgery cause a rapid and transient increase in NK cell activity, followed by a decline in activity postoperatively. The transient increase in activity may be explained by mobilization of natural killer cells from extravasal space, spleen or lymph nodes into the circulation. The clinical significance of the alterations in NK cell activity is unknown and needs further investigation. PMID- 6576594 TI - Central haemodynamics and oxygenation during thoracic anaesthesia. PMID- 6576595 TI - Pathophysiology behind anticonvulsant osteomalacia. AB - Anticonvulsant drug-induced disorders in mineral and bone metabolism are discussed. 'Anticonvulsant osteomalacia' includes hypocalcaemia, elevated serum alkaline phosphatase, decreased serum 25-hydroxycholecalciferol (25 OHD3), radiological and histological signs of osteomalacia and a lower bone mineral content (BMC) than normal. The pathophysiological mechanism behind anticonvulsant osteomalacia is thought be an induction of the microsomal enzyme system in the liver, leading to a disturbance in the metabolism of vitamin D and a resulting vitamin D deficiency. It has been shown that treatment with vitamin D2 increase BMC whereas serum calcium was unchanged. Treatment with vitamin D3 or 25 OHD3 increases serum calcium whereas BMC was unchanged. These findings suggest that vitamin D2 and D3 are metabolized differently in anticonvulsant treated patients. With the present knowledge, preventive treatment of this relative mild pathological condition is not generally indicated. PMID- 6576596 TI - Intravenous radionuclide angioscintigraphy and computer tomography in cerebral arteriovenous malformations. AB - In 25 patients with cerebral arteriovenous malformation (AVM) computer tomography (CT) was compared with dynamic and static intravenous radionuclide angioscintigraphy (99mTc-labelled red blood cells). The diagnosis was verified by arteriography performed 2-20 years prior to this study. Scintigrams and CT-scans were evaluated 'blindly' by independent observers after pooling of the patient studies with 20 and 20 control studies, respectively. Only images strictly characteristic of AVM were classified as positive. The nosographic sensitivity of both methods was about 70%, in a few patients they were supplementary. Neither CT nor scintigraphy were able to detect lesions of less than 2 cm diameter. The methods seem to be of equal and rather high specificity, and are both well suited as screening procedures. CT provides additional information as to other intracranial abnormalities. The screening method of first choice when AVM is suspected may be CT or angioscintigraphy, depending on availability of equipment and expertise. PMID- 6576597 TI - Periodontal healing of replanted monkey teeth prevented from drying. AB - Root resorption of replanted teeth is dependent on the duration of the extra alveolar period and on the storage environment. In the present investigation the significance of preserving the humidity of the periodontal ligament (PDL) during the extra-alveolar period was tested on isolated PDL cells and on replanted monkey teeth. The isolated PDL cells were tested with respect to cell viability (trypan blue exclusion test) and to cell recovery (number of cells after additional cultivation). About 70% of the cells were viable and 44% recovered after 1 h in a humid atmosphere. Practically no cells were viable or recovered after 1 h of drying. Replanted teeth that had been wrapped in plastic foil for 1 h before replantation showed no more resorption than immediately replanted teeth. This is in contrast to teeth dried in air for 1 h before replantation. They showed extensive root resorption on almost all root surfaces. Thus, prevention of evaporation of tissue fluid from the PDL must be considered a primary goal if the tooth cannot be replanted immediately. PMID- 6576598 TI - Utilization of dental services by Finnish adults in 1971 and 1980. AB - Changes in the utilization of dental services by the adult Finnish population were studied by reanalyzing the data from a nationwide study carried out in 1971 and by comparing those results with the data from an interview study of 581 persons carried out in 1980. In 1971, 56% of the interviewees had visited a dentist within the last 12 months. The corresponding percentage was 54% in 1980. The most common reason for the latest dental visit was routine examination in 1980, and only 4% of the interviewees had been recalled by the dentist. However, the recall system, when explained, was regarded as acceptable and practical by the vast majority of the interviewees. In 1971 utilization study found that the interviewees had a positive attitude toward dental health education. Likewise, the majority of interviewees in 1980 expressed a wish to keep their own teeth for their lifetime. PMID- 6576599 TI - Metal release from cobalt-chromium partial dentures in the mouth. AB - The amounts of cobalt and chromium released to the saliva in individuals wearing cobalt-chromium partial dentures have been measured. Saliva was collected during a 5-min period, both with and without dentures in the mouth, and the two samples compared. More than 80% of the 30 cases showed increased amounts of metals with the denture in the mouth. Newer and larger dentures liberated more than did older and smaller ones. The median increase in chromium was approximately twice that of cobalt. PMID- 6576600 TI - Hyperplastic lesions of the gingiva and alveolar mucosa. A study of 175 cases. AB - 175 'epulides' were studied clinically and histologically. The lesions were histologically reclassified into three groups: granulomatous, fibromatous and giant cell lesions. The granulomatous group was four times and the giant cell group 1.5 times more frequent in females. It is suggested that the expression epulis should be abandoned as a microscopic designation for lesions in the oral mucosa, as it is only a non-specific topographico-clinical concept comprising histogenetically and histomorphologically differing lesions and therefore does not represent a uniform group. The suggested new terms for the three types of hyperplastic lesions are oral mucosal granulomatous hyperplasias (including such diagnostic terms as granulomatous gingivitis, gingivitis of pregnancy, granuloma gravidarium, pyogenic granuloma, epulis angiomatosa and epulis telangiectaticum), oral mucosal fibrous hyperplasias (including such diagnostic terms as fibrous epulis, epulis fissuratum, fibroepithelial lesions, denture injury tumor and peripheral odontogenic fibroma) and oral mucosal giant cell hyperplasia (including such diagnostic terms as peripheral giant cell granuloma and giant cell epulis). PMID- 6576601 TI - Chemical plaque control and prevention of extrinsic tooth discoloration in vivo. AB - Extrinsic discoloration of teeth has frequently been observed in connection with the use of chemical plaque-preventive agents. Preliminary investigations have indicated that oxidizing peroxymonosulfate may effectively reduce this discoloration without interfering with the plaque-preventive capacity of chlorhexidine. In the present experiment a 0.2% chlorhexidine and a 1% peroxymonosulfate solution were used for oral rinsing in a group of 50 military recruits. A double-blind experimental design was followed. The plaque-preventive capacity of chlorhexidine was maintained, and a marked reduction in extrinsic tooth discoloration could be observed. PMID- 6576602 TI - Membrane junctions in the subodontoblastic region. A freeze-fracture study of the human dental pulp. AB - The morphology of the subodontoblastic region in the human dental pulp was analysed using the freeze-fracturing technique. Multiple areas of focal intercellular junctions were found between subodontoblastic fibroblasts (or Hohl's cells). The connections were of the gap junction type. Similar junctions were observed between subodontoblastic cells and small-calibre (0.10-0.20 microns) fibres, presumably nerves. Tight junctions were not observed. PMID- 6576603 TI - Corrosion of dental alloys studied by implantation and nuclear tracer technique. AB - A method for the study of in vivo corrosion of various dental materials such as amalgams, gold, and chromium-cobalt alloys combining implantation and nuclear tracer techniques is described. Radioactive and nonradioactive implants were inserted subcutaneously in the backs of two groups of rats. After 5 days all animals were killed. The adjacent tissue was submitted to histopathological examination. The animals exposed to radioactive amalgams and chromium-cobalt disks with activity levels of 2-4 mCi showed local tissue reactions identical to those seen in sham-operated animals--that is, inflammation and formation of granulation tissue. In contrast, the rats exposed to radioactive gold foils with activity levels of about 20 mCi suffered heavier damage at the implantation site, with loss of hair and some necrosis, in addition to the inflammation and granulation tissue formation. There was no kidney damage. The release of mercury, gold, or cobalt into the adjacent tissue and the kidney was measured by means of gamma-ray spectrometry. PMID- 6576604 TI - A binary dental gold-cobalt alloy of eutectic composition. AB - A new dental gold alloy was investigated for the casting of prosthetic restorations. The binary alloy is composed of 10 weight-percent Co and 90 wt% Au. Studies of the structure of the alloy revealed a rod-eutectic structure with Co rods in Au matrix. By special heat treatment (solution treatment and precipitation treatment) the hardness was increased up to 280 Hv. The hardening effect caused by Co atom groups in the Au matrix was studied by transmission microscopy. Casting experiments were performed using conventional dental casting procedures. Metallographic studies revealed no Co rods in the surface layer of the castings after the heat treatment. PMID- 6576605 TI - The distribution in mice of radioactive cobalt administered by two different methods. AB - The short time distribution of 58Co in mice that received a 58CoCl2 solution intravenously or intraperitoneally was examined by means of scintillation measurements. The serum, kidney, pancreas, spleen, liver, and heart were analyzed. Statistically significant differences in the distribution pattern after intraperitoneal and intravenous administration were noted for serum, kidney, liver, and heart 1 h after injection and for kidney, liver, and heart 5 h after injection. Only the heart showed a significant difference between the two administration methods 24 h after injection. Intravenous injections gave less variation between animals of the 58Co distribution pattern than intraperitoneal injections. PMID- 6576606 TI - Release and uptake of cobalt from cobalt-chromium alloy implants. AB - Cobalt-chromium alloy implants were placed subcutaneously in the neck region of mice, and the animals were killed after 8 weeks. The cobalt concentration was high in the connective tissue of the capsule formed around 5 out of 10 cobalt chromium implants. In nine other tissues analyzed no statistically significant increases in the cobalt concentration were detected. The surgical procedure and the carrying of an implant did not influence the weight increase of the animals during the period of the experiment. PMID- 6576607 TI - Opacity of glass-ionomer cements. AB - The translucency of the first generation of glass-ionomer cements to appear on the market was too low to be cosmetically satisfactory. In the present study the opacity of newer editions of glass-ionomer cements was evaluated and compared with that of a well-known composite resin. Disc-shaped specimens were placed on black and on white backings, the luminous reflectances measured and corrected to a specimen thickness of exactly 1 mm, whereafter the contrast ratio was calculated. The newer glass-ionomer cements were found to be more translucent than the first generation of glass-ionomer cements on the market. However, the opacity still needs to be reduced to reach the level of a composite resin. It was further established that early water contact results in a considerable increase in opacity. PMID- 6576608 TI - Influence of central dopaminergic and oral sensory stimulation on the tone of the rat masseter muscle. AB - Dopamine neurons in the nigrostriatal subgroup of the basal ganglia are involved in the higher control of muscle tone and repetitive movements, possibly also in the masticatory muscles. For this reason, the effect of mechanical oral stimulation in combination with apomorphine-induced stimulation of dopamine receptors in the brain was experimentally studied in the rat. The masseter muscle tone during and after anesthesia was registered. A tachograph preamplifier and a bipolar electrode were used for the recording of summated potentials from the muscle. Dopaminergic stimulation increased the muscle tone. Oral sensory stimulation alone showed a tendency to increase the masseter tone, although the increase was not statistically significant. The increase of the tone with dopaminergic stimulation is presumably due to the fact that the dopaminergic system in the basal ganglia also controls the motor function of the masticatory muscles. Several pathological conditions of the mouth region, where a dopaminergic mechanism in the facilitation and inhibition of centrally coordinated jaw reflexes is obvious or possible, are discussed. Individual variation in neuronal dopamine synthesis, uptake, or receptor sensitivity may be one of the factors determining predisposition to masticatory disturbances both in experimental and clinical conditions. PMID- 6576609 TI - Relationships between oral parafunctions and functional disturbances and diseases of the stomatognathic system among children aged 7-14 years. AB - Data from an interview and clinical examination in a study of 440 randomly selected school children were analyzed with regard to relationships between signs and symptoms of functional disturbances and diseases in the stomatognathic system. A correlation was found between reported clicking sounds from the temporomandibular joint (TMJ) and pain when opening the mouth wide. Children who had been treated orthodontically or who were undergoing such treatment did not differ from other children in the frequency of signs and symptoms. Correlations were found between recurrent headaches and tenderness in TMJ and TMJ muscles. Reported pain in the temple region was also correlated to tenderness in the TMJ and TMJ muscles. Further correlations were found between recurrent headaches and oral parafunctions such as lip-cheek-biting and nail-biting and also among nail biting, tooth clenching, tooth-grinding, and frontal dental wear. Children who reported oral parafunctions had more frequent interferences in RP and tenderness in TMJ muscles. There were correlations between irregular movements of the lower jaw and interferences in RP as well as mediotrusion interferences. Finally, a strong correlation was found between tenderness of the TMJ (laterally and posteriorly) and tenderness of the TMJ muscles. PMID- 6576610 TI - Effect of xylitol and sucrose plaque on release of lysosomal enzymes from bones and macrophages in vitro. AB - Plaque formed during a 5-day xylitol or sucrose chewing gum diet was used as an irritating agent in bone and macrophage culture. The release of hydrolytic enzymes was monitored. The contents of protein, DNA, and ATP were analyzed, to characterize plaque formed during different dietary periods. The release of glycosidases and phosphatases was lower in the presence of xylitol plaque when compared with sucrose plaque as an immediate reaction in macrophage cultures at 3 h and also in bone cultures at 3 days. The results indicate that xylitol plaque had a less irritating effect on macrophages and bones in vitro than sucrose plaque according to the parameters used in this study. PMID- 6576611 TI - Crown size of permanent teeth in Icelanders. AB - Mesiodistal and buccolingual crown diameters were measured from casts of 1010 dentitions of schoolchildren from Northeast Iceland. Their teeth proved to be larger than in Europeans generally, being exceeded only by Australian Aborigines, some American Indian populations, and American Negroes. In comparison with Ohio Caucasians of Northwest European origin Icelanders showed clearly larger dimensions, less sexual dimorphism, and a different pattern of dimorphism. Crown indices were also distinctly different in Icelanders and Ohio Caucasians. PMID- 6576612 TI - Hereditary motor and sensory neuropathies in Swedish children. I. Prevalence and distribution by disability groups. AB - The prevalence of hereditary motor and sensory neuropathies (HMSN) and their distribution according to the severity of the disability were studied in a population-based series of Swedish children 2-15 years old. The prevalence per 100 000 of total peroneal muscle atrophies was 21.6 and of all clinical HMSN 19.0 Among HMSN, de- and remyelinating types (HMSN I) constituted 8 per 100000 and neuronal-axonal types (HMSN II) 11. Eighteen of the 21 HMSN I cases and 26 of the 29 HMSN II were considered to represent an autosomal dominant mode of inheritance. Ten per cent of all children were severely, 70% moderately and 20% mildly disabled. All the severely affected children belonged to the HMSN I group and 9 of the 10 mildly affected to HMSN II. PMID- 6576613 TI - Psychological reactions in 102 families with a newborn who has a falsely positive screening test for congenital hypothyroidism. AB - The potential psychological risks of falsely positive test results in neonatal screenings have not been studied previously. 20 000 newborns were screened for congenital hypothyroidism. Of the 144 positive tests, 137 were false. The families of 102 babies with false positives were explored in reference to their (1) initial parental psychic reactions (emotional reactions and abilities for coping) and (2) residual reactions 6 to 12 months later. 78 families initially exhibited strong emotional reactions. Providing information about a positive screening test is therefore an acute strain to the majority. After a period of 6 to 12 months there was in 18 families persistent insecurity regarding the baby's health. These concerns were linked to the family to the screening and the disease screened for. This may impair the parent-child relation and thus, the child's development. Thus a false positive test appear to trigger in the majority a development of a psychic crisis. 12 families seemed however to have been totally untouched by the potential threat of the information. The crisis is effectively solved by most (consideration must be paid to the integrated psychological support given to all). It is not known whether the 18 risk families actually have been iatrogenically hurt or if their worries brought to attention in connection with the screening merely represent habitual psychic maladjustment. Preparation for parenthood and education about screening principles are beneficial and important. This study demonstrates the importance not only of asking how much worry is elicited but also how this worry is being handled (coping ability) in order to provide a fair estimate as to which families are at risk. PMID- 6576615 TI - Psychotherapy in irritable bowel syndrome. A controlled outcome study. PMID- 6576614 TI - Pulmonary effects of leukotrienes. PMID- 6576617 TI - Control of type I diabetes--aims and means. Proceedings of a symposium in Goteborg, Sweden November 13-14, 1981. PMID- 6576616 TI - Psychotherapy in peptic ulcer disease. A controlled outcome study. PMID- 6576618 TI - Insulin pumps. A technical review. AB - The technique employed in open-loop insulin infusion pumps is reviewed. Most commonly used syringe as well as peristaltic pumps are exemplified. Their weights and prices are compared. Possibilities of development are discussed. PMID- 6576619 TI - Practical experiences with insulin infusion pumps. AB - The future role of continuous subcutaneous insulin infusion as a routine treatment for insulin-dependent diabetics rests on clinical considerations such as patient reactions to the system, the possibilities and consequences of pump malfuntion and the effect of pump-induced strict metabolic control on diabetic complications. These issues are discussed in the light of recent evidence. PMID- 6576620 TI - Diabetes--the cost of illness and the cost of control. An estimate for Sweden 1978. AB - This study estimates the economic cost of diabetes mellitus in Sweden 1978. It also addresses the question of potential savings from improved metabolic control. Economic costs of illness include direct costs for medical care and indirect costs from lost production due to morbidity and premature death. The total costs of diabetes are estimated at 1300 million SEK in Sweden 1978. The direct costs for medical care accounted for 43% of these costs. Lost production due to permanent disability is the dominating indirect costs, and accounts for 60% of indirect costs and one third of the total costs. Institutional care accounts for two thirds of the direct costs. The costs for drugs and medical devices amount to 128 million SEK or 1000 SEK per insulin- or oraldependent diabetic. Costs for control of diabetes are estimated to 20% of the total cost and 50% of direct costs. The conclusion is that there are great potential benefits to be expected from improved self control of diabetes. PMID- 6576621 TI - Home blood glucose monitoring--the key to good control. AB - Home blood glucose monitoring is one of the corner-stones in the management of type I diabetes. This paper summarizes the aims and effects of this method and will discuss the pros and cons with simple patient-adapted meters and visual judgement of the blood glucose strip. It is underlined that a thorough handling of the strip is essential for the result whatever method used. The problem solving capacity of home blood glucose monitoring in unstable diabetes is illustrated. PMID- 6576623 TI - Methodological aspects on C-peptide measurements. AB - It is rather difficult to draw conclusions from reported C-peptide values, as the methods for determination differ, and C-peptide may be measured in serum or in urine with the patient fasting or after stimulation. We have followed prospectively 49 children with IDDM with regular determinations of serum C peptide fasting and after a standardized breakfast. A subgroup of seven patients have been studied more thoroughly with 24-hour-profile of serum C-peptide, C peptide excretion in urine, and stimulation by i.v. glucose + i.v. arginine. Our results indicate that the stimulation of the beta cells usually reaches a maximum around a blood glucose level of 10-12 mmol/l leading to a curve linear relationship between serum C-peptide and blood glucose. Thus a simple quotient is not so useful but the degree of stimulation should be stated and actual blood glucose value noticed. Stimulation with a standardized breakfast gives roughly the same information as maximal stimulation with i.v. glucose + arginine, and little extra information is found by a 24-hour-profile. Urinary C-peptide may give valuable information if it is related to the actual degree of metabolic balance. It can be of special interest in patients with very low serum C-peptide levels. PMID- 6576622 TI - Evaluation of a new semiquantitative test strip for urine glucose determination. AB - Diabur-Test 5000 is a new semiquantitative test strip for the determination of urine glucose concentrations up to 5%. The results are comparable to those obtained with the Clinitest method, although Diabur-Test 5000 has the advantage of being sensitive also for low glucose concentrations. Diabur-Test 5000 is easier to use than the Clinitest method. It is well accepted by patients for self control, and might also be used for routine clinical work. PMID- 6576625 TI - Tomographic detection and assessment of an osteochondroma of the left mandibular condyle. Case history. PMID- 6576624 TI - [Xeroderma pigmentosum: review of clinical aspects, histology, etiopathogenesis and therapy (apropos of a clinical case)]. PMID- 6576626 TI - [Hemangiopericytoma in the head and neck region. 2 case reports and review of the literature]. PMID- 6576627 TI - Multicentric osteogenic sarcoma in the young. PMID- 6576628 TI - Central nervous system involvement as a presenting feature of acute monocytic leukemia: preceding leukemia by 12 months. AB - This report describes a patient who presented with a diffuse malignant central nervous system (CNS) process composed of cells with monocytic differentiation one year before the development of acute monocytic leukemia. A similar presentation has been documented for acute lymphocytic leukemia, but to the best of our knowledge, this is the first report to detail a diffuse CNS malignancy as the presenting symptom for acute monocytic leukemia. PMID- 6576629 TI - Acute lymphoblastic leukemia: end-result analysis of treatment and prognostic factors in Indian patients. AB - Acute Lymphatic Leukemia (ALL) patients seen during the period 1974-1978 at the Tata Memorial Hospital. Bombay, are analyzed retrospectively to evaluate the clinical features at presentation, results of sequential therapy, and prognostic factors. A total of 301 patients were registered during the study period. There were 153 evaluable patients. Of these 73 patients received induction therapy with vincristine and prednisolone (VP) followed by cranial prophylaxis (cranial radiotherapy, 2,400 rads, and 10 weekly intrathecal injections of methotrexate 7.5 mg/m20 and continuous oral maintenance with daily 6-mercaptopurine and weekly methotrexate (group A). Another 39 patients (group B) received pulse therapy with vincristine and prednisolone during maintenance therapy. Finally 41 patients (group C) received L-asparaginase during induction and pulse therapy in addition to drugs as in group A. Of the 153 patients, 88 (58%) achieved complete response after induction treatment. Induction remission was 53% with vincristine and prednisolone (group A and group B), whereas it was 70% in group C. The difference in complete response rate in group C was statistically significant (P less than 0.05). The 3-year survival in our series was 22%, with median survival of 11 months. Group C patients receiving L-asparaginase along with vincristine and prednisolone showed 41% 3-year survival compared to 16% for group B. The 3-year survival in group A patients was only 7%, probably owing to lack of pulse therapy during maintenance treatment. The prognostic factors such as age, sex, WBC count, and mediastinal node were compared for induction remission and total survival. Possible factors relating to poor results in our series as compared to developed countries are discussed. PMID- 6576630 TI - Studies on abnormal polymorphonuclear neutrophils in acute myelogenous leukemia: clinical significance and changes after chemotherapy. AB - In patients with acute myelogenous leukemia (AML), 34 out of 35 patients (97%) had cytochemically abnormal polymorphonuclear neutrophils (PMN). Some interesting regularity was noted in the appearance of cytochemical abnormalities of the PMNs. When peroxidase (PO) activity was low, both alkaline phosphatase (AP) and chloroacetate esterase (CAE) activities were also low (group A). When PO activity was normal, if AP activity was low, CAE activity tended to be high (group B) and if AP activity was high, CAE activity tended to be low (group C). Complete remission rate of group B (65%) seemed to be better than that of group C (20%) and group A (25%) although the differences was not statistically significant. In these patients, the number of peripheral leukemic blasts and PMNs showed a significant positive correlation (r = 0.69, p less than 0.005). Furthermore, patients with higher circulating PMN counts (more than 2 X 10(9)/L) had a significantly worse prognosis than patients with lower counts (p less than 0.05). These rather unexpected findings strongly suggest that cytochemically abnormal PMNs are progeny of AML blasts. The change in the proportion of abnormal PMNs associated with chemotherapy were studied in 21 patients during the remission induction period. Abnormal PMNs disappeared from the circulation in patients who achieved complete remission. In contrast, abnormal PMNs persisted throughout the remission induction period in patients who failed to achieve complete remission. PMID- 6576631 TI - Sustained post-transfusion granulocyte count increments following transfusion of leukocytes obtained from donors with chronic myelogenous leukemia. AB - Leukocyte transfusions from patients with chronic myelogenous leukemia (CML) and elevated WBC counts were given to 14 patients with acute leukemia for the treatment of 16 infectious episodes. The WBCs were not irradiated to determine if engraftment with production of granulocytes would occur following infusion of immature myeloid elements. No recipient was alloimmunized by clinical and serologic criteria. High leukocyte yields were obtained using a variety of differential centrifugation techniques with a mean WBC yield/transfusion of 95 X 10(9) (range 19-275). A mean of 2.5 transfusions (range 1-11) were administered/recipient with a mean total dose of 235 X 10(9) WBC/transfusion episode (range 50-590). Seven patients had granulocyte counts greater than 500/microliters for four or more days (range 4-11 days) following the last transfusion. Ph1 chromosomes were documented in 2 of 4 patients tested 2-8 days following transfusion. Leukocyte alkaline phosphatase scores were increased (greater than 150) in 5/5 recipients tested post-transfusion demonstrating that production of this enzyme can be induced in CML granulocytes. Except for one severe transfusion reaction, there were no significant side effects and no recipient developed signs of graft versus host disease. All patients with sustained increments demonstrated rapid clinical improvement including 3 severely infected, poor risk patients undergoing initial induction therapy. These 3 patients all achieved complete remission with no evidence of the Ph1 chromosome. Because of the high dose of WBC which can be collected and the salutary effect of continued leukocyte production, CML WBC may be the preparation of choice for selected, non-alloimmunized, severely infected patients. PMID- 6576632 TI - Utility and efficiency of linked marker genes for genetic counseling. III. Proportion of informative families under linkage disequilibrium. AB - A marker locus closely linked to a disease locus is often useful for genetic counseling provided that a counselee is heterozygous at both disease and marker loci. Furthermore, the linkage phase of these genes in the counselee must be known. When the linkage between the disease and marker loci is very close, one often finds linkage disequilibrium between the loci. To evaluate the effect of such nonrandom associations on the utility of linked marker genes for genetic counseling, the proportion of informative families is studied for X-linked recessive and autosomal dominant diseases. This proportion is higher for X-linked genes than for autosomal genes, if other factors are the same. In general, codominant markers are more useful than dominant markers. Also, under appropriate conditions, the proportion of informative families is higher when linkage disequilibrium is present. The results obtained in this paper are useful for evaluating the utility of polymorphic restriction endonuclease cleavage sites as markers in genetic counseling. PMID- 6576633 TI - Urea-prostaglandin versus hypertonic saline for instillation abortion. AB - Authorities have suggested use of a combination of hyperosmolar urea and low-dose prostaglandin F2 alpha as a second-trimester intra-amniotic abortifacient to avoid the disadvantages of hypertonic saline solution. To examine the safety and efficacy of urea-prostaglandin compared with the instillation of saline solution, we analyzed data from a prospective multicenter study conducted in the United States between 1975 and 1978. Both agents were highly effective in producing an abortion. However, urea-prostaglandin had a significantly lower rate of serious complications when compared with saline solution (1.03 versus 2.18 per 100 abortions; p less than 0.001). Urea-prostaglandin also had a significantly shorter induction-to-abortion time (14.2 versus 25.6 hours; p less than 0.001). Urea-prostaglandin, therefore, appears to be superior to hypertonic saline solution as an abortifacient. PMID- 6576634 TI - Late definitive correction of the orofacial cleft. Report of a case. AB - This article presents the results obtained through staged secondary reconstruction of a unilateral complete cleft of the lip and palates in a young male patient. In the case report the principles of orofacial cleft management are addressed, with specific reference to those points of immediate importance to the orthodontist and the surgeon, around whose synergistic efforts the final rehabilitation often must pivot. Orthopedic and surgical expansion of the scarred, constricted maxilla, orthodontic preparation and completion, maxillary advancement and alveolar cleft bone grafting, and the stabilizing roles of palatal scar release and bone grafts for the translated maxillary complex are discussed as the treatment plan is executed. Completing the rehabilitation are the integral considerations of speech and audiology, otologic surgical intervention, and soft-tissue revision of the lip and nose. The genesis of the secondary deformity is also explored relative to the primary congenital anomaly, the techniques and temporal sequence of its repair, and subsequent growth disturbance. A review of the pertinent literature is included. PMID- 6576635 TI - The in-house computer for the orthodontic office. AB - Increased labor costs and reduced computer costs have made the in-house computer system for the orthodontic office a reality that is both cost effective and efficient. Six years of research have been devoted to development of the correct handware and software combination that will harmonize with the staff personnel available in the routine orthodontic environment. PMID- 6576636 TI - The etiology of maxillary canine impactions. AB - The etiology of tooth impactions has long been related to an arch-length deficiency. This is valid for most impactions, but not for palatal impaction of the maxillary canine. This study shows that 85 percent of the palatally impacted canines have sufficient space for eruption. The bud of the maxillary canine is wedged between the nasal cavity, the orbit, and the anterior wall of the maxillary sinus. The buds of the lateral incisor and the first premolar are located behind the canine's palatal surface. An arch-length deficiency will not allow the maxillary canine to "jump" the buds, the nasal cavity, or the sinus in order to reappear in the palate. A canine can be palatally impacted if an extra space is available in the maxillary bone. This space can be provided by (1) excessive growth in the base of the maxillary bone, (2) space created by agenesis or peg-shaped lateral incisors, or (3) stimulated eruption of the lateral incisor or the first premolar. In those conditions the canine is free to "dive" in the bone and to become palatally impacted. A dysplasia in the maxillary-premaxillary suture can also modify the direction of the maxillary canine's eruption. PMID- 6576637 TI - Longitudinal changes in the ANB angle and Wits appraisal: clinical implications. AB - The changes in the ANB angle and the Wits appraisal between the ages of 5 and 25 years were evaluated in twenty male and fifteen female subjects. All subjects had clinically acceptable occlusions, and none had undergone orthodontic therapy. Descriptive statistics were calculated, and analysis of variance was performed. The conclusions derived from this investigation are as follows: (1) No significant differences were observed in the changes between male and female subjects for either ANB or Wits between age 5 and adulthood. (2) The ANB angle changes significantly with age, while the Wits appraisal indicates that the relationship between points A and B does not change significantly with age. (3) Correlation coefficients showed that the ANB angle and the Wits appraisal are significantly correlated but the r-values are relatively low. These findings explain the discrepancies that are present in some cases between the measured values of the ANB angle and the clinical judgment of the orthodontist. For a more accurate diagnosis of the anteroposterior apical base relationship, both the ANB angle and Wits appraisal should be used. PMID- 6576638 TI - Characteristics of craniofacial structures of parents of children with cleft lip and/or palate. AB - We looked for possible differences in craniofacial morphology between parents of children with celft lip (CL) and/or cleft palate (CP) and normal controls. Fifty measurements were obtained from lateral and frontal roentgenographic cephalograms of these subjects. The means of all measurements were tested for significant statistical differences, and a discriminant analysis was carried out to distinguish the craniofacial structures in the experimental subjects from those in the controls. Facial shape of parents of children with CL and/or CP differed from that of control subjects. Shorter height and greater width in the upper face were the main characteristics of facial shape of parents of CL and/or CP children. Craniofacial morphology was considered to be related to susceptibility to these facial deformities. PMID- 6576639 TI - Ectopic eruption of the maxillary first permanent molar: etiologic factors. AB - For clinical handling, it is important to determine whether any etiologic factors, alone or in combination, are of more importance than others in causing ectopic eruption of a maxillary first permanent molar. Etiologic factors involved in ectopic eruption of maxillary first permanent molars were investigated in 129 children with a mean age of 8.6 years. Ninety-two children (fifty-eight boys and thirty-four girls) had ectopic eruption and thirty-seven children served as controls and were matched by age and sex. Two types of ectopic eruption could be distinguished: a reversible type in which the permanent molar frees itself and an irreversible type in which the permanent molar remains in a locked position. Measurements were made on lateral head films, orthopantomograms, and dental casts. For 104 subjects all variables could be measured. Data was analyzed by discriminant analysis. Children with irreversible ectopic eruption had significantly larger permanent molars and a more pronounced mesial angle of eruption. A tendency toward a shorter maxilla was also found. No significant difference was found between sides with reversible ectopic eruption and sides with normal eruption. From the discriminant analysis between groups and all variables investigated, 90.7 percent of the cases could be correctly classified into groups. This study indicates that sufficient space may be gained for the premolars if the mesial tipping of the first molar is corrected, despite the tendency toward a shorter maxilla and larger than normal permanent molars. PMID- 6576640 TI - In vitro release of nickel and chromium from simulated orthodontic appliances. AB - The purpose of this experiment was to measure the amounts of nickel and chromium released from a simulated orthodontic appliance incubated in 0.05 percent sodium chloride solution. The average release of metals was 40 micrograms nickel and 36 micrograms chromium per day for a full-mouth appliance. This was well below the average dietary intake of nickel and chromium consumed by Americans. However, the clinician should be aware that release of nickel and chromium from orthodontic bands might sensitize patients to nickel and chromium and may cause hypersensitivity reactions in patients with a prior history of hypersensitivity of these metals. PMID- 6576641 TI - The growth of the first cervical vertebra in the rat. AB - With the help of in vivo marking with alizarin red S, the patterns of growth of the first cervical vertebra are demonstrated. Major parts of the developmental events which take place during growth (differential bone formation on the bone ends facing the synchondroses, closure of the dorsal synchondrosis at 14 days, closure of the ventral synchondroses at 35 to 40 days) may be explained by the influence that a capsular matrix exerts on its protecting and supporting skeletal unit. A demonstrated continued increase of the dorsoventral diameter of the bone is suggested to be an adjustive growth process related to the translative movements of foramen magnum, a topic that has been poorly understood and incompletely investigated. PMID- 6576643 TI - Surgical mandibular advancement and stability. PMID- 6576642 TI - Occurrence of oxytalan fibers in the temporomandibular joint of the rat. AB - It is known that, in addition to their presence in the periodontal ligament, the existence of oxytalan fibers can be shown in other tissue structures as well. No unanimous opinion concerning the function of these fibers can be found in the literature. Pre-elastic fibers are also stained when one tries to demonstrate oxytalan fibers according to Fullmer's technique; confusion has to be eliminated. In the first instance, in our experiments we could observe the presence of oxytalan fibers within the temporomandibular joints of Wistar rats. Next the reaction of these fibers was studied under experimental circumstances by carefully removing all molar crowns; as a consequence, more stress to the joint was induced. By sectioning the mandibular joint and adnexa in the vertical and sagittal plane, we obtained a three-dimensional image. The sections were also stained according to a modified staining method of Fullmer and the elastin staining technique of Gieson/Hart. The molar crowns of ten rats at the age of 2 months and ten rats aged 4 months were removed. The control animals matched the experimental rats in number and age. After 1 month all rats were decapitated. In the nearly cell-free central zone of the articular disk, where, under normal and experimental circumstances, only very few elastic fibers can be found, the number of oxytalan fibers in the experimental animals increased 40 percent with respect to the controls. These findings suggest that the augmented number of the involved fibers functions as a kind of resistance against distortion. PMID- 6576644 TI - Function regulator of Frankel. PMID- 6576645 TI - Maximum forces and deflections from orthodontic appliances. AB - The maximum bending moment of an orthodontic wire is an important parameter in the design and use of an orthodontic appliance. It is the wire property that determines how much force an appliance can deliver. A bending test which allows direct measurement of the maximum bending moment was developed. Data produced from this test are independent of wire length and configuration. The maximum bending moment, percent recovery, and maximum springback were determined for round and rectangular cross sections of stainless steel, nickel-titanium, and beta-titanium wires. The data suggest the need for more specifically defining maximum moment and maximum springback. Three maximum bending moments are described: Me, My, and Mult. My and Mult are clinically the most significant. Appliances that are required to have no permanent deformation must operate below My. Appliances that exhibit marked permanent deformation may be used in some applications and, if so, higher bending moments can be produced. In order of magnitude, the maximum bending moment at yield is largest in stainless steel, beta-titanium, and nickel-titanium for a given cross section. Nickel-titanium and beta-titanium have significantly larger springback than stainless steel determined at the moment at yield. Nickel-titanium did not follow the theoretical ratio between ultimate bending moment and the bending moment at yield, exhibiting a very large ratio. The study supports the hypothesis that most orthodontic appliances are activated in a range where both plastic and elastic behavior occurs; therefore, the use of yield strengths for calculation of force magnitude can lead to a significant error in predicting the forces delivered. PMID- 6576646 TI - Loiasis in an American naturalist. AB - In March 1981, a 32-year-old male naturalist involved with collecting mammals for study was found to have an unexpected eosinophilia. Serum parasitic screening done at the Centers for Disease Control showed filarial titer by indirect hemagglutination of 1:1,024 and of 1:40 by bentonite flocculation. His travel history disclosed 3 months spent in Cameroon in 1978. He also gave a history of intermittent arm swelling for at least a year. Peripheral blood, collected repeatedly at mid-day and midnight and tested for microfilariae by the Knott technique, was negative. He was begun empirically on diethylcarbamazine, and on day 11 of treatment he removed a worm, identified as a male Loa loa, from his leg. He completed treatment without difficulty and has done well. PMID- 6576647 TI - Inhalational anaesthesia in developing countries. Part I. The problems and a proposed solution. AB - We have examined the requirements for inhalational anaesthesia in the developing countries with particular reference to the problems posed by difficulties in the supply of compressed gases. A scheme is proposed to circumvent these difficulties without loss of the quality of anaesthesia other than foregoing the use of nitrous oxide. PMID- 6576649 TI - Test for a leak in the anesthesia circle. PMID- 6576648 TI - Inhalational anaesthesia in developing countries. Part II. Review of existing apparatus. AB - We have reviewed the availability of apparatus which permits the maximum use to be made of available supplies and services in developing countries. In particular we have stressed the use of electrically operated air compressors and oxygen concentrators to drive sophisticated anaesthetic apparatus which is not dependent on supplies of compressed gases in cylinders. PMID- 6576650 TI - Treatment effects of Frankel, activator and extraoral traction appliances. AB - The effects of the Frankel appliance on the treatment of Class II, Division 1 malocclusion were compared with the activator, high-pull headgear, cervical traction and a control group. A sample of 16 Frankel cases treated in the mixed dentition was tested in four craniofacial areas, with findings as follows: a. Maxillae, no significant horizontal effect b. Mandibular length, significantly increased c. Lower face height, widely variable effects. d. Less upper molar eruption and more lower molar eruption. Although the findings of this study should be interpreted as tentative, they do show the Frankel appliance to have some different mean effects on the craniofacial complex. Variability is a most important aspect of the findings of this study. Future studies must deal not only with mean changes, but with the Frankel appliance's variable effects on differential individuals. Optimal application of this appliance requires judgment in case selection and careful analysis of progress, using adequate follow-up records and a firm knowledge of normal growth and development of the craniofacial complex. PMID- 6576651 TI - An evaluation of functional occlusal interferences in orthodontically treated and untreated subjects. AB - Centric occlusion-generated functional bite registrations failed to show a difference in the number, location or severity of nonworking (balancing) or protrusive functional occlusion contacts between 49 post-orthodontically treated subjects and 27 non-orthodontically treated subjects with ideal static occlusion. Nonworking (balancing) side functional occlusion contacts were present in 85% of the non-orthodontic subjects and 97% of the post-orthodontic subjects. At least within the parameters of this investigation, the lateral and protrusive occlusions of post-orthodontic subjects and comparable non-orthodontic subjects were equivalent. It is important to note that this is a study of incidence. It does not address the meaning or importance of such contacts. PMID- 6576652 TI - Mandibular growth, condyle position and Frankel appliance therapy. AB - A statistical evaluation of condyle position and mandibular length changes in 10 patients after one year of Frankel appliance therapy, finding the condyle forward on the eminence in 4 of them. Large variations were found in mandibular growth, with no significant difference from the means of patients treated with the Edgewise appliance. PMID- 6576653 TI - Cuspid transposition and treatment timing. Case report. AB - An example of early treatment where timing is crucial to accomplishing the greatest possible dental health benefit, with the added bonus of minimizing mechanical therapy. PMID- 6576654 TI - Disclusion in mandibular protrusion. PMID- 6576655 TI - Artifacts due to movement in rotational panoramic radiography. AB - Image quality due to movement of the patient during the exposure is a common problem in conventional radiography. The resulting artifacts in the image are characteristic and easily identifiable blurring. The unique mechanics of image production and the prolonged exposure time used in rotational panoramic radiography can cause very different disturbances in the diagnostic image. The illustrations presented here are extreme examples of such artifacts, selected for clear illustration in a printed image. The challenge to the clinician is to identify the full spectrum of such distortions, from the obvious ones to the much more subtle effects of similar minor distortions that may not be so easily recognized as artifacts. PMID- 6576656 TI - Names and other symbols. PMID- 6576657 TI - Lower third molar development in relation to skeletal maturity and chronological age. AB - The development of lower third molar anlage was investigated longitudinally and related to chronological age and to skeletal maturation stage as judged by the mineralization of epiphyses in the hand. Strong correlations were found between lower third molar development and both skeletal maturation and chronological age. These results indicate that lower third molar development on the whole seems to be correlated with skeletal maturation. One or two lower third molars were found to be missing in 11% of the subjects. PMID- 6576658 TI - Prostaglandins in the pathogenesis of food intolerance. AB - Prostaglandins appear to have cytoprotective effects in the upper bowel and are released in increased amounts in patients with abnormal peristalsis and diarrhea. Drugs which interfere with prostaglandin (PG) synthesis often prevent the symptoms of food intolerance and have been reported as improving food-related symptoms in the irritable bowel syndrome. PMID- 6576659 TI - Systolic time interval recordings in rabbits with congestive cardiomyopathy induced by chronic anthracycline administration. AB - Systolic time interval recordings were performed serially on 104 healthy female New Zealand White rabbits and 51 rabbits with congestive heart failure (CHF) induced by chronic anthracycline drug therapy. The results were analyzed and the comparisons were made with studies of systolic time interval recordings of CHF in persons. In the rabbit, CHF is manifested by prolongation of the isovolumic contraction time, the preejection period (PEP), and by shortening of the left ventricular ejection time (LVET). The ratio of PEP/LVET was a sensitive indicator of left ventricular failure, with values in excess of 0.466 reflecting significant cardiac dysfunction at the 95% confidence level. The mean PEP/LVET = 0.337 +/- 0.66 in healthy rabbits and PEP/LVET = 0.502 +/- 0.075 in rabbits with CHF. The PEP index increased from 0.057 +/- 0.007 in healthy rabbits to 0.074 +/- 0.007 in rabbits with heart failure. The LVET index decreased from 0.173 +/- 0.007 in healthy rabbits to 0.166 +/- 0.010 in rabbits with CHF. PMID- 6576661 TI - Health effects of ionizing radiation in the low-dose range. PMID- 6576660 TI - Human subjects regulations on the social sciences. PMID- 6576662 TI - Public health: priorities and policy setting in the real world. PMID- 6576663 TI - The role of animals in biomedical research. PMID- 6576664 TI - Animal welfare considerations in neuroscience research. PMID- 6576665 TI - Appropriate animal models. PMID- 6576666 TI - Nutrition and early development. PMID- 6576667 TI - Research animal care in canada: its control and regulation. PMID- 6576668 TI - Public opinion on animal-based research: the unknown factor in ethical and policy decisions. PMID- 6576669 TI - Beastly conduct: ethical issues in animal experimentation. PMID- 6576670 TI - Language, cognition, and awareness in animals? PMID- 6576671 TI - Mandatory versus voluntary regulation of biomedical research. PMID- 6576672 TI - Statistical strategies for animal conservation. PMID- 6576673 TI - Animal experiment: British and European legislation and practice. PMID- 6576674 TI - The use of short term in vitro and submammalian tests as alternatives to large scale animal bioassays. PMID- 6576675 TI - Developing alternative assay systems for toxicity testing. PMID- 6576676 TI - Cellular systems for toxicity testing. PMID- 6576677 TI - Cytogenetic methods for detecting effects of chemical mutagens. PMID- 6576678 TI - Effects of tumor promoters. PMID- 6576679 TI - Bacterial-mammalian mutagenesis correlations: mechanistic significance for carcinogenesis. AB - Chemicals evaluated for their carcinogenic potential in the IARC Monographs (Supplement 4 to volumes 1-29)2 are used to compare their response in bacterial and mammalian cell mutagenicity assays in vitro. Simultaneous positive and negative test results in both systems showed a high degree of parallelism. Several carcinogens active in animals/humans, however, were not detected in either assay. The possibility of a quantitative extrapolation of bacterial mutagenesis data to processes occurring in intact mammals was further examined. Published covalent binding indices in rat liver DNA for 36 compounds were found to be correlated with their mutagenic effects in the Salmonella/liver-microsome test; several compounds deviated from this proportionality. The quantitative relationship between carcinogenicity in rodents (TD50) and mutagenicity was examined, using 10 alkylating agents. Mutagenicity in S. typhimurium TA100 strain (plate and liquid assays) showed no correlation with carcinogenic potency. However, there was a positive relationship between TD50 values and the initial ratio of N-7-alkyl/O6-alkyl guanine formed (predicted) after reaction with double stranded DNA in vitro. PMID- 6576680 TI - Relevancy issues. PMID- 6576681 TI - An overview of genetic toxicity testing in the National Toxicology Program. PMID- 6576682 TI - Impact of short-term tests on regulatory action. PMID- 6576683 TI - Short-term tests in the framework of carcinogen risk assessment to man. AB - Short-term tests designed to detect possible carcinogenicity have been extensively refined during the last years. Presently, many more or less simple and convenient systems are available to detect mutations, chromosome effects, DNA damage, and malignant transformation. Although their relevance to carcinogenicity is often reasonably good, inconsistencies in the pattern of response indicate that their role as predictive indicators of carcinogenicity is still uncertain. The use of short-term tests in carcinogen risk assessment does seem feasible. These tests, however, should not be the only characteristic taken into consideration in such a risk assessment. Other characteristics such as chemical structure, biotransformation, and pharmacokinetics, qualitative and quantitative physiological and/or morphological effects, species, strain, and organ specificity, dose-response relation, and information on human studies, if available, are of importance too. Current knowledge does not permit a rigid classification of carcinogens, but does warrant a subclassification into genotoxic and nongenotoxic compounds. Whereas for genotoxic compounds a real threshold cannot be expected on a theoretical basis, the existence of a threshold may well be expected for nongenotoxic compounds. In conjunction with other characteristics it may then be decided whether a genotoxic or nongenotoxic compound may be or may not be permitted in the human environment. In this evaluation process it is anticipated that for genotoxic compounds other extrapolation systems should be used, as compared to nongenotoxic compounds, where in fact a conventional food toxicology safety factor may be applied. Short term tests are very important in the subclassification with respect to genotoxicity and seem to be of value for the detection of promoter activity as well. PMID- 6576684 TI - Biological actions and medical applications of dimethyl sulfoxide. PMID- 6576685 TI - The protective effect of dimethyl sulfoxide in experimental ischemia of the intestine. AB - Experiments with two models of intestinal ischemia were performed in order to examine the protective effect of dimethyl sulfoxide (DMSO). Segmental ischemia of the small intestine for 150 minutes caused necrosis of the affected bowel in 90% of the animals. Intravenous administration of DMSO or impregnation of the peritoneum with this substance prevented the development of gangrene in 28 of 29 rats. 30 or 60 minutes of complete ischemia of the small intestine, produced by clamping of the superior mesenteric artery, resulted in partial or complete necrosis of bowel segments with a high incidence of perforation and peritonitis and a high mortality rate within the first 24 hours. Intravenous DMSO, given upon declamping of the artery, effectively protected the bowel from the ischemic damage. There were no deaths among DMSO-treated animals and at 24 h there was no evidence of ischemic damage to the intestine. Though the exact mechanism of action of DMSO is unknown, the results of these and other experiments may warrant clinical trials especially in cases of mesenteric thrombosis. PMID- 6576686 TI - The role of topical dimethyl sulfoxide in burn wound infection: evaluation in the rat. AB - The results of this study indicated that there were no statistically significant differences between the effectiveness of 1% silver sulfadiazine in DMSO and 1% silver sulfadiazine in a hydrophilic base (Silvadene), when these formulations were used as antimicrobials applied topically to thermal burn wounds. The antimicrobial efficacy of silver sulfadiazine was not destroyed by mixing this agent with DMSO, since the recovery of Pseudomonas aeruginosa was significantly lower in all animals treated with silver sulfadiazine, whatever the formulation, when compared to animals not treated with silver sulfadiazine. Further studies with higher concentrations of silver sulfadiazine in DMSO may be useful. Although the concept of DMSO as a medicinal "carrier" is not novel, with further investigation, it may prove to be germane in the treatment of eschar-covered thermal burns. PMID- 6576687 TI - Effect of dimethyl sulfoxide on the bactericidal function of polymorphonuclear leukocytes. PMID- 6576688 TI - The effect of percutaneous dimethyl sulfoxide on cutaneous manifestations of systemic sclerosis. AB - DMSO exerts a palliative, therapeutic effect on healing of cutaneous ulcers in systemic sclerosis. The therapeutic response was variable and, therefore, the concentration of DMSO, as well as frequency and duration of treatments, should be individualized to obtain maximum healing effect with a minimum of adverse reactions. There was no evidence of ocular toxicity or other serious toxicity manifestations in this group of patients treated with topical DMSO for one year or longer. Delayed improvement was observed in the untreated extremity in the majority of patients studied. In no instance did improvement in the untreated extremities exceed improvement in the treated, bilateral counterpart. It is believed this resulted from a systemic, carry-over effect of DMSO rather than spontaneous improvement in the disease course. DMSO is a worthwhile, supplemental, therapeutic agent providing the limitations of therapy are understood. PMID- 6576689 TI - Dimethyl sulfoxide in acute ischemia of the kidney. AB - Renal ischemia was produced in rats by clamping of the renal artery for 1 h. Upon termination of the ischemic period a 20% solution of DMSO (5 g kg-1 b.w.) was given intravenously to 33 rats. Eighteen control animals received normal saline. All DMSO-treated animals survived while all control animals died within the subsequent seven days. At 24 h following the experiment, the mean blood urea of the control rats was 254 mg/100 ml and the mean plasma creatinine 7.2 mg/100 ml. By contrast, the DMSO-treated rats had a mean blood urea of 69 mg/100 ml and plasma creatinine of 1.6 mg/100 ml. In 17 animals the kidney was perfused with DMSO prior to the closure of the renal artery. All these rats survived the procedure and showed near normal kidney function at 24 h. The renal artery was clamped for 60 min in ten dogs. Five dogs received DMSO (3 g kg-1 b.w.) and the other five received an equivalent dose of normal saline. Three weeks later a contralateral nephrectomy was performed. Renal function was normal in the DMSO treated dogs. One control dog died of uremia, in the remaining four a transient renal failure was observed. These experiments in two different animals highlight the protective effect of DMSO on the ischemic kidney when the drug is administered after the ischemic period. PMID- 6576690 TI - Dimethyl sulfoxide prevents hydroxyl radical-mediated depolymerization of hyaluronic acid. PMID- 6576691 TI - Mechanisms of the synergistic effect of oral dimethyl sulfoxide on antineoplastic therapy. AB - The purpose of this study was to determine whether dimethyl sulfoxide (DMSO) when administered in conjunction with antitumor drugs would potentiate their activity against a rodent tumor. Twelve compounds of diverse modes of action were examined using standard protocols of the National Cancer Institute. Median survival time and median tumor diameter were the parameters used for determining any synergistic effects of DMSO when it was ingested in the drinking water and the drug administered parenterally. The continuous ingestion of DMSO alone mixed in drinking water at concentrations between 0.25-32% was not toxic and had no effect on the tumor. Although the intraperitoneal inoculation of drugs into animals ingesting DMSO did not enhance drug effectiveness, when both DMSO and drug were added to the drinking water, it did increase antineoplastic potency. DMSO ingestion also inhibited the tumor growth rate of several parenterally administered drugs even though these same compounds failed to prolong the survival time of tumor-bearing rats. The toxicity of 12 compounds when combined with DMSO was only moderately increased in four instances. Orally ingested DMSO was found to cause a twofold increase in the concentration of labeled CPA in plasma, brain, and liver tissues. This elevation persisted for approximately two to three hours but subsequently returned to the same level as that observed in water-fed rodents. The DMSO-enhancement of tissue levels coupled with a more rapid drug rate clearance offers one explanation for the therapeutic benefit noted when oral DMSO was administered concomitantly with CPA. PMID- 6576692 TI - Platelet cryopreservation using dimethyl sulfoxide. PMID- 6576693 TI - Comparison of the analgesic effects of dimethyl sulfoxide and morphine. PMID- 6576694 TI - Combined pharmacologic and surgical treatments for acute spinal cord trauma. PMID- 6576695 TI - Ultrastructural studies of rat fasciculi gracilis unmyelinated fibers after contusion and DMSO treatment. PMID- 6576696 TI - Spinal cord transection in rats: the therapeutic effects of dimethyl sulfoxide and hyperbaric oxygen. PMID- 6576697 TI - Antiplatelet effect of dimethyl sulfoxide, barbiturates, and methyl prednisolone. PMID- 6576698 TI - Dimethyl sulfoxide therapy following penetrating brain injury. PMID- 6576699 TI - Dimethyl sulfoxide in brain edema and intracranial pressure. PMID- 6576700 TI - Ineffectiveness of DMSO in treating experimental brain ischemia. AB - A beneficial effect of dimethyl sulfoxide (DMSO) in the treatment of acute focal cerebral ischemia has not been proven. In the present study, two established experimental models of acute focal cerebral ischemia were treated with DMSO. Twenty adult cats lightly anesthetized with ketamine hydrochloride underwent right middle cerebral artery (MCA) occlusion for 6 hours. Ten cats were not treated and 10 cats received DMSO (2.5 g/kg i.v.) immediately after occlusion. No improvement of EEG findings, erythrocyte transit, regional cerebral blood flow (rCBF), blood-brain barrier permeability, or morphological findings were demonstrated in the DMSO-treated cats. In a second study, 15 conscious adult baboons underwent temporary left MCA occlusion (6 or 12 hours) using an implanted occluding device. Seven baboons were not treated and 8 baboons received continuous intravenous infusions of DMSO for 10 hours beginning 30 minutes after occlusion. Four of the baboons that were treated with DMSO also were treated with pentobarbital coma for 96 hours starting 4 hours after occlusion. Analysis of the neurological scores after 1 week survival indicated that treatment with DMSO alone and DMSO and pentobarbital coma did not improve the outcome. Morphological changes were similar in the 3 groups. The findings of our investigation indicate that DMSO is ineffective in treating acute focal cerebral ischemia. PMID- 6576701 TI - Treatment of cerebral infarction with dimethyl sulfoxide in the mongolian gerbil. AB - Dimethyl sulfoxide (DMSO) has been reported to have beneficial effects in the treatment of central nervous system trauma, possibly due to its reported anti inflammatory, antiedemic, anticoagulate, diuretic, hypothermic, vasodilatory, and respiratory stimulatory effects as well as an ability to correct membrane instability and penetrate the blood-brain barrier. In this paper we discussed these properties, and how they may be of benefit in ischemic cerebral infarction and elevated intracranial pressure. We also described a study we performed to determine if treatment with DMSO would decrease the morbidity and mortality from experimental cerebral infarction. PMID- 6576702 TI - Dimethyl sulfoxide as a vehicle for topical antiviral chemotherapy. PMID- 6576703 TI - Treatment of elevated intracranial pressure with dimethyl sulfoxide. PMID- 6576704 TI - Control trials of dimethyl sulfoxide in rheumatoid and collagen diseases. PMID- 6576705 TI - Effect of dimethyl sulfoxide on chemotaxis of phagocytic cells. PMID- 6576706 TI - The effect of dimethyl sulfoxide on endotoxin-induced pulmonary dysfunction: a biochemical and electron microscope study. PMID- 6576707 TI - Comparison of dimethyl sulfoxide levels in whole blood and serum using an autosampler-equipped gas chromatograph. PMID- 6576708 TI - Cell-cycle related events in the dimethyl sulfoxide-induced commitment of hepatic tumor cells to enhanced liver function. PMID- 6576709 TI - Suppression of atherosclerosis in cholesterolemic rabbits by dimethyl sulfoxide. PMID- 6576710 TI - The effect of topical dimethyl sulfoxide on clotting activity in the Sprague Dawley rat. PMID- 6576711 TI - Dimethyl sulfoxide--a safe drug solvent for in vitro screening against cestode parasite. PMID- 6576712 TI - Dimethyl sulfoxide inhibits platelet aggregation in partially obstructed canine coronary vessels. PMID- 6576713 TI - Improvement in somatosensory evoked response amplitude and neurologic function following DMSO in a cat model of chronic spinal cord compression. PMID- 6576714 TI - Effect of dimethyl sulfoxide on precipitability of Bence Jones proteins and their conversion to amyloid fibrils. PMID- 6576715 TI - Dimethyl sulfoxide alteration of collagen. AB - In vitro incubation of human scar in our laboratory with 99% DMSO demonstrated, by electron microscopy, the disruption of the collagen fibers. This may prove to be a useful preparatory step for selective enzymatic assault upon exuberant or undesirable scar tissue in the clinical setting. Further study of this concept is planned. PMID- 6576716 TI - Dimethyl sulfoxide and the calcium paradox. PMID- 6576717 TI - DMSO-cytostatic complexes: selective cancer chemotherapy. PMID- 6576718 TI - Immunologic defense mechanisms in DMSO-treated Balb/c mice: immunologic memory and natural killer cell activity. PMID- 6576719 TI - Dimethyl sulfoxide inhibits metabolic activation of sulindac. PMID- 6576720 TI - The effect of dimethyl sulfoxide on the membrane dynamics and the phospholipid composition of two different cell lines. PMID- 6576721 TI - Structural basis for biological activities of dimethyl sulfoxide. PMID- 6576722 TI - Studies on biological actions of dimethyl sulfoxide in familial amyloidosis. AB - DMSO was therapeutically administered to patients with FAP and in about half of the patients there was some clinical improvement. Urinary proteins were analyzed biochemically and immunochemically before and after DMSO administration in seven cases of amyloidosis. As the results, increased excretion of various proteins of different molecular weights in the urine was observed depending on cases and examined organs. The in vitro effects of DMSO on amyloid proteins were examined. DMSO-degraded amyloid proteins showed void-volume materials and lower molecular weight components on Sephadex G column elution profiles as did guanidine-degraded amyloid protein. Among various denaturating or reducing agents, DMSO is the least potent in dissolving amyloid fibrils into prealbumin-related proteins. PMID- 6576723 TI - Toxicologic update of dimethyl sulfoxide. PMID- 6576724 TI - Effects of dimethyl sulfoxide and acupuncture on the cardiovascular system of dogs. AB - The intravenous administration of dimethyl sulfoxide (100 mg/kg) resulted in a significant increase in cardiac output, stroke volume, central venous pressure, and a significant decrease in heart rate. Acupuncture by electrocautery at Jen Chung (Go-26) produced a significant increase in cardiac output, stroke volume, heart rate, mean arterial pressure, and pulse pressure and a significant decrease in total peripheral resistance in dogs under 0.75% halothane anesthesia. Both DMSO and acupuncture elicit an analgesic effect and enhance cardiovascular function as exemplified by an increase in the cardiac output. PMID- 6576725 TI - Acute cardiovascular effects of dimethyl sulfoxide. PMID- 6576726 TI - Absence of functional messenger RNA for glycogen phosphorylase in the muscle of two patients with McArdle's disease. AB - (1) Two unrelated cases of McArdle's disease (glycogen storage disease type V, deficiency in muscle-type glycogen phosphorylase, EC.2.4.1.1) with no detectable inactive protein, and two heterozygous relatives of one patient, have been investigated for the presence or absence of functional messenger RNA. Methods were developed and scaled down to be compatible with clinical-size biopsies. (2) Total muscle RNA was prepared and translated in a rabbit reticulocyte cell-free system. Neosynthesized products were isolated by immunoaffinity microchromatography. Phosphorylase was compared with control enzymes neosynthesized and purified under the same conditions. (3) No functional mRNA for phosphorylase could be detected in the muscles of the two patients. A decreased amount of messenger for phosphorylase, compared with the control enzymes, was found in the muscles of the two heterozygotes. (4) Exploration of functional messenger RNA in clinical enzymopathies should be readily adaptable to a number of enzymatic diseases. PMID- 6576727 TI - Monoclonal antibodies to human melanoma associated antigens: study of their specificity and visualization at the cellular level of the antigenic distribution. AB - Six monoclonal antibodies(Mabs) including 4 anti-melanoma, one anti-glioma, and one anti-HLA-DR have been tested in a 125I-protein A antibody binding assay using a panel of 34 different cell lines. This panel included 19 melanomas from different clinical and geographical origins, 10 fibroblast lines out of which 9 were established from melanoma patients, 2 glial cell lines, 1 osteosarcoma, 1 teratocarcinoma, and 1 murine melanoma. The reactivity pattern of the 4 anti melanoma Mabs showed that they were not directed against antigens strictly restricted to melanoma, but rather against antigenic structures preferentially expressed on melanoma cells. These Mabs were found to crossreact with gliomas, thus they seem to recognize neuroectoderm associated differentiation antigens. The high crossreactivity of the anti-glioma Mab for melanoma was confirmed in this study. As expected from the literature, HLA-DR antigens were found to be expressed on more than 50% of the melanoma lines tested. The cellular distribution of the antigens recognized by two anti-melanoma Mabs on melanoma cells could be visualized by an autoradiographic procedure. From the labeling pattern it was concluded that only a proportion of the cells, varying from 13 to 38%, expressed the relevant antigen. PMID- 6576728 TI - Modifying the biological response to acute myeloid leukemia I. BCG, allogeneic leukemic cells and spontaneous cytotoxicity. AB - The natural killer activity was measured in lymphocytes from 21 healthy controls and 18 patients with acute myeloid leukemia in complete remission. Seven patients were treated with chemotherapy alone and 11 were given chemoimmunotherapy. Immunotherapy consisted of BCG and allogeneic, viable leukemic cells. The NK activity was found to be significantly lower (p less than 0.01) in the chemotherapy group than in the controls. In the chemoimmunotherapy group a normal NK activity was maintained. PMID- 6576729 TI - [Early phase II study of PL-AC [N4-palmitoyl-(1-beta-D-arabinofuranosyl) cytosine] on hematopoietic malignancies]. AB - Twenty-one patients with hematopoietic malignancies including 6 previously untreated, 9 pretreated, and in relapse, 5 in complete remission and one in partial remission all were treated with PL-AC. The patients consisted of 12 acute myelocytic leukemias, 4 acute monocytic leukemias, 2 acute lymphocytic leukemias, one erythroleukemia, one malignant lymphoma and one chronic monocytic leukemia. PL-AC was given orally at a dosage of 50-1200 mg daily. Mean total dosage was 4.74 g (0.6-15.25), and the mean administration period was 3.43 days (1-122). days Responses were observed in 4 out of 9 pretreated patients by a decrease of blast cells in the peripheral blood. Partial remission was obtained in one case which lasted 8 months. Out of 5 previously untreated acute leukemias, one partial remission and 4 hematological responses were observed. The plasma concentration of Ara-C was maximal at 3 hours and was not detectable after 12 hours. Side effects observed were nausea in 5 patients vomiting in one patient and liver dysfunction in one patient. These side effects however were not so severe as to stop drug administration. PL-AC may be administered in doses ranged 150-250 mg for 2-3 weeks without any severe side effects, and with some clinical effects. PMID- 6576731 TI - [Experimental and clinical effect of hypertransfusion and OK-432 on granulocyte recovery]. AB - The experimental and clinical studies were carried out to alleviate the bone marrow suppression by antineoplastic drugs. Faster recovery of granulopoiesis was observed by pretreating recipients with RBC hypertransfusion and/or OK-432 (Picibanil, biological products of beta-streptococci.) In experimental mice, higher granulocyte counts could be maintained with hypertransfusion in the peripheral blood, and the recovery of granulopoietic series and CFU-S of bone marrow cells were found to be more rapid after cyclophosphamide administration. OK-432 also resulted in higher peripheral granulocyte, whereas the total nucleated cell counts and CFU-S were decreased in the bone marrow, suggesting sparing bone marrow granulocyte reserve and its migration to the peripheral blood. The mechanism of higher granulocyte count after hypertransfusion was not clearly explained but it was considered that erythroid suppression caused colateral flow of multipotential stem cells to granulopoiesis. The effect of both combinations was unexpectedly less significant in the recovery of granulopoiesis, but it was thought that the optimal time interval should be sought between pretreatment and the administration of anti-neoplastic agents. The clinical use of hyper transfusion and OK-432 also proved the alleviation of granulocytopenia, and rapid granulocyte recovery at the time of consolidation therapy among children with AML. PMID- 6576730 TI - [VP 16-213 in the treatment of acute leukemia in childhood]. AB - Effectiveness and side effects of VP 16-213, a semi-synthetic podophyllotoxin, on acute leukemia and histiocytic medullary reticulosis in childhood was tested. Four cases of refractory acute lymphocytic leukemia, five of acute non lymphocytic leukemia-one induction failure and 4 in remission--and a case of histiocytic medullary reticulosis were treated with a combination of VP 16-213 (Days 1-5), cytosine arabinoside (Days 1-5) and adriamycin (Day 6). None of the acute lymphocytic leukemia patients yielded a complete response; however, one of them later attained a partial response with modified intermittent administration of VP 16-213 and cytosine arabinoside. A patient with acute non-lymphocytic leukemia who had failed to attain initial remission, achieved a complete response after the second course of the treatment with increased dosages. In the four acute non-lymphocytic leukemia patients in remission, complete remission was maintained more than 4 a months. A case of histiocytic medullary reticulosis demonstrated partial response. The major toxic effects produced by this regimen were marked pancytopenia and vomiting. VP 16-213 appears to be effective for myelocytic and monocytic malignancies in childhood. PMID- 6576732 TI - [Primary immunologic deficiencies and cancer. 5 anatomo-clinical case reports]. AB - Five patients with primary immunodeficiency and cancer are presented. Two children with ataxia-telangiectasia developed acute lymphoblastic leukemia and malignant lymphoma of B-like origin with chromosome damage and unusual prevalence of antibodies to E.B.V. early antigen. A bone sarcoma occurred in a patient with common variable hypogammaglobulinemia. At least two infants who died with severe combined immunodeficiency had at autopsy congenital myelomonocytic leukemia and malignant lymphoma. These cases indicate the high risk for development of cancer in patients with primary abnormalities of the immune system and suggest the heterogeneity and complexity of pathogenic mechanisms. PMID- 6576733 TI - A comparative histological study of wound healing following CO2 laser and conventional surgical excision of canine buccal mucosa. AB - The histological changes following removal of 2 cm discs of buccal mucosa by CO2 laser and conventional surgery were studied over a period of 42 days. The laser wound differed from the conventional wound: there was minimal damage to the adjacent tissue; initially a coagulum of denatured protein formed on the surface; the inflammatory reaction was less; fewer myofibroblasts were present and there was little wound contraction; less collagen was formed and epithelial regeneration was delayed and more irregular. PMID- 6576734 TI - Masseter muscle fatigue in man objectively quantified by analysis of myoelectric signals. AB - Localized muscle fatigue in the masseter muscle was studied with a method based on power spectrum analysis of myoelectric signals. Under the influence of fatiguing contractions, a gradual shift of the spectral curve occurred; the rate of change was taken as a measure of the development of fatigue. The fatigue was dependent on the bite force. The existence of a threshold value of force, below which significant myoelectric fatigue changes do not develop, was shown. PMID- 6576735 TI - Branched-chain amino acid aminotransferase in submandibular gland of the rat. AB - Crude extracts from submandibular glands of the rat, rabbit, guinea pig and macaque monkey contained high activities of branched-chain amino acid aminotransferase comparable to those from the heart and kidney. In each species, the isoelectric point and relative elution volume on Sephacryl of the aminotransferase from the submandibular gland had the same values as the heart enzyme. The enzyme of rat submandibular gland was partially purified; the properties of the purified enzyme suggest that it is the same type as that from the heart. PMID- 6576736 TI - The relationship between sarcomere length and activation pattern in the rabbit masseter muscle. AB - The sarcomere lengths of muscle fibres in 12 locations of the masseter were determined for 7 mandibular positions characteristic of jaw excursions during normal chewing and biting. In symmetric jaw postures, the superficial masseter had relatively long and the deep masseter short sarcomeres. Sarcomere length changes due to jaw opening could be predicted by a geometric model that included degree of gape, initial sarcomere length, orientation of fibre bundle relative to hinge axis and ratio of fibre to muscle (origin/insertion) length as parameters. Lateral deviations of the jaw caused lengthening of ipsilateral and shortening of contralateral fibres in the superficial masseter. The reverse length changes occurred in the deep masseters. The contraction pattern of the masseter was different from region to region and there was a correlation between timing of activity and timing of sarcomere shortening. Muscle fibres became active at sarcomere lengths of 2.5-2.8 micron, reached peak electromyograms at 2.2-2.5 micron and stopped firing at 2.2-2.4 micron. Hence contraction occurred at sub optimal sarcomere lengths. By comparison with published length-tension diagrams, the isometric muscle force at molar occlusion was estimated to be 65 per cent of the force at optimum length. During initial jaw closing, the rate of shortening was high relative to the presumed maximum intrinsic speed of the muscle (13-19 micron/sarcomere/s). It was lower during loaded closing and the occlusal phase (3 7 micron/sarcomere/s). Hence during each firing period, initially a high speed of contraction at a low force developed and subsequently a near-isometric force at a low speed of contraction. PMID- 6576737 TI - Ammonia utilization by a proposed bacterial pathogen in human periodontal disease, Capnocytophaga ochracea. AB - Capnocytophaga ochracea strain 25 was originally isolated from a patient with severe juvenile periodontitis. An NAD-specific glutamate dehydrogenase (GDH) (EC 1.4.1.2.) was found in cell-free extracts from this organism. The NADH-dependent reductive, or ammonia-assimilating activity (NADH-GDH), of the enzyme was 8-10 fold higher than its NAD-dependent oxidative, or ammonia-releasing activity (NAD GDH), suggesting that the primary physiological role of the GDH is ammonia fixing. Capnocytophaga ochracea GDH was purified approximately 39-fold by a rapid, single-step purification procedure using DEAE-cellulose (DE52) ion exchange column chromatography which gave 90 per cent recovery of total enzyme units. Paper chromatography of an NADH-GDH assay mixture containing the partially purified enzyme showed that glutamate was, indeed, a product of the ammonia assimilating reaction. The pH optimum for the NAD-GDH reaction was 9.0; that for the NADH-GDH reaction was 7.5. Although a number of mono- and divalent cations were tested, none had a large effect on either NAD-GDH or NADH-GDH activity. The NAD-GDH reaction showed a hyperbolic kinetic response to glutamate and NAD and the Km values for glutamate and NAD were 2.44 and 0.083 mM respectively. The kinetic response of the NADH-GDH reaction to NADH, alpha-ketoglutarate and ammonium chloride also obeyed Michaelis-Menten kinetics and their respective Km values were 0.069, 1.44 and 3.33 mM. Of a number of biologically-active compounds tested for their ability to modulate GDH activity, only ADP and NAD exerted much effect. The NADH-GDH activity showed a negative hyperbolic kinetic response to both ADP and NAD and Dixon plot-analysis of the NAD and ADP saturation data gave Ki values for ADP and NAD of 4.0 and 0.46 mM respectively. Both NAD and ADP appeared to exert their negative effects on NADH-GDH activity by completely inhibiting the binding of the reduced coenzyme, NADH, to the enzyme. PMID- 6576738 TI - Bovine enamel hardness and its Ca-, P-, Mg- and F-contents modified by the bacterium Streptococcus mutans, artificial dental plaque and fluoride. AB - A layer of cells from buffered Strep. mutans suspension (pH 5.8), with or without sucrose, was centrifuged on bovine enamel surfaces. Fluoride was added to a part of the samples (final F 25 parts/10(6]. Control and test samples were incubated at 37 degrees C for 18 h. The pH of the fermenting plaque dropped to 4.15. When F was present, the final pH was 4.45. Microhardness of the enamel surface was reduced by the presence of sucrose but less in the presence of F. Enamel Ca was liberated during fermentation, but only into the fluid and less in the presence of F. The weight ratio of Ca and P released by sugar fermentation was 3.14 and 1.91 when F was present. The F content of enamel surface was only slightly increased (130 parts/10(6]by the F in distilled water alone. Subsurface enamel gained more F (280 parts/10(6]. When artificial plaque was present, addition of F increased the F content of enamel surface by 450 parts/10(6) and F of subsurface by 210 parts/10(6). The addition of F increased the enamel F content to the greatest extent under the fermenting plaque, 680 parts/10(6) in surface and 400 parts/10(6) in subsurface enamel, compared to the values of the enamel under non fermenting plaque. PMID- 6576739 TI - A histochemical study of the cholinergic and adrenergic innervation of the developing teeth and oral tissues in the mouse. AB - The dental follicle and papilla are innervated at different stages of tooth development. The type of nerves innervating these structures at different stages was investigated using an enzymic method for acetylcholinesterase (AChE) and direct visualization for noradrenaline on fetal and neonatal stages up to 7 days after birth. Glandular and muscular tissue were positive for AChE in 17-day fetuses but no reaction was observed in the teeth or supporting tissues up to 7 days after birth. Noradrenaline was detected in blood vessels at 18 days and in glandular tissue at birth but was not observed in the teeth within the period covered. It is unlikely that AChE plays any role in the innervation of teeth; the adrenergic nerve supply probably develops later. PMID- 6576740 TI - Analysis of human palatine salivary proteins by isoelectric focusing in agarose. AB - An electrophoretic method capable of analysing a small volume (5-10 microliter) of human palatine saliva without prior concentration was developed by combining the high resolution of isoelectric focusing in agarose with a highly sensitive silver protein staining method. Human palatine saliva exhibited 23 protein bands, those at pI 4.3-4.4, 4.7, 5.3 and 5.8 being major bands. PMID- 6576741 TI - The initiation of the effect of commercially-prepared dried apple on dental caries in albino rats. AB - Group I of Sprague-Dawley rats was fed diet MIT 200 with 25 parts/10(6) F' in the drinking water. Group II received MIT 200, as did Group IV in which the sucrose was replaced by sugars in the same proportions as in dried apple. Group III received MIT 200 with minced dried apple replacing the sucrose. The diet containing commercially-prepared dried apple induced more dental caries than did similar diets containing equivalent amounts of sugars (p less than 0.01). PMID- 6576742 TI - Comparison of wet and dry aerosol salbutamol. AB - Wet aerosol and metered dose inhaler (MDI) modes of inhalation of salbutamol were compared in ten asthmatic patients with severe, reversible airways obstruction and in ten chronic bronchitic patients with severe, poorly reversible airways obstruction. The responses to cumulative doses to 800 micrograms (8 x 100 micrograms) by MDI and 10 mg (4 x 0.5 ml of 0.5% standard solution) by wet aerosol were studied. From maximum expiratory flow-volume curves, measurements were made of FEV1, FVC, PEFR, Vmax 50% and Vmax 75%, and pulse and blood pressure responses to cumulative doses of salbutamol were measured. In both groups of patients there was no significant difference between the two modes of inhalation either for each treatment interval or for the maximal response in any of these indices. PMID- 6576743 TI - Is there an IgM nephropathy? PMID- 6576744 TI - Comparison of exercise electrocardiography, thallium-201 myocardial imaging and exercise gated blood pool scan in patients with suspected coronary artery disease. PMID- 6576745 TI - Plasma vasopressin in hypercalcaemic states. AB - Plasma vasopressin was measured by radioimmunoassay in eight normal subjects and in six patients with hypercalcaemia. Vasopressin levels were significantly elevated in the hypercalcaemic patients, although urine osmolalities were lower than in controls. This finding is consistent with a renal resistance to the action of endogenous vasopressin in hypercalcaemia. PMID- 6576746 TI - Thiamin inadequacy in infants: lack of evidence of amprolium in egg yolk. AB - This study investigated the hypothesis that the consumption of egg yolks might lead to thiamin inadequacy in infants because of the possible contamination of the egg yolks with amprolium. Earlier workers showed that the presence of amprolium in the diet inhibits the absorption of thiamin. Amprolium is added to some poultry feeds to control coccidiosis: it is readily incorporated in the egg yolk and egg yolk is one of the solid foods offered to infants at weaning. We found that under current commercial poultry feeding practices in WA it is extremely unlikely that any amprolium would be present in commercial eggs or poultry. Amprolium was undetectable in eggs purchased at several retail outlets. Thus there is no evidence that consumption of egg yolk contributes to thiamin inadequacy in infants. PMID- 6576747 TI - Patterns of stroke. An analysis of the first 700 consecutive admissions to the Austin Hospital Stroke Unit. AB - An analysis is presented of the first 700 admissions to the Austin Hospital Stroke Unit with special emphasis on the incidence of the various patterns of stroke and the underlying mechanisms involved. There were 616 admissions for confirmed stroke events--the remainder were for events simulating stroke. Three hundred and fifty-three (57.3% of stroke events) were for cortical (including retinal) ischaemic events. Of these, arterial lesions were demonstrated in 55% and suspected in 20% whilst embolism from the heart probably accounted for 14% of events. No cause was determined in 11% despite complete investigation. Where arterial lesions were found, they were extracranial in 85%. There were 140 cases of internal capsular ischaemia (22.7% of stroke events) and 16 cases (2.6%) for which the exact site of ischaemia was not determined, although it was presumed to have occurred within the carotid territory. Vertebrobasilar ischaemic events were responsible for 71 admissions (11.5%). There were 36 cases of primary intracerebral haemorrhage (5.8%). This survey has highlighted some aspects of stroke requiring further research. These include the elucidation of cortical and retinal ischaemic events of unknown aetiology, the possible role of large vessel lesions in the pathogenesis of capsular ischaemic events and pathologic mechanisms involved in ischaemic events of the vertebrobasilar territory. PMID- 6576749 TI - Seasonal variations in serum urate in healthy subjects. PMID- 6576748 TI - Pneumopericardium. PMID- 6576750 TI - Vitamin B12 deficiency--a new disguise? PMID- 6576751 TI - Hypercalcaemia in association with renal failure: the role of immobilisation. AB - Hypercalcaemia occurring after ten weeks of immobilisation was observed in four adult patients all of whom had had prior renal failure sufficient to require renal dialysis. In all patients parathyroid hormone levels were normal or low and in three plasma 1,25(OH)2D3 levels were low. These findings are consistent with immobilisation induced increases in bone calcium resorption. Renal excretion of calcium may have been impaired by renal dysfunction resulting in hypercalcaemia and suppression of plasma PTH and 1,25(OH)2D3 levels. Resolution of the hypercalcaemia was associated with remobilisation. Parathyroidectomy is inappropriate treatment. PMID- 6576752 TI - Colorectal cancer: knowledge and attitudes of doctors in victoria. PMID- 6576753 TI - Acute aorto-caval fistula: a complication of abdominal aortic aneurysm. AB - Three patients, with acute spontaneous aorto-caval fistulae, are described. The important aspects of the diagnosis and treatment of these fistulae are discussed and the recommended anaesthetic and surgical management presented. PMID- 6576754 TI - Buerger's disease of the sigmoid colon. AB - Buerger's disease of the sigmoid colon is reported. This is an unusual site of involvement by the disease. Review of the literature has revealed only four other cases. PMID- 6576755 TI - Colorectal cancer at the Princess Alexandra Hospital: a prospective study of 729 cases. AB - The results of treatment of 729 patients with cancer of the large bowel treated at the Princess Alexandra Hospital from January 1971 to December 1980 have been analysed. The majority (540 patients or 74.1%) presented with symptoms requiring investigation, and there was an incidence of acute obstruction of 17.6% (128 patients). In just over half the patients (55.3%) there was a significant delay in diagnosis. The operative mortality rate for curative resections for both rectal and colonic cancer was 2.7%. There was no mortality in 24 curative local resections for rectal cancer. The resection rate for the whole group was 87.4% and the age corrected 5-year survival rates were Dukes' A 99.1%; Dukes' B 78.3%; and Dukes' C 32.4%. These results are compared with those reported in a retrospective study from this Hospital in 1975 and with those from other Australian and overseas centres. PMID- 6576756 TI - The EEA stapler in colorectal surgery: a Wellington experience. AB - The EEA stapler has been used at Wellington Hospital in 83 patients. The use of the instrument in 72 patients with colorectal disease is described. Fifty-one patients had malignant disease. Prior bowel preparation and perioperative antibiotics were used routinely. A 'low' anastomosis was performed in 26 patients. Complications relating to the integrity of the anastomosis occurred most frequently in low rectal cases and did not appear to be influenced by the presence or absence of a diverting colostomy. Tumour clearance was compromised (less than two centimetres) in 10 out of 23 patients with 'low' tumours. Two staple line recurrences occurred in this group. PMID- 6576757 TI - Biliary atresia: review of experience with twenty-three patients. AB - Prior to the Kasai procedure of hepatic porto-enterostomy in 1959, biliary atresia was a bleak chapter in paediatric surgery. It was only after many years, however, that the procedure became widely accepted. During the past 8 years 23 cases of biliary atresia have been treated at the Royal Alexandra Hospital for Children (RAHC). Twenty-one had the noncorrectable type of atresia. Sustained drainage was obtained in ten patients, all of whom had the noncorrectable type anomaly. Nine are still alive, eight having survived more than one year after operation and all are free from jaundice. Cholangitis has been a problem in six of these patients and six have evidence of fibrosis or cirrhosis on subsequent liver biopsy. Two patients have shown improvement in liver histology since operation. Sustained biliary drainage is related to age at operation, the size of biliary ductules at the porta and the subsequent development of cholangitis. Long term prognosis still remains uncertain. PMID- 6576758 TI - Biliary atresia before and after the introduction of the Kasai-type procedure. AB - The apparent cure rate of infants with biliary atresia is compared before and after the introduction of the Kasai-type procedure. While the operation has been criticized for many of its postoperative problems, it still compares favourably in terms of the apparent cure rate, i.e. an improvement from 4.5% to 35.3%. PMID- 6576759 TI - The role of bone scans in the assessment of prognosis of scaphoid fractures. AB - Fifty patients with radiographic evidence of an acute scaphoid fracture were studied prospectively. Technetium bone scans were performed on all patients soon after injury in an attempt to detect fractures at risk of non-union or avascular necrosis. In three patients the scan showed a focal area of decreased radionuclide concentration in the region of the proximal pole of scaphoid implying avascularity, and each developed the radiographic signs of avascular necrosis. Two of these patients, each with a displaced fracture, developed non union. Acute fractures of the scaphoid with evidence of avascularity on bone scan are at high risk of developing non-union. PMID- 6576760 TI - Simultaneous rupture of the lateral ligaments of the knee and the ankle: case report. AB - A case is described of simultaneous rupture of the lateral ligaments of the knee and the ankle from a single incident. Open repair at the knee and plaster immobilization at the ankle achieved a good result. PMID- 6576761 TI - Candidial osteomyelitis: a case report. AB - Candidial osteomyelitis is rare but becoming more common. The spinal column is most affected in adults and one such patient is presented. The condition should be suspected if bone infection has followed long intensive care, parenteral feeding with central venous cannulation, the use of many antibiotics in combination and/or concomitant severe eye infection. If diagnosed, correct treatment with antifungal agents is curative. PMID- 6576762 TI - Diagnosis and Macintosh substitution for chronic anterior cruciate insufficiency. AB - Of 45 consecutive knees undergoing MacIntosh fascia lata anterior cruciate substitution, only five had accompanying collateral ligament laxity. Over a third of cases (16) had more than ten episodes of major instability causing falls to the ground pre-operatively. The initial injury caused haemarthrosis, usually without external trauma (36), was often accompanied by a sensation of knee disruption (18), and was always associated with immediate disability. The results of 26 lateral substitution operations with minimum 12 month follow-up show abolition of pivot shift jerk in all patients. Incomplete control of objective and functional instability postoperatively in four patients may have been related to soft tissue stretching associated with early mobilization in a cast-brace or generalized ligamentous laxity. PMID- 6576763 TI - Meal stimulated neurotensin release following gastric partitioning for morbid obesity. AB - The meal stimulated neurotensin release was studied in morbidly obese patients in whom gastric partitioning was performed as treatment for the obesity. Basal neurotensin and the early postprandial response were not altered by the operation. However, the late phase response between 60 and 150 min was depressed, the integrated response being 1.27 (s.e.m. = 0.22) nmol/l. min postoperatively, to 1.66 (s.e.m. = 0.32) nmol/l. min preoperatively (P less than 0.05). As neurotensin is a peptide which inhibits gastric acid secretion and stimulates pancreatic bicarbonate release, long term ulcerogenic effects of gastric partitioning operations should be considered. PMID- 6576764 TI - Monocusp aortic valve replacement in dogs: an experimental model. AB - Aortic valve replacement using human allograft valves is a well established procedure, following which histological evidence of a host-graft interaction is seen. This varies in intensity, depending on the types of sterilizing and storage agents to which the allograft is exposed prior to insertion. A canine experimental model which enables study of these tissue ingrowth patterns in variously treated allografts has been devised. The technique is described in detail. PMID- 6576765 TI - Pulmonary oedema and chronic bronchitis associated with perioperative sepsis. AB - The relationship of pulmonary oedema and chronic bronchitis in perioperative septic patients has been examined. There is a close association. It appears likely that the reason for this association is a reduction of the pulmonary vascular capacity due to destructive changes, hypertrophy of muscle within the walls of blood vessels and widespread regional hypoxic pulmonary vasoconstriction. PMID- 6576766 TI - Microsurgical repair of the fallopian tubes. AB - The microsurgical techniques used and the results achieved in a series of 27 patients submitted for fallopian tube repair are presented, the majority following elective sterilization. PMID- 6576767 TI - Delayed traumatic intracerebral haematoma: case report. AB - A case of delayed intracerebral haematoma following closed head injury in a young male is reported. The patient was treated surgically with a satisfactory result. The problem of the unsuspected delayed traumatic intracerebral haematoma is highlighted. PMID- 6576768 TI - Extrusion of peritoneal catheter through neck incision: a rare complication of ventriculoperitoneal shunting. AB - Extrusion of the peritoneal catheter through the neck incision is reported in a man who, 14 months previously, had a ventriculoperitoneal shunt inserted for obstructive hydrocephalus. Exteriorization of CSF shunt chambers and tubing is an unusual complication of shunting, with extrusion through healed surgical incisions being rare. The authors review the causative factors, and consider aspects of surgical technique that may obviate this complication. PMID- 6576769 TI - Leiomyosarcoma of the parotid gland. AB - An unusual case of leiomyosarcoma of the parotid gland is reported. The tumour recurred thrice and metastasized to one of the adjacent lymph nodes. Histologically, a leiomyosarcoma in the salivary gland closely resembles a tumour of myoepithelial cells origin but lacks the dual cell morphology seen in the latter. PMID- 6576770 TI - Popliteal aneurysms. AB - Although popliteal aneurysm is reportedly common, there are few series reporting large numbers, and little uniformity in the method of treatment. Review of 52 popliteal aneurysms in this series showed that when thromboembolic complications occurred, the amputation rate was 28 per cent. When the aneurysm was patent at presentation, amputation was the outcome in one in 20 cases (5 per cent), indicating that repair is not without risk. An unsatisfactory outcome was usually caused by excessive delay before reconstructive arterial surgery was undertaken. In most cases delay was caused by failure to recognize the presence of the popliteal aneurysm. This review confirms the susceptibility of elderly males and emphasizes the need for considering the diagnosis of popliteal aneurysm in cases of acute lower limb ischaemia. Alternative presentations include spontaneous venous thrombosis, pain and swelling behind the knee, rupture and mycotic infection. PMID- 6576771 TI - Hydatid disease: epidemiology and pathology. AB - Information regarding the epidemiology and pathology of Echinococcus granulosus in Australasia is not well presented in standard surgical textbooks. This review presents the basic science of E. granulosus in Australasia, emphasizing those areas which are not well known, are misunderstood, or are of particular relevance to current surgical practice. PMID- 6576772 TI - Mortality, morbidity and survival after colectomy for colon cancer. AB - Between 1971 and 1980, 346 patients had a carcinoma of the colon resected. Seventy-seven patients had an urgent operation with a hospital mortality of 13.3%; 269 patients had an elective operation with a mortality of 3.8%. Three patients died as a result of anastomotic leakage. Other complications were thromboembolism (2%) and wound infection (14.5%). The overall median survival was 28.4 months and 57 months following curative resection. The clinicopathological staging system used identified 28% of patients as incurable at the time of resection. PMID- 6576773 TI - Primary pull-through as definitive treatment of short colon associated with imperforate anus. PMID- 6576774 TI - Multiple or sequential oestrogen receptor assays in breast cancer. AB - Multiple oestrogen receptor assays have been performed on primary, locally recurrent, and metastatic breast cancer in 62 patients. A change in receptor status was found in seven of 25 late recurrences (28%). It was noted that the level of oestrogen receptor was higher in lymph nodes than the primary tumour, particularly at the time of initial surgery. Other factors which might contribute to differences in receptor levels include site of metastases, method of handling, heterogeneity of tumours, and subsequent treatment. Such differences have important implications in management. PMID- 6576775 TI - Chemotherapy of advanced gastric cancer. AB - Twenty-eight patients with inoperable or metastatic gastric cancer were treated with combination chemotherapy using 5-fluorouracil, adriamycin and mitomycin-C (FAM). Twenty-one patients had measurable disease parameters and 57 per cent of these experienced a major regression of disease following chemotherapy. The median survival of the responding patients was 13.2 months compared with 6.8 months in the group who did not achieve a major response. These results demonstrate the sensitivity of gastric carcinoma to this drug combination. PMID- 6576776 TI - Wound infection rates after gastric surgery in a Melbourne hospital. AB - In four groups of 25 patients in whom perioperative prophylactic antibiotics were not used, the wound infection rates after partial gastrectomy were 40% in gastric cancer, 44% in chronic gastric ulcer, 24% in chronic duodenal ulcer and after trunkal vagotomy and pyloroplasty, the wound infection rate was 12%. In gastric cancer and chronic gastric ulcer, most wound infections were caused by enterobacteria, while in chronic duodenal ulcer almost all infections were caused by Staphylococcus aureus. Appropriate short-term perioperative prophylactic antibiotic use is likely to decrease wound sepsis rate in patients who have a gastric resection in the presence of gastric cancer or gastric ulcer. PMID- 6576777 TI - Tuberculous lymphadenopathy: a review of results of surgical treatment. AB - Eighty consecutive cases of tuberculous lymphadenopathy confirmed by histological examination were reviewed. Fifty-five cases (69%) were followed up for more than two years. Excluding twelve cases with incomplete chemotherapy, the results of treatment by combined surgery and chemotherapy in the remaining 43 cases were analysed. Twelve cases had complete excision of all grossly involved lymph nodes; all did well. Twenty-one cases had only representative lymph nodes biopsied for diagnosis, five of them (24%) required a second operation--three for abscess formation and two for progressive enlargement of the residual lymph nodes. Seven cases of tuberculous abscesses were treated by a simple drainage procedure, and despite chemotherapy, all had persistent wound discharge for over one month which required a second operation to remove the underlying caseating lymph nodes. Results suggest that all easily accessible tuberculous lymph nodes should be removed and that persistent discharging sinuses should also be treated by surgery. PMID- 6576778 TI - Towards better delineation and complete excision of preauricular sinus. AB - Excision of preauricular sinus by conventional methods is prone to recurrences. The injection of methylene blue into the tract, followed by purse-string closure of its orifice three days prior to the operation, together with the addition of a posterior drain has resulted in only one recurrence out of the 34 sinuses excised. The cosmetic result is satisfactory. PMID- 6576779 TI - Urology microscalpel: a simple direct vision optical urethrotome. PMID- 6576780 TI - A two limb side-to-side reservoir for the continent ileostomy: an experiment study in dogs. AB - A simple side-to-side terminal ileal reservoir was constructed proximal to a continent nipple valve in five dogs using the gastrointestinal anastomosis autosuture stapling device. The reservoir was found to dilate and was able to accommodate large volumes with minimal rise in basal pressure. PMID- 6576781 TI - Cysticercosis of the breast. PMID- 6576782 TI - Paraplegia with thalassaemia. AB - A case is reported of spinal cord compression resulting from extramedullary haemopoiesis in a patient with thalassaemia. A 28-year-old woman with beta thalassaemia intermedia presented with a two week history of paraparesis with bladder and bowel incontinence. Recovery followed laminectomy and the removal of haemopoietic tissue in the spinal epidural space. This is a rare complication and only eight cases have been reported in the literature. PMID- 6576783 TI - Migration of K562 cells and its inhibition by lymphokines. AB - Cells of the human myelogenous line K562 migrate from glass capillaries to the glass or plastic surface of culture flasks in the presence of RPMI 1640. Like macrophages they form a halo around the opening of the capillary. Migration is inhibited by lymphokine-containing supernatants from mixed lymphocyte culture (MLC). Concanavalin A stimulated lymphocytes and from several cell lines. PMID- 6576784 TI - The protective action of prostaglandins E2 and F2 alpha on antibody induced myocardial lesions: morphological studies. AB - Optic and electron microscopical investigations as well as histochemical investigations were performed in rats which have intraperitoneally received an anti-rat serum together with either PGE2 or PGF2 alpha, in order to study the effect of these prostaglandins on antibody-induced myocardial lesions. PGE2 and, especially, PGF2 alpha were found to considerably prevent the myocardium against these lesions (mononuclear cell infiltration, interstitial and intracellular hyperhydration, disintegration of myofibrils, vacuolization of sarcoplasmic reticulum, mitochondrial swelling and degradation, lysosomal activation and disruption of myocardial sarcolemmas and blood capillary membranes). Their protective actions were revealed in animals killed 24 h and 6 days after the administration of anti-rat immunoglobulins. PMID- 6576785 TI - Neuromedin K: a novel mammalian tachykinin identified in porcine spinal cord. AB - A new peptide, designated "neuromedin K" has been discovered and isolated from porcine spinal cord by using bioassays for a tachykinin-like effect on the contractility of smooth muscle preparation from guinea-pig ileum. Porcine neuromedin K has been identified by microsequencing as: Asp-Met-His-Asp-Phe-Phe Val-Gly-Leu-Met-NH2. The sequence thus determined has been confirmed by synthesis. Neuromedin K has been found to have not only a remarkable sequence homology to kassinin and substance P, but also a prompt stimulant activity on guinea-pig ileum in a manner similar to that of substance P, suggesting that neuromedin K may be involved in neural transmission. PMID- 6576786 TI - Induction of differentiation of embryonal carcinoma cells by retinol: possible mechanisms. AB - Retinol, like retinoic acid, can induce differentiation of two embryonal carcinoma cell lines. These cells contain the specific retinol binding proteins in the cytosolic fractions. No correlation was found between the levels of binding activity and the effectiveness of retinol to induce differentiation. Microsomal fractions of embryonal carcinoma cells catalyse mannosyl transfer from GDP-mannose to retinyl phosphate. The formation of mannosyl retinyl phosphate appears a constitutive property and can be a mechanism by which retinoids induce early cell surface changes during differentiation of embryonal carcinoma cells. PMID- 6576787 TI - Fate of aclacinomycin-A and its metabolites effect on cell growth and macromolecular synthesis. AB - The relationship between the structure and activity of aclacinomycin-A (ACM) metabolites was investigated in vitro in Friend leukaemia cells (FLC). The cytotoxic effect was related to the ease with which ACM and its metabolites accumulate in the nucleus. Cellular uptake and nuclear incorporation are influenced by the hexopyranoses linked to aklavinone (AKV) and by the two methyls linked to the L-rhodosamine amino groups. The effect of ACM and its metabolites on macromolecular synthesis depended on the drug concentrations and the exposure time. ACM was the most active in the inhibition of nucleic acid synthesis whereas it had no direct effect on protein synthesis even at high drug concentrations. When cells were treated for a short time with low drug concentrations (1 microM), RNA synthesis was inhibited to a greater extent than DNA synthesis. But when incubated for longer periods, inhibition of DNA synthesis increased further. RNA and DNA syntheses were both inhibited to about the same extent only when cells were exposed to the higher drug concentrations (10 microM). We conclude therefore that at low drug concentrations the effect on DNA synthesis is probably a consequence of RNA synthesis inhibition. The early DNA synthesis inhibition which occurs at higher drug concentrations may result from the direct action on the cellular genome. PMID- 6576788 TI - [Message from the President of the Pediatrics Section]. PMID- 6576789 TI - Surgical treatment of congenital heart disease in infancy: why, when, what? PMID- 6576790 TI - [Tonsils, adenoids and related problems: use and abuse of ventilation tubes]. PMID- 6576791 TI - [Diagnosis and treatment of juvenile diabetes]. PMID- 6576792 TI - Cystic fibrosis of the pancreas presenting as metabolic alkalosis. PMID- 6576793 TI - [Pediatric electrocardiography (pericarditis)]. PMID- 6576794 TI - C.T. diagnosis: hydranencephaly. PMID- 6576795 TI - [Pathology review. Eosinopilic grauloma]. PMID- 6576796 TI - Sonography quiz. Sarcoma Botryodies. PMID- 6576798 TI - Guidance on general anesthesia and sedation. PMID- 6576797 TI - [Effect of prostaglandin F2 alpha on biliary secretion in the rat]. AB - The effects of PGF2 alpha on biliary secretion of rats have been investigated. PGF2 alpha' at the dose of 100 micrograms/kg, produces a choleretic activity during the first 20 min after the injection. The effects are discussed by comparison to those observed in dogs, where a mechanism involving the canicolar level has been hypothesized. PMID- 6576799 TI - Light-cured composite resins and lupus erythematosus. PMID- 6576800 TI - Variation among dentists in planning treatment. PMID- 6576801 TI - Acquired immune deficiency syndrome. PMID- 6576802 TI - Candidal invasion of dentine complicating hypodontia. PMID- 6576803 TI - Lingual split technique. Damage to inferior alveolar and lingual nerves during removal of impacted mandibular third molars. PMID- 6576804 TI - Social skills and dentistry. PMID- 6576805 TI - Reversal by prostaglandin E2 infusion of the effects of indomethacin on the excretion of nitrogenous compounds in the rat. AB - Rats were treated with Indomethacin (Indo; 2 mg/kg/d) with or without concomitant infusion of prostaglandin (PG)E2 (100 micrograms/d) to investigate the effects of inhibition of PG synthesis and PG replacement on the urinary excretion of total nitrogenous compounds, urea and creatinine and on the plasma concentration of urea and creatinine. The results indicated: (1) Indo significantly reduced the urine excretion of nitrogen, urea and creatinine within 48 hours of drug administration. (2) This effect was reversible on stopping the drug. (3) PGE2 infusion completely reversed the effect on urine creatinine and partly reversed the effects on urinary nitrogen and urea excretion. (4) Plasma urea concentrations were reduced by Indo and remained low during PGE2 infusion whereas plasma creatinine progressively increased during the study. The results support the hypotheses: (1) that Indo reduces the renal excretion of end products of nitrogen metabolism by inhibition of endogenous PG production and (2) that production of urea and therefore protein and amino acid metabolism is altered by Indo treatment in addition to its renal action. PMID- 6576806 TI - Biosynthesis of ferritin subunits from different cell lines of HL-60 human promyelocytic leukaemia cells and the release of acidic isoferritin-inhibitory activity against normal granulocyte-macrophage progenitor cells. AB - Biosynthesis of acidic isoferritins was investigated in human promyelocytic HL-60 cells, characterized by diploid (2C), tetraploid (4C) and mixed diploid- tetraploid (2C-4C) DNA cell lines. The three cell lines were studied for the biosynthesis of ferritin and its subunits and for the release of acidic isoferritin-inhibitory activity against normal CFU-GM before and after addition of DMSO. While the tetraploid and mixed diploid--tetraploid cell lines synthesized more H-(Mr = 21) than L-subunits (Mr = 19) after induction, the tetraploid line synthesized more H-subunit before and after induction, compared to the diploid line. The release of acidic isoferritin-inhibitory activity was greater before than after induction in both cell lines, but the tetraploid cell line released more acidic isoferritin-inhibitory activity consistent with its greater production of Mr = 21 subunit. However, after induction no inhibitory activity could be detected from the diploid cells and much less activity was detected with the tetraploid cells, suggesting that differentiation caused a decrease in production of acidic isoferritin-inhibitory activity. PMID- 6576807 TI - Controlled study comparing vaginal prostaglandin E2 pessaries with intravenous oxytocin for the stimulation of labour after spontaneous rupture of the membranes. AB - In a prospective randomized study, 36 patients with spontaneous rupture of the membranes of greater than or equal to 4 h duration were stimulated with 3 mg vaginal prostaglandin E2 pessaries or intravenous oxytocin. Oxytocin stimulation was associated with shorter labours and a lower incidence of abnormal cervimetric progress. Of the patients given prostaglandin pessaries, 40% required a second dose after 4 h for slow progress; 45% of the primigravidae subsequently developed abnormal labour which was corrected by augmentation with oxytocin in all cases. One caesarean section was carried out for disproportion, and the remaining 35 patients were delivered vaginally. Prostaglandin pessaries were not associated with an increased incidence of hyperstimulation or sepsis. In conclusion, although PGE2 pessaries are safe in spontaneous rupture of the membranes, intravenous oxytocin is more efficient in stimulating labour. PMID- 6576808 TI - Association of human gamma chain with class II transplantation antigens during intracellular transport. AB - Cell surface expressed human and murine class II transplantation antigens are composed of two polypeptide chains called alpha and beta. During intracellular transport an invariant chain, provisionally called gamma, is associated with the class II antigen chains. Since gamma chains leave the endoplasmic reticulum only when associated with alpha and beta chains, we have studied the intracellular transport of the gamma chain and its possible cell surface expression. Modifications of the carbohydrate moieties of the gamma chain during intracellular transport were also examined. The gamma chain appears to contain two Asn-linked carbohydrate moieties and maybe also one or more Ser/Thr-linked carbohydrates. At all times during the pulse-chase experiments core glycosylated gamma chains resolved into two distinct spots on two-dimensional gel electrophoresis. The occurrence of core-glycosylated gamma chains was expected since more gamma chains than alpha and beta chains exist in the endoplasmic reticulum. Terminally glycosylated, alpha, beta, and gamma chains emerged simultaneously supporting the idea that the three types of chains are brought to the Golgi complex bound to each other. However, terminal glycosylation is temporally related to the dissociation of the gamma chain from the alpha and beta chains. Since isolated plasma membranes contained molecules indistinguishable from gamma chains, it is concluded that gamma chains are transported together with class II antigens from the endoplasmic reticulum to the Golgi complex. After dissociation, class II antigens and some, if not all, gamma chains seem to become independently integrated into the plasma membrane. PMID- 6576809 TI - The use of tritium exchange to detect conformational differences between intermediates in catalysis by the enzyme rhodanese. AB - Tritium-exchange experiments have been performed on enzyme forms related to obligatory catalytic intermediates in the rhodanese reaction: the free enzyme, E, and the sulfur-substituted enzyme, ES. Under the experimental conditions used, each form displayed tritium-exchange behavior that can be interpreted in terms of at least three classes of exchangeable sites. Class I with a t 1/2 approximately equal to 180 min and Class II with a t 1/2 approximately equal to 15 min were present in both E and ES. The conversion of ES to E has the effect of changing approx. 50 protons from the slow Class I behavior to exchange at a rate too fast to measure (Class III). These results are consistent with a conformational change on conversion of rhodanese from ES to E. The fact that a large number of protons are involved together with the very large change in exchange rate might indicate that extended areas of the protein change contact with the solvent, and would be compatible with a model for rhodanese catalysis that includes a coupled conformational change. PMID- 6576810 TI - Purification and partial characterization of arylsulphatase C from human placental microsomes. AB - Arylsulphatase C (EC 3.1.6.1) has been purified 300-fold from human placental microsomes using a four step procedure involving solubilization with Triton X 100, chromatography on hydroxyapatite, column chromatofocussing and ion-exchange chromatography on DEAE-Sepharose. The purified enzyme is electrophoretically homogeneous and has a molecular weight of 440 000 as determined by polyacrylamide gradient gel electrophoresis. On analysis of the preparation by polyacrylamide gel electrophoresis in the presence of sodium dodecyl sulphate a polypeptide of molecular weight 74 000 was observed, suggesting that the enzyme as purified may be a hexamer. The behaviour of the enzyme during chromatofocussing indicates the enzyme has a pI of 6.56. Steroid sulphatase, as measured by activity towards dehydroepiandrosterone sulphate, co-purifies with arylsulphatase C suggesting that both activities are due to a single enzyme. PMID- 6576811 TI - [Cellular localization of adenyl cyclase activated by histamine and prostaglandin E2 in rat gastric mucosa and their role in regulation of gastric secretion]. AB - It was shown that cimetidine, the inhibitor of H2-receptors of histamine, does not affect the activation of adenylate cyclase by prostaglandin E2 (PGE2) in rat gastric mucosa homogenate. At the same time cimetidine completely inhibits the stimulating effect of histamine on the adenylate cyclase activity. Using isolated rat gastric cells separated into fractions rich (to 90%) and poor (up to 25%) of parietal cells, it was demonstrated that the prostaglandin-stimulated adenylate cyclase is localized in the non-parietal (presumably mucoid) cells, while the histamine-sensitive one is localized in parietal acid-producing cells. The mechanisms of histamine and PGE2 action are discussed and a scheme of participation of these substances in regulation of gastric secretion is proposed. PMID- 6576812 TI - Transfer of 3H-cortisone and 3H-cortisol between the amniotic, allantoic, and fetal blood compartments in the rabbit at day 25 of gestation. AB - We have examined the rate of disappearance and the form of the radiolabel following the injection of either [1,2-3H]-cortisone (3H-E) or [1,2,6,7,n-3H] cortisol (3H-F) into the amniotic sac of rabbits at day 25 of gestation. The half life of 3H-E was approximately 35 min and was very much shorter than that of 3H F. Concurrent with the disappearance of 3H-E was an increase in the amount of tritium in both the allantoic and the fetal blood compartments. Whereas following injection of 3H-E there was a rapid conversion of E to F that was reflected in all three compartments, following injection of 3H-F the vast majority of the tritium label remained as F. We conclude that amniotic E may act as a ready source of fetal F. PMID- 6576813 TI - Erythroid blast crisis in chronic myelogenous leukemia. AB - Blood or bone marrow specimens from 22 patients with chronic myelogenous leukemia in blast crisis were studied for the surface expression of glycophorin-A, a marker for early erythroid differentiation. The leukemic blasts were stained with rabbit anti-glycophorin-A antiserum. The glycophorin-A molecules detected by the rabbit antiserum were identified by polyacrylamide slab gel electrophoresis of the immunoprecipitates from the membrane lysates of surface-labeled blasts. Blasts expressing surface glycophorin-A were found in 9 of the 22 patients. In 4 patients, almost all blasts were glycophorin-A positive, and in 5 patients, less than half of the blast population expressed glycophorin-A. The present study shows that when glycophorin-A is used as a marker for erythroid blasts, involvement of the erythroid lineage during blast crisis of chronic myelogenous leukemia seems to occur more frequently than previously recognized. PMID- 6576815 TI - Early antiviral antibody response after immunization with viral oncolysate: a powerful prognostic marker for acute myelogenous leukemia remission patients. AB - Twenty-four acute myelogenous leukemia (AML) patients in first clinical remission received, as a part of their maintenance therapy, repeated injections of viral oncolysate (i.e., avian influenza virus-infected, formalin-inactivated, allogeneic leukemia cells). The anti-oncolysate-virus antibody responses after a single injection, tested by a radioimmunoassay, were in inverse correlation to the remission duration (p less than or equal to 0.01). The 25% of patients with the lowest responses had a median remission duration of more than 36 mo, with no relapses within the first 18 mo. In contrast, the 75% of patients with higher responses had a median remission time of less than 5 mo, and more than 80% relapsed within 18 mo. Despite the small number of patients, these differences are highly significant (p less than or equal to 0.001). Immunization of remission AML patients with viral oncolysate provides a powerful prognostic test. Most early relapses can be predicted, with a modest rate of false-positive and false negative predictions. PMID- 6576814 TI - Comparison of chemotherapy with immunotherapy for maintenance of acute lymphoblastic leukemia in children and adults. AB - Two hundred and seventeen patients, 1-50 yr old, with acute lymphoblastic leukemia in complete remission were randomized to receive a 1-yr consolidation chemotherapy of either type P, comprising 7 different drugs, or type M, consisting of methotrexate interspersed with prednisone and vincristine. Thereafter, they were randomized a second time to receive a 4-yr maintenance of either chemotherapy or immunotherapy, comprised of allogeneic blasts and bacillus Calmette-Guerin (BCG). Consolidation P caused more toxicity than consolidation M. However, comparison between the consolidation therapies P and M showed no significant difference, neither for disease-free interval nor for duration of survival. Chemotherapy showed more lethal toxicity in adults than in children. Comparison between chemotherapy (C) and immunotherapy (I) as maintenance treatment showed a significant (p = 0.016) superiority of C for disease-free interval (DFI). The difference was even more pronounced (p = 0.009) in the group with less than 8 g/dl of hemoglobin (Hb) at diagnosis before therapy. On the other hand, for patients with more than 8 g/dl Hb at diagnosis, presumably those with T-ALL, no difference in DFI was seen. No difference has been seen so far between maintenance therapies I and C concerning the duration of survival. The patients who were receiving maintenance I when they relapsed and who were consequently retreated by chemotherapy, survived longer from relapse than those patients retreated for relapse while receiving maintenance C. PMID- 6576816 TI - Studies on mitochondrial and cytoplasmic malate dehydrogenase in childhood myelodysplastic syndrome. AB - Three cases of uncommon childhood hematologic disorders are reported. At presentation, one patient had refractory anemia with an excess of blasts (RAEB) with partial 7-monosomy and was reclassified into RAEB "in transformation" thereafter. Another case was diagnosed as acute myelogenous leukemia with complete 7-monosomy. The other case was diagnosed as RAEB "in transformation" without chromosome aberrations. The cytogenetic studies of the patients with 7 monosomy revealed abnormal karyotypes on bone marrow cells, but normal karyotypes on peripheral blood cells. Polymorphonuclear cells from the two patients with 7 monosomy revealed reduced mitochondrial malate dehydrogenase activity, but those from the patient with RAEB "in transformation" without chromosome aberrations did not. Cytoplasmic malate dehydrogenase activity, having been defined as located on chromosome 2, was within the normal range in those three patients. The decreased mitochondrial enzyme activity in the two patients with 7-monosomy would be a dosage effect of the chromosome aberration, but not caused by their hematologic disorders. The level of mitochondrial enzyme activity in the patients with 7 monosomy was reduced in polymorphonuclear cells, but not in mononuclear cells in peripheral blood. This fact would indicate that such chromosome evolution had involved myeloid cells only, but not lymphoid cells. Both enzymes from leukemic cells of four patients with active disease revealed much higher activities than controls, an expression of partially enhanced oxidative phosphorylation. PMID- 6576817 TI - Iron storage in ferritin following intracellular hemoglobin denaturation in erythroleukemic cells. AB - Murine erythroleukemia (MEL) and human K-562 cell lines were cultured in the presence of 57Fe, and the quantities of cellular iron-containing compounds were determined with the aid of Mossbauer spectroscopy. Upon induction of differentiation, both ferritin-iron and hemoglobin (Hb) iron could be detected. Treatment of the cells with 0.01%-0.02% acetylphenylhydrazine (APH) resulted in gradual denaturation of Hb and incorporation of the released Hb-iron into ferritin. Following treatment with APH, the ratio of Hb-57Fe to ferritin-57Fe decreased from 2.6 to 0.2 in MEL cells and from 0.56 to 0.12 in K-562 cells. No change was observed in the total intracellular iron. Using fluorescence ELISA, an increased level of immunologically detectable ferritin was found in hemoglobinized K-562 cells treated with APH, as compared to the amount of ferritin found in untreated cells. Ferritin may thus function not only as an intermediate during Hb synthesis, but also as storage protein for iron released during Hb denaturation. PMID- 6576818 TI - Association of partial deletion of the long arm of chromosome 16 and bone marrow eosinophilia in acute non-lymphocytic leukemia. PMID- 6576819 TI - Use of monoclonal antibodies as a diagnostic tool in human leukemia. I. Acute myeloid leukemia and acute phase of chronic myeloid leukemia. AB - Various monoclonal antibodies (mAbs) detecting certain different epitopes on myeloid cells (VIMD5, D5 D6, OKM1, Leu-M3, VIEG4, OKIa 1) have been used in combination with conventional markers (antihuman myeloid hetero-antiserum, FcIgG receptors, C3d-receptors) to further define the phenotypic heterogeneity of myeloid leukemia. Subsequent leukemic samples from previously untreated patients with acute myeloid leukemia (AML) (51 adults, 24 children) and from nine adult patients in the acute phase of chronic myeloid leukemia (CML-BC) were studied. It was possible to demonstrate quantitative differences in the expression of antigens on the various leukemia subtypes which could be exploited for diagnosis. Furthermore our results revealed that there is a very close correlation between the different surface phenotypes and the types morphologically assessed according to FAB-criteria. PMID- 6576820 TI - [Dentinogenesis in teeth subjected to indirect capping using sodium diclofenac]. PMID- 6576821 TI - [Studies on the cavernous portion of the pterygoid venous plexus and its relation to the system of parapharyngeal spaces or fissures. II. Morphological studies]. PMID- 6576822 TI - [Results of the prevention of post-radiotherapy caries using a topical application of sodium fluoride gel in 179 subjects]. PMID- 6576823 TI - [The pulp in dentinogenesis imperfecta]. PMID- 6576825 TI - How a dental museum - built and staffed by dental students - helps generate interest in dental history. PMID- 6576824 TI - [Histological contribution to studies on the relation existing between caries and tartar]. PMID- 6576826 TI - Ancient references to dentistry and "biblical bites". PMID- 6576827 TI - Sequential parenteral oral antibiotic therapy for serious infections. PMID- 6576828 TI - The inhibitory quotient. PMID- 6576829 TI - Antibiotic tissue penetration. PMID- 6576830 TI - Prodrugs and outpatient medical practice. PMID- 6576831 TI - A comparison of the pharmacokinetics of bacampicillin, ampicillin, amoxicillin, and cyclacillin: oral administration in infants and children. PMID- 6576832 TI - Bacampicillin HCl in the treatment of acute maxillary sinusitis. PMID- 6576833 TI - Bacampicillin in the treatment of acute sinusitis and bronchopulmonary disease. PMID- 6576834 TI - Bacampicillin in therapy of lower respiratory infections. PMID- 6576835 TI - Bacampicillin treatment of pneumococcal pneumonia in high risk patients. PMID- 6576837 TI - The settling of denture bases. PMID- 6576836 TI - Bacampicillin in chronic bronchitis: clinical experience. PMID- 6576838 TI - A method to harness the earning power of money--a generic presentation. PMID- 6576839 TI - Cervical ripening. AB - When induction of labour is being considered the first step should be to assess the cervical score. If this is low, the gestational age should be confirmed since an unripe cervix is normal in earlier pregnancy and there may be a mistake in the patient's dates. If the maturity is confirmed, the choice lies between delivering the baby and waiting. Few genuine indications for induction change by waiting and increased risks may occur by postponing the date of delivery. The choice may then lie between elective caesarean section or amniotomy and intravenous oxytocin with an unripe cervix on the one hand, and cervical ripening before induction of labour on the other (Lancet, 1979). The last course has many advantages to commend it. There is still much to be learnt about cervical ripening. The success of the prostaglandins suggests that they may be the agents of choice at present. The ideal preparation would be one that could be administered vaginally to ripen the cervix without inducing uterine contractions. A major problem to date has been the absence of a commercially available PGE2 preparation for local use and this has necessitated the formulation of home-made gels and pessaries by individual hospital pharmacies. However, recently Prostin E2 vaginal tablets (each containing dinoprostone 3 mg) have been marketed and initial studies (Stewart et al, 1983) have shown promising results. PMID- 6576840 TI - Are eating disorders forms of affective disorder? PMID- 6576842 TI - Tracking the tooth fairy: conclusion. PMID- 6576841 TI - Giant metastasis from prostatic neoplasm mimicking osteogenic sarcoma. PMID- 6576843 TI - Phase locking of the respiratory rhythm in cats to a mechanical ventilator. AB - Mechanical ventilation of paralyzed, pentobarbital-anesthetized adult cats was performed while recording phrenic nerve activity. The periodic changes in lung volume owing to mechanical ventilation affected the rhythm of central respiratory activity, resulting in a variety of regular and irregular patterns of coupling between respiratory system output, monitored by phrenic activity, and the mechanical ventilator. Phase-locked patterns, in which phrenic burst onset occurred at specific and repetitive phase(s) of the mechanical ventilator, with ratios of ventilator frequency: phrenic burst frequency of 1:2, 1:1, 3:2, 2:1, and 3:1 were observed. Regular and irregular patterns occurred over specific ranges of frequency and volume of the mechanical ventilator. A careful study was made of the 1:1 phase locking as the frequency and inflation volume of the mechanical ventilator were changed. The inspiratory time (TI) was defined as the interval between the time when phrenic activity began to rise and the onset of its rapid decline, and the expiratory time (TE) as the time between inspirations. In the 1:1 phase-locking region, as the frequency of the ventilator was increased both TI and TE decreased, and the phase of phrenic onset in the ventilator cycle changed. During ventilation with frequencies higher than the intrinsic phrenic frequency (initial burst frequency of phrenic activity with the ventilator turned off) inspiratory activity was prematurely terminated by lung inflation (Hering Breuer inspiratory inhibitory reflex). During ventilation with frequencies lower than the intrinsic phrenic frequency, the onset of phrenic activity was delayed (TE was prolonged) by lung inflation (Hering-Breuer expiratory promoting reflex). PMID- 6576844 TI - [Development of the risk of infection in the child with leukemia]. AB - Infection is the leading cause of illness and death in children with leukemia. The risk of infection may change over time as regimens of therapy are modified. A review of the hospital charts of 166 infants in whom leukemia had been diagnosed between 1976 and 1980 revealed an increased number of deep fungal infections (20 v. 3) during this period in comparison with the number between 1969 and 1976 in 164 patients treated at the same hospital whose leukemia was diagnosed between 1969 and 1975. The 20 severe fungal infections between 1976 and 1980 were characterized by difficulty of diagnosis (a definite diagnosis having been made three times out of four only at autopsy), an important role of Candida but also of Aspergillus (the latter having been isolated almost as often as the former) and a grave prognosis (the mortality being very high [75%] and much above that for gram-positive septicemia [6%] and that for gram-negative septicemia [31%]). This increase in frequency of fungal infections was concurrent with the introduction of phase-1 chemotherapy, which was often responsible for prolonged neutropenia. To reduce the risk of infection in children with leukemia it appears to be essential to improve diagnostic methods and approaches to therapy. PMID- 6576845 TI - Acute leukemia secondary to multiple myeloma. PMID- 6576846 TI - Chronic liver disease in children with leukemia in long-term remission. AB - Liver disease during chemotherapy and after its completion was studied in 103 leukemic children in long-term remission. Seventy developed chronic liver disease during therapy; 22 out of 56 with adequate follow-up showed persisting abnormality or deterioration of liver function after stopping therapy. In 38 studied prospectively, biopsies were obtained at treatment withdrawal. Five showed chronic lobular, 17 chronic persistent, 9 chronic active hepatitis whereas 7 had minimal changes. These children had transiently detectable serum hepatitis B virus (HBV) markers during (44.4%), at completion of (7.8%) and subsequent to (48.3%) chemotherapy. Serum HBV markers correlated significantly with both severity of histologic changes (P less than 0.05) and persistent biochemical abnormalities for over 6 months after treatment suspension (P less than 0.001). No direct relationship was found between drug administration and liver damage. The data from the study suggest that in leukemic children viral infections contribute to chronic liver damage, which can jeopardize the long-term prognosis of acute leukemia. PMID- 6576847 TI - Remission of acute myelogenous leukemia in elderly patients with prior refractory dysmyelopoietic anemia. AB - Refractory dysmyelopoietic anemia (RDA) is a myeloproliferative disorder usually of elderly patients which often evolves into acute myelogenous leukemia (AML). AML in such patients is usually considered untreatable with standard aggressive chemotherapy in part because these patients are often elderly, but primarily because of the concern that the bone marrow of these patients no longer has a residual stem cell to repopulate the bone marrow following chemotherapy-induced aplasia. The authors treated three patients (ages 72, 69, and 62 years, respectively) with intensive chemotherapy after RDA evolved into AML. Each patient had been pancytopenic for 3 to 15 months prior to their transition to AML. At the onset of therapy for AML, all were severely pancytopenic with greater than 50% myeloblasts in the bone marrow. All patients had bone marrow aplasia by day 14 after chemotherapy with a complete bone marrow remission and normal peripheral counts by day 26. These data suggest that intensive chemotherapy of AML with prior RDA may result in complete bone marrow remission. PMID- 6576848 TI - Ph1-positive acute myelocytic leukemia with high TdT levels. AB - The authors have determined TdT levels in a case of Ph1-positive AML. Peripheral blood cells and bone marrow cells taken during the various phases of the disease were examined. Liquor cells were analyzed when symptomatic central nervous system involvement occurred. High TdT levels were found in all of the phases of the disease including the liquor. TdT eluted at various isoelectric points indicating a shifting of the activity to greater molarity during progress of the disease. Two different forms of TdT were present in the liquor. The authors speculate about the existence of a relation between TdT levels and Ph1-positive leukemia. They point out the importance of TdT levels as functional criterion of remission in acute leukemia. Finally, the existence of different forms of TdT could be the expression of a clonal selection caused by therapy or of a spontaneous clonal competition. PMID- 6576849 TI - Malignant and reactive erythroblasts in erythroleukemia (M6). AB - A cytogenetic and cytological study of 16 cases of erythroleukemia (M6) is reported. No chromosomal abnormalities were observed in 10 cases. Abnormalities were present in the other 6 cases, of which 4 were complex abnormalities. It was not possible to establish any correlation between the occurrence of morphologic abnormalities of the erythroid and megakaryocyte-platelet series and the presence of cytogenetic defects. Studies of mitoses by cytologic and cytogenetic methods concurrently performed in some cases suggest that two types of erythroleukemia can be distinguished: (1) cases with chromosomal abnormalities and a persistence of erythroblast mitoses in vitro (which suggests that the erythroblasts belong to the leukemic clone) and (2) cases with no chromosome abnormality and a disappearance of erythroblast mitoses after culture, suggesting that the erythroblasts are not members of the leukemic clone. PMID- 6576850 TI - Anomalies of the long arm of chromosome 11 in human myelo- and lymphoproliferative disorders. I. Acute nonlymphocytic leukemia. AB - In a series of 365 consecutive ANLL cases of which 45.1% had abnormal karyotypes, 13 cases were detected with a structural abnormality of the long arm of chromosome 11. Besides one isochromosome 11q, there were six deletions and six translocations. Of these 12 patients, seven had acute monocytic leukemia (FAB type M5), two had an M4, two had an M2, and one case of secondary leukemia had an M3-like disorder. Similar results with regard to the type of leukemia were obtained upon analysis of 41 cases of ANLL with an 11q anomaly described in the literature. This study confirms that a high proportion of acute monocytic leukemias and a lesser proportion of acute myelomonocytic leukemias are characterized by an 11q anomaly, mostly involving bands q22 and/or q23. Acute monocytic leukemia with an 11q structural anomaly appears to have a poor prognosis. PMID- 6576851 TI - Translocation (15;17) in a child with variant form of acute promyelocytic leukemia. AB - We present the cytogenetic and hematologic study of a 6-year-old child with a variant form of acute promyelocytic leukemia (M3) who died of a brain hemorrhage. The brief survival and the hyperleukocytosis (greater than 200,000 mm3) suggests a very bad prognosis in children with this variant form of M3 leukemia. PMID- 6576852 TI - Congenital acute lymphoblastic leukemia with chromosomal abnormalities including a translocation (1;4;22). AB - Cytogenetic studies in a patient with inborn ALL demonstrated identical and complex abnormalities in all the cells, indicating a monoclonal origin. These abnormalities included, among others, a translocation (1;4;22). PMID- 6576853 TI - Non-T, non-B acute lymphoblastic leukemia (L3) with t(8;22) and two 14q+ chromosomes. AB - A patient with L3 leukemia is reported whose leukemic cells were characterized cytogenetically by a duplication of the long arm segment 1q25 leads to q42, trisomy for chromosome 7, t(8;22)(q24;q11), and two 14q+ chromosomes. Immunologic marker analysis revealed the leukemic cells to be of the non-T, non-B ("null") type. This observation, when considered in conjunction with a previous report of heterogeneity in cell lineages of L3 leukemias, raises the possibility of some lymphoid neoplasms arising in stem cells. PMID- 6576854 TI - Dehydroascorbate uptake as an in vitro biochemical marker of granulocyte differentiation. AB - We tested the hypothesis that the rate of cellular uptake of dehydroascorbate in cultures of developing granulocyte-macrophage progenitors in vitro would serve as a biochemical marker of neutrophil maturation. Suspension cultures of low density, nonadherent, T-lymphocyte-depleted bone marrow cells from eight normal volunteers were cultured in medium containing 10% human placental conditioned medium and were harvested at intervals over 14 days. The harvested cells were tested for their ability to take up dehydroascorbate. Mean cellular uptake rate increased 12-fold by Day 10, at which time the cells had differentiated to neutrophils. Uptake increased by less than 2-fold in cells which had been induced to differentiate to mature mononuclear phagocytes with 12-O-tetradecanoylphorbol 13-acetate. Additional studies using HL-60 cells induced to differentiate with dimethyl sulfoxide or 12-O-tetradecanoylphorbol-13-acetate support the view that a major increase in dehydroascorbate uptake in cultured granulopoietic progenitors is a manifestation of a neutrophil differentiation. PMID- 6576855 TI - Influence of dietary fat and indomethacin on the growth of transplantable mammary tumors in rats. AB - Studies were designed to determine if treatment with indomethacin influenced the growth of a transplantable, metastatic, rat mammary tumor. Female, Wistar-Furth inbred rats were fed either a standard chow diet or a semipurified diet containing 2, 5, 10, or 20% stripped corn oil. Indomethacin was given in drinking water, and rats consumed between 2.5 and 3.0 mg indomethacin/kg body weight/day. Feeding of diets and initiation of treatment with indomethacin were started when rats were weaned (21 days old) and continued until they were killed. Approximately 5 X 10(3) mammary tumor cells (DMBA-4) were injected into the fat pad of the sixth mammary gland which is adjacent to the right inguinal lymph node. Each dietary/treatment group consisted of at least 10 rats. Since indomethacin inhibits prostaglandin synthesis, two other groups of non-tumor bearing rats were used to determine if dietary fat and treatment with indomethacin either influenced prostaglandin E2 production (in vitro) by mononuclear cells from the spleen or altered serum levels of fatty acids. Results indicated that: (a) the rate of tumor growth in untreated rats was significantly greater when the dietary fat content was either 10 or 20% compared to diets containing either 2 or 5% fat; (b) the tumor growth-promoting effects of 10 and 20% fat diets were completely abrogated in rats treated with indomethacin; (c) treatment with indomethacin also inhibited tumor growth in rats fed diets containing either 2 or 5% fat; (d) synthesis of prostaglandin E2 by mononuclear cells from the spleens of untreated rats increased as the dietary fat content increased; (e) in indomethacin-treated rats, prostaglandin E2 synthesis was inhibited in all dietary groups and was not dependent on dietary fat; and (f) in both untreated and indomethacin-treated rats, the serum concentrations of oleic and linoleic acids were influenced to the same extent by dietary fat. PMID- 6576856 TI - Control of macrophage cell differentiation in human promyelocytic HL-60 leukemia cells by 1,25-dihydroxyvitamin D3 and phorbol-12-myristate-13-acetate. AB - Human promyelocytic leukemia cells (HL-60) were induced to differentiate into macrophage-like cells in a dose (3 X 10(-10) to 10(-7) M) and time (1 to 6 days) dependent manner by 1,25-dihydroxyvitamin D3 and the tumor promoter, phorbol-12 myristate-13-acetate. Differentiation was determined by an increase in the percentage of morphologically mature cells, in lysozyme and nonspecific esterase activities, and in reactivity with the murine OKM1 monoclonal antibody. Two HL-60 cell variants, designated as R-80 and B-II, were also examined. R-80 cells, which are resistant to induction of cell differentiation by phorbol-12-myristate-13 acetate, also exhibited resistance, although to a lesser degree, to induction of cell differentiation by 1,25-dihydroxyvitamin D3. The resistance to the action of the two compounds is presumably not due to similar binding sites for the two inducers, since 1,25-dihydroxyvitamin D3 was unable to compete for the phorbol diester binding sites as measured by [3H]phorbol-12,13-dibutyrate binding. B-II cells were resistant to induction of cell differentiation by 1,25 dihydroxyvitamin D3, phorbol-12-myristate-13-acetate, retinoic acid, and dimethyl sulfoxide. Two-dimensional electrophoretic analysis of HL-60 cell protein patterns indicated that treatment of the HL-60 cells with 1,25-dihydroxyvitamin D3, phorbol-12-myristate-13-acetate, retinoic acid, and dimethyl sulfoxide caused the cells to express various monocyte-macrophage and granulocyte marker proteins. None of the inducers caused a protein pattern identical to that of peripheral monocytes or granulocytes in the HL-60 cells, but the protein pattern of the HL 60 cells treated with 1,25-dihydroxyvitamin D3 was the closest to that of peripheral blood monocytes. These results indicate that 1,25-dihydroxyvitamin D3 induces in the HL-60 cells a phenotype that resembles, but is not identical to, that of peripheral monocytes-macrophages. PMID- 6576858 TI - The open-faced crown revisited. PMID- 6576857 TI - The response of neoplastic intestinal vessels to prostaglandin F2 alpha: angiographic observations with emphasis on therapeutic applications. AB - The effects of prostaglandin (PG) F2 alpha in 16 patients with vascular malignant intestinal tumors were analyzed by angiography. It was found that PGF2 alpha reduced tumor vascular flow selectively in all but one patient, a rectal carcinoma case. Among the remaining group, a case of intestinal choriocarcinoma complicated by massive gastrointestinal hemorrhage was successfully controlled with intraarterial infusion of PGF2 alpha into the superior mesenteric artery. Owing to the reduced blood flow in tumors, PGF2 alpha is expected to be used extensively as a vasoconstrictor to control bleeding from tumors of the alimentary tract. PMID- 6576860 TI - Dental radiography: a contemporary view. PMID- 6576859 TI - Interview: California Senator Paul Carpenter. PMID- 6576861 TI - Future challenges for dentistry: finding a better way. PMID- 6576862 TI - Issue and answers: an interview with ADA president Burton Press, DDS. PMID- 6576863 TI - Alternative casting Alloys for today's crown & bridge restorations. Part 1: all metal restorations. PMID- 6576864 TI - How to achieve the best surface polish on composite resins. PMID- 6576865 TI - Combined pedicle and scleral grafts for alveolar ridge augmentation. PMID- 6576866 TI - Critical of Smith. PMID- 6576867 TI - Zeroing in. PMID- 6576868 TI - Will the real dental student please stand up? PMID- 6576869 TI - Experience with human lymphoblastoid interferon in acute myelogenous leukaemia (AML). AB - Fourteen patients with acute myelogenous leukaemia, who had either failed to enter remission or had relapsed following conventional chemotherapy, received human lymphoblastoid interferon (Hu IFN-alpha N) at a dose of 100 X 10(6) units/m2 daily by continuous IV infusion for 7 days. Complete remission was not achieved in any of 10 patients evaluable for response, although a transient decrease in the degree of bone marrow infiltration was observed in two patients. PMID- 6576870 TI - Effect of 13 cis retinoic acid on early precancerous antigenic goblet-cell modifications and induction of cancer during 1,2-dimethylhydrazine carcinogenesis in rats. AB - The possible effect of oral 13 cis retinoic acid (13-cis-RA) on the carcinogenic process induced by 28 weekly s.c. injections of 1,2-dimethylhydrazine (DMH) in 34 Wistar rats was investigated. Using immunohistology, precancerous and cancerous stages were compared with the same stages induced by DMH without additional 13 cis-RA in 33 rats. M1 antigens, which characterize modifications in goblet-cell differentiation occurring early in rat colonic carcinogenesis, were used to investigate the possible effect of retinoids on differentiation during precancerous stages. From 3-20 weeks after the start of the experiment, no significant differences were observed in the timing of M1 antigens in the 2 groups of rats. It was also observed that 13-cis-RA had no effect on histological lesions associated with precancerous mucosa, nor on the occurrence of intestinal adenocarcinomas. Thus, under these conditions, oral administration of 13-cis-RA did not significantly inhibit precancerous or cancerous stages of intestinal carcinoma development. PMID- 6576871 TI - Altered incidences of hepatic and hemopoietic neoplasms in F344 rats fed sodium nitrite. AB - Three groups of 24 male, and three groups of 24 female F344 rats were fed sodium nitrite for 2 years. Two male and two female groups received 2000 parts per million sodium nitrite mixed with powdered food. The remaining pair of groups received 2000 parts per million in drinking water at the rate of 100 ml per week. A similar pair of groups of untreated animals were maintained as controls. There was little difference in survival between the treated groups and the controls. The incidence of liver neoplasms, which were carcinomas and neoplastic nodules, in the two groups of females treated with sodium nitrite in feed was significantly higher than in the controls, but there was no significant difference in the males. The incidence of monocytic leukemia for each of the nitrite-treated groups was always lower than that for the matching untreated control groups, with the difference attaining or approaching significance in five of the six cases. PMID- 6576872 TI - [Effects of Prostaglandin E1, E2 and F2 alpha on the in vitro steroidogenesis of human corpus luteum]. PMID- 6576873 TI - The isolation of prostaglandin E from pig nasal mucosa. AB - Prostaglandins of the E series (PGE) have been shown to be potent nasal vasoconstrictors but have not previously been isolated from the nasal mucosa. Here we report the isolation of a biologically active substance with properties similar to PGE from pig nasal mucosa. The substance was identified as PGE on the following criteria: 1 our isolation procedure demonstrated the presence of a biologically active polar acidic lipid; 2 caused contractions of the isolated rat stomach fundic strip similar to PGE2; 3 caused a prolonged nasal vasoconstriction similar to PGE2; 4 travelled on thin layer chromatogram with PGE. The PGE found in the nasal mucosa may have a role in the regulation of mucosal blood flow in normal and pathological conditions. PMID- 6576874 TI - Marker X-associated mental retardation. A study of 150 retarded males. AB - One hundred and fifty male patients with mental retardation of unknown origin were studied cytogenetically. Six patients (4%) were marker X-positive. All these index cases were found in a subgroup of patients with no dysmorphic features, significant neurological findings or childhood psychosis. In this subgroup the frequency was 8.8%. One of the index cases had a family history suggestive of X linked mental retardation, four had retarded 1st degree relatives and one had no family history of mental retardation. PMID- 6576875 TI - Lactic acidosis in a patient with acute leukemia. AB - Lactic acidosis is a rare but potentially fatal complication of acute leukemia. The terminal phase of acute leukemia in a 22-year-old woman, heralded by lactic acidosis, is described in order to focus attention on the occurrence of this metabolic disturbance in the absence of overt manifestations of acute leukemia. As reported in other cases, the lactic acidosis in our patient responded poorly to bicarbonate therapy but dramatically to antileukemic chemotherapy. The pathogenesis of the lactic acidosis is unclear but it may be the result of an undefined 'paraneoplastic' metabolic disturbance induced by the leukemic cells. PMID- 6576876 TI - Effect of oral hygiene instruction on brushing skills in preschool children. AB - This study provides new information on the assessment of toothbrushing skills in preschool children. 420 children aged 2-4 years were given a single lesson on toothbrushing. Their levels of toothbrushing skills, in terms of the locations of the tooth surfaces brushed, were recorded before and after the lesson. The number of skills per child possessed before the lesson (innate skills) and the number acquired from the lesson, both increased with age. A high correlation was found between the proportion of children innately possessing a particular skill and the proportion who subsequently learned it from the lesson. An effectiveness index was devised to help compare the relative difficulty and utility of teaching different skills at different ages. PMID- 6576877 TI - A 15-year follow-up study of 30-year-old Danes with regard to orthodontic treatment experience and perceived need for treatment in a region without organized orthodontic care. AB - It was the aim to study orthodontic treatment experience and past and present perceived need for treatment in 30-year-old Danes who, at adolescence, had no access to organized orthodontic care. In order to identify the malocclusion traits which elicited treatment or need for treatment, the findings were related to the occurrence of various traits which had been registered in the same individuals 15 years earlier. From questionnaires (response rate 86%, n = 841) it appeared that 10% had received treatment and 20% perceived need for treatment either in childhood or at present. At adolescence, the subjects who had subsequently received treatment, displayed relatively high frequencies of ectopic eruption, anterior cross-bite, extreme maxillary overjet, deep bite, and crowding; among those who perceived need for treatment, extreme maxillary overjet, mandibular overjet and crowding were relatively prevalent. PMID- 6576878 TI - Use of public and private dental services by adults in Finland. AB - The aim of this study was to analyze the factors that affected the choice between public and private dental services in 1979, when 9% of adults had received their dental services in a public health center. In September 1979 the National Board of Health conducted a telephone interview among Finnish adults over 15 yr old. When a representative sample of 1992 adults was drawn, the response rate was 90.4%. All subjects over 17 yr of age who had used dental services within the last 5 yr were included in the study, making a final sample of 1368. According to the logistic function, the greatest differences were between rural and urban areas. Of the subjects living in urban areas, 18% had visited public health centers; and of those living in rural areas, 45% had visited health centers. Of the adults living in an urban setting, 70% and in rural areas 49% visited private dentists. Of the subjects who had used private dental services, nearly half were managers and upper white-collar workers; while of those using communal services, less than one third worked in such jobs. In urban areas managers and upper white collar workers used private services twice as often as they used public services. In an urban setting, subjects who had visited a dentist during the last 2 yr had received treatment mainly in the private sector; and in a rural setting, subjects had been treated mainly in health centers. PMID- 6576879 TI - State and development of dental care for employees in Finland. AB - The aim of this study was to analyze the present state of occupational dental care in Finland. In addition, the viewpoints of employees and employers concerning possibilities for developing occupational dental care were evaluated. Five percent of employers had arranged dental services for their employees. Twenty-four firms either had their own dentist or had made an agreement with a dentist about dental care for their employees. Most of these dentists delivered all kinds of dental treatment to employees, and the costs of treatment were usually paid from the worker's sickness benefit funds. Many such funds also subsidized the costs of dental treatment delivered in other dental offices. In 1978 about 49% of the workers covered by such funds received subsidies for their dental expenses. The most important means of developing adult dental care in Finland was considered to be widening the scope of public dental care. The second means was widening the scope of the national health insurance system. In third place, the employers supported development of private dentistry. Employees, however, preferred to include dental care in agreements made by collective bargaining. PMID- 6576880 TI - Public views on fluoridation and other preventive dental practices. AB - The political nature of fluoridation is due in part to public misconceptions about its purpose, and about its efficacy and practicality in preventing tooth decay as compared with other preventive practices. This paper describes a public opinion survey conducted in Portland, Oregon in May 1980, immediately following a referendum that repealed an earlier vote to fluoridate Portland's water supply. A household interview survey was conducted of 313 Portland residents aged 18 and over. The primary objectives of the survey were to: 1) determine attitudes on fluoridation; 2) gauge the effectiveness of several pro- and antifluoridation arguments; 3) determine key target populations for fluoridation education efforts; and 4) determine the relative impact of different sources of information about fluoridation. Among the significant findings of the survey were: 1) preventive practices involving fluorides were rated less important to dental health than other preventive practices; 2) 71% of respondents knew the purpose of fluoridation; 3) newspapers were the predominant source of information about fluoridation; and 4) the "loss of freedom of choice" was by far the most powerful argument against fluoridation. PMID- 6576881 TI - Anxiety and dental caries. AB - It is accepted that emotional stress causes various kinds of degenerative physiological changes. We have assumed that it is important to study the relationship between anxiety and dental caries. Anxiety and personality of children were investigated and oral examinations and questionnaires about their life style were performed. There was statistically a significant relationship between dental caries and anxiety which may be overridden by keeping regular hours. To prevent dental caries, we conclude that more attention should be paid to psychosomatic responses which may cause dental caries. PMID- 6576882 TI - Comparison of SASOC, a measure of dental aesthetics, with three orthodontic indices and orthodontist judgment. AB - Scores for three malocclusion indices (HLD, TPI and OI) and Orthodontist Judgment (OJ) were available for the 100 orthodontic study models utilized in the development of SASOC, the Social Acceptability Scale of Occlusal Conditions. The ability of SASOC to predict need for treatment using OJ as a standard was compared to the ability of HLD, TPI and OI to predict OJ's decisions. In addition, determinations of need for treatment of each of the 100 models using HLD, OI and OJ were compared to SASOC's rankings for the public's perceptions of aesthetic acceptability. Finally, the agreement of HLD, OI and OJ with each other in assessing need for treatment was compared. Results indicated: 1) that SASOC's, HLD's, TPI's and OI's "hit rate" in predicting OJ ranged between 73% and 81%; 2) HLD's, OI's and OJ's assessment of malocclusion paralleled lay perceptions of aesthetic acceptability (SASOC), and 3) there were differences of agreement among HLD, OI and OJ as to which cases had a definite need for treatment. There was more agreement on cases which did not have a definite need for treatment than on those which did. A tool which assesses only the aesthetic component of occlusal configurations was judged to be more suitable in the study of the social and psychological impact of malocclusion than indices and orthodontist judgment which include professional criteria as well as aesthetics in their assessments of malocclusion. PMID- 6576883 TI - Geographic effects on dental caries prevalence and tooth loss in Australia. AB - Geographic effects on caries prevalence have been noted in studies in the United States, Australia and South Africa. Australia, because of its large land mass, is a useful standpoint from which to gauge such effects, particularly since countrywide data from the School Dental Service is processed centrally, and since the Australian Bureau of Statistics has recently conducted a nationwide survey of adult dental health status. Both studies reveal a distinct impact of geographical factors on dental morbidity. DMF scores in 12-yr-old children are higher in the southern states, and rates of edentulousness in 35-44-yr-olds in Tasmania (latitude 40(0)-45(0)S) are double those for the more northerly states. PMID- 6576884 TI - Gingival recession in the mandibular central incisor region of Saudi schoolchildren aged 10-15 years. AB - Incidence of gingival recession in the mandibular central incisor region was examined in a sample of 1336 male and female Saudi schoolchildren aged from 10-15 yr. Gingival recession was found in 9.88% with no significant difference in the affected teeth by age (p greater than 0.8361). There was a significant difference in the mean clinical crown length between the affected and adjacent teeth (p less than 0.0001). The highest significant association of gingival recession was found with inflammation (p less than 0.0001), anterior crowding (p less than 0.0009) and frenal involvement (p less than 0.0001). The results of this investigation suggest that future studies should be made to evaluate the effect of miswak as a cleansing agent for the gingival tissues among the Saudi population. PMID- 6576885 TI - A baseline study of periodontal conditions among youths and adults in Portugal. AB - A study was undertaken in 1979 to obtain baseline data of periodontal disease and treatment needs among rural and urban Portuguese. From Montemor-o-Novo, Alentejo and from Lisbon, 255 persons (121 males, 134 females) aged 15-44 yr were selected by a stratified quota sampling method and examined under field conditions using both Russell's Periodontal Index (P.I.), slightly modified, and components of a proposed new WHO method. The latter formed the basis for estimation of treatment need according to the Community Periodontal Index for Treatment Needs (CPITN). Periodontal disease as assessed by the P.I. exhibited epidemiologic characteristics which in several respects were similar to those reported in other populations. Severity increased with increasing age and there were trends towards more severe disease in males than in females, and more severe disease in rural than in urban districts. Relatively few cases of advanced periodontitis were detected by the P.I. as applied in this study. The underestimation of disease prevalence inherent in the scoring method, the high tooth mortality and the fact that only relatively young individuals were studied may have contributed to this finding. Great need for various types of periodontal therapy were found through CPITN assessments. However, relatively few individuals were in need of "complex periodontal therapy" as assessed by the CPITN. PMID- 6576886 TI - Dental health of Vietnamese Boat People on Pulau Bidong, Malaysia. AB - The influx of refugees from Vietnam to the industrialized countries has attracted a certain interest to studies describing the oral health status of these population groups. The present study comprises 361 refugees arriving in Malaysia from Vietnam and collected immediately at the refugee camp on Pulau Bidong. Dental caries, calculus, gingival bleeding and loss of periodontal attachment were recorded. Mean dmft increased from 1.3 for 0-2-yr-olds to 7.4 for 3-5-yr olds. For 6-9-yr-olds mean DMFT was 2.4 while it ranged between 8.5 and 10.10 for the older age groups. The frequency of secondary lesions was high for all age groups. Calculus increased consistently with age, while gingival bleeding was common even in the youngest age group. Loss of periodontal attachment greater than or equal to 6 mm was rare in all age groups except the oldest (45 yr or older). A strategy for oral health care for these population groups is discussed. PMID- 6576887 TI - Development of edentulousness in Finland during the 1970's. AB - From a representative sample of 8000 persons aged 30 yr and over, 7190 were examined clinically. Thirty-one percent were edentulous, 23% of the men and 38% of the women. Results of our study were compared with seven other nationwide studies of edentulousness in Finnish adults made during the last decade. For subjects 35-64 yr old the rate of edentulousness was lowest in our clinical study. For those over 64 yr old the rates of edentulousness varied from 54% to 67%. In general, results obtained using interviews or questionnaires gave higher percentages for edentulousness than did the clinical study. Statistical evaluation of the differences in rates found in these studies did not show edentulousness to be either increasing or decreasing in Finland during the 1970's. PMID- 6576888 TI - Treatment of Tourette disorder with penfluridol. PMID- 6576889 TI - Endodontic therapy of deciduous teeth. PMID- 6576891 TI - The role of the crestal lamina dura in assessing periodontal health. PMID- 6576890 TI - The management of endodontic emergencies. PMID- 6576893 TI - Crown contour variation in gingival health. PMID- 6576892 TI - Crown lengthening procedure. Part I. Clinical aspects. PMID- 6576894 TI - Dental practice burnout. PMID- 6576895 TI - Computed tomographic diagnosis of an intracardiac metastasis from osteosarcoma. AB - A report of the demonstration of an asymptomatic intracardiac osteogenic sarcoma metastasis by computed tomography. This metastasis was successfully excised along with associated pulmonary metastases. Intensive chemotherapy and aggressive surgical excision of metastatic osteosarcoma lesions have resulted n 40%-60% long term survival in these patients. PMID- 6576896 TI - Electron microscopic studies on mouse Leydig cells in vitro. AB - The ultrastructure of cultured Leydig cells isolated from mice testes was studied in the early and late phases of culture. Cells were cultured in Leighton tubes on glass evaporated with carbon and covered with Formvar films. Additionally a histochemical test was carried out in order to evaluate the delta 5, 3 beta hydroxysteroid dehydrogenase activity of Leydig cells in vitro. Levels of androgen released into the culture medium were measured by radioimmunoassay. Both the histochemical and radioimmunological analyses showed high activity of the enzyme studied and a higher androgen level in the first 4 days of culture. During culture a progressive decrease of the steroidogenic function of Leydig cells in vitro as well as some degenerational changes of the cells were observed. The ultrastructural studies showed the difference between Leydig cells in vitro and in vivo and proved the occurrence of the degenerational modifications of cells in the late phase of culture. PMID- 6576897 TI - Planning for a JCAH accreditation survey. PMID- 6576898 TI - [Clinical aspects and problems of traumatic infraction in the dentin]. PMID- 6576899 TI - [Reproducibility of different bite registration technics]. PMID- 6576900 TI - [Sensitivity disorders after ramus osteotomies using wire and traction screw osteosynthesis]. PMID- 6576901 TI - [Mandibular movements in stress situations]. PMID- 6576902 TI - [Kinesiological relationship between incisal guidance and the condylar path in thrust movement]. PMID- 6576903 TI - [Fluoride concentrations in the serum after tray applications of gels with varying amine fluoride content]. PMID- 6576904 TI - [Stress distribution in metal ceramic bridgework models]. PMID- 6576905 TI - Cell surface markers. 4th Symposium on Lectins in Cell Biology and Medicine. Cologne, June 25, 1983. Abstracts. PMID- 6576906 TI - Modulation of plasma cyst(e)ine by cisplatin. AB - Some types of human malignant cells are cyst(e)ine auxotrophs. In 8 cancer patients given 10 courses of treatment cisplatin caused a mean (+/- S.D.) 83 +/- 17% decrease in plasma cyst(e)ine when measured before and 6 hr after drug infusion. The magnitude of the decrease correlated with peak plasma cisplatin concentration, and serial measurements demonstrated that in some patients plasma cyst(e)ine was still decreasing at 6 hr. The mean 6-hr plasma cyst(e)ine was low enough (9 +/- 9 microM) to prevent the proliferation of human promyelocytic (HL 60) cells in culture. PMID- 6576907 TI - Prediction of sensitivity to 1-beta-D-arabinofuranosylcytosine by the plateau level of its 5'-triphosphate in human lymphoblastic cell lines in vitro. AB - Parameters for metabolism of 1-beta-D-arabinofuranosylcytosine (ara-C) were examined to know whether the prediction of ara-C sensitivity is possible or not using 9 human lymphoblastic cell lines, 3 T cell lines and 6 B cell lines in vitro. Neither the capacity for synthesis, degradation of 1-beta-D arabinofuranosylcytosine 5'-triphosphate (ara-CTP), generally lower in the T than B cell lines, nor deamination of ara-C, negligible in the B cell lines, could be correlated to the drug sensitivity. On the other hand, significant correlation was obtained between the sensitivity and the plateau level of ara-CTP. We consider that ara-C sensitivity could be predicted by measuring the plateau ara CTP level before commencement of chemotherapy. PMID- 6576908 TI - Dissociation of the spasmolytic and metabolic effects of glucagon. AB - Glucagon and glucagon-(1-21)-peptide were equipotent with regard to inhibitory effect on the amplitude of electrically evoked contractions of the isolated guinea-pig ileum. The effect was not potentiated by isobutylmethylxanthine (IBMX) nor inhibited by phentolamine or propranolol. Both peptides inhibited intestinal motility in rabbits in vivo. Glucagon and equimolar doses of glucagon-(1-21) peptide exerted a relaxing effect on the rabbit gall bladder in vitro and in vivo and increased bile flow in rats. Both peptides inhibited pentagastrin stimulated gastric acid secretion in cats. However, contrary to glucagon, glucagon-(1-21) peptide did not increase blood glucose and plasma IRI levels after intravenous administration to rats in vivo. Whereas the entire glucagon molecule was required for the metabolic effects, the amino acid sequence (1-21) of glucagon exerted a full spasmolytic action on the enteric muscles and the biliary tree. The spasmolytic effects on these organs are therefore likely to be mediated via a mechanism that does not involve the activation of adenyl cyclase. PMID- 6576909 TI - Variation amongst K562 cell cultures. AB - K562 cell cultures were obtained from three laboratories (A, B and C) outside our institution, and were designated according to source as K562A, K562B or K562C. The cultures obtained were constitutive or "wild type" K562 cell cultures, not cloned sublines. These cell cultures were compared with respect to growth kinetics, cell surface protein markers, surface antigens, cytogenetics and hemoglobin production. Morphology, growth kinetics in liquid suspension culture, cloning efficiency in soft agar culture, binding of anti-K562 monoclonal antibodies, and the majority of cell surface proteins were generally similar. In contrast, several important differences were observed: (1) hemoglobin synthesis induced by hemin was significantly different among K562A, B and C, K562A being most sensitive (P less than 0.05); (2) whereas more than 90% of K562A or C cells appeared to be Philadelphia chromosome (Ph1)-positive, less than 15% of K562B cells contained a Ph1; (3) membrane proteins (93 and 85 kilodalton) were identified in K562A, whereas only the 93 kilodalton protein was detected in K562B and neither of the proteins were detected in K562C. Our results indicate that K562 cells maintained in different laboratories can undergo tangible changes which may influence experimental results obtained in studies using these cells. PMID- 6576910 TI - In vitro drug sensitivity studies of CFUc in chronic myelocytic leukemia: I. Suicide indices and busulfan sensitivity determinations during the chronic phase. AB - Serial clonogenicity studies employing an agar CFUc culture assay are being performed on cells from CML patients to determine if clonal growth, 3HTdR suicide indices (SI) and in vitro busulfan sensitivity are of prognostic significance in predicting blastic transformation. Initial studies performed on specimens obtained from 20 chronic phase patients were directed at determining whether blood and marrow cells differed in growth pattern, SI, and busulfan sensitivity and whether the cells giving rise to clusters differed from those forming colonies. In comparing marrow to blood cells, there was a correlation between the two with respect to the number of colonies produced and the sensitivity of the clonogenic cells to busulfan. By contrast the SI of blood and marrow clonogenic cells were not correlated. In both blood and marrow, colony forming cells had a higher SI and were more sensitive to busulfan than were cluster forming cells. PMID- 6576911 TI - Autophosphorylation of type 2 casein kinase TS at both its alpha- and beta subunits. Influence of different effectors. AB - Rat liver casein kinase TS (Ck-TS) having quaternary structure alpha 2 beta 2, autophosphorylates at its 25 kDa, beta-subunits, incorporating up to 1.2 mol P/mol enzyme. According to their effects on the autophosphorylation pattern the effectors of Ck-TS activity can be grouped into 3 classes: (i) inhibitors, like heparin, which also prevent the autophosphorylation of the beta-subunit; (ii) stimulators possessing several amino groups (like spermine) which increase the autophosphorylation at the beta-subunit; (iii) stimulators possessing several guanido groups, like protamines and related peptides, which prevent the phosphorylation of the beta-subunit, while promoting the autophosphorylation of the 38 kDa alpha-subunit. In the presence of such polyarginyl effectors the 130 kDa Ck-TS is converted into forms with higher sedimentation coefficient. PMID- 6576912 TI - Separation of Fe+3 from transferrin in endocytosis. Role of the acidic endosome. AB - NH4Cl and monensin, two agents which neutralize intracellular acidic compartments, block the segregation of iron from transferrin after endocytosis, while neither of these reagents affects internalization of diferric transferrin into the cell. In conclusion the molecular separation of iron from transferrin inside the cell requires a non-lysosomal acidic compartment. PMID- 6576913 TI - Inhibition of human placental progesterone synthesis by danazol in vitro. AB - In vitro, danazol showed a slight dose-dependent inhibition of the mitochondrial cholesterol side chain cleavage enzyme isolated from early gestational (8th to 12th week of gestation) placenta. In the presence of 100 microM danazol, the enzyme activity was 65% of controls. Danazol inhibits dose-dependently the mitochondrial 3 beta-hydroxysteroid dehydrogenase (I50 = 3.1 microM; Ki = 1 microM) (noncompetitive inhibition) and the cytoplasmic 20 alpha-hydroxysteroid dehydrogenase (I50 = 1.4 microM; Ki = 2.6 microM) (competitive inhibition). The inhibition of human placental progesterone synthesis by danazol in vitro is a further example for the direct interference of danazol with steroidogenesis. PMID- 6576914 TI - Preconceptual female gender selection. PMID- 6576915 TI - [Laboratory tests for the incidence of viral hepatitis in dentists]. PMID- 6576916 TI - [Clinical course and management of metastases from ethmoido-maxillary tumors]. PMID- 6576917 TI - [Prosthodontic management of anodontia affecting phonation. Case report]. PMID- 6576918 TI - [Early manifestations and treatment of the masticatory dysfunction syndrome]. PMID- 6576919 TI - [Significance of salivary nitrite]. PMID- 6576920 TI - [Relation between dental filling and the periodontium]. PMID- 6576921 TI - [Stress tolerance of the alveolar process of the edentulous mandible in relation to bone resorption]. PMID- 6576922 TI - Intraveneous diazepam. Analysis of the first forty administrations by a solo practitioner. PMID- 6576923 TI - Pollution and scavenging. PMID- 6576924 TI - Complications & emergencies. Special problems in children. PMID- 6576925 TI - Disorientation on recovery from methohexitone--possible hyperthyroidism. PMID- 6576926 TI - Complications of intravenous diazepam--urinary retention. PMID- 6576927 TI - Eye complications following the Gow-Gates block technique. PMID- 6576928 TI - Eye complications following Gow-Gates block technique. PMID- 6576929 TI - Methohexitone in dentistry. Scientific results of 4,379 administrations. 6: Patient survey - general summary, conclusions and recommendations. PMID- 6576930 TI - [The dental rake: a new type of anchorage for periodontally involved teeth]. PMID- 6576931 TI - [A new technic for direct pulp capping]. PMID- 6576932 TI - [Ocalexic treatment of granuloma]. PMID- 6576933 TI - [Clinical experiments in the use of fosfomycin in oral microbial infections]. PMID- 6576934 TI - [Pain reduction in patients undergoing periodontal surgery treated with zomepirac sodium]. PMID- 6576935 TI - [Training the dental technician. Jaw relation record. Articulators. 9]. PMID- 6576936 TI - Dentists' incomes: national and regional survey. PMID- 6576937 TI - Where to start when computerizing your practice. PMID- 6576938 TI - Delegate key functions to your staff for productivity. PMID- 6576939 TI - More tax benefits from buying new equipment. PMID- 6576940 TI - How to do the dentistry that's hiding in your recall system. PMID- 6576941 TI - Ten deadly dental office timewasters and how you can avoid them. PMID- 6576943 TI - A permanent cure for broken appointments. PMID- 6576942 TI - Esthetic dentistry: a great way to get referrals. PMID- 6576944 TI - Case acceptance: the treatment plan that breaks through all economic barriers. PMID- 6576945 TI - The vitamin C content of foods. PMID- 6576946 TI - Malignant transformation in oral lichen planus. PMID- 6576947 TI - Dietary patterns, dental awareness and dental caries in the Asian community. PMID- 6576948 TI - The prevention of cross-infection in dentistry. PMID- 6576949 TI - Access programs address economic issues. PMID- 6576950 TI - Plan now for slow down years. PMID- 6576951 TI - The pathway to harmony: evaluate staff performance and perceptions. PMID- 6576953 TI - Communication with patients is simply listening. PMID- 6576952 TI - Learning from mistakes. PMID- 6576954 TI - Avoid getting roped into small claims court. PMID- 6576955 TI - A plan for dental group compensation. PMID- 6576956 TI - Unusual choice of partners proves successful for two Minnesota doctors. PMID- 6576957 TI - How to work with your banker. PMID- 6576958 TI - Improve your recall ratio. PMID- 6576959 TI - Variable factors determine the worth of a dental practice. PMID- 6576960 TI - "I love my patients". PMID- 6576961 TI - Two new human myeloid cell lines derived from acute promyelocytic leukemia and chronic myelocytic leukemia. AB - Two new human myeloid cell lines, PL-21 and KCL-22, were established from acute promyelocytic leukemia and chronic myelocytic leukemia, respectively. PL-21 was positive to peroxidase staining and differentiated into mature myeloid cells in vitro. KCL-22 had Ph1 chromosomes and differentiated into granulocytes in vivo. PMID- 6576962 TI - [Cytological characteristics of the erythron in acute and chronic leukemias]. PMID- 6576963 TI - [Lysogenic conversion induced by phage phi 80. II. Mapping of the cor locus]. AB - The cor locus determines lysogenic conversion of the lambdoid phi 80 phage. The cor locus was cloned from phi 80, phi 80pt1, phi 80pt0, phi 80pt4A and lambda hy51 DNAs in the pBR322 plasmid. According to the physical and genetic data, the cor locus was located on the genetic map of phi 80 bacteriophage at the 40.3 divided by 43.5% lambda. It is closely linked to the gene 13 of phi 80 phage and has a position similar to that of lom gene of lambda phage. PMID- 6576964 TI - [Chinese hamster cells mutant for the hypoxanthine-guanine phosphoribosyltransferase locus. IV. The biochemical characteristics of the hypoxanthine-guanine phosphoribosyltransferase of hybrid clones obtained by intragenic complementation]. AB - A biochemical study of hypoxanthine-guanine-phosphoribosyltransferase (HPRT) has been carried out in hybrid clones of Chinese hamster cells obtained in complementation experiments. A wide range of biochemical characteristics made it possible to identify a hybrid form of HPRT differing from the enzyme of parental clones in virtually every hybrid tested. The presence of hybrid HPRT was detected by the changed kinetic properties of temperature sensitivity and electrophoretic mobility compared to the enzyme in mutant cells. Since HPRT consists of identical subunits, the hybrid nature of the enzyme in cells obtained through hybridization of HPRT-mutant clones may be regarded as evidence for intragenic complementation. None of the hybrid clones contained an enzyme with the normal properties. Groups of hybrids with similar biochemical characteristics of HPRT can be obtained, if one of the mutant partners involved in hybridization belongs to one and the same complementation group; the major characteristics of hybrid HPRT are then determined by the partner having the higher level of enzyme activity. The series of studies of intragenic complementation in the HPRT gene is summarized. PMID- 6576965 TI - Application of pit and fissure sealant. PMID- 6576967 TI - [Fundamentals and clinical significance of steroid hormone receptors, 17 beta hydroxysteroid-dehydrogenase and serum tumor markers in endometrial carcinoma]. PMID- 6576966 TI - Effects of non-steroidal anti-inflammatory drugs and prostaglandins on alkali secretion by rabbit gastric fundus in vitro. AB - The effects of non-steroidal anti-inflammatory drugs and prostaglandins E(2) and F(2alpha) on the secretory and electrical activity of isolated rabbit fundic mucosa have been studied. Spontaneous acid secretion was inhibited by serosal side application of sodium thiocyanate (6x10(-2)M) and the resulting alkali secretion measured by pH stat tiration. Serosal side application of indomethacin (10(-5)M) or aspirin (3x10(-3)M) inhibited alkali secretion (0.55+/-0.06 to 0.12+/-0.06 mumol/cm(2)/h, n=6, p<0.01 and 0.28+/-0.06 to 0.11+/-0.03 mumol/cm(2)/h, n=7, p<0.02 respectively). Mucosal or serosal side prostaglandin E(2) (10(-5) to 10(-10)M) and F(2alpha) (10(-4) to 10(-10)M) failed to alter the rate of alkalinisation but secretion was significantly increased by serosal side 16,16-dimethyl-prostaglandin E(2) (10(-6)M) (0.90+/-0.20 to 1.50+/-0.30 mumol/cm(2)/h, n=6, p<0.01). Serosal side application of 10(-6)M prostaglandin E(2) to fundic mucosae pretreated with either aspirin (5x10(-3)M) or indomethacin (10(-5)M), to reduce endogenous E(2) formation, also failed to alter alkali secretion. Pretreatment of the mucosa with 16,16-dimethyl-E(2) (10(-6)M) abolished the inhibitory effect of indomethacin (10(-5)M) on alkali secretion (n=6) but did not modify the secretory response to aspirin (3x10(-3)M) (fall in alkali secretion with aspirin = 81+/-11% and with aspirin plus 16,16-dimethyl E(2) = 72+/-10%, n=7). In the doses used, none of the prostaglandins or non steroidal anti-inflammatory drugs altered transmucosal potential difference or electrical resistance. These results show that the damaging agents, aspirin and indomethacin, both inhibit gastric alkali secretion but that modes of action may differ. The observation that prostaglandins, E(2) and F(2alpha) failed to increase alkali production suggests that their protective activity against a variety of damaging agents as shown by others, may be mediated by another mechanism. PMID- 6576968 TI - Effect of low intensity laser beam on steroid dehydrogenase activity and steroid hormone production in cultured porcine granulosa cells. AB - Effect of the beam emitted by a helium-neon (He-Ne) laser of a low power (2.8 mW) on the activity of delta 5, 3 beta-hydroxysteroid dehydrogenase (delta 5, 3 beta HSD), as well as on the estradiol and progesterone production was studied in cultured granulosa cells obtained from porcine ovary. It has been found that the laser beam stimulates the activity of steroid dehydrogenase, increases estrogen levels and exerts a variable influence on the progesterone level. In control cultures the highest level of both hormones occurred simultaneously, while in cultures exposed to the laser beam progesterone level rose at a slower rate and reached maximum when the estrogen level dropped. Hyperplasia and epithelisation were observed only in the experimental cultures. The most intense cytochemical reaction for delta 5, 3 beta-HSD, as well as the most pronounced increase in estrogen and progesterone level occurred in cells exposed to a pulsating beam for 60 sec. PMID- 6576969 TI - [Familial tooth position anomalies in the Orangutang. Orthodontic, cytogenetic and anthropological studies]. PMID- 6576970 TI - [Functional apparatus for the treatment of malocclusion in small children]. PMID- 6576971 TI - [Current functional orthodontics for increase or decrease in the use of multiband appliances and the practice-related judgment of clinical technical anterior bimaxillary apparatus for so-called interceptive orthodontics]. PMID- 6576972 TI - [Cybernetics, the key to understanding the various effects of the bimaxillary apparatus]. PMID- 6576973 TI - [A method for 3-dimensional cephalometric analysis]. PMID- 6576974 TI - [What significance do cephalometric measurements on radiographs of the profile have for reconstructive dentistry in adults?]. PMID- 6576975 TI - [Differential diagnosis of dentoalveolar and skeletal deviations from the surgical viewpoint]. PMID- 6576976 TI - [Tooth size discrepancies as additive factors in the etiology of occlusal anomalies]. PMID- 6576977 TI - [The emergency kit from the pediatrician's viewpoint. Recommendations for the physician in general practice]. PMID- 6576978 TI - [The patient and dentist in the Public Health Service in the Federal Republic of Germany. Program principles]. PMID- 6576979 TI - Primary structure of human class II histocompatibility antigens 3rd communication. Amino acid sequence comparison between DR and DC subclass antigens derived from a lymphoblastoid B cell line homozygous at the HLA loci (HLA-A3,3; B7,7; Dw2,2; DR2,2: MT1,1; Dc1,1: MB1,1). AB - Class II histocompatibility antigens from a homozygous human lymphoblastoid B cell line (HLA-A3,3; B7,7; Dw2,2; DR2,2; MT1,1; DC1,1; MB1,1) were isolated by an exclusively chemical procedure. After the separation of the alpha and beta chains the amino acid sequences of the extracellular parts of the DR2 alpha and the DR2 beta chains could be determined, in spite of the heterogeneity of both fractions. Peptides isolated in considerably lower yields indicated at least one more alpha chain and 6 further beta chains. By the investigation of these lower-yield enzymatic fragments, in addition to the DR2 alpha and DR2 beta chains, we can now report on the partial amino acid sequences of a DC alpha chain, a second beta chain of DR type and one beta chain of DC type. Furthermore, the isolation of a characteristic glycopeptide suggests the existence of a second beta chain of DC type. The following class II antigens are therefore identified: DR2 alpha/DR2 beta 1, DR2 alpha/DR2 beta 2, DC1 alpha/DC1 beta 1, DC1 alpha/DC1 beta 2, indicating that each subclass can be subdivided into two antigens because each alpha chain type can associate with at least either beta 1 or beta 2. Further investigations must clarify whether the remaining three beta chains are of the DR, DC, or of a third beta chain type. Amino acid sequence comparisons confirm that the human DR antigens are the equivalent of mouse I-E antigens, while human DC antigens are the equivalent of mouse I-A antigens. PMID- 6576980 TI - Menkes kinky hair disease: a search for closely linked restriction fragment length polymorphism. AB - In a large kindred with X-linked Menkes disease, linkage studies were performed with a restriction fragment length polymorphism (RFLP) that had been found with a cloned hybridisation probe from the proximal short arm of the X chromosome. This RFLP was considered as a potential genetic marker since the Menkes gene seems to be located near the centromere. Moreover, there is circumstantial evidence that in the (para) centric region of the X chromosome cross-overs are relatively rare. Unexpectedly, however, at least two cross-overs were detected in this family which suggests that the DNA sequence employed is of limited use for early diagnosis and carrier detection in this fatal hereditary disorder. PMID- 6576981 TI - Chromosomal rearrangements with a common breakpoint at 6p23 in five cases of myeloid leukemia. AB - Rearrangement of the short arm of chromosome 6 with a breakpoint at 6p23 was found in five patients with myeloid leukemia. Three of them had different morphological variants of AML (M2, M3, M4) and two blastic crisis of Ph1 negative and Ph1 positive CML. Identical translocation, t(6;9)(p23;q34), was revealed in two patients. One of them had AML (M2), the other blastic crisis of Ph1 negative CML. The blast cells of the last patient were morphologically similar to those in the M2 variant of AML. Translocation (6;9)(p23;q34) was also detected in two AML patients of Rowley and Potter (1976). The role of the breakpoint at 6p23 in myeloid malignancies needs further investigation. PMID- 6576982 TI - Chromosome abnormalities in chronic myeloid leukemia in children. AB - Banded chromosomes of leukemic cells were studied in 53 children with chronic myeloid leukemia (CML). Ph1 chromosome was found in 21 children, and the remaining 32 cases were Ph1 negative. Besides Ph1 translocation additional chromosomal abnormalities, including marker i(17q), were revealed in three of eight children studied in blastic crisis of Ph1 positive CML. Leukemic cells of most patients with Ph1 negative CML possessed normal karyotype. Clones with chromosomal abnormalities were found in 12 of 32 cases. Most characteristic were monosomy 7 (in four children) and trisomy 8 (in three). Abnormal karyotype may be a bad prognostic sign in Ph1 negative CML. The presented data confirm the difference in age of appearance, bone marrow pattern and clinical course between Ph1 positive ("adult") and Ph1 negative (juvenile) types of CML in children. Probable prenatal commencement of CML in babies and children in the first years of life is discussed. PMID- 6576983 TI - Unilateral split hand in one of monozygotic twins. AB - Atypical split hand (left) was observed in one of monozygotic twins. The probability for monozygosity was 0.997 as based on 18 autosomal loci (11 blood groups and 7 enzymes and serum proteins). This observation supports the thesis that atypical split hand is not genetically determined and must be distinguished from autosomal dominant ectrodactyly. PMID- 6576985 TI - Dentistry, hepatitis B and a vaccine. PMID- 6576984 TI - The Cincinnati Lipid Research Clinic Family Study: commingling in the distributions of lipids and lipoprotein concentrations. AB - Commingling in the distributions of five lipids and lipoproteins was investigated in a sample of 567 Caucasians. Significant commingling was found for high density lipoprotein, low density lipoprotein, and very low density lipoprotein, but not for cholesterol and triglyceride. The differences between the present results and those reported earlier on a sample of Japanese-Americans are described and found to be partly attributable to differences in the sample sizes of the two studies. PMID- 6576986 TI - Potential contraindications for the use of formaldehyde in dentistry. PMID- 6576987 TI - Capitation in Illinois. Part I--Definition and characteristics of capitation plans. PMID- 6576988 TI - Mucormycosis in the immunocompromised host. AB - We are presenting two typical case histories of mucormycosis in patients with acute leukaemia which illustrate some of the important features of this infection in compromised hosts. In such patients, mucormycosis is mostly pulmonary or widely disseminated and often has a rapidly fatal course. A microbiological diagnosis from blood or sputum is difficult to establish. Mucormycosis or other fungal infections should be suspected in compromised patients with infections which do not respond to adequate antibiotic therapy. PMID- 6576989 TI - Rat AL2, AL3, AL4 and AL5 monoclonal antibodies bind to the common acute lymphoblastic leukaemia antigen (CALLA gp 100). AB - Four distinct rat monoclonal antibodies against the common ALL antigen (CALLA, gp 100) were obtained in a single fusion. Rat AL2, AL3, AL4, AL5 and the previously reported mouse J5 monoclonal antibodies identified the same subsets of leukaemic cells. AL2 and AL3 reacted weakly with terminal transferase-positive cells in normal bone marrow and foetal liver, as well as with a minority of mature granulocytes in blood. Immunoprecipitation experiments and competitive binding assays demonstrated that the four rat antibodies and J5 bound to the same glycoprotein of approximately 100,000 mol. wt. This set of rat monoclonal antibodies directed against CALLA has not only a diagnostic usefulness but may also be of therapeutic value. PMID- 6576990 TI - Chronic myeloid leukemia following radiotherapy for breast cancer. PMID- 6576991 TI - Methods for decreasing interstitial immunoglobulin in tissue slices and cryostat sections. AB - To determine whether lymphoid antigens and cellular morphology can be preserved after long-distance transport in buffer or cell culture medium, we stained cryostat sections prepared from human tonsil samples that had been kept at 4 degrees C or 20 degrees C for 24, 48 or 72 h. B-Cell antigens, T-cell antigens, and Ia antigens were well preserved after storage up to 72 h in buffer or medium at 4 degrees C. Interstitial immunoglobulin (Ig) was decreased following all incubation procedures. We then investigated methods to diminish interstitial Ig in cryostat sections, since it would be inconvenient to keep 2-3 mm tissue slices in buffer or medium prior to freezing and subsequent Ig staining. Cryostat sections were air dried or briefly fixed in acetone prior to washing in buffer or medium at 4 degrees C, 20 degrees C or 37 degrees C for 1, 2 or 24 h. Then sections were air dried or washed prior to acetone fixation and immunostaining. A method for washing cryostat sections was developed which diminished interstitial Ig without compromising the quality of immunostaining or cellular detail. These methods are especially useful for studying samples of lymphoid tissue in which the presence of large quantities of interstitial Ig obscures the detection of monotypic Ig staining patterns. PMID- 6576992 TI - The subjective aspect of feelings. PMID- 6576993 TI - A presumed case of spontaneous psychokinesis in a psychotherapy situation. PMID- 6576994 TI - A psychological assay of modern-day gambling. PMID- 6576995 TI - Studies on the differentiation inducers of myeloid leukemic cells. III. Spicamycin, a new inducer of differentiation of HL-60 human promyelocytic leukemia cells. PMID- 6576996 TI - Occurrence of chloramphenicol acetyltransferase and Tn9 among chloramphenicol resistant enteric bacteria from humans and animals. AB - The occurrence of chloramphenicol acetyltransferase (CAT) among chloramphenicol resistant enteric bacteria from humans, animals (cats, dogs) and sewage was examined. The enzyme appears to be the basis of resistance in 83 and 84 per cent of bacteria of humans and sewage origin, and in 50 per cent of bacteria from animals. In order to identify type I CAT among chloramphenicol resistant isolates, total cellular DNA was probed with a 32P-labelled fragment of the CAT structural gene from the transposable element Tn9. Nineteen per cent of chloramphenicol resistant enteric bacteria of clinical origin, 11% of sewage isolates, and 11% of veterinary isolates gave positive hybridization results. The difference between bacteria of clinical and veterinary origin in respect of both parameters tested is significant and is interpreted as indicating genetic dis similarity between the two pools in regard to chloramphenicol resistance. This may reflect a lack of contact between the two pools, or host bacterial factors with select against CAT-mediated (and type I CAT more specifically) resistance to chloramphenicol. PMID- 6576997 TI - Fluoride absorption: a comparative study of 1 and 2% fluoride gels. AB - The systemic fluoride absorption following topical fluoride gel application has been monitored in two groups of 6 healthy volunteers. Plasma F- levels and urinary fluoride excretion were measured after the use of a 1% and of a 2% gel preparation (commercial products). The resorption of these gels seems lower than reported previously for other preparations. Creatinine clearance remained unaffected after a single application of the gels in healthy subjects. PMID- 6576998 TI - Ultrastructural study of osteodentin formation induced by irradiation. AB - A single dose of 16,000 rads was delivered to a 1 X 1.5 cm area of the cheek of 2 day old Wistar rats. The lower first molar region was removed 1, 3, 5 and 8 days postirradiation and processed for light and electron microscopy observation. The most distinct structural feature at optical level was osteodentin production in the dental papilla, which began at the level of the initiation of Hertwig's epithelial sheath and continued until the pulpal area was completely filled by osteodentin. At the ultrastructural level, ameloblasts exhibited large lipidic vacuoles and irregular intracytoplasmic secretory granules. Odontoblasts underwent multiple regressive alterations with vacuolization and numerous myelin figures. Pulpal cells exhibited a capacity for odontoblastic differentiation with formation of one or more odontoblastic processes and dentin matrix secretion. Thus, irradiation resulted in stimulation of a great potential for dentin production in these cells. PMID- 6576999 TI - [Histomorphometric study of the effect of sodium dilantin on the gingival tissues of rats]. AB - The density and collagen content of fibroblasts were measured in the gingiva of rats injected intraperitoneally with sodium 5,5-diphenylhydantoinate (Dilantin). An analysis using a point-counting procedure on stained histologic sections, was performed. The effect of Dilantin was studied in normal gingiva and in gingivitis provoked by a silk-ligature placed around the first lower molars. The silk ligature alone did not modify the number of fibroblasts in the gingiva, but affected the collagen content. Dilantin associated with this irritant caused not only an alteration of the collagen content but also had a statistically significant effect (p less than 0.1) on the number of fibroblasts. The results indicate an interaction of the effects of Dilantin and a gingival irritant. PMID- 6577000 TI - [Trial modeling of acinous structures of the rat sub-mandibular gland]. AB - The sub-mandibular glands of rats subjected to unbalanced protein diets for six months were submitted to histomorphometric study in optical light microscopy. Protein deficiency led to slower growth although an hyperprotein diet did not alter acini distribution significantly. The results allowed an acinous structure model related to the diet protein ratio to be tested. PMID- 6577001 TI - [The influence of sodium diphenylhydantoinate on bone healing in the rat]. AB - In order to study the action of sodium diphenylhydantoinate (DPH) on bone repair and during apical scars, vitallium implants were included in four maxillary and mandibular bony cavities in Sprague-Dawley rats. After one month, the implants were removed. In half the cavities, selected as the experimental group bleeding was avoided. In the controls, the bony walls were perforated in order to induce formation of a good-quality clot. The day before the implants were removed and everyday until sacrifice, the animals were injected with sodium hydantoinate (10 mg/100g b/w) ip. They were sacrificed 1d, 4d, 8d, 16d, 28d and 56 days after the implants had been removed. The jaws were isolated, prepared for paraffin sections, and the areas of bone repair cut serially and studied under the photonic microscope. Another series of animals without sodium hydantoinate treatment, was studied for comparison. It was concluded that, in animals under DPH treatment: the bone repair was consistently delayed; a good-quality clot led to a better repair than a poor-quality clot which led cogeneralised collagen formation; the bony defects were proportional to the dose of the injected drug; the bony defects were qualitative including: thin bone traceculae, large osteocytes, collagen overgrowth; foreign bodies included in the bony repair areas were often encapsulated and tolerated; the percentage of collagenous bony defects (tapical scars) increased after sodium hydantoine treatment. PMID- 6577002 TI - [Histoenzymological characteristics of epithelial cells in oral mucosal lesions and jaw cysts. Diagnostic significance]. AB - An histoenzymological study (including oxidative enzymes, diaphorases, acid and alkaline phosphatases and naphtolesterases) of 41 biopsy and operation specimens revealed interesting factors in the diagnosis of some lesions of the buccal mucosa, and also of cysts and ameloblastomas of the jaw. When compared with normal buccal mucosa and epidermis, the enzymatic activities found in the oral lesions, fell into three different types. In non dysplasic leukoplakia, enzymatic activities were found that were similar to those of the epidermis (high oxidative activities, particularly prominent in basal cells and in the granular layer and esterasic activity beneath the keratinised layer). In lichen planus, some vacuolized or necrotic basal cells occurred which lacked enzymatic activity. In the upper layers, the distribution of the enzymes was irregular. In severe dysplasia and epidermoid carcinoma, numerous variations of oxidative, esterasic and acid phosphatase activities were seen from one cell to another. Among the lesions of the jaws, radicular cysts as well as dentigerous cysts, had low enzymatic activities, similar to those of normal buccal epithelium. The epidermoid cysts (keratocysts), because of their highly differentiated keratinization, like leukoplakia, had the same enzymatic activities as epidermis. The enzymatic activities of common ameloblastoma differed from those of malpighian tissues (low oxidative activities without decreasing gradient). Besides round epithelial nests, the stroma showed a high and widespread alkaline phosphatase activity, which indicated a low degree of odontogenic induction. Thus, this peculiar stromal activity may be useful in differentiating between cystic epidermoid varieties of ameloblastoma and the other epidermoid cysts of the jaws. PMID- 6577003 TI - [The electromyographic silent period of the mandibular elevators in variations of the vertical dimension of occlusion]. AB - The duration of the electromyographic silent period of masseter and temporal muscles was measured on nineteen healthy subjects by global electromyography. Average values were established for each muscle examined indicating a S.P. of 36.5 ms on the masseter and 44.31 ms on the temporal muscles. Artificially increasing the vertical occlusal dimension changed the S.P. duration of the four elevator muscles of the mandible very significantly. However, the temporal muscle response which gave a more predictable reduction of the S.P. duration, was different from the response of the masseter which presented either an extension or a reduction of the S.P. PMID- 6577004 TI - Rapid protein phosphorylation induced by phorbol ester in HL-60 cells. Unique alkali-stable phosphorylation of a 17,000-dalton protein detected by two dimensional gel electrophoresis. AB - Treatment of the leukemic promyelocytic cell line, HL-60, with phorbol-12 myristate-13-acetate (PMA), has been shown to induce terminal differentiation of the cells into monocytes. We found that this effect involves a rapid increase in phosphorylation of a 17-kDa protein (pp17, pI approximately 5.5) and a 27-kDa protein (pp27, pI approximately 5.5) as detected by two-dimensional gel electrophoresis. Within 15 min there was 5- to 7-fold and 3- to 4-fold increase in the phosphorylation of pp17 and pp27, respectively. The rate of phosphorylation remained accelerated over a period of 60-min incubation with PMA. In contrast to these specific changes, there was no effect of PMA on total 32Pi incorporation into HL-60 cells during the same period. The phosphoester bond of the pp17, but not of pp27, revealed a remarkable stability to alkali treatment of the electrophoretic gels. However, phosphoamino acid analysis showed that both pp17 and pp27 proteins are phosphorylated only at serine residues. These two phosphoproteins were located exclusively in the cytosol and were absent from the crude membrane fraction. We further demonstrated that several inactive derivatives of phorbol ester failed to cause an increase in phosphorylation of pp17 and pp27, suggesting that these specific phosphorylation events are intimately related to the induction of differentiation in HL-60 cells by PMA. PMID- 6577005 TI - Tyrosine-O-sulfated proteins of PC12 pheochromocytoma cells and their sulfation by a tyrosylprotein sulfotransferase. AB - The O-sulfation of specific proteins on tyrosine residues was studied using the rat pheochromocytoma cell line PC12 as a model system. In intact PC12 cells labeled with inorganic [35S]sulfate, the major protein substrates for sulfation on tyrosine were four acidic polypeptides with apparent molecular weights of 113,000, 105,000, 86,000, and 84,000 designated as p113, p105, p86, and p84. After labeling of intact PC12 cells with inorganic [32P]phosphate, these four proteins were also found to be phosphorylated at serine residues. Peptide mapping after limited proteolysis indicated sequence homologies between p113 and p105, and between p86 and p84. In lysed PC12 cells, p113, p105, p86, and p84 were phosphorylated at serine residues by an endogenous protein kinase using [32P] ATP. Moreover, in the cell-free preparation, an enzymatic activity was detected that was able to catalyze the sulfation of the four proteins on tyrosine residues. This sulfation reaction, which used adenosine 3'-phosphate 5' phospho[35S]sulfate as the sulfate donor, occurred in a particulate fraction of PC12 cells and was inhibited by 5 mM EDTA. These results demonstrate the presence in PC12 cells of a novel enzyme, designated here as a tyrosylprotein sulfotransferase, and imply a role for this enzyme in the post-translational processing of specific PC12 cell proteins. PMID- 6577006 TI - Abnormal biodistribution of radiogallium in persons treated with phenytoin. AB - After incidentally observing a patient in whom abnormal uptake of gallium-67 citrate appeared to be explained by treatment with phenytoin, we have conducted a prospective study. Of sixteen persons with a seizure disorder treated with phenytoin, five (31%) had abnormal uptake of radiogallium either in the mediastinum, pulmonary hilum or both. Of nineteen historical control patients only one had such abnormal uptake. Phenytoin may thus cause the false-positive uptake of radiogallium in lymph nodes; this finding may also prove to have nosological importance in identifying patients at particular risk of the side effects of this drug. PMID- 6577007 TI - Intranuclear vermicellar bodies in human osteosarcoma and ossifying fibroma cells. AB - Electron microscopic investigation of 16 cases of human bone tumor revealed the presence of intranuclear vermicellar bodies (IVB) in cells of two osteosarcomas and one ossifying fibroma. The spherical nuclear inclusions consisted of electron dense, interwoven, threadlike structures measuring approximately 20-30 nm in diameter. The nature and significance of the IVB remain obscure at present. PMID- 6577008 TI - Symposium of the Cooperative Osteosarcoma Study Group, COSS 80. A combined diagnostic and therapeutic approach to osteosarcoma treatment. May 7, 1982 in Vienna. PMID- 6577009 TI - Problems of biopsy and diagnosis in a cooperative study of osteosarcoma. PMID- 6577010 TI - Morphological grades of regression in osteosarcoma after polychemotherapy - study COSS 80. AB - The histologic grade of regression of 50 osteosarcomas after polychemotherapy - according to the protocol study, COSS 80 - was classified on a six-stage regression scale; 56% of all patients responded well to chemotherapy regression grades I, II, and III and no significant difference between BCD- and CPL-treated patients could be found. Tumors under 10 cm in length responded better to chemotherapy than those of greater length and there was a good correlation between the clinical estimation of tumor regression and progression and the histologic grade of regression. PMID- 6577011 TI - Combined ultrastructural, histochemical, and autoradiographic study of osteosarcoma after preoperative chemotherapy according to the COSS 80 protocol. AB - Twelve osteosarcomas treated according to the COSS 80 protocol (preoperative chemotherapy, resection) were studied by light and electron microscopic, histochemical, and autoradiographic methods. Evidence of regressive and necrotic changes was found in many tumor cells, but the alterations were unspecific. Viable tumor cells of high malignancy were also observed regularly, often at the S phase. As the tumor regression continued, a strong reaction of the mononuclear phagocyte system was manifested by the presence of macrophages and giant cells. PMID- 6577012 TI - Morphological changes in osteosarcoma after chemotherapy--COSS 80. AB - Forty-five osteosarcomas were investigated by special methods such as preparation of undecalcified bone tumor tissue, imprint cytology, histochemistry, and quantitative analysis. The morphological regression grades and their relation to chemotherapy are reported by Salzer-Kuntschik et al. (1983). The results presented demonstrate that smaller osteosarcomas respond more favorably than larger tumors. The function of bone-tumor cells, e.g., osteoid production, trabecular tumor bone formation, and mineralization, seems to be more important for the sensitivity to chemotherapy than the cell polymorphism. The estimation of bone-tumor morphology in at least two total areas of the bone tumor is essential in borderline cases (grade III/grade IV). Imprint cytology is very helpful for rapid estimation of the effect of therapy and the demonstration of cellular polymorphism. At the moment, we are not able to determine the effect of chemotherapy from the first biopsy before starting chemotherapy. PMID- 6577013 TI - Roentgenologic follow-up in primarily conservatively treated osteogenic sarcoma. PMID- 6577014 TI - The role of CT in diagnosis and follow-up of osteosarcoma. PMID- 6577015 TI - Bone scintigraphy in patients with osteogenic sarcoma. Cooperative Osteogenic Sarcoma Study Group COSS 80. AB - Preliminary results of a comprehensive analysis of bone scans in osteogenic sarcoma are presented. The scintigraphic data from 60 of 184 patients of the COSS 80 study were used for evaluation. The method seems to be appropriate to detect sensitively and early a therapy-induced decrease of tumor viability and extent. An optimized procedure is proposed. PMID- 6577016 TI - Angiographic-pathologic comparison in osteosarcoma after presurgical chemotherapy. PMID- 6577017 TI - Possibilities and limitations of limb-preserving therapy for bone tumors today. AB - To sum up, modern resection and extremity-preserving therapy is characterized by the following aspects: (1) The surgical procedure must be appropriate for the stage of the tumor. (2) From a functional point of view, the results of the resection treatment have so far been encouraging. (3) In spite of considerable technical progress, the implantation of bone-replacement endoprostheses as a treatment for primary osteosarcoma of the extremities must still be considered to be at the experimental stage. PMID- 6577018 TI - Surgical treatment in the COSS 80 study. PMID- 6577019 TI - Multistrand starting arches for the Begg technique. PMID- 6577020 TI - Propertionate templates for orthodontic diagnosis in children. PMID- 6577021 TI - Clinical motivation of the functional jaw orthopedic patient. PMID- 6577022 TI - The vari-simplex discipline. Part 1. Concept and appliance design. PMID- 6577023 TI - Nonextraction treatment. PMID- 6577024 TI - Indicator wires for precision bracket alignment. PMID- 6577025 TI - Lingual orthodontics: a status report. Part 7B. Case reports--extraction. PMID- 6577026 TI - The Vari-Simplex Discipline. Part 2. Nonextraction treatment. PMID- 6577027 TI - Orthodontic economic index--1983. PMID- 6577028 TI - Jumping teeth in crossbite. PMID- 6577029 TI - Histopathology of initial gingivitis in humans. A pilot study. AB - The present study concerns the inflammatory alterations in the gingival margin during initial gingivitis in 11-13 year old human subjects. At day 0 of the experiment, all participants had clean teeth and healthy gingiva. All active oral hygiene measures were excluded for 4 days. From upper and lower premolars, which were extracted for orthodontic reasons, contralateral gingival biopsies, including the tooth and the adjacent gingiva, were obtained on days 0 and 4. The presence of inflammatory cells in the junctional epithelium and the adjacent connective tissue was determined quantitatively in semi-thin sections. The collagen content of the gingival margin was also determined. From day 0 to day 4 there was only a slight increase in the number of neutrophilic granulocytes in the junctional epithelium and adjacent connective tissue, while a more pronounced increase was found in the number of mononuclear leukocytes. A loss of collagen was noticed in 4 of the subjects, while 2 did not show any changes in collagen content. The inflammatory reaction seen in the present study differs somewhat from that observed in adult humans and adult dogs. The results correspond more to the reaction seen in juvenile dogs. PMID- 6577030 TI - Osseous repair in the presence of active tooth hypermobility. AB - The present investigation was undertaken to evaluate the periodontal response after resolution of inflammation in a situation of established marginal periodontitis, but in the presence of active, continued tooth hypermobility. Periodontitis was induced unilaterally around mandibular second and third bicuspids in 4 squirrel monkeys by tying plaque retentive silk ligatures at the gingival margins. Jiggling trauma to the periodontium between these bicuspids was begun 5 weeks later and continued for the remaining 20 weeks. Ligatures were removed 15 weeks after placement, whereupon regular oral hygiene was begun and continued. Periodontitis and trauma were produced around the corresponding contralateral teeth (control) so that the interproximal area represented the situation immediately prior to ligature removal. Infiltrated connective tissue, loss of connective tissue attachment and alveolar bone, and percentage of bone were determined histometrically for each coronal interproximal periodontium. In control specimens, 58% of the supracrestal tissue was infiltrated with inflammatory cells compared to 19% in experimental specimens. There were no differences in levels of connective tissue attachment or crestal alveolar bone. However, bone repair occurred in the experimental specimens which increased bone volume from 11 to 18% (P less than 0.05). It was concluded that osseous repair occurred in the presence of active, continued tooth hypermobility after resolution of inflammation. PMID- 6577031 TI - Longitudinal evaluation of a system for self-monitoring plaque control effectiveness in orthodontic patients. AB - This study was undertaken to determine the effectiveness of the Plaklite as an adjunct to plaque control instruction in orthodontic patients. 24 subjects, aged 9-14, who were to receive full banded Edgewise orthodontic appliances, were divided randomly into 3 groups. The first group was a control and did not receive structured plaque control instructions. The second group received plaque control instructions using the modified Bass brushing technique with no disclosant. The third group received a similar type of plaque control instructions supplemented with instructions in the use of a Plaklite to self-assess the effectiveness of plaque control. Both plaque control groups received monthly reinforcement of their initial instructions for the first 5 months of orthodontic treatment. The Plaque Index and Gingivitis Index were utilized to assess plaque and gingival inflammation before and after banding, and at 6-week intervals for the first 9 months of treatment. These indices were recorded single blind. The results indicated that plaque and gingivitis scores progressively increased during the test period for the control group. Also those subjects who received a plaque control program which included the Plaklite had a more sustained improvement in plaque and gingivitis scores for the test period than the group receiving plaque control instructions only. PMID- 6577032 TI - Effect of variation in dietary sucrose intake on plaque removal by mechanical means. AB - The influence of dietary sucrose on the rate of plaque formation was investigated for 22 dental personnel. The subjects were instructed to continue their normal oral hygiene procedures throughout the study period. It was found that an increase in the frequency of sucrose intake resulted in an enhancement of plaque deposition and an increase in gingival inflammation. The restriction of dietary sucrose for this group of subjects had a minimal effect on either plaque retention or levels of gingival inflammation; this result might have been caused by the habitual diet of these particular subjects being relatively low in sugar. The results of this study would suggest that an assessment of sucrose intake of patients might be appropriate when planning an oral hygiene programme, consideration being given to modifying the diet as an aid to plaque removal for individuals having a relatively high intake. PMID- 6577033 TI - Clinical and histological characteristics of lyophilized allogenic dura mater in periodontal bony defects in humans. AB - This clinical and histological study investigated the use of lyophilized, allogenic dura mater (Lyodura) as a periodontal implant material in interdental bony defects (2-wall lesions) in humans. For 23 defects in 8 subjects a modified Widman flap was raised, curettage performed and the defects bridged with the implant. The same procedure, without Lyodura implantation, was performed on 23 contralateral teeth. By a standardized method, involving the use of a removable stent, the following clinical measurements were recorded after 24 and 48 weeks: the probing attachment level, the probing bone level, the probing pocket depth and the labial and interdental gingival recession. For the histological study 5 additional, interdental craters and 5 control defects were treated as in the clinical study. They were block-sectioned after 1, 2, 6, 12 and 24 weeks and processed in the usual manner for routine examination by light and polarization microscopy. From the clinical study it could be concluded that, in absolute values, only the experimental side showed a significant gain in probing attachment level and a greater reduction of the probing pocket depth. In percentage values the labial gingival recession was significantly lower and the bone formation significantly more pronounced on the experimental side. The histological examination showed that the implant remodelled completely without rejection phenomena. It was replaced gradually, after enzymatic breakdown, by the host's own collagen through the action of invading fibroblasts. Bone formation occurred along but never in the implant. The implant material seems to act as a barrier against epithelial downgrowth and infiltration of inflammatory cells. PMID- 6577034 TI - Antibiotic susceptibility testing of subgingival plaque samples. AB - The in vitro inhibitory effect of several antimicrobial agents was determined against dispensed dental plaque samples taken from periodontally diseased sites as an aid in the selection of antibiotics for adjunctive use in periodontal therapy. 2 groups of patients were sampled. 1 group of 10 patients with severely advanced disease had received periodontal treatment which included the frequent adjunctive use of an antibiotic. The second group consisted of 15 individuals with less severe periodontal disease; only 4 individuals had been previously treated with antibiotics for their periodontal disease. Bacterial samples of subgingival plaque were taken from each patient and tested against a battery of antibiotics to determine which agent was the most effective in suppressing bacterial growth. Each antibiotic was incorporated into Trypticase-soy blood agar at a concentration equivalent to that achieved in either gingival fluid or blood following recommended oral dosages. The inhibitory effect was determined by comparing the number of bacterial recovered on the antibiotic-containing medium to the total number of bacteria recovered on the basal medium. Penicillins, with the exception of cloxacillin, were the most effective in inhibiting bacterial growth. Benzylpenicillin consistently inhibited the growth of 90% of the isolates recovered on media free of antibiotics while ampicillin and amoxicillin frequently inhibited 99% or more of the bacteria recovered. Tetracycline was generally inhibitory for at least 90% of the isolates if the patients had not been previously treated with this agent. However, resistance to this drug was common in samples taken from patients previously treated with tetracycline. Doxycycline, a tetracycline derivative, did not inhibit significantly more isolates than tetracycline. Clindamycin was inhibitory for 90% or more of the organisms in most of the samples; and, was usually effective in inhibiting isolates in samples which exhibited large numbers of isolates resistant to tetracycline. Erythromycin was relatively ineffective against the isolates recovered from samples from the severely diseased group but was inhibitory to isolates in some samples taken from the more moderately diseased group. Metronidazole, at the concentration tested, was largely ineffective against the isolates in bacterial samples from both groups. No single antimicrobial agent was found to be inhibitory for greater than 90% of the bacteria recovered from all of the subgingival plaque samples with the possible exception of some penicillins. PMID- 6577035 TI - Progression of periodontal disease in adult subjects in the absence of periodontal therapy. AB - Progression of periodontal disease in adult subjects in the absence of periodontal therapy was monitored in 2 populations. One group of 64 Swedish subjects (mean age 40.5 years at entry) with mild to moderate periodontal attachment loss was monitored for attachment level changes at baseline, 3 and 6 years. A second group of 36 Americans (mean age 34.3 years at entry) with advanced destructive periodontal disease was monitored for attachment level changes at baseline and 1 year. Of 4101 sites examined at baseline and at 3 years in the Swedish subjects, only 158 sites (3.9%) showed attachment loss of more than 2 mm. No measurable change was found in 1440 sites (35.1%). Of 4097 sites examined at 3 and 6 years, 67 sites (1.6%) showed attachment loss greater than 2 mm; 57.4% of sites showed no measurable change; and 19 sites (0.5%) showed a decrease in probeable attachment level of more than 2 mm. During the 6-year interval, 523 sites (11.6%) showed attachment loss of more than 2 mm; 20% of sites showed no measurable change and 11 sites (0.2%) showed more than 2 mm of attachment "gain". Approximately 50% of sites that showed no measurable change in the first 3-year period showed loss in the next 3 years. In contrast, of the sites which showed some level of attachment loss in the first period, approximately 2/3 showed no loss in the second monitoring period. Of 3210 sites monitored in the American subjects, 102 sites (3.2%) exhibited more than 2 mm of additional attachment loss; 26% of sites showed no measurable change and 138 sites (4.3%) showed a decrease in probeable attachment level of more than 2 mm. The association between attachment level changes and initial attachment level (baseline) was examined by regression analysis. The slopes of the regression lines for both populations were not consistent with a hypothesis that sites with more advanced attachment loss are more prone to additional destruction, in the absence of treatment, than sites with initially less attachment loss. In the American group, some sites with initially advanced attachment loss, exhibited a decrease in probing attachment level. PMID- 6577036 TI - Cementum hypoplasia in teeth affected by juvenile periodontitis. AB - The cemental surface of teeth affected by juvenile periodontitis was examined using scanning electron microscopy. Molars affected by chronic marginal periodontitis and healthy molars were included as controls. The entire mesial root of teeth affected by juvenile periodontitis showed extensive areas of cementum hypoplasia with exposed dentinal tubules. The hypoplasias were found also on the infracrestal part of the root indicating that they had not been caused by exposure to the oral environment or by any treatment. Cementum hypoplasias were not found in any teeth from the control material. The impaired periodontal attachment in the hypoplasia may facilitate penetration by the special motile bacteria which have been found in plaque from teeth with juvenile periodontitis. Based on the findings in the present study and the hereditary background of juvenile periodontitis it was suggested that development of the disease is initiated by a hereditary developmental disturbance of the cementum. PMID- 6577037 TI - Gram-negative folliculitis - recognition and treatment. PMID- 6577038 TI - Photosensitivity and isotretinoin therapy. PMID- 6577039 TI - Depression--a side effect of 13-cis-retinoic acid therapy. PMID- 6577040 TI - Prevention and dental practitioners in Northern Ireland. PMID- 6577041 TI - Commercial and political influences on dental health. PMID- 6577042 TI - Commercial and political influences on dental health. 2. The problems of health education. PMID- 6577043 TI - Commercial and political influences on dental health. 3. The Federal Trade Commission looks at television advertising to children. PMID- 6577044 TI - Commercial and political influences on dental health. 4. The effects of television advertising on children. PMID- 6577045 TI - Proceedings of the sixtieth American Association of Dental Schools annual session. PMID- 6577046 TI - Alternatives to licensure. PMID- 6577047 TI - Review articles for continuing education in pharmacology. AB - The efficacy of educational review articles as alternatives to traditional continuing education courses in pharmacology was evaluated using pre-tests and post-tests and an intrasubject cross-over design. There was a significant improvement (p less than 0.001) from pre-test to post-test in a group of 44 subjects who read an article reviewing the clinical pharmacology of nitrous oxide. This observation suggests that educational review articles may be useful as adjuncts to traditional sources of information for continuing education in pharmacology. PMID- 6577048 TI - The clinical-pathologic forum in oral pathology. AB - A clinical-pathologic "forum" has been employed for the past three years as the laboratory component of the predoctoral course in oral pathology at the University of Connecticut School of Dental Medicine. In addition to instruction in oral histopathology, this format provides an effective matrix for the development of descriptive skills and diagnostic discipline in clinical problem solving. The method is described and discussed. PMID- 6577049 TI - The relationship between empathic dentist behavior and children's cooperation. PMID- 6577050 TI - The influence of dentist and nondentist parents on dental students. PMID- 6577051 TI - Curricular guidelines in occlusion. PMID- 6577052 TI - Dental applicants from the top 50 undergraduate feeder institutions. PMID- 6577053 TI - [Effect of the hormonal environment on the human oocyte and its later development in vitro]. AB - The biosynthesis of progesterone by the granulosa cells that come from follicles from which the oocyte has been fertilized and has divided in vitro is far superior to that from the cells coming from follicles in which the oocyte has failed to develop. This result is in accordance with the raised levels of progesterone and the influence of androgens on lower levels of oestrogens in follicular fluid that evolved favourably. In the same follicles the ratio of concentrations of prostaglandins PGE2 to PGF2 alpha is twice as high as in the liquid from other follicles. PMID- 6577054 TI - Case of the month. Pyogenic granuloma. PMID- 6577055 TI - Interpret your x-rays. Salivary calculus. PMID- 6577056 TI - An assessment of root canal length using the paralleling technique with a grid for endodontic treatment. PMID- 6577057 TI - Hypoplastic condyle. An overview and case reports. PMID- 6577058 TI - Orthodontic management of maxillary impacted canine with removable appliance. A case report. PMID- 6577059 TI - Ectopic eruption of deciduous cuspid. A case report. PMID- 6577060 TI - Central giant cell reparative granuloma in the angle of mandible. A case report. PMID- 6577061 TI - Cyst in maxillary sinus. A case report. PMID- 6577062 TI - Maleruption of mandibular canine. A case report. PMID- 6577063 TI - An unusual transposition of maxillary lateral incisor (a case report). PMID- 6577064 TI - Oral rehabilitation in two siblings with anhidrotic ectodermal dysplasia- prosthetic considerations. PMID- 6577065 TI - Interpret your x-rays. A fibro-osseous lesion. PMID- 6577066 TI - Pulpal and gingival reaction to a new composite restorative material (a preliminary report). PMID- 6577067 TI - Dental caries experience during the period of mixed dentition. PMID- 6577068 TI - Glass ionomer cement: the material of choice for erosion lesions? PMID- 6577069 TI - Prospects and challenges for professional interaction: the dentist and the dietitian. PMID- 6577070 TI - Direct restorative resins--an update for the clinician. PMID- 6577071 TI - Quantitation of dendritic cells in normal and abnormal human epidermis using monoclonal antibodies directed against Ia and HTA antigens. AB - Two monoclonal antibodies, NAI 34 and DA6 231, have been used as surface markers to count epidermal Langerhans cells in normal skin, allergic contact dermatitis, and mycosis fungoides of the plaque and poikilodermatous varieties. The antibodies recognized the HTA (human thymocyte antigen) and Ia antigens, respectively. In all situations the numbers of cells labeled by the two antibodies differed. In normal skin 75% of dendritic cells were labeled by both antibodies and 25% were labeled by NAI 34 alone. In contact dermatitis there is an increase in dendritic cells labeled by both antibodies and this pattern is also seen in untreated plaque stage mycosis fungoides. In poikilodermatous mycosis fungoides, striking staining of the epidermal keratinocytes with DA6 231 is seen with no dendritic cells labeled. Dendritic cells are, however, clearly seen with NAI 34 staining. Numbers of dendritic cells labeled by both antibodies fall during PUVA therapy. PMID- 6577072 TI - Maxillo-facial trauma: a 10 year survey. PMID- 6577074 TI - Dental caries experience of Dublin school children after 10 1/2 years of fluoridation. PMID- 6577073 TI - Clinical prevention of dental caries: the scientific basis for children. PMID- 6577075 TI - [How to read dental films]. PMID- 6577076 TI - [How to read dental films for periodontal diseases]. PMID- 6577077 TI - [How to read dental films: endodontics]. PMID- 6577078 TI - [Additional filling with composite resins]. PMID- 6577079 TI - [Psychological aspects of geriatric dentistry]. PMID- 6577080 TI - [Esthetic quality of composite resins as cavity lining]. PMID- 6577081 TI - [Diagnosis of temporomandibular joint contracture]. PMID- 6577082 TI - [Home rehabilitation of occlusal diseases]. PMID- 6577083 TI - [Dentistry at the turning point]. PMID- 6577084 TI - [Physico-engineering test for denture base resins]. PMID- 6577085 TI - [Lipids in the supragingival calculus and subgingival calculus]. PMID- 6577086 TI - [Changes in the stress distribution of occlusal forces due to supporting bone resorption. Stress analysis of the alveolar bone in the mandibular first molar region using photoelastic and finite element methods]. PMID- 6577087 TI - [The changeable phases of plaque, gingival and periodontal pockets after initial preparation]. PMID- 6577088 TI - [Alpha-tocopherol content in the human gingiva in chronic marginal periodontitis]. PMID- 6577089 TI - [Phospholipids in the gingiva of chronic marginal periodontitis]. PMID- 6577090 TI - [Morphological survey of Streptococcus mutans JC 2]. PMID- 6577091 TI - [Periodontal dressing materials. Part 17. An experimental study on contact allergy, especially on optimum concentration for patch testing with liquids of periodontal dressing materials]. PMID- 6577092 TI - [Effect of initial therapy on reduction of probing depth]. PMID- 6577093 TI - [Orthodontic problems, in patients with periodontal disease. 1. Statistical studies of orthodontic problems in periodontal patients]. PMID- 6577094 TI - [Clinical effects of Leftose 30 mg tablets in the treatment of periodontal diseases]. PMID- 6577095 TI - [Clinical effects of the dentifrice, "Dentake toothpaste", containing lysozyme chloride, on periodontal disease]. PMID- 6577096 TI - [Fundamental studies on plaster implants used for infrabony pockets, with special reference to the application of Plaster of Paris (paste type) in experimental bone defects]. PMID- 6577097 TI - [Fundamental studies on plaster implants used for infrabony pockets, with special reference to Plaster of Paris implants in experimental bone cavities in the mandibles of dogs]. PMID- 6577098 TI - [Occlusal pressure, occlusal contact area and occlusal force of persons with and without periodontal disease]. PMID- 6577099 TI - [Effects of decay of deciduous molars on skeletal pattern of orthodontic patients with normal overlap of the incisors. II. Observations after eruption of permanent premolars]. PMID- 6577100 TI - [Relation of the number of teeth in occlusal contact to the skeletal patterns of unilateral cleft lip and palate, especially to the pattern of the mandible]. PMID- 6577101 TI - [Soft-tissue profile changes associated with the orthognathic surgery of mandibular prognathism. Changes before and after surgery]. PMID- 6577102 TI - [Soft-tissue changes related to the orthognathic surgery of mandibular prognathism. Changes in the horizontal linear measurement]. PMID- 6577103 TI - [Stress analysis of the maxilla and mandible during occlusion]. PMID- 6577104 TI - [A mechanical study on the face bow. Transformation of the outer bow under loading]. PMID- 6577105 TI - [The inner product of curvature of occlusion measures the closure or alienation of teeth]. PMID- 6577106 TI - The effect of Class III elastics on the cant of occlusal plane. PMID- 6577107 TI - [Formation and calcification of bone tissue on the surface of apatite ceramics]. PMID- 6577108 TI - [Irritant properties of four root canal filling materials]. PMID- 6577109 TI - [Prosthodontic procedures after radiation therapy]. PMID- 6577110 TI - [2-dimensional micrometry to measure displacement of the periodontal tissues in the molar area]. PMID- 6577111 TI - [Clinical evaluation of intensifying screens and films for intraoral radiography]. PMID- 6577112 TI - [Development of a new selenium-containing amalgam]. PMID- 6577113 TI - [National dental health survey (1981)]. PMID- 6577114 TI - [Histopathologic study of the oral squamous cell carcinoma. VIII. A clinicopathologic study of autopsy cases of carcinoma of the tongue]. PMID- 6577115 TI - [Effects of addition of selenium on biological properties of dental amalgam]. PMID- 6577116 TI - [Electromyographic study on the activities of the neck muscles during various mandibular movements]. PMID- 6577117 TI - Mechanisms of splenectomy protection in epinephrine-induced renal and cardiac necrosis. AB - This study was intended to elucidate the mechanism(s) of protection afforded by splenectomy against EPI-induced ATN and myocardial necrosis. Renal function parameters, hematocrit, circulating catecholamines (EPI and NE), serum enzymes (CPK and SGOT), and urinary PGE2 were measured before and during intravenous infusion of EPI (4 micrograms/kg/min for 6 hr) in intact and chronically splenectomized animals. All but serum enzymes were measured in another group of splenectomized animals that were implanted with small fragments of the autologous spleen (autoimplanted animals) 2 weeks prior to EPI infusion. Renal function tests and urinary PGE2 levels were monitored for several hours during the recovery period. The development of ARF in intact animals was accompanied by marked increases in circulating catecholamine levels, hematocrit, and serum enzymes and by a marked decrease in urinary PGE2 levels. These animals had diffuse ATN and hemorrhagic lesions of the heart (myocardial necrosis), and none survived. Chronically splenectomized animals were protected against the adverse effects of EPI infusion. The protected animals showed minimal elevation of circulating catecholamine levels and no changes in urinary PGE2 levels or hematocrit. Serum enzymes and renal and cardiac histopathology remained essentially normal in these animals. Implantation of autologous splenic tissue in splenectomized animals caused reversal of the protective effect of splenectomy. The response of autoimplanted animals to EPI infusion was in all respects similar to that in intact animals with the exception of hematocrit, which did not rise. All autoimplanted animals survived. They showed prompt recovery of renal function associated with significant increase of urinary PGE2 levels during the recovery period. Focal ATN was observed but no hemorrhagic lesion of the heart was found. From these observations we conclude the following: (1) high circulating NE and/or low renal (urinary) PGE2 activity are important in the pathogenesis of EPI induced ARF, (2) the spleen may release some factor(s) that modulate plasma NE level and/or renal PGE2 activity during EPI infusion, (3) EPI-induced ARF may occur independently of myocardial necrosis, and (4) hematocrit has no major role in EPI-induced ARF. PMID- 6577118 TI - Clinical experience with prostaglandin E1 in the treatment of arteriosclerosis obliterans. A preliminary report. AB - Eleven patients with severe arteriosclerotic disease of the lower extremities who were unsuitable for surgical bypass procedures or who had surgical bypass failure have been treated with prostaglandin E1. The patients all responded well to the prostaglandin treatment, except for one patient who required an above the knee amputation. Subjective evidence of pain and swelling disappeared and the patients' narcotic requirements were reduced. In those patients who had ulcers of the lower extremities, healing was promoted spontaneously or together with skin grafting. Side effects experienced by some patients, such as diarrhea, joint pain and swelling of the extremities, did not warrant discontinuation of drug therapy. There were no changes in blood chemistry. There was marked inhibition of platelet aggregation, and moderate inhibition of red cell deformability. PMID- 6577120 TI - Minerals in blood sera and scalp hair in patients with lepromatous leprosy and tuberculoid leprosy. AB - Scalp hair and blood sera of three groups of individuals were studied for mineral contents by flame photometric and colorimetric procedures. Patients in one of the three groups were suffering from lepromatous leprosy, the second group comprised patients with tuberculoid leprosy and the third group consisted of normal controls. The results obtained revealed changes in the mineral content of the scalp hair of those suffering from lepromatous leprosy and tuberculoid leprosy. A possible relationship may exist between hair and serum minerals. PMID- 6577119 TI - Rift Valley Fever and its epidemiology in Egypt: a review. PMID- 6577121 TI - Pseudoleukemia due to infection. A case report. AB - A 29-year-old white female developed fever, vomiting, diarrhea, and hypovolemic shock. Twenty-four hours after resection of intraperitoneal adhesions she had granulocytopenia and leukopenia with a marked "left shift"; a bone marrow aspirate was interpreted as showing acute non-lymphocytic leukemia. The clinical presentation made this diagnosis unlikely and the subsequent course indicated that this was a reaction to bacterial infection. PMID- 6577122 TI - Ability of prostaglandins to induce acute inflammatory bowel disease in the rat. A preliminary report. PMID- 6577123 TI - Abnormal hematological indices associated with metastatic choriocarcinoma in a young man. AB - A 21 year old caucasian male, who was admitted to the medicine service for respiratory problems and hematemesis was ultimately diagnosed as having metastatic choriocarcinoma. Plasma samples were analyzed for prothrombin time (PT), activated partial thromboplastin time (APTT), platelets, and clot activation time for fibrinogen (FIB), and coagulation factors II, V, VII, VIII, X and XII. Abnormal clotting parameters included thrombocytopenia, PT, APTT, FIB, factors II, V, VII, and X. The coagulation abnormalities indicate the patient was in a state of consumption coagulopathy possibly induced by hepatic metastasis of the primary tumor. PMID- 6577124 TI - A clinico-pathologic presentation. PMID- 6577125 TI - Coping with less caries in the private practice of dentistry. PMID- 6577126 TI - Esthetic advances in orthodontics. PMID- 6577127 TI - Time space distribution of childhood leukaemia in the Netherlands. AB - In the western part of the Netherlands during 1973-80 leukaemia was diagnosed in 293 patients aged under 15 years. An overall incidence rate of 2.91 per 100000 person years was calculated. No seasonal influence on months of birth or months of diagnosis of these patients could be traced by the method of Edwards. Time space clustering was looked for by both methods of Mantel and Knox. No significant time space clustering of date and place of diagnosis of childhood leukaemia was found in all types of leukaemia, acute lymphocytic leukaemia (ALL), ALL in boys and girls, ALL in children under 6 years at diagnosis, and in acute non-lymphocytic leukaemia. PMID- 6577129 TI - [An electron microscope study on the photoreceptors of ICR mouse]. PMID- 6577128 TI - A new gene that controls the type of leukemia induced by Friend murine leukemia virus. AB - NB tropic Friend murine leukemia virus (F-MuLV) replicates equally well in BALB/c and C57BL mice inoculated as neonates but causes almost exclusively erythroblastosis in BALB/c mice and nonerythroid (lymphoid and myelogenous) leukemias in C57BL mice. The C57BL resistance to erythroblastosis appears to be controlled by a single dominant gene in first and second backcrosses to BALB/c. This resistance to erythroblastosis is distinct from other genes known to affect susceptibility to Friend virus including Fv-1, Fv-2, H-2, Rfv-3, Fv-4, and Rmcf. We suggest the name Fhe for the new gene controlling susceptibility to Friend helper virus erythroblastosis. PMID- 6577130 TI - Visuospatial deficits in stroke patients and their relationship to dressing performance. PMID- 6577131 TI - [Study on maximal expiratory flow-volume curves with 80% helium-20% oxygen mixture]. PMID- 6577132 TI - Pharmacokinetics of a large single dose phenytoin. PMID- 6577133 TI - [A study of pulse steroid therapy in nephrotic syndrome]. PMID- 6577134 TI - Seasonal succession of some common species of the genus Culicoides (Diptera, Ceratopogonidae) in eastern Taiwan. PMID- 6577135 TI - A vectorcardiographic study of normal Chinese adults with some relevant echocardiographic and electrocardiographic observation. PMID- 6577136 TI - Central nervous system involvement in childhood acute lymphoblastic leukemia. PMID- 6577137 TI - [The significance of "target pattern" in gastrointestinal abnormalities]. PMID- 6577138 TI - Histopathological and histochemical studies in deltoid and gluteal contracture. PMID- 6577139 TI - Osteoradionecrosis of the mandible: clinical observation and treatment in 45 cases. PMID- 6577140 TI - [Experiences with the EEA stapling instrument for esophageal anastomosis]. PMID- 6577141 TI - [Rhabdomyosarcoma of parapharyngeal space. A case report]. PMID- 6577142 TI - Spheroplast fusion as a mode of genetic recombination in mycobacteria. AB - Spheroplasts were prepared from two carotenoid pigment mutants of Mycobacterium aurum named NgR9 and A11, which were obtained by the chemical mutagenesis of the wild type strain A+ with N-methyl-N'-nitro-N-nitrosoguanidine. The carotenoid pigments and the alpha- and beta-mycolic acids were taken as genetic markers and the recombinants were selected on the basis of their colour on Lowenstein-Jensen medium. Spheroplasts of the two mutants were mixed in a 1:1 ratio and were treated with 40% (w/v) polyethylene glycol 6000 for 5 min at 37 degrees C. The frequency of NgR9 X A11 recombination in optimal conditions was about 2.5 X 10( 3). The recombinants selected on the basis of their carotenoid pigment profile were also tested for their alpha- and beta-mycolic acids as a second genetic marker. The results were further confirmed by electron microscopy. The optimal conditions for spheroplast fusion as a mode of genetic recombination in M. aurum are described. PMID- 6577143 TI - Intra-arterial ACNU therapy for malignant brain tumors. Experimental studies and preliminary clinical results. AB - The authors examined the growth rate of mouse 203 glioma cells in vitro and found it to be markedly inhibited after exposure to ACNU for 5 minutes at a drug concentration of 100 micrograms/ml. Rats that had undergone intracranial implantation of T1 neurogenic tumor were treated by 5 mg/kg of ACNU administered either intravenously or intra-arterially. The median survival times for the control animals and the animals undergoing intravenous or intracarotid administration of ACNU were 23, 29, and 46 days, respectively. The difference in survival time between the intravenous and intracarotid administration groups was statistically significant (p less than 0.01) when examined by the Cox-Mantel test. In a clinical trial, 17 patients with glioblastoma were treated by ACNU, eight intravenously and nine by the intra-arterial route. The drug was given in doses of 2 to 3 mg/kg at least twice before and twice after a course of postoperative radiotherapy. Intra-arterial administration was performed over a period of 5 minutes under local anesthesia. The median postoperative survival time for the patients in the intra-arterial group was 12.5 months, compared with 9.0 months for those in the intravenous group. The survival rate for the intra arterial group was slightly higher, although statistically not significant, probably because the number of cases was small. The degree of thrombocytopenia due to ACNU tended to be less marked in the intra-arterially treated patients. The theoretical advantages of the intra-arterial administration of ACNU are discussed. PMID- 6577144 TI - Microbiologically monitored and modulated periodontal therapy. Keyes therapy, pro and con. PMID- 6577145 TI - Treatment of trigeminal neuralgia associated with residual bone cavities. PMID- 6577146 TI - Occlusion of endotracheal tubes by the distended cuff. PMID- 6577147 TI - Regulating the use of anesthesia and sedation. PMID- 6577148 TI - Classification of malar complex fractures using computed tomography. AB - Fifty-one patients with malar complex fractures were examined with computed tomography to analyze the pattern of displacement in an anteroposterior direction of the face. Malar complex fractures were classified into four groups according to the location and direction of the fragments. Comparisons of the fracture classification obtained by use of CT images with that obtained by conventional radiographic methods demonstrated sufficient correlations between the classification systems to confirm that it is possible to establish a complete three-dimensional pattern of displacement in malar complex fractures using CT imaging. PMID- 6577149 TI - Prolonged recovery after intravenous diazepam. AB - Prolonged recovery from intravenous diazepam after the day of administration has been examined in 2,468 consecutive patients who underwent oral surgery and general dentistry. Patients ranged in age from 2 to 94 years and received a mean diazepam dose of 19 mg, either by itself or with small amounts of methohexital sodium. Recovery was assessed by use of a questionnaire, and the answers were related to sexual gender, age, weight, dosage, procedure, duration, level of apprehension, and results of the sedation. PMID- 6577150 TI - An animal model to investigate the interaction between the immune system and oral carcinomas. AB - In an attempt to investigate the role of the immune system in oral squamous cell carcinoma, an animal model was developed with an inbred strain of mice. Well differentiated oral squamous cell carcinomas were induced with a polycyclic hydrocarbon in immunogenetically identical mice. The oral tumors that developed were maintained in vivo. Once established, the tumors were adapted to tissue culture and the resulting cell lines were cloned. An immunization protocol was formulated to detect the generation of cytolytic effector cells by using a microcytotoxic chromium-51 release assay to assess the immune response of the host. PMID- 6577151 TI - Treatment of mandibular fractures with malleable titanium mesh plates: a review of 120 cases. PMID- 6577152 TI - The oral manifestations of 4p- syndrome. AB - The oral manifestations of 80 reported cases of 4p- syndrome are analyzed and a new case is reported. Results indicate that the common pattern of cheilognathopharyngeal disorders in 4p- syndrome is an isolated cleft palate or a high-arched palate with micrognathia. Cases of cleft lip are only about 10% of the total. The significance of other reported aberrant phenomena cannot yet be estimated. PMID- 6577153 TI - Case 47, part I: Oral hyperpigmentation. PMID- 6577154 TI - Correction of temporomandibular joint internal derangements via the posterior auricular approach. PMID- 6577155 TI - The determination of free-way space in edentulous patients: a cephalometric approach. AB - This study was prompted by the hypothesis that the contractile power of the masseter and medial pterygoid muscles influences not only the shape of the gonial angle of the mandible into which these muscles insert, but also that they play a major part in determining the amount of free-way space present in any individual. Tracings were made from the lateral cephalograms of 130 dentate subjects and the gonial angle measured in each case. Free-way space was also measured, using a dakometer, and the paired values subjected to statistical analysis. A strong inverse correlation was found to exist, indicating that throughout the sample a decrease (or sharpening) of the gonial angle is accompanied by a predictable increase in the free-way space. By applying the processes of linear regression to the paired results, a formula was obtained which may be used to predict the best value of one variable for any given value of the other. Thus, in an edentulous case, where the value of the free-way space measurement is unknown, a method is provided for predicting its best value by the determination of the patient's gonial angle through cephalometric analysis. PMID- 6577156 TI - Computer graphic representation of mandibular movements in three dimensions: the method. AB - A mathematical simulation of the Denar D4A articulator and a simulated complement of graphically represented teeth were programmed in a Prime 4000 minicomputer. The computer program could be manipulated to quantitatively evaluate the theoretical effects of changes in articulator and control factors on the anatomy of selected teeth or tooth groups. The effects of these changes could be assessed graphically and numerically and data could be manipulated statistically. PMID- 6577157 TI - Optical properties of composites of selected shades in white light. AB - Light reflectivity, scattering coefficient, absorption coefficient, infinite optical thickness, and contrast ratio were determined in white light, for seven shades of a conventional composite and five shades of a microfilled composite, from reflection spectrophotometric data using Kubelka's equations. Significant differences among shades were observed for each property. Values of infinite optical thickness ranged from 2.97 to 5.90 mm among the shades studied. PMID- 6577158 TI - Long-term dimensional stability of three current elastomers. AB - The long-term dimensional stability of three non-aqueous elastomeric impression materials, a silicone, a polyether and a polysiloxane, were investigated. The testing apparatus was an A.D.A. specification No. 19 test block and mould. The impressions were measured by the use of a travelling stage reflecting microscope and a Quantimet 720 Image Analyzing computer at time zero and again at 4, 24 and 48 h, and at 1, 2, 3 and 4 weeks. Impressions poured immediately had the greatest accuracy for all the materials. The polysiloxane (0.025 mm) and polyether (0.033 mm) showed very little change in dimension after 4 weeks when compared to the test block. However, the silicone showed significant change at 4 h (0.14 mm) and 0.2 mm after 4 weeks. After 4 weeks the polysiloxane maintained the best surface detail, the polyether was adequate but the silicone lost much of its detail in as little as 24 h. The reasons for these findings are discussed. PMID- 6577159 TI - Alteration in directional specificity of interdental dimension discrimination with the degree of mouth opening. AB - The interdental dimension discrimination (IDD) ability was tested at seven different degrees of mouth opening: 40 mm, 30 mm, 20 mm and 10 mm openings for the dentate subjects, and 10 mm opening, intercuspal position (ICP) and the ICP minus 5 mm for the edentulous subjects. The subjects were asked to discriminate between pairs of sticks held alternately between the upper and lower incisors. The IDD ability, evaluated in terms of the 50% difference limen (DL), did not differ significantly between any two of the tests conducted at seven different openings, although the number of misjudgments of the dentate subjects tended to increase with the degree of mouth opening. On the other hand, the directional specificity of the IDD, which is a tendency to overestimate the dimension of the first stick of each pair, developed almost linearly with a decrease in the opening degree. These findings indicate that the behaviour of the receptors concerned varies with the intermaxillary distance. Some edentulous subjects could not perceive the presence of a small test stick at the overclosed position (ICP 5 mm), but vibration applied to the mandible enabled the subjects to detect the stick at the same opening. These results support the assumption that the muscle spindles of the jaw-closing muscles are the receptors responsible for the IDD. PMID- 6577160 TI - Phenomenological model of creep of dental amalgam. AB - Earlier work revealed that creep of a particular dental amalgam can be described by the model F(t) = F0 exp (t/t0)m. Here F(t) is the creep compliance at time t, whereas F0, t0 and m are constants of the model. In the previous study only three alloys were used. It was the aim of this study to investigate the factor alloy more thoroughly. After specimen preparation, the nineteen different amalgams were aged at 37 degrees C for either one day or one week. Then creep was determined at a temperature of 22.5 degrees C and a compressive stress of 117 MN/m2. F0 turns out to depend upon both the ageing time as well as on the choice of the alloy. As expected, t0 shows up substantial differences between the respective amalgams, whereas the differences between the two ageing are absent or relatively small. The factor alloy significantly influences m. However, the ageing time exerts no significant influence upon m. PMID- 6577161 TI - Variations in the particles produced at the end of mastication in subjects with different types of dentition. AB - The final composition of the size of particles of food or the swallowable composition (SC) has been investigated in subjects with different types of dentition. A convenient mouthful of hard-baked soya beans was masticated and thereafter the bolus was dried, sieved and weighed. Full denture wearers prepared a SC with a mode value around 4000 microns whereas subjects with mixed dentition prepared a SC with a mode value around 2000 microns. Subjects with partial dentition produced wide variations in the SC. To produce a SC which is usually swallowed by a particular subject the quantity of masticated food should bear an optimum ratio to the area of the healthy oral tissues. PMID- 6577162 TI - Evaluation of the cytotoxicity of four dental materials in vitro assessed by cell viability and enzyme cytochemistry. AB - The cytotoxic effects of zinc phosphate and silicate cements, Concise composite and zinc oxide/eugenol were evaluated after 24 h in an in vitro system which simulates the clinical usage of the material, and the results compared with those using phenol. Data of gross changes affecting cell viability placed these materials in ranking order of increasing severity: Concise less than zinc phosphate less than Silicap much less than zinc oxide/eugenol. More discrete changes involving alterations in enzyme cytochemistry were assessed and the significance of the results discussed. The presence of dentine powder in the system reduced the cytotoxic effects on these materials. PMID- 6577163 TI - Young dentists' views on dentistry. PMID- 6577164 TI - Recognizing periodontitis using the mesial system. PMID- 6577165 TI - Xerostomia. PMID- 6577166 TI - Office Environment Hazards Committee report. Recommended standards for: control of environmental hazards; establishment and maintenance of records; management of medical emergencies. PMID- 6577167 TI - Acute psychosis complicating induction therapy for acute lymphoblastic leukemia. AB - Two adolescents with acute lymphoblastic leukemia developed acute psychotic episodes shortly after induction therapy, which included prednisone, was begun. Symptoms included regressive behavior, incontinence, fluctuating levels of activity, and delusions. Both patients regained normal mental status after a number of weeks. Treatment included tapering of steroid dosage, introduction of a highly structured environment, and early use of chlorpromazine. Psychosis persisted beyond discontinuation of steroid therapy, but both patients subsequently received steroids after return of normal mentation, and in neither did psychosis recur. PMID- 6577168 TI - Twenty years of functional appliances. PMID- 6577169 TI - Nutrition during pregnancy, infancy, childhood, and adolescence. PMID- 6577170 TI - Sudden infant death syndrome vs. child abuse: the teenage connection. PMID- 6577171 TI - Self-injurious lip-biting: etiology and management. PMID- 6577172 TI - Tissue trauma and wound healing: concepts of repair for the health profession. PMID- 6577173 TI - Gingival aberrations in Dilantin-treated guinea pigs. PMID- 6577174 TI - The effects of some remineralizing solutions on early occlusal lesions. PMID- 6577175 TI - Oral health . . . part of the socialization process. PMID- 6577176 TI - Cementogenesis and soft tissue attachment after citric acid treatment in a human. An electron microscopic study. AB - The four maxillary incisors and two maxillary premolars of a 25-year-old male patient were used to study epithelial and connective tissue attachment 67 days and 164 days after flap surgery and cutting of an horizontal intradentinal groove near the buccal cervical region. Three teeth were topically conditioned for 3 minutes with citric acid pH = 1. The three other teeth were used as controls. The histologic examination was carried out in double-blind conditions; the examiners did not know which specimens were acid treated until the end of the study. Two of the three cases treated with citric acid showed improved healing conditions, when compared to the controls; a more coronal position of the epithelial attachment in the dentin nick as well as a relatively important gain in connective tissue attachment. Two types of connective tissue attachment were observed. The first consisted of an attachment to dentin, without cementum formation and was characterized by a mineralization of decalcified dentin collagen spliced with collagen, newly secreted by fibroblasts. The second type involved cementum formation. Topical citric acid treatment, however, can not be considered as a completely reliable clinical procedure since in one experimental case the type of attachment observed was not better than that seen in the control. PMID- 6577177 TI - Leukocyte function in the etiology of acute necrotizing ulcerative gingivitis. AB - Patients with the diagnosis of acute necrotizing ulcerative gingivitis (ANUG) and their controls, matched for age, sex, race and general plaque accumulation, donated blood for differential white blood cell counts and for assay of several leukocyte functions. The leukocyte function assays included polymorphonuclear leukocyte (PMN) responsiveness to chemotaxis and phagocytosis, and lymphocyte responsiveness to stimulation by nonspecific mitogens. The differential leukocyte counts were within the normal range for all subjects tested, and there was no difference between ANUG patients and controls. The ANUG patients did, however, display significantly depressed PMN responsiveness in both chemotaxis and phagocytosis, compared to the controls. There was also reduced DNA synthesis by ANUG patients' lymphocytes upon stimulation by a nonspecific mitogen (Con A). The data presented in this report suggest that depression of some host defense mechanisms, particularly PMN chemotaxis and phagocytosis, may be important in the pathogenesis of ANUG. PMID- 6577178 TI - Effect of factors other than pathologic status on responsiveness of peripheral blood mononuclear cells from patients with chronic periodontitis. AB - Studies were designed to assess factors other than pathologic status of the cell donor which affect the blastogenic responsiveness in vitro of peripheral blood mononuclear cells (PBMs) from normal donors and patients with periodontitis. Cultures were established and activated using phytohemagglutinin-P (PHA) or homogenates of Actinomyces viscosus (AVIS), a gram-positive plaque microorganism, and Fusobacterium nucleatum (FUSO), a gram-negative plaque microorganism. Activation was assessed by measuring the incorporation of labeled precursor into DNA. The effects of incubation time, vessel shape, cell concentration, prostaglandin E2 and indomethacin on blastogenic responsiveness were studied. Blastogenic responsiveness became maximal after 5 to 8 days' activation with the bacterial substances, and after 3 days' activation with PHA. Radioactivity incorporated by cultures in microtest wells with flat, round and conical bottoms was 5.9, 7.8 and 10.6 X 10(3) cpm, respectively. Cultures of cells from all of the patients and normal subjects were activated by PHA, AVIS and FUSO, and cell concentration was a major determinant of the magnitude of the blastogenic response. Responsiveness of cultures from all patients and control subjects activated with AVIS and FUSO was inhibited significantly by prostaglandin E-2 (PGE2) at a concentration of 10 microM. Inhibition was generally 50% or greater. Indomethacin, an inhibitor of prostaglandin production, at a concentration of 0.5 micrograms/ml significantly enhanced responsiveness of AVIS- and FUSO-activated cultures from control donors and patients, indicating that prostaglandins are produced endogenously, and that they affect cell responsiveness. The effect of PGE2 and indomethacin on PHA-activated cultures was more variable and, where present, of a lesser magnitude than that observed for cultures activated with bacterial homogenates. In most cultures the effects were not statistically significant. Our data show that in studies of lymphocyte activation, the incubation time, culture-vessel shape, cell concentration and presence of endogenous inhibitors need to be taken into account. PMID- 6577179 TI - The potential attachment area of the maxillary first molar. AB - The assumption that the palatal (PAL) root of maxillary molars has significantly greater attachment area than either the mesiobuccal (MB) or the distobuccal (DB) root was tested by documenting the root surface area of the individual roots and root trunks of 20 extracted maxillary first molars. Each molar was cross sectioned every millimeter, and the circumference of each root and root trunk section was measured with a calibrated opisometer. Mean circumferential measurements from each 1-mm section were summed to give the surface area for each root and root trunk. The DB root had significantly less surface area than either the MB or PAL root or the root trunk. There was no significant difference between the surface areas of the MB and PAL roots. The surface area of the root trunk, which was significantly greater than that of any of the three individual roots, averaged 32% of the total root surface area of the maxillary first molar. PMID- 6577180 TI - A method for the geometric and densitometric standardization of intraoral radiographs. AB - The interpretation of dental radiographs for the diagnosis of periodontal disease conditions poses several difficulties. These include the inability to adequately reproduce the projection geometry and optical density of the exposures. In order to improve the ability to extract accurate quantitative information from a radiographic survey of periodontal status, a method was developed which provided for consistent reproduction of both geometric and densitometric exposure parameters. This technique employed vertical bitewing projections in holders customized to individual segments of the dentition. A copper stepwedge was designed to provide densitometric standardization, and wire markers were included to permit measurement of angular variation. In a series of 53 paired radiographs, measurement of alveolar crest heights was found to be reproducible within approximately 0.1 mm. This method provided a full mouth radiographic survey using seven films, each complete with internal standards suitable for computer-based image processing. PMID- 6577181 TI - The incidence of clinical infection after periodontal surgery. A retrospective study. AB - A large-scale retrospective study was undertaken to determine the incidence of clinical infection after periodontal surgery and the effectiveness of prophylactic antibiotic therapy in preventing postoperative infection. All second year postgraduate students reviewed their patient records and completed a questionnaire. Eight infections were found in 884 operations performed without antibiotics, while one infection was found in 43 operations performed with antibiotics. Of 268 operations involving osseous surgery, six infections were noted while two infections were observed following 336 operations involving flap surgery without osteoplasty or ostectomy. The data indicated that the incidence of infection after periodontal surgery is very low in patients treated with or without antibiotics. It was concluded that unless there is a medical indication, there is no justification for using prophylactic antibiotic therapy to prevent infection following periodontal surgery. PMID- 6577182 TI - Incidence and extent of various sequelae with intravenous diazepam utilizing a standardized conscious sedation technique. PMID- 6577183 TI - N-acetyl-D-mannosamine analogues as potential inhibitors of sialic acid biosynthesis. AB - The 1,3,6-tri-O-acetyl and 1,3,6-tri-O-acetyl-4-O-mesyl analogues of N-acetyl-D mannosamine and the corresponding N-trifluoroacetyl derivative have been synthesized, and their effects on the proliferation of Friend erythroleukemia cells in culture have been evaluated. The acetamido series showed a dependency on the 4-substituent for optimum cytotoxicity while the trifluoroacetamido series did not. Thus, the 1,3,4,6-tetra-O-acetyl and 1,3,6-tri-O-acetyl-4-O-mesyl analogues of N-acetyl-D-mannosamine were 10-fold and 42-fold more active, respectively, than 2-acetamido-1,3,6-tri-O-acetyl-2-deoxy-alpha-D-mannopyranose as inhibitors of cellular replication. The corresponding trifluoroacetamido analogues were essentially equiactive and had a potency equivalent to that of the 4-O-mesyl derivative in the acetamido series. PMID- 6577184 TI - Effect of hypoxia on polysynaptic hind-limb reflexes of unanaesthetized fetal and new-born lambs. AB - Polysynaptic reflex excitation of the hind-limb flexor muscles was produced by stimulation of the distal peroneal or common sciatic nerve in ten fetal and six new-born unanaesthetized lambs. In the fetal lambs, stimulation at 1.1-3.25 times threshold for direct activation of the nerve produced a reflex response which was greatest during high-voltage electrocortical activity, being reduced 69 +/- 5.0% (mean +/- S.E. of the mean) during low-voltage electrocortical activity. Reduction of the fetal arterial PO2 from 23.3 +/- 0.58 to 12.2 +/- 0.4 mmHg caused a rapid and reversible reduction of the reflex in all fetal lambs with intact spinal cord, including two whose brain stems were transected at the level of the colliculi. Hypoxia did not alter the amplitude of the reflex in two fetuses in which the spinal cord at L1-2 had been cut several days previously. In new-born lambs reduction of the arterial PO2 to 43 mmHg did not change the reflex amplitude during episodes of quiet wakefulness or slow-wave sleep. Brief reduction of the Pa,O2 to 20-30 mmHg caused a statistically insignificant reduction of reflex amplitude during quiet sleep before behavioural arousal. It is concluded that hypoxaemia activates reticular mechanisms in the pons and medulla of fetal lambs which decrease the excitability of spinal reflex pathways. In the new-born lamb such effects are counteracted or prevented by mechanisms associated with arousal. PMID- 6577185 TI - Effects of hypoxia on polysynaptic hind-limb reflexes in new-born lambs before and after carotid denervation. AB - Polysynaptic reflex responses in the hind limb were obtained by stimulating the peroneal nerve in unanaesthetized lambs between 4 and 12 days from birth, before and after carotid denervation. In intact lambs isocapnic reduction of the Pa,O2 from 88 to 31 or to 23 mmHg caused an insignificant decrease in reflex amplitude. Denervation of the carotid bifurcations induced hypoventilation. When the Pa,O2 was then reduced to 22 mmHg the reflex amplitude fell by 77%. In carotid denervated lambs after complete transection of the spinal cord at T12-L1, reduction of the Pa,O2 to 23 mmHg did not alter the size of the reflex. The same result was observed after section of the dorsal part of the lateral funiculi. It is concluded that, in the young lamb a few days after birth, the afferent activity of the carotid chemoreceptors during hypoxia plays an important role in maintaining the excitability of motor reflexes. The possible mechanisms are discussed. PMID- 6577186 TI - Prostaglandin synthesis by, and the effects of prostaglandins and prostaglandin analogues on, the vas deferens of the rabbit and rat in vitro. PMID- 6577187 TI - Identification by flow cytometry of human monocytes with fucose-binding lectin (FBL) from Lotus tetragonolobus seeds. AB - Fucose binding lectin (FBL) from Lotus tetragonolobus seeds has previously been shown by fluorescence microscopy to bind to human neutrophils. This study shows using highly sensitive flow cytometry that this lectin binds both to human peripheral blood neutrophils and monocytes but not to lymphocytes. This binding is blocked by the presence of free L-fucose and is reversible when neutrophils or monocytes stained with fluorescent FBL are subsequently incubated in 0.05 M L fucose. Quantitative comparison of neutrophils and monocytes from the same individual show that neutrophils bind approximately 2.6 times more FBL than monocytes and that FBL binding is more efficiently reversed with neutrophils, as compared with monocytes, by L-fucose. Additional double-labeling studies of cells with FBL and the OKM1 monoclonal antibody, which identifies monocytes and granulocytes, show that all cells binding FBL also stain with the OKM1 monoclonal antibody. This study shows that qualitatively, FBL may be utilized as a human myeloid cell marker to differentiate peripheral blood monocytes and neutrophils from lymphocytes. PMID- 6577189 TI - Definition of death. PMID- 6577188 TI - Thin-film cavity treatment: a review. PMID- 6577190 TI - The practice of medicine. PMID- 6577191 TI - A community hospital's program for premedical student orientation. PMID- 6577192 TI - Continuous ambulatory peritoneal dialysis (CAPD). PMID- 6577193 TI - Colposcopy practice among obstetricians and gynecologists. PMID- 6577194 TI - Guidelines for the administration of blood and blood products. PMID- 6577195 TI - Graves' disease following resection of an autonomous solitary thyroid adenoma. PMID- 6577197 TI - Exclusive contracts. PMID- 6577198 TI - Optimal length of hospitalization for uncomplicated acute myocardial infarction is ten days. PMID- 6577196 TI - Incidental finding of a mediastinal lipoma in a child following trauma. PMID- 6577199 TI - Fine-needle aspiration of plasma cell tumors. PMID- 6577200 TI - Fine-needle biopsy of a solitary thyroid nodule arising during pregnancy. PMID- 6577201 TI - Pseudobridging hepatic necrosis in infectious mononucleosis. PMID- 6577202 TI - Hospital design, construction, and renovation. PMID- 6577203 TI - Rehabilitation. PMID- 6577205 TI - [Enhanced lethal effect of combined ACNU with x-ray on cultured HeLaS3 cells]. AB - The combined effects of ACNU and X-irradiation on cultured HeLaS3 cells were investigated. Pretreatment with either ACNU or X-ray induced a substantial reduction in shoulder width the D0 value of the dose-response curve for the other agent, given later was unchanged. ACNU did not inhibit the recovery of sublethal damage (SLD) induced by X-ray when this treatment preceded the split-dose experiment. Our results indicate that some cell damage induced by each agent is transmissible to the progeny of the surviving cells and that the interaction of ACNU and X-irradiation was lethal to the cells. PMID- 6577204 TI - CpG frequency in large DNA segments. AB - The relationship between the deficiency of CpG dinucleotides and the coding noncoding segments of DNA has been examined. Analysis of five human alpha-like globin DNA sequences and five human beta-like globin DNA sequences reveal that there is no apparent difference between protein coding and non-coding portions of DNA. Rather CpG deficiency appears to be a property of long contiguous segments of DNA consisting of several genes and their intergenic regions. Thus we propose that CpG deficiency is not involved with translation or transcription but rather is related to chromosomal constraints. PMID- 6577206 TI - [Plasma exchange--plasma proteins and their fractionation]. PMID- 6577207 TI - [Leucine amide specific LAP activity in hematological and lymphogenous disorders]. PMID- 6577208 TI - [Cytogenetic studies of erythroid progenitor cells (CFU-E, BFU-E) in chronic myelocytic leukemia]. PMID- 6577209 TI - [Vindesine plus L-asparaginase and prednisolone therapy (VDS-VLP therapy) for remission induction in children with relapsed acute lymphoblastic leukemia]. PMID- 6577210 TI - [A case of chronic neutrophilic leukemia accompanied by the infiltration of mature neutrophils in the liver sinusoids]. PMID- 6577211 TI - [Two cases of acute leukemia associated with chronic interstitial nephritis]. PMID- 6577213 TI - [Thyroid imaging with 197 Hg, 201T1, and 67Ga]. PMID- 6577212 TI - Case of refractory acute myeloblastic leukemia who achieved complete remission by a new anti-leukemic agent, 4'-(9-acridinylamino) methanesulfon-m-anisidide (AMSA). PMID- 6577214 TI - [Medical electronics; lecture for nurses. 8. Respirator, humidifier, nebulizer]. PMID- 6577215 TI - Correlation between cancers of the cervix and penis. PMID- 6577216 TI - Alteration of enzymatic methylation of DNA cytosines by chemical carcinogens: a mechanism involved in the initiation of carcinogenesis. PMID- 6577217 TI - Tar yields of cigarettes and male lung cancer risk. AB - Of 252 male lung cancer patients, 248 or 98% were cigarette smokers, significantly (P less than .001) more than in the control group (526 = 64% of 839). In relation to the relative risks (RR) of never-smokers, the adjusted (for age, total years smoked, and average number of cigarettes smoked per day) lung cancer RR for smokers who had exclusively smoked cigarettes belonging to group II (15-24 mg tar/cigarette) was 10.4 (P less than .001); for smokers who had exclusively smoked cigarettes belonging to group III (greater than 24 mg tar/cigarette), it was 25.1 (P less than .001). The respective RR of smokers who had mainly smoked cigarettes belonging to group I (less than 15 mg tar/cigarette), group II, or group III were 10.9 (P less than .001), 20.6 (P less than .001), and 36.7 (P less than .001). After the differences in daily consumption were taken into account, the adjusted (for age and total years smoked) lung cancer RR for smokers who had consumed mainly cigarettes belonging to the various groups were the following: group II (11-20 cigarettes/day) compared to group III (11-20 cigarettes/day), RR = 0.6 (P less than .05); group II (greater than 20 cigarettes/day) compared to group III (greater than 20 cigarettes/day), RR = 0.8; group II (greater than 20 cigarettes/day) compared to group III (11-20 cigarettes/day), RR = 1.3 (P less than .001); group II (greater than 20 cigarettes/day) compared to group III (less than 10 cigarettes/day), RR = 7.8 (P less than .001); and group II (11-20 cigarettes/day) compared to group III (less than 10 cigarettes/day), RR = 2.5 (P less than .001). PMID- 6577218 TI - Antigenic heterogeneity of skin tumors of nonmelanocyte origin: analysis with monoclonal antibodies to tumor-associated antigens and to histocompatibility antigens. AB - Surgically removed benign and malignant human skin lesions of nonmelanocyte origin have been tested with monoclonal antibodies to la antigens, to the HLA-A,B antigenic molecular complex, and to melanoma-associated antigen(s) (MAA). MAA include a high-molecular-weight (HMW) MAA, a 115,000-molecular-weight MAA, a 94,000-molecular-weight MAA, and a cytoplasmic MAA. Indirect immunofluorescence was used as the assay system because of the limited amount of tissue available. When the amount of tissue available was sufficient, double determinant immunoassays (DDIA) were used to quantitate the level of the HMW MAA and of the cytoplasmic MAA. The results of the DDIA were in agreement with those of indirect immunofluorescence in more than 75% of the cases. Malignant skin tumors of various histiotypes displayed three types of changes: 1) appearance of la antigens and cytoplasmic MAA, 2) increase in the level of the HMW MAA, of a 115,000- and a 100,000-molecular-weight MAA, and 3) reduction in the level of HLA A,B antigens and beta 2-microglobulin. A significant heterogeneity was found in the antigenic profile among various lesions of a given histiotype as well as among tumor cells within a given lesion. PMID- 6577219 TI - DNA synthesis index: higher for human gallbladders with cholesterol gallstones than with pigment gallstones. AB - [3H]dThd uptake by the gallbladder epithelium was estimated in 33 patients with cholesterol stones, in 13 patients with pigment stones, and in 12 gallbladders without stones. Proliferative parameters were estimated by autoradiography after in vitro incubation with [3H]-dThd. Stones were identified by quantitative infrared spectroscopy. The degree of inflammation of the gallbladder wall was estimated by a histologic scoring method. In the gallbladders containing cholesterol stones the DNA synthesis index (1.39 +/- 0.28%) was higher (P less than .01) than in the gallbladders without stones (0.19 +/- 0.04%). No significant increase in proliferative parameters was found in the gallbladders with pigment stones (0.24 +/- 0.06%). No correlation was found between total stone number, weight or volume, and the DNA synthesis index. No evidence was observed that inflammation could influence the epithelial cell proliferation. Something in the bile of patients with cholesterol stones rather than the physical presence of stones may be the cause of the variations observed. PMID- 6577220 TI - Genetic epidemiology of breast cancer and associated cancers in high-risk families. I. Segregation analysis. AB - Genetic and environmental hypotheses that might explain the patterns of occurrence of breast cancer and associated cancers in 18 large families at high risk of the disease were tested with the use of segregation analysis. For 16 pedigrees, results were consistent with the hypothesis that breast cancer has a genetic etiology. In 2 other families, breast cancer appeared more likely to have an environmental origin. Breast cancer susceptibility is best explained by hypotheses that postulate autosomal dominant susceptibility alleles in 10 families with primarily premenopausal breast cancer and ovarian cancer, in 4 families with primarily postmenopausal breast cancer, and in 2 families with breast cancer, brain tumor, sarcoma, leukemia, and adrenocortical carcinoma in children and young adults. In an accompanying paper, genetic susceptibility in the first 2 groups of families is further explored with the use of linkage analysis. PMID- 6577221 TI - Genetic epidemiology of breast cancer and associated cancers in high-risk families. II. Linkage analysis. AB - Chromosomal locations of hypothetical alleles which increase susceptibility to human breast cancer in some families were investigated by genetic linkage analysis. In 7 families with primarily premenopausal breast cancer and (in 5 families) ovarian cancer, a dominant susceptibility allele may be linked to the genetic marker glutamicpyruvic transaminase or alanine aminotransferase (GPT; lod score 1.95 at zero recombination). The most positive lod score for linkage to a recessive susceptibility allele was for acid phosphatase (ACP; lod score 0.78 at 40% recombination), but ACP was informative in ony 1 family. In 3 families with primarily postmenopausal breast cancer, none of 21 genetic markers provided any evidence for linkage to either dominant or recessive susceptibility alleles. In the families with the possible GPT linkage, women who carry the hypothetical susceptibility allele would be at high risk of breast cancer, whereas their relatives who do not carry that allele would have no increased risk. GPT genotype is not associated with breast cancer risk in the general population, so GPT linkage cannot be used as a screening test for breast cancer. PMID- 6577222 TI - Immunoglobulins intrinsic to colorectal carcinoma: an unfavorable prognostic association with IgM. AB - Immunoglobulin (Ig) eluates prepared from cell membrane fractions of 50 colorectal carcinomas were found to contain significantly (P less than .001) less IgA and IgM and marginally less IgG than normal colon mucosa. IgA and IgG were present in all tumors, but IgM was present in only 20 of 50 tumors (40%). Small (less than or equal to the median vol) tumors contained significantly (P less than .05) more IgA and IgG per gram tissue than did large tumors. Tumors with a large (greater than the median) proportion of stroma contained more IgG than did those with less stroma. No associations were found between Ig and amount of viable-appearing tumor tissue, necrosis, mucin production, and staging. Patients whose tumors contained measurable amounts of IgM had a significantly (P = .012) shorter survival than did patients without intrinsic IgM (12 and 27 mo at the 75th percentile, respectively). The difference could not be explained by conventional staging. PMID- 6577223 TI - Cigarette smoking among successive birth cohorts of men and women in the United States during 1900-80. AB - Trends in cigarette smoking among successive cohorts of men and women were reconstructed from smoking histories of respondents to the 1978-80 Health Interview Surveys. Estimated smoking rates among the older cohorts were then adjusted for the differential mortality of cigarette smokers and nonsmokers. By 1920, over half of the young male population smoked cigarettes. Not until 1950 did more than a third of the young female population smoke cigarettes. The proportion of men who ever smoked cigarettes progressively declined with each successive cohort born after 1920. By contrast, the proportion of women who ever smoked declined only among cohorts born after 1940. Cessation of cigarette smoking from age 30 years onward was observed for all cohorts of men. Cessation rates accelerated for men who reached age 30 after 1960. By contrast, smoking cessation from age 30 was observed only for women who reached age 30 after 1950. Cessation rates accelerated only for women who reached age 30 after 1970. For each cohort, recent smoking cessation rates for men have exceeded those for women. Maximum exposure to cigarette smoking probably occurred among men who are now in their seventh and eighth decades. By contrast, peak exposure to smoking probably occurred among women who are now only in their fifth and sixth decades. PMID- 6577224 TI - Epidemiology of breast cancer and hair dyes. AB - In a case-control study of 401 breast cancer cases and 625 age-matched controls, the possible etiologic role of hair dye usage was investigated. No association was found between hair dye use and breast cancer (odds ratio = 1.02; 95% confidence interval = 0.77-1.32) or any factors affecting dosage, frequency, duration, type, or color of hair dye. Important confounders of hair dye use included religion and smoking status. When stratified by 10-year age groups, there was no appreciable trend in risk status between case and referent populations. No dose-response relationship (frequency X duration X shade X type of dye used) was found, even after controlling for factors affecting hair dye use. A multiple logistic regression analysis supported the absence of this relationship. PMID- 6577225 TI - Lung cancer mortality among U.S. uranium miners: a reappraisal. AB - This report examines lung cancer mortality among a cohort of white underground uranium miners in the Colorado plateau and is based on mortality follow-up through December 31, 1977. The analytic methods represent a miner's annual age specific lung cancer mortality rate as the (unspecified) rate among nonsmoking men born at the same time and with no mining history, multiplied by the relative risk factor R. This factor depends on the miner's total exposures to radon daughters [in working level months (WLM) and to cigarettes (in packs), accumulated from start of exposure until 10 years before his current age. Among those examined, the relative risk function giving the highest likelihood of the data was R = (1 + 0.31 X 10(-2) WLM)(1 + 0.51 X 10(-3) packs). This multiplicative function specifies that ratios of mortality rates for miners versus nonminers with similar age and smoking characteristics do not depend on smoking status. By contrast, differences between miners' and nonminers' mortality rates are substantially higher for smokers than for nonsmokers. The data rejected (P = .01) several additive functions for R that specify relative risk as a sum of components due to radiation and to cigarette smoking. Cumulative exposures to both radiation and cigarettes gave better fits to the data than did average annual exposure rates. Age at start of underground mining had no effect on risk, after controlling for age at lung cancer death, year of birth, and cumulative radiation and smoking exposures. PMID- 6577226 TI - Capillary endothelial cell migration: stimulating activity of aqueous humor from patients with ocular cancers. AB - In double-masked studies, various concentrations of aqueous humor (AH) from 157 patients (208 samples) with ocular cancers, nonmalignant ocular lesions, and normal eyes were added to bovine capillary endothelial (BCE) cells plated onto gold-coated cover slips. The phagokinetic tracks made by 100 cells at each concentration were traced, and the mean area of migration plus or minus the standard error of the mean was determined. Data are expressed as the percentages of increase in mean track area made by 100 cells incubated in medium that contained AH samples beyond the mean area of 100 cells incubated in medium alone. The percentage increases in migration-stimulating activity were as follows: a) malignant ocular disease--retinoblastoma (30 samples), 34 +/- 2; malignant melanoma (55 samples), 37 +/- 3; b) nonmalignant ocular disease--cataracts, glaucoma, pseudoglioma, and diabetic retinopathy (36 samples), 14 +/- 2; c) control AH--no ocular disease (51 samples), 9 +/- 1; normal eyes and systemic cancer (36 samples), 38 +/- 6. The percentage increase in endothelial cell migration was as great in cases of systemic cancer as it was in cases of ocular cancer. The endothelial cell migration-stimulating activity in AH from patients with intraocular cancers was significantly higher than the levels in the other groups of patients having no systemic cancer (P much less than .001). In addition, when the results were compared in the control group and the group with benign ocular disease, no significant differences were detected (P greater than .01). PMID- 6577227 TI - Prognostic indicators of tumor response to Staphylococcus aureus Cowan strain I plasma perfusion. AB - Ten tumor-bearing dogs were treated with passage of autologous plasma over fixed Staphylococcus aureus Cowan strain I. Five similar dogs were treated identically except for the exposure to S. aureus. These animals have been assessed to identify positive and negative prognostic variables for response. Nonresponder treated animals had significantly larger chest wall tumor bulk than did the responder and control groups (P less than .01). Responder animals had fewer initial circulating immune complexes than did the nonresponders, though each group had similar reductions in immune complexes with therapy. Nonresponder animals had smaller volumes of plasma processed per kilogram of body weight per procedure than did controls (P = .016), whereas responder and control animals had similar volumes processed per kilogram of body weight per procedure (P = .84). These data suggest that the response observed in our original series was significantly related to the larger amount of plasma treated per procedure and suggest that a factor may be eluted from the S. aureus cartridge that mediates this response. PMID- 6577228 TI - Experimental studies in rat lungs on the carcinogenicity and dose-response relationships of eight frequently occurring environmental polycyclic aromatic hydrocarbons. AB - The biologic activity of eight highly purified polycyclic aromatic hydrocarbons (PAH) widely distributed in the human environment was tested in the respiratory tracts of rats. These studies were performed for the examination of carcinogenic activity of the compounds and determination of a dose-response relationship. The lung implantation method was used in 3-month-old female OM rats. A dose-response relationship was obtained for benzo[a]pyrene (BaP), anthanthrene (ANT), benzo[b]fluoranthene (BbF), indeno[1,2,3-cd]pyrene (IND), benzo[j]fluoranthene (BjF), and benzo[k]fluoranthene (BkF). Benzo[e]pyrene and benzo[ghi]perylene showed no tumor-producing effect in this system when given at doses of 5 mg. The histologic and mathematical evaluations indicated that the investigated compounds had distinct carcinogenic potencies. After probit analysis of the results, the carcinogenic potencies of PAH investigated in the lung implantation model rank as follows: BaP, 1.00; ANT, 0.19; BbF, 0.11; IND, 0.08; BkF, 0.03; and BjF, 0.03. PMID- 6577229 TI - Thioacetamide hepatocarcinogenesis. AB - Thioacetamide (TAA) was administered to inbred male ACI rats for 1 year to determine its hepatocarcinogenicity. The carcinogen was fed at a level of 0.035% in a semipurified diet so that other components could be manipulated. The following groups were used: group I, TAA alone; group II, TAA with riboflavin content at 0.002% (one-third of the daily requirement); group III, TAA plus a supplement of 0.05% crude bovine thyroid; and group IV, TAA, 0.002% riboflavin, and thyroid supplement. All groups demonstrated cirrhosis, neoplastic nodules, and cholangiofibromas to varying degrees. Group IV was invariably the most advanced in all lesions, while group II demonstrated the next most advanced picture of cholangiofibromas. These lesions persisted for 1 year after cessation of the diet. Primary hepatocarcinomas (PHC) were produced by groups I, III, and IV, with the highest number being in group IV. Group II evoked only primary cholangiocarcinomas (PCC). A number of both types of carcinomas transplanted successfully. Thus TAA appears to be a hepatocarcinogen capable of inducing either PHC or PCC, with the tumor type evoked somewhat dependent on the associated diet. PMID- 6577230 TI - Suppression of tumorigenicity in somatic cell hybrids. II. Human chromosomes implicated as suppressors of tumorigenicity in hybrids with Chinese hamster ovary cells. AB - Nontumorigenic diploid human cells were fused with tumorigenic Chinese hamster ovary cells (CHO), and the hybrids were tested for tumorigenicity to determine if specific human chromosomes are associated with suppression of tumorigenicity in cell hybrids. Chromosome complements of cells of 62 nontumorigenic and 45 tumorigenic hybrids (divided into those of low, medium, and high tumorigenicity) as well as 44 tumors derived from the tumorigenic hybrids were determined by both analysis of banded chromosomes and assays of gene markers. Although no single human chromosome was consistently associated with the suppressed phenotype, chromosome 2 was never found in tumor cells, and chromosomes 9, 10, 11, and 17 were found at very low incidences in tumor cells, which suggested that they carry tumorigenicity suppressor information. Since not all suppressed hybrids contained these chromosomes, it is likely that they suppressed tumorigenicity only in combination with each other or other chromosomes. Nine chromosomes in 12 pairwise combinations of nonhomologous chromosomes were not found in tumor cells and were found at an incidence of 5% or less in hybrids of both medium and high tumorigenicity. Other experiments implicated 11 of these combinations involving only 8 chromosomes (chromosomes 4, 7, 8, 9, 10, 11, 13, and 17) as those primarily involved in suppression. Whether chromosome 2 requires another chromosome to effect suppression could not be determined. Further evaluations of the implicated suppressors, including selection of tumorigenic segregants from a panel of suppressed hybrids, again implicated the same chromosomes and their combinations in suppression. Oncogenes have been mapped to many of these chromosomes, and they are frequently involved in tumor-type-specific numerical or structural abnormalities in human neoplasias. The combined evidence suggests that specific human chromosomes of a normal cell carry genes that can regulate several cell phenotypes necessary for the expression of tumorigenicity. PMID- 6577231 TI - Inhibitor cells in spleens of mice with low natural killer activity. AB - Inbred strains of mice differ markedly in levels of natural killer (NK) cytotoxic activity. BPS mice normally have very low spleen cell NK activity. However, their NK activity can be significantly augmented with the use of interferon inducer, which suggests that this basic low reactivity is not a result of low numbers of precursor cells or defects in the lytic mechanism. Normally, their spleens contain suppressor cells, as evidenced by the ability of BPS spleen cells to inhibit in vitro the NK activity of spleen cells from high-responder strains of mice. Cells responsible for the suppression are located in the dense fraction after separation in Ficoll-Hypaque and are nylon wool-adherent. Studies on the kinetics of inhibition indicate that the mechanism of inhibition is not merely competition for target-binding sites. Although these suppressor cells can act on mature NK effectors in vitro, their activity in vivo may be more complex, since mature BPS NK effectors are not revealed when the suppressors are removed. PMID- 6577232 TI - Glucocorticoid binding properties of mouse thymic lymphosarcoma cell populations selected for resistance to the cytolytic effects of glucocorticoids in vivo. AB - Thirteen independently derived murine thymic lymphosarcoma lines were assayed for various aspects of sensitivity to glucocorticoid-induced cytolysis. All tumor lines were sensitive to cytolysis, as evidenced by profound tumor regression after pharmacologic doses of cortisol. All tumor lines contained about 20,000 high-affinity, dexamethasone binding sites/cell. Between 55 and 88% of these presumptive receptor sites underwent nuclear translocation during a 30-minute incubation at 37 degrees C. Dissociation constants (Kd) for the dexamethasone receptor complex were between 1.5 and 3.6 nM in all cases. Kd for the triamcinolone acetonide-receptor complex were determined for a few tumor lines and were between 0.5 and 0.9 nM. Cytolysis-resistant subpopulations were selected by prolonged glucocorticoid treatment of BALB/c pi mice bearing tumors from seven of the lymphosarcoma lines. All seven resistant subpopulations contained about 20,000 high-affinity, dexamethasone binding sites/cell. Between 57 and 80% of these presumptive receptor sites underwent nuclear translocation under standard assay conditions. No resistant variants exhibited significantly reduced dexamethasone binding or nuclear translocation properties. PMID- 6577233 TI - Effect of dietary 18-carbon fatty acids on growth of transplantable mammary adenocarcinomas in mice. AB - The growth rates of 2 spontaneously developed mammary adenocarcinomas, one in a female C3H mouse and the other in a female BALB/c mouse, were determined after transplantation into isologous female mice fed a specific diet to which various edible fats or pure fatty acids were added. The 18-carbon fatty acids used contained one (oleate), two (linoleate), or three (linolenate and columbinate) double bonds in either the 5, 9, 12, or 15 positions. The transplanted tumors grew to a larger size in C3H mice fed the 10% corn oil diet (with approximately equal to 60% linoleate content) than in those fed the 10% hydrogenated oil diet (without linoleate). The C3H mice fed diets with 1% linoleic acid developed significantly larger tumors than did those fed 1% oleic acid, whereas those fed 1% columbinic acid did not develop significantly heavier tumors compared to 1% oleic acid-fed mice. This finding occurred despite the fact that both oleate and columbinate were taken up and were incorporated into complex lipids by the transplanted tumor and the ratio of monoenoic:dienoic:polyenoic fatty acids in the neoplasms' lipids from columbinate-fed mice was similar to that from linoleate-fed mice. Columbinate, similarly to linoleate, has both 9-cis and 12 cis double bonds, but it also possesses a trans double bond in the 5 position that apparently prevents its conversion to prostaglandins (PG). These results are entirely consistent with the view that production of PG is required for tumor enhancement by dietary polyunsaturated fat. In the experiment with BALB/c mice, tumor growth was stimulated by 1% dietary linoleic acid but not by 1% linolenic acid when compared with that observed with 1% oleic acid. Thus as a result of these new experiments, PG of series 1 or 2 are more likely to be involved in the process of tumor growth enhancement than are PG of series 3. PMID- 6577234 TI - Modification of pancreatic carcinogenesis in the hamster model. IX. Effect of pancreatitis. AB - The effect of acute and recurrent pancreatitis was investigated in pancreatic cancer induction by N-nitrosobis(2-oxopropyl)amine (BOP) in Syrian golden hamsters. For the correlation of the cellular alteration with carcinogenesis, BOP (20 mg/kg body wt) was injected once sc into hamsters at day 3 (group 2), week 1 (group 3), and week 8 (group 4), corresponding to cellular degeneration, regeneration, and healing, respectively. Additional groups received BOP 30 minutes before common duct ligation for 48 hours (group 1) or before repeated induction of pancreatitis at 4 weekly intervals for 4 weeks (group 5). Group 6 was a pancreatitis control. Two groups of hamsters received BOP only, at the age of 8 weeks (group 7, which served as a BOP control for groups 1-3 and 5) or at the age of 16 weeks (group 8, the control for group 4). Hamsters were killed 46 weeks after BOP injection (with the exception of group 1 animals, which were killed 52 wk after BOP) to guarantee the same postcarcinogen exposure time in each group. The results showed that BOP, when given during cellular degeneration (group 2) and healing (group 4), induced significantly fewer carcinomas than in the control groups, whereas the tumor pattern was not affected when BOP was given before pancreatitis induction (group 1) or at the time of cellular regeneration (group 3). Recurrent pancreatitis (group 5), however, resulted in carcinomas significantly larger in number and size than those in control group 8. A significantly higher incidence of carcinomas occurred in group 8 controls (treated with BOP at the age of 16 wk) compared to the incidence in group 7 controls (treated with BOP at the age of 8 wk). PMID- 6577236 TI - Subchronic cigarette smoke inhalation studies in inbred syrian golden hamsters that develop laryngeal carcinoma upon chronic exposure. AB - Inbred BIO 15.16 Syrian golden hamsters were exposed for 6-20 weeks to smoke from three types of experimental cigarettes. The incidence and severity of laryngeal hyperplasia increased in these hamsters, a few (2) laryngeal papillomas appeared, alveolar macrophages became more frequent and aggregated, and hyperplasia of terminal bronchiolar epithelium occurred. This subchronic response of hamsters to smoke markedly differed for the three types of cigarettes. Statistical evaluation of the data by log linear models proved these differences to be significant. At equal doses of smoke, the most severe response was caused by an all-tobacco cigarette. The weakest subchronic effects, next to those seen in the negative control group, were elicited by smoke from a cellulose-derived tobacco supplement. The effects of smoke from a 1:1 blend of the two smoking materials were intermediate. The severity of the subchronic response of the respiratory tract paralleled the extent of malignant transformations of the larynx previously observed in the same animal model with the same three types of cigarettes in chronic inhalation studies. PMID- 6577235 TI - Heparin effect on DNA synthesis in a murine fibrosarcoma cell line: influence of anionic density. AB - The effects of heparin subfractions on DNA synthesis in a murine cutaneous fibrosarcoma cell line were examined. Porcine mucosal heparin was preparatively fractionated for anionic charge density by DEAE-Sephadex chromatography and for molecular weight by Sephadex G-100 filtration. The cell line was plated from confluent monolayer cultures and grown in medium and fetal bovine serum, with or without a heparin fraction at a final concentration of 10 micrograms/ml. At intervals thereafter, the cells were pulsed with [3H]thymidine. A low-charge density heparin fraction stimulated [3H]thymidine incorporation (cpm/mg protein and cpm/cell) during the first 3 days of growth compared to control values without added heparin, whereas a high-charge density heparin fraction had little of this effect (186 +/- 35% of control vs. 101 +/- 14%, respectively; P less than .05). The augmentation of DNA synthesis observed with the low-charge density fraction correlated with increased proportions of cells in S and G2 phases compared with those of the controls, as determined by flow cytofluorometry. Low- and high-molecular-weight heparin fractions did not significantly alter DNA synthesis. Heparin subfractions are thus heterogeneous with respect to their effect on cellular DNA synthesis in this tumor line. PMID- 6577237 TI - N-nitroso-N-methylurea-induced mammary carcinogenesis: effect of pregnancy on preneoplastic cells. AB - The effect of pregnancy and lactation on mammary cancers induced with N-nitroso-N methylurea (NMU) was determined in female outbred Sprague-Dawley rats. The animals received 5 mg NMU/100 g body weight at 50 days of age and were divided into the following groups: virgin, pregnancy (beginning 10 days after NMU administration), pregnancy and lactation (beginning 10 days after NMU), and pregnancy and lactation (beginning 82 days after NMU). The time of appearance of the first palpable cancers was shorter in rats undergoing an early pregnancy. Few cancers, however, were detected from rats after pregnancy or pregnancy and lactation was completed, and a decrease in cancer incidence from virgin rats was observed in these animals at termination of the study. Since NMU is a direct acting carcinogen with a short half-life, no effect of pregnancy on carcinogen metabolism or binding could have occurred. Preneoplastic cells present before pregnancy appeared to have been either altered (such that their latent period was increased) or destroyed by the hormones associated with pregnancy. PMID- 6577238 TI - [Prostaglandins A1, E1 and F2 alpha concentrations in the arterial and coronary venous blood of patients with ischemic heart disease during induced myocardial ischemia]. AB - Prostaglandins (PGA1, PGE1 and PGF2 alpha) were assayed in 15 patients with chronic coronary disease during an anginal attack induced through frequent atrial stimulation. Measurements from eleven patients with intact coronary arteries served as control. Lactate extraction coefficient was used as a biochemical indicator of myocardial ischemia; the latter was associated with increased production of coronary sinus PGF2 alpha and arterial PGA1. No correlation could be established between PG levels in the studied series, the extent of ST depression on electrocardiograms, lactate extraction level and hemodynamic manifestations. PMID- 6577239 TI - Invasive uroradiology: an update. PMID- 6577240 TI - Exercise and the heart. PMID- 6577241 TI - Pulmonary paragonimiasis in South Carolina. PMID- 6577242 TI - Presidential Inauguration Address, April 15, 1983, Charleston, South Carolina. Our medical heritage--concern thyself. PMID- 6577243 TI - The relation of undergraduate major to medical school admission and medical school performance. PMID- 6577244 TI - Fluidic cycling devices for inspiratory and expiratory timing in automatic ventilators. AB - The theoretically desirable characteristics of fluidic timing devices for use in automatic ventilators are discussed. The principal limitation of most timers described is the separate control of inspiratory and expiratory time. It is more convenient to have one control for frequency and a separate control for I:E ratio. Two new circuits are described which allow this independent adjustment of frequency and I:E ratio. PMID- 6577245 TI - Glucocorticoid induced cytolysis of human normal and malignant lymphocytes. AB - Contrary to the general concept that man is a "glucocorticoid resistant species" this work demonstrates distinct human lymphoid subsets which are readily lysed in vitro by upper physiological and pharmacological concentrations of cortisol. These populations include the thymocyte precursor cells, i.e. prothymocytes, and immunoactivated T lymphocytes. Chronic lymphocytic leukemia cells and malignant cells from part of the acute lymphoblastic leukemia patients were also found to be highly sensitive to the in vitro cortisol induced lysis. The leukemic cells from all acute and chronic myeloid leukemias and from some acute lymphoblastic leukemia patients were found to be completely resistant to cortisol-induced lysis, even at the super pharmacological levels of the hormone. The lysis of the sensitive cell populations was specifically induced by glucocorticoids but not by other steroid hormones. Studies of the cytolic process showed high-affinity binding of the cortisol molecule to specific cytoplasmic receptor, and implied induction of "autolytic protein" synthesis. It is suggested that the observed in vitro cortisol-induced lysis accounts for part of the clinical effects of glucocorticoids. Furthermore this phenomenon may reflect a normal regulatory mechanism exerted by the corticoadrenal hormones on the immune system. PMID- 6577246 TI - Significance of glucocorticoid receptors and responses in leukaemia. AB - Glucocorticoid receptor levels and cellular responses to glucocorticoid treatment in vitro were evaluated for the malignant cells from patients with leukaemia. Cells from all cases of lymphoid and myeloid leukaemia contained glucocorticoid receptors; receptor levels and the extent of in vitro responses appeared to depend primarily on cell type and differentiation status. For acute lymphoblastic leukaemia (ALL), high receptor levels were associated with the common ALL phenotype, intermediate levels with null (unclassified) ALL and low levels with T ALL. Considerable variation in receptor levels and in responses in vitro was observed for acute myeloid leukaemia; receptor levels measured by whole-cell assay did not relate to patient survival. PMID- 6577247 TI - Fertility of dairy cattle following oestrus and ovulation controlled with cloprostenol, oestradiol benzoate and progesterone or progesterone and cloprostenol. AB - There have been several approaches to the control of the timing of the oestrous cycle and ovulation in dairy cattle in the last three decades. The first phase involved the use of progestins which were administered in various forms for prolonged periods. Although the timing of oestrus was controlled in most animals after withdrawal of the treatment, this control was not very precise and pregnancy rates from insemination at the first oestrus after treatment were reported to be below normal. Attempts were then made to combine short-term progestin treatments with oestrogens as luteolytic agents to gain better control of the timing of oestrus and ovulation. These studies resulted in some cases in better synchronization of oestrus and improved pregnancy rates. The discovery that prostaglandin F2 alpha (PGF2 alpha) and its synthetic analogue, cloprostenol were potent luetolytic agents in the cow led in the past decade to the use of these agents for oestrus and ovulation control in cattle. Prostaglandins for this purpose are ineffective in anovulatory cows, in cows with deficient luteal function and in the first 5 days of the oestrus cycle when a new corpus luteum is being formed. This limitation in their use has encouraged investigations into the combined use of short-term progestin treatment with prostaglandins to give more effective control of the timing of oestrus and ovulation and to avoid the adverse effects on fertility of long-term progestin treatment. Short-term progestin treatment combined with prostaglandins should mean that fewer cows would have ovulation suppressed for long periods and fertility of treated cows should be improved. A comparison of three procedures of ovulation control and fertility results shows the short-term progestin treatment combined with prostaglandin to be the most effective. PMID- 6577248 TI - Hormone production by the early bovine embryo. PMID- 6577249 TI - Detection of binding sites for spiroperidol on leukemic cells: its value for the phenotype characterization of lymphoid leukemias. AB - The specific binding of the dopamine antagonist spiroperidol was studied in leukemic cell samples of various phenotypes. Among these only B-cell samples from chronic lymphocytic leukemias (7/7) and some "null" cell samples from acute lymphoblastic leukemias (2/7) showed specific binding. B cells from a prolymphocytic leukemia were negative as were also T-lymphoid and non-lymphoid leukemic cells at different stages of maturation. This pattern can be clearly correlated with the previous results obtained with normal blood cells and on cell lines. Moreover, it suggests that the detection of spiroperidol binding sites could provide a new means of distinguishing different phenotypes among B cells and early lymphoid cells. Our results open the way to further studies which might show a correlation between spiroperidol binding sites and the new immunological markers defining subsets among non-T lymphoid cells, as well as defining their physiological meaning. PMID- 6577250 TI - Changes in the surface marker pattern related to maturation in adult acute myeloid leukaemia. AB - Introduction of the maturation index (MI) as a measure for the degree of maturation improved the subtyping of acute myeloid leukemia (AML). A comparison is made here between the MI and the results of surface marker analysis with a panel of monoclonal antibodies (McAb) in the immunofluorescence technique. The McAb applied in 46 AML patients (greater than or equal to 15 years) were granulocyte specific (MI/N1, UJ 308, B4-3, B13-9), granulocyte-monocyte specific (OKM-1, B2-12) or had specificity for the Ia-like antigen (OKI-1), 'T-cells' (3A1), immature cells (OKT-10) or platelets (C17-28). In 32 of these patients more McAb could be investigated with specificities for granulocytes (VIM-D5), granulocytes-monocytes (RUPI-5), monocytes (MONO BRL, RUPI-4), erythrocytes (VIE G4) and AML cells (VIM-S8). An increase in surface marker expression evident from the reaction with a number of McAb (UJ 308, B2-12, OKM-1 and OKI-1) paralleled the rise of the MI in FAB M5. A decrease of the expression of antigen detected by OKI-1 paralleled the rise of the MI in FAB M1-3. The granulocyte or monocyte specific McAb, as they are determined on normal human peripheral blood cells, did not distinguish between FAB M1-3 and M5. The maturation index seems to be a valuable tool in understanding the results of surface marker analysis. PMID- 6577251 TI - Differentiation of human leukemia cells and its usefulness for clinical diagnosis. AB - Various chemical inducers have effects on the induction of terminal differentiation of human myelogenous leukemia cell lines. We studied morphological and functional changes of human leukemia cells freshly obtained from patients using 12-0-tetradecanoyl phorbol-13-acetate (TPA), retinoic acid (RA) or dimethyl sulphoxide (DMSO). The myeloid leukemia cells cultured with TPA became adherent to plastic culture dishes, and then developed macrophage-like morphology with long filamentous pseudopods within 48 h incubation. They showed marked enhancement of the ability to phagocytose latex particles. But these acquired properties did not always parallel each other, suggesting that the mechanism of functional maturation of leukemic cells induced by chemical agents was not identical with that of morphological changes. On the other hand, the lymphoid leukemia cells did not show morphological and functional changes when cultured with the above inducers. It is suggested that exposure of leukemic cells to TPA for relatively short times (12-24 h) may be useful for determining whether they are of myeloid or lymphoid origin. These characteristic changes were also observed in leukemic cells from the myeloid or lymphoid crisis of chronic myelogenous leukemia. PMID- 6577252 TI - Studies of myelopoiesis in vitro on blood and bone marrow cells of patients with acute leukemia in long-term remission. AB - In vitro myelopoiesis in a group of ten patients with acute leukemia (6 AML, 1 APML, 3 ALL) in long-term remission has been studied. The patients remained in first stable remission for at least 4 years and maintenance therapy had been completed in all patients except one. In the patients, colony formation of bone marrow cells after 7 days of incubation was significantly increased compared to a representative control group. The proliferation of microclusters after 3 incubation days was also markedly enhanced, and accelerated proliferation of all aggregates (microclusters, macroclusters and colonies) could be demonstrated in culture with the patients' bone marrow cells. The use of autologous feeder layers and autologous serum showed no inhibitory effect on colony formation. The proportion of eosinophil colonies formed with the patients' bone marrow cells was in the normal range. In contrast to the high proliferation capacity of bone marrow precursor cells the CFU-c number of peripheral blood was significantly decreased in the patients' group. No significant correlation between CFU-c number of bone marrow and blood cells could be found. The colony stimulating activity of the patients' peripheral mononuclear cells was normal compared to healthy controls. We conclude from this study that even in long-term remission of acute leukemia certain in vitro abnormalities exist in myelopoietic proliferation and regulation. PMID- 6577253 TI - Prolongation by interferon preparation of the survival time of mice implanted with differentiation-inducible mouse myeloid leukemia cells. AB - The effect of L-cell interferon (IFN) preparation on the survival times of mice implanted with two different clones (T-22 and R-4) of mouse myeloid leukemic M1 cells were examined. T-22 cells, but not variant R-4 cells, can be induced to differentiate in vitro or in vivo into macrophages and granulocytes. In vitro growth of R-4 cells was markedly suppressed by IFN, but that of T-22 cells was resistant to IFN. The survival times of mice with implanted T-22 cells were prolonged by treatment with IFN but those of mice with implanted R-4 cells were not. PMID- 6577254 TI - [Tuberculosis and pseudoleukemia: study of 4 patients]. PMID- 6577255 TI - [Genetics and cancers]. PMID- 6577256 TI - [Psychological disease, Gilles de la Tourette's syndrome and obsession with perfection]. PMID- 6577257 TI - Gene transfer into mouse embryos: production of transgenic mice by pronuclear injection. PMID- 6577258 TI - Introduction of exogenous DNA into cotton embryos. PMID- 6577259 TI - Methods utilizing cell-free protein-synthesizing systems for the identification of recombinant DNA molecules. AB - Herein we outline three methods that, when coupled with cell-free protein synthesis, permit the identification of recombinant DNA molecules encoding specific polypeptides. RNAs enriched by fractionation on methylmercury hydroxide agarose gels are used to prepare sequence-specific probes. Recombinant DNA clones thus identified are further characterized as to their encoded polypeptides by either hybrid selection or hybrid arrest of translation. PMID- 6577260 TI - A functional map of the nopaline catabolism genes on the Ti plasmid of Agrobacterium tumefaciens C58. AB - The nopaline catabolism (noc) genes are located in a 14.4 kb region on the pTiC58 plasmid of A. tumefaciens C58. These genes permit the bacterium to grow on nopaline N2-(1,3-dicarboxylpropyl) arginine, a substrate produced in plant tumors initiated by strain C58. The functions of the noc genes include the use of nopaline and L-ornithine as sole carbon and nitrogen sources. Using Tn5 insertional mutants, we have identified and mapped the positions of the genes that are responsible for nopaline catabolism (NopC), ornithine catabolism (OrnC) and nopaline uptake (NopU). A polar relationship was found between these phenotypes, which extended leftward over the noc region to the T-region. The NopC mutants were also deficient in nopaline oxidase, an enzyme that liberates free arginine from nopaline. The noc region also encodes the synthesis of a periplasmic protein, n1 that was induced by nopaline. Tn5 insertional mutations and molecular cloning were used to map the n1 production locus. The recombinant plasmids, pSa4480 and pSa4481, containing the 8.9 kb right-hand end of the noc region, conferred n1 production when introduced into a pTi-free strain of A. tumefaciens. Production of n1 by the strains carrying these plasmids required nopaline induction. We have identified in toto three noc loci: nocB, nocC, and nocA, which confer n1 production, nopaline oxidase production and ornithine catabolism respectively. A model is proposed whereby the noc genes of pTiC58 are contained on a leftward reading operon in the order nocB, nocC, and nocA. PMID- 6577261 TI - Genetic and physical studies of restriction-deficient mutants of the Inc FIV plasmids R124 and R124/3. AB - R124 and R124/3 are R plasmids that carry the genes for two different restriction and modification systems. The phenotype of strains carrying either of these plasmids along with the F'lac+ plasmid, is restriction-deficient (Res-). The Res- phenotype is not due to selection of pre-existing mutants but rather to a complex mutational event caused by the F plasmid. Restriction-deficient mutants carry extensive deletions and other DNA rearrangements. Tn7 insertion is used to locate the restriction gene. Many of the Res- mutants are genetically unstable and revert at exceptionally high frequencies. Reversion is accompanied by DNA rearrangements which result in a net gain of 9 kb of DNA. F derivates of F+ which do not cause restriction-deficiency but do cause deletion were used to distinguish between the DNA rearrangements associated with restriction-deficiency and those associated with deletion. From Res+ revertants of strains carrying F'lac+ and R124 or R124/3 we have isolated F plasmids that now carry the genes for the R124 or R124/3 restriction and modification systems. It is suggested that interaction between part of the F plasmid and that segment of the R plasmid which controls the switch in Res-Mod specificity which has been observed (Glover et al. 1983) is responsible for the production of restriction-deficiency. PMID- 6577263 TI - Chronic myelomonocytic leukaemia in infancy: a case report. AB - The case of an infant with the clinical and haematological features of chronic myelomonocytic leukaemia is reported. The infant presented with a peripheral blood monocyte count of 12,000 cell/mm3 (12.0 X 10(9) cell/L) but no lymphadenopathy, hepatomegaly, nor splenomegaly. No treatment was given for 14 months during which time the monocytosis persisted. Myeloblasts then appeared abruptly in the peripheral blood reaching a peak of 1,500,000 cell/mm3 (1,500 X 10(9)/L). Cytotoxic chemotherapy was initially successful but the blast soon became resistant and the child died. Chronic myelomonocytic leukaemia is usually associated with the elderly and the significance of this case is discussed. PMID- 6577262 TI - Determination of the region of rDNA involved in polytenization in salivary glands of Drosophila hydei. AB - During the formation of polytene chromosomes in salivary glands of Drosophila hydei, the genes for ribosomal RNA (rDNA) are underreplicated relative to the rest of the genome. We have measured the number of rRNA genes with and without intervening sequences (ivs+ and ivs- genes) in polytene chromosomes of different genotypes. In the group of genotypes having a large number of ivs- rRNA genes polytenization only occurs within the cluster of ivs- genes. In each of these genotypes rDNA polytenization reaches a constant level of 150 ivs- genes per two chromatid sets (2C); X/X constitutions having two nucleolus organizers (NOs) in the diploid set polytenize the same amount of rDNA as X/O constitutions. In the group of genotypes with small ivs- gene numbers, the rDNA region involved in polytenization is longer and has an average length of 1,700 kb per NO, which is constant in these genotypes. Polytenization of rDNA is extended into the cluster of ivs+ genes, in spite of the fact that these genes appear to be nonfunctional. The smaller the number of ivs- genes, the greater the number of ivs+ genes that are polytenized in the NO. In these genotypes, X/X females replicate twice as much rDNA as X/O males, suggesting that both NOs of the diploid set are polytenized. A comparison of the pattern of spacer length heterogeneity in hybrids between different stocks also demonstrates that both NOs are replicated during polytenization. PMID- 6577264 TI - Cytosine arabinoside induced liver damage: histopathologic demonstration. AB - Two patients with acute leukemia developed abnormal liver function tests after the administration of cytosine arabinoside. Other possible causes for such abnormalities were not likely. In both patients a close chronologic relationship between the administration of the drug and the appearance of the laboratory abnormalities was noted. The liver damage was also documented by biopsy. To our knowledge this is the first time that the hepatotoxic effects of cytosine arabinoside are histologically demonstrated. PMID- 6577265 TI - Skeletal scintigraphy and radiography at onset of acute lymphocytic leukemia in children. AB - 99mTechnetium skeletal scintigraphy performed at the time of diagnosis was compared with pain and radiographs in 24 children with acute lymphocytic leukemia. Localized intense uptake of the labeled compound in one or several metaphyses and increased uptake in diaphyses were typical findings by scintigraphy. The skeleton of each child was subdivided into 18 regions, and investigated for the presence of pain and for possible radiographic and scintigraphic abnormalities. In a total of 432 regions (18 regions in each of 24 children), pain was present in 23 regions, radiographic anomalies in 54 regions, and abnormal technetium uptake in 98 regions. Signs and symptoms were most often found in the lower extremities. Pain and radiographic or scintigraphic abnormalities were not regularly found in the same skeletal regions. The individual number of radiographic abnormalities was negatively correlated with age, whereas the number of regions with abnormal technetium uptake was positively correlated with age. No significant correlation was found between the number of abnormal scintigraphic or radiographic regions and the clinical outcome of the disease. PMID- 6577266 TI - Acute leukemia following retinoblastoma. PMID- 6577267 TI - [Dental caries and experimental fluorosis]. PMID- 6577268 TI - [Electron microscopic study of the initial phases of dentin calcification]. PMID- 6577269 TI - [Cherubism]. PMID- 6577270 TI - [Original case of tooth abrasion due to bad habits]. PMID- 6577271 TI - [Problematic assessments of periodontopathies]. PMID- 6577272 TI - [Coronal reconstruction by means of parapulpal pins]. PMID- 6577273 TI - [Delay in the diagnosis of oral neoplasms]. PMID- 6577274 TI - [Condylar dislocations after sagittal osteotomy of the mandible]. PMID- 6577275 TI - [Temporary prostheses made of thermoplastic material in maxillofacial surgery]. PMID- 6577276 TI - [Anesthesiological problems in the surgery of cheilognathopalatoschisis]. PMID- 6577277 TI - [Radiologic aspects of oral and dental changes in beta-thalassemia]. PMID- 6577278 TI - [In vitro toxicity of materials used in conservative and prosthetic dentistry. I. Amalgams and cements]. PMID- 6577279 TI - [Dental nomenclatures. From the Zsigmondy Gebissschema to the two-digital system adopted by WHO]. PMID- 6577281 TI - [The right moment to perform early germectomy]. PMID- 6577280 TI - Regulation of mRNA utilization in mouse erythroleukemia cells induced to differentiate by exposure to dimethyl sulfoxide. AB - Mouse erythroleukemia cells contain several abundant mRNA species that occur to a considerable extent as untranslated molecules. For two of these species, which code for polypeptides P40 and P21, the proportion of molecules engaged in translation decreases rapidly after exposure of the cells to dimethyl sulfoxide. The extent of utilization of a third species, the P36 mRNA, is not altered. The rate of production of the P40 mRNA does not appear to be affected in the dimethyl sulfoxide-treated cells. The P21 mRNA appears to be produced in increasing amounts, leading to a large accumulation of untranslated molecules in the cytoplasm. The mRNA for actin remains nearly fully utilized during this process, but its intracellular concentration decreases, thus resulting in a reduction in the amounts present in polysomes. The results indicate that some mRNA species in mouse tumor cells are subject to a translational repression process that can serve to regulate selectively the extent of expression of the corresponding genes. PMID- 6577282 TI - [Pre- and post-operative cineradiographic analysis of mandibular and hyoid bone movement in cases of maxillary protrusion]. PMID- 6577283 TI - [Organization and rationalization in orthodontics]. PMID- 6577284 TI - [Etiopathogenesis and classification of impacted teeth]. PMID- 6577285 TI - Association of an inversion of chromosome 16 with abnormal marrow eosinophils in acute myelomonocytic leukemia. A unique cytogenetic-clinicopathological association. AB - We identified 18 patients with an inversion of chromosome 16, inv(16)(p13q22), among 308 patients with newly diagnosed acute nonlymphocytic leukemia. Each of these 18 patients had acute myelomonocytic leukemia (M4 subtype) and eosinophils with distinctly abnormal morphology, cytochemical staining, and ultrastructure. These eosinophils constituted from 1 to 33 per cent of the nucleated marrow cells. In our series, every patient with acute myelomonocytic leukemia and abnormal eosinophils also had an abnormal chromosome 16. This subgroup of M4 patients had a good response to intensive therapy designed to induce remission; 13 of 17 treated patients entered a complete remission, and 10 remain in first remission. Thus, patients with an inversion of chromosome 16 appear to represent a unique cytogenetic-clinicopathological subtype of acute nonlymphocytic leukemia with a favorable prognosis. PMID- 6577286 TI - Productivity in the dental laboratory. PMID- 6577287 TI - Health and safety in the dental laboratory. PMID- 6577288 TI - Retainers and removable appliances. PMID- 6577289 TI - Kennedy-Applegate classification of partially edentulous dental arches. PMID- 6577290 TI - The effect of dental practice trends on the dental laboratory industry. PMID- 6577291 TI - Biotechnology: genetic patents, the old and the new. PMID- 6577292 TI - Biotech teams up with China. PMID- 6577293 TI - Genetic engineering. Drosophila takes off. PMID- 6577294 TI - Diagnosis and treatment of the painful episode in sickle cell disease. PMID- 6577295 TI - Comparison of ultrasonography and oral cholecystography in the diagnosis of gallbladder disease. PMID- 6577296 TI - Value of endoscopic retrograde cholangiopancreatography (ERCP) in a community hospital setting. PMID- 6577297 TI - Strawberry shortcake and whippets: nitrous oxide intoxication. PMID- 6577298 TI - Infectious mononucleosis presenting as cat scratch disease. PMID- 6577299 TI - Alzheimer's disease. PMID- 6577300 TI - Hang gliding injuries. PMID- 6577301 TI - A different view of AIDS. PMID- 6577303 TI - [A clinical study of the functions of the masticatory system]. PMID- 6577302 TI - [Endocarditis. The role of the dental profession in prevention]. PMID- 6577304 TI - [The effect of fluoride tablets in the prevention of dental caries. A longitudinal study of children 4-10 years of age]. PMID- 6577305 TI - [Possibilities and limitations of the animal model in caries research]. PMID- 6577306 TI - [Use of our knowledge for the benefit of health policy]. PMID- 6577307 TI - [The surface free energy of fluoridated enamel, monocrystalline hydroxyapatite, fluorapatite and calcium fluoride]. PMID- 6577308 TI - [The role of fluorides and diphosphonates in the formation and remineralization of subsurface carious lesions - in vitro]. PMID- 6577309 TI - [Remineralization of enamel in an in vivo model]. PMID- 6577310 TI - [Innovations in dentistry: less drilling]. PMID- 6577311 TI - [Innovations in dentistry: secondary prevention with adhesive restorations]. PMID- 6577312 TI - [Relation between osteoclasts and macrophages - implications for the mechanism of bone loss in periodontal disease]. PMID- 6577313 TI - Congenital myopathy due to phosphorylase deficiency. AB - A 4-year-old boy had delayed psychomotor development, proximal weakness, increased serum CK, and myopathic EMG. Muscle biopsy was normal, but histochemical stain for phosphorylase showed no reaction. The enzyme defect was confirmed biochemically and in studies of anaerobic glycolysis in vitro. Glycogen concentration was twice normal. Atypical presentations of myophosphorylase deficiency have included progressive weakness of late onset and fatal infantile myopathy. This patient represents another example of clinical heterogeneity. PMID- 6577314 TI - Sulfatide synthesis in mice with defective synthesis of 3'-phosphoadenosine 5' phosphosulfate. AB - The regulation of sulfation of galactocerebroside was examined in several tissues from brachymorphic mice, including the central nervous system and kidney. These animals have an inherited defect in the enzymes which synthesize 3' phosphoadenosine 5'-phosphosulfate (PAPS) resulting in decreased sulfation of glycosaminoglycans. In contrast, sulfation of galactocerebroside to form sulfatide (sulfogalactocerebroside) was normal in brachymorphic mice even in tissues with decreased ability to synthesize PAPS. This suggests that, unlike the regulation of glycosaminoglycan sulfation, the formation of sulfatide is not stringently regulated by tissue levels of PAPS. PMID- 6577316 TI - Nursing home visits. PMID- 6577315 TI - Parotid gland enlargement during treatment of acute bronchial asthma. PMID- 6577317 TI - Patient-physician relationships. PMID- 6577318 TI - Large abdominal aortic aneurysm and portal hypertension. PMID- 6577319 TI - Nipple discharge. Frequency and pathogenesis in an ambulatory population. PMID- 6577320 TI - Alcohol use and alcoholism in adolescence. PMID- 6577321 TI - Cystic renal mass. PMID- 6577322 TI - Measles eradication. Can we succeed? PMID- 6577323 TI - Measles prevention. PMID- 6577324 TI - The medical school: who pays for teaching, research, and the burden of tertiary care? PMID- 6577326 TI - Cost structure and fee schedules in hospital laboratories. PMID- 6577325 TI - Who pays for hospital care in the state-supported institution? PMID- 6577327 TI - The best of physicians is destined for Gehenna. PMID- 6577328 TI - Definition of death in Jewish law. PMID- 6577329 TI - Ogilvie's syndrome. PMID- 6577330 TI - Ischemic enteropathy. A rare cause of small-intestinal obstruction. PMID- 6577331 TI - Cerebellar ataxia in systemic lupus erythematosus. PMID- 6577332 TI - Leukocytoclastic vasculitis in an intravenous heroin abuser. PMID- 6577333 TI - Recurrent subacute thyroiditis: a report of three cases. PMID- 6577334 TI - Dissecting aneurysm in a patient with pseudocoarctation of the aorta. PMID- 6577335 TI - Extraosseous osteosarcoma. PMID- 6577336 TI - Whooping cough: Christchurch 1982. AB - Whooping cough continues to be a major health problem in New Zealand. In a twelve month period, 64 cases were admitted to the paediatric wards of Christchurch Hospital. Of these 64 patients, 24 (37.5%) were fully immunised. The possible explanations for the large number of children contracting whooping cough, who have been immunised according to the schedule used in New Zealand, is discussed. PMID- 6577338 TI - Medical ethics. PMID- 6577337 TI - Screening for cystic fibrosis. AB - During a 12 month period all New Zealand newborns were screened for cystic fibrosis using the Crossley test. Of 49 056 babies tested 522 had a raised blood immunoreactive trypsin level and follow-up testing indicated 19 persistent elevations. Clinical and laboratory studies indicated 14 cases of cystic fibrosis giving an apparent incidence of 1:3500. PMID- 6577339 TI - Utilisation of health services by diabetic patients. 1: The district nursing service. AB - In 1981 the district nursing service in Christchurch was making 590 home visits, on a weekly basis, to 73 patients for the purposes of drawing up and injecting insulin. This was 13.9% of their total workload. Through a programme of education many were able to manage the injection technique totally. In other cases the provision of pre-loaded syringes permitted less frequent attendance by the district nurse. At survey, one year later, the patient numbers visited had fallen to 46, and the number of weekly visits had been reduced by half. These results show the benefits of research programmes, aimed at evaluation of health delivery, with a view to improving their efficiency and reducing their cost. PMID- 6577341 TI - Changing patterns of genital herpes. AB - Isolation rates for herpes simplex virus types 1 and 2, recovered from oral and genital specimens submitted to the National Health Institute by clinicians within the Wellington region, were compared for two time-periods, 1971 to 1973 and 1981 to 1982 inclusive. The proportion of type 1 isolates from genital sites has increased from 4% to 11%, while conversely the proportion of type 2 isolates from oral sites has increased from 6% to 24%. Possible explanations for these trends are considered and the clinical and epidemiologic significance of this changing pattern is briefly discussed. PMID- 6577340 TI - Childhood burns. AB - A five year retrospective survey of children admitted to Dunedin Hospital for the treatment of burn injuries was undertaken. Fifty-nine percent of the victims were male, 76% were under five years of age, and the most common type of injury was a scald. A significant number of the victims received friction burns from washing machine wringers. This finding contrasts with other burn surveys and a number of possible explanations are advanced. More in depth investigations of specific incidents are required to assist and assess the efficacy of current preventive efforts. PMID- 6577342 TI - Changing patterns of psychoactive drug use with the mentally retarded. AB - A three-year follow-up survey of psychoactive medication use at an institution for the mentally retarded is reported. A significant reduction in the use of psychotropic drugs alone and combinations of psychotropic and anticonvulsant drugs occurred. There was an increase in anticonvulsant monotherapy and a small reduction in overall medication use. In general patients received fewer drugs at any one time. Factors possibly associated with the changed pattern of medication use are discussed. PMID- 6577343 TI - Asthma. PMID- 6577344 TI - Thyroxine therapy and elevated laboratory results. PMID- 6577345 TI - Leptospirosis and mental illness. PMID- 6577346 TI - Pulmonary sarcoidosis mimicking cryptogenic fibrosing alveolitis. PMID- 6577347 TI - Mortality and social class in New Zealand II: male mortality by major disease groupings. AB - Social class differences in male mortality in New Zealand were investigated for each major disease grouping. The patterns found were similar to those for England and Wales with the lower social classes having mortality rates significantly higher than those of the upper social classes for each major cause of death. The strongest social class mortality gradients were found for deaths from accidents, poisonings and violence; diseases of the respiratory system; endocrine, nutritional and metabolic diseases; diseases of the genito-urinary system; and diseases of the digestive system. The gradients for coronary heart disease and neoplasms were weaker, but in the same direction as those found for other disease groupings. PMID- 6577348 TI - Unsuspected Chlamydia trachomatis in females attending a sexually transmitted diseases clinic. AB - One hundred and five women attending Auckland sexually transmitted diseases clinic were reviewed because of positive cervical cultures for Chlamydia trachomatis. Their average age was 19 years, 70% were European; 28% were Maori. In half the patients the positive culture was a chance finding and therefore treatment was delayed resulting in six patients (12%) developing pelvic inflammatory disease. Eight out of nine male contacts, subsequently traced, had asymptomatic urethritis, one having epididymitis. One patient had no evidence of urethritis but was chlamydia positive. Associated pathogens present in the women were Neisseria gonorrhoeae (26%), Trichomonas vaginalis (6%), Gardnerella vaginalis (46%) and Candida albicans (19%). These findings support a need for routine chlamydial testing in female patients attending sexually transmitted diseases clinics and epidemiological treatment of female contacts of men with non specific urethritis. PMID- 6577350 TI - Acute chlorine poisoning from a high school experiment. PMID- 6577349 TI - Asthma and fungi in the home. AB - During a nine month survey we collected viable fungal spores in the homes of 35 asthmatic patients living in Wellington. The five most prevalent fungal types were Aspergillus, Basidiomycetes, Cladosporium, Penicillium and Alternaria. We noted some regional and seasonal differences in the recovery of fungi. In about one-third of the patients there was a relationship between symptoms of asthma or peak expiratory flow rate and the presence of particular fungal types especially Aspergillus. These patients were not identified by positive skin prick tests with commercial fungal extracts. PMID- 6577351 TI - Some health reorganisation. PMID- 6577352 TI - Domestic swimming pool accidents to pre-school children. AB - The frequency of accidents in domestic swimming pools was studied retrospectively for a sample of 1123 Christchurch children. During the period from birth to five years, a total of 94 such accidents were reported. While most were trivial and readily rectified by rapid adult intervention, we found six children who clearly might have drowned in a domestic swimming pool but for adult vigilance and a certain amount of luck. These findings underline the fact that current mortality statistics merely reflect the minority of such incidents in which either parental vigilance or luck does not operate. Children with pools on their own or neighbouring properties were two and a half times more likely to be involved in accidents involving domestic pools. We reiterate our plea for the introduction of a uniform and well enforced set of domestic swimming pool safety regulations. PMID- 6577353 TI - Trends in hospital admission rates and drug treatment of asthma in New Zealand. AB - Trends in hospital admission rates from asthma and sales of anti-asthma drugs in New Zealand for the past two decades were examined. In this period there has been a marked increase in hospital admissions for asthma and in sales of anti-asthma medications. These findings and the recently reported increase in asthma mortality in New Zealand indicate that asthma is an important health problem in this country. PMID- 6577354 TI - Hypnotic drug prescribing and consumption in a New Zealand teaching hospital. AB - The relationship between hypnotic drug choice and consumption was investigated with respect to eight variables for eight of the most commonly prescribed hypnotics in Wellington Hospital. The overall prescribing rate was 27% but the dispensing rate was 89.1%, attributable to the high incidence of PRN charting. Consumption of hypnotics increased with increasing patient age and duration of hospital stay. Consumption was higher for medical compared to surgical patients. Drug choice, ward preference and prescribing rate did not influence consumption, highlighting the fundamental discretionary role of the nurse-dispenser, determining the level of consumption. PMID- 6577355 TI - Genetic counseling. PMID- 6577356 TI - Nursing employment. PMID- 6577357 TI - Acupuncture and migraine. PMID- 6577358 TI - Multicentric reticulohistiocytosis. PMID- 6577359 TI - The color pink and muscle strength. PMID- 6577360 TI - New York City Health Code. Article 175 -- Radiation Control. PMID- 6577361 TI - Response to Dr. Keyes' presentation. PMID- 6577362 TI - Safe and rapid pulp chamber access for posterior teeth. PMID- 6577364 TI - New York University College of Dentistry, Department of Oral Medicine. PMID- 6577363 TI - The American Academy of Periodontology's view of the prevention and treatment of gum disease. A position paper. PMID- 6577366 TI - The DSSNY-sponsored I.C. System collection service. PMID- 6577365 TI - Columbia University School of Dental and Oral Surgery. Current investigations of dental implants. PMID- 6577367 TI - Code of Ethics. The Dental Society of the State of New York. PMID- 6577368 TI - Update on the restoration of grossly carious primary anterior teeth. PMID- 6577369 TI - The elderly and dental care. PMID- 6577370 TI - [The bacterial component of chronic apical periodontitis and radicular cysts]. PMID- 6577371 TI - [Reconstruction of the edentulous crest]. PMID- 6577372 TI - [Amalgam. Physical properties. Variations and finishing technics]. PMID- 6577373 TI - [Treatment of gangrenous teeth]. PMID- 6577374 TI - [Conservative restoration of a fractured incisor]. PMID- 6577375 TI - [Medico-legal aspects in oral implantology]. PMID- 6577376 TI - [Several cases of transfixation]. PMID- 6577377 TI - [Biopulpotomy using the technic of Baume and co-authors]. PMID- 6577378 TI - [Dentin desensitization with a new fluoride-containing gel]. PMID- 6577379 TI - Capitation: another piece in the dental insurance puzzle. PMID- 6577380 TI - Capitation from a provider's point of view. PMID- 6577381 TI - Composite resin finishing systems. An update. PMID- 6577383 TI - [Correction of the facial skeleton in Crouzon's disease]. PMID- 6577382 TI - [Induction of abortion during the 2d pregnancy trimester by intra-amniotic administration of PGF2 alpha]. PMID- 6577384 TI - [Surgical treatment of lip carcinoma]. PMID- 6577385 TI - [Depth of attachment of the labial frenum - surgical and orthodontic aspects]. PMID- 6577386 TI - [Lesions on adjacent structures after endosseous implantation]. PMID- 6577387 TI - [Gingival vestibular enlargement using free mucosal transplants]. PMID- 6577388 TI - [Results and failures of apexification efforts on injured anterior teeth in adolescents]. PMID- 6577389 TI - [Changes of the surface contours of extraction sites during the healing process]. PMID- 6577390 TI - [Morphology of the tooth from functional aspects]. PMID- 6577391 TI - [Relapse potential of maxillary osteotomy in lip, jaw and palatal clefts]. PMID- 6577392 TI - [Three-year study of modified low-stress splints as therapy for injured anterior teeth in adolescent patients]. PMID- 6577393 TI - [Clinical and microbiological studies of healing progress under periodontal dressings following gingivectomy]. PMID- 6577394 TI - [Time and technics for the closure of residual defects of cleft patients with special consideration for the tongue flap technic]. PMID- 6577395 TI - [Scanning electron microscopic control of the effectiveness of topical fluoride applications]. PMID- 6577396 TI - [Fluoride preparations in caries prevention]. PMID- 6577397 TI - [Motivation of pediatricians and pediatric nurses as aides in dental prevention]. PMID- 6577398 TI - [Leukemic iris infiltration as an isolated recurrence of acute lymphoblastic leukemia]. PMID- 6577399 TI - [Treatment of recurrence in children with acute lymphoblastic leukemias]. PMID- 6577400 TI - [Leukapheresis for the initial treatment of acute lymphoblastic leukemia in childhood]. PMID- 6577401 TI - Prostaglandin E2 concentration in gastric secretions of critically ill, full term, and premature infants. AB - Critically ill, full-term, and premature infants are at increased risk to develop gastric mucosal ulceration. The cytoprotective effects of prostaglandin E2 (PGE2) may be important in the preservation of gastric mucosal integrity in these patients. PGE2 concentrations in the gastric secretions of seven full-term and 16 premature infants with severe pulmonary disease were measured by radioimmunoassay. The mean PGE2 concentration was significantly greater in the full-term infants (460 +/- 94 pg/ml), (mean +/- S.E.M.) than in the premature infants (190 +/- 35 pg/ml), P less than 0.01. There was a linear correlation between gestational age and PGE2 concentration, r = 0.70, P less than 0.001. In the 11 infants greater than or equal to 35 wk gestational age there was a linear correlation between gastric pH and PGE2 concentration, r = 0.69, P less than 0.01. PMID- 6577402 TI - [Hepatitis B virus infection in children with proliferative diseases of the hematopoietic and lymphatic systems]. PMID- 6577403 TI - [Organic acidemias: current diagnostic practical possibilities]. PMID- 6577404 TI - [A case of chloroma]. PMID- 6577405 TI - [Rehabilitation of clefts of the lip, jaw and palate--an interdisciplinary approach]. PMID- 6577406 TI - [Every first assistant is a dental assistant. (4)]. PMID- 6577407 TI - Nursing involvement in the critical care expansion. PMID- 6577408 TI - Child safety restraints: a new law in New Mexico. PMID- 6577409 TI - Disordered eating patterns. PMID- 6577410 TI - Dietary problems in the cancer patient. PMID- 6577411 TI - Nursing Mirror midwifery forum. 7. Prostaglandin induced labour. PMID- 6577412 TI - Bulimia nervosa. PMID- 6577413 TI - Food, fatness and femininity. PMID- 6577414 TI - Adenotonsillectomy: current debate. PMID- 6577415 TI - Correlation of crystallographically determined and computationally predicted hydrogen-bonded pairing configurations of nucleic acid bases. AB - Crystals of pairs of H-bonded nucleic acid bases are generally grown from nonaqueous solutions. We have been able to predict the H-bonded configuration of most of the base pairs in such crystals by using an empirical-potential function we recently developed for calculating the energetics of such interactions in chloroform solution. The following configurations were computationally predicted to predominate and are those observed in crystal structures: the Watson-Crick G.C configuration instead of two competing configurations; the Hoogsteen-type configurations for A.T, A.U, and A.br5U instead of Watson-Crick-type configurations; the Watson-Crick-type configurations for 2-aminopurine.br5U instead of the purine N3-type configuration; the Watson-Crick-type configurations for 8-bromo-2,6-diaminopurine.T instead of the Hoogsteen or purine-N3-type configurations; the syn-anti configuration for br8A.br8I instead of the anti-anti configuration; the Watson-Crick-type configurations for br8A.br5U instead of the Hoogsteen-type configurations; and the Hoogsteen-type configurations for me8A.T instead of the Watson-Crick configurations. In addition, the H-bonded base triplet br5U.2,6-diaminopurine.br5U was calculated to have Hoogsteen and Watson Crick-type configurations but not the purine N3-type configuration. Apparently, lattice forces and chance nucleation of a minor base pairing configuration are not significant when the stability difference between the preferred and alternative configurations exceeds a relatively small value. In one case, in order to correctly predict the base pairing configuration in the crystal, it was necessary to include a contribution due to a C--H...O bond, suggesting that this type of H bond can make a significant contribution to base pair stability. PMID- 6577416 TI - Marked increase of human platelet phospholipase A2 activity in vitro and demonstration of an endogenous inhibitor. AB - When soluble and particulate fractions of human platelet homogenate were chromatographed on DEAE-cellulose and hydroxylapatite columns, total phospholipase A2 (PLA2; phosphatide 2-acylhydrolase, EC 3.1.1.4) activity increased sharply. PLA2 activity detected in these partially purified preparations was approximately 12 times greater than that associated with the original homogenate. Chromatography of the particulate enzyme on a DEAE-cellulose column yielded one activity peak. Fractions eluted near the activity peak showed a trace of PLA2 activity but inhibited purified PLA2 stoichiometrically, suggesting the presence of an endogenous "inhibitor" in the homogenate. The inhibitor activity was heat-stable, trypsin insensitive, and extractable by chloroform/methanol, and thus appears to be associated with a lipid(s). PLA2 activity was Ca2+ dependent. The crude enzyme was variably stimulated by calmodulin, whereas the purified enzyme was not, suggesting that the effect of calmodulin on the crude enzyme is indirect. Our results suggest that human platelet PLA2 activity reported in the literature may have been underestimated, apparently due to the presence of an endogenous inhibitor. PMID- 6577417 TI - Splicing of adenovirus RNA in a cell-free transcription system. AB - A soluble whole-cell extract prepared accurately from HeLa cells splices 2-3% of the RNA transcribed from a DNA template containing the first and second leader exons of late adenovirus RNA. The spliced RNA was detected by a sensitive technique using hybridization to a single-stranded phage M13 cDNA clone, followed by binding to nitrocellulose filters. The identity of the spliced RNA was established by RNase T1 and pancreatic RNase two-dimensional peptide mapping. The bond formed during the in vitro splicing reaction appears to be a typical 3',5' phosphodiester bond as judged by its sensitivity to RNase T1. The splicing reaction is specifically inhibited by KCl at concentrations greater than 50 mM and by the addition of cellular RNA. Three features of this system may account for the detection of splicing in a soluble extract: (i) the sensitive and unambiguous hybridization assay, (ii) the high transcriptional activity of the major late promoter of adenovirus, and (iii) the use of the first and second leader exon splice of adenovirus, which may be unusually rapid. PMID- 6577418 TI - Allosteric cofactor-mediated enzyme cooperativity: a theoretical treatment. AB - The situation under which substrate cooperativity is apparent only in the presence of an inhibitor has been investigated. When a substrate and an inhibitor bind independently to a cooperative enzyme that conforms to the concerted Monod Wyman-Changeux model, each of the two ligands must induce intersubunit transitions in the protein molecule in order to have their allosteric effects coupled to one another. The inhibitor exerts a heterotropic influence on the saturation function of the substrate and enhances the otherwise recondite homotropic effect of the latter. If the ligands bind competitively to the enzyme, however, intersubunit transitions in the enzyme need be induced only by the inhibitor. A sigmoidal substrate saturation curve is then obtained as a result of displacement of the inhibitor from the enzyme by the substrate. In this mechanism, the competitive inhibitor participates as a cofactor required for the expression of substrate cooperativity and the familiar ability of regulatory enzymes to mediate homotropic interactions directly between substrate molecules is absent. Experimental tests are proposed to elucidate the nature of cooperative interactions for enzymes that appear to retain heterotropic but not homotropic effects in substrate binding. PMID- 6577419 TI - Prediction of the three-dimensional structure of the transforming region of the EJ/T24 human bladder oncogene product and its normal cellular homologue. AB - The three-dimensional structures of the transforming region of the product of the EJ/T24 human bladder oncogene and of the c-Ha ras-1 gene product have been calculated by using conformational energy calculations. These two genes, representing a transforming oncogene and its normal cellular homologue, encode 21,000-dalton peptides that differ by one amino acid at position 12. We therefore examined the energetically allowed conformations of the hydrophobic decapeptide surrounding this substitution site. The calculations show that the most favorable form of the c-Ha ras-1 gene product exists when glycine-12 is in a left-handed bend conformation. No other amino acid can adopt this conformation and thus the bladder oncogene peptide containing valine at position 12 has a markedly different three-dimensional structure. A simple model is proposed to account for the consequences of a position 12 mutation. PMID- 6577420 TI - Transport of glutathione, as gamma-glutamylcysteinylglycyl ester, into liver and kidney. AB - Administration of gamma-glutamylcysteinylglycyl monomethyl (or monoethyl) ester to mice leads to substantial increases in the levels of glutathione in the liver and kidney. Mice depleted of glutathione by treatment with buthionine sulfoximine, a potent inhibitor of gamma-glutamylcysteine synthetase, exhibited about a 4-fold increase in liver and kidney glutathione levels after administration of glutathione monomethyl ester. This ester also prevented the marked decline in liver glutathione level found after giving mice acetaminophen, and it protected mice from toxicity due to this compound. The findings indicate that the monomethyl and monoethyl esters of glutathione are transported into cells and hydrolyzed to glutathione. Such esters may be useful in experimental work on glutathione metabolism and function and may provide a relatively safe method for protecting cells against damage by toxic compounds, oxygen, and radiation. PMID- 6577421 TI - Methylation involved in chemotaxis is regulated during Caulobacter differentiation. AB - Caulobacter crescentus carries a flagellum and is motile only during a limited time in its cell cycle. We have asked if the biochemical machinery that mediates chemotaxis exists coincident with the cell's structural ability to respond to a chemotactic signal. We first demonstrated that one function of the chemotaxis machinery, the ability to methylate the carboxyl side chains of a specific set of membrane proteins (methyl-accepting chemotaxis proteins, MCPs), is present in C. crescentus. This conclusion is based on the observations that (i) methionine auxotrophs starved of methionine can swim only in the forward direction (comparable to smooth swimming in the enteric bacteria), (ii) a specific set of membrane proteins was found to be methylated in vivo and the incorporated [3H]methyl groups were alkali sensitive, (iii) this same set of membrane proteins incorporated methyl groups from S-adenosylmethionine in vitro, and (iv) out of a total of eight generally nonchemotactic mutants, two were found to swim only in a forward direction and one of these lacked methyltransferase activity. Analysis of in vivo and in vitro methylation in synchronized cultures showed that the methylation reaction is lost when the flagellated swarmer cell differentiates into a stalked cell. In vivo methylation reappeared coincident with the biogenesis of the flagellum just prior to cell division. In vitro reconstitution experiments with heterologous cell fractions from different cell types showed that swarmer cells contain methyltransferase and their membranes can be methylated. However, newly differentiated stalked cells lack methyltransferase activity and membranes from these cells cannot accept methyl groups. These results demonstrate that MCP methylation is confined to that portion of the cell cycle when flagella are present. PMID- 6577423 TI - Sequence coding for the alphavirus nonstructural proteins is interrupted by an opal termination codon. AB - We have obtained the nucleotide sequence of the genomic RNAs of two alphaviruses, Sindbis virus and Middelburg virus, over an extensive region encoding the nonstructural (replicase) proteins. In both viruses in an equivalent position an opal (UGA) termination codon punctuates a long otherwise open reading frame. The nonstructural proteins are translated as polyprotein precursors that are processed by posttranslational cleavage into four polypeptide chains; the sequence data presented here indicate that the COOH-terminal polypeptide, ns72, may be produced by read-through of this opal codon. The high degree of amino acid homology between the ns72 polypeptides of the two viruses, in contrast to the lack of conserved sequence upstream from the read-through site, suggests that ns72 plays an important role in viral replication, possibly modulating the action of other replicase components. PMID- 6577422 TI - Evidence for formation of an S-[2-(N7-guanyl)ethyl]glutathione adduct in glutathione-mediated binding of the carcinogen 1,2-dibromoethane to DNA. AB - The carcinogen 1,2-dibromoethane and reduced glutathione (GSH) were irreversibly bound to calf thymus DNA in equimolar amounts when in vitro incubations were carried out in the presence of GSH S-transferase. In studies carried out with isolated hepatocytes, equimolar amounts of 1,2-dibromoethane and endogenous GSH were also bound to intracellular DNA and RNA and extracellular DNA. These findings support the hypothesis that the major interaction of 1,2-dibromoethane with DNA involves covalent modification by a preformed complex of the carcinogen and GSH--i.e., S-(2-bromoethyl)GSH or the resulting episulfonium ion. Enzymatic hydrolysis of calf thymus DNA labeled with 1,2-dibromoethane in the presence of GSH and GSH S-transferase and subsequent high-performance liquid chromatography of the residues yielded a major fraction, which also was found to contain radiolabel derived from GSH. The fraction thus isolated was reductively desulfurized to yield N7-ethylguanine, which was isolated and identified by comparison with authentic material in two other high-performance liquid chromatography systems and by UV and mass spectrometry. Therefore, the structure of the undesulfurized adduct is assigned as S-[2-(N7-guanyl)ethyl]GSH. This adduct is unusual in that it is involved in a situation in which GSH plays a role in the bioactivation of a chemical carcinogen, as opposed to the more typical detoxication reactions. Further, a chemical carcinogen has been shown to cross link DNA with a small physiological peptide. PMID- 6577424 TI - Natural 25,26-dihydroxyvitamin D3 is an epimeric mixture. AB - Radiolabeled 25,26-dihydroxyvitamin D3 was prepared in vitro by using chicken kidney homogenates and in vivo in rats from [23,24-3H]-25-hydroxyvitamin D3. These compounds were mixed with synthetic (25S)- and (25R)-25,26-dihydroxyvitamin D3, converted to the corresponding (+)-alpha-methoxy-alpha trifluoromethylphenylacetyl esters, and subjected to high-performance liquid chromatography that separates the derivatized epimers. The radiolabeled 25,26 dihydroxyvitamin D3 derivatives were a 1:1 mixture of the 25S and 25R isomers. Similarly unlabeled 25,26-dihydroxyvitamin D3 isolated from the plasma of rats given large amounts of vitamin D3 was shown to be a 1:1 mixture of the S and R isomers. Therefore, naturally occurring 25,26-dihydroxyvitamin D3 is a mixture of the 25R and 25S isomers and not just the S isomer reported previously. PMID- 6577425 TI - Structural dynamics of human deoxyhemoglobin and hemochrome investigated by nuclear gamma resonance absorption (Mossbauer) spectroscopy. AB - Mossbauer spectra of human deoxyhemoglobin and hemochrome frozen solutions, selectively enriched with 57Fe in either the alpha chains or the beta chains, were measured from 4.2 to 250 K. The Lamb-Mossbauer factor, ln f = 4II2 [x2]gamma/lambda 2, was calculated from these spectra and gives the structural dynamics of the iron atom (heme). Large differences in the mean-squared displacement, [x2]gamma, of the heme between hemochrome and deoxyhemoglobin at temperatures above 210 K were observed, demonstrating that when iron is bound to a rigid part of the protein (i.e., distal histidine in hemochrome), motions of the heme are suppressed (i.e., the dynamics are decreased). Comparison of the motions of these two hemoglobins proves that molecular diffusion can be neglected in an analysis of the dynamics below approximately 250 K. PMID- 6577426 TI - Time-averaged chemical potential of proteins and the detailed-balance principle (an alternative viewpoint). PMID- 6577427 TI - Stability of oligomeric proteins and its bearing on their association equilibria (a reply). PMID- 6577428 TI - Inhibition of metabolic cooperation by cigarette smoke condensate and its fractions in V-79 Chinese hamster lung fibroblasts. AB - This study was performed to determine the usefulness of the intercellular metabolic cooperation assay for analysis of a complex mixture and to compare the results obtained with previously conducted in vivo tumor promoter assays. One hundred 2R1 cigarettes were smoked according to Federal Trade Commission guidelines and the resulting condensate was separated into a water/methanol soluble fraction (which was further partitioned into acidic and basic components) and an organic solvent-soluble fraction (which was then chromatographed on silicic acid with petroleum ether, benzene/petroleum ether, benzene, ether, and methanol). The following fractions were positive in the metabolic cooperation assay (in decreasing order of activity): organic solvent-soluble, acidic, whole condensate, and water/methanol-soluble fractions as well as the ether, benzene, and benzene/petroleum ether eluates. The basic fraction and the petroleum ether and methanol eluates were negative. In general, the metabolic cooperation assay results were comparable to previously published results obtained on mouse skin. PMID- 6577429 TI - Identification of key regulated events early in the life of hybrid animal cells constructed by nuclear transplantation. AB - Reconstituted cells were constructed by fusion of cytoplasts from the human diploid fibroblast cell strain Detroit 532 and karyoplasts from the mouse fibroblast cell line A9. Several cellular properties were examined during the first 48 hr after nuclear transplantation. (i) The overall morphology of the cells originally resembled that of the cytoplasmic donor, Detroit 532, but rapidly changed to approximate that of the nuclear donor, A9. However, definitive changes in the microfilament structure of the reconstituted cells were not seen until 24-48 hr after fusion. These observations support the idea that the presence or absence of an ordered array of microfilament bundles is not the sole determinant of cell shape. (ii) Although cytoplasts and karyoplasts were prepared from cultures of randomly growing cells, the first division of reconstituted cells occurred in a synchronous manner. However, the initiation of DNA synthesis was not synchronized. It thus appeared that, in their first cell cycle, the cells had a G2 period of variable length. The results further suggest that the cytoplasm of interphase fibroblasts contains the material necessary to initiate or support DNA synthesis in a transplanted nucleus but not entry into mitosis. (iii) A two-dimensional gel electrophoretic analysis of polypeptide synthesis in reconstituted cell cultures showed that synthesis directed by transplanted mouse nuclei could be detected as early as 3-6 hr after fusion. Some of the mouse polypeptides detected at the earliest time points studied were not among the major polypeptides synthesized by the parental A9 cells. By about 48 hr after fusion, the pattern of polypeptides produced by reconstituted cells was almost indistinguishable from that of the nuclear donor parent cells. PMID- 6577430 TI - Defective acidification of endosomes in Chinese hamster ovary cell mutants "cross resistant" to toxins and viruses. AB - Like many physiological ligands, several viruses and toxins enter mammalian cells through receptor-mediated endocytosis. Once internalized, the nucleic acids of several viruses and the toxic subunit of diphtheria toxin gain access to the cytosol of the host cell through an acidic intracellular compartment. In this report, we present evidence that one class of mutants of Chinese hamster ovary (CHO)-K1 cells, which is "cross-resistant" to Pseudomonas exotoxin A, diphtheria toxin, and several animal viruses, has a defect in acidification of the endosome. Cells were allowed to internalize fluorescein isothiocyanate-conjugated dextran before subcellular fractionation. Fluorescence measurements on subcellular fractions permitted measurement of the internal pH of the isolated endosomes and lysosomes. Our results show that (i) endosomes and lysosomes from CHO-K1 cells maintain an acidic pH, (ii) acidification of both endosomes and lysosomes is mediated by a Mg2+/ATP-dependent process, (iii) GTP can satisfy the ATP requirement for acidification of lysosomes but not of endosomes, and (iv) at least one class of mutants that is cross-resistant to toxins and animal viruses has a defect in the ATP-dependent acidification of their endosomes. These studies provide biochemical and genetic evidence that the mechanisms of acidification of endosomes and lysosomes are distinct and that a defect in acidification of endosomes is one biochemical basis for cross-resistance to toxins and viruses. PMID- 6577431 TI - Removal of extraplatelet Na+ eliminates indomethacin-sensitive secretion from human platelets stimulated by epinephrine, ADP, and thrombin. AB - We have previously observed that removal of extraplatelet Na+ markedly diminishes human platelet aggregation and secretion in response to epinephrine. The present studies demonstrate that this effect of the removal of extraplatelet Na+ on platelet function is not unique to activation of platelets by alpha 2-adrenergic agents but represents a phenomenon also evident for other platelet stimuli. Thus, platelet aggregation and secretion in response to maximal concentrations of ADP and lower concentrations of thrombin (less than 0.04 unit/ml) were also markedly reduced in platelets in "Na+-free" medium, suggesting that these agents share an effector mechanism that is similarly inhibited by the removal of extraplatelet Na+. In contrast, platelet aggregation and secretion in response to higher concentrations of thrombin (greater than or equal to 0.04 unit/ml) and to 0.04 1.0 microM (15S)-hydroxy-11 alpha, 9 alpha-(epoxymethano)prosta-5Z,13E-dienoic acid (U46619), an endoperoxide analog, were identical in control platelets and in those suspended in "Na+-free" medium, indicating that platelets suspended in "Na+ free" medium are functionally intact, at least in response to some stimuli. Furthermore, the observation that U46619 can elicit platelet aggregation and secretion independently of extraplatelet Na+ indicates that the loss of platelet responsiveness to epinephrine, ADP, and low concentrations of thrombin cannot be attributed to a loss of sensitivity to the stimulus-provoked secondary mediator(s) of platelet function, endoperoxides or thromboxane A2. Treatment with indomethacin to block the secondary aggregation and secretion pathways of platelets reduced the aggregatory and secretory responses of control platelets induced by epinephrine, ADP, and low concentrations of thrombin to those characteristic of platelets suspended in "Na+-free" medium. In contrast, indomethacin did not alter the functional responses induced by these agents in platelets suspended in "Na+-free" medium, suggesting that "primary" aggregation is intact but that the "secondary" aggregation and secretion mediated by arachidonic acid metabolites are eliminated by removal of extraplatelet Na+. Consistent with this interpretation is the observation that the indomethacin insensitive aggregation and secretion induced by U46619 and higher concentrations of thrombin were retained in platelets suspended in "Na+-free" medium. Thus, the responses eliminated by removal of extraplatelet Na+ are those eliminated by treating control platelets with indomethacin, suggesting a strong link between the presence of extraplatelet Na+ and the operation of platelet function mediated by the cyclooxygenase pathway. PMID- 6577432 TI - Metabolite regulation of heat shock protein levels. AB - When murine L929 cells are briefly exposed to elevated temperature (43 degrees C) they preferentially synthesize heat shock proteins (HSPs) of Mrs 85,000 and 69,000. By the criteria of two-dimensional polyacrylamide gel electrophoresis and partial proteolytic peptide mapping, the Mr 85,000 HSP is indistinguishable from the major cytoplasmic protein whose synthesis and intracellular level were shown previously to be suppressed by glucose deprivation. The mechanism regulating the Mr 85,000 HSP levels is quite sensitive, operating in the range of 0-50 microM glucose. In glucose-free medium, synthesis is at first suppressed but returns to a high level after 3 days as levels of the protein decrease. Synthesis and level of the Mr 69,000 HSP also were affected by glucose deprivation, but this protein appeared to be a complex of several isoelectric and Mr species, so the effects were not as dramatic. Chase experiments show that the half-lives of both the Mr 85,000 and Mr 69,000 HSPs are reduced by a factor of 2.0-2.5 after 5 days of glucose deprivation. The half-life of the Mr 69,000 HSP also was reduced by glutamine deprivation, whereas that of the Mr 85,000 HSP was essentially unaffected. This increase in turnover appears to be sufficient to account for the reduced intracellular level, thus suggesting that glucose sustains high HSP levels mainly by decreasing degradation of the proteins. Although the function of the HSPs is not known, these data support the concept that they have important roles in the general cellular economy and do not function merely as "stress" proteins. PMID- 6577433 TI - Use of a cDNA clone for the fourth component of human complement (C4) for analysis of a genetic deficiency of C4 in guinea pig. AB - A cDNA clone for the fourth complement component (C4), pC4AL1, has been isolated from a human adult liver cDNA library by using a synthetic oligonucleotide mixture containing all 384 possible sequences coding for residues 14-21 of the C4 gamma-chain amino acid sequence. This clone spans the entire C4 gamma-chain coding sequence and includes a short 3' untranslated region, a poly(A) recognition site, and 16 nucleotides of the poly(A) tail. The 5' end of the clone begins 18 nucleotides upstream from the amino terminus of the C4 gamma chain and codes for Arg-Asn-Arg-Arg-Arg-Arg, a highly charged proteolytic cleavage site involved in the processing of pro-C4 to native C4. Liver mRNA preparations from C4-deficient guinea pigs were incapable of directing synthesis of pro-C4 or C4 peptides in cell-free translation experiments. Southern blot analysis using pC4AL1 as a hybridization probe of C4-deficient guinea pig DNA established that the deficiency is not the result of deletion of the entire C4 gene. RNA blot analysis using pC4AL1 as a hybridization probe of normal guinea pig liver mRNA revealed a C4 mRNA of 5.0 kilobases (kb). No such mRNA species was observed in C4 deficient guinea pig liver mRNA; however, a 7.0-kb RNA was detected, indicating the presence of a C4 precursor RNA. These results suggest that the basis of C4 deficiency in the guinea pig is a post-transcriptional defect in the processing of C4 precursor RNA to mature C4 mRNA. PMID- 6577434 TI - Monoclonal antibody-directed effector cells selectively lyse human melanoma cells in vitro and in vivo. AB - Monoclonal antibody 9.2.27 (mAb 9.2.27) directed to a chondroitin sulfate proteoglycan on human melanoma cells was able to suppress tumor growth in athymic (nu/nu) mice more effectively when bound with polyethylene glycol to murine effector cells than when injected alone. These "armed" effector cells also proved more effective than the monoclonal antibody in eliciting antibody-dependent cellular cytotoxicity against human melanoma target cells in vitro. PMID- 6577435 TI - Alterations in Ca2+ binding by and composition of the cardiac sarcolemmal membrane in chronic diabetes. AB - Chronic streptozotocin-induced diabetes in rats was associated with a significant loss in the ability of isolated cardiac sarcolemmal membranes to bind Ca2+. Administration of insulin to the diabetic rats normalized the sarcolemmal Ca2+ binding capacity. The content of sialic acid residues, which are considered to represent a superficial Ca2+ pool in sarcolemma, was decreased in preparations from diabetic rats, and this change also was reversible upon insulin treatment of the diabetic rats. Treatment of sarcolemma with neuraminidase decreased Ca2+ binding by 37% in control preparations but had no effect on diabetic preparations. Diphosphatidylglycerol content was decreased but other acidic phospholipids such as phosphatidylinositol and phosphatidylserine, which also bind Ca2+, were not altered during diabetes. An increase in lysophosphatidylcholine and a decrease in phosphatidylethanolamine contents were observed in membranes isolated from diabetic rats. These results suggest that some alterations occur in Ca2+ binding and composition of heart sarcolemma in chronically diabetic rats and may provide further insight into the pathogenesis of diabetic cardiomyopathy. PMID- 6577436 TI - Creatine kinase activity in the Torpedo electrocyte and in the nonreceptor, peripheral v proteins from acetylcholine receptor-rich membranes. AB - The nonreceptor, peripheral v proteins (Mr 43,000 proteins) are conspicuous components of the acetylcholine receptor-rich membranes and the Torpedo electrocyte, so far devoid of any known enzymatic function. Creatine kinase (adenosine 5'-triphosphate:creatine N-phosphotransferase, EC 2.7.3.2) is identified in distinct polypeptides belonging to the family of v proteins. Embryonic (70- to 90-mm embryos), neonatal, and adult electric organs of Torpedo marmorata contain two isoenzymes of creatine kinase: the BB (brain) and the MM (muscle) forms. The proportion of the two isoenzymes does not appear to change in the course of ontogenic and postnatal development. Only the BB isoenzyme appears to be associated with the acetylcholine-rich membranes in adult Torpedo. The creatine kinase can be purified to homogeneity by chromatographic procedures that exploit the richness in free sulfhydryl groups of the enzyme. Specific activities of 150 units/mg are obtained from electric tissue. The enzyme subunits identified by two-dimensional gel electrophoresis and immunoblotting techniques have pI values in the 6.0-6.5 region and apparent molecular weights in the 40,000-43,000 range, the latter values depending on redox conditions. PMID- 6577437 TI - Heparin-catalyzed inhibitor/protease reactions: kinetic evidence for a common mechanism of action of heparin. AB - Three different heparin-catalyzed inhibitor/protease reactions were studied: antithrombin III/thrombin, heparin cofactor II/thrombin, antithrombin III/factor Xa. The three reactions were saturable with respect to both inhibitor and protease. The initial reaction velocity, for each reaction, could be described by the general rate equation for a random-order bireactant enzyme-catalyzed reaction. The kinetic parameters for the heparin-catalyzed antithrombin III/thrombin and antithrombin III/factor Xa reactions differed in terms of apparent maximum velocity (Vmax) and apparent heparin-protease dissociation constant values. The apparent heparin-antithrombin III dissociation constant values were the same for both reactions. The kinetic parameters for the heparin catalyzed antithrombin III/thrombin and heparin cofactor II/thrombin reactions differed in terms of apparent Vmax and apparent heparin-inhibitor dissociation constant values. The apparent heparin-thrombin dissociation constant values were the same for both reactions. The results are consistent with a general mechanism of action of heparin for the three reactions that, in its simplest form, requires only that both protease and inhibitor bind to heparin for catalysis to occur. PMID- 6577438 TI - Nucleotide sequence and expression of human chromosome 21-encoded superoxide dismutase mRNA. AB - Cytoplasmic superoxide dismutase (SOD-1; EC 1.15.1.1) is encoded by human chromosome 21. The SOD-1 gene locus is located at chromosomal region 21q22, which is involved in Down syndrome. cDNA clones containing sequences of human SOD-1 were previously isolated. In the present study the nucleotide sequence of one clone, designated pS61-10, was determined. It contains 459 nucleotides representing the entire coding region and 95 nucleotides of the 3' untranslated region. In human cells two poly(A)-containing SOD-1 RNAs of 0.7 and 0.5 kilobases were detected. These two species are also present in monkey cells, whereas mouse cells contain only a 0.5-kilobase RNA. In a mouse/human hybrid line that contains chromosome 21 as the only human chromosome, the two human SOD-1 RNAs were detected, indicating that both are encoded by this chromosome. These RNAs were found in poly(A)-containing polysomal RNA and were translated in vitro to SOD-1 polypeptide; they are therefore functional mRNAs. In normal human fibroblasts 0.002-0.006% of the poly(A)-containing RNA was SOD-1 RNA. The level in monosomic 21 cells was 70% of this value and the level in fibroblasts from Down syndrome patients was about 2 times higher than normal. PMID- 6577439 TI - Mammalian pancreatic preproglucagon contains three glucagon-related peptides. AB - We have isolated cDNA clones encoding bovine pancreatic preproglucagon. Twenty five putative preproglucagon clones were selected by screening 3,100 clones of a fetal bovine pancreas cDNA library with a synthetic oligodeoxynucleotide probe. The probe was a mixture of synthetic 17-base DNA oligomers constructed to correspond to the six carboxyl-terminal amino acids (residues 24-29) of mature glucagon. Restriction mapping of six of these clones suggested that they represented a single mRNA species. Primary sequence analysis of one clone containing a 1,200-base-pair DNA insert revealed that it contained an essentially full-length copy of glucagon mRNA. Analysis of the cDNA suggested a protein coding sequence of 540 nucleotides and 5'- and 3'-untranslated regions of 90 and 471 nucleotides, respectively. This cDNA sequence encoded a 20-amino acid signal sequence followed by one for glicentin, a 69-amino acid polypeptide containing an internal glucagon moiety that has been found in porcine intestines. Glicentin is followed by two additional glucagon-like peptides, each flanked by paired basic amino acids (Lys, Arg) characteristic of prohormone processing. These polypeptide sequences show striking homology with those for glucagon and other members of the glucagon family of peptides. PMID- 6577440 TI - 5-methylcytosine is localized in nucleosomes that contain histone H1. AB - We have developed a procedure for purifying highly specific polyclonal antibodies against 5-methylcytosine. These antibodies were used to probe the distribution of 5-methylcytosine among fractionated nucleosomes of mouse cell chromatin. Our results demonstrate that at least 80% of the 5-methylcytosine is localized in nucleosomes that contain histone H1. Native nucleosomes that lack histone H1 or possess high mobility group proteins package DNA that is 1.6- to 2.3-fold undermethylated. We suggest that the preferential association of methylated sequences with histone H1 has functional significance because DNA methylation has been linked to gene inactivation and histone H1 is known to promote chromatin condensation. PMID- 6577441 TI - Synthesis and post-translational assembly of intermediate filaments in avian erythroid cells: vimentin assembly limits the rate of synemin assembly. AB - The assembly of vimentin intermediate filaments and the high molecular weight filament crosslinking protein, synemin, was studied in erythroid cells from 10 day chicken embryos. Pulse labeling studies show that newly synthesized vimentin is present both in a Triton X-100-insoluble form and in a soluble form. The incorporation of labeled vimentin into the insoluble fraction increases linearly with time, while the soluble pool of labeled vimentin saturates quickly. In contrast, synemin accumulates rapidly in the Triton X-100-soluble fraction and begins to accumulate in the insoluble fraction only after a considerable lag of time. Pulse-chase studies reveal that the detergent-soluble pools of both vimentin and synemin contain precursors for their post-translational assembly into detergent-insoluble filaments and that the half-life of soluble synemin is about twice as long as that of soluble vimentin. Immunoprecipitation of solubilized filaments with synemin antiserum precipitates vimentin with synemin. On the other hand, soluble vimentin does not coimmunoprecipitate with soluble synemin. These results suggest that, in the assembly of vimentin and synemin into intermediate filaments, vimentin filament elongation generates synemin binding sites, and thus the rate of vimentin filament elongation limits the rate of synemin assembly. PMID- 6577442 TI - Slow cruciform transitions in palindromic DNA. AB - Extrusion of cruciform structures in self-complementary regions of DNA is known to be favored by negative supercoiling of DNA. We show here that, in moderately supercoiled DNA, cruciform extrusion is a very slow process. In plasmid pUC7 DNA, with a 48-base-pair palindrome, the half-time of extrusion at 50 degrees C is typically several hours; rates are even slower at lower temperature. The rates increase significantly with increasing DNA supercoiling but are only slightly faster in DNA species with much longer palindromes. The reabsorption of cruciform arms is also very slow. The equilibrium between cruciform and regular DNA structures is sensitive to changes in the linking number. Measurement of this equilibrium leads to an estimate of 18 kcal/mol (75.3 kJ/mol) for the free energy required to generate a cruciform structure. In bacterial cells, cruciform DNA may be rare, even when it is thermodynamically favored, because of its slow formation. PMID- 6577443 TI - Two DNA methyltransferases from murine erythroleukemia cells: purification, sequence specificity, and mode of interaction with DNA. AB - Dye-ligand chromatography on Cibacron blue F3GA-agarose has been used to resolve two species of DNA (cytosine-5-)-methyltransferase from nuclear extracts of uninduced Friend murine erythroleukemia cells. Each species has been highly purified; the activities in the first and second peaks were associated with polypeptides of Mr 150,000 and 175,000, respectively. Analysis of substrate specificity with synthetic DNAs and restriction fragments of phi X174 replicative form DNA and pBR322 DNA showed that neither enzyme had dependence on the sequence context of CpG dinucleotides; poly(dG-dC) had the greatest methyl-accepting activity of any unmethylated DNA substrate tested. De novo methylation by both enzymes was inefficient relative to methylation of hemimethylated sites. Methyl accepting activity was strongly dependent on DNA chain length. This observation suggests that binding to DNA, followed by one-dimensional diffusion of enzyme along the DNA molecule, is important in the mechanism by which DNA methyltransferase locates its recognition sites. PMID- 6577444 TI - Flow cytometric measurement of total DNA content and incorporated bromodeoxyuridine. AB - We have developed a procedure for simultaneous flow cytometric measurement of cellular DNA content and amount of BrdUrd incorporated into cellular DNA. Propidium iodide was used as a fluorescent probe for total cellular DNA and a monoclonal antibody against BrdUrd was used as a probe for BrdUrd incorporated into DNA. Fluorescein-labeled goat anti-mouse antibody was used to fluorescently label the bound anti-BrdUrd probe. Bivariate DNA/BrdUrd distributions measured for Chinese hamster ovary cells labeled for 30 min with BrdUrd clearly show the G1-and G2M-phase cells to have low BrdUrd-linked fluorescence and the S-phase cells to have high BrdUrd-linked fluorescence. Cell cycle traverse rates were estimated for Chinese hamster ovary cells from bivariate distributions measured for samples taken periodically after pulse labeling with BrdUrd. Bivariate DNA/BrdUrd distributions were also applied in the analysis of the response of C3H murine bone marrow cells to treatment in vivo with 1-beta-D arabinofuranosylcytosine (araC). Bivariate distributions were measured for bone marrow cells taken from mice that were pulse labeled with BrdUrd at various times after treatment with araC. The resulting DNA/BrdUrd sequences show the kinetics of recovery from araC and allow discrimination of the araC sterilized cells. PMID- 6577445 TI - 1 alpha,25-dihydroxyvitamin D3 promotes fusion of mouse alveolar macrophages both by a direct mechanism and by a spleen cell-mediated indirect mechanism. AB - Extensive fusion was induced in mouse alveolar macrophages by treatment with conditioned media obtained from spleen cell cultures treated with 15 micrograms of phytohemagglutinin or concanavalin A per ml or with 12 nM 1 alpha,25 dihydroxyvitamin D3 [1 alpha,25(OH)2D3]. The fusion rate was 80-90% on day 3. In addition, 1 alpha,25(OH)2D3 added directly to alveolar macrophages induced fusion of about 35% of the cells on day 3, whereas direct addition of phytohemagglutinin and concanavalin A did not enhance fusion at all. When conditioned media from spleen cell or T cell cultures treated with 12 nM 1 alpha,25(OH)2D3 were applied to a Sephadex G-100 column, a fusion factor (Mr 37,000-70,000) could be separated from 1 alpha,25(OH)2D3. 1 alpha,25(OH)2D3 induced fusion at 0.012-120 nM in a dose-dependent manner both by direct action and by spleen cell-mediated indirect action, but the fusion rate was always much greater in the latter than in the former at each concentration of the vitamin. Of the vitamin D3 derivatives tested, 1 alpha,25(OH)2D3 was the most potent, followed successively by 1 alpha,24R,25-trihydroxyvitamin D3, 1 alpha-hydroxyvitamin D3, 25-hydroxyvitamin D3, and 24R,25-dihydroxyvitamin D3. These results clearly indicate that 1 alpha,25(OH)2D3 induces fusion of mouse alveolar macrophages by both a direct and an indirect mechanism, the latter mediated by spleen cells, probably by T cells. PMID- 6577446 TI - Molecular cloning and cell cycle-specific regulation of a functional human thymidine kinase gene. AB - A functional thymidine kinase (TK; ATP:thymidine 5'-phosphotransferase, EC 2.7.1.21) gene has been molecularly cloned from human DNA. The gene was rescued from a genomic library of TK-deficient mouse L cells transformed to the TK+ phenotype with total HeLa cell DNA. Of 14 overlapping clones, only one contained the intact human TK gene. The cloned recombinant bacteriophage carries a 16 kilobase insert derived entirely from human DNA and is capable of transforming LTK- cells to TK+ with an efficiency of 10 TK+ colonies per ng of DNA per 10(6) cells. Restriction endonuclease mapping shows that the functional human TK gene is at least twice as long as that reported for chicken. A 1.6-kilobase Xho I/EcoRI fragment was subcloned and found to hybridize to a human mRNA of 1.5 kilobases. When introduced into LTK- cells, the cloned human TK gene is regulated in the cell cycle-specific manner characteristic of TK+ mammalian cells. That is, TK activity in synchronized cells increases markedly with the onset of DNA synthesis. The signals governing the S-phase induction of TK activity reside within 16 kilobases of human DNA and are correctly interpreted by mouse cells. PMID- 6577447 TI - Chromatid damage after G2 phase x-irradiation of cells from cancer-prone individuals implicates deficiency in DNA repair. AB - Ten lines of skin fibroblasts from individuals with genetic disorders predisposing to a high risk of cancer were compared with nine lines from normal adult donors with respect to chromatid damage after x-irradiation [25, 50, and 100 rad (0.25, 0.50, and 1 gray)] during G2 phase. The 10 cell lines represented five genetic disorders: Bloom syndrome, familial polyposis, Fanconi anemia, Gardner syndrome, and xeroderma pigmentosum, complementation groups A(XP-A), C(XP C), E(XP-E), and variant (XP-Va). The incidence of chromatid breaks in all cancer prone lines except XP-E and XP-A was significantly higher than in the normal lines. The incidence of chromatid gaps in all cancer-prone lines except XP-A and XP-Va was significantly higher than in the normal lines. Because each chromatid apparently contains a single continuous DNA double strand, chromatid breaks and gaps represent unrepaired DNA strand breaks arising directly or indirectly during excision repair of x-ray-induced DNA damage. These cytogenetic data together with results from use of the DNA repair inhibitor arabinofuranosyl cytosine (cytosine arabinoside) suggest that cells from all of these cancer-prone individuals are deficient in some step of DNA repair, predominantly excision repair operative during the G2-prophase period of the cell cycle. It appears that these DNA repair deficiencies are associated with a genetic predisposition to a high risk of cancer. PMID- 6577448 TI - Human chromosome 13 compensates a DNA repair defect in UV-sensitive mouse cells by mouse--human cell hybridization. AB - A human chromosome responsible for excision repair of UV-induced DNA damage has been identified by studying somatic cell hybrids between an UV-sensitive mutant of mouse lymphoma L5178Y cells and normal human lymphocytes. An autosomal recessive mutant, Q31, of complementation group I is deficient in excision repair of UV-induced DNA damage. Somatic cell hybrids between Q31 and human lymphocytes exhibited the same UV resistance as did parental L5178Y cells. In addition, both the levels of UV-induced unscheduled DNA synthesis and chromosomal sensitivity were recovered from the UV-resistant hybrid clones. Segregation of the hybrid cells gave rise to UV-sensitive clones. The segregation of UV sensitivity was not correlated with the loss of human X chromosome. Karyotype analysis of the segregants gave evidence that a gene on human chromosome 13 compensates for UV hypersensitivity of Q31 mutant. PMID- 6577449 TI - New approaches for computer analysis of nucleic acid sequences. AB - A new high-speed computer algorithm is outlined that ascertains within and between nucleic acid and protein sequences all direct repeats, dyad symmetries, and other structural relationships. Large repeats, repeats of high frequency, dyad symmetries of specified stem length and loop distance, and their distributions are determined. Significance of homologies is assessed by a hierarchy of permutation procedures. Applications are made to papovaviruses, the human papillomavirus HPV, lambda phage, the human and mouse mitochondrial genomes, and the human and mouse immunoglobulin kappa-chain genes. PMID- 6577450 TI - Sensory distinction between H-2b and H-2bm1 mutant mice. AB - Genetic polymorphism in the H-2:Qa:Tla region of chromosome 17 is associated with constitutive variation of bodily odor phenotypes which permit individual olfactory recognition among mice. To determine whether known genes in the H 2:Qa:Tla complex are concerned in the constitution of odor phenotypes, mice were tested for their ability to sense a difference between the B6/By (H-2b) and congeneic B6.C-H-2bm1 strains, which differ genetically by mutation of the H-2K gene. As in previous studies of the sensory discrimination of H-2:Qa:Tla phenotypes, mice were trained by reward in a Y maze to distinguish the odors of urine samples, and the successful distinctions of B6/By from B6.C-H-2bm1 were confirmed by transfer of training, without reward, to coded samples of urine from genetically equivalent urine donor mice which the trained mice had not previously encountered. Cosegregation of odor phenotype with H-2b and H-2bm1 was demonstrated by transfer of training to typed H-2b and H-2bm1 homozygous segregants of F2 generations of appropriate crosses. Although it is not excluded that the differences in odor phenotype which distinguish H-2b and H-2bm1 mice are directly related to the structure of the H-2b and H-2bm1 products, it is equally possible that H-2-related odor phenotypes arise from effects of H-2 genetic variation on metabolic pathways either directly, or indirectly through developmental polymorphism. PMID- 6577451 TI - Specific DNA sequence amplification in human neuroblastoma cells. AB - Southern blot analysis of a number of EcoRI-digested human neuroblastoma DNAs has revealed the presence of a family of discrete restriction fragments, the majority of which are amplified in most, but not all, of the neuroblastoma cell lines tested. None of these sequences is abundantly present in DNA from other human tumors of different tissue origins, including several either known or presumed to contain amplified DNA. Hence, these sequences appear to be specifically amplified by neuroblastoma cells. Hybridization with metaphase chromosomes in situ has localized these sequences to either the homogeneously staining regions or double minute chromosomes of different neuroblastoma cell lines, indicating that these chromosomal structures, although present in cell lines established from different patients, share many sequences and may have a common, but as yet unknown, function. PMID- 6577452 TI - Kinetics of homophilic binding by embryonic and adult forms of the neural cell adhesion molecule. AB - The neural cell adhesion molecule, N-CAM, is a cell surface glycoprotein found on embryonic and adult neurons and on a variety of ectodermal and mesodermal tissues in very early embryos. During development, it shows local variations in prevalence at the cell surface as well as conversion from an embryonic form (E form) with high sialic acid content to an adult form (A form) with lesser amounts of this sugar. This E leads to A conversion occurs on different schedules in different brain regions, and it has been hypothesized that both the conversion and the prevalence changes are related to early regulation of pattern formation and connectivity. In order to identify precisely the consequences of these mechanisms of local cell surface modulation of N-CAM, an assay was developed to measure the rate of aggregation either of vesicles reconstituted from lipid and purified N-CAM or of native brain membrane vesicles. In both preparations, aggregation was greater than 95% inhibitable by specific anti-(N-CAM) Fab' fragments. The rates of aggregation of reconstituted N-CAM vesicles and native brain vesicles were found to be inversely related to the sialic acid content of their N-CAM molecules, with full desialylation resulting in about a 4-fold increase in rate over E-form N-CAM. Intermediate rates were obtained both with A form N-CAM (which contains only one-third of the sialic acid content of E-form N CAM) and with partially desialylated E-form N-CAM. The rate of coaggregation of reconstituted vesicles containing E-form N-CAM with reconstituted vesicles containing A-form N-CAM was also intermediate, implying that desialylation did not change the nature of (N-CAM)-(N-CAM) binding but only its rate. Even larger alterations in vesicle aggregation rate were seen when the amount of N-CAM per vesicle was altered. A 2-fold increase in the N-CAM-to-lipid ratio of reconstituted vesicles resulted in a greater than 30-fold increase in their rate of aggregation. Moreover, desialylation did not cause a further increase in the rate of aggregation of these already rapidly aggregating vesicles. These results in a model system demonstrate the large range of binding rates that are obtainable by various forms of local surface modulation of N-CAM. They are consistent with the proposal that similar alterations affecting (N-CAM)-mediated cell adhesion in vivo may be major factors in pattern formation during development of the nervous system. PMID- 6577453 TI - Shape recognition and inferior temporal neurons. AB - Inferior temporal cortex plays an important role in shape recognition. To study the shape selectivity of single inferior temporal neurons, we recorded their responses to a set of shapes systematically varying in boundary curvature. Many inferior temporal neurons were selective for stimuli of specific boundary curvature and maintained this selectivity over changes in stimulus size or position. The method of describing boundary curvature was that of Fourier descriptors. PMID- 6577454 TI - Ultrastructural networks in growth cones and neurites of cultured central nervous system neurons. AB - We have examined growth cones and neurites of cultured central nervous system neurons by high-voltage electron microscopy. Embryonic chicken retina cells were cultured on polylysine-treated and Formvar-coated gold grids for 2-6 days, fixed, and critical point dried. Growth cones and neurites were examined as unembedded whole mounts. Three-dimensional images from stereo-pair electron micrographs of these regions showed a high degree of ultrastructural articulation, with distinct, non-tapering filaments (5-9 nm in diameter) joining both cytoskeletal and membranous components. In the central regions of growth cones, interconnected structures included microtubules, large membranous sacs (up to 400 nm), and irregular vesicles (25-75 nm). A denser filamentous network was prevalent at the edges of growth cones. This network, which frequently adjoined the surface membrane, linked vesicles of uniform size (35-40 nm). Such vesicles often were seen densely packed in growth cone protrusions that were about the size of small synaptic boutons. Prevalent structural interconnections within growth cones conceivably could play a logistic role in specific membrane assembly, intracellular transport, endocytosis, and secretion. Because such processes are not unique to growth cones, the extensive linkages we have observed may have implications for cytoplasmic structure in general. PMID- 6577455 TI - A flow- and time-dependent index of ischemic injury after experimental coronary occlusion and reperfusion. AB - The purpose of the present study was to determine whether an ischemic index- expressed as the product of flow deprivation (FD) and the duration of occlusion (T), FD X T--correlated with biochemical and early morphologic alterations of the subendocardial myocardium and could predict ultimate development of irreversible injury after coronary reperfusion. Myocardial biopsy specimens for measurement of ATP and other purines and for ultrastructure studies were obtained in vivo during coronary occlusion in a canine model and were considered relative to development of necrosis after coronary reperfusion. FD X T correlated negatively with ATP content [ATP, nmol/mg of cardiac protein = 23.6 - 0.24(FD X T) + 0.0007(FD X T)2; r = -0.81] and with a semiquantitative early histologic index of damage (r = 0.70). Values of (FD X T) less than 18 were associated with reversible injury- i.e., complete salvage after coronary reperfusion. (FD X T) greater than 18 was associated with varying degrees of necrosis; necrosis was severe (78 +/- 12% of subendocardial biopsy specimens) when ATP less than 10 nmol/mg of protein and total purine pool was decreased by 50%. FD X T correlated with the eventual percentage of subendocardial necrosis (r = 0.85). Accordingly, as an index of ischemic injury, FD X T may be useful in assessing whether ischemic myocardial tissue will benefit from early restoration of blood flow to the ischemic area. PMID- 6577456 TI - Reversible uncoupling of oxidative phosphorylation at low oxygen tension. AB - The stoichiometry of oxidative phosphorylation at low oxygen tension (less than 3 torr; O2 less than 5 microM) has been measured in rat liver mitochondria. In a steady-state model in which respiration rate was experimentally controlled by either oxygen or substrate (succinate) limitation, flux-dependent variation in the phosphorylation efficiency (P/O ratio) of stimulated mitochondrial respiration was evaluated. P/O ratio remained constant over a wide range of respiration rates in mitochondria limited only by substrate availability. In contrast, oxygen-limited mitochondria demonstrated a continuous decline in P/O ratio as respiration was increasingly restricted. Significant differences in the two test conditions were demonstrated throughout the range of analysis. The effect of oxygen limitation on phosphorylation efficiency was shown to be completely reversed by restoring zero-order kinetics associated with high oxygen tension. These findings are discussed in regard to a proposed uncoupling of mitochondrial coupling site II at low oxygen tension arising as a consequence of energy-dissipating electron flux through the ubiquinone-cytochrome b-c1 region of the respiratory chain (complex III). PMID- 6577458 TI - Identification of a molecular weight 43,000 protein kinase in acetylcholine receptor-enriched membranes. AB - A photoaffinity ATP ligand is used to identify the protein kinase present in acetylcholine receptor-enriched membranes from Torpedo californica. Incubation of these membranes with 8-azido-[alpha-32P]ATP and subsequent irradiation with UV light resulted in covalent labeling of a major band of Mr 43,000. Alkali-stripped membranes that show a selective reduction in the Mr 43,000 polypeptide also show a corresponding reduction in incorporation of photoaffinity label. In addition, the neutralized alkaline extract also showed one band at Mr 43,000 when labeled with the photoaffinity ligand. After alkali extraction, endogenous protein kinase activity decreased in the membranes in proportion to the loss of Mr 43,000 peptide. Moreover, the alkaline extract was able to phosphorylate casein in an exogenous assay system. These results suggest that a Mr 43,000 polypeptide in acetylcholine receptor-enriched membranes is the acetylcholine receptor kinase. PMID- 6577457 TI - Isolation and characterization of monoclonal antibodies directed against the DNA repair enzyme uracil DNA glycosylase from human placenta. AB - A series of monoclonal antibodies has been prepared against the base excision repair enzyme uracil DNA glycosylase isolated from human placenta. Spleen cells from BALB/c mice immunized with purified human placental uracil DNA glycosylase were fused with either P3X63 Ag8.653 or SP2/0 myeloma cells. Hybridomas producing antibodies directed against the placental glycosylase were identified in an enzyme-linked immunosorbent assay. Each positive hybridoma was cloned twice by limit dilution and tested for anti-glycosylase activity in an enzyme immunoprecipitation assay. Each of the four clones examined in detail precipitated enzyme activity in an immunoprecipitation reaction only in the presence of rabbit anti-mouse IgG as a second antibody. No anti-uracil DNA glycosylase activity was observed in a spontaneous hybridoma used as a control. Each monoclonal antibody immunoprecipitated uracil DNA glycosylases isolated from several human tissues. Partial crossreactivity was observed with rat liver glycosylase and with a hamster enzyme. In contrast, no crossreactivity was observed with yeast or Escherichia coli glycosylase. Glycerol gradient sedimentation analysis demonstrated that one of the antibodies bound to the glycosylase at a site that did not diminish its catalytic activity. A second monoclonal antibody bound at a determinant that affected catalytic activity. Analysis of antibody-glycosylase interactions suggests that human cells contain antigenically distinct glycosylase species that may be encoded by individual uracil DNA glycosylase genes. The potential use of these monoclonal antibodies in studies examining the regulation of glycosylase isoenzymes during cell proliferation in normal human cells and in cells from cancer-prone individuals is considered. PMID- 6577459 TI - Induction of monocytic differentiation and bone resorption by 1,25 dihydroxyvitamin D3. AB - 1,25-Dihydroxyvitamin D3 [1,25(OH)2D3] stimulates bone resorption in man and other vertebrates, in part, by increasing the number of osteoclasts, the principal resorbing cells of bone. Because osteoclasts are very likely derived from a member(s) of the mononuclear phagocyte family, we determined if 1,25(OH)2D3 promotes maturation of these cells by studying its effects on the human promyelocytic leukemia cell line HL-60. Of the vitamin D3 metabolites tested, only 1,25(OH)2D3, at 10(-10) to 10(-7) M, induces the differentiation of HL60 into mono- and multinucleated macrophage-like cells. Phenotypic change is evident within 24 hr and reaches a plateau between 72 and 96 hr of incubation. The changes are metabolite-specific and include (i) adherence to substrate, (ii) acquisition of the morphological features of mature monocytes, (iii) a 4- to 6 fold enhancement in lysozyme synthesis and secretion, (iv) increase in the fraction of alpha-naphthyl acetate esterase-positive cells from approximately 2% to 100% of the population, and (v) the acquisition of several monocyte-associated cell surface antigens. More importantly, treated HL-60 cells acquire the capacity to bind and degrade bone matrix, two of the essential, functional characteristics of osteoclasts and related bone-resorbing cells. These results, considered together with the reported action of 1,25(OH)2D3 on nontransformed mononuclear cells, are consistent with the view that vitamin D3 enhances bone resorption and osteoclastogenesis in vivo by promoting the differentiation of precursor cells. PMID- 6577460 TI - Two classes of mouse mast cells delineated by monoclonal antibodies. AB - A panel of rat monoclonal antibodies was used to classify mouse mast cells from four different sources on the basis of their surface determinants. Three populations of mast cells were derived by culturing normal bone marrow, spleen, and peripheral blood cells, whereas the fourth population was isolated directly from the peritoneal cavity. For each population, a surface antigen phenotype was determined by indirect immunofluorescence microscopy and compared to the phenotypes of the other populations of mast cells. The results showed that culture-derived mast cells, regardless of origin, had nearly identical antigen phenotypes, suggesting that these populations were comparable. By contrast, peritoneal mast cells had a different phenotype, suggesting that they represented a class distinct from culture-derived mast cells. These findings, which corroborate classification schemes based on nonimmunologic methods, demonstrate that subpopulations of mouse mast cells can be distinguished antigenically. PMID- 6577461 TI - On the optimal sex ratio. AB - The equilibrium structures for various multiallele sex-determining genetic models of panmictic populations with sex expression depending on the genotypes of either the zygote or a parent are described. Even-sex-ratio equilibrium surfaces can exist apart from equilibrium points having coincident male and female allelic frequency sets. The latter (symmetric) equilibrium states entail biased sex ratios. A stable symmetric equilibrium and an even-sex-ratio equilibrium segregating the same alleles cannot coexist. The tendency to evolve toward an even-sex ratio is embodied by the following optimality property: starting from an equilibrium having a biased sex ratio, mutant sex-determining alleles can accumulate only in the case in which in the augmented system all attainable equilibrium states have a sex ratio closer to one to one. PMID- 6577463 TI - Evolution of a large population under gene conversion. AB - The dynamics of allelic frequencies at a single multiallelic locus under gene conversion is studied. Generations are discrete and nonoverlapping; the diploid monoecious population mates at random; selection, mutation, and random drift are negligible. Analytical and numerical investigation indicates the following. (i) If gene conversion is biased within at least one pair of alleles, then the frequency of at least one allele must become arbitrarily small. (ii) If conversion is biased within every pair of alleles, then the frequency of at most one allele can fail to become arbitrarily small. Although allelic frequencies may become repeatedly small instead of remaining small, the biological ubiquity of small random perturbations (due, e.g., to random genetic drift) guarantees the ultimate loss of at least one allele in case i and of all alleles but one in case ii. The decay of genetic variability is often sufficiently rapid to imply that biased gene conversion can be an important mechanism for the genetic divergence of isolated populations. PMID- 6577462 TI - Ontophyletics of the nervous system: development of the corpus callosum and evolution of axon tracts. AB - The evolution of nervous systems has included significant changes in the axon tracts of the central nervous system. These evolutionary changes required changes in axonal growth in embryos. During development, many axons reach their targets by following guidance cues that are organized as pathways in the embryonic substrate, and the overall pattern of the major axon tracts in the adult can be traced back to the fundamental pattern of such substrate pathways. Embryological and comparative anatomical studies suggest that most axon tracts, such as the anterior commissure, have evolved by the modified use of preexisting substrate pathways. On the other hand, recent developmental studies suggest that a few entirely new substrate pathways have arisen during evolution; these apparently provided opportunities for the formation of completely new axon tracts. The corpus callosum, which is found only in placental mammals, may be such a truly new axon tract. We propose that the evolution of the corpus callosum is founded on the emergence of a new preaxonal substrate pathway, the "glial sling," which bridges the two halves of the embryonic forebrain only in placental mammals. PMID- 6577464 TI - Structural basis for Robertsonian translocations in man: association of ribosomal genes in the nucleolar fibrillar center in meiotic spermatocytes and oocytes. AB - The spatial relationships of acrocentric chromosomes were studied during prophase I of meiosis in human oocytes and spermatocytes by using cytogenetic techniques, electron microscopy, and in situ hybridization. Ultrastructural investigations revealed an ordered arrangement of nucleolar bivalents at the zygotene and pachytene stages. The end of the bivalent corresponding to the cytological satellite was consistently attached to the nuclear envelope. The fibrillar center of the nucleolus always contained rDNA chromatin fibers emanating from the secondary constriction region. Association of ribosomal genes from two bivalents in the same fibrillar center was frequently observed. Ultrastructural studies demonstrated the close proximity of chromatids in the short arm region of the involved nonhomologous acrocentrics. A breakage/reunion model based on our data can explain the formation of all observed types of Robertsonian translocations: monocentrics and dicentrics with or without rDNA. PMID- 6577465 TI - Restoration of Ca2+ influx and degranulation capacity of variant RBL-2H3 cells upon implantation of isolated cromolyn binding protein. AB - Recently, variants of the rat basophilic leukemia cells (RBL-2H3), deficient in their binding capacity for the antiallergic drug cromolyn but displaying unimpaired ability to bind IgE, were selected and cloned [Mazurek, N., Bashkin, P., Petrank, A. & Pecht, I. (1983) Nature (London) 303, 528-530]. Although the histamine content and the number of IgE receptors in these variants are similar to those of the parental cells, they cannot be stimulated immunologically to allow Ca(2+) influx and to degranulate. In contrast, the Ca(2+) ionophore A23187 causes these variants to degranulate, indicating that the mechanism distal to the Ca(2+) gating is intact in the variants. The cromolyn binding protein (CBP), present in the membranes of RBL-2H3 cells, has recently been isolated by affinity chromatography under nondenaturing conditions. In the current study we have used Sendaivirus envelopes as fusogenic carriers to implant the purified CBP into the membrane of variant basophils that were defective in it. This fusion leads to the restoration of Ca(2+) uptake and degranulation capacity of the variants after IgE mediated stimulation. These restored activities seem to show a sigmoidal dependence on the amount of incorporated CBP. Saturation values comparable to those of the parental line are reached when the level of implanted CBP approaches its density on the latter line. The restored capacity is due to the implanted CBP, because the reinstated immunological response can be blocked by the inhibitory drug cromolyn and by monoclonal antibodies specific to CBP, both shown to prevent Ca(2+) uptake and degranulation in mast cells and parental RBL-2H3 cells. These results point out that CBP plays an important role in the Ca(2+) gating process resulting in degranulation. PMID- 6577467 TI - Restoration of ovulatory cycles by young ovarian grafts in aging mice: potentiation by long-term ovariectomy decreases with age. AB - The relative contributions of ovarian and hypothalamic-pituitary factors to the anovulatory status of aging mice were evaluated by measuring the capacity of mice to resume ovulatory cyclicity after receiving young ovaries under the renal capsule. Young grafts partially restored cyclicity if old hosts were acutely ovariectomized but almost fully restored cyclic ovulatory function if the old hosts had been ovariectomized early in adulthood. With advancing age, however, the efficacy of the grafts declined progressively in both acute and long-term ovariectomized groups. These data show that both ovarian and hypothalamic pituitary aging contribute to the etiology of anovulation. Although chronic withdrawal from ovarian secretions retards the age of onset of hypothalamic pituitary aging, the duration of this ameliorative effect is limited by progressive ovary-independent neuroendocrine dysfunction. PMID- 6577466 TI - Familial cutaneous malignant melanoma: autosomal dominant trait possibly linked to the Rh locus. AB - Segregation and linkage analyses were undertaken in families with multiple cases of cutaneous malignant melanoma (CMM) and a recently-described melanoma precursor, the dysplastic nevus syndrome (DNS). Clinical and laboratory data, including 23 genetic markers, were collected on 401 members of 14 high-risk kindreds. Pedigree analysis was compatible with an autosomal dominant mode of inheritance for the familial CMM trait. Although a similar model probably applies to the DNS trait as well, segregation analysis could not confirm the presence of a major locus. However, linkage analysis suggested that an autosomal dominant model was appropriate for the DNS, and that a DNS/CMM susceptibility gene may be located on the short arm of chromosome 1, within 30 map units of the Rh locus [maximum logarithm of odds (lod) score = 2.00]. PMID- 6577468 TI - Inhibition of thromboxane A2 synthesis in human platelets by coagulation factor Xa. AB - Factor Xa binds to platelets provided that factor Va is present on the platelet surface, an interaction that results in a striking acceleration of the conversion of prothrombin to thrombin. Thrombin then initiates fibrin formation, induces platelet aggregation, and stimulates the intraplatelet synthesis of thromboxane A2 (TXA2). Addition of thrombin (2.4-14.4 nM) to platelet-rich plasma increased the basal level of TXA2, measured as thromboxane B2, from less than 0.5 pmol per 10(8) platelets to (mean +/- SEM) 100 +/- 22 and 250 +/- 10 pmol per 10(8) platelets, respectively. Treatment of platelet-rich plasma with increasing concentrations of factor Xa (1-12 nM) prior to the addition of thrombin progressively inhibited the production of TXA2. Thrombin (9.6 nM), which produced 93% of the maximal formation of TXA2, was inhibited 70% by factor Xa (10 nM). To identify which of these steps in thromboxane synthesis was inhibited by factor Xa, platelets labeled with [14C]arachidonic acid were exposed to thrombin and products of prostaglandin synthesis were separated by thin-layer chromatography. In contrast to the inhibition of TXA2 synthesis, prostaglandin E2 and prostaglandin F2 alpha synthesis were not inhibited suggesting that neither phospholipase(s) nor cycloxygenase was involved. The inhibition of TXA2 formation by factor Xa could be reversed by increasing the molar ratio of thrombin to factor Xa to 5.5. Incubation of platelets with an IgG fraction of a human monoclonal antifactor V antibody, previously shown to inhibit factor Xa binding, was found to block factor Xa inhibition of TXA2 synthesis. The inhibition of TXA2 synthesis requires the presence of the active site serine of factor Xa and is not specific for TXA2 formation induced by thrombin because it is also demonstrable when the agonist is ADP. Further, factor Xa does not require additional plasma components for its action because its inhibitory effects are detected in gel filtered platelets. The effect of factor Xa was evident at physiological (1.3 mM) calcium concentrations. These results indicate that factor Xa binding to platelets through factor Va not only stimulates thrombin formation but also has a countervailing effect by inhibiting TXA2 formation. PMID- 6577469 TI - Secretion of lipoproteins from the liver of normal and Watanabe heritable hyperlipidemic rabbits. AB - We compared the rate of accumulation of lipoproteins in perfusates of isolated livers from normal New Zealand White rabbits and Watanabe heritable hyperlipidemic (WHHL) rabbits, in which a gene mutation has produced a virtually complete deficiency of low density lipoprotein (LDL) receptors. The rate of accumulation of apolipoprotein B-100 did not differ in perfusates of livers from normal and mutant animals and little or no apolipoprotein B-48 was detected. In both groups, virtually all apolipoprotein B accumulated in very low density lipoprotein (VLDL). Experiments in which [3H]lysine was added to the perfusates showed that the apolipoprotein B that accumulated in VLDL was newly synthesized by the liver whereas the small amount of apolipoprotein B found in lipoproteins of higher density appeared to be washed out of extravascular spaces during perfusion. Perfusate VLDL from both groups contained more triglycerides and less cholesteryl esters than their counterparts from blood plasma. As compared with perfusate VLDL from normal livers, those from livers of WHHL rabbits were enriched in cholesteryl esters. Experiments in which Triton WR-1339 was injected into the blood of intact rabbits confirmed the observations with perfused livers. Previous studies have shown that the extent to which VLDL is converted to LDL is increased several-fold in WHHL rabbits. Taken together with our present results, which fail to provide evidence for increased secretion of apolipoprotein B or de novo secretion of lipoproteins other than VLDL that contain apolipoprotein B, it can be concluded that overproduction of LDL in rabbits lacking LDL receptors is solely the result of altered metabolism of VLDL. PMID- 6577470 TI - Temperature-compensated circadian clock in the pineal of Anolis. AB - The pineal organ of the lizard Anolis carolinensis can be maintained for up to 10 days in superfused organ culture. During this time it synthesizes and releases melatonin into the medium flowing slowly over it. Collection of timed aliquots of medium and subsequent analysis for melatonin by radioimmunoassay reveal circadian rhythms of melatonin output by the isolated pineal. These rhythms persist for many cycles in constant darkness and at several constant ambient temperatures ranging from 22 to 37 degrees C. The period of the rhythm is temperature compensated (Q10 approximately equal to 1.14) and the rhythm is synchronized by light-dark cycles imposed on the cultured gland. This isolated vertebrate organ displays the three major properties of circadian systems and must therefore contain one or more circadian oscillators. PMID- 6577471 TI - Effects of sodium pentobarbital anesthesia and neurotrophic factor on the maintenance of acetylcholinesterase and butyrylcholinesterase in the preganglionically denervated superior cervical ganglion of the cat. AB - In continuation of a previously reported study, the superior cervical ganglia of cats were preganglionically denervated bilaterally under sodium pentobarbital anesthesia. The following day cats were reanesthetized and infused via the common carotid artery with an aqueous extract of cat brain, spinal cord, and sciatic nerves for periods of 24, 12, 6, and 3 hr, without ligation of the external carotid or lingual arteries as was done previously. Values for acetylcholinesterase and butyrylcholinesterase of superior cervical ganglia at 48 hr postdenervation were all considerably above those of denervated controls. However, values for cats infused with 0.9% NaCl solution and for noninfused cats in which sodium pentobarbital anesthesia was maintained during the 24- to 48-hr postdenervation period were similarly elevated, to approximately twice the values in denervated controls. Ligation of the external carotid and lingual arteries at 24 hr postdenervation was found to oppose the preservation of acetylcholinesterase and butyrylcholinesterase contents of the ganglia induced by barbiturate anesthesia. When arterially ligated cats were infused with extract for periods of 12, 6, or 3 hr, beginning 24 hr postdenervation, acetylcholinesterase contents of superior cervical ganglia were elevated significantly above those of reanesthetized, arterially ligated controls after 12 and 6 hr but not after 3 hr of infusion, at 48 hr postdenervation. PMID- 6577472 TI - Monoclonal antibodies distinguish phosphorylated and nonphosphorylated forms of neurofilaments in situ. AB - The immunocytochemical staining patterns of 37 neuron-specific monoclonal antibodies previously described fell into four groups: (i) anti-synapse associated, (ii) anti-neurofibrillar, (iii) anti-perikaryonal-neurofibrillar, and (iv) a single antibody reactive with a widely distributed epitope that covered the patterns of groups ii and iii. Antibodies of groups ii, iii, and iv were shown to be specific to neurofilament triplet subunits, even though there was little overlap in staining patterns between groups ii and iii. We examined nine of these antibodies as to their ability to distinguish functional states of neurofilaments dependent upon phosphorylation. Upon digestion with phosphatase, electroblot staining of neurofilament components was abolished with the five antibodies from group ii, enhanced with the three antibodies from group iii, and unaffected with antibody iv. Immunocytochemical staining of Bouin-fixed paraffin sections of rat brain was unaffected by phosphatase pretreatment. With antibodies of group ii, digestion with trypsin also left staining unaffected, but when followed by digestion with phosphatase, staining was diminished with three out of five antibodies. In contrast, digestion with trypsin abolished all staining with each antibody from group iii. If followed by digestion with phosphatase, staining reappeared, but the group iii pattern was replaced by a group ii pattern. Staining of this pattern was again abolished upon a second treatment with trypsin. The antibody from group iv lost most of its groups ii and iii staining patterns when sections were digested with trypsin. The group ii pattern reappeared and, indeed, was enhanced upon a subsequent phosphatase treatment and was reduced again upon a second trypsin treatment. Staining by four out of five antibodies from group ii was inhibited by inorganic phosphate. The data indicate that certain nerve cell bodies, their dendrites, and at least proximal axons possess nonphosphorylated neurofilaments and that long fibers, including terminal axons, possess phosphorylated neurofilaments. We propose that phosphorylation may be a factor in stabilizing compacted forms of neurofilaments and that heterogeneity of the compacted structures may play a role in a possible multiplicity of function within individual nerve cells. PMID- 6577474 TI - Interactions of various spasmogens and blood products on canine basilar artery. PMID- 6577473 TI - Amiloride reduces the taste intensity of Na+ and Li+ salts and sweeteners. AB - The diuretic amiloride, a potent inhibitor of sodium transport in a variety of epithelial systems, was applied to the human tongue. Application of amiloride reduced the taste intensity of sodium and lithium salts and of sweeteners ranging widely in chemical structure. The sweeteners included saccharides, glycosides, dipeptides, proteins, and amino acids. Amiloride did not affect perception of potassium or calcium salts, bitter and sour tastes, or amino acids without a sweet or salty component. These findings were supported by neurophysiological studies in rat, which showed that amiloride diminished the NaCl response relative to KCl. The results are consistent with the position that an amiloride-sensitive transport mechanism is involved in taste perception of sodium and lithium salts and of sweeteners. PMID- 6577475 TI - Persistent pulmonary hypertension and prostaglandin D2. PMID- 6577476 TI - Biosynthesis of prostaglandins in microsomes of human skeletal muscle and kidney. AB - The capacity of human skeletal muscle, renal cortical and renal medullary microsomes to synthesize prostaglandins (PGs) from exogenous precursor was investigated. The microsomal fractions were incubated with [1-14C]-labelled arachidonate ([14C]-AA) in the absence and in the presence of reduced glutathione (GSH). [14C]-PGs formed in the incubates were extracted, separated by thin-layer chromatography and quantified using liquid scintillation spectrometry. [14C] labelled PGE2, PGF2 alpha and 6-keto-PGF1 alpha were found to be the principal products of microsomal PG formation and appeared in similar relative quantities in the incubates of all three tissues studied. In some incubates of renal cortical and renal medullary microsomes formation of smaller relative amounts of [14C]-PGD2 and thromboxane B2 was also noted. In addition, formation of substantial amounts of a polar, not yet identified compound was frequently observed in all incubates. In the absence of GSH, [14C]-6-keto-PGF1 alpha was the main PG formed by microsomes of all of the three tissues. At the expense of 6 keto-PGF, the addition of GSH resulted in an almost 2-fold stimulation of [14C] PGF2 alpha formation in the skeletal muscle and renal cortical incubates, whereas in the renal medullary incubates an increase in the relative amounts of [14C] PGE2 was observed. The PG synthetic capacity was highest in the skeletal muscle and lowest in the renal cortical microsomes. The results demonstrate a considerable capacity of human skeletal muscle and of the renal cortex and renal medulla to synthesize prostacyclin. Furthermore, the data reveal GSH-dependent differences in the expression of PG biosynthesis in these tissues. The GSH dependent differentiation of PG synthesis may reflect a mechanism of adaptation of local PG production to the physiological processes. PMID- 6577477 TI - Leukotriene D4 and the cerebral vasculature in vivo and in vitro. AB - The effects of leukotriene D4 (LTD4), a component of the slow reacting substance of anaphylaxis (SRS-A), and the putative SRS-A antagonist FPL 55712 were studied on cerebral arteries in vivo and in vitro. Intracarotid injection of LTD4 (1-15 nmols/kg) into the cerebral vasculature of the anaesthetised rat constricted internal and external carotid, facio-lingual and stapedial arteries for up to 40 minutes. LTD4 at 3 nmol/kg caused a slight fall in heart rate, and at 6 and 12 nmol/kg, an increase in diastolic (but not systolic) blood pressure was observed. In some experiments, constriction was followed by dilatation (possibly due to enhanced prostacyclin synthesis). FPL 55712 (0.3 to 30 nmols/kg) injected in the same manner caused both constriction and dilatation of rat cerebral arteries. In vitro experiments were performed on isolated human intracranial arteries (basilar, vertebral and Circle of Willis) obtained at autopsy, and on the isolated rat stomach fundus. LTD4 (2 x 10(-9) to 2 x 10(-7) M) caused sustained contractions of isolated human intracranial arteries. FPL 55712 (up to 4 x 10(-7) M) failed to antagonise the vasoconstrictor effects of LTD4, and higher concentrations (8 x 10(-6) to 8 x 10(-5) M) directly relaxed cerebral arteries. In contrast, FPL 55712 (2 x 10(-8) M) was a competitive antagonist of the contractile effects of LTD4 on the isolated rat fundus. This data suggests that the cerebral arterial leukotriene receptor differs from the peripheral smooth muscle receptor typified by the guinea-pig ileum and rat fundus preparations. Furthermore, leukotrienes may be involved in pathological vasoconstriction of various vascular beds after immunological reaction and trauma. PMID- 6577478 TI - Reduction of enzyme release from reperfused ischemic hearts by steroidal and non steroidal prostaglandin synthesis inhibitors. AB - Exacerbation of heart tissue damage by reperfusion of the ischemic myocardium is a well documented phenomenon. The present study was undertaken to evaluate prostaglandin (PG) involvement in reperfusion-induced damage of isolated globally ischemic rat hearts. Reperfusion produced significant increases in creatinephosphokinase (CPK) and lactic dehydrogenase (LDH) efflux which was accompanied by enhanced PG release. Three non-steroidal antiinflammatory drugs; indomethacin, mefenamic acid and ASA, and the steroidal agents; dexamethasone, hydrocortisone and methylprednisolone significantly reduced both the release of CPK and PGs upon reperfusion whereas only indomethacin and mefenamic acid decreased LDH release. There was a significant correlation between the inhibition of PG synthesis and the attenuation of CPK leakage by both non-steroidal (P less than 0.001) and steroidal (P = 0.02) antiinflammatory agents. In spite of beneficial effects on enzyme release, drug treatment did not enhance recovery of mechanical function after reperfusion. The results suggest that inhibition of PG biosynthesis may be beneficial in preserving membrane, particularly mitochondrial integrity of the reperfused myocardium. PMID- 6577479 TI - Central effects of prostaglandin F2 alpha on the cardiovascular system in the rat. AB - Effects on blood pressure and heart rate of prostaglandin (PG) F2 alpha administered into a lateral cerebral ventricle (i.c.v.) were investigated in urethane anesthetized rats. PG F2 alpha at doses ranging from 2.4 to 47.4 micrograms caused dose-dependent pressor and positive chronotropic actions, but did not exert such actions at a dose of 47.4 micrograms in spinal rats. The cardiovascular actions of PG F2 alpha were reduced by intravenous (i.v.) pretreatment with hexamethonium (2 mg/kg). In addition, the pressor action was blocked by phentolamine (5 mg/kg i.v.) and the positive chronotropic action by propranolol (0.2 mg/kg i.v.). PG F2 alpha (47.4 micrograms) and norepinephrine (2 micrograms/kg) injected i.v. induced transient pressor and positive chronotropic actions. This pressor action of norepinephrine was almost completely eliminated but that of PG F2 alpha was only partially inhibited by phentolamine (5 mg/kg i.v.), while the positive chronotropic actions were unaffected. The results suggest that PG F2 alpha accelerates the cardiovascular functions by stimulating the peripheral sympathetic tone through its central action. PMID- 6577480 TI - Reaction-time crossover in psychiatric outpatients. AB - Simple reaction time (SRT) was measured in schizophrenic, bipolar affective disorder, and never-psychotic outpatients to determine the specificity of SRT crossover to schizophrenia. A crossover pattern like that reported in other studies was found among the schizophrenics, but the average curve was not different from that of the other groups. Schizophrenics tended to have higher rates of crossover at the 7-second preparatory interval (47% vs. 17%-28%) but not substantially so. These data question the specificity of this behavioral trait to schizophrenics. PMID- 6577481 TI - Effects of chlorpromazine on serotonin uptake in blood platelets. AB - Platelet serotonin (5-HT) uptake was studied in schizophrenic patients before and after treatment with chlorpromazine (CPZ) for 2-3 weeks. No difference was noted in the affinity of 5-HT (Km) or maximum velocity of 5-HT uptake (Vmax) of unmedicated schizophrenic patients and normal controls. Administration of CPZ was associated with a significant increase in Km and Vmax. Specific uptake of 5-HT, at 0.5 microM, was significantly decreased in most subjects. Chlorpromazine inhibited 5-HT uptake into platelets from normal controls in vitro (IC50, 1.8 +/- 0.1 microM) in a competitive manner. PMID- 6577482 TI - Effects of amoxapine on serotonin uptake in human blood platelets of depressed patients and normal controls. AB - The effect of amoxapine and imipramine on the serotonin (5-HT) uptake of blood platelets from depressed patients and normal controls was studied ex vivo or in vitro, respectively. Amoxapine was approximately one-tenth as potent as imipramine in inhibiting 5-HT uptake in blood platelets from normal controls in vitro. Both drugs inhibited 5-HT uptake in a competitive manner. However, ex vivo studies demonstrated that imipramine produced a mixed inhibition and amoxapine, a competitive inhibition of 5-HT uptake. There was no relationship between the change in the platelet affinity for 5-HT after treatment with amoxapine and clinical response to amoxapine. PMID- 6577483 TI - REM latency and depression: computer simulations based on the results of phase delay of sleep in normal subjects. AB - A phase advance of the circadian rhythm of rapid eye movement (REM) sleep propensity relative to the sleep-wake cycle has been hypothesized to account for the abnormalities of REM sleep in depression. One implication of this hypothesis is that an acute phase delay of sleep in normal subjects should produce the same abnormalities of REM sleep. A further implication is that changes in REM sleep that occur in normal subjects with delay shifts of sleep of progressively greater magnitude describe those that occur during the course of a depressive episode. This hypothesis was tested by computer simulation using two equations which, given the data derived from normal subjects experiencing phase delays of sleep, generated the REM latencies expected during successive stages of a depressive episode. For severely depressed patients, the computer-generated data matched those found empirically. The known correlation between severity of depression and REM latency, and the REM latencies of recovered patients, are consistent with the hypothesis. PMID- 6577484 TI - The reliability of retrospective treatment reports. AB - High levels of agreement are reported for retrospective assessment of treatment history using the Longitudinal Interval Followup Evaluation Baseline (LIFE Base), a recently developed structured psychiatric interview, in a sample of 47 subjects with a moderate to severe affective disorder. In a paired rater/observer design with interviews conducted at five different research centers, most coefficients of reliability (Kappa) were above 0.91. This is the first published reliability study of treatment data and should be encouraging to practitioners and researchers. Future research aimed at assessing the validity of treatment information obtained from patient records and clinical interviews is recommended. PMID- 6577485 TI - Lateral ventricular size and drug-induced Parkinsonism. AB - Computed Tomography (CT) was used to assess lateral ventricular size in 20 psychiatric inpatients who had participated in at least 5 weeks of a fixed dose chlorpromazine (CPZ) trial. During treatment with CPZ, eight patients had required antiparkinsonian medication for treatment of rigidity. The ventricular brain ratio (VBR) of these eight patients was greater than that of either the 12 patients who did not require antiparkinsonian medication or a similarly aged control group of neurological patients, scanned for tension or migraine headaches. On the basis of these findings it is suggested that large lateral ventricular size may be associated with increased vulnerability to develop drug induced parkinsonism. PMID- 6577486 TI - Odontoma of the maxillary sinus - a case report. PMID- 6577487 TI - A tissue conditioner foreign body. PMID- 6577488 TI - Endodontic treatment of the open apex. PMID- 6577489 TI - Occupational hazards in the dental office and their control. III. Measures for controlling radiation. PMID- 6577490 TI - Two year clinical evaluation of a paint-on restorative system for treatment of cervical erosion lesions. PMID- 6577491 TI - Iatrogenic damages caused by dental procedures. Foreign bodies in the oral cavity. PMID- 6577492 TI - Dental causalgia: a chronic oral pain syndrome. PMID- 6577493 TI - The use of contractual learning for staff education. PMID- 6577495 TI - Effects of the MORA on members of a football team. PMID- 6577494 TI - Dust formation of alginate impression materials. PMID- 6577496 TI - Transformation of an unspecific chronic ulcer of the tongue into squamous cell carcinoma. PMID- 6577497 TI - Axial wall parallel development method. PMID- 6577498 TI - An esthetic inlay technique for posterior teeth. PMID- 6577499 TI - The effectiveness of a new oral hygiene device on plaque removal. PMID- 6577500 TI - Photography in the dental practice (I). PMID- 6577501 TI - Toothpaste discoloration of composite resin in vitro. PMID- 6577502 TI - Erotic complications in the dental office under anesthesia. PMID- 6577503 TI - [Use of functional diagnosis and therapy in the care of edentulous jaws with subperiosteal implant dentures (II)]. PMID- 6577504 TI - [Progress report on use of a cavity liner with silver particles]. PMID- 6577506 TI - [The Dehn-stop - an orthodontic border element]. PMID- 6577505 TI - [Masticator-pantography for the hinge-axis mounted articulator]. PMID- 6577507 TI - [Marginal periodontopathy in children and adolescents]. PMID- 6577508 TI - [Picture coding in dental photography]. PMID- 6577509 TI - [Interpretation of radiographs]. PMID- 6577510 TI - [Dental practice of the future. Thoughts on planning, installation and organization (II)]. PMID- 6577511 TI - [Contact point for immunological therapy]. PMID- 6577512 TI - [Basic principles: temporary filling materials]. PMID- 6577513 TI - [The phenomenon of dental assisting]. PMID- 6577514 TI - [Electronic data processing-supported practice management--a new function for the assistant (III)]. PMID- 6577515 TI - [Oral hygiene measures - a function for the dental assistant and expanded duty assistant (II)]. PMID- 6577516 TI - [Effect of iodine-131 on the induction of osteosarcoma by strontium-90]. AB - The paper submits the results of estimation of the osteosarcomogenic effectiveness of 90Sr in a combination with 131I incorporated prior to or after the administration of 90Sr. It was demonstrated that the incidence of osteosarcomas increased in rats received 131I a weak after the administration of 90Sr. PMID- 6577517 TI - [Indications for lymphography in bone and soft tissue tumors]. PMID- 6577519 TI - [Intra-oral film]. PMID- 6577518 TI - NMR imaging of leg tumors. AB - NMR images of 8 patients with neoplasms of the legs were obtained. Volumetric and/or planar NMR data were acquired using a saturation recovery (SR) approach, incorporating magnetization refocusing. NMR images revealed tumors in all patients and correlated well with the extent seen on CT. SR images with a short interpulse delay (tau) demonstrated a significant decrease in signal intensity (SI) in histologically normal fat (n = 4) and marrow (n = 1) adjacent to tumors, consistent with a prolonged T1. At certain values of tau, tumors on SR images could not be differentiated from normal muscle (tau = 200 msec.) and marrow (tau = 2,100 msec.) by SI alone. Using this sequence with fixed signal refocusing parameters, images representing several values of tau may be required to distinguish tumors from normal structures. PMID- 6577520 TI - Failure of acute hypoxia to alter pulmonary prostaglandin metabolism in dogs. AB - We studied the effects of acute hypoxia (Fi02 = 0.09-0.11, 20 min.) on transpulmonary plasma prostaglandin (PG) concentrations in ten anesthetized, paralyzed, artificially ventilated dogs. Concentrations of 6-keto-PGF1 alpha, TxB2, PGE2, PGF2 alpha, and 13,14-dihydro-15-keto-PGF2 alpha were measured from the pulmonary artery and abdominal aorta using radioimmunoassay. In an additional six dogs, the effects of arachidonic acid (AA) infusions (100 mcg/kg/min) during normoxia and acute hypoxia were determined. Compared to normoxic conditions, acute hypoxia increased pulmonary artery pressure (p less than 0.05), decreased both the arterial oxygen tension (PaO2) and the alveolar-to-arterial oxygen tension gradient (A-aDO2) (p less than 0.05), but did not affect transpulmonary plasma PG concentrations. AA infusions significantly (p less than 0.05) increased 6-keto-PGF1 alpha independent of FiO2. Acute hypoxia failed to elicit a pulmonary pressor response in the AA-treated animals although PaO2 and A-aDO2 decreased (p less than 0.05). These data in healthy dogs suggest that (1) acute hypoxia does not alter net pulmonary PG metabolism, (2) prostacyclin synthesis is stimulated by increased plasma AA concentrations and (3) this effect may block normal pressor responses to hypoxic stimuli. PMID- 6577521 TI - Is prostaglandin F2 alpha involved in the increased myometrial contractility of primary dysmenorrhoea? AB - The concentrations of prostaglandin F2 alpha (PGF2 alpha) and E2 (PGE2) in menstrual fluid collected daily from 13 women with primary dysmenorrhoea and 11 matched controls, were compared with the pattern of uterine contractility during the hour following the menstrual fluid collection. The intra-uterine pressure (IUP) was measured using a micro-transducer catheter and the tracings analysed. On Day 2 the concentration of PGF2 alpha correlated with the peak area, but not with amplitude, duration or rate of contraction. These findings add additional support to the hypothesis that increased production of PGF2 alpha could contribute to the increased uterine contractility in primary dysmenorrhoea. PMID- 6577523 TI - Injury in the dental laboratory. PMID- 6577522 TI - A comparative study of the expansion of six dental investment materials (II). PMID- 6577525 TI - Fringe benefits. PMID- 6577524 TI - Dr. John W. McLean discusses the pros and cons of today's ceramic materials and new directions. PMID- 6577526 TI - [Utilization behavior during the course of progressive multifocal leukoencephalopathy]. AB - A particular semiologic feature of a case of progressive multifocal leukoencephalopathy was the existence of utilization behavior as described by Lhermitte. The affection developed in a patient with myeloid leukemia treated by cytotoxic drugs. Multifocal low density areas were shown by CT Scan examination. The course of the disease was not altered by isoprinozine therapy. PMID- 6577527 TI - [The oro-dental status of drug addicts]. PMID- 6577528 TI - [Preprosthetic surgery is accessible to the general practitioner]. PMID- 6577529 TI - [Use of a new contact anti-hemorrhagic agent: Pangen]. PMID- 6577530 TI - [Endodontic technics. 3: Pharmacology]. PMID- 6577531 TI - [Congenital unilateral corneal anesthesia with neuroparalytic keratitis]. PMID- 6577532 TI - Subdural hematomas in subteens. PMID- 6577533 TI - Attitudes toward pelvic examinations in two primary care settings. PMID- 6577534 TI - Institutional prerogatives and the private practicing physician: a changing partnership or the development of adversarial roles? PMID- 6577535 TI - [Odontoma of unusual size]. PMID- 6577536 TI - [Development of the median palatal suture in the chick embryo]. PMID- 6577537 TI - [Endodontics: tubular filling]. PMID- 6577538 TI - [A case report of a class III in an adult with palatal retention of a canine]. PMID- 6577539 TI - [Centric relation]. PMID- 6577540 TI - [Mathematic-geometric bases for axiography]. PMID- 6577541 TI - [Axiography using the para-occlusal curve]. PMID- 6577542 TI - [Axiography in clinical use]. PMID- 6577543 TI - [Clinical functional analysis]. PMID- 6577544 TI - [Facial asymmetry due to unilateral ankylosis of the temporomandibular joint during growth: therapeutic program]. PMID- 6577545 TI - [Electron microscopy study of orthodontic wire placed under stress during construction of a loop (II)]. PMID- 6577546 TI - [Dentistry in the area of humanistic psychology]. PMID- 6577547 TI - [Surgical approach to the extrapetrosal facial nerve]. PMID- 6577548 TI - Infant hearing assessment utilizing auditory brainstem techniques. PMID- 6577549 TI - Our experiences with the management of young postlingually deafened persons. Preliminary report. PMID- 6577551 TI - Auditory models for hearing and fitting criteria. PMID- 6577550 TI - Variability of the tympanogram due to eustachian tube closing failure. AB - Tympanometry is generally considered a reliable measure of middle ear status. Nevertheless are abnormal tympanograms not uncommonly recorded in ears showing no signs of pathology. Recent studies have demonstrated that sniff-induced negative middle ear pressure can be a pathogenetic factor in the development of middle ear disease. It has also been shown that sniff-induced negative middle ear pressure per se, does not necessarily imply malfunction of the eustachian tube, since many normal individuals can evacuate their middle ears by sniffing. The purpose of this paper is to demonstrate that sniffing can produce a shift in the tympanometric pattern, and it is suggested that this mechanism can explain the occurrence of abnormal tympanograms in otherwise healthy ears. Sniffing may also explain the pronounced day-to-day variability seen in tympanometry. PMID- 6577552 TI - The importance of tympanometry in cases of sensorineural hearing loss. PMID- 6577553 TI - Verification of impedance measurements by a volumetric and electromechanical model. AB - A dynamic model of the middle ear and mastoid cavity will be presented. A variety of precisely controlled volumetric changes were simulated by the model, singularly or in conjunction with pressure changes, mass and friction effects at the level of the drum. The contributions of each factor alone and in controlled combinations to the acoustic impedance were serially tested and recorded. The validity of static compliance and tympanometry in volumetric middle ear and mastoid estimates is questioned. The model demonstrated dependability of impedance tympanometric techniques in measuring intratympanic air fluid contents and pressure changes. The model provided objective evidence on the capability of impedance techniques to differentiate mechanical traction on the drum from traction brought about by negative pressures. Clinical applications of these findings will be discussed. PMID- 6577554 TI - Long-term ventilation of the middle ear. An up date. AB - This study shows that with minor surgical intervention, far-advanced seemingly irreversible pathology in the middle ear and mastoid cavities can be withheld and almost completely resolved. Immediately following institution of the therapy air bone gap is closed and optimal hearing is secured. This approach if persistently employed early enough may render many complicated, difficult major surgical procedures unnecessary. It is preferable and easier both for the patient and for the surgeon to 'permanently' ventilate the tympanic cavity and prevent the deterioration to adhesive otitis and cholesteatoma, than to correct this with intricate surgery that is not fail-proof and has many inherent risks. PMID- 6577555 TI - Signal-averaging of the acoustic reflex: diagnostic applications of amplitude characteristics. AB - We employed simultaneous measurement of the crossed and uncrossed acoustic reflex (AR) and a signal-averaging technique to evaluate supra-threshold amplitude characteristics of the AR. By evaluating AR amplitude relationships in a mathematical model based on known afferent, efferent, and central pathway effects, we are able to compare results from a variety of patients and to make meaningful diagnostic interpretations. PMID- 6577556 TI - Exploring the clinical utility of the ipsilateral acoustic reflex threshold. PMID- 6577557 TI - Reflex "delay" in sensorineural hearing-loss. AB - Delay of the acoustic reflex is concerning the latency and the rise-time of the response. The magnitude of these parameters is correlated with the stimulus characteristics but it is also modified by the instrumentation. Normative data obtained with commercial instruments demonstrate statistically meaningful differences of latency depending on age groups, ipsi-or contralateral recording, monophasic or biphasic deflection, which is also a normal response in about 12% of ears. The value are comprised within 150 ms for ipsilateral recording and 200 ms for the contralateral recording. The interaural latency difference (ILD) is not exceeding 40 ms. In cochlear deafness (50 cases with Meniere's disease and 50 cases with acoustic or ototoxic lesions) the latency values are slightly shorter than normal in 25% of the cases. This is better demonstrated when ILD can be evaluated with the normal ear. Also rise-time is similarly reduced. In retrocochlear lesions, when a cochlear involvement is not superimposed latency and rise-time are lengthened. Also in these cases ILD values are very important. It must be recalled that an acoustic reflex delay has been observed also in cases of brain-stem involvement. PMID- 6577558 TI - Acoustic reflex and general anaesthesia. AB - Infant and small children are not always able to cooperate in impedance measurements. For this reason it was decided, -in special cases, -to perform acoustic reflex examination under general anaesthesia. The first report on stapedius reflex and general anaesthesia was published by Mink et al. in 1981. Under the effect of Tiobutabarbital, Propanidid and Diazepam there is no reflex response. Acoustic reflex can be elicited with Ketamin-hydrochlorid and Alphaxalone-alphadolone acetate narcosis. The reflex threshold remains unchanged and the amplitude of muscle contraction is somewhat increased. The method was used: 1. to assess the type and degree of hearing loss in children with cleft palate and/or lip prior to surgery. 2. to exclude neuromuscular disorders with indication of pharyngoplasties. 3. to quantify hearing level in children--mostly multiply handicapped--with retarded speech development. The results of Behavioral Observation and Impedance Audiometry are discussed and evaluated. PMID- 6577559 TI - Early detection of otosclerosis by impedance-audiometry screening. AB - The basis of the early detection of otosclerosis is dual: first, a better knowledge of the mechanism of the disease itself, which is of enzymatic origin, and the starting point of which is an antigen-antibody conflict between the otic capsule and the embryonic cartilaginous remnants; - second, the fact that the otospongiotic disease appears to be a genetic deafness with an autosomal inheritance and about 40% of genes penetrance. Consequently an early detection is absolutely essential to combat the disease at its beginning and to assure its prevention. The early diagnosis of the otospongiotic/otosclerotic disease is twofold: first, the early detection of stapedial fixation is given by systematic impedance-audiometry screening on school-children by means of stapedius reflex elicitation in order to detect a possible diphasic impedance change (on-off effect); - second, the early diagnosis of progressive cochlear deterioration is yielded through systematic bone-conducted audiometry testing in young children in families with an otospongiotic/otosclerotic history. PMID- 6577560 TI - "The longitudinal Hjorring-population-study". Results at 6 years of follow-up. AB - A prospectively planned, epidemiologic and longitudinal study of 329 children born in 1972 and living in a Danish provincial municipality was undertaken. All had tympanometric screening by the age of 3, 6 and 9 years. The screenings took place in January 1976, January 1979, and January 1982. The aims of the study were to compare the point prevalences of abnormal tympanometry in a normal population and to evaluate the prognosis of the different curve-types at 6 years of follow up. Accordingly there is major improvement in middle ear status during the first three years in school. Type A tympanograms have a better prognosis than all other types. Tympanograms with light (type C1) and severe (type C2) negative middle ear pressure have similar prospects. Patients with the poorest prognosis have type B tympanograms, 70% of type B tympanograms at age 9 years were also type B at age 3 years. PMID- 6577561 TI - Three impedance screening programs on a cohort of seven-year-old children. Can serial impedance screening reveal chronic middle ear disease? AB - In an unselected cohort of 387 seven-year-old children 90% got all 9 planed tympanometries in the first year at school. The results from these 348 children had been analysed in three different impedance screening models, as 3 consecutive screening series, each comprising two or three tests with an interval of 4 to 8 weeks. The specificity of the ASHA and Nashville models were too low, about 70%, there were too many false positive cases. Therefore a new impedance screening model, was constructed. It had about the same sensitivity (80%) and a fare better specificity (95%) than the ASHA and Nashville models. The predictive value of a positive test was 15% in the ASHA and Nashville models but three times better (48%) in the Hirtshals model. The Hirtshals model had a referral rate of 9% compared with the 32-36% in the ASHA and Nashville models. The frequencies of retesting were 31% in the ASHA model, 52% in the Nashville model and 45% in the Hirtshals model. PMID- 6577562 TI - Audiological screening of school children--preliminary results. AB - An audiological screening of 1120 school children aged seven and ten revealed abnormal tympanograms in 11% of the ears. In the younger children the failure rate was twice as high as in the older. Follow-up examinations showed, however, that only about three per cent of the ears screened displayed pathological middle ear pressure after 8-16 weeks. In the light of this the cost-effectiveness of screening tympanometry can be questioned. Pathological pure tone audiograms were found in 0.5% of the ears with normal middle ear pressure. PMID- 6577563 TI - Tympanometric prediction of the magnitude of hearing loss in preschool-children with secretory otitis media. AB - In 44 three-year-old children with chronic Eustachian tube dysfunction selected by repeated tympanometric screenings among all 3-year-old in a Danish region, the results from tympanometry, and pure-tone/speech audiometry were prospectively and blindly compared to the findings at paracentesis. The gradient of the tympanogram, and the magnitude of hearing loss separately correlated to the amount of middle ear effusion (MEE), but not to the viscosity of the MEE. At a gradient less than or equal to 0.1 no ear had a mean hearing threshold less than 20 dB (HL), and no ear with a gradient less than or equal to 0.2 had a mean hearing threshold greater than 25 dB (HL). As it has previously been shown that almost preschool-children can cooperate to tympanometry, the observations may constitute a needed, objective possibility for separating secretory otitis media (SOM) with from SOM without major hearing loss in young children, who cannot cooperate to conventional pure-tone audiometry. PMID- 6577564 TI - Optimizing tympanometric variables for detecting middle ear traumas. AB - The combination of the results of different studies lead to the conclusion that the susceptance-conductance immittance audiometer at 660 Hz is not the only useful instrument for the detection of middle-ear traumas. Measurements at probe tone frequencies from 510 up to 910 Hz prove that the admittance tympanogram combined with the electrical phase angle tympanogram recorded in the 500-700 Hz frequency range have definite advantages. PMID- 6577565 TI - International symposium on impedance audiometry and pediatric audiology, Goteborg May 20-22, 1982. PMID- 6577566 TI - Hearing threshold level and middle ear pressure in children with phonetic/phonemic disability. AB - Middle ear disease and hearing loss of moderate degree is a factor which alone or in combination with others, have been suggested to create phonetic/phonemic disability. The aim of the present investigation was to throw light upon this question. Twentytwo children with phonetic/phonemic disability, 19 boys and 3 girls, age 4.5-6.5 years, were examined. Twentytwo normal speaking children served as a control group. Oto-rhinolaryngological examination, tympanometry and hearing threshold measurements were performed. Abnormal middle ear pressure (less than -50 mm H2O) in one or both ears, and statistical significant elevated hearing threshold levels for pure tones (p less than 0.05) were found in 15 of the 22 children with phonetic/phonemic disability. Upper respiratory tract diseases, which may cause middle ear dysfunction, were supposed to be the etiology in most cases. Consequently, in all children with phonetic/phonemic disability, careful examination including tympanometry and accurate measurements of hearing threshold levels should be performed. PMID- 6577567 TI - Early identification of deaf babies and children in northern Israel. AB - Mass screening for hearing loss is established in Israel early in the first year of life, in the free Mother and Child Welfare Clinics, leading to early detection and rehabilitation of almost all the deaf babies. At risk newborns are tested within the first three months of age. Impedance audiometry should be widely implemented in pre- and early school screenings, to detect the minor conductive hearing losses. PMID- 6577568 TI - Early detection of hearing disorders in The Netherlands. A review on 15 years of experience. AB - In the Netherlands we have a nation-wide screening program on hearing for for infants. This program started around the late sixties. A modification of the method as developed by the Ewings is used. The Dutch Foundation for the Deaf and Hearing-Impaired Child co-ordinates the screening program. 70% of the 9 months old babies are screened. The total number of children screened from 1964 onwards until today exceeds the 700.000. A follow-up study of a population of 35.000 children showed us that: the Ewing-test is effective; it detects both severe and moderate perception hearing-losses as well as conductive hearing-losses: the number of children that is not detected with the Ewing is relatively low; children who have not been screened are diagnosed at a much later age. PMID- 6577569 TI - Auditory arousal in preterm infants. AB - Auditory arousal was assessed in eleven preterm infants for two different signal spectra. The responsibility of these infants was compared to that previously determined for full term infants to the same signals. It was found that preterm infants respond more frequently than full term infants to both wide band and narrow band noises. Moreover, like the full term infants, the preterm infants respond to wide band signals more readily than to narrow band signals. PMID- 6577570 TI - Comparison of auditory brainstem response and behavioral audiometry in infants. AB - Sixty-three normal hearing infants, ranging from 1 to 12 months of age, were evaluated with Behavioral Observation Audiometry (BOA), Visual Reinforcement Audiometry (VRA), and Auditory Brainstem Response Audiometry (ABR). BOA thresholds decreased with increasing age for infants 0 to 6 months of age, while ABR threshold were essentially constant as a function of subject age. In general, VRA threshold were obtained only for infants over 4 months of age, and were relatively constant for the age range of 4 to 12 months. For neonates, BOA thresholds were significantly higher than ABR thresholds. BOA, VRA, and ABR thresholds tended to converge at a subject age of approximately 6 months, with VRA yielding the lowest and BOA the highest threshold. ABR provided the most consistent threshold for all subjects tested, regardless of age. PMID- 6577571 TI - Multiple hearing test strategy for infants (birth to 12 months). PMID- 6577572 TI - Audiovisual speech perception ability in adult patients. PMID- 6577573 TI - A case material with post lingual severe hearing loss and communication handicap. AB - The analyses have given some general clues to the therapeutic handling of these patient categories: 1. The A and B groups can be labelled "hearing" with clearly useful residual hearing. 2. The patients in the C group, as a rule, are utilizing very little from acoustic speech stimulation, mostly the prosodic information. Several patients in this group are possible implant candidates, and it is reasonable to expect that (with a suitable stimulus device and a suitable application of this) the patients could get an additional support during speech reading, so that they function as the B group. Tactile devices are also an alternative or a supplement for this group, and a pilot study on six patients is in progress in the department in cooperation with the Department of Speech Communication at the Royal Institute of Technology. 3. The patients within the A and B groups will in the first place be offered additional functional training programmes (prosodic training, audio-visual training and possibly vibration training) and, as an ultimate alternative a social activation in group therapy may be considered. Some patients in these groups might also be candidates in the future for an extra cochlear implant. PMID- 6577574 TI - A method to establish the effect of the hearing aid in noise using Victoreen signal threshold and speech discrimination. PMID- 6577575 TI - An audiological test battery for speech communication diagnosis in severe hearing loss. PMID- 6577576 TI - Speech perception processing. PMID- 6577577 TI - Some mathematical tools for speech preprocessing and speech perception modeling. PMID- 6577578 TI - Effects of posture on serum cholesterol fractions, cholesterol ratio and triglycerides. AB - In 41 healthy men aged 50 fasting serum HDL cholesterol, total cholesterol, LDL + VLDL cholesterol and triglycerides increased by 8.3, 9.6, 9.9 and 11.3%, respectively (all P less than 0.001), after 30 min standing compared to 30 min in the supine position. These findings can be fully explained by decrease in plasma volume on changing from lying to the erect position. However, the cholesterol ratio (HDL cholesterol X 100/LDL + VLDL cholesterol) was not influenced by posture and should be evaluated instead of cholesterol fractions if the conditions for blood sampling were not controlled. PMID- 6577579 TI - Northern Surgical Association. Abstracts, third meeting of the Experimental Research Section. 24 & 25 September 1982, Oslo. PMID- 6577580 TI - Generation of procoagulant activity (PCA) by macrophage-like cells derived from acute and chronic myeloid leukaemia cells in response to phorbol esters. AB - Normal human monocytes and macrophages, as well as in vitro human leukaemic promyelocytic cell line (HL-60) transformed into macrophage-like cells by 12-0 tetradecanoylphorbol-13-acetate (TPA) generate potent procoagulant activity (PCA) similar to tissue thromboplastin. In the present study, only mild PCA was detected in primary cultures of cells from the peripheral blood of patients with acute lymphatic leukaemia (ALL), acute myeloid leukaemia (AML) and chronic myeloid leukaemia (CML). After exposure to TPA, AML and CML cells assumed characteristics specific to monocytes and macrophages. Differentiation was associated with the generation of PCA. PCA was not found in ALL cells exposed to TPA. The PCA of TPA-induced macrophages derived from AML and CML cells resembled tissue thromboplastin and normal monocyte and macrophage PCA in several aspects: (a) accelerated clotting via the extrinsic coagulation pathway, (b) inhibition by concanavalin A and protection against lectin inhibition by methyl-alpha-D mannopyranoside, (c) localization in the cell membrane. The capacity for PCA generation is additional evidence for the similarity between TPA-induced macrophages derived from AML and CML cells and normal human monocytes and macrophages. PMID- 6577581 TI - Urinary stone analysis methods, materials and value. PMID- 6577582 TI - Clinical aspects of continuous ambulatory peritoneal dialysis. AB - Clinical aspects of Continuous Ambulatory Peritoneal Dialysis (CAPD) were studied in the first fifty patients started on CAPD at our hospital. CAPD was found to achieve good control of the uremic symptoms and of the biochemical values studied. Hypertension became less pronounced. The costs were found to be low. Twenty-four diabetic subjects were studied in detail. Intraperitoneal administration of insulin resulted in good metabolic control of the diabetes. The two catheters used for peritoneal access were compared. Because of problems related to the removal of the Toronto Western Hospital catheter it was concluded that the Tenckhoff catheter was to be preferred. Peritonitis was found to be the worst complication. Coagulase negative staphylococci accounted for 57% of the cases. During the study an increasing percentage of infections were caused by bacteria with multiple resistance to antibiotics. Netilmicin, a new aminoglycoside, was evaluated for the treatment of CAPD-related peritonitis. 84% of the cases responded. One of the nineteen patients treated sustained reversible vestibular toxicity. No other side effects were noted. In two patients right sided hydrothorax was found to be a complication of peritoneal dialysis. In one case it was demonstrated that defects in the right diaphragm was the cause of the complication. In the other CAPD was continued despite the complication. PMID- 6577583 TI - The renal response to ureteral obstruction. AB - The renal pathophysiology during ureteral obstruction was investigated in rat experiments, especially designed to study the role of the tubuloglomerular feedback (TGF) control mechanism. This mechanism, operating by sensing the distal delivery of fluid to the macula densa site, regulates the glomerular capillary pressure (PGC) and the glomerular filtration rate (GFR). Interstitial pressure conditions are known to influence the sensitivity of this control mechanism. Micropuncture experiments were performed to investigate the TGF activity before, during and after release of 2 h unilateral ureteral obstruction (UUO) and after 24 h UUO and bilateral ureteral obstruction (BUO). Renal interstitial hydrostatic and oncotic pressure, proximal stop-flow pressure (PSF) and GFR were also determined. In other experiments, the effects of indomethacin on renal pelvic pressure and PGC, estimated from PSF, were studied during the initial vasodilatory phase of UUO. Cortical and regional medullary blood flow was measured using a combination of labelled microspheres and the 86-Rb extraction method. The present results indicate that the initial vasodilatation, demonstrated by an increased PGC and accompanied by an elevated renal pelvic pressure, was caused by prostaglandin release. These pressures could be reduced by injection of indomethacin. Blood flow measurements revealed that the initial vasodilatation seems to occur both in the cortex and in the medulla, but after a few hours progressive vasoconstriction took place in all regions of the kidney. Two hours of UUO caused increased interstitial hydrostatic and decreased oncotic pressure and the TGF response was abolished. This phenomenon participated in the vasodilatory process at this stage of UUO. After release of 2 h UUO, GFR was reduced, indicating vasoconstriction, probably caused by activation of the highly sensitized TGF control mechanism seen in this situation. At 24 h of UUO there was a normal hydrostatic and high oncotic pressure and high TGF sensitivity. These findings contrast to those at 24 h of BUO, with normal interstitial pressure conditions and a slight decrease in TGF sensitivity. These differences between animals with UUO and BUO might be of importance for the absence of post obstructive diuresis in UUO and the presence of this phenomenon in BUO animals. PMID- 6577584 TI - [Reduced dosage of cytosine arabinoside in the treatment of acute myelocytic leukemia. Apropos of 3 cases]. AB - Two out of three patients with acute myeloid leukemia responded to treatment with small subcutaneous doses of cytosine-arabinoside alone. Although marked cytopenia may transiently occur this treatment has no other side effects and is simple to administer. It may therefore be useful for elderly patients. Morphological studies and indirect evidence suggest that this schedule, dosage and route of administration for cytosine-arabinoside may promote differentiation within the malignant clone rather than acting as a cytotoxic agent. PMID- 6577585 TI - [Immediate lateral side shift--laboratory experiments on the Panadent articulator]. PMID- 6577587 TI - [Dental indications for hypnosis]. PMID- 6577586 TI - [Distribution of bacteria in the coronal and apical portions of teeth with a necrotic pulp]. PMID- 6577588 TI - [Effects and mode of action of the activator--clinical consequences]. PMID- 6577589 TI - [Follow-up of mandibular framework prostheses at the Zurich Public Dental Clinic. Initial experiences with the Tryde-Brantenberg sublingual bar]. PMID- 6577590 TI - [Clinical follow-up studies of class IV fillings using an adhesive technic]. PMID- 6577591 TI - [Method of bleaching devitalized and discolored teeth: clinical results over 2 years]. PMID- 6577592 TI - [Method of measuring the flexibility of the mandibular dental arch in the transverse plane]. PMID- 6577593 TI - [Functionally stable treatment of mandibular fractures: indication, approach, osteosynthesis method, complications]. PMID- 6577594 TI - [What information on dental prophylaxis can students draw from human science texts and from advertising?]. PMID- 6577595 TI - [Maxillary sinus diseases in dental practice]. PMID- 6577596 TI - ["You are politely requested not to smoke here"]. PMID- 6577597 TI - [Clinical innovations in preventive periodontology]. PMID- 6577598 TI - [Dentifrices in periodontics: a review of the literature. II. Abrasion, dentin sensitivity, secondary effects]. PMID- 6577599 TI - Clinicopathologic Conference. Sixty-one year old Caucasian man with rheumatoid arthritis and renal failure. PMID- 6577600 TI - The role of tracheostomy in acute laryngeal obstruction in children. PMID- 6577601 TI - Transition metals in human cancer. I. Oesophagus and bone marrow. PMID- 6577602 TI - Tumor-derived growth factor increases bone resorption in a tumor associated with humoral hypercalcemia of malignancy. AB - Evidence is presented that a tumor-derived transforming growth factor is responsible for stimulating bone resorption and causing hypercalcemia in an animal tumor model of the hypercalcemia of malignancy. Both conditioned medium harvested from cultured tumor cells and tumor extracts of the transplantable rat Leydig cell tumor associated with hypercalcemia contained a macromolecular bone resorbing factor with the chemical characteristics of a tumor-derived transforming growth factor. PMID- 6577603 TI - [Clinico-pathological studies on endodontic medicaments, with special reference to agents containing iodoform]. PMID- 6577604 TI - [Oral findings in chronic renal disorders in children]. PMID- 6577605 TI - [The thymus and autoimmune diseases. Understanding the human thymus]. PMID- 6577606 TI - [Clinico-pathological studies of dental biomaterials in endodontic therapy, with special reference to the effect of calcined cementum fragments on exposed vital human pulp]. PMID- 6577607 TI - [Clinico-pathological studies of dental biomaterials in endodontic therapy, with special reference to the biocompatibility of the hydroxyapatite on exposed vital human pulp]. PMID- 6577608 TI - [Properties of sensory nerve fiber innervations and sensory nerve terminals of the sublingual and submandibular ducts of cats]. PMID- 6577609 TI - [Morphological changes of the maxillo-facial structures in orthodontic treatment]. PMID- 6577610 TI - [The influence of tellurium on experimental dental caries development in rats. Effect of sodium tellurite and glutathione combination on nutrition and experimental dental caries development]. PMID- 6577611 TI - Adjuvant chemotherapy for osteosarcoma at the Singapore General Hospital. PMID- 6577612 TI - Sarcomatous degeneration of Paget disease in the skull. AB - Two cases of Paget disease complicated by sarcomatous degeneration in the skull are presented. The bony disarray of underlying Paget disease of the skull may mask the cortical destruction produced by a developing sarcoma. The role of computerized tomography in the early detection of malignant change is stressed. PMID- 6577613 TI - [Prostaglandins F2 alpha and E in patients with bronchial asthma]. PMID- 6577614 TI - [Diagnosis of oral diseases. 6]. PMID- 6577615 TI - [Alveolar bone reaction caused by orthodontic stinulus]. PMID- 6577616 TI - [Changes in the alveolar bone in the periapical region]. PMID- 6577617 TI - [Resorption and regeneration of the alveolar bone in periodontal disease]. PMID- 6577618 TI - [Dental caries and palatinose, a structural isomer of sucrose]. PMID- 6577619 TI - [Oral hygiene as part of basic dental education]. PMID- 6577620 TI - [Bite plane. II. Methods]. PMID- 6577621 TI - [Traumatic root fractures--2 case reports of midroot fracture]. PMID- 6577622 TI - [The effect of acupuncture therapy on temporomandibular joint arthrosis]. PMID- 6577623 TI - [Basic problems of medicine today]. PMID- 6577624 TI - [Forensic dentistry. 4]. PMID- 6577625 TI - [Use of fenbufen in dental and oral surgery]. PMID- 6577626 TI - [Clinical use of flurbiprofen in pedodontics]. PMID- 6577627 TI - [A socio-etiologic study of 432 Danish mandibular fractures]. PMID- 6577628 TI - [Instruction in preventive activities in adult dental care]. PMID- 6577629 TI - [Clinical procedures for the downward guidance of the canine teeth in the upper jaw]. PMID- 6577630 TI - [Chronologic age determination using an assessment of bone maturity]. PMID- 6577631 TI - [Lockjaw after local anesthesia]. PMID- 6577632 TI - [Muscle pain and bite function]. PMID- 6577633 TI - [A new list from the Scandinavian Institute of Dental Materials-testing]. PMID- 6577634 TI - [Directions in professional growth in the coming 10-15 years]. PMID- 6577635 TI - [Community use of dental health services. 1. Community development]. PMID- 6577636 TI - [New and simpler rules for use of mercury and nitrous oxide equipment]. PMID- 6577637 TI - [The use of electronic data processing in managing an orthodontic practice]. PMID- 6577638 TI - [Can electronic data processing solve your administrative problems?]. PMID- 6577639 TI - [Unexplained radiological findings after root canal filling of the incisor]. PMID- 6577640 TI - [Community use of dental care services. 2. Growth in the number of dentists]. PMID- 6577641 TI - [Radiologic changes due to renal osteodystrophy in the presentation of a case report]. PMID- 6577642 TI - [2 cases of persisting bilateral nasopalatine ducts]. PMID- 6577643 TI - [Community use of dental care services. 3. Development of the potential patient population]. PMID- 6577645 TI - [Cervicofacial emphysema]. PMID- 6577644 TI - [Cariology]. PMID- 6577646 TI - [Governing factors and the regional distribution of dentists]. PMID- 6577647 TI - [Oral physiology]. PMID- 6577648 TI - [The future of dental care. A precis for planning, equipment and organization]. PMID- 6577649 TI - [A constant-potential generator--implementation using a high-frequency technic]. PMID- 6577650 TI - [The initial frequency of pacifier and fingersucking habits]. PMID- 6577652 TI - [Dental health program for treatment of oral galvanism]. PMID- 6577651 TI - [Release, turnover and distribution of cobalt]. PMID- 6577653 TI - [Simplified periodontal treatment - a treatment model]. PMID- 6577654 TI - [Image distortion in rotational panoramic radiography]. PMID- 6577655 TI - [Dental health and dental care habits in a group of Turkish immigrant children]. PMID- 6577656 TI - [Filmholders for intraoral radiography]. PMID- 6577657 TI - [Bite splint the only apparent treatment]. PMID- 6577658 TI - [Pulp pain in theory and practice]. PMID- 6577659 TI - [Periodontal epidemiology on the clinical level]. PMID- 6577660 TI - [Dental technology]. PMID- 6577661 TI - [Diagnosis and treatment of denture stomatitis]. PMID- 6577662 TI - [Temporomandibular joint arthrography]. PMID- 6577664 TI - [Oral screen activator. A modified Andresen activator]. PMID- 6577663 TI - [Local anesthesia for children--complications and soft tissue duration]. PMID- 6577665 TI - [Relation between different types of malocclusion and mandibular dysfunction]. PMID- 6577666 TI - [Dental health insurance. Report for the trial period 1981]. PMID- 6577667 TI - [The dentist in the 1990's]. PMID- 6577668 TI - [Popular concepts of toothache and dental care]. PMID- 6577669 TI - [Nicaragua: a song for toothbrushing]. PMID- 6577670 TI - [Dentists in Nicaragua]. PMID- 6577671 TI - [Tanzania: 1 dentist for 530,000 people]. PMID- 6577672 TI - [Mozambique: reduction of decay - a goal for dental care]. PMID- 6577673 TI - [Central Africa: dental care personnel needs in foreign countries]. PMID- 6577674 TI - [Sierra Leone: a newly formed dental society - 19 members]. PMID- 6577675 TI - [Sri Lanka: prevention priorities]. PMID- 6577676 TI - [Thailand: 5 dental schools - 200 new dentists each year]. PMID- 6577677 TI - [Psychological consultation for children in a special clinic for dental management]. PMID- 6577678 TI - [Complete maxillary repositioning]. PMID- 6577679 TI - [Dietary formulas for adults]. PMID- 6577680 TI - [The need for specialists in orthodontics]. PMID- 6577681 TI - [Spri recommendations for dental offices]. PMID- 6577682 TI - [The hospital dental technician]. PMID- 6577683 TI - [A new precision attachment from Whaledent Proveromo 3.4]. PMID- 6577684 TI - [Camouflaging facial defects--a job for the hospital dental technician]. PMID- 6577685 TI - [Changes in dental care]. PMID- 6577686 TI - A hands-off way to get a grip on your accounts receivable. PMID- 6577687 TI - Dentists in uniform. The Army Dental Corps. PMID- 6577688 TI - "30" is not too old--second careers turn to dentistry. PMID- 6577689 TI - "Professional management has risen . . . nearly everyone works in new modern clinics". PMID- 6577690 TI - Why the Army? PMID- 6577691 TI - Are you a perfectionist? PMID- 6577693 TI - [The ten years' use of electronic data processing in dental practice]. PMID- 6577692 TI - [Intraligamental anesthesia with Ligmaject]. PMID- 6577694 TI - Transfer of anti-HLA-DR antibodies from the mother to the child. Are DR antigens expressed on the placenta? AB - Materno-foetal transfer of anti-HLA-DR antibodies was studied in 7 women. In 6 cases, the antibody was induced by the current pregnancy and in one case, it was a residual antibody from a previous pregnancy. When the maternal antibody was induced by the current pregnancy, no anti-DR antibody was detected in the child. When the antibody was residual, it was weakly present in the child. A comparison was made between the materno-foetal transfer of anti-HLA-A,B,C antibodies and that of anti-DR antibodies. Anti-HLA-DR antibody placental absorption suggested that the corresponding antigens were expressed on certain placenta cells. PMID- 6577695 TI - HLA and nasopharyngeal carcinoma in North American Caucasoids. AB - In Chinese, nasopharyngeal carcinoma (NPC) has been associated with HLA alleles. Twenty-four Caucasoids with NPC were HLA typed (24 AB, 16 DR). No associations were found in comparisons with normal healthy controls. PMID- 6577696 TI - HLA-A, B and HLA-DR phenotypes in Mainland Chinese patients with diabetes mellitus. AB - HLA-A, B and DR antigens were studied in Mainland Chinese diabetes mellitus patients and controls (31 Type I DM, 50 Type II DM, 105 controls). HLA-DR3 and HLA-A9 were increased in Type I diabetics only. An increase in HLA-DR4 was noted in Type I diabetics, but the increase was not statistically significant in this small series. PMID- 6577697 TI - [Critical approach to technics for the disinfection of respirators with formaldehyde]. AB - Method of artificial respirators desinfection by Formaldehyde is studied. Formaldehyde and ammoniac quantitative analysis are performed. Air samples are taken by dry process and by wet process. Two concentrations are in ceiling values for exposure of workers and exceed irritant concentrations during chronic exposition. Particular attention should be paid to perform measurement: air samples must be taken by wet process as artificial ventilation circumstances: indeed in this case air is humidified; potential toxicity is unappreciated in this use. Complementary studies are required. PMID- 6577698 TI - Selective action of prostaglandin F2 alpha during paraquat-induced pulmonary edema in the perfused lung. AB - Lung prostaglandins (PGs) play a key role in normal pulmonary vascular regulation. We investigated PG metabolism during edema formation following paraquat-induced damage with an isolated perfused rat lung preparation. Lungs perfused with paraquat (PQ), 1 X 10(-7) M to 1 X 10(-2) M, showed significant increases in PGF2 alpha prior to detectable functional and pathological changes (increases in airway resistance, vascular resistance, and edema). No changes in PGE were observed. PGF2 alpha in perfused lungs showed a dose-related response following PQ exposure (up to 300% increase over control values). Lungs perfused with PQ and ventilated with high oxygen (95% O2-5% CO2) instead of air-5% CO2 showed a dramatic potentiation in the selective increase of PGF2 alpha, with levels reaching over 1 ng/ml (a 2600% increase over control values). The addition of exogenous PGF2 alpha to the perfusate without PQ initiated edema in a dose related fashion, indicating the potential of PGF2 alpha as a causative agent in lung edema formation from PQ injury. The addition of ibuprofen (a nonsteroidal anti-inflammatory agent) to the perfusion medium blocked endogenous release of PGF2 alpha in lungs linked to oxidant-induced edema. These data show that in the perfused lung: (1) PQ caused a selective increase of PGF2 alpha; (2) this selective increase occurred prior to the onset of edema; (3) exogenous PGF2 alpha alone induced pulmonary edema; and (4) ibuprofen, in doses which blocked PGF2 alpha, also prevented edema formation. PMID- 6577700 TI - Community dentistry - the first year course. PMID- 6577699 TI - Enzyme histo-cytochemical studies in human fetal adrenal glands. AB - Enzyme histo-cytochemical staining including alkaline phosphatase, acid phosphatase and 3 beta ol dehydrogenase in human fetal adrenal glands (13 to 20 week fetuses) was studied. Enzyme histo-chemical activity of alkaline phosphatase was mainly observed in cell membranes of the fetal cortex. The permanent cortex showed weak or negative activity. Histochemical staining of acid phosphatase was mostly observed in the cytoplasm as large globular structures near the nucleus in the fetal cortex, and intracellular localization of acid phosphatase by electron microscopic enzyme cytochemistry was mainly observed in lysosomes including dense bodies of the fetal cortex. The permanent cortex was only slightly stained for acid phosphatase. The activity of 3 beta ol dehydrogenase was predominantly observed in the cytoplasm of the fetal cortex in the 20 week fetus. Based on these findings, the significance of these enzymes in the fetal cortex is discussed. PMID- 6577701 TI - [Morphological changes in the nerve elements in fractures of the maxilla and zygomatic arch]. PMID- 6577702 TI - [Radioisotope study of the quality of crown attachment in vitro]. PMID- 6577703 TI - [Chromatographic-mass spectrometric method in the diagnosis of dental diseases]. PMID- 6577704 TI - [Evaluation of the abrasiveness of oral hygiene agents by the change in dental enamel roughness]. PMID- 6577705 TI - [Method for the mechanical and mathematical study of the forces and stresses in the mandible under physiological loading]. PMID- 6577706 TI - [Deformations of a complete upper denture studied using holographic interferometry]. PMID- 6577707 TI - [Thermophysical properties of the hard dental tissues and the calculation of dental enamel fusion by laser radiation regimens]. PMID- 6577708 TI - [Cryotherapy in chronic diseases of the oral mucosa]. PMID- 6577709 TI - [Attention status of patients with a pain syndrome in pulpitis and periodontitis]. PMID- 6577710 TI - [Important tasks in increasing the effectiveness of dental care for the population]. PMID- 6577711 TI - [Objective evaluation of the intensity of pain sensations by an evoked potentials method]. PMID- 6577713 TI - [Clinical x-ray characteristics of the maxillofacial deformities following radiation treatment of hemangiomas]. PMID- 6577712 TI - [Surgical treatment of periapical inflammatory processes and cysts]. PMID- 6577714 TI - [Characteristics of the regional metastasis of malignant tumors of the oral cavity]. PMID- 6577715 TI - [Diagnosis of malignant tumors of the maxillofacial area using thermography]. PMID- 6577717 TI - [Analysis of the surgical results in malignant tumors of the oropharynx]. PMID- 6577716 TI - [Changes in blood coagulability indices in hypertension patients during minor oral surgery]. PMID- 6577718 TI - [Effect of short-term anesthesia in dental interventions on the hemodynamic indices of patients with circulatory disorders]. PMID- 6577719 TI - [Immediate and late results of orthodontic treatment for pathological tooth abrasion]. PMID- 6577720 TI - [Determination of the tooth mobility index in the orthodontic treatment of periodontosis]. PMID- 6577721 TI - [Device for teleroentgenography of the head]. PMID- 6577722 TI - [Structure of the base of the skull in different types of bite based on teleroentgenographic data]. PMID- 6577723 TI - [Cellular and humoral immunity in children with congenital cleft palate]. PMID- 6577724 TI - [General anesthesia with ketamine in children operated on for congenital clefts of the upper lip and palate]. PMID- 6577725 TI - [Experience with preventing dental caries among the polar research workers of an Antarctic expedition]. PMID- 6577726 TI - [Immediate and late results of treating periodontosis at Belokurikha health resort]. PMID- 6577727 TI - [Late results of the combined treatment of periodontal diseases including root extraction of multirooted teeth]. PMID- 6577728 TI - [Experience with the combined treatment of chronic apical periodontitis of multirooted teeth]. PMID- 6577729 TI - [Attachment for photography of the oral cavity]. PMID- 6577730 TI - [Suppurative mediastinitis in a patient with a mandibular fracture]. PMID- 6577731 TI - [Rare case of dystopia of the 3d lower molar]. PMID- 6577732 TI - [Is there an increase in radiation exposure to the population due to diagnostic dental radiography? 2: Present status and trend analysis of the orthodontic care at the Clinic and Polyclinic of Dentistry of the Martin Luther University of Halle-Wittenberg]. PMID- 6577733 TI - [Statistical material concerning the question of individual motivation toward healthy conservation of the teeth]. PMID- 6577734 TI - [Modified oral hygiene kit]. PMID- 6577735 TI - [Initial caries therapy with amalgam]. PMID- 6577736 TI - [On the introduction of the new reporting system and care and appointment records ambulatory dentistry]. PMID- 6577737 TI - [The efficiency of the Society of Dentistry in the German Democratic Republic in integrating health policy measures with the overall policy of the 4-5 sessions of the Central Committee of the Socialist Unity Party]. PMID- 6577738 TI - [The choice of the time of extraction in odontogenic inflammatory processes - the question of extraction in the acute stage]. PMID- 6577739 TI - [Periodontal condition as related to tooth-position and occlusal anomalies as well as caries incidence and oral hygiene status in patients with cleft lip and cleft palate]. PMID- 6577740 TI - [Diagnostic possibilities of orthodontic model analysis using 3-dimensional point coordinates]. PMID- 6577741 TI - [Craniofacial growth pattern and orthodontic treatment results]. PMID- 6577742 TI - [Sagittal and vertical changes in mandibular retrognathism. A teleradiological longitudinal study of patients with functional regulators compared to a control group]. PMID- 6577743 TI - [The architecture of the facial skeleton in distocclusion and its changes after treatment with the functional regulator]. PMID- 6577744 TI - [Current perspectives in vaccine preparation]. PMID- 6577745 TI - The use of prostaglandins for regulation of the estrous cycle and as an abortifacient in cattle. PMID- 6577746 TI - Isolation, characterization, and physical mapping of temperature-sensitive mutants of vaccinia virus. AB - Thirty-nine new temperature-sensitive mutants of vaccinia virus have been isolated, expanding a previously reported collection of mutants (R. C. Condit and A. Motyczka, Virology 113, 224-241, 1981) to a total of 65. The 65 mutants have been assigned to 32 complementation groups, based primarily on a qualitative spot test described previously (Condit and Motyczka, 1981). Representatives of each complementation group have been assayed for DNA and protein synthesis at the nonpermissive temperature, revealing one new DNA-negative complementation group, three new groups which contain mutants defective in late protein synthesis, and ten new groups containing mutants which synthesize DNA and protein in a normal fashion. Marker rescue has been achieved with 29 of the 65 mutants using cloned DNA fragments from wild-type virus. These 29 mutants together represent 20 of the 32 complementation groups. A preliminary physical map of the mutants is presented. PMID- 6577747 TI - Surgical treatment of the subclavian 'steal' syndrome. PMID- 6577748 TI - On becoming involved. PMID- 6577749 TI - Value and limitations of the noninvasive laboratory: experience with over 5,000 patients. PMID- 6577750 TI - Tuberculosis after jejunoileal bypass surgery. PMID- 6577751 TI - Treatment of traumatic dental injuries by nondental personnel. PMID- 6577752 TI - [A pilot study of the etiological factors of malocclusion in schoolchildren with respect to residence types in Slovenia SR]. PMID- 6577753 TI - [Treatment of fractures of the lower jaw with stabilizing osteosynthesis]. PMID- 6577754 TI - [Radiography and dentistry]. PMID- 6577755 TI - [Periodontosis or juvenile periodontitis]. PMID- 6577756 TI - [Use of parapulpal pins for the reconstruction of teeth]. PMID- 6577757 TI - [Transdental compression screws for the stabilization of root fractures]. PMID- 6577758 TI - [Experiences in the care of patients with complete dentures]. PMID- 6577759 TI - [Importance, construction, contents and application of operational schemes in dental technical laboratories]. PMID- 6577760 TI - [After-care in the therapy of Eichner-groups B1-C1 (removable partial dentures)]. PMID- 6577761 TI - [Importance, construction, contents, and application of operational schemes in dental technical laboratories]. PMID- 6577762 TI - [Defective manufacturing of silver-palladium alloys and its impact on mechanical properties and oral stability]. PMID- 6577763 TI - [Possibilities of prostaglandin administration for induction of labor]. AB - Different methods of induction of labour by intravenous, oral, intramuscular or local application of prostaglandin are described. Initial dose and dosis schedule are shown in tables. Advantages and disadvantages of possible mode and localization of application are discussed. Very good results are shown for a new pericervical medication of a PGE2-soluble fixed on the unfavourable cervix uteri by a portio adapter. PMID- 6577764 TI - [Pseudomalignant ossifying myositis]. PMID- 6577765 TI - [A simple method for chromosomal preparations from individual hemopoietic colonies]. PMID- 6577766 TI - [Case of juvenile chronic myelogenous leukemia (J-CML): characterization of the erythropoietic precursors (BFU-E) in J-CML by the analysis of G gamma and A gamma globin chains]. PMID- 6577767 TI - [Establishment of a novel cultured cell line, P31/Fujioka, of monocytoid nature]. PMID- 6577768 TI - [Activity of fibrin stabilizing factor (FSF; factor XIII) in lymphoproliferative disorders]. PMID- 6577769 TI - [Hematological, clinical and cytochemical analysis of 200 cases of acute leukemia in adults classified according to the FAB group]. PMID- 6577771 TI - The Scandinavian Society of Anaesthesiologists: 17th congress, June 28.-July 2. 1983, Tampere, Finland. Abstracts. PMID- 6577770 TI - [Long-term survival of adult patients with acute leukemia]. PMID- 6577772 TI - Serum ferritin level in infants and children with anaemia and malignant disease. AB - Serum ferritin was determined by immunoradiometry in children aged 6 months to 3 years, immediately before leaving hospital where they had been treated for various acute, non-haematological diseases. A low value was found in 13% of them. Serum ferritin concentration is a sensitive method in differentiating between iron deficiency and infectious anaemia. A significantly higher mean value was found in children affected by malignant disease (acute lymphoid or myeloid leukaemia, various solid tumours). PMID- 6577773 TI - Symposium. Water and electrolyte balance in newborn infants. PMID- 6577774 TI - Water requirement of premature newborn infants. AB - Two groups of studies related to the water requirement of premature infants are reviewed. The first examined the effects of several environmental factors on insensible water loss (IWL) and oxygen consumption of 20 low-birth-weight infants. Incubator air temperature above the neutral zone increased IWL, as did the use of a radiant heat source instead of a conventional incubator. A plastic heat shield slightly reduced IWL of infants in incubators. The second group of studies examined the effects of excess water intake in premature infants. 170 infants were randomly assigned to receive "low" (average estimated requirement for birth weight and age) or "high" (excess) volume water intake. The high-volume group became dehydrated less often but had a greater incidence of patient ductus arteriosus and necrotizing enterocolitis. PMID- 6577775 TI - Transepidermal water loss in full-term and pre-term infants. AB - The amount of water lost from the skin and the relation of the water loss to environmental factors, activity, body temperature, gestational age, nutritional status at birth and post-natal age were studied in full-term and pre-term newborn infants. The method we used was non-invasive and based on determination of the water vapour pressure gradient immediately above the skin surface. We found that the transepidermal water loss per unit time and area (TEWL; g/m2 h) could be calculated by using values from only three measurement sites. TEWL increased with activity and when body temperature was elevated above 37.1 degrees C. On the first day after birth TEWL in appropriate for gestational age (AGA) infants was exponentially related to gestational age, with much higher values in the most pre term infants than in full-term infants. In full-term small for gestational age (SGA) infants TEWL was significantly lower than in full-term AGA infants. In pre term and full-term AGA infants and in full-term SGA infants we found an inverse linear relationship between ambient humidity and evaporation rate (ER; g/m2 h) from the skin. The level of ER and the slope of the relationship depended on the gestational age of the infant, with higher ER in the more pre-term infants. Analysis of the relationship between ambient humidity and ER indicated that there is a gradual change in the permeability of the skin with gestational age. In pre term infants TEWL gradually decreased during the first weeks of life. In full term AGA infants TEWL was almost unchanged during these first weeks. PMID- 6577776 TI - Water evaporation and heat exchange with the environment in newborn infants. AB - The amount of water evaporated from the skin of newborn infants and the temperatures of the skin, the ambient air and the surfaces facing the infants were measured and used to calculate the evaporative, radiative and convective heat exchange between the infant and the environment in infants of varying gestational ages. Immediately after birth the evaporative heat exchange was very high but it then decreased gradually. The radiative heat exchange was very high in the delivery room but lower in the incubators. In incubators the evaporative heat exchange was high in the most pre-term infants, especially when nursed at a low ambient humidity. Different modes of heat exchange were interrelated, so that when the pre-term infants had a high evaporation rate, a high ambient temperature was needed and the heat exchange through radiation and convection decreased. Net heat exchange was lowest in very pre-term infants at an ambient humidity of 60%. PMID- 6577777 TI - Dynamics of glomerular ultrafiltration in the neonate kidney. AB - In the neonate kidney the glomerular filtration rate is generally depressed both in absolute terms and when calculated per gram kidney weight. Micropuncture studies have revealed that this phenomenon is due, not to changes in the driving pressures or the hydraulic conductivity of the glomerular capillary membrane, but to a retarded glomerular blood flow. A retarded flow will thus mean a steep rise in the protein concentration in parallel to the filtration of the protein-free filtrate. The corresponding steep rise of the colloid osmotic pressure will then induce cessation of the filtration in the distal parts of the glomerular capillary. In dehydrated states this phenomenon will be even more aggravated. An extracellular volume expansion with saline induces relaxation of the two arterioles with subsequent rise in the glomerular blood flow. The rise in the colloid osmotic pressure along the capillary is then less and the filtration can proceed along the whole of the glomerulus. Accordingly the glomerular filtration rate will be increased, reaching figures typical of the mature kidney. PMID- 6577778 TI - Colloid osmotic pressure of cord blood in relation to neonatal outcome and mode of delivery. AB - Colloid osmotic pressure (COP) of umbilical cord blood was measured in 184 infants, 113 of whom were delivered vaginally and 71 by Caesarean section, 152 were born at term and 32 were preterm (gestational age less than 37 weeks). Thirteen infants developed RDS, 20 had transient tachypnoea (TT) and 13 had perinatal asphyxia. There was a significant linear correlation between COP and total protein in cord blood (r = 0.91). Such a correlation was also found between COP of cord blood and gestational age in the non-RDS group (r = 0.49). COP was higher (19.6 mmHg) in the infants delivered vaginally than in those delivered by Caesarean section (16.8 mmHg, p less than 0.001). In the RDS group COP was 13.2 mmHg, in the TT group 15.6 mmHg and in the asphyctic group 16.9 mmHg (normal 18.3 mmHg). COP appeared to be of diagnostic assistance in babies developing neonatal pulmonary maladaptation syndromes. PMID- 6577779 TI - Edema formation in the lungs and its relationship to neonatal respiratory distress. AB - Pulmonary edema is an important feature of many newborn lung diseases, including respiratory distress from severe perinatal asphyxia, heart failure, hyaline membrane disease, pneumonitis from group B beta-hemolytic streptococcus, and chronic lung disease (bronchopulmonary dysplasia). Neonatal pulmonary edema often results from increased filtration pressure in the microcirculation of the lungs. This occurs during sustained hypoxia, in left ventricular failure associated with congenital heart disease or myocardial dysfunction, following excessive intravascular infusions of blood, colloid, fat, or electrolyte solution, and in conditions that increase pulmonary blood flow. Low intravascular protein osmotic pressure from hypoproteinemia may predispose infants to pulmonary edema. Hypoproteinemia is common in infants who are born prematurely. Large intravascular infusions of protein-free fluid further decrease the concentration of protein in plasma and thereby facilitate edema formation. Lymphatic obstruction by air (pulmonary interstitial emphysema) or fibrosis (long-standing lung disease) also may contribute to the development of edema. Bacteremia, endotoxemia, and prolonged oxygen breathing injure the pulmonary microvascular endothelium and cause protein-rich fluid to accumulate in the lungs. The risk of neonatal pulmonary edema can be reduced by several therapeutic measures designed to lessen filtration pressure, increase plasma protein osmotic pressure, and prevent or reduce the severity of lung injury. PMID- 6577780 TI - Characterization of the function of mammalian folylpolyglutamate synthetase (FPGS). AB - The function and characteristics of mouse folylpolyglutamate synthetase have been examined. Folate polyglutamates were poor substrates for the efflux mechanism for monoglutamates in L1210 mouse leukemia cells, with negligible loss of preformed folate polyglutamates to the medium over four hours. Disruption of folate metabolism with methotrexate did not augment efflux of folate polyglutamates. Folylpolyglutamate synthetase, partially purified from mouse liver, was found to accept a variety of folate derivatives as substrates, including pteroic acid and methotrexate; however, the concentration of these substrates that saturated the reaction varied considerably. The enzyme that catalyzed the addition of glutamic acid to methotrexate and to the naturally-occurring folate monoglutamates appeared to be the same. The cytotoxicity of folylpolyglutamate synthetase inhibitors was predicted to require continued cell division since their effects would be based upon a decreased rate of synthesis of folate cofactors capable of retention by the cell membrane. Hence folylpolyglutamate synthetase inhibitors should have low toxicity to nonproliferative cell populations. PMID- 6577781 TI - Influence of clofibrate, bile-sequestering agents and probucol on high-density lipoprotein levels. AB - The management of lipid disorders has been greatly improved by advances in our understanding of lipoprotein metabolism. New developments in the isolation and quantitation of the lipoprotein apoproteins have shed light on their essential role in normal and abnormal lipid transport and have helped clarify the mode of action of lipid-lowering drugs. Excess lipid levels can occur because of overproduction, faulty degradation or defective removal of 1 or more lipoproteins. Clofibrate appears to decrease levels of very low density lipoproteins (VLDL) and intermediate-density lipoproteins (IDL) by enhancing their intravascular degradation. Although it often slightly decreases low-density lipoprotein (LDL) levels, it may markedly increase LDL levels in patients with initially high VLDL levels. Its effects on high-density lipoproteins (HDL) are small, often increasing HDL slightly. Bile acid sequestrants act by enhancing the rate of removal of LDL. Their effects on VLDL and IDL are slight. In some subjects there is a moderate increase in both VLDL and IDL levels. HDL concentrations are increased minimally. Probucol's mechanism of action is still unclear, but it appears to enhance LDL removal. Its effects on VLDL and IDL are minimal. Of concern is the repeated observation that probucol reduces HDL concentrations by decreasing HDL synthesis. The resultant reduction in HDL concentrations often rivals its effect in decreasing LDL levels. Knowledge of the selective effect of lipid-lowering drugs on specific lipoprotein fractions is essential for their proper therapeutic selection. PMID- 6577783 TI - High-density lipoproteins: epidemiologic profile and risks of coronary artery disease. PMID- 6577782 TI - Influence of gemfibrozil on high-density lipoproteins. AB - In animal studies, gemfibrozil markedly elevates high-density lipoprotein (HDL) cholesterol levels. In humans with primary hyperlipoproteinemia and lipoprotein phenotypes IIA, IIB and IV, gemfibrozil, 1,200 mg/day, was associated with a 25%, 20% and 17% increase in HDL cholesterol, respectively. Gemfibrozil also substantially increased the ratio of HDL to total cholesterol, reflecting both an increase in HDL cholesterol and a decrease in very low density lipoprotein cholesterol and low-density lipoprotein cholesterol. Compared with a placebo in subjects with types IIA, IIB and IV lipoprotein phenotypes, therapy with gemfibrozil led to an increase of 33%, 34% and 23%, respectively, in the ratio of HDL cholesterol to total cholesterol. With gemfibrozil therapy, about 80% of subjects with hypertriglyceridemia had a reduction in triglycerides of 35% or a return to normal levels; 50% of subjects with hypercholesterolemia had a cholesterol reduction of 20% or a return to normal levels. PMID- 6577785 TI - Leukocyte alkaline phosphatase: another organ-specific alkaline phosphatase. AB - We have used enzyme specific inhibitors and heat inactivation to distinguish Leukocyte alkaline phosphate (LAP) from other organ-specific alkaline phosphatases as well as to compare LAP from normal granulocytes and leukemic cells with elevated LAP. The heat inactivation and inhibition curves of LAP are quite different from those of other organ-specific alkaline phosphatases. The inhibition curves and heat inactivation characteristics of LAP from normal granulocytes and that obtained from chronic granulocytic leukemia (CGL) blast phase cells with elevated LAP are identical. These data suggest that LAP is distinct from other organ-specific alkaline phosphatases, particularly placental alkaline phosphatase. We also conclude that the LAP present in cells with elevated levels is very similar or identical to that of normal granulocytes. PMID- 6577784 TI - Phase II trial of 4'epi-adriamycin for advanced hypernephroma. AB - 4'Epi-adriamycin in doses of 85-110 mg/m2 I.V. Q3W was given to 20 patients with advanced bidimensionally measurable hypernephroma. Forty-five doses were administered, with 10 patients receiving 3-7 doses. Myelosuppression (WBC nadir 2600 cells/mm3, range 1000-3400) occurred in 63% and thrombocytopenia in 16% of cases. There was no objective response in 19 adequately treated cases. PMID- 6577786 TI - The probability of exclusion based on the HLA locus. PMID- 6577787 TI - Human lymphocyte polymorphisms detected by quantitative two-dimensional electrophoresis. AB - A survey of 186 soluble lymphocyte proteins for genetic polymorphism was carried out utilizing two-dimensional electrophoresis of 14C-labeled phytohemagglutinin (PHA)-stimulated human lymphocyte proteins. Nineteen of these proteins exhibited positional variation consistent with independent genetic polymorphism in a primary sample of 28 individuals. Each of these polymorphisms was characterized by quantitative gene-dosage dependence insofar as the heterozygous phenotype expressed approximately 50% of each allelic gene product as was seen in homozygotes. Patterns observed were also identical in monozygotic twins, replicate samples, and replicate gels. The three expected phenotypes (two homozygotes and a heterozygote) were observed in each of 10 of these polymorphisms while the remaining nine had one of the homozygous classes absent. The presence of the three phenotypes, the demonstration of gene-dosage dependence, and our own and previous pedigree analysis of certain of these polymorphisms supports the genetic basis of these variants. Based on this data, the frequency of polymorphic loci for man is: P = 19/186 = .102, and the average heterozygosity is .024. This estimate is approximately 1/3 to 1/2 the rate of polymorphism previously estimated for man in other studies using one-dimensional electrophoresis of isozyme loci. The newly described polymorphisms and others which should be detectable in larger protein surveys with two-dimensional electrophoresis hold promise as genetic markers of the human genome for use in gene mapping and pedigree analyses. PMID- 6577788 TI - Shared HLA antigens and reproductive performance among Hutterites. AB - Shared histocompatibility antigens between spouses may affect reproductive outcome adversely as a result of prenatal selection against compatible fetuses. Evidence from both animal and human studies suggest that histocompatible fetuses may not initiate a maternal immunologic response that prevents rejection of the embryo. Therefore, parents sharing HLA antigens may produce compatible fetuses and consequently experience a greater frequency of early fetal losses and show poorer reproductive outcome than couples not sharing antigens. In the Hutterites, an inbred human isolate that proscribes contraception, we tested the hypothesis that couples sharing HLA antigens have poorer reproductive outcomes than couples who do not. The Hutterites are characterized by high fertility and large family sizes. Couples that share zero (no. = 21), one (no. = 15), and more than one (no. = 10) HLA-A or HLA-B antigens were compared for reproductive performance. Median intervals between births were larger among couples that share more than one antigen in eight of 11 intervals examined. In addition, the median intervals from marriage to first, fifth, and tenth birth were consistently larger among couples that share more than one antigen. Differences among the groups appear to become larger with increasing parity, suggesting that the effect of histocompatibility on reproductive performance becomes more evident in later pregnancies. These differences in reproductive performance between couples that share zero, one, or more than one HLA-A or HLA-B antigens may have significant evolutionary consequences. However, our results demonstrate that sharing HLA antigens does not preclude normal pregnancy and caution should be exercised before concluding that shared HLA antigens are solely responsible for repeated fetal losses. PMID- 6577789 TI - Precedents for meaningful recovery during treatment in a medical intensive care unit. Outcome in patients with hematologic malignancy. AB - The medical records of 77 patients with hematologic malignancy who were admitted to a medical intensive care unit over a 21-month period were reviewed. The overall hospital mortality rate was 80 percent. Sixteen patients (21 percent) were discharged from the intensive care unit but eventually died in the hospital. The cause of death was the result of a new problem in only three of these 16 patients. Hypotension (shock) and acute respiratory failure were the reasons prompting admission to the intensive care unit in 75 percent, but death in the intensive care unit was almost always the result of intractable hypotension rather than refractory hypoxemia. Only four of 52 patients who required mechanical ventilation left the hospital. In all four, the duration of ventilatory support was less than five days and the cause of respiratory failure was noninfectious in nature. Factors such as congestive heart failure, leukopenia, and abnormalities in mental status modified the hospital course, but did not alter outcome once prolonged mechanical ventilation became necessary. The data suggest that once acute respiratory failure develops in patients with lymphoma or leukemia, presumably as a result of infection, and mechanical ventilation for more than a relatively brief period is required, the prognosis is uniformly grim. Decisions to limit aggressive therapies is subsets of intensive care patients such as these should be aided by data that show a lack of precedent for meaningful recovery. PMID- 6577790 TI - The effect of extraction and orthodontic treatment on dentoalveolar support. AB - Full-mouth radiographs of ninety-six patients treated by extraction of four first premolars were taken at least 10 years postextraction. Three groups were established: one with extensive crowding in the full permanent dentition treated by extraction and fixed appliance therapy; one treated by serial extraction and fixed appliance therapy; and one treated by serial extraction only. Measurements of tooth length and alveolar bone height were made from the projected radiographs, and buccolingual socket areas were measured from direct tracings of the radiographs. Comparison between groups revealed reduced mean radiographic tooth lengths for incisors and mandibular molars in the orthodontically treated groups. The incidence of root resorption was similar for both treated groups. Reduced alveolar bone heights were noted in the extraction sites of the two orthodontically treated groups but not in the group treated by serial extraction only. Most reduction in long-term dentoalveolar support occurred as a result of root resorption except in the extraction sites, where it occurred largely as a result of bone loss. Root parallelism did not appear to influence proximal bone heights at the extraction site. In malocclusions involving arch length deficiency, maximally displaced canines had reduced long-term proximal bone compared to nondisplaced canines, supporting the concept of encouraging autonomous distal eruption through serial extraction. PMID- 6577791 TI - Functional orthopedics: the "four pieces" and Class II treatment. AB - The authors describe a new functional appliance called the Chateau four pieces, which is designed for the orthopedic treatment of Class II problems during growth. The versatility of the use of the four pieces simultaneously or separately, enables the practitioner to control treatment in three dimensions. The indications and the prescription are discussed, and the results are shown. PMID- 6577792 TI - Muscle activity during function and its correlation with craniofacial morphology in a sample of subjects with Class II, Division 1 malocclusions. AB - To evaluate the relationship between craniofacial morphology and jaw muscle activity in a sample of skeletal Class II, Division 1 malocclusions, electromyographic and cephalometric analyses were undertaken in a sample of twenty adolescent children. For each subject, electromyographic activity was recorded from the left anterior temporal, masseter, and orbicularis oris muscles at rest, in maximum intercuspation, and during clenching. In addition, mandibular displacement was measured simultaneously with a kinesiograph, and twenty-seven anatomic points were digitized from a lateral head film. A computer-based system was used to sample the data and to determine correlation coefficients between selected parameters. Five significant correlations were found (at the 99 percent confidence level) for the rest position data. High anterior temporal amplitude was correlated with flat palatal planes and large ramus heights; high masseter amplitude correlated with upright maxillary incisors. Anterior positions of the mandible at rest correlated with flat occlusal planes and small pogonions. In contrast, significant correlation coefficients could not be identified for the maximum intercuspation recordings. However, low orbicularis oris muscle amplitude during clenching was correlated with high lower face height, overerupted mandibular molars, and elongated maxillary incisors. This interdependence of jaw muscle activity and craniofacial morphology in Class II, Division 1 subjects suggests a contribution from the musculature to the development of the dentition. PMID- 6577793 TI - Measurability of radiographic images. AB - Projective distortion has been recognized since the first attempts were made to measure images on x-ray films. However, the nature of this distortion has not been thoroughly investigated by the dental profession. Part of the difficulty in addressing the problem is the necessity of the researcher's having knowledge and training in nonmetric mathematical thinking. To demonstrate the nonmetric nature of projective transformation, seven precision line gauges were made of glass tubes filled with steel balls 1/8 inch in diameter and were attached to a skull at various locations. Cephalometric x-ray films of the prepared skull with gauges in place were taken to simulate lateral and other views. The image lengths of the gauges were directly measured from the x-ray films. The results showed that the image length can be longer, shorter, or the same as the object gauge and cannot be predicted, corrected, or compensated for from the images alone. Linear projective transformation measured in this study ranged from 7.32 percent elongation to 69.63 percent foreshortening. Thus, it is illogical to measure radiographic images without restrictions. The basic limitation of measuring radiographic images on x-ray film is that the parallel relation must be established between the object line (or plane) and the image line (or plane). Technical restrictions should be established as a convention by those who have had the most experience in using radiographic measurements. PMID- 6577794 TI - Analysis of craniofacial asymmetry by multiplane cephalometry. AB - A three-dimensional, multiplane cephalometric analysis is presented. This analysis permits visualization of skeletal midlines at selected depths of the craniofacial complex. When the midlines and associated anatomic structures are studied sequentially, the individual midlines may be combined conceptually into a warped midsagittal "plane." This localizes craniofacial asymmetry in the posteroanterior and basilar views. The study of structures in various coronal and transverse planes makes it possible to measure and record the three-dimensional relationships of anatomic structures to one another. A case of hemicraniofacial microsomia in which this analysis was used is presented. PMID- 6577795 TI - Unilateral craniofacial microsomia. Part I. Mandibular analysis. AB - Various attempts to describe the skeletal characteristics of unilateral craniofacial microsomia have been made with the use of cephalometric and panoramic roentgenograms. Previous studies have been only descriptive in nature. To date, a detailed (quantitative) cephalometric analysis of the mandibular deformity has not been reported. The purpose of this study was to describe the skeletal jaw deformity by means of cephalometric landmarks in the lateral view. The patient population consisted of sixteen boys and eight girls who ranged in age from 6 to 16 years. They were compared to the University of Michigan normal control population for the following measures: gonial angle, mandibular plane angle, overall oblique length of the mandible, ramal height, and body length. The affected side showed a larger gonial angle and mandibular plane angle. The oblique length of the mandible (Cd-Gn) was decreased on both sides, as were ramal height and body length. Paradoxically, body length appeared shorter on the unaffected side than on the affected side. This paradoxical observation could be attributed to a shift of the mandible in relation to the midsagittal plane of the cranial base, the film cassette, and the path of the x-ray beam. Observation of the mandible in the basilar cephalogram explained the geometry of the projection error found in the lateral view. Similar projection errors exist for patients with other types of craniofacial asymmetry. It is suggested that two radiographic views, orthogonal to each other, should be used to define the x, y, and z planes for studies of craniofacial abnormality. PMID- 6577796 TI - Roentgen stereometry with the aid of metallic implants in hemifacial microsomia. AB - Displacement of the mandible and the maxilla with growth in relationship to the frontal bone was recorded in eleven children with hemifacial microsomia, aged 3 to 14 years at the initial examination. The goals were to assess the efficiency of the method for accurate recording of articular growth and to obtain information on facial development in each of these children. Correction of the skeletal asymmetry was not attempted during observation periods of from 707 to 1,484 days. In continued observations three of the children were treated with functional appliances. Roentgen stereometry with the aid of metallic implants proved to be an efficient method for highly accurate recordings of articular facial growth in relationship to the frontal bone. Displacement of the jaws was asymmetrical in all of the examined children as determined in the frontal and transverse planes of the head. In about 50 percent of the children the degree of asymmetry increased in one plane while it decreased in the other plane. No correlation was found between the extent of the mandibular deformity, as seen on orthopantomograms, and the displacements of the mandible. Generally, the displacement of the maxillary bones corresponded with the displacement of the mandible. Articular growth of the jaws was redirected toward a more favorable pattern in two of the children during the time they used a functional appliance. In the third child the use of a functional appliance had no such effect. PMID- 6577797 TI - The curve of Spee in Stone Age man. AB - The purpose of this research was to test Spee's predictions on a sample of skulls with well-worn occlusions. Thirty-nine Shell Mound Indian skulls with marked attrition of the teeth were x-rayed in the Margolis cephalostat. Following Spee's suggested landmarks, three curves were obtained which included the condyle. A fourth curve was investigated--not using the condyle but based from three landmarks of the occlusal surface. All curves, radii, and centers were generated by a computer using the landmarks digitized from each skull's film. When only the molars and the condyle were used, the length of the radius and the location of the center came closest to Spee's predictions. In most of the sample, however, Spee's inclusion of the incisor along that arc could not be verified. Prosthodontic experiments which might give clues to finishing curves for orthodontic patients are suggested. PMID- 6577798 TI - Long-term effect of intrusive loads of varying magnitude upon the eruptive potential of rat incisors. AB - The present investigation deals with the functional recovery of the periodontium following application of intrusive loads of varying magnitudes to continuously growing rat incisors. The daily rate of eruption of these teeth served as an indicator of the functional capacity of their periodontal ligament. The left mandibular incisor was shortened to prevent occlusion in thirty experimental and ten control rats. The experimental animals were divided into three groups and constant, calibrated axial loads of 8 Gm./cm.2 (light), 15 Gm./cm.2 (medium), and 26 Gm./cm.2 (heavy) were applied to their incisors by means of closed-coil springs for a period of 2 weeks. The daily eruption rate of all teeth was measured for 80 days following removal of the springs. In all experimental animals, severe and long-lasting impairment of the eruptive potential occurred. The least impairment was seen in the group with the light loads, their eruption rate being fully restored 64 days after removal of the loads, by which time 165 percent of all dental and periodontal tissues was renewed. In the medium-load group, renewal of the tissues reached 140 percent, while a gross impediment in normal eruption rate persisted throughout the entire experimental period. The teeth subjected to heavy loads received a diminished impact of the axially directed loads due to the strong horizontal component of force; consequently, they behaved like the incisors of the light-load group. The light loads proved to cause the least impairment and were the most beneficial to functional recovery. PMID- 6577799 TI - Vertical lip height and dental height changes in relation to the reduction of overjet and overbite in Class II, Division 1 malocclusion. AB - Changes in vertical lip height in relation to dental height, overjet, and overbite of orthodontically treated Class II, Division 1 malocclusions are evaluated through cephalometric roentgenograms of twenty-two male patients. Treatment entailed extraction of the four first premolars and use of the edgewise technique. The results are statistically analyzed, and correlations between various binary combinations are subjected to the 1 percent confidence limit. On the basis of this study, it is concluded that (1) the reduction of overjet, overbite, and dental height with orthodontic treatment is statistically significant at the 1 percent level; (2) the reduction of overjet to that of overbite shows a mean ratio of 1.83 to 1. On the other hand, a reduction of 1 mm, in dental height is accompanied by an average reduction of 3.98 mm. in overjet and of 2.17 mm. in overbite; (3) there is also an insignificant increase in vertical lip height accompanied by a decrease in dental height. The relation is statistically insignificant, however. PMID- 6577800 TI - Current challenges and opportunities for orthodontics: an optimist's views. PMID- 6577801 TI - On the "V" principle of bone growth. PMID- 6577802 TI - Carbamazepine in the treatment of bulimia. AB - Of six bulimic outpatients who completed a double-blind crossover trial with carbamazepine, one patient, who had a history suggestive of bipolar disorder, responded dramatically with cessation of binge eating. This supports a possible link in some patients between bulimia and affective illness. PMID- 6577803 TI - Cancer and infant mortality around a nuclear power plant. PMID- 6577804 TI - Clinical features of central nervous system involvement in E-rosette-positive acute lymphocytic leukemia. AB - Involvement of the central nervous system (CNS) is a well-recognized complication of acute lymphocytic leukemia. We studied the patterns of such relapse in 56 children with acute lymphocytic leukemia whose disease was classified as E rosette-positive or E-rosette-negative on the basis of whether their leukemic blasts formed rosettes with sheep erythrocytes. In the E+ group, CNS relapse was more frequent, and relapse occurred at, or sooner after, diagnosis and was more frequently followed shortly thereafter by bone marrow relapse. In addition, the E+ group was more likely to present with focal neurologic syndromes with or without blasts in the cerebrospinal fluid, in contrast to the more common features of diffuse meningeal leukemia with increase in intracranial pressure. These observations suggest that the E-rosette-positive lymphoblasts are more likely to infiltrate into nerve and brain tissue rather than invade the meninges diffusely. If confirmed, these findings imply that treatment of the CNS involvement may need to be different in patients with E+ acute lymphocytic leukemia than in patients with E- acute lymphocytic leukemia. PMID- 6577805 TI - Determination of delta-aminolevulinate dehydratase activity by a specific fluorometric coupled-enzyme assay. AB - A coupled-enzyme assay for the specific and sensitive determination of delta aminolevulinate dehydratase activity has been developed. The assay specifically measured picomole quantities of the product, porphobilinogen, by its enzymatic conversion to uroporphyrinogen I and the fluorometric detection of oxidized uroporphyrin I. The coupled-enzyme assay was linear with time and protein concentration and required less than 3 h for 20 individual determinations. Under the standard assay conditions, 10 to 100 pmol of uroporphyrin I was reliably measured, representing 0.085 to 0.850 nmol/h of delta-aminolevulinate dehydratase activity per assay. In addition, the fluorometric assay was more sensitive than either the standard or the semimicro colorimetric methods. The specificity, rapidity, and sensitivity of this new fluorometric method facilitates the reliable determination of low levels of aminolevulinate dehydratase activity in small amounts of crude tissue homogenates or in cultured cells. PMID- 6577806 TI - Linkage disequilibrium between the ELA and the A blood group systems in Standardbred horses. AB - The linkage group formed by the ELA and A blood group system in horses was studied in American Standardbred horses. The distance between the ELA locus and the A blood group locus was measured as 1.61 centimorgans, observing only the haplotypes contributed by the sires. Strong linkage disequilibrium was found in pacing Standardbred horses for ELA-W1 with Aa, ELA-W5 with Ab and ELA-W10 with Ab. Linkage disequilibrium was apparent at both the population and family level. Among trotting Standardbred horses, linkage disequilibrium was found for ELA-W1 with Aa and for ELA-W10 with Ab. It was not possible to investigate linkage relationships in Thoroughbred horses because of the high frequency of Aa and low frequency of other A system markers. PMID- 6577807 TI - [Familial portuguese type amyloid polyneuropathy. Attempt at a pathogenetic interpretation]. AB - The pathogenesis of familial portuguese amyloid polyneuropathy, a form of hereditary peripheral neuropathy is at present uncertain. Our hypothesis is that there may be a genetic modification in the metabolism of the Schwann cell. Normally this cell produces myelin, however with genetic modification perhaps it could switch its production to the protein precursor for amyloid. Therefore, the abnormality would reside primarily in the nervous tissue with the amyloid deposits being secondary but contributing to the axonal degeneration. PMID- 6577809 TI - Long-term efficacy of surgical cordotomy in intractable non-malignant pain. PMID- 6577808 TI - Augmentation of surviving flap area by intraarterial vasodilators administered through implantable pumps. AB - Using the implantable Infusaid Model 300 pump, several vasodilators (prostaglandin E1, isoxsuprine, bradykinin, trimethaphan, and reserpine) were infused intraarterially into an abdominal island flap in the rabbit. All produced a large increase in flap surviving area over saline controls at forty-eight hours, measuring as high as a 2.8-fold increase in random portions of the flap with prostaglandin E1. The agents possessed differing modes of action but had the common property of vasodilatation. The results raise questions concerning the possible physiological role of endogenous prostaglandins in the surgical delay phenomenon. The Infusaid pump was a valuable tool in the study and was well tolerated by the animals. PMID- 6577810 TI - Serogenetic studies on the Daga of the interior of the mainland of Milne Bay Province, Papua New Guinea. AB - The Daga people of Milne Bay, the easternmost Province of Papua New Guinea, occupy an upland area but do extend to the coast. Linguistically they are Papuan and, unlike their Austronesian-speaking neighbours, they appear originally to have been an exclusively inland people. They have been in contact with missionaries and miners since the turn of the century, and genetic evidence of Caucasoid gene flow may be present in the finding of several lactose absorbers (reported elsewhere). They are the first non-Australian population in whom the second carbonic locus allele CA4II has been detected, which may indicate either recent gene flow from Australian aborigine or lend additional support to the suggestion that there was Australian contact with Papua before the coming of the Europeans. For the rest, their gene-marker profile is fairly typical of a non highland population of New Guinea, though the low frequency of hereditary ovalocytosis tends to confirm their inland origins. PMID- 6577811 TI - A general model for disease-marker association. AB - A general model for analysing disease-marker associations from a random sample of patients and controls is given, assuming an arbitrary number of marker and disease susceptibility alleles. A method for testing the goodness-of-fit of various disease susceptibility models to the observed distribution of genotypes at the marker locus in patient and control samples is given. The method is demonstrated using a recently published data set on type I diabetes. PMID- 6577812 TI - [Development of antineoplastic prostaglandins]. AB - Prostaglandins (PGs) are bioregulatory substances and are widely distributed in a variety of tissues. Numerous facts have been described in relation to cancer biology with PGs. The purpose of our study lies in the creation of anti-tumor PGs. We have described that PGD2 has strong cell growth inhibitory activity; furthermore, we discovered that PGJ2, 9-deoxy-delta 9-PGD2, has 3 times stronger activity than the mother compound, PGD2. In vivo experiments showed that only PGA2 and PGJ2 exert antitumor activity. Thus, cyclopentenone ring structure in PG seems to be an essential moiety for cytotoxicity of PG. On the basis of the above facts, we propose tha name of antineoplastic PGs for PGA and PGJ derivatives which have cyclopentenone ring. Recently, we developed several antineoplastic PGs which showed IC50 value less than 0.3 microgram/ml against L1210 leukemia cells, and these compounds also showed antitumor activity against Ehrlich ascites tumor in vivo comparable to that of cyclophosphamide. The action mechanism seems to be in its alkylation activity of the cyclopentenone structure and not in receptor cAMP route. Spectrum of anti-tumor activity and its toxicity in vivo are now under investigation. In this brief review, mainly our recent approaches in this field are discussed. PMID- 6577813 TI - [Study on postoperative local chemotherapy of malignant brain tumors using ACNU and PSK]. AB - There have been many attempts to treat patients with malignant brain tumors represented by glioblastomas using nitrosourea (NU) derivatives such as BCNU and CCNU but the clinical results are not so remarkable compared with previous reports concerning experimental studies. The reason for an efficacy of NU derivatives in brain tumors is considered to be its higher lipid solubility which makes the drug crossing the BBB easily. On the other hand, there is some evidence that higher lipid solubility did not guarantee NU to reach always to all portions of solid tumor after systemic administration. We have performed a chemotherapy of malignant brain tumors using ACNU for five years. This drug is not only lipid but also water-soluble in some grade; therefore, the drug is administrated intravascularly and locally with ease. Nine cases of malignant gliomas were treated with local chemotherapy employing ACNU and two cases of glioblastomas are surviving now over five years and about four years, respectively. From the anatomical standpoint of view, it is considered to be necessary for local chemotherapy of brain tumors to possess some pathognomonic characters such as cyst formations, central necrosis and localized cortico-meningeal adhesions, which are rather frequently found in malignant gliomas and are suspected also easily by CT examination preoperatively. A local chemotherapy in the present study has been performed using 10 to 50 mg of ACNU through an indwelling catheter inserted during operation. No general toxicity occurred in all patients except one, who experienced purulent meningitis after long-term drainage. In our study on concentration of ACNU, intracarotid injection resulted in higher concentration in brain tumor tissue than intravenous injection, but these concentration considered to be not high enough to suppress the tumor cell growth. On the other hand, the intracavitary concentration of ACNU at 24 hr after drug administration was high enough to suppress the tumor cell growth. PMID- 6577814 TI - [Effect of ACNU, a water-soluble nitrosourea derivative, on survival and cell progression of cultured HeLa S3 cells]. AB - Effects of a water-soluble nitrosourea derivative, 1-(4-amino-2-methylpyrimidin-5 yl) methyl-3-(2-chloroethyl)-3-nitrosourea hydrochloride [ACNU]. on survival and cell progression of HaLe S3 cells was investigated. The survival of exponentially growing cells exposed to increasing concentrations of the drug was characterized by a threshold-type survival curve (D0 = 7.0 micrograms/ml X 1 hr, Dq = 3.5 micrograms/ml X 1 hr). ACNU exerted its main killing effect on cells in G1 and G2 + M phases, whereas cells in S phase were resistant to the drug. Changes in survival response as a function of cell cycle were mainly dependent upon the extent of the exponential slope of the survival curve. Cell progression effects were examined by using a low concentration of ACNU in which 80% of treated cells could survive. Cells in G1 and early S phases at the time of treatment were not prevented from entering S phase but prolonged in duration of S phase followed by a marked delay in progression through G2 phase. However, such a delay in cell progression time was reduced in cells treated in mid S phase as compared with G1 and early S phases. Cells treated in late S and G2 phases could normally progress into mitosis. PMID- 6577815 TI - [Augmentation of the cytostatic activity of granulocytes by biological response modifiers (BRM)]. AB - The effects of various biological response modifiers (BRM) such as Nocardia rubra cell wall skeleton (N-CWS), OK-432, muramyl dipeptide (MDP), Staphylococcal protein A, interferon, lymphokine on the cytostatic activity of granulocytes against cultured tumor cells were examined. The cytostatic activity of untreated granulocytes from 10 normal healthy volunteers ranged from 14% to 30%. Lymphokine obtained from the supernatant of lymphocytes cultured with Con A-Sepharose directly suppressed the DNA synthesis of K 562 cells in high concentration, however, other BRM showed no direct cytostatic activity. The cytostatic activity of granulocytes was augmented by low concentrations (2.5 micrograms/ml) of N-CWS, OK-432 and protein A as well as by high concentration (25 micrograms/ml) of MDP. However, the cytostatic activity was not influenced by alpha-interferon. The meanings and mechanisms of the elevation in cytostatic activity of granulocytes by BRM were discussed with regards to the clinical immunotherapy. PMID- 6577816 TI - [Effect of ACNU, a water-soluble nitrosourea, on cell cycle of cultured glioma cells--flow cytometric analysis]. AB - Cytotoxic and cytokinetic effects of 1-(4-amino-2-methyl-5-pyrimidinyl) methyl-3 (2-chloroethyl) 3-nitrosourea hydrochloride (ACNU) on cultured rat and human glioma cells (C-6 and KC) were studied in vitro. Exponentially growing culture cells were exposed to ACNU at the final concentrations of 5 micrograms/ml, 20 micrograms/ml, and 80 micrograms/ml, respectively. The cytotoxic effect was evaluated by inhibition of cell growth and the cytokinetic effect was analyzed by DNA histogram using a flow cytometer. Inhibition of cell growth was dose dependent in ACNU and C-6 cells were more resistant than KC cells. The growth of C-6 and KC cells were not inhibited at all by low concentrations of ACNU (5 micrograms/ml, 20 micrograms/ml), however, at these concentrations a marked accumulation of treated cells in S and G2+ M phases was evident. The accumulation in S and G2+M phases was dose-dependent and it was more prominent in KC than C-6 cells. ACNU-treated cells accumulated initially in S phase and then in G2+M phase. After maximum accumulation in G2+M phase, the cells seemed to be released into G1 or G0 phase. These results indicate that the cytokinetic effect of ACNU (5 micrograms/ml, 20 micrograms/ml) is more conspicuous than the cytotoxic effect on C-6 and KC cells. PMID- 6577817 TI - Effects of indomethacin, aspirin and related compounds on the transgastric potential difference in cats. AB - Indomethacin was effective orally (intragastrically) and intravenously at 5 mg/kg in producing decreases in the transgastric electrical potential difference of anesthetized cats. The onset of action was, however, delayed as compared with direct irritants administered intragastrically such as salicylic acid. Aspirin administered intragastrically at 50 mg/kg caused a biphasic effect, an initial rapid drop followed by partial recovery after washout and then a subsequent slow decline similar to that observed after intravenous administration of the same dose. The effects of intragastric indomethacin were prevented by the concomitant topical administration of prostaglandin E2 while those of aspirin were only attenuated. The results are consistent with a prostaglandin mechanism (depletion) for the gastric mucosal effects of indomethacin. Aspirin, on the other hand, may have a direct irritant effect on the gastric mucosa as well as acting as an inhibitor of prostaglandin synthetase (cyclooxygenase). PMID- 6577818 TI - The role of immunotherapy in acute myelogenous leukemia. AB - The use of immunotherapy for acute myelogenous leukemia (AML) is controversial. Twenty-four trials have been reported in which 1,491 patients with AML received various forms of immunotherapy, including BCG, methanol extract residue (MER) of BCG, or Corynebacterium parvum. Some patients were immunized with allogeneic or autologous leukemia blast cells. In only four of the 24 trials was a significant prolongation of remission reported. Pooled data from all 24 studies were analyzed further. No statistically significant difference in duration of remission between patients who received maintenance chemotherapy alone and those who received maintenance chemotherapy plus immunotherapy was found. A significant survival advantage for those patients who received BCG and chemotherapy for maintenance therapy was detected. A beneficial biologic effect for the patients treated with BCG is suggested but this was not a disease-free survival advantage, and had no impact on cure of patients with AML. Immunotherapy, as currently conceived, seems to have no substantial benefit for patients with AML receiving optimal chemotherapy. PMID- 6577819 TI - Hypothalamic astrocytoma. Syndrome of hyperphagia, obesity, and disturbances of behavior and endocrine and autonomic function. AB - A 26-year-old woman had hyperphagia, obesity, aggressive behavior, visual hallucinations, reversal of wake-sleep patterns, hypothermia, hypothyroidism, and amenorrhea. She died of pancreatitis, probably secondary to hypothermia. Autopsy revealed a low-grade astrocytoma in the third ventricle and medial anterior and mid hypothalamus, primarily on the right. Although she exhibited thyroid and ovarian hypofunction, the patient had intact median eminence and pituitary function, suggesting end-organ failure, possibly of an autoimmune nature. PMID- 6577820 TI - Nutritional knowledge of dental students. PMID- 6577821 TI - A rare earth screen-film system for dental panoramic radiography. PMID- 6577822 TI - Elective subjects in the dental curriculum. Perceptions by graduates in relation to dental practice and continuing education. PMID- 6577823 TI - Conservative treatment of the stained dentition: vital bleaching. PMID- 6577824 TI - Conservative dentistry for children under general anaesthesia in the dental surgery. PMID- 6577825 TI - Dental anaesthetic emergency caused by medical gas pipeline installation error. PMID- 6577826 TI - Cure of resin based restorative materials. I. Self cure resins. PMID- 6577827 TI - Salivary inflammatory exocrinopathy: diagnosis and treatment. PMID- 6577828 TI - Adolescent dental care and the South Australian school dental programme. PMID- 6577829 TI - Speech assessment in dentistry. PMID- 6577830 TI - Alcohol abuse. PMID- 6577831 TI - Polycythemia vera and glomerulonephritis. AB - Six patients with polycythemia vera and proteinuria are described. Three patients had histologically defined glomerulonephritis. It is proposed that there is an association between polycythemia vera and the development of glomerulonephritis. Possible pathogenetic mechanisms are discussed. PMID- 6577832 TI - Mantel irradiation for stage I and stage II Hodgkin's disease--results of a 10 year experience. AB - One hundred and thirty patients with Stage I and II supradiaphragmatic Hodgkin's disease treated with mantle irradiation alone at the Peter MacCallum Hospital, Melbourne between 1968-1977 were analysed retrospectively. The median followup was 7.4 years with a minimum of three years. There were 64 clinically staged (CS) and 66 pathologically staged (PS) patients. The major difference between the two groups was the transdiaphragmatic relapse which occurred in 33% of CS patients, and 7.5% in PS patients. The actuarial five year relapse free survival (RFS) was 48% for CS patients and 67% for PS patients, but the five year overall survival was 90% for both groups, reflecting the impact of salvage treatment. Avid attention must be given to radiotherapy techniques to minimise local treatment failures. High grade nodular sclerosis Hodgkin's disease is associated with poor RFS even after adjustment has been made for stage and constitutional symptoms (p less than 0.003). Further studies will be made on this group of patients who may benefit from combined modality treatment. For PS I and II patients mantle irradiation gives a five year RFS of 67%, thus offering potential for cure in these patients. PMID- 6577833 TI - Dermal necrosis and chromosome Iq abnormality in a man with a familial myeloproliferative disorder. AB - A 33 year old man, with pre-existing psoriasis and a family history of multiple occurrence of acute myeloid leukemia and other myeloproliferative disorders, developed steroid-responsive ulcerating skin lesions, pancytopenia, marrow hypoplasia, hyperglobulinemia and polyarthritis. An abnormal karyotype (47,XY + i(1q] was detected in the bone marrow, and comparison with a case previously reported by Lee et al. Suggested that this abnormality may be significant. His sister, who developed chronic leucocytoclastic vasculitis, had pre-existing psoriasis, variable mild leucopenia and marrow dysplasia. Review of available records of other affected family members documented the occurrence of steroid responsive pancytopenia, knee swelling and terminal lipoid pneumonia in a first cousin. Four other relatives died with acute myeloblastic leukemia and another died with myelofibrosis. Two healthy first degree relatives were subjected to laboratory investigations with essentially negative findings. PMID- 6577834 TI - The changing prevalence and pattern of acute rheumatic fever and rheumatic heart disease in Hong Kong--(1968-1978). AB - The occurrence and pattern of rheumatic fever and rheumatic heart disease in Hong Kong in the years 1968 to 1978 were surveyed. The incidence of rheumatic fever in hospitals had decreased by four-fifths in the past 10 years. Rheumatic fever nowadays still predominantly affects children and younger adults, but middle-aged patients may also be affected. There are a slight female dominance (1.3 to 1) and a relative predominance of patients from urban areas. A less severe form of manifestation in adult patients is encountered nowadays. Carditis was the dominant feature in 1968, but joint involvement was more common in recent years. Rheumatic nodules, chorea or erythema marginatum remained uncommon throughout the years. Only 49% of cases satisfied the revised Jones criteria (1965). In comparison, chronic rheumatic heart disease still remained prevalent, with a slower trend of decreasing prevalence. It accounted for (36 to 50%) of total cardiac admissions. The mitral valve was involved in (82.7 to 91.7%), aortic valve in (15.5 to 36.3%), while involvement of tricuspid or pulmonary valve was relatively uncommon. The socio-economic implication of this changing trend was analysed, and the problem encountered in diagnosing rheumatic fever discussed. PMID- 6577835 TI - Multiple myeloma with renal failure. A case for intensive treatment. AB - A series of nine consecutive patients with multiple myeloma and renal failure is presented. All patients were treated with urinary alkalinisation with sodium bicarbonate and/or acetazolamide, diuresis with saline, mannitol and/or furosemide, pulse melphalan and prednisone and, where indicated, allopurinol and aluminium hydroxide. A substantial and sustained improvement in renal function has been achieved in all nine patients. Of five patients with a urea more than 25 mmol/L at presentation, the median survival to date is 64 weeks. Of these patients only one has died --not from renal failure but pneumonia, eighteen months after presentation. The others are alive and well. The results confirm the effectiveness of these measures in both improving renal function and prolonging survival, and suggest a more optimistic prognosis for patients with multiple myeloma and renal failure. PMID- 6577836 TI - Spontaneous dissection of the internal carotid artery. AB - Spontaneous dissection of the internal carotid artery has been considered a relatively rare cause of carotid artery occlusion. It is postulated this condition may not be uncommon and that some cases are not recognised. The condition is characterised by typical clinical and radiological features which should suggest the diagnosis. Despite these suggestive features it appears that recognition of this condition is not widespread and the diagnosis may not be made. Three cases of spontaneous dissection are reported. The clinical and radiological features will be emphasised and pathogenesis and treatment discussed. PMID- 6577837 TI - Asymptomatic colonic carcinoma revealed by investigation of Streptococcus bovis bacteremia. AB - A case of bacteremia in a patient with a prosthetic aortic valve is reported. The identification of streptococcus bovis as the causative organism and its known association with gastrointestinal disease led to investigations which revealed carcinoma of the sigmoid colon in an asymptomatic patient. The association of colonic lesions with S. bovis bacteremia is briefly reviewed. PMID- 6577838 TI - Fatal lactic acidosis in lymphoma--a report of two cases. PMID- 6577839 TI - Stevens-Johnson syndrome: was it cimetidine? PMID- 6577840 TI - Hypertension: the realities. PMID- 6577841 TI - Hepatic resection. AB - In the four years between the beginning of 1979 and the end of 1982, 23 hepatic resections have been carried out for tumours, trauma, biliary access, cystic disease of the liver and spontaneous rupture. There have been four deaths amongst these 23 patients. The 23 resections were performed on 68 patients referred for possible surgery on their hepatic lesions. Right-sided hepatic resections and resections carried out under emergency circumstances were found to carry a significantly higher risk than all other resections. Of the various organ imaging methods available for assessment of hepatic tumours, CT scanning seems to be the most powerful. Liver surgery is probably best done in a limited number of units prepared to implement appropriate protocols of investigation and surgical management. PMID- 6577842 TI - Fine needle cytology of thyroid. AB - Fine needle aspiration cytology (FNAC) of thyroid nodules is a useful diagnostic technique. The cases of 107 patients with pathological changes in the thyroid are reviewed. Nine carcinomata were found--seven of which showed abnormal cytology. There was one false negative but no false positive result. The role of FNAC in pre-operative evaluation of thyroid nodules is discussed. PMID- 6577843 TI - Prophylaxis of venous thrombosis after major thoracic surgery. AB - The high incidence (50-60%) of deep venous thrombosis of the legs (DVT) after major thoracic surgery is reduced only by about half with routine low-dose heparin prophylaxis. The present study compared the efficacy of a higher dose of heparin (7500 U twice daily) with the commonly used dose of 5000 U twice daily in preventing scan-detected DVT in 100 consecutive patients having thoracotomy for carcinoma of the lung or oesophagus. After the higher dose of heparin, postoperative DVT was not significantly less frequent (22% compared with 33% for total DVT) but was significantly less extensive (8% and 14%, respectively, for bilateral calf DVT, and 0% and 4% for popliteal DVT). Despite prophylaxis, DVT was especially common after oesophagogastrectomy (41% total DVT, 30% extensive DVT). No excessive postoperative bleeding was noted in either group. It is concluded that an increased dose of heparin safely offers increased prophylaxis against DVT in patients undergoing major thoracic surgery for cancer. PMID- 6577844 TI - Tracheobronchial and oesophageal ruptures caused by blunt injury. AB - During the period 1968-1982, six patients with tracheobronchial ruptures following chest injury were treated in the Royal Newcastle Hospital Intensive Care Unit. In one there was associated oesophageal rupture. The management of these patients is described and recommendations regarding management are made. PMID- 6577845 TI - Meso-atrial shunt in the surgical treatment of Budd-Chiari syndrome. AB - Three patients with idiopathic Budd-Chiari syndrome with occlusion of the hepatic veins and significant obstruction of the hepatic segment of the inferior vena cava are presented. The inferior vena caval obstruction precluded the use of conventional side-to-side portacaval or mesocaval shunts. Dramatic regression in liver size and resolution of ascites occurred in all three patients following the construction of meso-atrial shunts using wide-lumen woven Dacron grafts. Shunt patency was confirmed by angiography in two patients and Doppler studies in one. One patient died five months after surgery and another after 16 months. The shunts were widely patent at autopsy and the full length of the grafts were lined by neo-intima. The third patient is asymptomatic 20 months after surgery and is free of ascites. Our experience in these three cases suggests that patency can be expected in long synthetic grafts between the portal and systemic venous system provided the shunt is of adequate diameter and there is a pressure gradient between the two ends. PMID- 6577846 TI - True aneurysm formation in femoropopliteal autogenous vein bypass grafts: two cases. AB - This paper describes two cases of true atheromatous aneurysm formation within reversed autogenous saphenous vein used for femoropopliteal bypass graft. We note the rarity of this complication and review the literature for true aneurysm formation within vein grafts used for this and other bypass procedures. PMID- 6577847 TI - Patient well-being after gastric bypass surgery for morbid obesity. AB - The physical and psychosocial consequences of gastric bypass surgery were observed in 30 morbidly obese patients. Twenty-seven of these patients were satisfied with the results of surgery. Satisfaction was associated with improved health, a better self-image, and greater social activity. Dissatisfaction occurred when an appreciable amount of weight was not lost, or when the patient's expectations about the results of surgery were unrealistic. PMID- 6577848 TI - Familial occurrence in carcinoid tumours. AB - Two family groups with familial carcinoid tumours with metastases are presented. These are the fourth and fifth family groups to be reported which do not occur within the setting of the multiple endocrine neoplasia (MEN) syndrome. Relatives of patients with carcinoid tumours having persistent vague abdominal pain or gastrointestinal symptoms should be investigated. PMID- 6577849 TI - Synchronous carcinomas of the large intestine. AB - Sixty-one (3.0%) of 2029 patients managed operatively for carcinoma of the large intestine had synchronous carcinomas. In 47 (77.0%) of the 61 patients the carcinomas were in the same or adjacent segment(s) of large intestine. Adenomatous polyps were present in 18 (30%) patients compared to 269 (14%) of 1968 patients with a single cancer. A curative resection was performed in 40 of 61 patients, palliative resection in 16 and a non-resection palliative operation in five. Two patients required proctocolectomy and eight subtotal colectomy with ileorectal anastomosis. Cancer specific survival for the entire group and for those treated by curative resection did not differ significantly from that of patients with a single carcinoma. It is concluded that: (1) the presence of a second carcinoma does not significantly alter the survival prospects; (2) both pre-operative large intestinal examination and careful operative palpation of the entire large intestine should be performed, and (3) the significantly higher incidence of adenomatous polyps in patients with synchronous carcinomas is consistent with the polyp/cancer sequence hypothesis. PMID- 6577850 TI - Localization of osteomyelitis with 99mtechnetium sulphur colloid. AB - Thirty-two patients with fractures of the limbs were studied 15-30 min following 99mtechnetium sulphur colloid injection. In 17 of the 19 patients where osteomyelitis was superimposed on the various fractures, significant uptake of sulphur colloid was noted at the fracture sites. The sensitivity for the test was 89.5%. In 12 of the 13 cases where osteomyelitis was absent, the sulphur colloid scan was negative giving a specificity of 92.3%. Hence a technetium sulphur colloid scan has shown to be a successful method for detecting osteomyelitis complicating a limb fracture. PMID- 6577851 TI - Demonstration of functioning heterotopic splenic autografts by scintigraphy. AB - The use of heterotopic splenic autografts is demonstrated as a means of preserving functioning splenic tissue in 15 patients undergoing splenectomy for trauma. In all patients, functioning splenic autografts could be shown by scintigraphy, using 99mTc-labelled erythrocytes or 99mTc-labelled sulphur colloid, performed 12 weeks after implantation. PMID- 6577852 TI - Obturator hernia. AB - Four cases of strangulated obturator hernia are presented with a brief review of the literature up to 1980. All four patients were emaciated women over 50 years old and in all instances the hernia was on the left side. None of the cases was diagnosed preoperatively and all had Howship-Romberg's sign absent. A diagnosis of strangulated obturator hernia should always be considered in any elderly, thin female with clinical features of intestinal obstruction and without any history of previous abdominal operations. Three of the patients died due to delayed presentation, delayed operative interference and rupture of the gangrenous loop leading to septicaemia. PMID- 6577853 TI - Ruptured abdominal aortic aneurysm: a complication of Salmonella bovis morbificans infection. AB - A clinical report is presented of a patient who developed Salmonella bovis morbificans infection and ruptured an abdominal aortic aneurysm as a complication. The management is discussed and treatment suggested. PMID- 6577854 TI - Aortic aneurysm, giant-cell aortitis and polymyalgia rheumatica: report of a surgical case. AB - A 62 year old male presented with polymyalgia rheumatica and an abdominal aortic aneurysm. The aneurysm was resected and histological examination disclosed necrotizing giant-cell arteritis. This association seems to be unique. PMID- 6577855 TI - Acute perforation of small intestine due to tuberculosis. AB - Twenty-two patients with acute perforations of the small intestine due to tuberculosis were operated upon at Irwin Hospital, New Delhi between 1971 and 1976. Most of them (85.36%) presented with features of peritonitis. Radiologically, evidence of pneumoperitoneum was found in six patients. Fourteen patients had a solitary perforation while multiple perforations were found in eight cases. Sixteen patients had an associated stricture immediately distal to the perforation. Management of these patients included resection anastomosis (12), closure of perforation with bypass (seven), and simple repair of perforation in three cases. The overall mortality was 45.45%. Mortality was significantly higher (P less than 0.05) in patients with multiple perforations and in those who had multiple strictures. The high mortality and difficulty of correct pre-operative diagnosis have been stressed. PMID- 6577856 TI - The acquisition of taste aversions in humans with eating and drinking disorders. PMID- 6577857 TI - Uptake kinetics and intracellular distribution of anthracyclines studied by laser cytofluorometry. AB - The detection of low amounts of anthracyclines in single cells was attained with a microscope-photometer by employing an argon laser as a fluorescence excitation source. The time course of drug uptake was followed by incubating the cells under the microscope and measuring the increase of fluorescence intensity from the beginning of the drug penetration. An intracellular distribution map of the drug fluorescence was obtained by scanning measurements, through which the more specific sites of binding were visualized. This means of detection is compared with two of the most commonly employed biochemical techniques. PMID- 6577858 TI - Initial-velocity kinetics of succinoyl-coenzyme A-3-oxo acid coenzyme A transferase from sheep kidney. AB - The initial-velocity kinetics of sheep kidney CoA-transferase are consistent with a Ping Pong mechanism. A KAcAc-CoA of 2.7 X 10(-5) M, KSucc-CoA of 1.6 X 10(-4) M, KSucc of 5.6 X 10(-3) M and KAcAc of 6.7 X 10(-5) M were determined by using a direct assay system that monitors the concentration of magnesium acetoacetyl-CoA enolate. However, product-inhibition kinetics of sheep kidney CoA-transferase are inconsistent with a Ping Pong mechanism. The possible involvement of separate binding sites for succinate and acetoacetate are discussed. PMID- 6577859 TI - Lectin-binding components of normal granulocytes and leukaemic myeloid cells. AB - A panel of lectins was used to analyse glycoproteins of normal granulocytes and leukaemic myeloid cells. The glycoproteins of detergent-solubilized whole cells were separated by sodium dodecyl sulphate/polyacrylamide-gel electrophoresis and their lectin-binding properties determined by incubation of the fixed gels with radioiodinated lectins. Normal granulocytes and leukaemic myeloid cells in different stages of maturation possess a cell-surface sialic acid-rich glycoprotein of apparent mol.wt. 115 000 (GP115), that can be labelled by both the lactoperoxidase and periodate/NaB3H4 cell-surface labelling techniques. The sialoglycoprotein of leukaemic myeloblasts has a slightly lower apparent mol.wt., 112000 (GP112). After neuraminidase treatment before cell solubilization, both GP115 and GP112 bind the lectins from Arachis hypogaea (peanut) and Helix pomatia (snail) and have an increased apparent molecular weight of 125000. Two concanavalin A-binding glycoproteins of apparent mol.wts. 98000 and 90000 are present in leukaemic myeloblasts. Concanavalin A binding to these glycoproteins is decreased in more mature leukaemic cells and absent in granulocytes. As concanavalin A binding decreases in the maturer forms, there is a concomitant increase in the binding of Ricinus communis (castor bean) and Maclura aurantiaca (osage orange) lectins to these glycoproteins. Whole granulocytes, but not leukaemic myeloblasts, contain a major cell-surface concanavalin A binding glycoprotein of apparent mol.wt. 130000, which is labelled by the periodate/NaB3H4 technique. Concanavalin A binding to this glycoprotein increases as the morphology of leukaemic cells approaches that of mature granulocytes. PMID- 6577860 TI - A critical intracellular concentration of fully reduced non-methylated folate polyglutamates prevents macrocytosis and diminished growth rate of human cell line K562 in culture. AB - Growth rate of human leukaemic cell line K562 was independent of intracellular folate concentration when this was greater than 1.5 microM. When intracellular folate concentration was less than 1.5 microM, the rate of growth was proportional to the logarithm of intracellular concentration of non-methylated fully reduced folates, but not to the logarithm of the intracellular concentration of N5-methyltetrahydropteroylglutamate. Intracellular folate concentration sufficient to support an optimal growth rate was maintained by either DL-N5-formyltetrahydropteroylglutamate or DL-N5 methyltetrahydropteroylglutamate at a 100-fold lower concentration than pteroylglutamate. Addition of hypoxanthine to culture medium partially restored growth of folate-depleted cells: thymidine had no effect on growth rate either alone or in combination with thymidine. Folate-depleted cells with diminished growth rate were larger than replete cells, but did not have megaloblastic morphology. The mitotic index was not decreased in cultures with diminished growth rate. The rate of growth and cell size of K562 cells is thus dependent on a critical intracellular concentration of non-methylated tetrahydrofolates, which may be maintained by different concentrations of either reduced folates or pteroylglutamate. PMID- 6577861 TI - Alteration of plasma membrane of drug-resistant tumor cells: 230-kilodalton protein identified by monoclonal antibody. AB - A number of hybridomas producing antibodies to plasma membrane of an aclarubicin resistant subline of L5178Y cells were obtained. Among the hybridoma antibodies, one was found by agglutination tests to react with the aclarubicin-resistant cell line, but not significantly with the parental and adriamycin-, bleomycin- and macromomycin-resistant cell lines. The monoclonal antibody was designated SC438, and showed complement-dependent cytolytic activity more markedly against the aclarubicin-resistant cells than against the parental cells. Fluorographs of [14C] leucine-labeled aclarubicin-resistant cells demonstrated two protein bands of 230k and 20k daltons, which were precipitated by the SC438 antibody. The former seemed to be specific for the aclarubicin-resistant cells. PMID- 6577862 TI - Novel derivatives of 9-beta-D-arabinofuranosylpurines that are cytotoxic to variants of human leukemia lymphoblast cells resistant to both 1-beta-D arabinofuranosylcytosine and 9-beta-D-arabinofuranosyladenine. PMID- 6577863 TI - Clinico-epidemiological features of 102 consecutive cases of ulcerative colitis in Puerto Rico. PMID- 6577864 TI - [Treating the depressed patient with drugs]. PMID- 6577865 TI - [Pathology review. Papillary carcinoma of the thyroid]. PMID- 6577866 TI - Sonography quiz. Transitional cell carcinoma. PMID- 6577867 TI - Electrocardiogram of the month. PMID- 6577868 TI - Inferior myocardial infarction concealed by a complete left bundle branch block. PMID- 6577869 TI - [Use of contraceptive drugs in cardiac patients]. PMID- 6577870 TI - [Kaposi's sarcoma]. PMID- 6577871 TI - The prognostic value of staging laparatomy for Hodgkin's disease: experience at the University District Hospital of the University of Puerto Rico. PMID- 6577872 TI - Intravenous vs. intramuscular magnesium sulfate for preeclampsia. PMID- 6577873 TI - Coronary and valvular heart disease: gated cardiac blood pool study. PMID- 6577874 TI - Aspiration pneumonia: pathophysiology and treatment. PMID- 6577875 TI - Pharmacokinetics of hydralazine and the first pass effect. PMID- 6577876 TI - Idiopathic benign recurrent cholestasis in second cousins. PMID- 6577877 TI - [Use of psychoactive drugs by the primary care physician. General principles]. PMID- 6577878 TI - Day case dental anaesthesia. Evaluation of three methods of anaesthesia. PMID- 6577879 TI - The reduction of x-ray exposure in dental practice using rare-earth screen--fast film combinations. PMID- 6577880 TI - Conservative dentistry with a caries detector and a chemically adhesive composite. A longitudinal study of a new system. PMID- 6577881 TI - Putting good nutrition into practice. PMID- 6577882 TI - Focus on hygienists. PMID- 6577883 TI - An enigmatic wisdom tooth. PMID- 6577885 TI - Endodontic treatment. PMID- 6577884 TI - Caries experience i 11-year-old school girls between 1962 and 1981. PMID- 6577886 TI - Reasons for leaving dentistry: a pilot study. PMID- 6577887 TI - Decline in teenage oral hygiene. PMID- 6577888 TI - Diet and the fall in caries prevalence. PMID- 6577889 TI - The hazards of dental local anesthetics. PMID- 6577890 TI - Independent hygienists. PMID- 6577891 TI - The etiology and psychology of dental fear. PMID- 6577892 TI - Prosthetic treatment of a cleft palate. PMID- 6577893 TI - Facial form of patients with cleft lip and palate. The long-term influence of presurgical oral orthopaedics. PMID- 6577894 TI - Contact dermatitis reaction to a metal buckle on a cervical headgear. PMID- 6577895 TI - The 1983 Annual Session of the American Association of Dental Schools. PMID- 6577896 TI - The development of dental education in the Kingdom of Saudi Arabia. PMID- 6577898 TI - Strathclyde fluoridation verdict. PMID- 6577897 TI - Variation among dentists in planning treatment. PMID- 6577899 TI - Advertising and ethics. PMID- 6577900 TI - A new self-threading dentine pin. PMID- 6577901 TI - Mastique acrylic laminate veneers. Clinical evaluation over two years. PMID- 6577902 TI - Prophylaxis of experimental endocarditis in rabbits using one or two doses of amoxycillin. PMID- 6577903 TI - Longitudinal study of dental treatment in the general dental service in Scotland. PMID- 6577904 TI - Update on Brazilian dentistry. PMID- 6577905 TI - Pumping effect of the Philips AVI ventilator on Fluotec vaporizers. PMID- 6577906 TI - Failure of high doses of alpha interferon to affect the growth of human carcinoma, melanoma, and myeloid leukaemia xenografts. PMID- 6577907 TI - HLA-A, B and DR antigens and properdin factor B allotypes in Caplan's syndrome. AB - Seventy-nine cases of Caplan's lung were typed for HLA-A and B antigens. The antigen Bw45 was present only in those patients with rheumatoid factor and was of significantly higher frequency (13.6%) when compared to a non-coal dust exposed population of 316 (1.0%). Those patients without rheumatoid factor showed an increase in HLA-A1 and B8 (58.6% and 51.7% respectively) when compared to the rheumatoid factor positive group (29.6% and 25.0% respectively). Clinical and radiological reassessment were performed on 49 of these patients who were also typed for HLA-DR antigens and properdin factor B allotypes. HLA-DR4 was raised in the rheumatoid factor positive group with rheumatoid arthritis (55.2% compared to 25.8% in the non-coal dust exposed group and 37.3% in coalworkers with normal radiographs). The HLA-DR results are comparable to those found in other studies of rheumatoid arthritis not associated with pneumoconiosis. The findings for HLA A1, B8 and DR4, however, were not significant after correction was made for the number of antigens tested for. No particular Bf allotype was found to be associated with either the lung change or the arthritis. The induction of the pulmonary lesion in Caplan's syndrome is discussed in relation to the HLA findings. PMID- 6577908 TI - Papilloedema in chronic granulocytic leukaemia. AB - Five of 75 patients with chronic granulocytic leukaemia seen over a 25 year period had papilloedema at presentation. These patients had unusually high leucocyte counts and the papilloedema may be a manifestation of leucostasis. The fundal abnormalities resolved in all five patients--in four after conventional treatment with busulphan only. PMID- 6577910 TI - A good prognosis group in childhood acute lymphoblastic leukaemia. AB - The records of 121 children presenting with acute lymphoblastic leukaemia between 1969 and 1982 were reviewed. The overall relapse free survival rate was 50%. However, girls presenting with a total white blood cell count of 20 X 10(9)/l or less (35% of all patients) had a particularly favourable prognosis with an 80% relapse-free survival rate at 12 years. The difference in prognosis between the sexes is confirmed but this difference is confined to the low initial white cell count group. We suggest that girls in this group should be excluded from the more intensive arms of new treatment protocols. PMID- 6577909 TI - Eosinophilic blast crisis in a case of chronic myeloid leukaemia. AB - A case of typical chronic myeloid leukaemia (CML) is described, of which the terminal blast crisis was characterized by an impressive proliferation of atypical eosinophils and by the simultaneous complete deficiency of neutrophilic myeloperoxidase. Since eosinophilic cells preserved a strong peroxidase positivity, a high number of immature non-granular eosinophilic precursors could be recognized among the leukaemic blast cells, thus supporting the diagnosis of eosinophilic blast crisis of CML. PMID- 6577911 TI - E-rosette positive acute lymphoblastic leukaemia in adolescents and adults. AB - E-rosetting of leukaemic blast cells is one of the markers of T-cell acute lymphoblastic leukaemia (ALL). In children, E+ ALL has a bad prognosis. In adults, data are scarce. This report provides information on 25 E+ ALL adult patients who have a minimum follow-up time of 36 months. Twenty-two of 25 patients (88%) achieved complete remission (CR) (median duration 16 months), and six of them were alive, relapse-free, and off therapy after 36-81 months, with a 26% projected 6-year relapse-free survival. In 97 patients with E-SmIg- ALL, who were treated at the same Institutions, over the same period of time, and by the same modalities, the outcome of therapy was almost identical: CR 80%, median duration of first CR 15 months, projected 6-year relapse-free survival 15%. The white blood cell (WBC) count at presentation influenced significantly and to the same degree first CR length in both E+ and E- cases. In this adult series, WBC count was not as high as in children. Moreover, a high Hb concentration, a very high WBC count, lymphadenomegaly, and mediastinal involvement, were found more frequently in adolescents and young adults than in adults. Based on these data, it is suggested that in adults E-rosetting as such is not a marker of a poorer prognosis, that some of the typical features of children E+ ALL weaken with age, and that in adults the disease can have a less aggressive character. PMID- 6577912 TI - Plasma fibronectin in myeloproliferative disorders and chronic granulocytic leukaemia. AB - A significant reduction of plasma fibronectin levels was found in polycythaemia vera and myelofibrosis, the lowest levels being found in patients with marked splenomegaly. Plasma fibronectin concentration was normal in essential thrombocythaemia, and only modest reduction was seen in chronic granulocytic leukaemia in either controlled chronic phase or blast cell crisis. In a patient with myelofibrosis, the plasma fibronectin rose from less than 100 mg/l to 177 mg/l after splenectomy. Possible explanations include increased consumption of plasma fibronectin in the expanded mononuclear phagocyte system present in the liver and spleen, reduced hepatic synthesis, and the clearance of circulating immune complexes. Low plasma fibronectin concentrations may increase susceptibility to infection. PMID- 6577913 TI - 13-cis-retinoic acid metabolism in vivo. The major tissue metabolites in the rat have the all-trans configuration. AB - The liver and intestinal metabolites of orally dosed 13-cis-[11-3H]retinoic acid were analyzed in normal and 13-cis-retinoic acid treated rats 3 h after administration of the radiolabeled retinoid. all-trans-Retinoic acid was identified as a liver and intestinal mucosa metabolite in normal rats given physiological doses of 13-cis-[3H]retinoic acid. all-trans-Retinoyl glucuronide was identified as the most abundant radiolabeled metabolite in mucosa and a prominent liver metabolite under the same conditions. Thus, the major 13-cis retinoic acid metabolites retained in liver and mucosa, two retinoid target tissues, had the all-trans configuration. These data indicate that the isomerization of 13-cis-retinoic acid to all-trans-retinoic acid and the subsequent conversion to all-trans-retinoyl glucuronide are central events in the in vivo metabolism of 13-cis-retinoic acid in the rat. Moreover, the all-trans retinoic acid detected in vivo could account for a significant fraction of the physiological activity of 13-cis-retinoic acid. The tissue disposition and metabolism of orally dosed 13-cis-[3H]retinoic acid are modulated by retinoid treatment. Chronic 13-cis-retinoic acid treatment apparently increased the intestinal accumulation of all-trans-retinoic acid, all-trans-retinoyl glucuronide, and 13-cis-retinoyl glucuronide. The liver concentrations of tritiated all-trans-retinoic acid and all-trans-retinoyl glucuronide were also elevated in 13-cis-retinoic acid treated rats. PMID- 6577914 TI - [The study of the chemical composition of nitrogenase Fe-Mo-cofactor by a new fluorimetric method of thiocompound analysis]. AB - A purification technique for a large scale production of crystalline Mo-Fe protein of nitrogenase from Azotobacter vinelandii and of its fragment, Fe-Mo cofactor (Fe-Mo-co) in argon atmosphere has been elaborated. The novel fluorimetric method of thiol compounds analysis has been proposed for identification of Fe-Mo-co thiol ligands; this procedure allows the determination of concentration and class of thiol compounds and of the distance between sulphur atoms in the case of dithiols. The use of this method for an analysis of Fe-Mo-co has demonstrated that it contains a thiomolybdate fragment and two atoms of inorganic sulphur. Organic thiol as a Fe ligand has not been revealed. PMID- 6577915 TI - The comparative behavioral effects of N,N-dimethyltryptamine and N,N diethyltryptamine in primate dyads. PMID- 6577916 TI - Subcellular distribution of steroid delta 4-5 alpha-reductase and 3 alpha hydroxysteroid dehydrogenase in the rat epididymis during sexual maturation. AB - The curve of the specific activity of rat epididymal nuclear delta 4-5 alpha reductase is bell shaped as a function of age, whereas that of cytoplasmic 3 alpha-hydroxysteroid dehydrogenase does not change significantly with age. The present study examines the subcellular distribution of delta 4-5 alpha-reductase and 3 alpha-hydroxysteroid dehydrogenase in the caput-corpus and cauda epididymidis during development. A 5-step discontinuous sucrose gradient was developed for fractionation of epididymal homogenates. By using enzyme markers specific for different subcellular organelles, the five different subcellular fractions obtained were shown to be of cytoplasmic, microsomal, mitochondrial, nuclear and spermatozoal origin. 3 alpha-Hydroxysteroid dehydrogenase activity was associated only with the cytoplasmic fraction. The activity of the enzyme did not change significantly with age in either the caput-corpus or cauda epididymidis. delta 4-5 alpha-Reductase activity was found in fractions containing microsomal and nuclear markers. delta 4-5 alpha-Reductase activity in the nuclear fraction of the caput-corpus epididymidis was evident in the youngest age group (Day 25), increased 4-fold and peaked in the next age group (Day 35), and declined with each successive age group: Day 45 (60% of maximum), Day 60 (20% of maximum), Day 75 (15% of maximum) and Day 105 (10% of maximum). In contrast, microsomal delta 4-5 alpha-reductase activity increased successively from Day 25 to Day 105; enzyme activity doubled between these two ages. The ratio of nuclear to microsomal delta 4-5 alpha-reductase activity from the caput-corpus epididymidis thus changed markedly with age: Day 25:1.32; Day 35:3.76; Day 45:2.44; Day 60:1.03; Day 75:0.41; and Day 105:0.21. In the cauda epididymidis nuclear delta 4-5 alpha-reductase activity was only evident at Day 35 and Day 45; in microsomal fractions, activity was first found at Day 35 and did not subsequently change with age. These results demonstrate that: 1) epididymal 3 alpha-hydroxysteroid dehydrogenase activity is found only in the cytoplasmic fraction; 2) delta 4-5 alpha-reductase activity is found in nuclear and microsomal fractions; and 3) the subcellular distribution of delta 4-5 alpha reductase activity changes markedly with age and epididymal section, suggesting differential regulation of nuclear and microsomal delta 4-5 alpha-reductase activities. PMID- 6577917 TI - Ovarian development in control and decapitated pig fetuses. AB - Ovarian development was studied in control and decapitated pig fetuses. Fetuses were decapitated at 42 days postcoitum. At 51, 61, 74, 90 and 112 days postcoitum decapitated and control females were collected. Ovarian weight gradually increased during development in control animals. Deprivation of pituitary hormones as a result of fetal decapitation did not cause a decline in ovarian weight increase. Germ cell maturation in control and decapitated fetuses proceeded in a similar fashion, with secondary follicles being the most advanced stage. Enzyme histochemical activity was present in the primary interstitial gland cells and in granulosa cells and was similar in normal and decapitated fetuses. Both NADH diaphorase activity and 3 beta-hydroxysteroid dehydrogenase activity increased from 51 to 74 days and remained relatively constant thereafter. Since fetal decapitation in the pig hardly influences ovarian development, pituitary dependency of the fetal ovary in the pig is unlikely. PMID- 6577918 TI - [Effect of high doses of retinol acetate on the 3-beta-ol-steroid dehydrogenase and alkaline phosphatase content in mouse ovaries]. AB - The author reports on the effects of different doses of retinol acetate on ovarian steroidogenesis. Two groups of CBA/C57BL mice with a mean body weight of 18-20 g received 3.44% oily retinol acetate per os in daily doses of 50 000 and 80 000 IU for 10 days. After completion of the experiments the quick-frozen sections of the ovaries were subjected to a histochemical assay for the content of 3-beta-ol-steroid dehydrogenase and alkaline phosphatase. Administration of 50 000 IU vitamin A was found to stimulate ovarian steroidogenesis. The effect of vitamin A was the most demonstrable in the interstitial tissue, atretic corpora, and, in the internal theca of the follicles. Administration of 80 000 IU retinol acetate inhibited ovarian steroidogenesis. The estrous cycle in animals ceased. Administration of vitamin A (80 000) primarily affected the follicular apparatus of the ovaries, namely the epithelium of the follicles and yellow bodies. At the same time secretory function of atretic corpora and interstitial tissue remained within normal, which was regarded as a compensatory-adaptive mechanism under toxic hypervitaminosis A. PMID- 6577919 TI - [Relaxation of DNA-protein interactions in mouse lymphoblastic leukemic cells exposed to antineoplastic agents]. AB - It has been demonstrated by nucleoproteid-celite chromatography that 1-nitroso-1 methylurea, potassium cyanate and prospidin reduce DNA-protein interactions in chromatin of cell cultures from LL mice with lymphoblastic leukemia. PMID- 6577921 TI - Graduate medical education in a period of constrained dollars. PMID- 6577920 TI - Specific translocation t(4;11) in an infant with acute lymphoblastic leukaemia of null cell type. AB - A case of acute lymphoblastic leukaemia of null cell type in infancy showed the specific reciprocal translocation t(4;11) (q21;q23) reported 16 times so far in the world literature. The proportions of abnormal and normal metaphases throughout the course of the illness correlated well with the clinical picture, but even during the short term remission metaphases expressing the translocation were still identifiable in appreciable numbers. Comparison between cytogenetic analyses of cultured and native bone marrow, PHA-stimulated and non-stimulated peripheral blood demonstrated the gradual conquest of the periphery by the abnormal clone. The importance of chromosomal changes and their interpretation for diagnosis, classification and prognostic judgment in haemotologic neoplasms is discussed in the light of the reported case. PMID- 6577922 TI - The federal role in health professions education. PMID- 6577923 TI - Role of the legislature in financing medical education. PMID- 6577924 TI - Financing medical education. The role of the faculty. PMID- 6577925 TI - Financing medical education. The role of the profession. PMID- 6577926 TI - The changing scene in medical education. PMID- 6577927 TI - The impact of funding reductions on the student mix. PMID- 6577928 TI - The cost for students and the implications for medical practice. PMID- 6577929 TI - The effects of increasing tuition on admissions, students, and faculty at an expensive private medical school. PMID- 6577930 TI - Financing medical education. Financial aid. PMID- 6577931 TI - Private/public financing: the Smith Barney, Harris Upham proposal for health education financing. PMID- 6577932 TI - Corporate support of medical education. PMID- 6577933 TI - "Ask not for whom the bell tolls": the impact of decreasing public support for medical education. PMID- 6577934 TI - Dental hygiene positions in Canada. Part 3: Clinical work areas and duties. PMID- 6577935 TI - Electrophoretic variation in six populations of brown trout (Salmo trutta L.). AB - Starch gel electrophoretic studies of 16 enzymes encoded by 34 Loci were performed on six brown trout populations. One new polymorphism is described at the Pmi-2 locus. Breeding data were analysed for both single and joint segregation of six loci: Aat-1, Cpk-1, G3p-2, Mdh-2, Mdh-3, and Pmi-2. All the loci are shown to segregate in simple mendelian ratios and one nonrandom joint segregation was observed. The polymorphism level, heterozygosities, and genetic distances were estimated and compared with those reported in other studies on brown trout and closely related salmonid species. The polymorphism level (25%) and average heterozygosity (9%) were high. Significant genetic distances were observed, but the average degree of differentiation between populations appeared to be small (9% of the total heterozygosity). PMID- 6577936 TI - Osteogenic sarcoma associated with Paget's disease of bone. A clinicopathologic study of 65 patients. AB - Among 1177 osteogenic sarcoma patients diagnosed and treated at Memorial Hospital, 65 (5.5%) were associated with either monostotic or polyostotic Paget's disease. The overall median age was 64 years (range, 39-82 years). In those patients older than 40 years of age, the frequency of sarcomatous transformation rose to 27%. There were slightly more men (55%) than women. The most common skeletal sites were the pelvic bones (34%), the humerus (22%), the femur (19%), and the craniofacial bones (14%). Unrelenting pain and tender swelling were the most common presenting symptoms (85%), with pathologic fracture in 14 (22%) patients. In two-thirds of the cases, the radiographic presentation was that of a lytic destructive lesion; while in the others it showed a sclerotic, mixed, or permeative character. In almost one-half of the cases, the histologic appearance of the osteogenic sarcomas was either fibrohistocytomatous or osteoblastic. In spite of radical surgical amputations, only three patients survived longer than 5 years. The prognosis of Paget's sarcoma is significantly less favorable than in osteogenic sarcoma arising de novo in patients of comparable age. PMID- 6577937 TI - Chronic lymphatic leukemia evolving into chronic myelocytic leukemia. AB - A diagnosis of chronic lymphatic leukemia (CLL) was made in an 83-year-old man on the basis of marked lymphocytosis (131.1 X 10(9)/L) and infiltration of the marrow (77%) by small lymphoid cells. The hemoglobin was 11.8 g/dL and the platelet count was 427.5 X 10(9)/L. With minimal and unsustained treatment, abrupt resolution of the lymphocytosis occurred with reciprocal emergence of a classic picture of chronic myelogenous leukemia (CML). During the hematologic evolution, blood lymphoid cells were isolated for surface marker, cytogenetic, and functional studies. E-rosette receptors, Fc-receptors, and membrane immunoglobulins were found on only 7.5%, 7.4%, and 10.0% of these cells. These cells also failed to express a CLL-associated antigen we have detected on approximately equal to 95% of the cells of all CLL patients studied, regardless of cell phenotype. In addition, the patient's lymphoid cells responded poorly to leucoagglutinin (LPHA) stimulation, showed increased spontaneous metabolic activity and exhibited the Philadelphia chromosome. These observations suggest that the patient's transient initial lymphocytosis was not due to CLL, but perhaps represented myeloid precursors in circulation prior to terminal differentiation. PMID- 6577938 TI - Reciprocal translocation t(6;9)(p21;q33): a new characteristic chromosome anomaly in myeloid leukemias. AB - Three patients with myeloproliferative disorders, two acute myeloid leukemias and one chronic myelocytic leukemia, were found to present a t(6;9)(p21;q33) as the sole anomaly in the leukemic cells. It is likely that this translocation is to be added to the steadily growing list of characteristic chromosome changes in human malignancy. PMID- 6577939 TI - Acute myeloblastic leukemia (AML) with t(6;9) (p23;q34): a specific subgroup of AML? AB - A case of acute myeloblastic leukemia (AML) of M2 type in the FAB classification without Auer bodies in the leukemic cells was shown to have t(6;9)(p23;q34) in the marrow cells. Four hematologically similar cases with identical karyotype changes have been published. We propose, in support of others, that this may constitute a subgroup of AML characterized by a translocation between chromosome #6 and #9. PMID- 6577940 TI - Chronic myelogenous leukemia (CML) with translocation (8;22): a new variant. AB - A case of chronic myelogenous leukemia (CML) in a young woman with a new variant Ph1-translocation--i.e., t(8;22) (q24;q12)--is described. The clinical and biological aspects of the disease did not seem to differ from those of the usual cases of CML. PMID- 6577941 TI - Unusual translocations t(2;6) and t(?;22) in a child with acute myelocytic leukemia. AB - A 13-month-old female with middle and upper lobe pneumonia showed a high WBC count with 99% blasts. From hematologic studies the condition was diagnosed as acute myelocytic leukemia (AML). In spite of aggressive chemotherapy, the patient died. Unstimulated peripheral blood culture and bone marrow cells revealed a translocation between a chromosome #2 and #6. An interstitial segment of 2q had been translocated to 6p. A chromosome #22 was also abnormal, having acquired a dark band around the long arm. PMID- 6577942 TI - Interferon-alpha conjugation to human osteogenic sarcoma monoclonal antibody 791T/36. AB - Human lymphoblastoid interferon-alpha (IFN-alpha) has been coupled using N succinimidyl 3-(2-pyridyldithio) propionate (SPDP) to a murine monoclonal antibody (791T/36) which reacts with antigens expressed on human osteogenic sarcomas. The purified conjugates retain antibody activity as defined by their capacity to compete with binding of fluorescein isothiocyanate-labelled 791T/36 antibody to 791T cells. IFN-alpha-791T/36 antibody conjugates synthesized with 125I-trace-labelled IFN-alpha and 131I-trace-labelled antibody also bound to 791T cells, but not to bladder carcinoma T24 cells. The conjugates also retain the capacity of free IFN to activate natural killer cells in human peripheral blood lymphocytes and show specific localization in human osteogenic sarcoma xenografts developing in immunodeprived mice. These findings establish that conjugates containing IFN linked to a monoclonal antibody reacting with osteogenic sarcoma associated antigens have potential for targeted immunotherapy and in related investigations with antibody has been shown by gamma camera imaging of patients following infusion of 131I-labelled antibody to localize in primary osteogenic sarcomas. PMID- 6577943 TI - Potentiation of 1-beta-D-arabinofuranosylcytosine metabolism and cytotoxicity by 2,3-dihydro-1H-imidazolo[1,2-b]pyrazole in the human promyelocytic leukemic cell, HL-60. AB - The effect of IMPY (2,3-dihydro-1H-imidazolo[1,2-b]pyrazole) on the metabolism and cytotoxicity of subsequently administered 1-beta-D-arabinofuranosylcytosine (ara-C) was examined in the human promyelocytic leukemic cell line HL-60. Cells exposed to 3 mM IMPY for 12 hr followed by a 1-hr exposure to 1 microM [3H]ara-C accumulated 27.5 +/- 4.8 (S.D.) pmol ara-C/10(6) cells compared to 14.0 +/- 3.5 pmol/10(6) cells in untreated controls. Cells experienced greater than a 2-fold increment in 1-beta-D-arabinofuranosylcytosine 5'-triphosphate generation and retention following this same IMPY exposure and nearly a 4-fold increment in incorporation of ara-C into HL-60 nucleic acids. These alterations in ara-C metabolism were associated with a 36% reduction in the intracellular concentration of deoxycytidine 5'-triphosphate and reductions in deoxyadenosine 5'-triphosphate and deoxyguanosine 5'-triphosphate concentrations to undetectable levels. Coincubation of cells with IMPY along with other pyrimidine antagonists such as thymidine, N-(phosphonacetyl-L-aspartate), deoxyadenosine, and deoxyguanosine, produced up to 4-fold increments in ara-C intracellular accumulation. Pretreatment of HL-60 cells with 3 mM IMPY followed by a continuous exposure to 10 nM ara-C produced synergistic inhibitory effects on both suspension culture growth and soft agar clonogenicity. In contrast, exposure of normal human bone marrow progenitor cells (CFU-GM) to the same schedule of IMPY and ara-C produced subadditive or antagonistic effects on the growth of these cells in soft agar. These findings may have implications for the design of in vivo regimens using IMPY and ara-C. PMID- 6577944 TI - Flow cytometric analysis of adenosine analogue lymphocytotoxicity. AB - The induction of G1-phase arrest in T-lymphoblasts by cytostatic concentrations of 2'-deoxyadenosine (R. M. Fox, R. F. Kefford, E. H. Tripp, and I. W. Taylor, Cancer Res., 41: 5141-5150, 1981) prompted a flow cytometric analysis of the cell cycle effects of three other adenosine analogues with known effects on polyadenylated RNA metabolism in an attempt to further explore the nature of 2' deoxyadenosine 5'-triphosphate-mediated lymphotoxicity. Cytostatic concentrations of 9-beta-D-arabinofuranosyladenine induced an S-phase block, while 3' deoxyadenosine (cordycepin) and tubercidin (7-deazaadenosine) induced a cycle nonspecific block. Furthermore, total cellular RNA content was unaltered by 2' deoxyadenosine or 9-beta-D-arabinofuranosyladenine, but 3'-deoxyadenosine and tubercidin caused a marked reduction in total cellular RNA at minimally cytostatic concentrations. At concentrations of 0.3 to 20 microM, all of these nucleosides were toxic to nondividing peripheral blood lymphocytes, suggesting that in these cells their mechanism of action does not involve reactions associated with DNA replication. Inhibition of polyadenylated RNA metabolism by triphosphate derivatives of adenosine analogues may account for lymphocytotoxicity in nondividing cells, but the demonstrated diverse effects of these nucleosides on nucleic acid metabolism in dividing cells preclude elucidation of the mechanism of the unique induction of G1-phase arrest by 2' deoxyadenosine. PMID- 6577945 TI - Strong evidence from studies with brachymorphic mice and pentachlorophenol that 1'-sulfooxysafrole is the major ultimate electrophilic and carcinogenic metabolite of 1'-hydroxysafrole in mouse liver. AB - The role of sulfation of 1'-hydroxysafrole in the formation of hepatic macromolecular adducts and in hepatic tumor formation in mice given 1' hydroxysafrole was investigated by the use of: (a) mice treated with the specific sulfotransferase inhibitor pentachlorophenol; and (b) brachymorphic mice, which are characterized by a deficiency in the hepatic synthesis of 3'-phosphoadenosine 5'-phosphosulfate. Cytosolic sulfotransferase activity for 1'-hydroxysafrole in both mouse and rat liver was significantly inhibited by 10 microM pentachlorophenol, usually by greater than 90%. Prior administration of nontoxic amounts of pentachlorophenol, either in the diet of adult female CD-1 mice or by i.p. injection of 12-day-old male C57BL/6 X C3H F1 (hereafter called B6C3F1) mice, resulted in an 85% decrease in the level of adducts formed from 1' hydroxysafrole in hepatic DNA and RNA as compared to those of non pentachlorophenol-treated animals. Likewise, the chronic administration of a nontoxic level of pentachlorophenol in the diet of adult female CD-1 mice strongly inhibited hepatic tumor induction by long-term dietary administration of either safrole or 1'-hydroxysafrole. Initiation of hepatic tumors by a single i.p. injection of 1'-hydroxysafrole to 12-day-old male B6C3F1 mice was strongly inhibited by prior treatment with pentachlorophenol. Under these conditions, the hepatocarcinogenicity of diethylnitrosamine was not inhibited by pentachlorophenol. Supplementation with adenosine triphosphate and sulfate of hepatic cytosols from adult female or 12-day-old brachymorphic progeny of a B6C3 background outbred to B6C3F1 mice (B6C3F2), of either sex, resulted in 5- to 10 fold less binding of 1'-hydroxysafrole to added RNA than when cytosols from phenotypically normal B6C3F2 mice were used. On administration of [3H]-1' hydroxysafrole to adult female or 12-day-old brachymorphic B6C3F2 mice of either sex, the levels of hepatic DNA and RNA adducts were 7- to 12-fold lower than those obtained in phenotypically normal B6C3F2 mice of the same age and sex. Brachymorphic mice were also much less responsive than their phenotypically normal littermates to the induction of liver tumors by 1'-hydroxysafrole; lower incidences were observed both when the carcinogen was fed chronically to adult females and when it was administered to males only prior to weaning. Thus, all of these data strongly support the conclusion that 1'-sulfooxysafrole is the major ultimate electrophilic and tumor-initiating metabolite of 1'-hydroxysafrole. PMID- 6577946 TI - Structure-activity relationships of a new series of retinoidal benzoic acid derivatives as measured by induction of differentiation of murine F9 teratocarcinoma cells and human HL-60 promyelocytic leukemia cells. AB - A new group of retinoids, which are 3-alkyl and 3-alkoxy derivatives of (E)-4-[2 (5,6,7,8-tetrahydro-5,5,8,8-tetramethyl-2- naphthalenyl)-1-propenyl]-benzoic acid (TTNPB), has been synthesized. They were tested in vitro for biological activity by measuring induction of terminal differentiation in both murine F9 teratocarcinoma cells and human HL-60 promyelocytic leukemia cells. In the F9 assay, TTNPB was significantly more active (dose effective in achieving a half maximal response, 3 X 10(-9) M) than was all-trans-retinoic acid, while the 3 methyl derivative of TTNPB was not. However, in the HL-60 assay, the 3-methyl derivative of TTNPB was more active (dose effective in achieving a half-maximal response, 2 X 10(-8) M) than was all-trans-retinoic acid, while TTNPB was less active. 3-Ethyl and 3-propyl derivatives were much less active than was all-trans retinoic acid in both assays. These new retinoids should be useful agents for experimental studies of both cancer prevention and treatment, as well as for investigation of the mechanism of action of retinoids in the control of cell differentiation. PMID- 6577947 TI - Covalent labeling of rat thymocyte and human lymphoid glucocorticoid receptor. AB - Lymphoid cells contain specific receptors for glucocorticoids. We have used [3H]dexamethasone-21-mesylate to label covalently glucocorticoid receptors in rat thymic lymphocytes and in neoplastic cells obtained from patients with acute lymphoblastic leukemia and malignant lymphoma. The covalently labeled glucocorticoid receptors were identified by polyacrylamide gel electrophoresis (in the presence of 0.1% sodium dodecyl sulfate). In cytosolic fractions prepared from rat thymic lymphocytes, [3H]-dexamethasone-21-mesylate labels a protein (Mr approximately equal to 95,000) which was identified as the glucocorticoid receptor by the following criteria: (a) labeling of this moiety is inhibited by treatment with a 100-fold molar excess of glucocorticoids, such as dexamethasone and triamcinolone acetonide; and (b) the covalently labeled Mr approximately equal to 95,000 protein is activated (by heating at 20 degrees for 30 min) to a form that binds to DNA-cellulose. When intact thymocytes are treated with [3H]dexamethasone-21-mesylate, an Mr approximately equal to 95,000 moiety is also labeled covalently. Approximately 35% of the glucocorticoid receptors can be labeled covalently when intact thymocytes are treated with 100 nM [3H]dexamethasone-21-mesylate for 30 min at 4 degrees. Neoplastic cells from acute lymphoblastic leukemia and malignant lymphoma were treated with [3H]dexamethasone-21-mesylate. In all samples, an Mr approximately equal to 95,000 moiety was labeled covalently; labeling was inhibited by excess glucocorticoid. Smaller moieties were also identified by competition experiments; these may represent proteolytic fragments of the Mr approximately equal to 95,000 receptor. Thus, in rat and human lymphoid cells, [3H]dexamethasone-21-mesylate can be used to label covalently the glucocorticoid receptor. PMID- 6577948 TI - Participation of pterins in the control of lymphocyte stimulation and lymphoblast proliferation. AB - Biopterin accumulation had been demonstrated as the result of normal and, especially, of malignant hemopoietic cell proliferation (Ziegler, I. et al. Blut, 44: 231-240, and 261-270, 1982). Among 13 major intermediates of pterin metabolism and two lumazines, xanthopterin (but not dihydroxanthopterin) was found to inhibit cell proliferation (half-maximum inhibition at 1.8 X 10(-5) M) during concanavalin A-induced lymphocyte activation in pre-stimulated lymphocytes and in a lymphoid cell line grown in continuous culture (LS-2). LS-2 cells exposed to maximum inhibitor concentrations largely maintained the initial thymidine incorporation rate for about 40 hr but failed to enter logarithmic growth. Isoxanthopterin inhibition was found only in serum-free medium, since it is trapped by the alpha-acid glycoprotein present in the serum. The reduced biopterin derivatives, sepiapterin, dihydrobiopterin, and tetrahydrobiopterin, are costimulators during concanavalin A-induced lymphocyte activation. Their costimulatory effect follows an optimum curve and peaks at 1.5 to 3 X 10(-5) M. It is highest at the suboptimal and supraoptimal concanavalin A concentration. The D-erythro isomer dihydroneopterin was inactive. The results indicate that the anabolic-reduced biopterin derivatives are not simply lymphocytic products, but, in combination with the catabolites xanthopterin and isoxanthopterin, they also participate in the regulation of lymphocyte activation. Hence, they fulfill the criteria for lymphokines. PMID- 6577949 TI - Establishment and characterization of a transplantable rat myelomonocytic leukemia. AB - A transplantable myelomonocytic leukemia was established from a leukemia of a WKA/Hok rat which had been inoculated with Rauscher virus at birth. The tumor grew in ascites form in normal syngeneic rats and, after the middle stage of i.p. transplantation, leukemia cells consisting of a mixed population of monocytic and granulocytic cells were observed in the peripheral blood. A complement-dependent cytotoxicity test failed to demonstrate Rauscher virus-related antigen on the tumor cell surface. Membrane marker analysis revealed that most of the tumor cells possessed receptors for both complement and neuraminidase-treated sheep RBC. More than 90% of ascitic tumor cells displayed phagocytic activity and a positive nonspecific esterase reaction. Serum from rats bearing this tumor contained high levels of muramidase. Ultrastructurally, the tumor cells resembled both immature and mature cells of the monocyte-macrophage series. On serial transplantation into the peritoneal cavity, the tumor displayed consistent differentiation from undifferentiated blast cells to monocytes and cells indistinguishable from granulocytes. The karyotype analysis revealed that the modal number of chromosomes of the tumor cells was 81, and no structural abnormalities of chromosomes were observed after quinacrine mustard staining. This transplantable leukemia will provide a useful experimental model for the study of granulocyte-monocyte differentiation and for human myelomonocytic leukemia. PMID- 6577950 TI - Cytotoxicity of thioether-lysophospholipids in leukemias and tumors of human origin. AB - Thioether-lysophospholipids inhibited the in vitro incorporation of [3H]thymidine into blasts of 8 leukemias, lymphocytes of 3 chronic lymphocytic leukemias, and cells of 12 different solid tumors of human origin. This effect correlated with trypan blue dye exclusion, which was used to assess cell damage. Scanning electron microscopy revealed severe membrane destruction after incubation with thioether-lysophospholipids. Cytostatic and cytotoxic effects of thioether lysophospholipids were dependent on dosage and incubation time. Destruction of leukemic blasts was completed with greater than or equal to 5 micrograms/ml after an incubation of greater than or equal to 48 hr, but 10 to 20 micrograms/ml were necessary in solid tumors. Ester-linked 2-lysophosphatidylcholine was ineffective in the same dose range, which points to the requirement of the alkyl moiety in SN1 of the molecule for the antineoplastic properties of lysophospholipid analogues. PMID- 6577951 TI - Expression of erythroid acetylcholinesterase in the K-562 leukemia cell line. AB - Differentiation-dependent expression of enzyme loci was evaluated in two human leukemic cell lines, the pluripotent leukemia cell line K-562 and the promyelocytic-like cell line HL-60. Acetylcholinesterase, a marker of erythroid differentiation, was present in K-562 cells and absent in HL-60 cells. This difference between the two lines was apparently unrelated to dosage effect; other enzymes carried on trisomic chromosomes in K-562 cells did not show dosage effect. Acetylcholinesterase activity was higher in subclone K-562 (S), which shows higher expression of hemoglobin. Electrophoretic mobility of acetylcholinesterase from K-562 (S) was of fetal type. PMID- 6577953 TI - Comparison of artificial caries-like lesions by quantitative microradiography and microhardness profiles. PMID- 6577952 TI - Increased whole-body protein turnover in sick children with newly diagnosed leukemia or lymphoma. AB - Using a single dose, [15N]glycine turnover technique, whole body rates of proteins synthesis and breakdown were assessed in six healthy children and in eight children with newly diagnosed leukemia (DeWys, W. D. Cancer Res., 42: 721s 726s, 1982) or lymphoma (Baracos, V., Rodemann, H. P., Dinarello, C. A., and Goldberg, A. L. N. Engl. J. Med., 308: 553-558, 1983). Based on excretion of 15N as urinary ammonia, synthesis (g protein per kg body weight per day) was significantly (p less than 0.025) higher in the cancer patients [5.4 +/- 1.5 (S.D.)] compared to the controls (3.6 +/- 0.9); breakdown was also higher (p less than 0.02) in the patients (5.5 +/- 1.8) compared to the controls (3.1 +/- 1.1). When only the seven patients with leukemia were considered, there also were significant increases in synthesis (5.4 +/- 1.6, p less than 0.05) and breakdown (5.4 +/- 1.9, p less than 0.025) compared to controls. Increases in both synthesis and breakdown were also observed in the patients when the protein turnover data were expressed as a function of the rate of creatinine excretion or the calculated lean body mass. We conclude that whole body protein turnover is increased in sick children at the time of diagnosis with some forms of newly diagnosed cancer. PMID- 6577954 TI - In vivo investigation on the fluoride content in and on human enamel after topical applications. PMID- 6577955 TI - Effects of flow rate and pH on calcium phosphate saturation in human parotid saliva. PMID- 6577956 TI - Chemical stability of carbonate- and fluoride-containing apatites. PMID- 6577957 TI - Effect of magnesium and fluoride on the fermentative dissolution of enamel by a streptococcal layer as measured by microhardness tester and a proton probe microanalysis. PMID- 6577958 TI - In vitro testing of a new system for monitoring pH at multiple sites. PMID- 6577959 TI - Binding of fluoride by oral bacteria. PMID- 6577960 TI - Influence of fluoride concentration on the progress of demineralization in bovine enamel at pH 4.5. PMID- 6577961 TI - Loosely bound fluoride extracted from natural carious lesions after topical application of APF in vitro. PMID- 6577962 TI - Scanning electron microscopy of plaque colonization on indwelling glass electrodes. PMID- 6577963 TI - Effects of varying intervals between meals on dental caries in rats. PMID- 6577965 TI - An interview with Donald E. Bentley, incoming ADA president. PMID- 6577964 TI - Fluoride concentration in whole and parotid saliva after application of fluoride varnishes. PMID- 6577966 TI - How the new tax laws affect Keogh retirement plans. PMID- 6577967 TI - Sargenti revisited. PMID- 6577968 TI - Cellular immune response to acetylcholine receptors in murine experimental autoimmune myasthenia gravis: inhibition with monoclonal anti-I-A antibodies. AB - Gene(s) at the I-A subregion of the murine major histocompatibility complex influence susceptibility to experimental autoimmune myasthenia gravis. C57Bl/6 mice immunized with acetylcholine receptors (AChR) in complete Freund's adjuvant demonstrated cellular and humoral immune responses to AChR. They developed muscle weakness characteristic of myasthenia gravis and demonstrated a reduction in the muscle AChR content. The kinetics of AChR-specific lymphocyte proliferation generally correlate with anti-AChR antibody response. AChR-specific lymphocyte proliferation was also observed in C57Bl/6 splenocytes after secondary immunization with AChR. The in vitro cellular reactivity to AChR in experimental autoimmune myasthenia gravis (EAMG) mice (C57Bl/6) was suppressed by monoclonal anti-I-Ab antibodies directed against private (Ia20) or public (Ia8) specificities, suggesting a critical role for these Ia determinants in the cellular immune response to AChR in murine EAMG. PMID- 6577969 TI - The retail alternative: what's in store for dentistry? PMID- 6577970 TI - G-actin and F-actin levels at different stages of mouse erythroid differentiation. AB - Monomeric (G-) actin and filamentous (F-) actin levels were determined in Triton X-100 extracts prepared from mouse erythroid cells at various stages of differentiation. G-actin and F-actin were found in the Triton-soluble fraction and in the Triton-insoluble fraction, respectively. G-actin levels in untreated and dimethyl sulfoxide-treated (differentiated) erythroleukemia cells, reticulocytes, and erythrocytes were 48, 33, 2.8, and 0.37 microgram/mg protein, respectively, and F-actin levels were 17, 35, 45, and 59 micrograms/mg protein, respectively. G-actin/F-actin ratios were successively lower in cells representing the more mature stages of development. PMID- 6577971 TI - [Effect of prostaglandins in the vaginal cytologic picture]. PMID- 6577972 TI - Lack of inhibition by retinoids of bis(2-oxopropyl)nitrosamine-induced carcinogenesis in Syrian hamsters. AB - Syrian hamsters were treated with either a low (10 mg/kg body weight) or high (40 mg/kg body weight) single dose of bis(2-oxopropyl)nitrosamine (BOP) and beginning 1 week later fed either low (0.2 mmol/kg diet) or high (0.4-1.0 mmol/kg diet) levels of one of four retinoids [13 cis retinoic acid (13-cis-RA), N ethylretinamide (ERA), N-(2-hydroxyethyl)retinamide (OHERA) or N (phenyl)retinamide (PRA)] for periods of 40 or 50 weeks. The high retinoid levels (0.4-1.0 mmol/kg diet) fed following the highest BOP treatment enhanced pancreatic carcinoma yields (average number/effective animal) in males fed all four retinoids, and in females fed ERA and 13-cis-RA. Enhanced adenoma yields were also seen in all groups when high retinoid levels were fed following 40 mg BOP/kg body weight. However, these retinoid levels caused an increased adenoma yield in male hamsters only and did not modify carcinoma yields when fed following 10 mg BOP/kg body weight. Similarly, tumor yields at extra-pancreatic sites were elevated in retinoid-fed hamsters of both sexes after 40 mg BOP/kg body weight and in males fed ERA and 13-cis-RA after 10 mg BOP/kg body weight when retinoids were given at the high levels (0.4-1.0 mmol/kg diet). Increased incidences of bile duct and liver tumors in particular were found in hamsters given 40 mg BOP/kg body weight. Consumption of retinoid levels of 0.4 mmol/kg diet and above was also associated with a high incidence of liver cell necrosis, ovarian cysts and ovarian hemorrhage. Retinoids (ERA, OHERA, and PRA) fed at the low level (0.2 mmol/kg diet) following the low BOP dose did not enhance carcinogenesis in the pancreas or at other sites and did not cause alterations in morphologic observations. PMID- 6577973 TI - Rx: antibiotics. (But which one)? PMID- 6577974 TI - Charting your flight plan for job satisfaction. PMID- 6577975 TI - Hypertension and type A behavior. PMID- 6577976 TI - Special motivation for patients with braces. PMID- 6577977 TI - Assisting in periodontics. An overview. PMID- 6577978 TI - Preparing patients for anesthesia. PMID- 6577979 TI - The employee benefits package: from future to now. PMID- 6577980 TI - Plasma and lipoprotein cholesterol and triglyceride concentrations in the Pima Indians: distributions differing from those of Caucasians. AB - Plasma and lipoprotein cholesterol and triglyceride concentrations were measured in Pima Indians, a genetically homogeneous population with a high prevalence of obesity and diabetes and a low frequency of coronary heart disease. The data for nondiabetic Pima Indians were compared with those of U.S. Caucasians measured during the Lipid Research Clinics Prevalence Study. Plasma total and low-density lipoprotein (LDL) cholesterol levels in Pima men older than 30 years of age and in women over 25 were lower than those of U.S. Caucasians, and in men the total and LDL cholesterol levels did not increase with age. In Pima male subjects of all ages high-density lipoprotein (HDL) cholesterol levels were lower than that in Caucasian male subjects, and in Pima female subjects HDL cholesterol levels averaged 11 mg/dl lower than those in female Caucasian subjects. On the other hand, plasma triglyceride levels in Pima male subjects up to 35 years of age and in female subjects up to 55 years old were higher than those of Caucasians. Comparison of plasma cholesterol and triglyceride levels in Pima male and female subjects showed the same relationships as those in Caucasians (i.e., higher in male subjects until the older age groups), but Pima male and female subjects had similar HDL cholesterol levels. There was a strong negative correlation between obesity and HDL cholesterol levels in Pimas. Obesity appeared to account for the lower HDL cholesterol levels in Pima male subjects compared with that in Caucasian male subjects, but obesity could not explain the lack of differences between the sexes in HDL levels in the Pimas. Triglyceride levels correlated positively with obesity in the Pimas, but the relationship was not as strong as that reported for Caucasians. The results indicate that there are differences in lipoprotein distributions between Pimas and U.S. Caucasians; the relationship between lipoprotein levels and the incidence of coronary disease in the Pimas must be determined. PMID- 6577982 TI - Speech segment durations produced by five and six year old speakers with and without cleft palates. AB - Speech segment durations are indicators of the ability to coordinate speech gestures. Development of such temporal aspects of production in the presence of velopharyngeal insufficiency has not been investigated. The present study used spectrograms to measure segment durations in utterances produced by 5 and 6 year old children with and without congenital cleft palates. Subjects had varying degrees of hypernasality and overall intelligibility. Five consonant-vowel consonant nonsense syllables were formed using /p/, /t/, /k/, /t integral of/, and /s/. The carrier phrases included a single word context, a sentence containing nonnasal sounds, and a sentence with nasals. Experimental group segments were significantly longer than normal in the single word and nasal sentence contexts. Both the syllable and total sentence durations were prolonged. The stop gap of the plosive and affricate consonants was the most deviant individual acoustic segment. Subjects with hypernasality and decreased intelligibility had voice onset times which were significantly longer than those produced by subjects with less disordered speech. PMID- 6577981 TI - Kinetic enzymic method for automated determination of total cholesterol in serum. AB - We describe a rapid, kinetic, fixed-time method for determining serum total cholesterol by use of cholesterol esterase, cholesterol oxidase, and the indicator reaction with peroxidase, 4-aminophenazone, and phenol. On addition of the competitive inhibitor 3,4-dichlorophenol the Michaelis constant of cholesterol oxidase is apparently increased, which extends the linear relation between absorbance change and cholesterol concentration to 20.7 to 25.9 mmol/L, depending on the analyzer being used. For calibration, a single standard is used. Total analysis time is in the range of 80 to 210 s. Incubation temperature is 25 degrees C or 37 degrees C. The single-reagent procedure has been adapted to three different centrifugal analyzers and to the Eppendorf ACP 5040 analyzer. It yields precise and accurate results and is insensitive to potential interferences. PMID- 6577983 TI - Reliability of the nasopharyngeal fiberscope (NPF) for assessing velopharyngeal function: analysis by judgment. AB - The reliability and validity of data about velopharyngeal function obtained with the nasopharyngeal fiberscope was assessed in normal subjects. The experimental design included data reduction procedures that are likely to have clinical utility (clinical ratings). The results indicated that relative velar movement and size of the velopharyngeal port may be reliably and validly estimated using the procedures. However NPF estimates of lateral pharyngeal wall movement were not reliable. Finally, the data indicated that velar movement and size of V-P port were consistent within subjects and tasks across data collection sessions. Data about consistency of lateral wall movement across sessions was inconclusive, however. Additional research involving similar procedures with subjects who have morphologic deficits is indicated. PMID- 6577984 TI - Velopharyngeal incompetency in the absence of overt cleft palate: anatomic and surgical considerations. AB - Fifty-two patients with velopharyngeal incompetency without overt cleft palate underwent pharyngeal flap surgery. Surgery included exploration of the soft palate and reconstruction of the levator muscles. Four patients had a completely normal hard and soft palate. In two patients, the palatal musculature was normal but a U-shaped defect of the posterior hard palate was palpable. Seventeen patients had a diagnosis of submucous cleft palate made preoperatively and of these thirteen presented with the classic triad of a bifid uvula, a palpable abnormality of the hard palate and diastasis of the soft palate musculature. In thirteen patients a notch was found in the hard palate and in one patient a U shaped defect was palpable at the posterior edge of the hard palate. Three patients presented no abnormality of the hard palate. One patient's uvula was normal. In the remaining twenty-nine patients, all demonstrated abnormal insertion of the palate muscles into the hard palate. In fifteen of these patients the hard palate was normal. In nine of the patients a U-shaped defect was palpable at the posterior hard palate and in three patients a notch was palpable. Thus, forty-eight of fifty-two patients (92%) demonstrated abnormal anatomy of the palate responsible for their velopharyngeal incompetency. PMID- 6577985 TI - The anatomy of the auditory tube and paratubal musculature in a one month old cleft palate infant. AB - The auditory tube, middle and inner ear, and paratubal musculature were removed en bloc at autopsy from a 1 month old white cleft palate female. The specimen was serially sectioned in a coronal plane and studied under light microscopy. Severe inflammatory changes were observed in the middle ear and osseous portion of the auditory tube in association with the presence of a middle ear effusion. While the posterior tubal lumen, tubal cartilage, and tensor veli palatini (TVP) and tensor tympani muscles were similar to those of an age-matched control specimen, the anterior tubal lumen was seen to be superoinferiorly abbreviated with a large intrusive malpositioned levator veli palatini (LVP) muscle occupying the inferior tubal floor. This muscle was noted to divide into two bundles on proceeding posteriorly with the more superior bundle taking an abnormal origin from the inferior surface of the tube. The luminal compression observed in this specimen is reminiscent of that previously described in cleft fetuses though the abnormal morphology of the LVP muscle has not been reported for the few cleft palate specimens studied. It is probable that this morphology is idiomatic to the present specimen and not a characteristic of the cleft palate condition. PMID- 6577986 TI - Cleft type and sex differences in craniofacial growth in clefting from one month to ten years. AB - Craniofacial growth of 145 children born with a cleft was studied by analyzing the sex and cleft-type differences for 11 linear dimensions and three angular relationships as observed on lateral x-ray headfilms. The sample consisted of 58 children with complete unilateral cleft of lip and palate (UCLP), 29 children with complete bilateral cleft of lip and palate (BCLP), and 58 children with cleft of palate only (CPO). None of these children had any syndrome at the time of birth. The growth was studied for the first postnatal decade. The data were analyzed by stepwise discriminant analysis and univariate analysis of variance. The results show that differences in cranial base size are associated with sex and not with cleft type. Differences in cranial base angle are associated with cleft-type but in case of females only. Face heights do not differ across cleft types but they do differ across sexes when CPO is involved. Cleft type differences are observed for midfacial depths and basifacial angle but sex differences are observed only when CPO is involved. The mandibular dimensions do not differ with cleft type. Gonial angle shows sex differences for BCLP only. The body length also varies with sex when CPO is involved. PMID- 6577987 TI - Cleft lip and palate, corneal opacities and profound psychomotor retardation. A newly recognized genetic syndrome? AB - Clinical histories and physical features of two sisters affected with a previously unreported syndrome are presented with illustrations. The manifestations were profound postnatal growth and psychomotor retardation, hydrocephaly, cleft lip and palate, corneal opacities, central nervous system impairment, and genitourinary anomalies. Four other siblings, two males and two females and the parents of the affected were examined and found to be normal. Infectious, metabolic, and chromosomal etiologies were excluded by appropriate studies. The most likely pattern of inheritance is autosomal recessive. PMID- 6577988 TI - Cleft lip and palate due to deficiency of mesencephalic neural crest cells. AB - The mesencephalic crest was partially eliminated in chick embryos by means of tangential microlaser. The heads of the surviving embryos were serially sectioned and microscopically studied. A deficiency of mesenshyme in the anlage of the maxillary process was observed in 4 of the 42 embryos sacrificed after 24 hours, on the side of irradiation. Among the 99 surviving embryos sacrificed at the ages of 7 or 12 days, 26 showed a unilateral cleft lip, a wide palatal cleft or a combination of these anomalies. It is concluded that cleft lip and palate can result from insufficient growth of the mesenchyme in the maxillary process caused by partial deficiency of mesencephalic neural crest cells. PMID- 6577989 TI - The nasopharyngeal fiber-scope. PMID- 6577990 TI - Determination of free and total cholesterol in human bile samples using an enzyme electrode. AB - A reliable cholesterol electrode was assembled with a Clark type oxygen electrode and cholesterol oxidase immobilised on a nylon net fixed on the electrode surface. Determination of free (unesterified) and total (esterified and unesterified) cholesterol in human bile samples was performed. Results were compared with the enzymatic-spectrophotometric procedure based on the Roeschlau method. The electrode has a usable life of more than two weeks, and more than 300 determinations could be performed. The CV values for free and total cholesterol in bile samples is 5-6%. The comparison between the proposed procedure and the spectrophotometric procedure is fair for the half of the results (delta less than 5%) and acceptable in the other half (delta less than 25%). PMID- 6577991 TI - A long-term study of the effects of norethisterone on lipoprotein metabolism in menopausal women. AB - Long-term effects of the androgenic progestogen norethisterone on lipoprotein metabolism were studied by measuring lipoprotein concentrations in 21 women during one year on treatment for the relief of climacteric symptoms. There were significant reductions in total serum triglyceride (p less than 0.01), very low density lipoprotein (VLDL) cholesterol (p less than 0.01) and high density lipoprotein (HDL) cholesterol (p less than 0.001) after two months on treatment, all of which were still in evidence after one year. Low density lipoprotein (LDL) cholesterol levels climbed gradually becoming significantly higher than baseline after one year on treatment (p less than 0.01). Comparison of cholesterol concentrations in HDL subfractions in the one year treated subjects with those in a control group of untreated subjects suggests that the fall in HDL cholesterol is due to reductions in both the HDL2 and HDL3 fractions. We conclude that norethisterone adversely affects the important lipoprotein risk factors for coronary heart disease. PMID- 6577992 TI - [Partial enzyme deficiency in Prader syndrome]. PMID- 6577993 TI - Predicting zygosity in Norwegian twin pairs born 1915-1960. AB - Present addresses of 12,752 like-sexed twin pairs born in the period 1915-1960 were identified. A questionnaire, concerning the similarity of pair members, was sent to all individuals. Responses were obtained from 83.7% of the subjects. The zygosity of 207 pairs was established by examination of genetic markers. By using discriminant analysis on the responses from this subgroup, functions were obtained for prediction of zygosity from questionnaire data. It was estimated that 2.4% of the pairs would be misclassified if the questionnaire responses from both pair members were used, and 3.9% if only the response from one of the twins was used. Accordingly, zygosity could be predicted with satisfactory reliability also for twin pairs where only one of the twins had responded. The predicted percentage of monozygotic (MZ) pairs among pairs where one or both twins had responded, was 39.4 (4,402/11,175). The percentage of MZ pairs was significantly lower (34.5) in death-discordant pairs than in pairs in which both twins were alive (39.6). The zygosity questionnaire data are sufficient to adequately score twin pairs for zygosity in the great majority of cases. PMID- 6577994 TI - A probable monogenic form of polyostotic fibrous dysplasia. AB - A 37 year-old female patient with polyostotic fibrous dysplasia (PFD) is described. She presented the typical "cafe au lait" spots and severe bone involvement including a maxillary osteosarcoma. The father, four sibs, two nephews, two paternal aunts and two paternal first cousins were clinically examined, and seven of them also radiologically evaluated. "Cafe au lait" spots were found in the father, three sibs, one nephew, one aunt and one first cousin. Although no definite PFD bone lesions, mild radiological abnormalities were found in the father, three sibs and one nephew. These findings were interpreted as the variable expression of a pleiotropic gene. The present observation and three previous familial cases of this entity strongly suggest the existence of a form of PFD determined by an autosomal dominant gene. PMID- 6577995 TI - HLA and ABO antigens in malignant choroidal melanoma. AB - Comparisons of the HLA antigen frequencies in normal controls and in different subsets of patients with malignant choroidal melanoma, partitioned on the basis of histological tumour cell types and inclusion of the splits of all the HLA-A and -B locus antigens, revealed significant heterogenity only in HLA-B (P = 0.043) in the 'pure spindle' cell type choroidal melanomas. In the 'not pure spindle' cell type choroidal melanomas, borderline heterogenity in HLA-B (P = 0.064) was observed. A comparison of the HLA antigen frequencies in the 'pure' and 'not pure spindle' cell choroidal melanoma patients revealed only one antigen with a significant difference before correction, namely B27. A significant difference in ABO bloodgroup distributions, divided into O and non-O, in the two tumour classes was observed (Exact P(1) = 0.0036). PMID- 6577996 TI - Expression of HLA-DR antigens by colonic epithelium in inflammatory bowel disease. AB - The expression of HLA-DR and HLA-A,B,C antigens by human colonic epithelium has been examined in tissue sections of patients with inflammatory bowel disease using an immunohistological technique. Colonic epithelial cells from all 21 control subjects with histologically normal colonic mucosa were HLA-DR-. In contrast, in nine of 13 patients with active ulcerative colitis and 11 of 12 with active Crohn's disease the epithelium of involved colonic mucosa was HLA-DR+. HLA DR antigens were found on the epithelium of only one of six patients with ulcerative colitis in remission and one of three with inactive Crohn's disease. Moreover, these antigens were not present on the epithelium of non-inflamed colonic mucosa in two patients with Crohn's disease in whom adjacent involved mucosa showed strong epithelial reactivity. This difference between patients with active and those with inactive disease is highly significant (P less than 0.005). These findings provide further evidence of the importance of cell-mediated immune mechanisms in the pathogenesis of inflammatory bowel disease. PMID- 6577997 TI - Effect of prostaglandin E2 on adult pig articular cartilage slices in culture. AB - Confirming earlier work by other investigators in isolated chondrocyte cultures, prostaglandin E2 (PGE2) (25 micrograms/ml) causes rapid inhibition of in vitro articular cartilage proteoglycan synthesis in adult pig cartilage slices. The potential impact of E prostaglandins on articular cartilage should be considered in clinical situations associated with elevated intra-articular prostaglandin levels (trauma, meniscal injury, arthritis, etc.). PMID- 6577998 TI - Simultaneous multifocal sarcomatous degeneration in Paget's disease of bone. A hypothesis. AB - Multisite pagetic sarcoma was present in three of 18 patients with pagetic sarcomas treated during a 12-year period at two centers. A hypothesis of multifocal origin of the tumor is supported by the sarcoma arising only in pagetic bone, the infrequency of metastases to bone, evidence of multiple sites at presentation, and the rarity of new lesions developing in bone under observation. Survival was shorter with multisite disease than with other pagetic sarcomas. PMID- 6577999 TI - Decreased gallium uptake in acute hematogenous osteomyelitis. AB - Decreased radiopharmaceutical uptake was noted on both bone and gallium scans in the case of acute hematogenous osteomyelitis of the right ilium (acetabular roof). This combination of findings is probably rare. The mechanism of decreased gallium uptake is unknown, but may be related to decreased blood flow. PMID- 6578000 TI - Detection of renal metastasis of osteosarcoma by bone scan. PMID- 6578001 TI - Orthognathic surgery. PMID- 6578002 TI - Busyness & professionalism (striking a balance). PMID- 6578003 TI - Antihypertensive effect of indapamide with special emphasis on renal prostaglandin production. AB - A study was undertaken in 19 patients with benign to moderate essential hypertension to verify the effect of indapamide alone or combined with a beta blocker on plasma renin activity, plasma aldosterone, serum potassium and urinary prostaglandins PGE2 and PGF2a. Blood pressure was normalized in 11 (58%) patients with 2.5 mg indapamide/day. In the remaining 8 patients, the addition of pindolol resulted in blood pressure control. Under indapamide, a 70% increase in plasma renin activity and 81% (p less than 0.01) in plasma aldosterone was observed, whereas there was an 18% (p less than 0.001) decrease in potassium. Simultaneously, an increase in urinary PGE2 and PGF2a was observed; these values were significant for PGE2 (p less than 0.025). The addition of pindolol did not produce significant change in the biochemical parameters measured. The increase in the excretion rate of primary prostaglandins could play a role in the mode of action of indapamide. PMID- 6578004 TI - Mechanisms involved in the spontaneous occurrence of diploid-triploid chimerism in the mink (Mustela vison) and chicken (Gallus domesticus). AB - Diploid-triploid chimeras have been observed both in man and in a number of laboratory and livestock animals. The mechanism(s) of their origin remains enigmatic. One approach is to calculate for each proposed mechanism the expected frequencies of zygotes bearing different gonosomic complements in the two cell lines. Observed samples are then compared with the expectations. The mechanisms that have been considered include: (1) fertilization of a blastomere, (2) absorption of the second polar body into a blastomere, (3) fertilization of the first polar body, (4) independent fertilization of both nuclei in binucleated oocytes, (5) fertilization of the second polar body as well as the egg, and (6) fusion of two eggs. The sample of minks comprised three preimplantation embryos, nine postimplantation embryos, and three neonatal pups, with gonosomic complements of 7 XX/XXX, 3 XX/XXY, 4XY/XXY, and 1 XY/XYY; the chicks comprised 13 embryos at 1 day of incubation, 1 embryo at 4 days, and one adult bird, with gonosomic complements of 5 ZZ/ZZZ, 1 ZZ/ZZW, 1 ZW/ZZZ, 3 ZW/ZZW, and 5 ZW/ZWW. If it is assumed that within each species all, or most, of the 2n/3n chimeras arise from the same mechanism, then the occurrence of a type that has an expected frequency of zero for a given proposed mechanism effectively eliminates that mechanism as a source. All of the chicks could have resulted from only one mechanism, viz., independent fertilization of both nuclei in binucleated oocytes. The sample of minks could have resulted from the same mechanism or from fertilization of a blastomere of a two-cell, 2n embryo. PMID- 6578005 TI - Two new X-autosome translocations in the mouse. AB - The reciprocal translocations T(X;4)37H and T(X;11)38H were induced by acute X irradiation of spermatozoa. Male heterozygotes are completely aspermic with a spermatogenic block at pachytene and testis masses about one third of normal, though metaphase I is very occasionally reached in T37H. For both translocations the X chromosome breakpoints are in band XA2, and the autosomal breakpoints are in 4D3 for T37H and 11E1 for T38H, leading to long and short marker chromosomes. Chain quadrivalents predominated in oocytes at MI, with no rings; there were 32% trivalent + univalent configurations in T37H and 40% in T38H. These generated (1) XO mice, (2) tertiary trisomics carrying 20 bivalents and the small X4 (T37H) or X11 (T38H) markers. These trisomics were apparently lethal in T37H but sub-viable in T38H and sometimes fertile as XX11 and trisomic XXX11 females, though sterile as XX11Y males. However, many developed exencephaly in utero, probably because of the distal duplication on chromosome 11. No tertiary monosomics were found in 12 to 14 day embryos. Seven percent of all female progeny were XO, with a higher than expected frequency in T37H and a lower than expected one in T38H. T37H is about two units and T38H about five units from the spf locus on the X chromosome with evidence for some crossover suppression between the T38H breakpoint and Ta. Autosomal linkages found were T37H-m-b (R.F. of 16 +/- 4% between T37H and m) and T38H-Rewc (R.F. of 5 +/- 3%). T37H/+ females weighed about 10% less than normal females at birth and about 30% less at weaning; there was little if any effect in T38H/+ females or in males carrying either translocation. Neither translocation had any marked effect on viability. T37H/+ females showed variegation when heterozygous for b with the wild type allele in the long 4X marker. On average, about 20% of the coat was brown rather than black. However, no clear evidence for m variegation was found. PMID- 6578006 TI - Home care for a better life for ventilator-dependent people. PMID- 6578007 TI - Additive pulmonary toxicity with melphalan and busulfan therapy. AB - We report a 59-year-old patient with chronic myeloid leukemia, who developed severe interstitial lung fibrosis after short term and sequential treatment with melphalan and busulfan. The probable additive toxicity of both agents on the pulmonary tissue is discussed. PMID- 6578008 TI - [Penicillamine-induced myasthenia gravis]. PMID- 6578009 TI - [So-called "negative list" and its consequences for pharmacotherapy by dentists]. PMID- 6578010 TI - [Psychosomatic study of amalgam fillings-associated complaints]. PMID- 6578011 TI - [Personality profile and personality development of patients with functional disorders of the masticatory system]. PMID- 6578012 TI - [Measurement of the pH values under the prostheses in patients with stomatitis prothetica]. PMID- 6578013 TI - [Clinical trials of the reproducibility of hinge axis localization. Preliminary results of a follow-up study]. PMID- 6578014 TI - [Preoperative planning of delayed care for individual tooth gaps using implants]. PMID- 6578015 TI - [Fluoride ion concentrations in the serum and mixed saliva after the topical application of Elmex Fluid]. PMID- 6578016 TI - [Alignment of the anterior teeth--the individual incisor angle and the ideal axial position of upper and lower anterior teeth]. PMID- 6578017 TI - [Dependence of anterior tooth guidance on the condyle path]. PMID- 6578018 TI - [Anatomical studies in the retromolar area of the edentulous mandible]. PMID- 6578019 TI - [Microdetermination of fluorides in body fluids with the combined ion-selective hanging-drop electrode]. PMID- 6578020 TI - [Effect of different forms of osteosynthesis on the temporomandibular joint in the correction of mandibular prognathism]. PMID- 6578021 TI - [Findings in "nursing-bottle caries"]. PMID- 6578022 TI - [Malignant lymphomas in the area of the jaw and face]. PMID- 6578023 TI - [Disinfection of silicone impressions, the study of their form stability and compatibility with plaster of Paris]. PMID- 6578024 TI - [Deviations of the individual interincisal angle and ideal axis position of upper and lower front teeth (comparative study between a dysgnathic group and a normal group)]. PMID- 6578025 TI - [Functional adaptation of masticatory muscles as a result of large increases in the vertical occlusion]. PMID- 6578026 TI - [Enlargement of the occlusal field by grinding]. PMID- 6578027 TI - [Tooth, skeletal and height age in patients with hypophyseal dwarfism]. PMID- 6578028 TI - [Vestibuloplasty of the maxilla with palatal split mucous membrane transplants. Technic and results]. PMID- 6578029 TI - [Immunologic structure analysis of supramarginal dental calculus]. PMID- 6578030 TI - [Health status of dental patients. Exploration of 1753 newly admitted cases]. PMID- 6578032 TI - [Removable dentures for children]. PMID- 6578031 TI - Effects of estradiol on prostaglandin F2 alpha levels in primary monolayer cultures of epithelial cells from human proliferative endometrium. AB - Primary monolayer cultures of glandular epithelial or stromal cells isolated from human proliferative endometrium release prostaglandin F2 alpha (PGF2 alpha) into the medium. In epithelial cell cultures maintained in medium containing charcoal stripped calf serum, estradiol (10(-8) M) increased the levels of PGF2 alpha 2.5- to 5-fold during the first 24 h and as much as 40-fold during the second and third days in culture. A similar response was seen with estradiol at a concentration of 10(-10) M. The response to estradiol was only about half as great in medium containing untreated calf serum. Preliminary measurements of PGF2 alpha levels in stromal cell cultures showed that estradiol did not increase PGF2 alpha levels in the medium and even reduced it in some preparations. The estradiol-stimulated increase in PGF2 alpha levels in the epithelial cell cultures contrasts with the lack of responsiveness of proliferative endometrium in organ culture. This finding suggests that the ability of glands to respond to estradiol is repressed in proliferative endometrium. PMID- 6578033 TI - [Precancerous lesions of the mouth: leukoplakia]. PMID- 6578035 TI - [Periodontal disease and occlusion]. PMID- 6578034 TI - [Precancerous lesions of the mouth: lichen planus and other processes]. PMID- 6578036 TI - [Transfer and adjustment of semi-adjustable articulators]. PMID- 6578037 TI - On the formation of an oxygen-tolerant three-component nitrogenase complex from Azotobacter vinelandii. AB - Conditions are defined in which the oxygen-labile nitrogenase components from Azotobacter vinelandii can be protected against oxygen inactivation by the so called Fe/S protein II. It is demonstrated that oxygen protection can be achieved by complex formation of the three proteins. Complex formation was studied by gel chromatography. Only when the three proteins are in the oxidized state and MgCl2 is present, can an oxygen-tolerant complex be isolated. Quantitative SDS/polyacrylamide gel electrophoresis of such complexes, yielded an average ratio of nitrogenase component 2/nitrogenase component 1 (Av2/Av1) of 2.4 +/- 0.5. Protection by Fe/S protein II was correlated with the amount of [2 Fe-2S] clusters present in the protein and not by the amount of protein. Measurements of the amount of iron and sulfide of Fe/S protein II showed that the iron and sulfide content of the protein was variable. The maximum values found indicate that Fe/S protein II contains two [2Fe-2S] clusters per dimer of 26 kDa. Full protection by Fe/S protein II was obtained with a ratio of Fe/S protein II/Av1 of 1.1 +/- 0.2; the Fe/S protein II containing two [2Fe-2S] clusters per dimer of 26 kDa. When Fe/S protein II contains less [2Fe-2S] clusters, more protein is necessary to obtain full protection. The three-component nitrogenase complex is also oxygen stable in the presence of MgATP or MgADP. Analysis in the ultracentrifuge showed that the major fraction of the reconstituted complex has a sedimentation coefficient centered around 34S. A small fraction (less than 30%) sediments with values centered around 111 S. This suggests an average mass for the oxygen-stable nitrogenase complex of 1.5 MDa. Taking into account the determined stoichiometry of the individual proteins, the molecular composition of the oxygen-stable nitrogenase complex is presumably 4 molecules of AV1,8--12 molecules of aAV2 and 4--6 molecules of Fe/S protein II containing two [2Fe-2S] clusters per dimer of 26 kDa. PMID- 6578038 TI - Central inhibitory action of prostaglandin E2 on gastric secretion in the rat. AB - The central nervous system action of prostaglandin E2 (PGE2) on gastric secretion was studied in conscious pylorus-ligated rats. It was found that 1-10 micrograms of PGE2 given i.c.v. reduced the gastric output of acid, pepsin and fluid in a dose-dependent manner whereas 30-300 micrograms was required for inhibition when given subcutaneously. Given i.c.v. 400 micrograms of indomethacin, a potent inhibitor of prostaglandin biosynthesis, enhanced gastric secretion but not when given intramuscularly. It is concluded that PGE2 has a central inhibitory action on gastric secretion in conscious rats. In addition, the possibility that PGE2 may be involved as inhibitory modulator in the central control of gastric secretion warrants further attention. PMID- 6578039 TI - Apical root resorption in upper anterior teeth. PMID- 6578040 TI - The effect of nailbiting on root resorption during orthodontic treatment. PMID- 6578041 TI - Prediction of the pubertal growth spurt by measurement of standing height. PMID- 6578042 TI - An evaluation of the method of structural growth prediction. PMID- 6578043 TI - Head posture and masticatory muscle function. An EMG investigation. PMID- 6578044 TI - Anterior vertical changes in function regulator therapy. PMID- 6578045 TI - The reliability of study model measurement in the evaluation of crowding. PMID- 6578046 TI - A comparison of cephalometric norms for the African Bantu and a caucasoid population. PMID- 6578048 TI - Sagittal dimensions of the anterior cranial base, maxilla and mandibular body in newborn male infants. PMID- 6578047 TI - Dentofacial cephalometric analysis in adult Greeks with normal occlusion. PMID- 6578049 TI - Morphological analysis of cases with ectopic eruption of the maxillary first permanent molar. PMID- 6578050 TI - Functional and phenotypic characterization of two HL60 clones resistant to dimethylsulfoxide. AB - Two HL60 clones (C12 and C13) totally insensitive to differentiation induction by dimethylsulfoxide (Me2SO) are described. They have been growing continuously in the presence of the inducer for more than 6 months. The morphological and cytochemical features of the two populations are quite similar to those of the original HL60 cell line, whereas a different karyotype with marked hyperploidy (modal chromosome number of 86 for C12 and 82 for C13) was detected. An antigenic pattern analogous to that of the native HL60 cell line was found in C12 and C13 populations using three monoclonal antibodies differently reactive to myeloid cells. Both clones can be induced to differentiate by retinoic acid (RA) and 12-O tetradecanoylphorbol 13-acetate (TPA). The pattern of differentiation was assessed by morphological, cytochemical, phenotypical and functional markers. Differentiation of C12 cells by RA and TPA was similar to that observed with native HL60 cells, whereas C13 cells showed lower degrees of sensitivity to RA and TPA. The data presented suggest the existence of different mechanisms for induction of differentiation by Me2SO, RA and TPA. In addition, they are in accordance with previous observations of different degrees of inducibility to differentiation among leukemic cell populations in culture. PMID- 6578052 TI - Expression of differentiation and age-related antigens on chicken erythroleukemia cells transformed by avian erythroblastosis virus (AEV). AB - Immature circulating chicken red cells express on their surface two antigenic molecules referred to as Im 48 kD and Im 140 kD antigens. The Im 140 kD antigen is not present beyond the erythroblast stage while the expression of Im 48 kD antigenic molecule remains detectable on circulating erythrocytes of embryos and young chickens, but not on erythrocytes of adult animals. In addition to Im 48 kD and Im 140 kD antigens, the avian erythroblastosis virus (AEV)-transformed erythroid cells express two novel high molecular weight (MW) immature antigens referred to as Im 150 kD and Im 160 kD. Since the transformed erythroid cells are apparently blocked at a stage close to the colony-forming units erythrocytic (CFU E), these molecules might be expressed on these progenitor cells. The age-related antigenic molecules referred to as E1 48 kD and A 40 kD/A 85 kD antigens are detected on erythrocytes of embryos (and young chickens) and adult animals respectively. The E1 48 kD antigen as well as an antigen related to the A 40 kD were also detected on AEV-transformed erythroid cells deriving from both young chicken bone marrow and yolk sac. The presence of an adult antigen on the embryonic cells might well be related to the transformation by AEV, since the yolk sac CFU-E progenitor cells do not bear the adult antigenicity. PMID- 6578053 TI - Growth pattern and function of bone marrow fibroblasts from normal and acute lymphoblastic leukemia patients. AB - Studies were conducted on cultures of adherent cells derived from bone marrow of normal (N-BMF) and ALL (ALL-BMF) children. Quiescent cultures of both types of cells are differentially stimulated to synthesize DNA by serum. A 31-fold increase was observed in N-BMF, while in ALL-BMF, serum stimulates DNA synthesis only up to 7 times. Hydrocortisone (10(-8) M) inhibited up to 50% the effect of serum on DNA synthesis in N-BMF and had no effect in ALL-BMF. Glucocorticoid receptors, already described in N-BMF, are either absent or present in low amounts in ALL-BMF. These results indicate that stromal cells from normal and ALL bone marrow differ both in growth pattern and function. PMID- 6578051 TI - Phorbol ester-associated changes in ganglioside metabolism. AB - The effect of phorbol esters on ganglioside metabolism in contact-inhibited Chinese hamster V79 cells was examined. Three phorbol esters of varying structure and tumor-promoting activity were used. Treatment of cells with tumor-promoting phorbol esters resulted in accumulation of gangliosides and increased incorporation of [1-14C]palmitate and [9-3H]sialic acid into gangliosides. Moreover, the phorbol esters were found to increase the activity of CMP-sialic acid: lactosylceramide sialyltransferase, the enzyme catalysing the first step in ganglioside biosynthesis. The magnitude of phorbol ester effects on V79 cell ganglioside metabolism correlated with the in vivo phorbol ester tumor-promoting activity. PMID- 6578054 TI - The distribution and assessment of electron-microscopic abnormalities of human cilia. AB - The aim of this study was to overcome difficulties of assessing the true incidence of electromicroscopic abnormalities of microtubular structure of cilia by examining large numbers of cilia from each case. The effects of different fixatives on the appearances of cilia were also studied. Bronchial biopsies were examined from 35 subjects who were being investigated for various lung diseases and nasal biopsies from 12 subjects (7 with retinitis pigmentosa (R.P.), and 5 healthy controls). Numerous pieces of normal looking bronchial wall from a lobectomy specimen were used to examine the effect of six different fixatives. 2.9% of bronchial cilia (mean of 890 cilia examined) and 2.4% of nasal cilia (mean of 808 cilia examined) showed microtubular abnormalities. Examining large numbers of cilia established that increased microtubular abnormalities were associated with smoking, chronic pulmonary infection and carcinoma of the lung. There was a significant increase (p less than 0.001) in microtubular abnormalities in nasal cilia in R.P. The appearances of cilia varied considerably with different fixatives. The numbers of dynein arms seen and the ease of recognising radial spokes and microtubules was particularly effected by fixation. The true incidence of microtubular abnormalities can only be ascertained by examining large numbers of cilia. PMID- 6578055 TI - Mechanisms of mucous transport. AB - The relative importance of mucociliary mechanisms in the sinuses are: ciliary beating greater than secretory pressure greater than sneezing greater than gravity. The relative importance for the Eustachian tubes and the middle ear are: ciliary beating much greater than peristalsis greater than secretory pressure. On the other hand for the small airways differential airflow much greater than ciliary beating and for the large airways: differential airflow greater than coughing or sneezing greater than ciliary beating. Differential airflow past any point in the airways comes from the relatively equal inspiratory and expiratory volumes and durations of flow and the narrowing of the airways on expiration. Mathematical modeling shows the mucous pumping to be directly related to the minute volumes. Also that this mucous pumping can, in the absence of ciliary beating at normal resting tidal breathing, pump 15 to 20 milliliters of mucus per day. Intubation of cystic fibrosis patients with volume controlled ventilators using 1:1 inspiratory/expiratory ratios has permitted the majority of these patients to be extubated. PMID- 6578057 TI - Measurement of nasal mucociliary clearance. PMID- 6578056 TI - Polynesian bronchiectasis. AB - Six Polynesian children aged 8-14 years with recurrent lower respiratory infections and abnormal lung mucociliary clearance were assessed for immuno deficiency. Measurements were made in these 6 children and in 21 healthy Polynesians of serum immunoglobulins (IgG, IgM, IgA) and complement components (C3, C4), leucocyte function tests, and T and B cell populations. A further 8 Polynesian bronchiectatics were tested for sputum secretory-IgA. There was no evidence of S-IgA deficiency and 4 had high levels. There was no evidence of immunodeficiency. Nasal epithelium was obtained from 6 children using a cytology brush and ciliated epithelium was obtained in only 4. The ultrastructure was normal although few cilia were examined. PMID- 6578059 TI - Cellular and neurogenic mechanisms in nose and bronchi. Copenhagen, May 24-27, 1982. PMID- 6578058 TI - Acquired ciliary defects compared to those seen in the immotile-cilia syndrome. AB - An attempt is made to characterize injured cilia and ciliary mutants separately with particular emphasis on human conditions. The usefulness of electron microscopical investigations is stressed. An injury to a ciliated epithelium may very well be restricted to one site in the body and may appear at any stage of life. Typical ciliary mutants, such as are seen in the immotile-cilia syndrome, represent a generalized condition and will be found from the beginning of life. Some types of ciliary defects are relatively unspecific and found after various kinds of insult to the cilia also in the immotile-cilia syndrome; these are: compound cilia, supernumerary microtubules in the axoneme, and loss of cilia or of ciliated cells. Other kinds of ciliary defect seem to be typical of the ciliary mutants: absence of dynein arms, absence of spokes and central sheath, transposition of one of the central microtubules and short central microtubules. PMID- 6578060 TI - The response of the airways to nasal stimulation in asthmatics with rhinitis. AB - In twelve subjects with perennial allergic rhinitis and stable asthma nasal obstruction was induced with histamine diphosphate solution introduced onto the nasal mucosa by a nasal atomizer in a cumulative manner starting with a 0.001% solution. The effect on the nose was measured by the change in inspiratory nasal flow resistance and the lung response was determined by the one second forced expiratory volume (FEV1). The test was stopped when there was a greater than 20% fall in FEV1 or when the total dose of histamine diphosphate reached 26 mumoles. All twelve subjects had a greater than six fold increase in inspiratory nasal flow resistance together with other symptoms of rhinitis in response to histamine. Six subjects had a dose related fall of greater than 20% in FEV1. Two others had falls of 10% and 17%. These changes persisted for between five and thirty minutes. In four subjects, aerosol salbutamol was needed for complete reversal of the FEV1. There was no relationship between the fall in FEV1 resulting from nasal stimulation and airway reactivity as measured by histamine inhalation test on a separate day. The results suggest that the airways of some asthmatics narrow in response to nasal stimulation. PMID- 6578061 TI - On vagal bronchoconstriction in asthmatic patients by nasal irritation. AB - In 27 asthmatic patients a single cold stimulus into the nose resulted in a sudden increase of airway resistance, measured continuously by a forced oscillation technique. The effect could be blocked by previous intrabronchial application of an anticholinergic drug. In laryngectomised patients, who no longer have a connection between the upper and the lower airways, a cold stimulus into the nose also caused bronchoconstriction. So the cold effect must be based on a reflex mechanism. PMID- 6578062 TI - The bronchodilating effect of fenoterol after intranasal administration. PMID- 6578063 TI - Role of calcium and calcium antagonists in airway function. AB - Airway caliber is primarily under the control of cholinergically innervated smooth muscle but it is also effected in pathological states by the tissue effects of chemical mediators released from mast cells, the hypersecretion of mucous glands, and the aggravation of airway narrowing by the vagus-mediated bronchoconstrictor reflex, and also by the ingress of inflammatory cells into the bronchial wall. The function of each of these cell types (smooth muscle, mast cells, mucous glands, vagus nerve, and inflammatory cells) is dependent upon Ca2+ ions. That is, agonist-induced smooth muscle contraction, antigen-induced mediator release from mast cells, mucous gland secretion, vagus nerve impulse initiation and conduction, and the movement of inflammatory cells are all Ca2+ dependent phenomena in which Ca2+ serves as the coupling agent between excitation and contraction and stimulus and secretion. Normally, all cells in the body maintain a very high inside-to-outside Ca2+ concentration gradient, the maintenance of which involves several mechanisms that pump calcium out of the cell. Calcium antagonists may inhibit the ingress of Ca2+ ions from the extracellular environment or may influence the availability of calcium ions from plasma membrane or subcellular organelles. Calcium antagonists have been shown to exert a beneficial effect in exercise-induced asthma and may possibly affect the release of chemical mediators from mast cells. The future of calcium antagonist therapy in the management of asthma remains to be determined. PMID- 6578064 TI - Non-adrenergic inhibitory nerves. PMID- 6578065 TI - Vascular and secretory effect of adrenoceptor agonists and peptides in the nose. AB - With two methods which in cats simultaneously recorded changes of blood flow through the mucosa of a nasal cavity and changes of the nasal patency in the same cavity, it was found that alpha-adrenoceptor agonists and the peptide, angiotensin constricted both the resistance and the capacitance vessels. Beta adrenoceptor agonists and the peptide VIP dilated the vessels. Further, a filter paper method in dogs demonstrated that a large increase in nasal secretion was obtained with alpha-adrenoceptor stimulation in combination with methacholine, more than that with methacholine alone. Beta-adrenoceptor agonists seem to elicit a very scanty secretion. The peptide, substance P was also found to evoke a nasal secretion. PMID- 6578066 TI - Sympathetic control of nasal erectile tissue. AB - A model is described to explain the oscillations in sympathetic tone observed in the erectile tissue of the nasal mucosa. The sympathetic innervation of the nose exhibits two types of activity, (A) oscillations in tone in phase with respiration, (B) reciprocal changes in sympathetic tone which are associated with a nasal cycle of airflow between the two nasal passages over a period of 1-4 hr. Type (A) oscillations may be caused by a loose coupling between groups of nasal vasomotor neurones and respiratory neurones. Type (B) reciprocal changes in sympathetic tone may be regulated by a "central rhythm" of nervous activity and by sensory input from the nasal mucosa. PMID- 6578067 TI - Methods for assessing nasal reactivity. AB - Three symptoms have to be evaluated in order to get a full view of nasal reactivity: sneezing, blockage and secretion; the background mechanisms for these symptoms are discussed. It is emphasized that the demand for accuracy in the test situation varies with the indication for the provocation test. A review of different application methods and substances used for provocation tests is given. Methods for assessment of the amount of secretion and changes of nasal airway resistance are discussed in more detail. PMID- 6578068 TI - Neurogenic and myogenic mechanisms of nonspecific bronchial hyperresponsiveness. AB - Airway smooth muscle is under neurogenic and myogenic control and thus bronchial hyperresponsiveness in asthma may be related to an abnormality in one or other of these systems. Possible neurogenic mechanisms leading to hyperresponsiveness include an abnormality of vagal pathways, of alpha and beta adrenergic receptors in airway smooth muscle or of nonadrenergic noncholinergic nerves. The relative importance of these different mechanisms remains controversial, and regarding nonadrenergic noncholinergic pathway untested. The findings of some recent studies suggest that neither an alteration in vagal pathways nor of adrenergic receptors can be considered as the primary disorder accounting for nonspecific increases in bronchial responsiveness. Possible myogenic mechanisms for hyperresponsiveness include an increase in contractility of individual muscle cells or an increase in cell to cell coupling between muscle cells i.e. a shift from multi-unit to single unit behaviour. These hypotheses have only started to be tested experimentally. PMID- 6578069 TI - Histamine receptors in the bronchi. AB - There is considerable variability in the effect of histamine between species and between different sites within the airways. This is probably due to differences in the distribution of histamine receptors. In general, H1-receptors, which predominate in the airways of most species, mediate bronchoconstriction and H2 receptors mediate bronchodilation. In man, particularly in asthmatics, histamine is a powerful bronchoconstrictor, due to the predominance of bronchoconstricting H1-receptors in the airways. H1-receptor antagonists, given in adequate dosage, relieve bronchial tone in asthmatics, prevent histamine-induced bronchospasm in normal and asthmatic subjects and partially prevent both antigen- and exercise induced asthma. The evidence concerning the presence and function of H2-receptors in human airways is contradictory, but, if present, their role is trivial. There is no difference in the pattern of histamine receptors in normal and asthmatic subjects. PMID- 6578070 TI - Effect of anticholinergic drugs on the bronchial response to histamine. PMID- 6578071 TI - Are exercise and isocapnic voluntary hyperventilation identical bronchial provocations? AB - There is a positive and direct relationship between the magnitude of heat lost from the respiratory tract, the degree of cooling of intrathoracic airways and the magnitude of the airway obstructive response that develops in asthmatic subjects following exercise. We explore the possibilities of the causal nature of this relationship, the potential mechanisms by which they may relate and attempt to focus on the controversies that still exist with regard to the equivalency of respiratory heat loss (RHL) produced by exercise and by isocapnic voluntary hyperventilation (VHV) in asthmatics. PMID- 6578072 TI - Two types of responses to exercise and isocapnic hyperventilation in asthmatics. AB - Seven young adult asthmatics (17-35 years old) with an established diagnosis of mild to severe bronchial asthma were tested twice per day on six different days. On these days, all of the subjects undertook the treadmill exercise test of varying intensity for a duration of 6 minutes. Four hours later a voluntary isocapnic hyperventilation challenge of 6 minutes duration was done with essentially the same level of minute ventilation as achieved during and immediately after the exercise. During exercise and voluntary isocapnic hyperventilation tested patients inhaled dry compressed air of 23 degrees C. Heart rate, minute ventilation and end tidal pCO2 were monitored before, during and after each test. Pulmonary functions were measured before and after each procedure including: spirometry, measurement of airway resistance (Raw) and thoracic gas volume (Tgv). We found that five out of seven patients showed a dose response-like relationship between a change in pulmonary function (FEF25-75% and FEV1) and total ventilation as measured during treadmill exercise or isocapnic hyperventilation challenge. In two patients we failed to establish this relationship. In these two patients different levels of ventilation (as measured during exercise or isocapnic hyperventilation) induced a similar degree of bronchoconstriction. These two patients had the lowest baseline pulmonary function of the whole group and by definition they had the most reactive airways. PMID- 6578073 TI - The effect of alpha adrenergic blockade on non-specific airways reactivity and exercise induced asthma. AB - In asthmatics, alpha-adrenergic blockage with oral phentolamine partially or completely blocked bronchospasm after maximal exercise challenge. Bronchial reactivity to isocapnic hyperventilation with conditioned cold air was also reduced. However, non-specific airways reactivity to inhaled histamine did not change. Therefore, exercise and cold induced bronchospasm in asthma may be partially mediated by alpha adrenergic neural mechanisms perhaps through sensitization of alpha receptors during airway cooling. PMID- 6578074 TI - In vivo demonstration of inflammatory mediator release following nasal challenge with antigen. AB - An in vivo model system was developed to recover inflammatory mediators from the nose after antigen stimulation. In 105 experiments involving 35 subjects, antigen was introduced into the nose. Allergic individuals demonstrated an increase concentration of histamine, TAMe esterase and PgD2 during the physiologic changes of nasal obstruction and sneezing. Clinical symptoms and mediator release were highly correlated; moreover, the release of each mediator was significantly correlated to the others. PMID- 6578075 TI - Distribution of mucus producing elements in the respiratory tract. Differences between upper and lower airway. AB - Based on quantitative studies of glands and goblet cells in the nose, sinuses, trachea and bronchi a short survey on distribution of mucus producing elements is presented and the density of glands and goblet cells compared between upper and lower respiratory pathways. The gland density is highest in the nose 8.3 glands/mm2 low in the trachea, bronchi and nasopharynx, but the gland mass per gland is 3-4 times larger in these regions than in the nose. In the paranasal sinuses the gland density is extremely low and the mucus producing capacity almost negligible. In the nose the goblet cell density is highest in the inferior turbinate, lowest in nasal septum. PMID- 6578076 TI - Ciliary function in transport of mucus. AB - Mucus is propelled by short cilia which rest during each beat cycle. Cilia move from rest by bending sideways and backwards through a recovery stroke in which they keep near the cell surface. This is followed by an effective stroke, in a plane nearly perpendicular to the cell surface, which ends with the cilium bent over in its rest position and with its tip pointing in the direction of propulsion. The cilium moves in a layer of periciliary fluid whose depth is a little less than the ciliary length, so that the overlying mucus is only penetrated by the ciliary tips in the effective stroke. The thickness of the periciliary layer is critical for effective propulsion of mucus. The cilia are coordinated by visco-mechanical interaction between the moving units to produce short oblique metachronal waves which pass across a few ciliated cells before dying away. Many small areas of independently coordinated activity collaborate to propel the overlying mucus. The activity of the cilia can respond to the load of mucus and control of ciliary rate may be exerted indirectly by varying the load rather than by any direct neural mechanism. PMID- 6578077 TI - Mediator release from the airway mucosa. AB - Mediator release from the bronchial mucosa depends largely on the distribution of target cells in it. While there have been few quantitative studies of these cells, the available data suggest that mast cells increase in concentration from the epithelial lumen to the cartilage and from the trachea to the peripheral airways. As the mucosa is relatively impermeable, it seems likely that mediator release at the luminal surface is an important event. Release at this location is amplified by the fact that the mediators can stimulate the irritant receptors causing reflex bronchoconstriction and render the epithelium more permeable so that more of the antigen can penetrate to the large population of mast cells in the submucosa. PMID- 6578078 TI - Classification and possible function of phospholipids obtained from central airways. AB - Phospholipids similar to those contained in surfactant can be obtained not only by bronchial lavage from peripheral airways but also by suction of mucus from central airways. In order to prove identity between the centrally obtained materials and the surfactant, we propose simultaneous application of bronchial lavage and central suction. The hypothesis that phospholipids play an important role in mucus transport by preventing the agglomeration and adhesion of mucus particles is discussed. PMID- 6578079 TI - Neural control of airway submucosal gland secretion. AB - Airway submucosal glands occupy a substantial volume of the large conducting airways and are regulated by vagal muscarinic nerves, alpha- and beta-adrenergic nerves, and nonadrenergic noncholinergic nerves. Vagal nerves modulate various reflexes that increase gland secretion by stimulating release of granules from mucous and serous cells. Stimulated secretions are unaltered from baseline in biochemical and viscoelastic properties. Beta-adrenergic stimulation releases secretions containing relatively little fluid, high concentrations of protein and sulfur, low concentrations of lysozyme and higher viscosity and lower elasticity, and selectively depletes mucous cells. Alpha-adrenergic stimulation causes high fluid flows with low protein and sulfur concentrations, high lysozyme concentrations and low apparent viscosity, and selectively depletes granules from serous cells. Nonadrenergic noncholinergic nerves also stimulate mucin secretion, probably by releasing vasoactive intestinal peptide (VIP). PMID- 6578080 TI - Introduction: viral infection of the respiratory tract. PMID- 6578081 TI - Pathology of naturally occurring colds. PMID- 6578082 TI - Changes of mucociliary function during colds. AB - We have investigated, using chicken and Newcastle disease virus, the relationship between the mucociliary function and acute upper respiratory infection. Average nasal transit time of the dye was 53 sec at the age of two to four weeks in controls. The average transit times were significantly longer than those of controls at day 6 and 12 postinoculation. A histopathological study has revealed that repair of the mucosal injury is usually completed within 13 days after virus challenge. This was confirmed with 3H-thymidine autoradiography. However, there were patches where cilia almost disappear as seen in the scanning electron microscope. The mucous blanket was tethered to the mucosal surface by strands of mucus from the acini of the nose after 7 days of infection. More extensive tethers were observed on the 14th day. This phenomenon is one of the factors which may affect mucociliary transport in vivo only. Nasal secretion from patients with a common cold was transported more slowly than that of controls on a frog palate from which mucus had been removed. The reduction in mucociliary transport rate in the nose during a common cold could be due to a combination of damage to the ciliated system, a change in the biorheological property of nasal secretion and in vivo factors, or other causes. PMID- 6578083 TI - Nasal mucociliary transport, number of ciliated cells, and beating pattern in naturally acquired common colds. AB - Repeated samples of nasal epithelium were taken for in vitro study of the number and motility of ciliated cells (microphoto-oscillographic technique), and nasal mucociliary clearance transport rate was measured (saccharin test) in 26 subjects with naturally acquired common colds. The transport rate was markedly reduced during the disease, and a slight impairment remained even after 32 days. There was a considerable fall in the number of ciliated cells, and regeneration was slow. A moderate and shortlasting change in beating frequency and intracellular synchrony was also observed. It is concluded, that a common cold, as a rule, results in marked and long-lasting impairment of nasal mucociliary clearance function, and this may be the cause of some otherwise unexplainable symptoms from the nose and throat. PMID- 6578084 TI - Effect of airway infections on bronchial reactivity. AB - The pathological changes in the airway epithelium of patients with asthma and viral upper respiratory tract infection is similar. We have shown that such infections temporarily increase the airway reactivity to histamine and lower the threshold for citric acid-induced cough in normal subjects. We have postulated that sensitisation of airway irritant receptors played a part in this phenomena. Other workers have confirmed these results and in dogs with airway infections an exaggerated discharge of irritant receptors has been shown in response to histamine challenge. PMID- 6578085 TI - Mast cells and their mediators in the pathogenesis of asthma. PMID- 6578086 TI - Purified human basophils and mast cells: current concepts of mediator release. AB - Mediators released from human basophils and mast cells in response to immunologic and other stimuli are felt to be important in the pathophysiology of several nasal and pulmonary disease processes. Recently, we have developed techniques to purify these cells, thus allowing precise ultrastructural, biochemical and pharmacological studies of mediator release. Previous literature has emphasized the similarities of the two cell types including their metachromatic staining and IgE-mediated release of mediators. However, we now appreciate that several differences exist between the two cell types. At the ultrastructural level, basophil release is characterized by individual granules emptying to the cell exterior, while mast cell granules fuse intracellularly and release their contents through cytoplasmic channels. Functionally, basophils are 10- to 30-fold more sensitive than mast cells to anti-IgE, but the kinetics of release are less rapid. Basophil, but not mast cell, release is (I) inhibited by histamine H2 agonists and glucocorticoids; (II) enhanced by PgD2 and (III) modulated by arachidonic acid lipoxygenase metabolites. Significant quantities of slow reacting substance of anaphylaxis, PgD2 and platelet-activating factor are generated by mast cells. Basophils produce little or none of these mediators. Studies with these purified, relevant human cell types should provide important insights into the cellular basis of hypersensitivity states and their control. PMID- 6578087 TI - Basophil leukocytes and mast cells in the nose. AB - The aim of the present study has been to examine the pathophysiology of allergic rhinitis, and the number, distribution and antigen-reactivity of basophilic cells. Blown nasal secretions, nasal washings, scrapings and excised specimens of nasal mucosa were collected and examined cytologically and histologically in both light and electron microscopes. Antigen-induced histamine release was also studied in these specimens. The results indicate that migration of basophilic cells (mainly basophil leukocytes in the nasal secretion and predominantly mast cells in the epithelium) to the mucosal surface is characteristic for allergy and that the total number and the histamine content of these cells are sufficient to produce the nasal manifestation of allergy. In conclusion, this study provides evidence supporting our concept of the mechanism of nasal allergy, i.e., that allergic reaction to inhaled allergens is initiated on the mucosal surface, and not in the lamina propria. PMID- 6578088 TI - Bronchial hyperreactivity in rhinitis. PMID- 6578089 TI - Airway reactivity in recurrent croup. AB - Three subsequent studies were concerned with clinical, pathophysiologic and immunologic aspects of recurrent croup. The first investigation demonstrated that recurrent croup is a distinct disease entity which shares many clinical features with asthma and should be distinguished from viral laryngotracheobronchitis. A high incidence of airway hyperreactivity was found in children with recurrent croup in the second study. This specific type of hyperreactivity suggested an involvement of both the lower and the upper respiratory tract. The third study demonstrated a tendency towards low serum IgA levels in children with recurrent croup; hence immunoregulatory defects may be conducive to the development of this disorder. PMID- 6578090 TI - The naso-oro-pharyngo-laryngeal airway. AB - Many of the muscles affecting the caliber of the upper airways have been shown to undergo a change in tone rhythmically timed to fit the breathing cycle. Failure in this function can adversely affect airway patency as in sleep-apnea. In normal persons the action of these muscles stabilizes the upper airways in a manner analagous to the action of the intercostals on the intrathoracic portion of the breathing apparatus. An important subject for future investigation is the exact nature of the nervous pathways involved. PMID- 6578091 TI - Computer analysis of changes in pulmonary resistance induced by nasal stimulation in man. AB - Changes in pulmonary resistance induced by various nasal stimuli were recorded in 16 subjects with nasal allergy and 16 laryngectomized subjects. To avoid human errors in sampling respiratory curves, computer analysis was performed breath by breath, automatically and continuously. In the subjects with nasal allergy the nasal mucosa was stimulated with pressure using a nasal balloon, and by a paper patch with 0.1 ml of 5% histamine hydrochloride. Laryngectomized subjects were stimulated with pressure and by pepper powder. Nasal pressure stimulation up to 50 cm H2O did not cause a statistically significant change in the pulmonary resistance of both groups of subjects. Pepper stimulation caused a statistically significant increase of the pulmonary resistance amounting to 40.4 +/- 28.2% of the prestimulatory level. Histamine stimulation caused a statistically significant change of the pulmonary resistance, but it was difficult to discern whether it caused an increase or a decrease of the resistance. Maximum efforts were used to control the respiratory pattern using the metronome and by visual monitoring of the peak flow rate on the cathode ray oscilloscope, but pepper and histamine stimulation caused a statistically significant increase, although slight, of tidal volume. The effect of slight changes of respiratory patterns induced by nasorespiratory reflex on the observed change of pulmonary resistance could not be ruled out in this human study. PMID- 6578092 TI - Cellular and neurogenic mechanisms in nose and bronchi. Copenhagen, May 24-27, 1982. PMID- 6578093 TI - Non-invasive method for detecting laryngeal narrowing with low frequency sound: effect of fenoterol on laryngeal dilatation. PMID- 6578094 TI - Bronchial hyperreactivity measurements by the forced oscillation technique. PMID- 6578095 TI - Bronchial challenges with ultrasonic mist, histamine and carbachol: a comparison in 87 asthmatic subjects. PMID- 6578096 TI - A comparison of exercise, hyperventilation with cold air and warm air, and the inhalation of "fog" in the provocation of asthma. PMID- 6578097 TI - Diurnal variation in exercise-induced asthma. PMID- 6578098 TI - Pretreatment of exercise-induced asthma with inhaled vasoactive intestinal peptide (VIP). PMID- 6578100 TI - The effect of some drugs on the biophysical and biochemical properties of pig tracheal mucus. PMID- 6578099 TI - Adrenergic and cholinergic receptors in submucosal glands of the ferret trachea: autoradiographic localization. PMID- 6578101 TI - The effect of bromhexine on sputum sol phase proteins. PMID- 6578102 TI - Effect of acute antigenic challenge on nasal ciliary beat frequency. PMID- 6578103 TI - Lack of effect of cystic fibrosis serum on human ciliary motility. PMID- 6578105 TI - Mucociliary function and ciliary ultrastructure in patients presenting with rhinitis to Brompton Hospital Nose Clinic. PMID- 6578106 TI - Ultrastructure of cilia in pulmonary tuberculosis. PMID- 6578104 TI - Measurements of impaired mucociliary activity in children. PMID- 6578107 TI - Comparative effects of beta-agonists on central and peripheral rat airways. PMID- 6578108 TI - Anti-asthmatic effects and drug tolerance of selective beta 2-adrenergic stimulants in guinea-pigs. PMID- 6578109 TI - Acetylcholine-induced bronchospasm in asthma patients: dose/response curves. PMID- 6578110 TI - Protoplasts 1983. Poster proceedings. 6th International Protoplast Symposium, Basel, August 12--16, 1983. PMID- 6578111 TI - Characteristics of platelet aggregation induced by the monoclonal antibody ALB6 (acute lymphoblastic leukemia antigen p 24). Inhibition of aggregation by ALB6Fab. AB - The leukemia-associated cell surface antigen p 24 is found on normal platelets as well as on Bernard Soulier syndrome and thrombasthenia type I platelets. ALB6 IgG (a monoclonal antibody against p 24) induces the aggregation of platelets from normal donors but not from thrombasthenia. In contrast, ALB6 Fab inhibits platelet aggregation induced by collagen, ADP, thrombin, ionophore A 23187 and ALB6 IgG. The results suggest that ALB6 interferes with a mechanism common to all aggregation pathways; the possible mechanisms are discussed. PMID- 6578112 TI - [Estilux UV in the restoration of permanent incisors injured during childhood]. PMID- 6578113 TI - [Effect of atropine on vasodilation induced by parasympathetic stimulation in the rabbit submandibular gland]. PMID- 6578115 TI - [Maxillofacial war injuries and their management]. PMID- 6578114 TI - [Prosthetic restoration of extensive abrasion caused by partial tooth loss (case report)]. PMID- 6578116 TI - [Facial and mandibular injuries caused by whipping cream aerosol bottle, report of 2 cases]. PMID- 6578117 TI - [Secretion of cephalosporins in saliva]. PMID- 6578119 TI - When and how to raise your fees. PMID- 6578118 TI - [Dentition abnormalities in the practice of a general practitioner. I. Transposition of teeth]. PMID- 6578120 TI - How to be comfortable quoting higher fees. PMID- 6578121 TI - Ten non-advertising ways to attract and keep new patients. PMID- 6578122 TI - How an insurance reference manual can help build your practice. PMID- 6578123 TI - Hire your spouse and save at tax time. PMID- 6578124 TI - The lure of leasing--don't get hooked. PMID- 6578125 TI - N2: clarifying the controversy. PMID- 6578126 TI - Motivating your dental staff - five strategies for success. PMID- 6578127 TI - How to establish and maintain rapport with your patients. PMID- 6578128 TI - Investment advice: who to ask to get the best answers. PMID- 6578129 TI - Why I left retail dentistry and why I'll never go back. PMID- 6578130 TI - Understanding drugs: prescription for a better practice. PMID- 6578131 TI - Drugs in dentistry: analgesics. PMID- 6578132 TI - The best way to order dental office supplies. PMID- 6578133 TI - Four steps to follow when it's time to sell your practice. PMID- 6578134 TI - State-of-the-industry survey finds business healthy despite the recession's burdens. PMID- 6578135 TI - Cash management for the money crunch. PMID- 6578137 TI - Minimize the trauma of firing someone. PMID- 6578136 TI - The lab and the dentist: enemies or friends? PMID- 6578138 TI - Teens get head start with lab set-ups in school. PMID- 6578139 TI - Organize now for the future. PMID- 6578140 TI - Plan ahead for profits. PMID- 6578141 TI - Promote your plaster department for quality and savings. PMID- 6578142 TI - Keep tabs on costs. PMID- 6578143 TI - Good service sells. PMID- 6578144 TI - Effective listening yields rewards. PMID- 6578145 TI - Save cash and worry with informed insurance programming. PMID- 6578147 TI - Successful managers: are they born or made? PMID- 6578146 TI - Continuing education delivers bottom line payoff. PMID- 6578148 TI - Boost morale and be amply rewarded. PMID- 6578149 TI - A new breed hits the streets. PMID- 6578150 TI - Know the market, the man, and the math when you set out to buy a business. PMID- 6578151 TI - Photography: 1. Uses in general dental practice. PMID- 6578152 TI - Four-handed dentistry. 2. Periodontal surgery: making it easier. PMID- 6578153 TI - Soft tissue lesions in children: 1. Infancy, teething and childhood habits. PMID- 6578154 TI - Extraamniotic infusion of prostaglandin F2 alpha in normal saline for termination of midtrimester missed abortion. AB - A combined method consisting of extraamniotic infusion of normal saline with prostaglandin F2 alpha was used in 20 patients for termination of midtrimester missed abortion. All 20 patients aborted within 12 h. The mean infusion abortion interval was 7.34 h. Side effects were observed only in 5 patients (25%), a low percentage when compared with other prostaglandin methods. The possibility of adjusting or stopping the infusion permitted the rapid control of side effects and the intensity of uterine contractions. According to the results obtained in this series, the proposed method seems to be more suitable than other procedures reported for termination of midtrimester missed abortion. PMID- 6578155 TI - Induction of labour. PMID- 6578156 TI - Association between Crohn's disease and immunoglobulin heavy chain (Gm) allotypes. AB - Immunoglobulin allotype markers on immunoglobulin G (Gm markers), immunoglobulin A (A2m markers), and kappa light chains (Km markers) were determined in 68 Crohn's disease patients, 39 ulcerative colitis patients, and 1027 healthy controls. Patients and controls were all Caucasians of Northern European origin and not Jewish. The distribution of immunoglobulin heavy-chain (Gm) allotypes differed markedly between Crohn's disease patients and controls. Crohn's disease patients had a significant increase in the frequency of the phenotype Gm(a,x,f;b,g) and the haplotype Gma,x;g. The frequency of Gm phenotypes and haplotypes did not differ significantly between ulcerative colitis patients and controls. Further, there was no significant association between Km markers or A2m markers and inflammatory bowel disease. PMID- 6578157 TI - [Functional activity of the monocytes in patients with acute leukemia in various therapeutic programs]. PMID- 6578158 TI - [Many-year remission in children with lymphoblastic leukemia after short-term polychemotherapy]. PMID- 6578159 TI - [Prognosis in acute leukemia]. PMID- 6578160 TI - Calcium hydroxide method. PMID- 6578161 TI - Narrowing of the teeth. PMID- 6578162 TI - Clinical evaluation of posterior composite resins. PMID- 6578163 TI - The value of comprehensive radiographs. PMID- 6578164 TI - A unique orthodontic approach to a long-standing esthetic restorative problem. PMID- 6578165 TI - Free mucosal grafts: a simplified technique. PMID- 6578166 TI - Endodontics and the rubber dam: a review of techniques. PMID- 6578167 TI - Ridge preservation through root submergence. PMID- 6578168 TI - An interim midfacial prosthesis. PMID- 6578169 TI - Marketing: borrowing a useful tool from business. PMID- 6578170 TI - Managing subgingival lesions with a combined operative and periodontal approach. PMID- 6578171 TI - Identification of an autosomal locus affecting steroid sulfatase activity among inbred strains of mice. AB - We have found an activity variant for testicular and liver steroid sulfatase among inbred strains of mice that is not X-linked. C57BL/6J, SM/J and SWR/J testicular extracts hydrolyze 3H-dehydroepiandrosterone sulfate twice as rapidly as do A/J extracts. The C3H/HeJ and DBA/2J strains were intermediate. The Km values for C57BL/6J and A/J are 2.29 +/- 0.10 and 1.01 +/- 0.02 microM, respectively. The F1 values in both directions were intermediate, which argues against X-linkage of this trait. F2 values show scattered high-intermediate-low values compatible with assay variation superimposed on the segregation of codominant alleles. When assayed for both testicular and liver steroid sulfatase, nine recombinant inbred lines between A/J and C57BL/6J segregate to near the parental strain values. Thus, this activity variation for steroid sulfatase appears to be determined by a single gene, which is not X-linked. Sex and steroidal hormone differences in liver steroid sulfatase activity were not present in the A/J strain, but females of the C57BL/6J and some recombinant inbred lines had higher levels. Electrophoretic studies only disclosed a variant in the SM/J strain, which seems to be secondary to the well-known neuraminidase variation in SM/J. PMID- 6578172 TI - Imbalance of prostacyclin and thromboxane synthesis in Crohn's disease. AB - Synthesis of prostanoids in Crohn's disease was investigated using rectal biopsy specimens maintained in organ culture. As with ulcerative colitis increased synthesis of prostaglandin (PG)E2 was observed when the mucosa was inflamed, compared with uninflamed mucosa in Crohn's disease, and with control biopsy specimens. In contrast with ulcerative colitis differences from control specimens were observed even in the absence of inflammation. There was a raised synthesis of thromboxane (Tx)B2 (stable breakdown product of TxA2); concentrations of 6 keto PGF1 alpha (stable breakdown product of prostacyclin) were unchanged and hence the ratio of 6-keto PGF1 alpha/TxB2 was reduced. These changes might lead to an altered cytoprotective capacity or reduced suppressor cell activity, such as has previously been reported in intestinal lymphocytes in Crohn's disease. PMID- 6578173 TI - HLA antigens in coeliac disease associated with malignancy. AB - Coeliac patients are at greater risk than the general population of developing malignant neoplasms, particularly lymphomas. The establishment at the Clinical Research Centre of a national collaborative study of coeliac patients with malignancy provided the opportunity to carry out HLA typing for 55 HLA-A, B and C and the 10 recognised DR antigens on a group of coeliac patients with malignancy. Study of a sample of 44 patients with biopsy proven coeliac disease and histologically confirmed malignancy, including 12 with malignant histiocytosis, and 57 coeliac patients without malignancy, failed to show any significant differences in antigen frequencies between patients with and without malignancy. These results indicate that there are no HLA genetic markers associated specifically with the development of malignancy in coeliac disease. PMID- 6578175 TI - Miscellaneous pesticides. PMID- 6578174 TI - Concentrations of prostaglandin E2 and F2 alpha in the cardiovascular system of infants with persisting patent ductus arteriosus. AB - The distribution of prostaglandin E2 and F2 alpha was examined in the peripheral veins and in several positions of the cardiovascular system before and after the blood had passed through the lungs in 37 infants. Prostaglandin E2 varied from 0.25 +/- 0.09 ng/ml to 0.44 +/- 0.09 ng/ml when measured in the pulmonary artery, the ductus arteriosus, the right atrium, the right ventricle, the left atrium, the left ventricle, the inferior vena cava and the descending aorta. Prostaglandin F2 alpha was much higher in these positions of the cardiovascular system. The range was 0.99 +/- 0.36 ng/ml to greater than 2.0 ng/ml. The vascular tissues produced virtually identical high amounts of prostaglandin E2 and F2 alpha, but there were no significant differences in prostaglandin E2 and F2 alpha, concentrations, in venous blood as well as in systemic arterial blood. The results suggest that prostaglandin E2 is not responsible for the persisting patency of the ductus arteriosus in infants. There is no explanation for the increased prostaglandin F2 alpha concentrations in these patients. PMID- 6578176 TI - Malathion. PMID- 6578177 TI - Methyl parathion. PMID- 6578178 TI - Parathion. PMID- 6578179 TI - Piperonyl butoxide. PMID- 6578180 TI - Tetrachlorvinphos. PMID- 6578181 TI - Trichlorfon. PMID- 6578182 TI - Diallate. PMID- 6578183 TI - Fluometuron. PMID- 6578184 TI - MCPA. PMID- 6578185 TI - Nitrofen. PMID- 6578186 TI - Captan. PMID- 6578187 TI - Chlorothalonil. PMID- 6578188 TI - ortho-Phenylphenol and its sodium salt. PMID- 6578189 TI - Appendix: general considerations on N-nitrosatable pesticides. PMID- 6578190 TI - Cancer epidemiology of pesticide manufacturers, formulators and users. PMID- 6578192 TI - Chlorobenzilate. PMID- 6578191 TI - Chlordimeform. PMID- 6578193 TI - Dicofol. PMID- 6578194 TI - Accessory cell and HLA compatibility requirements for the generation of specific in-vitro antibody responses to influenza virus by human blood lymphocytes. AB - The role of antigen presenting cells in specific in-vitro antibody responses to influenza virus by human lymphocytes was investigated. Demonstration of a requirement for accessory cells necessitated vigorous depletion procedures. Accessory cells were removed by passage of mononuclear cells through a Sephadex G10 column followed by separation of cells bearing antigens defined by the monoclonal antibodies OKM1 and UCHM1 by fluorescence-activated cell sorting or panning. Peripheral blood mononuclear cells treated in this way were unable to respond to influenza virus by antibody production in either round-bottom or flat bottom culture wells. The response could be reconstituted by either irradiated plastic-adherent cells or G10 non-adherent OKM1/UCHM1 positive cells in both autologous or allogeneic (HLA-DR different) combinations. The absence of HLA restriction was not due to non-specific allogeneic effects and was confirmed using irradiated, antigen-pulsed accessory cells which were extensively washed, incubated overnight and washed again to remove free antigen. These data suggest that the normal T-cell repertoire contains T helper cells specific for antigen plus self and antigen plus allo MHC. PMID- 6578196 TI - Atypical acute promyelocytic leukemia--(M3 variant). PMID- 6578195 TI - Ontogeny of non-lymphoid and lymphoid cells in the rat gut with special reference to large mononuclear Ia-positive dendritic cells. AB - The ontogeny of rat Peyer's patches was studied with special reference to Ia positive dendritic cells. The 16-day-old foetus contained large Ia-positive dendritic cells randomly distributed throughout the gut wall and mesentery. In cell suspensions prepared from the foetal gut, these cells showed the typical movement pattern of veiled cells, and they shared ultrastructural features with these and other antigen-presenting cells. The gut was found to be the first organ in which large numbers of these Ia-positive dendritic cells were found. At 16 days gestation, the Ia-positive dendritic cells were randomly distributed throughout the primitive gut wall, but at later stages accumulated in structures which were clearly recognizable as Peyer's patches from 20 days gestation onwards. T and B lymphocytes could be seen on the day of birth at the earliest, at first randomly distributed throughout the Peyer's patch, but afterwards concentrating in separate T- and B-cell regions. Two weeks after birth Peyer's patches consisted of densely populated B-cell nodules, mainly comprising surface IgM (sIgM) positive cells, and internodular T-cell regions. Ia-positive dendritic cells were situated between the epithelial cells of the dome area, just underneath this epithelium in a loose reticular area and in the internodular T cell regions. These Ia-positive dendritic cells were acid phosphatase negative or only weakly positive. Some Ia-positive dendritic cells were also present in small intestinal villi at all ages studied. However, these cells started to express an increasing acid phosphatase activity in the 2 weeks following birth. Thus they resemble macrophages, while Peyer's patch dendritic cells show characteristics of antigen-presenting cells. PMID- 6578197 TI - [Dental enamel: mode of attack by acid solutions]. PMID- 6578198 TI - [In vitro action of phosphoric acid solution on the surface of human dental enamel]. PMID- 6578199 TI - [Dissolution of enamel by phosphoric acid]. PMID- 6578200 TI - [Infrared laser therapy]. PMID- 6578201 TI - [Improvement in the surgical technic of the suction of water, saliva and blood using a new saliva pump]. PMID- 6578202 TI - The in vitro activity of N-formimidoyl thienamycin compared with other broad spectrum cephalosporins and with clindamycin and metronidazole. AB - N-formimidoyl thienamycin is a new semisynthetic beta-lactam antibiotic still awaiting clinical trials. We have investigated the in vitro activity of N formimidoyl thienamycin against 413 fresh clinical isolates and compared it to other new beta-lactam drugs and to clindamycin and metronidazole in the agar dilution test. All coliforms were inhibited by less than or equal to 1 mg/l and no member of the Proteus group was resistant to more than 8 mg/l of N-formimidoyl thienamycin. The MICs for Pseudomonas aeruginosa were less than or equal to 4 mg/l. Beta-haemolytic streptococci, pneumococci and staphylococci, including methicillin-resistant strains, were all inhibited by 0.125 mg/l or less. Streptococcus faecalis strains were all susceptible to less than or equal to 2 mg/l. N-formimidoyl thienamycin was highly active against the anaerobes tested. N formimidoyl thienamycin exhibited bactericidal activity, and changes in inoculum size had little effect on the MICs. This data has shown that N-formimidoyl thienamycin has excellent antibacterial activity and an unusually broad spectrum of activity. PMID- 6578204 TI - The sick sinus syndrome in familial amyloidosis with polyneuropathy. AB - We report five cases of dysfunction of the sinus node in patients suffering from familial amyloidosis with polyneuropathy. The implantation of a pacemaker resulted in symptomatologic relief in all. PMID- 6578203 TI - Immunomodulating effects of 13-cis retinoic acid on the IgG and IgM response of BALB/c mice. AB - The results reported here provide information on the effects of 13-cis retinoic acid (13-cRA) on the IgG and IgM responses in BALB/c mice. For these studies, a suboptimum immunizing concentration of ovalbumin (1 microgram) was used. BALB/c mice were given either 13-cRA or control beadlets (gel) as either 1 dose (at day 1) or 4 doses (at week -3, -2, -1, and day -1) prior to primary immunization, or 4 doses prior to, and 4 doses after, primary immunization (week -3, -2, -1, day 1, week 1, 2, 3, and day 27). The results consistently showed no primary antibody response and excellent secondary antibody levels in all 13-cRA-treated groups. Attempts to determine whether the 13-cRA affected the afferent or efferent phase of antibody induction by varying the time of the administration of a single 13 cRA dose, relative to immunization, showed no difference in the results in animals treated on day -2 to day 3. PMID- 6578205 TI - Patients deserve the best. PMID- 6578206 TI - Combined periodontal, orthodontic and fixed prosthetic treatment of juvenile periodontitis: a case report. PMID- 6578208 TI - Comparison of clinical results following radial keratotomy, extended-wear contact lenses, and myopic keratomileusis. PMID- 6578207 TI - The surgical management of the restorative alveolar interface (II). PMID- 6578209 TI - Glucose-6-phosphate dehydrogenase as a probe for the study of X-chromosome inactivation in hunan females. AB - The electrophoretic variants of G6PD have provided evidence for a single active X chromosome in human somatic cells, but two active X-chromosomes in germ cells and in triploid cells with a 69,XXY karyotype. Studies of clonal populations of cells heterozygous for G6PD-A but expressing a single isozyme have provided evidence that the maintenance of the inactivation process is extremely stable, but that an occasional localized derepression event may occur. Such populations have also been used to show that methylation of X-chromosome DNA is not obviously different for XA and XI; furthermore, methylation is surprisingly unstable at least at some sites on the X. Studies of derepressed loci on the inactive X-chromosome in these clonal cell populations show that the expression of loci that escape inactivation is greater on XA than XI. G6PD variants have provided significant insights into the consequences of X-chromosome inactivation, revealing the role of intercellular communication and cell selection in determining female phenotype. The evidence that is now available indicates that the regulation of the X chromosome is complex. The mechanisms involved include: 1) initiation, an event that may be mediated through an autosomal product and 2) maintenance which is stable but subject to programmed derepression of the entire chromosome during ontogeny of germ cells and occasional unprogrammed localized derepression in somatic cells. In addition, there may be transcriptional differences between XI and XA to compensate for monosomy of X-linked genes. The molecular basis for this multilevel regulation is unclear, but it seems certain that the cloned DNA probe for G6PD [Persico et al, 1981] will provide further insights. PMID- 6578210 TI - Pharmacokinetics of N-formimidoyl thienamycin and influence of a renal dipeptidase inhibitor in experimental meningitis. AB - We studied the pharmacokinetics of N-formimidoyl thienamycin with and without a renal dipeptidase inhibitor in plasma and cerebrospinal fluid (CSF) of rabbits. Thienamycin reached a maximal concentration of 0.6 +/- 0.06 mg/l in the CSF of normal rabbits. When the meninges were inflamed, the mean CSF concentration of N formimidoyl thienamycin was 3.2 +/- 1.5 mg/l, five times higher than in normal rabbits. This concentration would kill most bacteria that cause meningitis. The renal dipeptidase inhibitor alone had no detectable antibacterial activity. When administered with N-formimidoyl thienamycin, it exerted only minor effects on the pharmacokinetics in either plasma or CSF of normal or infected rabbits. PMID- 6578211 TI - Modification of a major ribonuclease from Aspergillus saitoi with 1-cyclohexyl-3 (2-morpholinyl-(4)-ethyl)carbodiimide. AB - In order to investigate the role of carboxyl groups of a base non-specific ribonuclease from Aspergillus saitoi [EC 3.1.27.1] (RNase M, molecular weight 36,000), the modification of RNase M with a water-soluble carbodiimide, 1 cyclohexyl-3-(2-morpholinyl-(4)-ethyl)carbodiimide(CMC), was studied. The inactivation of RNase M proceeded almost linearly with the incorporation of about 9.5 CMC moieties. The peptide backbone structure of the modified RNase M was practically the same as that of the native RNase M, as assessed from the CD spectra in the region of 200-250 nm. In the presence of competitive inhibitors, adenosine, and cytidine, inactivation of RNase M by CMC was partially inhibited. In the presence of cytidine (1 M), the modification of about 4 carboxyl groups of RNase M proceeded with a slight loss of enzymatic activity (ca. 20%). Further modification inactivated RNase M with the incorporation of ca. 4-5 CMC without any detectable intramolecular peptide bond formation. Therefore, it was concluded that carboxyl groups responsible for enzymatic activity were included among these carboxyl groups protected by cytidine. The logarithm of the half-live of the inactivation of RNase M by CMC was a linear function of log[CMC] with a slope of minus one, indicating that at least one carboxyl group among the modified ones may be essential for catalysis. The digestion of CMC-modified RNase M with carboxypeptidase A eliminated the carboxyl terminal group from the site of CMC modification. PMID- 6578212 TI - Human placental estradiol 17 beta-dehydrogenase. Identification of a single histidine residue affinity-labeled by both 3-bromoacetoxyestrone and 12 beta bromoacetoxy-4-estrene-3,17-dione. AB - Human placental estradiol 17 beta-dehydrogenase (EC 1.1.1.62) was affinity labeled at pH 6.3 by 3-bromo[2'-14C]acetoxyestrone and 12 beta-bromo-[2'-14C] acetoxy-4-estrene-3,17-dione (both are substrates) in separate incubations. The affinity-alkylated enzyme samples were then treated separately as described below. Amino acid compositions of both samples revealed radioactive 3 carboxymethylhistidine. Tryptic digests of each sample were prepared, applied to Sephadex G-50, and 3-carboxymethylhistidine-bearing fractions identified. These peptides were further purified by cation exchange chromatography, gel filtration, and paper electrophoresis. The purified, 3-carboxymethylhistidine-bearing peptides labeled by the two steroids had identical electrophoretic mobilities at pH 6.5, 3.5, and 1.9. The amino acid sequence of the radioactive peptide alkylated by 3-bromo[2'-14C]acetoxyesterone was determined as: Leu-Ala-3 [14C]CmHis-Ser-Lys. The smaller quantity of peptide obtained from the inactivation with 12 beta-bromo[2'-14C]acetoxy-4-estrene-3,17-dione precluded the determination of its complete sequence. However, the first 3 residues were found to be Leu-Ala-3-[14C]CmHis and the amino acid composition showed that serine and lysine were also present. It is concluded that the steroid-binding site of human placental estradiol 17 beta-dehydrogenase contains a histidine residue which proximates the upper A-ring region of the steroid as it undergoes the reversible binding step. PMID- 6578213 TI - Inactivation of human placental 17 beta,20 alpha-hydroxysteroid dehydrogenase by 16-methylene estrone, an affinity alkylator enzymatically generated from 16 methylene estradiol-17 beta. AB - The substrate 16-methylene estra-1,3,5(10)-triene-3,17 beta-diol (16-methylene estradiol-17 beta) and its enzyme-generated alkylating product, 3-hydroxy-16 methylene estra-1,3,5(10)-triene-17-one (16-methylene estrone), were synthesized to study the 17 beta- and 20 alpha-hydroxysteroid dehydrogenase activities which coexist in homogeneous enzyme purified from human placental cytosol. 16-Methylene estradiol, an excellent substrate (Km = 8.0 microM; Vmax = 2.8 mumol/mg/min) when enzymatically oxidized to 16-methylene estrone in the presence of NAD+ (256 microM), inactivates simultaneously the 17 beta- and 20 alpha-activities in a time-dependent and irreversible manner following pseudo-first order kinetics (t1/2 = 1.0 h, 100 microM, pH 9.2). 16-Methylene estradiol does not inactivate the enzyme in the absence of NAD+. 16-Methylene estrone (Km = 2.7 microM; Vmax = 2.9 mumol/mg/min) is an affinity alkylator (biomolecular rate constant k'3 = 63.3 liters/mol-s, pH 9.2; KI = 261 microM; k3 = 8.0 X 10(-4) S-1, pH 7.0) which also simultaneously inhibits both activities in an irreversible time-dependent manner (at 25 microM; t1/2 = 7.2 min, pH 9.2; t1/2 = 2.7 h, pH 7.0). Substrates (estradiol-17 beta, estrone, and progesterone) protect against inhibition of enzyme activity by 16-methylene estrone and 16-methylene estradiol. Affinity radioalkylation studies using 16-methylene [6,7-3H]estrone demonstrate that 1 mol of alkylator binds per mol of inactivated enzyme dimer. Thus, 16-methylene estradiol functions as a unique substrate for the enzymatic generation of a powerful affinity alkylator of 17 beta,20 alpha-hydroxysteroid dehydrogenase and should be a useful pharmacological tool. PMID- 6578214 TI - Albumin-catalyzed metabolism of prostaglandin D2. Identification of products formed in vitro. AB - Human albumin catalyzed the in vitro transformation of prostaglandin D2 into three novel dehydration products identified as 9-deoxy-11-keto-15 alpha-hydroxy delta-5,9,12-prostenoic acid; 15-deoxy-11-keto-9 alpha-hydroxy-delta 5,9,12,14 prostenoic acid. Results suggest that albumin can influence, qualitatively and quantitatively, the metabolism of eicosanoids. PMID- 6578215 TI - Biosocial aspects of ethnic minorities. Proceedings of a Galton Foundation and Biosocial Society Conference, London 31 March-2 April 1982. PMID- 6578216 TI - Apolipoprotein EBethesda: a new variant of apolipoprotein E associated with type III hyperlipoproteinemia. AB - Apolipoprotein E (apoE) is associated with plasma lipoproteins and is important in modulating the catabolism of remnants of triglyceride-rich lipoproteins. ApoE is a polymorphic protein, and homozygosity for the E2 allele is associated with type III hyperlipoproteinemia. A variant of apoE, apoEBethesda, was found that migrates in the E1 position on isoelectric focusing. Evaluation of the proband and her family showed that both individuals with apoEBethesda had type III hyperlipoproteinemia, and the analysis was consistent with the concept that apoEBethesda was coded by a new E allele and that this allele was expressed in a codominant fashion. The discovery of apoEBethesda and its association with type III hyperlipoproteinemia provides additional evidence for the genetic heterogeneity of the E allele and suggests that a number of different structural mutations of the E apolipoprotein may be associated with the type III phenotype. PMID- 6578217 TI - Vomiting as a learned weight-control technique in bulimia. AB - Twenty-seven consecutive patients presenting with binge eating and vomiting were systematically questioned about the circumstances surrounding the onset of their vomiting habit. Twenty-four were able to specify and describe a particular incident to which they attributed the idea of vomiting as a weight-control method. The nature of the reported incidents supports the hypothesis that vomiting in those patients is a learned maladaptive behavior which is frequently inadvertently taught by well-meaning friends, relatives and professionals. These findings indicate the necessity of evaluating the risks as well as the benefits of public education. PMID- 6578218 TI - Current status of posterior composite resins. PMID- 6578219 TI - The open-face stainless steel crown for primary molars. PMID- 6578220 TI - Dimensional differences in the attached gingiva and gingival sulcus in the mixed dentition. PMID- 6578221 TI - Inherited retarded eruption. PMID- 6578222 TI - Premature mineralization of permanent canines associated with aplasia of their primary predecessors: report of four cases. PMID- 6578223 TI - Psychological tests as predictors of children's operatory behavior. PMID- 6578224 TI - Tooth-tutoring: a pilot study to evaluate peer-teaching effectiveness. PMID- 6578225 TI - Hereditary fibrous dysplasia of the jaws (cherubism): report of case. PMID- 6578226 TI - Taurodontism: clinical management and report of case. PMID- 6578227 TI - Nutritional anemia. AB - Nutritional anemia results from deficiency in either iron, vitamin B12 or folic acid, although in most areas of the world, nutritional anemia is synonymous with iron deficiency. Nutritional anemia occurs most commonly at times of heightened physiologic requirements. It is considered a major health problem in developing countries, although it is not a serious concern for the general U.S. population. Iron deficiency without frank anemia, however, does affect some segments of the U.S. population, such as pregnant and menstruating women and children. PMID- 6578229 TI - Progesterone metabolism in the murine submandibular salivary gland. AB - Homogenates of submandibular salivary glands from female mice were incubated with progesterone. This resulted in the formation of 20 alpha-hydroxy-progesterone, thus indicating the presence of the enzyme, 20 alpha-hydroxysteroid dehydrogenase. PMID- 6578228 TI - Enzymatic sulfation of glycosphingolipids in rat parotid salivary glands. AB - The results of this study demonstrate that sulfatoglycosphingolipids of rat parotid salivary glands consist of galactosylceramide and lactosylceramide sulfates. The enzyme activity which catalyzes the formation of these compounds in vitro via transfer of sulfate from 3'-phosphoadenosine-5'-phosphosulfate to galactosyl- and lactosylceramide is located in the microsomal fraction of parotid glands. This sulfotransferase exhibits its optimum activity at pH 6.8 and requires the presence of Triton X-100, Mg2+, and F1-. PMID- 6578230 TI - Detection of antigens in enzymic lysates of cell wall from Streptococcus mutans strains. AB - Lysis of cell wall preparations from strains representing serotypes a - g of Streptococcus mutans has provided a convenient and efficient means of obtaining the typing antigens in a soluble undegraded form, and has demonstrated that, in each case, the antigen is a cell wall component in the strict sense of a component joined covalently to peptidoglycan. This influences the choice of extraction procedures. PMID- 6578231 TI - Neuraminidase-activated attachment of Actinomyces naeslundii ATCC 12104 to human buccal epithelial cells. AB - The attachment of Actinomyces naeslundii ATCC 12104 to human buccal epithelial cells pre-treated with neuraminidase (sialidase) was evaluated. Both commercial clostridial neuraminidase and neuraminidase preparations from the test strain of A. naeslundii enhanced attachment. The results suggest that the A. naeslundii beta-galactoside-seeking ligand involved in hemagglutination and interbacterial coaggregation also mediates one type of binding to human buccal epithelial cells. PMID- 6578232 TI - Grooved titanium surfaces orient growth and migration of cells from human gingival explants. AB - A silicon mask-etching technique was used to prepare grooved surfaces that control the direction of outgrowths of human gingival explants. The method used to produce the grooves is excellent in terms of both the uniformity of the grooves and the control with which surfaces of the desired specifications can be obtained. PMID- 6578234 TI - Plaque pH measurements by different methods on the buccal and approximal surfaces of human teeth after a sucrose rinse. AB - Changes in plaque pH after a sucrose rinse were simultaneously monitored by plaque sampling, touching of the plaque with antimony and glass electrodes, and telemetry. The minimum pH at approximal sites was approximately 0.7 pH units lower than that on buccal surfaces. The pH at the approximal site remained below resting levels after 120 min, and the area under the pH response curves from this site was five times greater than that from the buccal surfaces. PMID- 6578233 TI - Acid reactivity of carbonated apatites with strontium and fluoride substitutions. AB - Carbonated apatites containing approximately 3.0 or 6.5% CO3 were precipitated in the presence of sodium, strontium, and/or fluoride at various concentrations. Almost all the available strontium and fluoride was incorporated into the crystals, whereas only a portion of the carbonate and sodium present was taken up. When incorporated together, Sr and F improved the crystallinity of carbonated apatites and markedly reduced their acid reactivity. This phenomenon may partially explain the observed reduction in caries for populations whose drinking water contains optimum levels of Sr at 5-10 mg/l and F at 1-2 mg/l. PMID- 6578235 TI - A mouthrinse which optimizes in vivo generation of hypothiocyanite. AB - We report here the properties of a mouthrinse which enhances one of the natural defense factors in human saliva, the salivary peroxidase system. Concentrations of the antimicrobial agent, the hypothiocyanite (OSCN-) ion, can be increased in vivo to bacteriostatic levels by use of a mouthrinse which is 4 mM (0.014%) in hydrogen peroxide and 1 mM (0.0097%) in potassium thiocyanate at pH 5.5. The volume of the rinse, the H2O2 concentrations, and the pH were shown to be determinants of the concentration of OSCN- generated by the rinse. PMID- 6578236 TI - The effect of enamel de- and remineralization on permeability to iodide and urea. AB - Blocks of bovine enamel subjected to de- and remineralization were measured for changes in permeability to iodide and urea. Results were similar, indicating that the diffusion pathways for the two species were comparable, and that sites for iodide binding did not appear to exit. PMID- 6578237 TI - Taste thresholds, taste preferences, and dental caries in 15-year-olds. AB - In two groups of 15-year-olds--50 with a high and 50 with a low caries experience -recognition thresholds were determined for sweet, salty, sour, and bitter tastes and preferences for sweet taste, using a full-mouth technique. No statistically significant difference in thresholds could be found between the groups. No correlation between threshold values and preferences for sucrose could be established. PMID- 6578238 TI - Thermal shock resistance of porcelain discs. AB - Thermal shock testing of opaque porcelain-body porcelain discs and body porcelain discs was performed on three porcelain products. Significant differences exist between the mean failure temperature differentials, delta T, for the composite opaque-body porcelain discs. The residual tensile stress and the transient tensile stress distribution are more severe for one of the three porcelains tested. PMID- 6578239 TI - The three-point beam test for the evaluation of dental porcelain. AB - The three-point beam test is simple and extremely sensitive to surface conditions. It appears to be ideally suited to the evaluation of dental porcelain, but specimen fabrication is difficult. In this study, specimens of porcelain fired on platinum foil have been constructed using an alumina former. The results showed excellent specimen consistency and reproducibility. Of the surfaces investigated, the use of tin-oxide-coated platinum foil did not result in an increase in transverse strength. PMID- 6578240 TI - Comparison of in vitro and in vivo wear of composites. AB - In vitro wear data were determined for nine experimental composites and compared with two-year clinical data. The in vitro tests included single-pass wear and two body abrasion. The in vivo data were obtained between 1978 and 1980 for 54 class 2 posterior composite restorations in 25 patients. Correlations between the in vitro and in vivo data were found with values of alpha less than 0.08. PMID- 6578241 TI - The influence of drawing parameters on the mechanical properties of two beta titanium alloys. AB - The total cold reduction and reduction per pass used during the drawing of fine wires affected the mechanical properties of two beta-titanium alloys. Both Ti 11.5Mo-6Zr-4.5Sn and Ti-13V-11Cr-3Al showed increased yield strengths and low moduli of elasticity, which resulted in wires appropriate for orthodontic application. PMID- 6578242 TI - Effect of processing temperature on the properties of a polyvinyl chloride maxillofacial elastomer. AB - Mechanical properties and color of a plasticized polyvinyl chloride (PVC) maxillofacial elastomer were evaluated at processing temperatures from 140 to 190 degrees C. The properties were dependent on processing temperature. Specimens prepared at 170 degrees C had optimum mechanical properties with minimal discoloration. PMID- 6578243 TI - Quality of education. PMID- 6578244 TI - Effect of percentage cut-off scores and scale point variation on preclinical project evaluation. AB - Several modifications were introduced in a criterion-referenced evaluation system to determine which modification would result in optimal evaluator reliability and performance differentiation on two representative wax-up projects. Variables investigated included the use of percentages as cut-off scores and the number of scoring options. The use of percentage cut-off scores to define minimal competency significantly increased intrajudge reliability for one of the two projects. Two-option scoring resulted in significantly higher rater agreement than three-option scoring in half of the comparisons. PMID- 6578246 TI - The ergonomic posture in a preclinical technique exercise. PMID- 6578245 TI - Evaluation of practical clinical examinations. AB - Few studies have examined the effectiveness of practical examinations in assessing the clinical competence of dental students. This paper describes a grading system that derives a significant portion of the senior student's grade from this type of examination. The impact of practical clinical examinations on two consecutive graduating classes (N = 258) was analyzed retrospectively. Students performed significantly worse on practical clinical examinations than on daily clinical procedures. Over 25 percent of the students who received A's on their daily clinical procedures received D's on practical examinations. Practical examinations provided a greater distribution in grade averages and minimized several well-documented clinical evaluation problems. Student response to this form of evaluation was mixed. The results of this two-year study suggest that practical examinations provide a different perspective on student abilities than do daily clinical grades. PMID- 6578248 TI - Survey practices in dental education research. AB - Approximately 40 percent of the data-based articles reported in the Journal of Dental Education in the last five years have used survey research procedures. This study examines the use of one type of survey procedure, mailed questionnaires, in research on dental education. Specifically, the discussion identifies several factors that dental education researchers should consider when reporting mailed questionnaire research to journal editors. These factors are discussed using examples of adequate and inadequate procedures reported in the method sections of studies in the Journal of Dental Education in the last five years. PMID- 6578247 TI - First-year experience with a performance simulation system. AB - Providing a preclinical learning environment for the undergraduate dental student that is realistic and representative of the clinical setting has been a concern to dental teachers. This article describes a system that provides consistency in the optimal relationship of the operator and patient while emphasizing a balanced postural position. The dental simulator provides an approach that is transferable to all aspects of clinical dental treatment. The student is involved in a learning experience that serves as a basis for future behavior that is consistent with comfort and efficiency in the delivery of dental care. PMID- 6578249 TI - Dental seniors' report on counseling in dental schools, 1983. PMID- 6578250 TI - Collaborative practice model: the future of dental hygiene. PMID- 6578251 TI - Psychomotor skills and technical ability in dental school. AB - Graduating dental students were grouped according to technical ability and compared with regard to admissions variables and a variety of psychomotor skills. Neither class of variable differentiated the groups. This article discusses implications for efforts to identify technically marginal students. PMID- 6578252 TI - Questioning in preclinical and clinical instruction. AB - Questioning has long been a basic teaching technique. Dental instructors are encouraged to use questions more frequently in preclinical and clinical courses. The objective of this educational method is to stimulate the independent thinking essential to daily practice and professional growth. This article discusses one category of questions and presents various strategies for questioning in the technique laboratory and clinic. PMID- 6578253 TI - Changes in dental students' personal needs and values. AB - Personality characteristics of dental students were studied longitudinally by means of the Allport-Vernon-Lindzey Study of Values and Edwards Personal Preference Schedule. There were no significant differences when 21 scale scores of seniors were compared to the scores obtained from the same students as freshmen. The lack of significant change indicated a minimal effect of dental education on the personal needs, values, and attitudes of students. Thus, it is essential that faculty know as much as possible about applicants' values and needs prior to their admission to dental school. Knowledge of these personality characteristics is also essential for teaching and reinforcing those attitudes and values that are believed to assist students in developing well-integrated personal and professional lives. PMID- 6578254 TI - General practice residency training and subsequent clinical production. AB - An increasing number of newly graduated dentists are entering general practice residency (GPR) training programs. These programs have been suggested as a means of coping with a rapidly expanding knowledge base without resorting to a mandatory fifth year of predoctoral education or increasing specialization within the profession. This study examines the relationship of general practice training to subsequent clinical production among dentists employed by the Indian Health Service. The quantity and type of services provided by a group of dentists with previous GPR training were compared to services provided by a group without similar training. After adjustment for years of service and number of dental auxiliaries, no significant differences between the groups were found. However, no inferences can be made about the appropriateness or quality of the services delivered based solely upon productivity data. PMID- 6578255 TI - Impact of general practice residency training on dentists and dental practice. AB - This study compared dentists who had completed general practice residency (GPR) training programs in 1974-76 with a similar group of dentists who had not (NGPR). Response to a mailed questionnaire indicated that the GPR group performed more oral surgery, periodontal surgery, and complex endodontic procedures and spent more time in the physical evaluation of patients. They also used the medical laboratory more frequently and tended to refer to specialists less often. GPR trained dentists had more hospital staff appointments, admitted more patients to the hospital, and performed a greater amount and range of services within the hospital than the NGPRs. GPRs tended to subscribe to and read more journals, teach, and publish research papers. There were no differences in participation in continuing education courses and professional meetings or in self-esteem as a general dentist. PMID- 6578256 TI - Teaching combined restorative periodontal procedures. PMID- 6578257 TI - Senior survey update: financial characteristics of dental school seniors, 1983. PMID- 6578258 TI - High frequency jet ventilation - its use in respiratory insufficiency. Two case reports. AB - High frequency jet ventilation was used in two patients with severe pulmonary disease, one of whom was deteriorating and the other not improving on a conventional regime of antibiotics, physiotherapy and intermittent positive pressure ventilation. In our first case high frequency jet ventilation was achieved using one side of a double lumen endotracheal tube, whilst intermittent positive pressure ventilation was applied to the other side. In the second case a specially designed endotracheal tube with a distal jetting orifice was employed. In both cases there was marked improvement in chest X-ray appearance, arterial blood gas analysis and clinical condition, permitting resumption of spontaneous ventilation, extubation and eventual discharge from the Intensive Therapy Unit. PMID- 6578260 TI - Block grants and fluoridation. PMID- 6578259 TI - The Church of High Condylectomy. PMID- 6578261 TI - Soft or hard bristles. PMID- 6578262 TI - Visible light-curing composite resins. PMID- 6578263 TI - Naming names. PMID- 6578264 TI - Knowledge and attitudes of schoolteachers toward oral health programs and preventive dentistry. AB - Because teachers often take on major roles in school dental health programs, three surveys were completed between 1973 and 1981 to measure teachers' attitudes and knowledge about oral health and their own participation in school programs. The questionnaires were sent to teachers whose schools were included in major dental caries preventive programs and teachers whose schools were not included in such programs. Results showed that: Teachers were quite willing to teach oral health topics and were willing to take on a wide range of teaching, but not administrative, responsibilities. Teachers' acceptance of these responsibilities appeared to decrease during the surveys, possibly as a function of school budget difficulties, indicating a need for incentives and positive rein-forcement. However, their acceptance of responsibilities was not affected by their participation in preventive programs. Schoolteachers had basic misinformation about the purposes of personal oral hygiene, and about the relative effectiveness of measures such as oral hygiene and consumption of fluoridated water in preventing dental caries. The preventive knowledge of teachers was unaffected by either the passage of time or participation in school preventive programs. A series of recommendations is given for the inservice education of school teachers. PMID- 6578265 TI - Long-term evaluation of treatment for myofascial pain-dysfunction syndrome: a comparative analysis. AB - This paper reports the short-term and long-term results of conservative reversible treatment used in 175 patients with MPD syndrome. These results are compared with those from ten published papers in which investigators used either irreversible treatment methods, reversible methods, or a combination of both approaches. The treatment outcome results in this study were similar to those in all of the previously reported studies. These findings suggest that conservative reversible therapies are both sufficient and appropriate for management of MPD syndrome in most patients. Major alterations of mandibular position or dentoalveolar relationships do not appear to be necessary for obtaining either short-term or long-term success, and therefore they can be generally regarded as inappropriate treatment for this disorder. PMID- 6578266 TI - Oral Kaposi's sarcoma associated with acquired immunodeficiency syndrome among homosexual males. AB - Clinical disease states encountered in the acquired immunodeficiency syndrome (AIDS) have been reviewed with an emphasis on oral Kaposi's sarcoma. The disease is reaching epidemic proportions among homosexual males and is characterized by onset of fever, malaise, diarrhea, and lymphadenopathy. Subsequent to these initial nonspecific signs and symptoms, patients develop a variety of opportunistic infections or Kaposi's sarcoma (or both). The oral lesions of Kaposi's sarcoma are characterized by red, blue, or purple plaques or nodules encountered primarily, yet not exclusively on the palate. Other oral manifestations of AIDS include candidiasis and herpetic stomatitis. Epidemiologic studies suggest the probability of a transmissible agent, perhaps a virus. It is recommended that dental care should be rendered to these patients, using mask and gloves with autoclave sterilization of all instruments. PMID- 6578267 TI - Dental erosion resulting from chewable vitamin C tablets. AB - A patient had severe dental erosion that was attributed primarily to the daily chewing of vitamin C tablets for three years. Tests were done to demonstrate the acidity of vitamin C tablets and the demineralization of enamel by a solution made with a tablet. The causes for dental erosion and the varying patterns of erosion are reviewed. PMID- 6578268 TI - Cervical erosion involving the lingual surface of a mandibular canine and adjacent premolars. PMID- 6578269 TI - A summary of the NIDR community caries prevention demonstration program. PMID- 6578270 TI - 1983 National Children's Dental Health Month. Bureau of Health Education and Audiovisual Services. PMID- 6578271 TI - Allergic contact dermatitis induced by intratracheal administration of hapten. AB - It is known that the skin is the natural route for induction of allergic contact dermatitis (ACD). Because the lung is another potential portal of entry for sensitizing chemicals, studies were performed to evaluate immune responses to haptens deposited in the lung. As a result, a new method for inducing ACD was developed. Intratracheal (IT) inoculation of 2,4,6-trinitrobenzene sulfonic acid (TNBS) led to maximal ear swelling 24 hr after challenge on the ear with 2,4,6 trinitrochlorobenzene (TNCB) in carrier. This response was specific for immunizing hapten. Furthermore, it was equally possible to induce ACD by intratracheal inoculation of trinitrophenyl- (TNP) modified bronchoalveolar cells (BAC) or haptenated spleen cells. Adoptive transfer studies demonstrated that the hypersensitivity that resulted from IT inoculation of TNBS or TNP BAC could be transferred with cells. With a monoclonal anti-hamster Ia reagent, it was demonstrated that, like Langerhans cells, 80 to 90% of cells in the bronchial lavage fluid expressed Ia determinants on their membrane. These cells were morphologically indistinguishable from macrophages. Because an individual is capable of being sensitized when hapten is introduced by the pulmonary or epicutaneous routes, the possibility is raised that the alveolar macrophages in the lung possess a similar capability for antigen presentation of hapten in the induction of ACD as does the Langerhans cell. PMID- 6578272 TI - Effect of infrared irradiation on the recoverable levels of free arachidonic acid and prostaglandins in human forearm skin. AB - The inside skin of the forearm of healthy volunteers was irradiated with an infrared (IR) lamp for 1 hr, resulting in the rapid appearance of an erythema and an elevation of skin surface temperature from 30 +/- 1 degree C to 38 +/- 2 degrees C within 5 min. The erythema and elevated skin surface temperature decayed within 10-30 min when the IR irradiation was stopped. Suction blisters were raised on nonirradiated skin and on irradiated skin both during irradiation and at various times after irradiation stopped. Elevated levels of free arachidonic acid, PGE2, PGD2, PGF2 alpha and 6-oxo-PGF1 alpha were found up to 24 h after irradiation. By 48 h the prostaglandin levels had returned to control values whereas the free arachidonic acid levels were still elevated at 72 h. The peak level of 6-oxo-PGF1 alpha appears between 0-6 h whereas for PGE2, D2, and F2 alpha it is between 6-16 h, suggesting a different cellular source for this prostaglandin. PMID- 6578273 TI - Changes in arachidonic acid metabolism in UV-irradiated hairless mouse skin. AB - This study was conducted to investigate the metabolism of arachidonic acid in the skin of hairless mice exposed to UVA, PUVA, UVB, and UVC irradiation. The main products of arachidonic acid in the epidermis were hydroxyeicosatetraenoic acid (HETE), PGE2, and PGD2. Dermis displayed a lower lipoxygenase activity (expressed as HETE production) than the epidermis and showed no detectable cyclooxygenase activity, i.e., no prostaglandin production. The main changes observed in UV induced inflammatory reactions were as follows. 1. A 5-fold increase in dermal HETE production in PUVA-treated animals and a 29% reduction in epidermal HETE formation after UVC treatment. 2. A marked decrease of PGD2 and a marked increase of PGE2 formation due to alterations of PGH2 metabolism in the UVB-treated group; however, cyclooxygenase activity was unchanged. These changes in arachidonic acid metabolism in the skin may be of pathophysiologic importance in UV-induced inflammatory reaction. PMID- 6578274 TI - The design and construction of a radium and iridium carrying appliance to treat an oral carcinoma. PMID- 6578275 TI - A spoonful of sugar. PMID- 6578276 TI - [Pathogenesis and histogenesis of uterine leiomyoma and their correlation with the endocrine functions]. PMID- 6578277 TI - [Relation between microbial status of the remaining infected dentin and pulpal response under various restorations--in the case of rat molars]. PMID- 6578278 TI - [Molecular loci of nonreducible stable cross-link hydroxyaldolhistidine in bovine skin collagen]. PMID- 6578279 TI - [Histopathological studies on mucous cell and ciliated cell in the odontogenic cysts]. PMID- 6578280 TI - [Histopathological studies on crystalloids in ducts of human parotid glands]. PMID- 6578281 TI - [Masticatory rhythms in persons wearing a postsurgical complete denture (using 4 META resin and improved press-plate) as observed on EMG and MKG]. PMID- 6578282 TI - [A genetic study on the morphology of the maxillary basal arch by twin method]. PMID- 6578283 TI - [Histologic studies on the structure of the residual ridge in the edentulous mandible]. PMID- 6578284 TI - [Observation on cervical enamel margins studied by scanning electron microscopy]. PMID- 6578285 TI - [Contrast characteristics of Kodak Ektaspeed and ultra speed periapical films]. PMID- 6578286 TI - [Occlusal contact of the complete denture during mastication]. PMID- 6578288 TI - [Oral mucosal diseases and auto-antibodies]. PMID- 6578287 TI - [Studies of endodontics with germ-free rats]. PMID- 6578289 TI - [Human salivary proteins inhibiting the deposition of calcium phosphates]. PMID- 6578290 TI - [Physical nature of composite resins hardened by visible lights]. PMID- 6578291 TI - [Muscle toxicity of epinephrine and lidocaine]. PMID- 6578292 TI - Development of annulate lamellae in mouse myeloblastic cell line when differentiated to macrophages. PMID- 6578293 TI - Treatment of (NZB x NZW)F1 disease with anti-I-A monoclonal antibodies. AB - (NZB x NZW)F1 mice spontaneously develop an autoimmune syndrome characterized by a fatal immune complex glomerulonephritis. Administration of monoclonal antibodies specific for an I region gene product (I-Az) of the H-2 haplotype associated with susceptibility to glomerulonephritis in these animals produced a remission in female mice with established renal disease. The results demonstrated that anti-I-A therapy stabilized the level of proteinuria and increased the 1-yr survival rate from 10% to greater than 90% in treated animals relative to control mice. These findings may ultimately have therapeutic potential for the treatment of systemic lupus erythematosus. PMID- 6578294 TI - Genetic interactions in Streptomyces rimosus mediated by conjugation and by protoplast fusion. AB - The development of a protoplast fusion technique for oxytetracycline-producing Streptomyces rimosus strains, and its evaluation for the application for a breeding programme, has been described. Treatment of S. rimosus protoplasts with 40% (w/v) PEG 1550 for 30 min gave optimal numbers of recombinants ranging from 1 to 10% of the total progeny. Therefore, by comparison with conjugation, protoplast fusion increased the frequency of recombination by two to three orders of magnitude. The proportion of multiple crossover classes amongst recombinants was higher, by a factor of ten, after protoplast fusion (13.3%) than after conjugation (1.5%). Participation of less frequent complementary genotype doubled from 9.0% in conjugation to 17.9% in protoplast fusion. Overall, this suggested that the opportunities for crossing over in a fusion of S. rimosus protoplasts were spatially and/or temporally extended leading to a loosening of linkage with a near-random assortment of genotypes in a cross. However, by minimizing the multiple crossover classes and calculating allele frequency gradients, it was shown that the protoplast fusion technique allows arrangement of genetic markers on the S. rimosus chromosome. These are ideal characteristics for the recombination of divergent lines in a strain improvement programme. PMID- 6578295 TI - [Acute monoblastic leukemia with chromosome 11 deletion and complex translocation]. PMID- 6578296 TI - Double minutes - new markers in cells of human solid tumors. PMID- 6578297 TI - [Congenital chromosomal anomalies in 2 children with acute lymphoblastic leukemia]. PMID- 6578298 TI - [Cytogenetic markers and Burkitt-type malignant lymphomas]. PMID- 6578299 TI - [Translocation (8q-; 21q+) with loss of chromosome Y in acute myeloblastic leukemia in children]. PMID- 6578300 TI - Platelet phenolsulphotransferase activity in Parkinson's disease. AB - Mean platelet phenolsulphotransferase activity was significantly increased in L dopa-treated parkinsonian patients compared with controls. The degree of rise was associated with dose of and duration of treatment with L-dopa and may thus represent an adaptive increase to circulating dopamine. Alternatively, the increase may reflect changes supervening with duration of illness. PMID- 6578301 TI - Effects of dopaminergic drugs on cerebellar prostaglandin concentrations. AB - Previous data indicate that the injection of dopaminergic drugs induces changes in cerebellar 3',5'-guanosine monophosphate (cGMP) content. Accordingly, we have investigated the effects of haloperidol, sulpiride, or apomorphine on cerebellar prostaglandin (PG) concentration, a parameter related to cGMP content. Results obtained show that dopamine receptor blocking agents, such as haloperidol and sulpiride, significantly decrease cerebellar PGE2 and PGF2 alpha concentrations, while opposite changes are induced by apomorphine, a dopamine receptor agonist. PMID- 6578302 TI - A study on peanut lectin-binding sites in mucoepidermoid tumors of the oral cavity. PMID- 6578303 TI - Enzyme patterns and the properties of glycolysis in rabbit masseters. PMID- 6578304 TI - Journal interview: James L. Palmisano, NJDA President. Will a two-year presidency and financial reimbursement be Palmisano's legacy to future NJDA presidents? PMID- 6578305 TI - The importance of being earnest in orthodontic treatment planning. PMID- 6578306 TI - An evaluation of dental pain using visual analogue scales and the Mcgill Pain Questionnaire. AB - A verbal and a visual scale to assess pain, the McGill Pain Questionnaire and the Visual Analogue Scales, were administered to 50 patients suffering from pulpitis and 50 patients suffering from pericoronitis. The results show that words chosen to describe dental pain of different etiologies include throbbing, sharp, aching, and annoying. Additional descriptive words used by patients with pulpitis, pericoronitis, and postoperative dental pain are sore and shooting and tender. Women who have pulpitis and pericoronitis report higher levels of pain than do men. The greater sensitivity of the scores obtained from the variables, number of words chosen, and pain rating intensity scale not only showed a significant difference between males and females, but also could distinguish between the two dental conditions. The value of the MPQ as a diagnostic tool in cases where it is difficult to elucidate the cause is limited. PMID- 6578307 TI - Subjacent heat production during tissue excision with electrosurgery. AB - A study was designed to document heat production subjacent to tissue excision by electrosurgery. In Phase I of the study, 20 electrosurgery excisions were made with a loop electrode in the palatal mucosa of miniature swine. Subjacent heat production was measured with implantation thermistors. Temperature measurements adjacent to 20 single incisions made with a needle electrode were used for comparison. Energy used and duration of active electrode contact with the tissue were recorded for each procedure with an electronic measuring device. In Phase II, 20 sets of excisions consisting of three successive excisions were performed. The following intraexcisional cooling periods were used for four sets each: 1 second, 5 seconds, 8 seconds, 10 seconds, and 15 seconds. Results indicate that single electrosurgery excisions with a loop electrode generate more energy than incisions made with a needle electrode. Subjacent heat production, however, is not significantly different. Cooling intervals of at least 15 seconds between successive electrosurgery excisions made with a loop electrode are necessary to prevent heat build-up of a magnitude capable of initiating destructive alveolar changes. PMID- 6578308 TI - Cortex-to-cortex healing after mandibular osteotomy. AB - Cortex-to-cortex healing is frequently attempted following orthognathic surgical procedures. This paper reports the results of in vivo experiments to investigate the healing process when two cortical surfaces are conjoined and discusses the implications in relation to the surgical correction of mandibular prognathism. PMID- 6578309 TI - Leiomyoma of the right lower gingiva: a case and a review of the Japanese Literature. PMID- 6578310 TI - The styloid process as an anatomic hindrance in orthognathic surgery. PMID- 6578311 TI - Stabilization of the proximal segment in sagittal split osteotomy: a new technique. AB - A technique to control the proximal segment in sagittal osteotomies of the mandibular ramus using modified stainless steel mini-plates is described. It does require special instrumentation. However, it allows a physiologic repositioning of the proximal segment and simultaneously prevents the undesirable aspects of displacement attendant to other techniques. PMID- 6578312 TI - A simplified technique for drilling intraosseous holes in orbital rim fractures. PMID- 6578313 TI - Clips for the control of hemorrhage from the bitemporal scalp flap. PMID- 6578314 TI - Instrument-marking tapes: an unnecessary hazard. AB - Instrument-marking tapes facilitate instrument preparation and packaging but can be responsible for increased surgical morbidity by fragmenting into the wound or harboring bacteria when old or damaged. Four cases of submandibular abscess formation and the potential failure of an oro-antral closure were directly attributed to the use of marking tapes. PMID- 6578315 TI - Bone marrow aspirations to monitor acute lymphoblastic leukemia. PMID- 6578316 TI - Congenital dysautonomia with secretory diarrhea. AB - A 1-year-old boy was evaluated because of failure-to-thrive and persistent diarrhea. His illness was characterized by autonomic dysfunction sharing some features of both familial dysautonomia and congenital sensory neuropathy with anhidrosis, but was consistent with neither diagnosis. The gastrointestinal tract was involved: esophageal motility was abnormal and moderate secretory diarrhea was present. This report documents an unusual case of congenital autonomic dysfunction with secretory diarrhea. PMID- 6578317 TI - The usefulness of percutaneous fine-needle aspiration biopsy in infants and children. AB - During the past 2 years percutaneous fine-needle aspiration biopsy has been employed to help establish or confirm diagnosis in 32 infants and children. A 22 gauge needle is used to aspirate the site of suspected disease. For lesions inside the chest or abdomen, the needle is guided with the help of fluoroscopy, ultrasound, or computed tomography (CT) scan. Nineteen of the 32 patients had malignant disease, including lymphoma, neuroblastoma, rhabdomyosarcoma, Ewing's sarcoma, osteosarcoma, and leukemia. In all patients with solid tumors, tissue obtained at operation confirmed the accuracy of the diagnosis. In seven children with suspiciously enlarged lymph nodes, an open biopsy was avoided when the needle aspirate was clearly benign. In four children, the early appearance of metastatic or recurrent malignancy was confirmed without the need for open biopsy. In this small series, there were no false-negative or false-positive needle aspirates, and no complications directly related to the procedure. The skill and experience of the cytopathologist is essential to the success of this technique. Percutaneous fine-needle aspiration biopsy is a safe and reliable alternative method of establishing a diagnosis in infants and children with suspected malignant disease. PMID- 6578318 TI - The effect of metronidazole on human periodontal disease. A clinical and bacteriological study. AB - Fifteen female subjects undergoing treatment for nonspecific vaginitis with metronidazole 250 mg q.i.d. for 7 days were studied. Clinical and microbiological evaluations were carried out initially and at 2 and 4 weeks. The following parameters were measured in two quadrants: plaque index, sulcular bleeding index, pocket depth, attachment level and amount of gingival fluid. Dark field microscopy was used to quantitate the plaque constituents. One quadrant was subjected to root planing at the initial visit; the other quadrant received no therapy. No oral hygiene instructions were given. All the clinical parameters were significantly reduced in all areas. Gingival fluid, sulcular bleeding index and pocket depth showed greater improvement in the root-planed quadrant compared to the nonroot-planed quadrant. Dark field microscopy showed decreases in fusiforms, curved rods and spirochetes in all areas with a concomitant increase in cocci. The root-planed quadrant showed no significant differences in microbiological aspects when compared to the nonplaned quadrant. Clinically, metronidazole therapy resulted in improvement of periodontal status with some additional but small enhancement due to root planing. Microbiologically, metronidazole dramatically changed the quality of plaque with no supplemental effect when root planing was added. PMID- 6578319 TI - Association between smoking different tobacco products and periodontal disease indexes. AB - Six indexes of periodontal health were recorded in cigarette smokers, pipe/cigar smokers and nonsmokers from the Veterans Administration Dental Longitudinal Study. These indexes included calculus deposition, plaque accumulation, gingival inflammation, periodontal pocket depth, alveolar bone loss and tooth mobility. Cigarette smokers had significantly more calculus deposition than pipe/cigar smokers, although both smoker groups had more calculus than nonsmokers. Cigarette smokers accumulated slightly less plaque than pipe/cigar smokers, and both smoker groups accumulated less plaque than nonsmokers. Gingival inflammation and tooth mobility did not differ between smokers and nonsmokers, nor between the two smoker groups. Cigarette smokers had significantly greater pocket depth than nonsmokers, in contrast to pipe/cigar smokers who were not different from nonsmokers. Radiographic measurements indicated that cigarette smokers had significantly more alveolar bone loss than either pipe/cigar or nonsmokers. After covariance adjustment for age and calculus, all smokers had less plaque, gingival inflammation and tooth mobility than nonsmokers, similar periodontal pocket depth, but only cigarette smokers had greater bone loss. This finding of greater alveolar bone loss in cigarette smokers suggests a tobacco product-related effect in systemic physiologic action. PMID- 6578320 TI - Evaluation of periodontal probing forces. AB - The purpose of this study was to evaluate interexaminer and intraexaminer probing force variations in various regions of the mouth and adjacent to different tooth surfaces. Fifty-eight dental clinicians composed of 13 periodontists, 15 general dentists, 15 hygienists and 15 senior dental students probed the facial surfaces of periodontally healthy volunteers with a modified pressure-sensitive periodontal probe. The forces used during probing were calculated and analyzed by analysis of variance and t-statistics. There was wide variation in probing forces used by individuals within each clinician group. No statistical differences between the groups in mean probing force or absolute range of probing force could be detected. When pooled data were analyzed, it was found that the clinicians: (1) used probing forces ranging from 5 to 135 g, (2) probed in posterior regions with greater force than in anterior regions, and (3) probed midfacial, mesial and distal gingival units with different force. Midfacial regions were probed with the lightest force and distal regions with the heaviest force. PMID- 6578321 TI - Squamous odontogenic proliferation with probable origin from the rests of Malassez (early squamous odontogenic tumor?). AB - A case is presented documenting an apparent nonreactive squamous odontogenic proliferation of the rests of Malassez. The nonreactive nature of the tumor is discussed along with the possible association between this lesion and the recently reported squamous odontogenic tumor. PMID- 6578322 TI - Acute effects of antidiuretic hormone on urinary prostaglandin excretion. AB - Although it is well established that chronic treatment with antidiuretic hormone increases renal prostaglandin (PG) excretion, the effects of short-term infusions are controversial. Therefore, in the present study the effect of acute administration of arginine vasopressin on urinary PG excretion was investigated in conscious Brattleboro rats and in water-diuresing Long-Evans rats. Water balance was kept constant during arginine vasopressin infusion. Arginine vasopressin caused a significant, dose-related and reversible increase in urinary PG excretion within 20 min in both models. Similar results were obtained during the infusion of 1-deamino-8-D-arginine vasopressin in the Brattleboro rat. Normalization of the hydropenia of Brattleboro rats by infusion of large amounts of hypotonic fluid failed to elevate urinary PG excretion. These results give no support to the hypothesis that the acute enhancement of urinary PG excretion by vasopressin is mediated through either vasoconstriction or volume retention or induction of cyclooxygenase, but rather they indicate that antidiuretic hormone can increase renal PG synthesis through a more direct mechanism in vivo. PMID- 6578323 TI - Eating disorders. PMID- 6578324 TI - Changes in jaw relations, hyoid position, and head posture in complete denture wearers. AB - In a group of 18 partially edentulous patients provided with immediate complete dentures, changes in hyoid bone position and craniocervical posture were examined on cephalometric radiographs made during 1 year of denture use. The findings indicated that the changes in hyoid bone position largely followed the pattern of forward-upward rotation of the mandible due to ridge resorption. During this course the hyoid position in relation to the cervical spine showed a mean increase. The hyocervical changes, however, showed less variability than the hyomaxillary and hyomandibular changes. The posture of the head and cervical column showed no definite mean changes during the 1-year period. On the other hand, analysis of individual changes revealed that a pronounced decrease in mandibular inclination due to ridge resorption was associated with retroclination of the cervical column and decreased craniocervical angulation. These postural changes may be regarded as adaptive changes to a marked initial change in mandibular position. PMID- 6578325 TI - Use of the segmented LeFort I osteotomy to correct severe extrusion of maxillary posterior teeth or tuberosities. AB - The segmented LeFort I osteotomy technique is presented as a surgical alternative for the correction of severe posterior maxillary vertical excess prior to prosthodontic procedures. It allows the extruded maxillary dento-osseous segment to be retained and a normal plane of occlusion to be reestablished. The superior visibility, accessibility, and versatility afforded by the segmented LeFort I osteotomy technique make it particularly suited to the correction of severe posterior maxillary excess. PMID- 6578326 TI - The radiographic examination of edentulous patients. PMID- 6578328 TI - An experimental diamond stone: a preliminary report. PMID- 6578327 TI - Marginal fracture not a predictor of longevity for two dental amalgam alloys: a ten-year study. PMID- 6578329 TI - A mold technique for construction of orbital prostheses. AB - The technique described provides a simplified method for construction of molds for orbital prostheses. This technique results in molds that permit the fabrication of initial and duplicate flexible prostheses that accommodate a single ocular component. PMID- 6578330 TI - A method for controlling the thickness of hollow obturator prostheses. AB - A technique for the construction of a hollow obturator prosthesis has been described. The obturator prosthesis has the advantage of being formed with entirely heat-cured material, and the thickness of the hollow extension can easily be controlled. PMID- 6578331 TI - Controlling the porosity and density of silicone rubber prosthetic materials. AB - The chemical components of the four silicone rubber polymers were reviewed. Methods of controlling the porosity and density of both the one-component semisolid prepolymer and the two-component fluid prepolymer systems were evaluated. The variables examined were deairing of the fluid systems; trial packing, pressure sealing, and processing of the semisolid materials; injection versus hand packing of the mold; the effects of moist-heat versus dry-heat application during processing; and the need for investment of the mold within the confines of a closed flask. It can be concluded that porosity of medical-grade silicone rubber polymers may be totally prevented, or accurately controlled, by proper handling techniques. PMID- 6578332 TI - The prevalence of mandibular dysfunction. Part II: A multiphasic dysfunction profile. AB - The frequency of occurrence of 20 signs and symptoms commonly associated with mandibular dysfunction was used to numerically rate the clinical severity of mandibular dysfunction. Some signs and symptoms had a clearly direct relationship whereas other signs demonstrated a diminished direct relationship, no relationship, or an inverse relationship in advanced dysfunction stages. Further study is needed to determine if there exists an exact relationship of some clinical signs to mandibular dysfunction. PMID- 6578333 TI - Analysis of jaw movements in patients with temporomandibular joint click. AB - Although TMJ click is common, its relationship to subjective and objective evaluation and the position of the click within the envelope of motion is not fully understood. This study attempted to correlate these entities in 21 patients. Although specific conclusions are difficult to make from this study, the findings suggest the following: The most important etiologic factors in the click are bruxism, clenching, an occlusal slide from centric relation to centric occlusion of more than 1 mm, and lateral deviation. The most important clinical sign of TMJ clicking is palpable soreness in the lateral pterygoid and temporal muscles. Over 50% of patients with a click have bilateral click. A click occurs least often in retruded closing movement (7%) and most often in habitual movement (37%). Although it appears that closure in the retruded position may avoid click, further evaluation of the presence of click in retruded opening movement is indicated. A mean mandibular lateral deviation of 2.2 mm anteriorly is observed at the time of click. PMID- 6578334 TI - An aid for verifying the nature of dental casting alloys. AB - A geologic field test was modified for determining the presence of gold in dental alloys. This qualitative test gave positive evidence for the presence of gold in most of the alloy samples tested containing 59% or more gold. It is recommended that dentists use this procedure for color comparison of castings to alloy ingot samples of known composition. More definitive professional assaying may be desired for confirmation. PMID- 6578335 TI - Fabrication of a posterior shade guide for removable partial dentures. AB - Even under the best circumstances, posterior tooth color discrimination is still a subjective decision. Most shade guides do not follow a logical pattern in number or graduation of Hue, Value, and Chroma. Moreover, the shade guides are only obtainable with anterior teeth, usually maxillary central incisors. The fabrication of a first premolar shade guide is a step in the direction of making the posterior esthetic requirements more easily attainable for the dentist and the final result more satisfying for the patient. One can also use the various "broken sets" of acrylic resin teeth to achieve the necessary combination of posterior shades if cost is a factor and uniformity in molds is not required. PMID- 6578336 TI - Fabrication of duplicate mouth guards. PMID- 6578337 TI - Template for accurate tooth reduction. PMID- 6578338 TI - Nutritional problems of the aged. PMID- 6578339 TI - A six-year retrospective study of Molloplast-B-lined dentures. Part I: Patient response. AB - A 6-year retrospective investigation elicited patient response to wearing Molloplast-B-lined dentures with the following results: 1. For nearly all the patients wearing a Molloplast-B-lined denture, their ability to wear it comfortably outweighs its disadvantages. 2. Nearly all the patients (95.4%) would elect to have a new soft-lined denture should their present one need replacement. 3. Nearly all the patients (93%) thought that their soft-lined dentures were more comfortable than their previous conventional acrylic resin ones. 4. Molloplast-B lined dentures offered comfort to a significant number of patients in this study who had had a history of chronic discomfort with the wearing of conventional acrylic resin dentures. 5. The presence of a retracted tongue habit is likely to decrease the patient's satisfaction with the dentures. PMID- 6578340 TI - Determination of the accuracy of laminated wax interocclusal wafers. AB - The variables that were selected as relevant factors in the production of inaccuracy in laminated wax interocclusal wafers were found to be highly significant statistically, mostly with confidence levels greater than 99%. These confidence levels, however, relate to experimental comparisons in the absence of any absolute standard. Clinical impact is difficult to assess without such standards. Laminated wax interocclusal wafers are highly technique sensitive. Variations in treatment and handling procedures are important factors in assessing their accuracy. Wafers that were both laminated and metalized were found to be the most accurate and dimensionally stable. However, exact reproductions of the original wax recordings are unlikely and were not achieved in this investigation. PMID- 6578342 TI - A kinematic investigation of mandibular border movement by means of an electronic measuring system. Part I: Development of the measuring system. PMID- 6578341 TI - The surface of composite resin finished with instruments and matrices. PMID- 6578343 TI - Clinical evaluation of the mandibular staple bone plate. AB - Some of the problems in the use of the mandibular staple bone plate are improper placement of the implant labiolingually, gingival reaction around the pins, and compression loading of the implant. The use of the patient's denture to determine proper angulation and the preparation of the transosteal posts can eliminate improper placement. Mucogingival grafting can be used to treat the inflammatory gingival reaction around the posts, and compression loading can be controlled by proper recognition during processing, placement, and patient education. PMID- 6578344 TI - Surgical and prosthodontic reconstruction of the severely handicapped edentulous patient. AB - There is among some prosthodontists a negative attitude toward preprosthetic reconstructive surgery because of previous poor experience with reconstructive or preprosthetic surgical procedures. Such experiences may have resulted from the limitations of techniques previously used; and, therefore, the prosthodontist may resort to conventional prosthodontic techniques. There are, however, limits to what can be achieved with special impression techniques, tooth form and placement, and so forth. This article was written not only to present the rationale of current techniques but to encourage the prosthodontist to consider and present to the severely handicapped edentulous patient the choice of preprosthetic reconstructive surgery. PMID- 6578345 TI - A technique for the fabrication of the open obturator. AB - Obturator prostheses are often large and heavy. As an alternative to a lighter hollow obturator, a technique for fabrication of the open obturator has been presented. Use of a removable silicone core facilitates processing, recovery, and polishing of an obturator that is open superiorly. PMID- 6578347 TI - Physical therapy as an adjunct to temporomandibular joint therapy. PMID- 6578346 TI - Daily variations in occlusal contacts. AB - In this study the location and severity of occlusal contacts in the morning and evening on 3 separate days were recorded for 10 women. Biofeedback therapy was used after evening recordings to encourage muscle relaxation. The findings suggest that occlusion and occlusal contacts change throughout the day and depend on the physical state of the masticatory muscles and the mental state of the patient. Although this conclusion is understandable, its effects on the philosophies of occlusal rehabilitation are questionable. Further studies are needed to evaluate the significance of the contact variations in occlusal restorations placed at different times. PMID- 6578348 TI - The role of the human synovial fibroblast in monosodium urate crystal-induced synovitis. AB - Human synovial fibroblasts (HSF) have been cultured to identify and quantitate arachidonate metabolites released after exposure to monosodium urate (MSU) crystals. These crystals caused a significant release of PGE2 and 6-keto-PGF1 alpha. Media lactate dehydrogenase levels from MSU-exposed HSF were equal to controls. Serum was required for the increase in metabolite release. Indomethacin and dexamethasone inhibited metabolite release, whereas colchicine increased metabolite release. MSU (1 mg/ml) released hydroxyeicosatetraenoic acids (HETE) from HSF whereas 20-fold higher doses were required to release these metabolites from human polymorphonuclear leukocytes. Colchicine increased but lipoxygenase inhibitors decreased HETE synthesis. Arachidonate metabolites from HSF may contribute to the pathogenesis of crystal-provoked synovitides. PMID- 6578349 TI - Clinical pathologic osteoarthritis workshop. Queen's University, Kingston, Ontario, Canada, August 12-15, 1982. Proceedings. PMID- 6578350 TI - Progress of periodontal disease, diagnosis and prediction of change. PMID- 6578351 TI - Should New Zealand have hygienists? PMID- 6578352 TI - The aetiology of periodontal disease. PMID- 6578353 TI - Immediate tonsillectomy in the presence of quinsy. AB - The major advantages of immediate tonsillectomy in the treatment of peritonsillar abscess include rapid relief of symptoms, a short hospital stay, and elimination of a subsequent interval tonsillectomy. The procedure performed 26 times under routine general anesthesia with intubation over a two year period proved safe and effective. PMID- 6578355 TI - Retinal detachment after cataract removal. PMID- 6578354 TI - Lipid Research Clinics Program reference values for hyperlipidemia and hypolipidemia. AB - Plasma cholesterol and triglyceride distributions have been established for 60,502 participants in a survey of ten separate, well-defined North American populations. Lipoprotein cholesterol levels were measured in a 7,055-person random sample of the white participants. From these data, new age- and sex specific reference values have been selected for the diagnosis of hyperlipidemia and hypolipidemia. The use of these new reference values for population screening would result in the conditions of more young subjects being diagnosed as hypercholesterolemic and a very significant decrease in the proportion of the adult population being diagnosed as having hypertriglyceridemia. PMID- 6578356 TI - Migration of a permanent central venous catheter. PMID- 6578357 TI - [Eosinophilia following radiation therapy in children]. PMID- 6578358 TI - [Cytogenetic study of the exfoliated cells from urothelial tumor patients: observation of chromosome of exfoliated cells]. PMID- 6578359 TI - A theory of the etiology and pathogenesis of human cutaneous malignant melanoma. PMID- 6578360 TI - Homogeneously staining regions and double minutes in a human cell line: chromatin organization and DNA content. AB - Homogeneously staining regions (HSR) and double minutes, two novel chromosome abnormalities, are believed to represent sites of gene amplification. The basic organization of chromatin in an HSR in a human neuroblastoma cell line was shown, by electron microscopy, to be similar to that in a normal chromosome. Double minutes from another human neuroblastoma cell line were found, by dry mass determination, to contain an average of 1.41 X 10(-14) g DNA. This quantity corresponds to 6.38 X 10(3) kilobase DNA per double minute. PMID- 6578361 TI - Cell surface proteins and glycoproteins from biologically different human colon carcinoma cell lines. AB - Six cultured human colon cancer cell lines possessing different biological characteristics were enzymatically radiolabeled in situ with 125I and 3H, and the labeled cell surface proteins and glycoproteins were compared. The electrophoretic patterns of labeled cell surface material suggest correlations between biological properties and cell surface proteins. Highly aggressive cell lines (as assessed by in vitro parameters) had predominant peaks of 125I-labeled proteins between molecular weights 66,000 and 92,500. The major peak of radioiodinated material from the more indolent cell lines occurred between molecular weights 31,000 and 45,000. The profile of one 125I-labeled intermediately aggressive cell line was similar to the profiles of the more aggressive lines, whereas another intermediate line exhibited a profile different from those of both indolent and aggressive lines. Electrophoresis of tritiated material indicated that essentially all of the recovered labeled glycoprotein was of relatively high molecular weight (92,000-180,000) in the indolent lines, whereas the intermediate and highly aggressive lines had patterns with significant peaks between molecular weights 45,000 and 92,500. PMID- 6578362 TI - A case-control study of dietary and nondietary factors in ovarian cancer. AB - A case-control study is presented that estimates ovarian cancer risk for various factors, including diet. Data collected by interview between 1957 and 1965 for 274 white women aged 30-79 years with epithelial carcinoma of the ovary are compared to data similarly collected for 1,034 hospital controls. Relative risk estimates are presented for the total group as well as for premonopausal (ages 30 49) and postmenopausal (ages 50-79) are groups. In the total group, cancer risk increased with increasing age at first marriage (P less than .01) and previous history of benign breast disease (P less than 0.1), and risk decreased with increasing number of previous pregnancies (P less than .01). In the 50- to 79 year age group, a marginally significant trend for decreasing risk with increasing obesity was observed (P less than .10). There was no significant risk (i.e., P less than .10) associated with the consumption of alcohol, cigarettes, coffee, tea, total dietary protein, vitamin C, or fat at any age. In the 30- to 49-year age group only, increased risk (P less than .01) was seen in women reporting diets low in fiber and vitamin A from fruit and vegetable sources. Multiple regression analysis demonstrated that the apparent protective effect of vitamin A in the 30- to 49-year age group (but not dietary fiber) was independent of the nondietary factors analyzed in this study (P less than .05). PMID- 6578363 TI - Cytogenetic studies of human breast cancer lines: MCF-7 and derived variant sublines. AB - Cytogenetic studies of the human breast cancer cell line MCF-7 and the sublines derived from it demonstrated extensive aneuploidy with both numerical and structural abnormalities and a wide range of heteroploidy. Detailed G-banding analyses showed that loss of marker chromosomes was a rare event, while formation of additional structural abnormalities was very common in these long-term cultures. All chromosomes were involved in these abnormalities. Loss of a morphologically normal X-chromosome may be related to the loss of estrogen receptors in these cell lines. With the exception of one subline, all cell lines had a short homogeneously staining region (HSR) on chromosome 7. Although the parent MCF-7 line had tetrahydrofolate dehydrogenase levels within the normal range, a lengthened HSR has been found in MCF-7 lines that are resistant to methotrexate. This observation strongly favors the association of an increased level of tetrahydrofolate dehydrogenase with HSR. In conclusion, the inherent genetic instability in this group of related cell lines may explain the heterogeneity found in this tumor. Continuous chromosomal rearrangements and numerical changes may reflect an ongoing process of selection and adaptation in these cell lines established from a breast carcinoma and may be characteristic of the aggressiveness of this neoplasm. PMID- 6578364 TI - Trends in the incidence of leukemia in Denmark, 1943-77: an epidemiologic study of 14,000 patients. AB - An epidemiologic study of the total population of patients with leukemia in Denmark during 1943-77 was performed with special emphasis on time trends. The material stemmed from the national Danish Cancer Registry and was believed to be virtually complete. Of the 13,813 patients, 40% had acute leukemia; 40%, chronic lymphocytic leukemia; patients, 40% had acute leukemia; 40%, chronic lymphocytic leukemia; and 20%, chronic myeloid leukemia. Over the 35-year period, the incidence of acute leukemia increased threefold in the age groups 0-9 and 50-70+ years; whereas the increase in the age group 0-9 years climaxed in the 5-year period 1968-72, and the increase in the age group 50-70+ years was sustained. The incidence of chronic lymphocytic and chronic myeloid leukemia remained unchanged. No geographic pattern was discernible. PMID- 6578365 TI - Large bowel cancer in women in relation to reproductive and hormonal factors: a case-control study. AB - A community-based case-control study of the effect of reproductive factors on risk of large bowel cancer in Australia is described. The study involved 155 cases (99 colon cancer, 56 rectal cancer) and 311 controls who were interviewed with regard to pregnancies and their outcomes, lactation, menstrual history, and oral contraceptive (OC) use. Increasing parity was associated with a decreasing risk of colon cancer; para 0, relative risk (RR)=1; para 1-2, RR=0.9, 95% confidence interval (CI)=0.4-1.8; para greater than or equal to 3, RR=0.4, 95% CI=0.2-0.8; later age at first live birth (AFLB) was associated with increasing risk (AFLB less than or equal to 21 yr, RR=1; 22-25 yr, RR=2.3, 95% CI=1.0-5.5; greater than or equal to 26 yr, RR=2.7, 95% CI=1.2-6.2). These effects were independent of each other. Parity appeared to exert its predominant effect on risk of cancer of the right colon. OC use was more common among controls than cases (RR=0.5; 95% CI=0.3-1.2 for ever vs. never users) and showed a dose response effect in multiple logistic analysis. The pattern of point-estimate RR for rectal cancer was largely congruent with those for colon cancer but was not significantly different from 1.0. PMID- 6578366 TI - Determinants of ovarian cancer risk. I. Reproductive experiences and family history. AB - Reproductive experiences and family history were assessed in 215 white females with epithelial ovarian cancer and in 215 control women matched by age, race, and residence. Pregnancy exerted a strong protective effect against ovarian cancer, which increased with the number of live-born children. After adjustment for parity, an effect of age at first live birth and breast-feeding was not apparent. Menstrual events did not differ significantly between cases and controls, although cases were more likely to have had an earlier menopause and less likely to have had a surgical menopause. Women with ovarian cancer had more frequently used menopausal hormones in cyclic fashion compared to controls. Regarding family history, women with ovarian cancer more frequently reported consanguinity in their ancestry and a highly frequency of primary relatives with cancer of the colon, lung, ovary, and prostate gland. PMID- 6578367 TI - Determinants of ovarian cancer risk. II. Inferences regarding pathogenesis. AB - Entrapment of surface epithelium within the ovarian stroma was proposed as an initial event in the pathogenesis of cystadenocarcinoma of the ovary. Subsequent events, including differentiation, proliferation, and eventual malignant transformation of the entrapped epithelium, may occur as a consequence of stimulation by estrogen or estrogen precursors. These events were more likely when the steroid producing stroma itself had been stimulated by high gonadotropins. Animal experiments suggested that gonadotropin excess and stromal stimulation may result by disturbing normal feedback inhibition between ovary and pituitary or by destroying ovarian follicles. By analogy, in humans, a number of common chemicals and drugs may increase gonadotropins by enhancing estrogen degradation in the liver or by directly stimulating production by the pituitary. Elevated gonadotropins may also result via mechanisms that cause primary ovarian failure including pelvic irradiation, exposure to chemicals or metabolites toxic to follicles, or ovarian infections such as mumps. PMID- 6578368 TI - Mitochondrial toxicity of 2,5-diaziridinyl-3,6-bis-(carboethoxyamino)-1,4 benzoquinone. AB - 2,5-Diaziridinyl-3,6-bis-(carboethoxyamino)-1,4-benzoquinone (AZQ) is an antitumor agent characterized by lipid solubility and the ability to penetrate the central nervous system. Two human glioma-derived cell lines, SNB-1 and SNB-2, proved by microcytotoxicity assay to be sensitive to AZQ, were examined with transmission electron microscopy for morphologic changes induced by this drug. AZQ was used in two ways: a) dissolved with dimethylacetamide (aqueous) at concentrations of 25 and 50 micrograms/ml and b) solid (surface plated) at 3.1 and 6.2 micrograms/mm2. A time study from 30 minutes to 48 hours was performed. Selective mitochondrial destruction was noted after 8 hours of exposure to AZQ. After 12 hours, condensation of chromatin along the periphery of the nucleus and dilation of endoplasmic reticulum were two other cellular reactions observed. Thus in addition to the known alkylating activity of AZQ, it has significant mitochondrial toxicity. This antimitochondrial effect is possibly an important factor in the antiglioma cell cytotoxicity of AZQ. PMID- 6578369 TI - Cancer and other causes of death among female textile workers, 1976-78. AB - Information on usual industry and occupation on North Carolina death certificates indicated that 4,462 white women who died during 1976-78 were former textile industry employees. The relative frequency of cancer and other diseases among decreased textile workers was compared with the cause of death distribution among other white female decedents. Elevated proportional mortality ratios (PMR) were found for the following malignant neoplasms: larynx, PMR=2.8; connective tissue, PMR=2.6; uterine cervix, PMR=2.1; other and unspecified genital organs, PMR=2.7; thyroid, PMR=2.2; and non-Hodgkins lymphoma, PMR=1.7. The increased PMR for cervical cancer and for cancer of other and unspecified genital organs may be related to socioeconomic correlates of employment in the textile industry. More research is needed to determine whether work in the textile industry is associated with the other malignant neoplasms for which an elevated PMR was found in this study. PMID- 6578370 TI - Distribution of 17 beta-estradiol in the sera of normal British and Japanese women. AB - Normal Japanese women had significantly more of their blood 17 beta-estradiol (E2) bound to sex hormone-binding globulin (SHBG) (53%) than British women (30%) and conversely less bound to albumin. While the proportion of SHBG-bound E2 increased with SHBG capacity and while binding fell as weight increased, the differences between the races do not appear to be explicable in terms of SHBG capacity or weight. At a given SHBG capacity, the Japanese women had more E2 bound to the protein than the British women. Where weights in the 2 populations overlapped, the Japanese women still had more of their E2 bound to SHBG than did the British women. Our results suggested that the affinity of albumin for E2 is lower in Japanese women. PMID- 6578371 TI - Extent of DNA methylation in human tumor cells. AB - The total genomic DNA methylation, i.e., the percentage of methylated cytosines, was measured in 20 cell lines derived from different types of human tumors. The measurements were obtained by cation-exchange liquid chromatography of bases released by formic acid hydrolysis. These experiments were done to determine if altered methylation is a prevalent and large defect in oncogenic transformation. A majority of the tumor cells measured had decreased levels of methylated DNA in comparison to our laboratory's and other laboratories' published measurements of normal cells and tissues. In fact, tumor cell DNA ranged as low as 1.2% of cytosines methylated compared to a value of 3% or more for normal cells and tissues. HpaII and MspI DNA restriction enzyme analysis confirmed for all tumor cell lines tested that their DNA was hypomethylated in comparison to the DNA from normal diploid fibroblasts tested. The results obtained by liquid chromatography and restriction enzyme analysis were strikingly similar. The reduced methylation of the tumor and DNA correlated with the recent observation of other laboratories that individual genes are undermethylated in human cancer cells and that a number of different carcinogens can lower DNA methylation directly. PMID- 6578372 TI - Localization of human colorectal tumor xenografts in the nude mouse with the use of radiolabeled monoclonal antibody. AB - For the evaluation of the clinical usefulness of monoclonal antibodies as diagnostic or therapeutic reagents, tumor localization must be clearly demonstrated in an experimental model. In this report, nude mice carrying two human tumor xenografts--a colon carcinoma (Colo 205) and a melanoma (Colo 239)- were given ip injections of radiolabeled monoclonal antibodies. Monoclonal antibody 250-30.6, which reacted specifically with the colon carcinoma but not with the melanoma, was labeled with 125I, while a second monoclonal antibody of similar immunoglobulin subclass, but unreactive with either cell type, was labeled with 131I. Both antibodies were injected simultaneously, and either the mice were scanned with a gamma camera or their tissues were removed and the localization of radiolabeled antibody was calculated with the use of localization index (LI)--the ratio of the tissue to blood distribution for each isotope. The studies showed that specific localization had occurred, there being a colon tumor LI of 6 at 2 days. Tumors of 150-300 mg (mean diameter, 6 mm) and with an LI as low as 1.5 could be successfully imaged after computer-assisted background subtraction. This study demonstrated that relatively small human tumor xenografts in the nude mouse can be specifically detected with the use of paired monoclonal antibodies, each labeled with a different isotope. PMID- 6578373 TI - Linkage group V of platyfishes and Swordtails of the genus Xiphophorus (Poeciliidae): linkage of loci for malate dehydrogenase-2 and esterase-1 and esterase-4 with a gene controlling the severity of hybrid melanomas. AB - Electrophoretic variations ascribable to three enzyme loci coding for esterase-1 and -4 (ES1 and ES4) and a malate dehydrogenase-2 isozyme (MDH2) were studied in interspecific backcrosses of fishes of the genus Xiphophorus (Poeciliidae). Normal segregation was demonstrated for all three loci. Linkage analyses indicated a gene order of ES1-6%-ES4-33%-MDH2. This group [designated linkage group (LG) V] was shown to assort independently from the 11 loci comprising LG's I-IV and from 18 other informative markers, with the limits of the data. A factor controlling the extent of development of inherited melanomas was demonstrated to be associated only with LG V loci, implying predominant control by a single gene, which probably determines the completeness of differentiation of macromelanophores in hybrids. Possible explanations for variability in the apparent chromosomal position of the melanoma severity gene, as assessed by estimates of recombination with the LG V enzyme loci, are discussed. PMID- 6578374 TI - Identification of Ia antigens on the murine adenocarcinoma LT-85. AB - Antigens associated with the H-2Kk and I-Ak regions of the major histocompatibility complex have been identified with monoclonal antibodies on an in vivo grown murine alveologenic adenocarcinoma, LT-85. Immunoprecipitation and sodium dodecyl sulfate-polyacrylamide gel electrophoresis analysis demonstrated differences in the molecular structure of I-Ak region-coded antigens between LT 85 and host C3H/HeN mammary tumor virus-negative (MTV-) or autologous C3HfB/HeN splenocytes. Ia antigens derived from LT-85 tumor cells exhibited both an increased heterogeneity in the alpha-chain and a lower apparent molecular weight in the beta-chain. Tryptic peptide mapping of the I-Ak antigen alpha- and beta chains derived from C3H/HeN MTV- mice and LT-85 tumor cells revealed a single peptide difference in the beta-chains of these antigens. Results obtained with neuraminidase-treated I-Ak beta-chains indicated that this difference was not due to sialic and content. Maintenance of LT-85 in vitro, even for short periods, resulted in the loss of these I-Ak antigens. However, this loss of I-Ak antigen expression was fully reversible with in vivo growth. PMID- 6578375 TI - Enhancement of lung tumor formation in mice by dietary butylated hydroxytoluene: dose-time relationships and cell kinetics. AB - Strain A/J mice given injections of 1,000 mg urethan/kg and fed for 12 weeks a diet containing 0.75% of butylated hydroxytoluene (BHT) had significantly more tumors per lung 4 or 9 months later than animals given urethan and fed a control diet. A 2-week exposure to dietary BHT (0.75%) was sufficient to significantly enhance tumor development, and the lowest effective BHT concentration was 0.1%, fed for 8 weeks. Tumor development was also enhanced in animals treated once with 3-methylcholanthrene, benzo[a]pyrene, or N-nitrosodimethylamine and, beginning 24 hours later, fed BHT for 8 weeks. Cell kinetic studies showed that BHT given in the diet produced increased proliferation of type II alveolar cells during the first 2 weeks and that initial cell proliferation was delayed in urethan-treated animals. PMID- 6578376 TI - BALB/c mice fed milk or beef protein: differences in response to 1,2 dimethylhydrazine carcinogenesis. AB - The development of 1,2-dimethylhydrazine (DMH)-induced colon tumors and immune responses were investigated in male BALB/c mice fed six different equicaloric diets. Milk or beef at a low (11%) or high (33%) level supplied the dietary protein, and corn oil (primarily) at a low (5%) or high (30%) level supplied the fat. Eleven weekly injections of DMH (at 20 mg/kg mouse) or saline were administered. At 59 weeks of age, the milk-fed mice had a significantly higher (P less than or equal to .05) colon tumor incidence than the beef-fed mice, 67 and 16%, respectively. Tumor volume and colon weight in the milk-fed mice were also significantly greater. Low natural killer cell activity against [125I]5-iodo-2' deoxyuridine-labeled colon tumor cells and high serum blocking of antitumor cell activity were observed in the milk-fed-mice. These mice also exhibited higher T lymphocyte cytotoxicity against colon tumor cells. These results differ from those of our previous studies and those of numerous epidemiologic investigations. PMID- 6578377 TI - Serum bank for biological markers for breast cancer. AB - A bank of serum specimens from women at varying risks of breast cancer has been established. Panels of test specimens can be secured by qualified investigators to evaluate newly discovered biological markers for breast cancer, to verify preliminary data, and to compare performance of established assays among different laboratories. Panels consisting of coded 1-ml vials of sera will be sent upon request to approved investigators. The procedure for application for serum panels is described. PMID- 6578378 TI - [Effect of lasix on prostaglandins of the kidneys and lungs of rats with spontaneous hypertension]. AB - Lasix effects on diuresis, natriuresis and pulmonary and renal prostaglandin biosynthesis and catabolism were examined in spontaneously hypertensive rats (SHR) and normotensive Wistar rats (NTR). PGE2 and PGF2 biosynthesis from 14C arachidonic acid, and 3H-PGF1 and PGE2 catabolism were measured in kidney and lung homogenates. Changes in PG metabolism were shown to be dependent on age, blood pressure and the time of lasix action. Decreased biosynthesis and increased catabolism were demonstrated for PGE2, and reverse changes were shown for the production and decay of PGF2 alpha. Reciprocal changes were demonstrated in renal and pulmonary PG metabolism, an evidence of inter-organ relationships between prostaglandin systems of the organs in question. SHRs and NTRs showed different response of renal and pulmonary PGs, natriuresis and diuresis to lasix administration. PMID- 6578379 TI - [Philadelphia chromosome-positive acute lymphoblastic leukemia in childhood: a special risk group?]. AB - The Philadelphia chromosome is rarely observed in acute myelogenous and acute lymphoblastic leukemias. There are only a few case reports about pediatric patients, the prognosis of whom seems to be extremely poor. Reviewing the case of a girl aged 18 months with Philadelphia chromosome positive acute lymphoblastic leukemia, the differences between this entity and blast crisis of chronic myelogenous leukemia are described. This subgroup of Philadelphia chromosome positive acute lymphoblastic leukemia may represent a new risk group. PMID- 6578380 TI - A short history of Delta Dental Plan of Tennessee. PMID- 6578382 TI - Our aging society. PMID- 6578381 TI - The growing shortage of hygienists!!!! PMID- 6578383 TI - Keeping warm dental chairs warm. PMID- 6578384 TI - Marginal leakage of composite resins following mechanical wear. PMID- 6578385 TI - Crown lengthening procedures. PMID- 6578386 TI - Composites! Posterior restorations? PMID- 6578387 TI - Selecting your staff. PMID- 6578389 TI - Fluorides are working. PMID- 6578388 TI - Stress coping skills for the dental profession. PMID- 6578390 TI - A monoclonal antibody (SJ-9A4) to P24 present on common alls, neuroblastomas and platelets - I. Characterization and development of a unique radioimmunometric assay. AB - We report the development and characterization of SJ-9A4, a monoclonal antibody (MoAb) produced against common acute lymphoblastic leukemia (C-ALL) cell lines. SJ-9A4 reacted with C-ALL, B-cell chronic lymphocytic leukemia (B-CLL), platelets and C-ALL neuroblastoma (NB) and the K562 cell lines. It had no significant reactivity with erythrocytes, granulocytes, circulating T or B lymphocytes, monocytes, granulocytic cell lines or a Ewing's sarcoma cell line. SJ-9A4 was shown to recognize the same region as two other MoAb to the p24 antigen, BA-2 and DU-ALL-1, as demonstrated by their ability to inhibit the binding of labeled SJ 9A4 to NALM-1 and NB cells. Other MoAb: J5, PI 153/3 and monoclonal anti-HLA-DR antibodies gave no inhibition. A solid phase indirect radioimmunometric assay (IRA) was developed which enabled the detection of P24 from C-ALL cells, utilizing its ability to bind the Ricinus communis agglutinin (RCA1) or wheat germ agglutinin (WGA) and SJ-9A4 simultaneously. When BA-2 and DU-ALL-1 were used in place of SJ-9A4, similar IRA results were obtained. Using the RCA1/SJ-9A4-IRA, P24 from as few as 1.6 X 10(4) cells of a C-ALL cell line could be detected; however, similar extracts of NB cell lines were negative despite high levels of SJ-9A4 binding to intact cells. The presence of P24 in NB extracts was demonstrated by (1) preincubation of NB extracts with SJ-9A4 which blocked MoAb binding to P24 and (2) immunoadsorption of P24 from solubilized membranes of 35S methionine (met) labeled NB cells. Treatment of NB cells with neuraminidase did not result in IRA binding when either RCA1 or WGA were used as the solid phase lectin indicating that the differences in lectin affinity are not due to over sialation of NB membrane glycoproteins. These findings demonstrate a difference in the glycosylation of P24 from C-ALL and NB cells. PMID- 6578391 TI - A monoclonal antibody (SJ-9A4) to P24 present on common alls, neuroblastomas and platelets - II. Characterization of P24 and shedding in vitro and in vivo. AB - The release of soluble P24 antigen into culture medium by common acute lymphoblastic leukemia (C-ALL) and neuroblastoma (NB) cell lines was studied. P24 release by C-ALL cells was detected using a solid phase indirect radioimmunometric assay (IRA) which combines the specificity of lectins and monoclonal antibodies (MoAb) and using immunoadsorption of labeled P24 in spent medium from cells incubated with 35S-methionine (met). No P24 was present in the medium of cells pulse labeled at 37 degrees C when they were placed at 4 degrees C, thus this is an active process. P24 release by NB cells could not be detected by IRA, but could be detected by immunoadsorption of spent medium of metabolically-labeled cells. The absence of IRA activity of P24 from NB spent medium was due to decreased glycosylation and thus no binding to the lectins employed in the IRA was observed. This was confirmed by lectin affinity chromatography which showed that P24 in the spent medium from C-ALL cells bound Ricinus communis agglutinin (RCA1), wheat germ agglutinin (WGA), concanavalin A (Con A), and lentil lectin (LcH), but not peanut agglutinin (PNA). P24 from NB cell spent medium did not bind to any of these lectins. The lectin affinity of P24 derived from lymphoblasts is consistent with the presence of N-linked oligosaccharide chains having N-acetyl glucosamine residues, a mannose core, and a terminal D-galactose. P24 from C-ALL cell spent medium was present in the 35 45% fraction of a saturated ammonium sulfate (SAS) partition of spent medium. The P24 antigen was detected in the fractionated plasma of five patients with C-ALL at the time of diagnosis and was undetectable when the patients had achieved a complete remission. Plasma from 2 patients with P24 negative ALL, normal human plasma, and normal human serum had no detectable activity. PMID- 6578392 TI - Philadelphia chromosome-positive adult acute leukemia with monosomy of chromosome number seven: a subgroup with poor response to therapy. AB - Thirty-four adult patients were seen at the University of Texas M. D. Anderson Hospital and Tumor Institute at Houston, Texas between 1969 and 1980 with acute leukemia (AL) and a deleted G-group chromosome that was shown by Giemsa banding to be a Philadelphia (Ph1) chromosome t(9;22) in 21 patients. Fourteen had the Ph1 chromosome as the sole abnormality, 12 had the Ph1 chromosome and loss of one chromosome of the C-group (identified by Giemsa banding analysis as number 7 in eight patients), while eight had the Ph1 chromosome and other changes. These three groups were similar in sex, age distribution and hematologic parameters. The median age of 40 was lower than usually seen in AL. The distribution of the morphologic subtypes was similar to that seen at this institution, with 50% being acute myeloblastic, 12% acute myelomonocytic, 20% lymphoblastic and 18% acute undifferentiated. The complete remission rate with chemotherapy was low: 25% in the Ph1 +/- 7, 50% in the Ph1 +/other group and 43% in the Ph1 +/other group. Median survival time was 8 months for the Ph1 +/- 7 group, 5.5 months for the Ph1 +/other group and 9.0 months for the Ph1 +/alone group. These patients with Ph1 + AL had higher white blood cell counts, increased extramedullary disease and poorer responses to therapy than usual for patients with AL. The deletion of chromosome 7 and the acquisition of the Ph1 chromosome identifies a group of patients with characteristics similar to all the patients with Ph1 + AL but a poor response to therapy and short remission duration. PMID- 6578393 TI - Low dose arabinosyl cytosine for treatment of myelodysplastic syndromes and subacute myeloid leukemia. AB - Several agents, including arabinosyl cytosine (ARA-C) at a low concentration, can induce leukemic myeloblasts to mature to a variable extent. The therapeutic implications of this observation are worth investigating. A few case-reports have shown that low dose ARA-C can be useful for treatment of the myelodysplastic syndromes (MDS) and of acute myeloid leukemia (AML). However, no information is available yet on the proportion of patients who can be expected to respond. We treated by low dose ARA-C (20-30 mg/sqm/day i.v. or i.m. for 7-10 days) 20 consecutive patients. A complete remission of 5 months was obtained in one of nine cases of subacute myeloid leukemia (SAML). A partial remission (complete normalization of blood counts with a slight excess of marrow blast cells) was obtained twice in one of 11 cases of MDS. An increase of Hb level (more than 11.5 g/dl) was obtained and maintained for 12 months in a case of MDS. A short-lasting increase of granulocyte count was obtained in another two cases of MDS and SAML respectively. It is suggested that low dose ARA-C can advantageously modify the proliferation to maturation imbalance of leukemic cells by slowing down cell proliferation rate. However, the proportion of patients who respond is probably low. This treatment is at a very early experimental stage and should be probably limited to selected cases of MDS and subacute or acute myeloid leukemia. PMID- 6578394 TI - BCG treatment of residual disease in acute leukemia: studies in a rat model for human acute myelocytic leukemia (BNML). AB - The effect of a single injection of Pasteur BCG on the growth of a myelocytic leukemia transplantable in the Brown Norway rat (BNML) was studied. BCG (3.0 mg i.v.) caused a 6-fold increase in spleen weight with marked granuloma formation. After aspecific immunostimulation the TD50 for leukemic cells increased from 38.8 to 302.2 cells. Cyclophosphamide (100 mg/kg) given 48 h prior to BCG did not influence the anti-tumor immune response. However, cyclophosphamide injected after BCG partly abolished its activity. After high-dose chemo-radiotherapy of leukemic rats BCG significantly hampered the outgrowth of residual leukemic cells. Relapse from leukemia could even be avoided completely when BCG was injected after cyclophosphamide (100 mg/kg) and total body irradiation (7.0 Gy) followed by isologous bone marrow transplantation. These results are discussed in relation with the tumor load at the time of maximal immunostimulation. Finally, the data are extrapolated to those of the many controversial clinical studies. PMID- 6578395 TI - In vitro lines of the BN rat promyelocytic leukemia that differ from the parent. AB - Cells from the spleens of Brown Norway rats made leukemic with the in vivo passaged promyelocytic line BNML have been adapted to in vitro culture in RPMI 1640 medium supplemented with 4% rat serum and 6% fetal bovine serum. The presence of rat serum, which also was associated with suppression of fibroblasts, appeared to be required for initial growth. In contrast to the parent this new cell line (BNML-RS) was predominantly myeloblastic under standard conditions of culture with only 4-10% of cells showing granules or stainable peroxidase. However, when passaged through an animal, 60-70% contained both granules and peroxidase. Neither parent nor established line evolved to the polymorph stage when assessed for terminal maturation after exposure to dimethyl sulfoxide or retinoic acid. These cells now extend the limited number of myeloid lines available and potentially are a useful model in which to study the controlling events in early myeloblast maturation. PMID- 6578397 TI - Isolation and complementation of temperature-sensitive replication mutants of Staphylococcus aureus plasmid pC194. AB - Temperature-sensitive replication (Tsr) mutants have been isolated from the Staphylococcus aureus plasmid pC194. For three of the four mutant plasmids tested (pSAO801, pSAO802, and pSAO804) the segregation kinetics suggested a complete block of plasmid replication at 43 degrees C. The replication defects of three mutant plasmids: pSAO802, pSAO803, and pSAO804 could be complemented by recombinant plasmids carrying a segment from either the wild type or the other mutant, pSAO801. There was no complementation when the segment carried by the recombinant plasmid was derived from one of the three complementable mutants. These data were taken as evidence for the involvement of a diffusible, plasmid encoded product, RepH, in pC194 replication. The complementation of the fourth Tsr mutant, pSAO801, could not be tested due to an abnormal susceptibility of this mutant to the incompatibility expressed by recombinants carrying segments derived from pC194 or its mutants. A single mutation was found to be responsible for both pSAO801 instability and its altered incompatibility properties but the nature of the defect has not yet been elucidated. PMID- 6578398 TI - [Manual and automated cytodiagnosis. Proceedings and abstracts of the 13th meeting of the German Society for Cytology. Freiburg i. Br., 21-23 March 1983]. PMID- 6578396 TI - Maintenance of the adaptation of skeletal muscle mitochondria to exercise in old rats. AB - The purpose of this study was to determine whether the adaptive increase in mitochondrial enzymes in skeletal muscle induced by a constant exercise program is altered by aging. Male pathogen-free Long-Evans rats were exercised by means of swimming for 3h/d, 5d/wk beginning at age 6 months and studied at ages 9 and 24 months. The levels of activity of the four mitochondrial enzymes used as indicators of the capacity for aerobic metabolism (citrate synthase, succinate DH, 3-hydroxyacyl-CoA-DH, and 3-ketoacid-CoA-transferase) were significantly increased in epitrochlearis muscle in both the 9-month and 24-month-old swimmers. The increases ranged from approximately 20% for 3-hydroxyacyl-CoA-DH to 50-60% for 3-ketoacid-CoA-transferase. Neither the 24-month-old sedentary rats nor the 24-month-old swimmers had significantly lower muscle enzyme levels than the comparable 9-month-old rats. Thus, it appears that aging does not result in a progressive decline in the capacity of muscle for aerobic metabolism or a progressive impairment in the ability to maintain an increase in muscle mitochondrial enzymes in response to chronic exercise in healthy rats. PMID- 6578399 TI - [Early cancer diagnosis through automated cytoanalysis (Fazytan system)]. AB - A prescreening system for the early detection of uterine cancer was developed. For the diagnosis of each input specimen (PAP-stained), a figure of malignancy has to be calculated automatically. Methods, problems and results of the system are summarized in this paper. Some thousand microscopic subfields of a specimen are successively scanned by an optimized TV-camera with high spatial resolution. The automated specimen analysis can be described by a two step procedure: single cell classification and evaluation of cell population. For the single cell classifier only features derived from the nucleus are used. The pattern recognition procedures are based on a processor-oriented strategy, and can be adapted to other cytological specimen. The algorithms have been tested with 3 . 10(5) cell images of about 300 specimens. PMID- 6578400 TI - [A computer-based microscope as the foundation for automated prescreening systems]. AB - The prototype of an automated screening system for cytological preparations is under development. The conditions concerning the handling of such system require the development of a special microscope with certain adjustment functions to be automated. The main specifications of this microscope are: --1 Splitting the light path into two synchronously usable channels for low and high magnification; whereby both images are projected onto two tv-cameras --Additional light path for visual observation --Automated focusing via movement of the microscope objective -Automated supply of immersion oil --Positioning and loading unit for slides - Microprocessor control --Closed and dust-protected design. Besides the mentioned specifications different microscopical observation methods, i. e. transmitted light bright field, incident fluorescence, are possible. The system can be used for all samples which are prepared on standard slides. PMID- 6578401 TI - LEYTAS analysis of cytological specimens: the results of thousand cervical smears. AB - This paper describes the application of a television-based system (LEYTAS) in machine analysis of cervical specimens. LEYTAS basically consists of a Leitz microscope, the texture analysis system (TAS, Leitz), a TV camera, a 4-bit grey value memory and a minicomputer (PDP 11/23). A series of 1176 Feulgen stained cervical smears has been analysed in an automated procedure using image transformation for cell selection and artefact rejection. During the analysis of the entire series new artefact rejection procedures have been added to the automated analysis. This addition decreased the percentage of false positives to 15% in the last 277 analysed smears. This percentage concerns machine performance alone. A rapid visual interaction procedure decreases this percentage to 9%. Out of 210 morphologically positive smears (diagnosis Papanicolaou class 3b or more) from the total series, one smear was missed by LEYTAS using the machine classification. PMID- 6578402 TI - [Performance of a field test as proof of automatic cell analysis]. AB - The screening by an automatic cell analyser (A) is justified, only if the false negative rate beta (A) is less than the false negative rate beta (M) of the manual method (M). A design is considered to get the numbers of ill persons who are "positive" by the manual method and "negative" by the automatic one, and vice versa "negative" by the manual and "positive" by the automatic. The sign test can be used to test the difference beta (A) - beta (M). Formulas for the necessary number n are given. PMID- 6578403 TI - [The range of concepts of visual and automated cytodiagnosis - how closely do they touch?]. PMID- 6578404 TI - [Notes for the routine preparation of gynecologic preparations for automated assessment]. PMID- 6578405 TI - [Registration of slide movement in conventional cytodiagnosis - relevance for automated cytodiagnosis]. AB - Registration of slide-movements in conventional gynecological smears - its relevance for automated cytology - The information contained in conventional cytologic smears can only be obtained by means of a very scrutinizing scanning of the slide. This is one of the reasons, why people are interested in automated cytology. In the present study slide movements during 216 visual screenings of conventional gynecologic smears were graphically and electronically recorded. The recordings show alternating movements and stops. The time of stops shows a high variation with a mean value of about 0,3 seconds. The moving times are mostly below 0,2 seconds. The relation of total stop times to total movement times is in most cases between two and three. The percentage of total stop times, the total screening time, the relation of stop times to movement times and the number of microscopic fields evaluated while standing rise in difficult specimens. There are obvious differences between the screening patterns of different cytotechnologists. An analysis of the recordings concerning the number of stops shows that even in smears which are screened very carefully a considerable percentage of the smear is not seen during the stops. The pattern of mechanical slide movements allows conclusions about the "data acquisition" by the human cytoscreener. PMID- 6578406 TI - Image analysis: a consumer's guide. AB - The last years have seen an explosion of systems in image analysis. It is hard for the pathologist or the cytologist to make the right choice of equipment. All machines are stupid, and the only valuable thing is the human work put into it. So make your benefit of the work other people have done for you. Chose a method largely used on many systems and which has proved fertile in many domains and not only for your specific to day's application: Mathematical Morphology, to which are to be added the linear convolutions present on all machines is a strong candidate for becoming such a method. The paper illustrates a working day of an ideal system: research and diagnostic directed work during the working hours, automatic screening of cervical (or other) smears during night. PMID- 6578407 TI - [Methodological and technological requirements in cell image analysis]. AB - Methodological and technological requirements for cell image analysing systems are discussed with respect to the following applications: automated prescreening systems for the early detection of tumors; cell analysis systems for diagnostic assistance; early detection of benign or malignant changes in the field of "environmental pathology". The solution of these problems requires sophisticated image processing systems (high spatial resolution) which take use of supervised learning algorithms based on representative data banks. The wide spread applications in the field of automated and analytical cytology need processing systems which have the capability of systematical parameter adaptation to different analysis problems. PMID- 6578408 TI - [High resolution cell recognition and flow cytometry as means to automated cytodiagnosis]. AB - Measurement and quantification are the prerequisites of automated cell diagnosis. The goal of the analysis is to recognize quantitative differences for the classification of benign and malignant cells. Absorption and fluorescence dyes can be bound to definite cell components proportional to their amounts and can be determined photometrically. In static photometry the cells are spread out in a single layer on a glass slide. By examining the cell point by point a scanning image can be obtained. These high resolution photometric measurements provide many individual data on relatively few cells. In flow photometry the cells are suspended in a fluid. The fluid flows past the lens of the microscope. Because each cell remains in front of the lens for only a brief period, it is possible to detect only one or few parameters per cell. These zero or low resolution flow photometric procedures provide few individual data on a great number of cells. Hybrid procedures combine flow photometry with subsequent high resolution photometry of the individual cell. To make this possible suspicious cells are sorted out from the flowing fluid and deposited on a slide. In individual cases the efficiency of visual diagnosis is almost achieved by machines. PMID- 6578409 TI - [Cytophotometric and automated cytodiagnosis]. AB - The different validity of DNA-cytophotometric parameters to morphometric ones for the automated cytological diagnosis of cancer is discussed and demonstrated for prostatic-, cervical- and lymph-node cytology by own measurements. Nuclear-DNA cytophotometry used for the automation of cytological diagnosis of malignancy has the following advantages compared to image analysis: 1) DNA-cytophotometry mostly yields more sensitive parameters for the diagnosis of malignancy than image analysis does and thus results in greater diagnostic accuracy. 2) Cytological diagnosis of malignancy may often be possible in earlier stages of the tumor history with nuclear-DNA-parameters compared to morphological parameters. 3) The prognostic validity of nuclear-DNA-distribution is probably greater than of cytomorphological parameters. 4) The parameters of nuclear-DNA-distribution for cytodiagnosis and grading of malignancy are the same for most of the human tumors in contrast to morphological parameters which are different for histogenetically different tumor. 5) Processing time for the automated diagnostic procedure of the slides will be much shorter if the Feulgen-stain for DNA is used instead of the Papanicolaou-stain for image analysis. One disadvantage of nuclear DNA measurements as a diagnostic toll is the fact that cytopathologists cannot fully control the diagnostic process and results with their own eyes in Feulgen-stained slides. Meanwhile, however, even in other medical disciplines diagnosis are made by objective measurements of parameters which are not discernible by the human eye. That diagnostic procedure has to be accepted which yields the most accurate and reproducible diagnosis in the shortest time. It is recommended to combine cytomorphological and DNA-cytophotometric parameters as diagnostic tools for automated cytodiagnosis in Feulgen-stained slides. PMID- 6578410 TI - Prognosis of acute lymphoblastic leukaemia in childhood. PMID- 6578411 TI - Social class as a prognostic variable in acute lymphoblastic leukaemia. AB - We studied the relationship between social class and prognosis in children with acute lymphoblastic leukaemia. Seventy children who were commencing on curative therapy, and who received central nervous system prophylaxis, were included in the study. Children from social classes 1 to 5 had a significantly better five year survival rate and duration of first remission than children from social classes 6 and 7. There was no apparent difference either in the treatment given to the two groups or in the clinical and haematological parameters studied. A study of the causes of this difference in survival could lead to better over-all results in the treatment of childhood leukaemia. PMID- 6578412 TI - From AMP to AMDP. PMID- 6578413 TI - [Dubowitz syndrome and acute lymphatic leukemia]. AB - A child with Dubowitz syndrome at the age of 6 3/4 years developed acute lymphatic leukemia. Despite adequate chemotherapy no remission was achieved. An increased risk of malignancies in patients with Dubowitz syndrome is suggested. PMID- 6578414 TI - [Lung scintigraphy after tumor therapy in childhood]. AB - Cytostatics- and radiation-induced alterations of the lung were investigated in 18 children after tumour-therapy by means of lung perfusion scintigraphy. 13 patients (Hodgkin- and non Hodgkin lymphoma, acute lymphocytic leukemia with mediastinal tumour, Ewing-sarcoma, and intrathoracal neuroblastoma) received epidiaphragmatical radiation and cytostatics. All 32 lung-scintigrams of these children 1-23 months after cessation of therapy were pathological. 5 patients (acute lymphocytic leukemia, Histiocytosis X) received cytostatics only. 1-6 months after cessation of therapy in these children 6 lung-scintigrams were pathological, one was normal. After cessation of tumour-treatment scintigraphical improvement of disturbed perfusion occurred in 9/18 patients only. In 6 children a deterioration of lung-perfusion was registered. Lung-scintigraphy is a method for testing pulmonary perfusion in diagnosis and therapy control in childhood malignancies. The results of this study indicate that prophylactic provisions against pulmonary damage during oncologic therapy are necessary. PMID- 6578415 TI - Transaminase, hepatitis B, and prognosis in acute nonlymphoblastic leukemia. PMID- 6578417 TI - Who's playing God now? PMID- 6578416 TI - Regulated expression of the human beta-globin gene family in murine erythroleukaemia cells. AB - Chemically induced differentiation of cultured murine erythroleukaemia (MEL) cells results in a several hundred-fold increase in transcription of the adult mouse globin genes and thus serves as a model for gene activation during erythropoiesis. One approach to study gene regulation in this system has been to analyse the expression of foreign globin genes introduced into MEL cells. By introducing cosmid DNA containing the human adult(beta), fetal(gamma) and embryonic(epsilon)-globin genes, we have shown here that expression of the beta, but not the gamma or epsilon genes, is regulated during MEL differentiation. Regulated expression of the human beta-globin gene was observed when it was introduced either as part of the intact globin gene cluster or as an individual gene with 1.5 kilobases (kb) of 5' flanking DNA. Transcription from a herpes simplex virus (HSV) promoter adjacent to the thymidine kinase (tk) gene is also inducible in MEL cells. PMID- 6578418 TI - Recombinant DNA. Rifkin's regulatory revivalism runs riot. PMID- 6578419 TI - Triumph for unreason. PMID- 6578421 TI - Gene diagnosis: Yale bungles patent claim. PMID- 6578420 TI - Genetic engineering: frost damage trial halted. PMID- 6578422 TI - Cranial computed tomography of 64 children in continuous complete remission of leukemia I: relations to therapy in modalities. AB - 64 children with acute lymphoblastic leukemia and non Hodgkin's lymphoma in continuous complete remission were studied by cranial computed tomography two months to 7 years after cessation of antileukemic treatment. 17 (27%) patients showed abnormal widening (grade 2) of external cerebrospinal fluid spaces, 20 (31%) minimal widening (grade 1). A significant correlation between grade 2 abnormalities and the duration of maintenance therapy and single cranial radiation dose was found, whereas the correlations with total radiation dose and with intensity of induction protocols were not significant. Widening of external cerebrospinal fluid spaces after cessation of therapy persisted. PMID- 6578423 TI - The longevity of international rugby players. AB - The longevity of New Zealand international rugby players (All Blacks) is compared with the New Zealand male population to test the hypothesis that vigorous leisure time physical activity in the form of rugby in early adulthood is associated with an increased longevity. Data on 822 All Blacks since 1884 are compared with information from New Zealand life tables for males. The life expectancy of All Blacks is the same as the general population although non-Maori All Blacks live almost ten years longer than Maori All Blacks. PMID- 6578424 TI - Club foot in the Polynesian: an epidemiological survey. AB - The incidence of idiopathic club foot deformity in Polynesian peoples, including the New Zealand Maori, is higher than in other races. A study of 118 Polynesian children treated in Auckland for the condition, found no significant correlation among sex, maternal age and the presence or absence of a family history of club foot, and questions the validity of dividing index cases into two groups on the basis of family history. Previous observations of a significant predominance of right-sided deformity in unilateral Polynesian cases, were not confirmed. PMID- 6578425 TI - Toxocariasis: a neglected entity. AB - Toxocara canis infects many dogs yet has been seldom implicated as a cause of human disease in New Zealand. Nine patients with diagnostic titres for Toxocara canis who were seen in Christchurch Hospital over a five-year period are described. Ophthalmoscopic signs of toxocaral infection were visible at the optic disc or posterior pole of all ten affected eyes. A localised disciform detachment of the macula or a focal granuloma on the disc or retina were the commonest lesions. Vision was reduced to 6/60 or less in five affected eyes while the remaining five eyes lost 2-4 lines of vision on the test chart. PMID- 6578426 TI - Rhinocerebral mucormycosis complicating poorly controlled diabetes mellitus: case report. AB - We report a case of rhinocerebral mucormycosis in a patient with poorly controlled diabetes mellitus. The pathology, clinical features, diagnosis and treatment of this disorder are discussed. PMID- 6578427 TI - Advances in the management of testis tumours. PMID- 6578428 TI - Radiology in New Zealand--a personal view. PMID- 6578429 TI - Epilepsy and driving. AB - A survey was made of driving habits of 103 epileptic patients who, having suffered a seizure, were picked up by the Wellington Free Ambulance Service. It was found that 21 (20%) subjects were driving a motor vehicle--for nine this was necessary for their employment; 57% of drivers with epilepsy reported that the Ministry of Transport had not been informed of their epilepsy. For three subjects a driving accident was a direct result of their seizure. Forty-three percent of subjects in this study claimed never to have had any professional advice about driving. Of the 21 subjects who continued to drive, 13 were receiving inadequate drug therapy at the time of seizure. Advice and drug therapy for epileptic patients therefore required regular review. We consider that the Ministry of Transport should issue a simple statement about epilepsy and driving which should explain the law, risks, precipitating factors for epilepsy, and the need for good drug control. This should be issued to doctors and also be available for those applying for a driving licence. PMID- 6578430 TI - Musculoskeletal problems at an accident and emergency department, and in general practice. AB - A retrospective study of the numbers and range of musculoskeletal conditions presenting to the accident and emergency (A and E) department of a general hospital over two one-week periods, in February and May 1980 is described. Over a third of the patients had musculoskeletal disorders most commonly affecting the hand (19%), ankle (13%), foot (9%) and spine (8%). One in three cases involved fracture. As judged by a physiotherapist, only 20% of cases which should have been referred for physiotherapy were actually referred. The frequency and range of musculoskeletal conditions encountered in general practice, and the undergraduate curriculum for the musculoskeletal system at the Auckland Medical School is reviewed. Postgraduate education in the musculoskeletal system is essential where emphasis should be given to conditions of the hand and the spine. PMID- 6578431 TI - Medicine--of the same ilk as the elk? PMID- 6578432 TI - A comparison of high school students' smoking behaviours in 1968 and 1981. AB - A questionnaire survey was carried out among fifth form students in three Gisborne city high schools in 1968 and repeated in 1981. On an item concerned with smoking, 514 students responded on the first occasion and 583 on the second. Over time, there was a shift towards higher levels of smoking among females and lower levels among males, a finding that applied to both Maori and European students. Socioeconomic status was not related to levels of smoking for either ethnic group in 1968 and for Maoris in 1981; on the latter occasion, however, European students from low socioeconomic homes reported higher levels than those from high socioeconomic homes. PMID- 6578433 TI - Post-basic education for nurses. PMID- 6578435 TI - Treatment of urinary tract infections. PMID- 6578434 TI - Alkaline battery ingestion. PMID- 6578436 TI - Asthma in New Zealand. PMID- 6578437 TI - Spouses of alcoholics. PMID- 6578438 TI - Selenium and risk factors for cardiovascular disease in New Zealand. AB - Blood selenium (Se) concentrations and glutathione peroxidase (GSHPX) activities were measured in 118 men (39 +/- SD 15 yr) and 112 women (42 +/- 16 yr) randomly selected from the total respondents (1192) to health survey in Milton, a low soil selenium area in Otago. GSHPx activities were marginally lower for men (11.9 +/- 3.2 units/g Hb) than for women (12.9 +/- 3.8 units/g Hb). Blood, erythrocyte and plasma selenium concentrations were about the same for both sexes and means for all subjects (61 +/- 15; 73 +/- 19; 49 +/- 12 ng Se/ml) were almost identical with a control group of Otago blood donors. No differences in blood levels could be associated with smoking, use of oral contraceptives, arthritis and/or rheumatism, or anti-hypertensive drugs. No relationship was found for the men or women between any of the parameters of selenium status and any of the parameters of risk factors for cardiovascular disease measured in the health survey: age, Quetelet's index, total skinfolds, systolic and diastolic pressure, pulse rate, plasma lipids and lipoprotein lipid concentrations. Moreover no relationship was found for the subgroups (36% group) of men and of women with plasma selenium below 45 ng Se/ml. This study indicates that if selenium is important it does not operate through the risk factors of cardiovascular disease as presently understood. PMID- 6578439 TI - Computed tomography in chest disease. PMID- 6578440 TI - Serology testing as a means of encouraging rubella immunisation. AB - One thousand three hundred and sixty-one women were tested for rubella antibody titres both under public and occupational conditions. Two hundred and seventy-one of the thirteen hundred and sixty-one women (20%) had low immunity. Follow-up methods resulted in immunisation of 55% of these women (149 of 271). Reasons for non-acceptance are explored. While a higher acceptance rate would be desirable, mass testing for antibody levels has been demonstrated as a method of encouraging those with low immunity to be immunised. PMID- 6578441 TI - A study of the recipients of district nursing services in Christchurch. AB - This paper reports on a study of the patients and the services provided by the Nurse Maude District Nursing Association in Christchurch. The 1149 recipients were predominantly elderly, 80.8% being over 65, 68.8% female and long term patients with musculoskeletal disorders comprising more than one-third of the principal diagnoses. Services were provided to 26 per 1000 of the elderly population, which is close to suggested guidelines. This rate increased markedly with age. Ten percent of patients utilised 40% of the nursing time. They may be considered as borderline cases for whom community care with community support services was an acceptable and efficient alternative to long term hospital care. PMID- 6578442 TI - The abortion paradox. PMID- 6578443 TI - Communication in medicine. PMID- 6578444 TI - Thyroxine medication. PMID- 6578445 TI - Hepatitis B and homosexuals. PMID- 6578447 TI - Temgesic abuse. PMID- 6578446 TI - Alkaline battery ingestion. PMID- 6578448 TI - Antimicrobial prescribing errors in children. AB - During a 120 day period, the charts of patients who had received antimicrobial agents were examined. This group numbered 255 and comprised 52% of children admitted with infections. Patients treated by family doctors and/or hospital staff predominantly had respiratory infections and the ampicillin/amoxycillin group of drugs was most commonly prescribed. Of the 203 antimicrobial agents prescribed by hospital staff, 64% were considered to be prescribed appropriately. The major errors related to dosage, the most potentially serious relating to the prescribing of aminoglycosides and chloramphenicol. Of the 203 antimicrobial agents prescribed for 171 children in the community, 11% were considered to be appropriately prescribed or without error. The major error was the prescribing of these drugs for syndromes of known viral aetiology. Errors were also frequent in relation to dosage, duration and choice of antimicrobial agents. PMID- 6578449 TI - Acute appendicitis: a quality assurance analysis. AB - The management of 722 patients admitted to Christchurch Hospital in 1979 with acute appendicitis (308) or non-specific abdominal pain (414) was such that 86% of the appendicitis patients had a timely removal of an inflamed but not perforated appendix and 9.2% of the patients with non-specific abdominal pain had an unnecessary appendicectomy. The mean stay in hospital was 4.8 days for patients who had a timely operation for acute appendicitis, 8.1 days for patients undergoing operation for perforated appendicitis, 6.1 days for patients who had non-specific abdominal pain and appendicectomy, and 2.7 days for patients who had non-specific abdominal pain without appendicectomy. There was no mortality. PMID- 6578450 TI - A register of individuals with inborn errors of lipoprotein metabolism and their families. AB - One hundred and fifty-five hyperlipidaemic families resident in the Christchurch and Dunedin areas were included on a computerised register with built in confidentiality safeguards. Investigation of the relatives of the 155 probands identified 519 with normal lipids and a further 381 with hyperlipidaemia. The presence of 536 hyperlipidaemic individuals in the population of the two areas indicates a frequency of at least 0.12% which extrapolates to approximately 3800 cases of familial hyperlipidaemia nationwide. Our findings suggest that less than half of these are likely to have been detected. The most common condition was the mendelian dominant disorder familial hypercholesterolaemia found in 108 families. The register has been used to facilitate detection of further cases of familial hyperlipidaemias and appropriate counseling as well as for detecting and reassuring normal relatives. It also facilitates the long term study of the treatment of the affected individuals. PMID- 6578451 TI - Plasma aluminium levels in patients on maintenance haemodialysis fall when oral aluminium hydroxide is withdrawn. AB - In 25 patients on maintenance haemodialysis the mean predialysis plasma aluminium level fell on two occasions when oral aluminium hydroxide was withdrawn for seven and twelve weeks. Substitution of half the prescribed dose of aluminium hydroxide with magnesium hydroxide led to a significant lowering of predialysis plasma aluminium levels over seven months, with no change in plasma phosphate levels. Oral magnesium hydroxide was associated with a mild rise in plasma magnesium levels. PMID- 6578452 TI - Bacterial endocarditis due to Kingella kingae. AB - A case of infective bacterial endocarditis due to Kingella kingae in a 26 year old male involving a prosthetic mitral valve is described. Microbiological features of this organism are outlined, and the treatment of this endocarditis is discussed with reference to the four previously reported cases. PMID- 6578453 TI - Interdigital athlete's foot: the battle for survival occurring between our toes. PMID- 6578454 TI - Coronary care at Hutt Hospital 1980-1981. AB - Three hundred and forty-one patients were admitted to the coronary care unit, Hutt Hospital during twelve months from 1980-1981. Of the 60 with myocardial infarction, 75% developed symptoms at home, 49% came to hospital without first seeing a doctor and 60% arrived by ambulance. The median admission delay from onset of symptoms of infarction was 3.4 hours, one hour of which was spent in the A and E department. Only 5% of all admissions were defibrillated in the coronary care unit. The higher mortality with infarction in older patients was confirmed. The practical implications of our findings are discussed. PMID- 6578455 TI - Adhesive membrane device (Op-site) for skin closure in general surgery. AB - Sixty general surgical cases in a district hospital had skin closure accomplished with an adhesive membrance device (Op-site, Smith and Nephew). The technique of application is described. Thirteen cases had minor wound complications. It was found that the device was not applicable to all skin wounds, had some limitations in vertical wound closure, was comparable in price with skin sutures, usually gave good cosmetic results especially in transverse wounds, and as it could be removed by the patient, avoided problems of suture removal after discharge from hospital. PMID- 6578456 TI - Hepatitis B vaccine: priority for use. PMID- 6578457 TI - Risks with intravenous diazepam. PMID- 6578458 TI - Analgesia and dextropropoxyphene. PMID- 6578459 TI - Treatment of asthma. PMID- 6578460 TI - Grief, death and bereavement among New Zealand's Polynesian people: a community affair. PMID- 6578461 TI - Absorbent bedsheets provide greater comfort. PMID- 6578462 TI - Mothers under stress. PMID- 6578463 TI - Alcohol and pregnancy--do nurses have a role to play? PMID- 6578465 TI - Patterns of employment for comprehensive nurses. PMID- 6578464 TI - Identification of alcoholism. PMID- 6578466 TI - What are nursing standards? PMID- 6578467 TI - Living with a hearing impairment - a case study. PMID- 6578468 TI - Diary of a delegate. PMID- 6578469 TI - Staphylococcus aureus bacteremia in children and adolescents with acute lymphoblastic leukemia. AB - 37 episodes of Staphylococcus aureus bacteremia (SAB) in children and adolescents with acute lymphoblastic leukemia (ALL) were analyzed. 25 were associated with an identifiable source of infection: pneumonia (9), cellulitis (11), osteomyelitis (2), ear infection (2), urinary tract infection (1). The absolute neutrophil count was less than 1,000/mm3 at the onset of 29 episodes. 6 patients had a bacterial re-infection after the treatment for SAB was stopped. 5 patients had fungal infection discovered at autopsy. 7 patients died within 4 days of admission. Gram-negative superinfection occurred in 6 patients treated with multiple antibiotics whereas no patient among those treated with a single antibiotic developed superinfection. This was not a statistically different difference. PMID- 6578470 TI - Facial asymmetry of developmental etiology. A report of nineteen case. PMID- 6578472 TI - Anterior midline neck webbing with microgenia and symphyseal exostosis. AB - A rare case of midline cervical webbing with microgenia and a submental bony spur in a 6-year-old boy is presented. An area of ulceration was associated with the web, and a sinus was identified histologically in the region closely related to a cyst lined with pseudostratified ciliated columnar epithelium. The developmental origins of these lesions are discussed. Primary management comprises excision and Z-plasty, but mandibular surgery may be necessary at a later stage. PMID- 6578471 TI - Alternative stabilization of the maxilla during simultaneous jaw-mobilization procedures. AB - A technique involving a bone plating system for stabilization of the maxilla in simultaneous surgery on both upper and lower jaws is presented. The alternatives to this method of stabilization are discussed. The literature on the use of miniplates in midface surgery is reviewed. The use and adaptation of readily available orthopedic metacarpal plates is discussed. Familiarization with this system is recommended. PMID- 6578473 TI - Arteriovenous malformation and associated phleboliths. Report of a case. PMID- 6578474 TI - Transplantation of the submandibular duct associated with resection for carcinoma. AB - This article presents a new technique of duct transplantation that should be employed when large portions of the floor of the mouth are to be resected. The incidence of submaxillary duct stenosis was doubled when the transected ducts were disregarded. The consequences of ductal stenosis include fibrotic submaxillary glands that, following resection for carcinoma, may be mistaken for regional metastases. With metastases suspected, the patient may be exposed to any number of invasive diagnostic and treatment modalities that could have been avoided by using the technique described here. PMID- 6578475 TI - Frequency of desquamative gingivitis in skin diseases. AB - In an attempt to determine the frequency of desquamative gingivitis (DG) in pemphigus vulgaris (PV), bullous pemphigoid (BP), cicatricial pemphigoid (CP), and lichen planus (LP), a large series of patients examined and classified in each group during the years 1972 to 1981 were included in this study. Analysis of the clinical data revealed that, of the four skin diseases, CP manifests as DG in 63.6 percent of the cases. Desquamative gingival lesions are less frequent in LP (25 percent) and in PV (18.4 percent). The great majority of DG patients were females (72.9 percent). Identification of the underlying causes of desquamative gingivitis is of utmost importance and is dependent upon clinical, histologic, and immunologic criteria. PMID- 6578476 TI - Submandibular adenitis with middle ear infection in a 5-month-old child. PMID- 6578477 TI - Oral presentations in non-Hodgkin's lymphoma: a review of thirty-one cases. Part I. Data analysis. AB - Thirty-one patients with oral manifestations of non-Hodgkin's lymphoma have been studied with reference to age, sex, race, location of lesion in oral cavity, stage of disease on presentation, duration of disease at time of presentation, histologic type, modes of treatment, and survival. There were 6 children and 25 adults, ranging in age from 3 to 89 years. Only 2 of the 31 patients were black. Sex incidence was almost equal, with 17 females and 14 males. In 12 cases the oral findings alone represented the initial presentation of lymphoma. The maxilla, mandible, and palate accounted for 24 of the 31 cases. The preponderance of diffuse histologic patterns was striking (77.4 percent). Eighteen cases (58.0 percent) presented in Stage I or Stage II, indicating relatively limited extent of disease. More generalized involvement was found in the remaining thirteen cases (41.9 percent). Thus, although NHL may appear in the oral region as the first detected evidence of disease, in many patients a work-up will show that the process is widespread in distribution. In this brief series survival data coincide with the established principles that a poorer prognosis is associated with the diffuse histologic pattern, as well as certain identified histiocytic and poorly differentiated lymphocytic subtypes. PMID- 6578478 TI - Lobular carcinoma of intraoral minor salivary gland origin. Report of twelve cases. AB - In an attempt to define more accurately the tumors grouped under the heading of "adenocarcinoma of salivary gland origin," we reviewed the cases in our registry that were classified as adenocarcinoma, carcinoma of salivary gland origin, and infiltrating epithelial salivary gland tumors. Eleven tumors that had certain unique microscopic features in common were identified. These eleven tumors and one that was reviewed in consultation make up the basis of this study. We classified these lesions as lobular carcinoma of salivary gland origin because of their remarkable microscopic resemblance to the breast tumors of the same name. These lesions appear to be of low-grade malignancy and have not recurred or metastasized in any of the eleven cases for which we have follow-up data, at times ranging from 5 to 80 months. PMID- 6578479 TI - Predentin changes in patients with chronic renal failure. AB - Morphometric studies were carried out on teeth extracted from normal human patients and compared with those extracted from patients suffering from chronic renal failure and patients being treated by chronic hemodialysis. The findings revealed that the predentin layer in patients suffering from chronic renal failure and patients undergoing chronic hemodialysis was significantly thicker than normal. These findings suggest that predentin is the metabolic equivalent of osteoid in bone and that increases in the predentin thickness may therefore be a reliable indicator of osteomalacia. It is suggested that the term odontomalacia be used to describe the changes occurring in the dentin of these patients. PMID- 6578480 TI - Intraoral ancient neurilemoma (ancient schwannoma). Report of a case with histologic and electron microscopic studies. AB - A case of ancient neurilemoma arising in the oral soft tissues is presented. Histologic and electron microscopic studies indicate that this tumor is, indeed, a variant of the neurilemoma and that the Schwann cell is the cell of origin. At the ultrastructural level, the bulk of the lesion is composed of numerous reduplications of basal lamina accompanying thin cytoplasmic processes and thus resembles a confluence of Verocay bodies as described in previous studies of classic neurilemomas. Heretofore unreported submicroscopic calcified spherules were observed scattered through the basal lamina material. PMID- 6578481 TI - Focal epithelial hyperplasia. Report of three cases from Nigeria, West Africa. AB - The first cases of focal epithelial hyperplasia from Nigeria and West Africa are presented. Although cases of this disease have been reported in Coloureds from South Africa, the three cases in this report represent the first in black Africans. The probability that the etiologic agent is a communicable agent, perhaps a virus, is reinforced by the clinical histories of the two related patients in this report. PMID- 6578483 TI - Tissue response to a glass ionomer used as an endodontic cement. A preliminary study in dogs. AB - A glass ionomer and a standard zinc phosphate were compared with respect to their biocompatibility as endodontic cements. The tissue response was assessed by implantation of both materials in dog tibias. In general, the glass ionomer appeared to provoke a slightly lesser inflammatory response than the zinc phosphate, but this was significant only at the 10- and 30-day observations. At the end of 90 days the tissue response to the tested materials appeared to be similar and the inflammatory picture tended to be resolved with progressive new bone formation. These findings suggest that the tested glass ionomer might adequately replace the zinc phosphate cement as a luting material for endodontic implant stabilizers. PMID- 6578482 TI - A radiographic evaluation of the periapical status of teeth treated by the gutta percha-eucapercha endodontic method: a one-year follow-up study of 458 root canals. Part III. AB - In Part I which appeared two issues previously, the authors discussed the variations in treatment methods of nonsurgical endodontic therapy and in the determination of success and failure. They then reported on the materials and methods used and the radiographic criteria for success and failure in their clinical study of 458 root canals treated by the gutta-percha-eucapercha method. In Part II which appeared in the last issue, the one-year follow-up results were presented. Some of these results differ from previous investigations. For example, better success was found in (1) necrotic cases with areas of pathosis than in necrotic cases without "areas and in (2) overfilled cases than in underfilled cases. In Part III the authors discuss the possible reasons for these and other findings and give some implications for clinical practice. PMID- 6578484 TI - Computerized tomosynthesis of dental tissues. AB - A digital method that produces an arbitrary number of tomographic slices from a finite number of dental radiographs is described. The relation between the slice thickness of the tomograms, the number of radiographs required, and the tomographic angle is determined on the basis of existing theory. In order to test the method, a series of radiographs of a radiographic phantom were taken and subsequently digitized to facilitate computer processing. From eight radiographs with an angular disparity of 4.5 degrees, tomograms with a slice thickness of about 3 mm, were produced. These not only indicate the relative position of the dental tissues in space but also show clinical relationships that are not visible in the original radiographs. PMID- 6578485 TI - Free focus radiography with miniaturized dental x-ray machines: a comparison of "midline" and "lateral" techniques. AB - The use of free focus radiography (FFR) employing miniaturized dental x-ray machines with radiation probes has never been generally accepted in dentistry despite its recognized radiographic potential. The present investigation studied ways to improve imaging and lower radiation burdens in dental free focus radiography. Relatively high air exposures ranging from 42,050 mR per film for high-resolution images to 3,214 mR per film for lower-resolution images using a current midline radiographic technique for panoramic FFR were found. In a proposed lateral FFR panoramic technique, reduced exposures ranged from 420 mR per film for high-resolution images to 14 mR per film for lower-resolution images. In each technique the lower exposure was obtained with a rare earth imaging system. A proposed modification of the current midline FFR technique using a rare earth imaging system and heavy added copper filtration was found to produce exposures in the range normally used in dentistry (207 mr), and the resultant image was high in contrast with relatively low detail. A comparison of essential characteristics of midline and lateral FFR techniques failed to identify specific advantages for the midline technique in current use. Lateral exposure modes in dental FFR should receive increased attention in the interest of good imaging and radiation control. It was noted that existing miniaturized dental x-ray machines may have been designed specifically for use of the midline FFR exposure technique, and modification of this equipment to support reliable lateral exposure modes was recommended. PMID- 6578486 TI - An unusual foreign body. PMID- 6578487 TI - Multiple supernumerary teeth. PMID- 6578488 TI - [Demonstration of abdominal abscesses with Ga-67-citrate scintigraphy and ultrasonography]. PMID- 6578489 TI - Tics in children and adolescents. PMID- 6578490 TI - Pediatric management problems. PMID- 6578491 TI - Synchronous multicentric osteosarcoma. AB - A case of synchronous multicentric osteosarcoma is reported in an 11-year-old boy. This very rare condition is characterized by simultaneous involvement of multiple skeletal sites, and the prognosis is generally poor. PMID- 6578492 TI - [Prostaglandin E2 and F2 excretion in children with glomerulonephritis]. PMID- 6578493 TI - [Chronic lymphoid leukemia followed by acute monocytic leukemia]. AB - A 62 year old patient with CLL treated by alkylating drugs for more than three years, underwent acute leukaemia (AL). The clinical particularities of the onset and course of this AL, the cytological, cytoenzymological and ultrastructural characteristics of the blasts are discussed in order to find a relation between the two hemopathies. A possible drug-induced etiology of this AL is proposed. PMID- 6578495 TI - 67Gallium kinetics in the blood of patients with malignant tumors. AB - 67Gallium was injected into 60 patients with malignant tumors and into 42 patients in whom malignant tumors had been excluded by clinical investigation. 67Ga kinetics in blood were evaluated by non-linear least square regression computer analysis according to an open 2-compartment model where elimination proceeds from the peripheral compartment. Parameters of 67Ga kinetics in tumor patients showed a bimodal distribution, as was also the case in patients without tumors. No difference could be demonstrated between kinetic parameters of tumor patients and patients without tumors. In 4 patients, 67Ga kinetics could be evaluated before and after treatment of their malignant tumors, but a decrease in the volume of distribution was the single alteration of kinetic parameters occurring after treatment. This decrease may be explained by a smaller peripheral compartment resulting from the loss of tumor mass after treatment. Nevertheless, we conclude that the evaluation of 67Ga kinetics in blood will provide only limited information about the presence, size and growth rate of malignant tumors in man. PMID- 6578494 TI - On the mechanisms of 67Ga and 59Fe uptake by tumors. AB - The uptake of 67Ga-citrate and 59Fe-citrate in the presence or absence of gallium and iron carriers, was studied on DS-sarcoma-bearing rats. Differences of uptake pattern were observed with both radionuclides. The tumor uptake of 67Ga is greatly affected by both carriers while 59Fe uptake is independent of the presence of carriers. The role of isotopic dilution, ionic competition, and the probable presence of high and low affinity binding sites in this phenomenon are discussed. PMID- 6578496 TI - Diamond working faces on gold foil condenser points. PMID- 6578497 TI - Rubber dam clamps - their use and abuse. PMID- 6578498 TI - "Extension for prevention": historical development and current status of G V Black's concept. PMID- 6578499 TI - Occlusal morphology as it relates to carving amalgam or waxing occlusal surfaces. PMID- 6578500 TI - Let's really standardize our tooth numbering system. PMID- 6578501 TI - Fetal karyotypes from fetoscopy blood samples. AB - The fetal karyotype was determined in 42 out of 45 cases from fetal blood obtained by fetoscopy for prenatal diagnosis of beta-thalassemia. The procedure described is quick and reliable and it is recommended for women over 35 years of age undergoing prenatal diagnosis for haemoglobinopathies. PMID- 6578502 TI - Purification of photochemically active halorhodopsin. AB - We have developed a procedure for the purification of halorhodopsin in a photochemically active state. Solubilization of membranes from a bacteriorhodopsin-negative Halobacterium strain with octyl glucoside was followed by chromatography on hydroxylapatite and octyl-Sepharose gels. All steps were carried out in high-ionic-strength solutions. The procedure resulted in 270-fold enrichment with a 35% yield. The eluted pigment had an absorption maximum at 575 nm and an A280/A575 ratio of 2. On removal of the detergent by dialysis, the purified halorhodopsin was chemically bleached, regenerated with [3H]retinal, and reduced with cyanoborohydride. Such samples showed one main and one satellite band after staining or fluorography of NaDodSO4/polyacrylamide gels. The apparent molecular weight of the main band was 25,000. Purified halorhodopsin underwent a photocycle after excitation with pulsed laser light and showed a 9-nm blue shift (at neutral pH) on removal of chloride ion. The pigment also underwent a photoreversible shift at alkaline pH to a form absorbing maximally at 410 nm. All three reactions closely resembled those of membrane-bound halorhodopsin. PMID- 6578503 TI - Replication and expression of Xenopus laevis globin genes injected into fertilized Xenopus eggs. AB - Cloned Xenopus adult alpha 1- and beta 1-globin genes were injected into fertilized Xenopus eggs, and the eggs were allowed to develop into swimming tadpoles. The injected DNA replicated during early Xenopus development but did not become methylated de novo. When DNA was modified with Hpa II methylase before injection, methylation was maintained during replication. Although the Xenopus adult globin genes are not normally expressed until metamorphosis, both the unmethylated and in vitro methylated adult alpha- and beta-globin genes were transcribed at low levels, but from the correct promoters, during early development. PMID- 6578504 TI - A pteroylpolyglutamate binds to tetramers in deoxyhemoglobin but to dimers in oxyhemoglobin. AB - The binding of a physiological concentration of pteroylhepta(glutamate) to oxy- and deoxyhemoglobin in large excess was measured by ultrafiltration. The variation of free to bound folate with hemoglobin concentration showed that a single molecule of the pteroylpolyglutamate is bound by deoxyhemoglobin tetramers and by alpha beta dimers in oxyhemoglobin. Although the binding sites are different, the affinity constants are the same and very similar to the 2,3 bisphosphoglycerate binding energy. Nevertheless, in view of the small proportion of dimers in oxyhemoglobin much more pteroylhepta(glutamate) is bound by deoxyhemoglobin over a wide range of hemoglobin concentrations. Because even 2% deoxyhemoglobin is enough to bind all of the erythrocyte folate as polyglutamate, the bulk of it will be bound at physiological oxygen pressures. Free folate could only be expected in fully oxygenated erythrocytes. Therefore, the reaction of pteroylpolyglutamates with hemoglobin represents an oxygenation-dependent storage mechanism that can account for the 40-fold excess of the vitamin in the erythrocyte over the amounts in the serum. Because methotrexate is also converted to polyglutamate derivatives in the erythrocyte, this drug is likely to be concentrated and stored there by the same mechanism. PMID- 6578505 TI - Energetics of B-to-Z transition in DNA. AB - Analysis by two-dimensional gel electrophoresis of topoisomers of plasmids containing d(pCpG)n . d(pCpG)n inserts, in which n ranges between 8 and 21, shows that the B-to-Z transition within the alternating C-G is readily induced by negative supercoiling and is highly cooperative. The free energy parameters for the transition in dilute aqueous buffers have been evaluated from a statistical mechanical analysis of the data, and these parameters allow prediction of the superhelicities of plasmids at which the transition occurs in alternating C-G inserts over a wide range of lengths. In agreement with the crystal structures, the helical handedness of the B structure in solution and that of the Z structure are shown to be opposite to each other. Furthermore, it is found that the B form of the alternating C-G sequence in solution has a helical periodicity of 10.5 +/- 0.1 base pairs per turn, and the Z form has a helical periodicity of 11.6 +/- 0.3 base pairs per turn. There also appears to be a significant unwinding of the right-handed DNA duplex at each of the B/Z junctions. PMID- 6578506 TI - Nanosecond flash photolysis study of carbon monoxide binding to the beta chain of hemoglobin Zurich [beta 63(E7)His leads to Arg]. AB - Binding of carbon monoxide to beta chains of hemoglobin Zurich has been studied by flash photolysis over the time range of nanoseconds to seconds at temperatures from 20 to 300 K. From 20 to 200 K a single rebinding process (process I) is seen, characterized by a distribution of barrier heights with a peak enthalpy of 2.3 kJ/mol. Above 200 K some ligands escape from the pocket into the matrix, and above 260 K recombination from the solvent sets in. Process I is visible up to 300 K, but above 200 K its rate remains essentially constant at about 4 X 10(8)s 1. Above about 250 K, process I is exponential in time, indicating rapid conformational relaxation. The results are discussed within the framework of a sequential model for ligand binding. PMID- 6578507 TI - Production of erythropoietin-like activity by a murine erythroleukemia cell line. AB - A transplantable murine leukemia, primarily induced by a biologically cloned Friend helper virus, was shown to induce polycythemia in recipient ICFW mice. A leukemia cell line (IW.32) was established in vitro from this transplantable leukemia. Sodium butyrate and hemin induced erythroid differentiation in these leukemia cells as has already been shown with other erythroleukemia cells. The supernatant of this cell line was devoid of spleen focus-forming virus activity. However, it induced the incorporation of 59Fe in polycythemic mice and the in vitro differentiation of murine and human cfu-e into erythroid colonies. Therefore, these erythroleukemia cells produced a factor with all the biological properties of erythropoietin. The erythropoietic activity of IW.32 supernatant was higher in vitro [equivalent to 0.5-1 international unit (IU) of erythropoietin per ml] than in vivo (0.15-0.3 IU/ml). This erythropoietin-like activity was stable at 100 degrees C for 3 min, which ruled out the possibility that a virus was responsible for these effects. Preliminary studies demonstrated that the biochemical properties of the IW.32 factor are strongly similar to those of Connaught step 3 erythropoietin, thus supporting the hypothesis that the IW.32 factor is indeed an erythropoietin. PMID- 6578508 TI - Evolution of a finite population under gene conversion. AB - Evolution at a multiallelic locus under the joint action of gene conversion, mutation, selection, and random genetic drift is studied. Generations are discrete and nonoverlapping; the diploid, monoecious population mates at random. Under the assumption that all four evolutionary forces are weak, a diffusion approximation is established for the dynamics of the gene frequencies. For two alleles, the inclusion of gene conversion merely alters one of the two selection parameters of the thoroughly investigated diffusion process without conversion. Therefore, all results for this classical process, some of which are reviewed and extended here, are immediately applicable to the biologically more general problem. Small conversional disparities can dramatically affect the fixation probability (and hence the rate of gene substitution) and can greatly reduce the mean conditional fixation time of a new mutant. The mean absorption and fixation times are often sufficiently short to imply that biased gene conversion can be an important mechanism for the loss of genetic variability in and the genetic divergence of isolated populations. PMID- 6578509 TI - The chorionic gonadotropin alpha-subunit gene is on human chromosome 18 in JEG cells. AB - The gene for the alpha subunit of human chorionic gonadotropin (hCG) has been tentatively assigned to human chromosome 18. This localization was accomplished through the use of Southern blot analysis. A full-length cDNA probe for the hCG alpha subunit and DNA isolated from a series of somatic hybrids between mouse and human cells were utilized to make this assignment. In addition, in situ hybridization with normal human peripheral blood lymphocytes as a source of human chromosomes and with the same cDNA probe confirmed this result. The presence of human chromosome 18 was required for the detection of DNA fragments characteristic of the alpha-hCG gene. These results are consistent with our previous observation that human chromosomes 10 and 18 are required for the production of hCG in cultured cells. PMID- 6578510 TI - Chromosomal mapping of the mink cell focus-inducing and xenotropic env gene family in the mouse. AB - Chromosomal locations of members of the xenotropic-related env gene family in the mouse genome have been determined. Endonuclease restriction site polymorphisms detected by molecular hybridization were used to study the inheritance of mink cell-focus inducing and xenotropic env gene-related sequences in recombinant inbred strains of mice. Some of the endogenous env sequences appear to be closely linked to genes determining leukemia virus induction and to genes involved in the immune response, such as the heavy and light chains of the immunoglobulin molecules or allotypic determinants on B and T lymphocytes. The use of probes that detect restriction fragment length polymorphisms in a small family of dispersed sequences promises to yield a large number of markers that can be used together with recombinant inbred strains for efficient mapping of the mouse genome. PMID- 6578511 TI - The structure and nucleotide sequence of the 5' end of the human c-myc oncogene. AB - We have established the structure and nucleotide sequence of the 5' end of the human c-myc oncogene, using a cloned genomic fragment isolated from a fetal liver library (clone lambda MC41) and cloned cDNA from the human leukemic cell line K562. The human c-myc oncogene consists of three exons and two introns. Primer extension of the human c-myc mRNA of three different cell lines and S1 nuclease protection experiments served to establish the position of two transcription initiation sites. The splicing site of the first exon-intron boundary was determined by comparative analysis of the sequences of the genomic and cDNA clones. The first exon contains termination codons in all three reading frames and no translation initiation signals, confirming our previous observation that the c-myc mRNA has a long 5' noncoding sequence. This first exon also was found to be utilized in the formation of c-myc mRNAs in a variety of human cell lines. PMID- 6578512 TI - Synergy of ricin A chain-containing immunotoxins and ricin B chain-containing immunotoxins in in vitro killing of neoplastic human B cells. AB - A strategy is described for improving the efficacy of ricin A chain-containing immunotoxins. Highly purified preparations of ricin A chain or ricin B chain were separately coupled to anti-human immunoglobulin antibodies and the conjugates (immunotoxins) were affinity purified to eliminate free chains. Mixtures of anti Ig-A and anti-Ig-B immunotoxins markedly synergized in vitro in their ability to kill the Ig-bearing human lymphoma cell line Daudi. In contrast, A-chain- or B chain-containing immunotoxins of irrelevant specificity did not synergize with anti-Ig-A or anti-Ig-B immunotoxins. This finding indicates that free A or B chains do not play a major role in the synergy and that the synergy is specific. Thus, synergy depends on the specificity of the two antibodies; the lectin binding ability of a B-chain-containing immunotoxin of irrelevant specificity does not suffice. This approach of delivering ricin A chain and B chain separately to a target cell may have significant advantages in killing cells that are not effectively killed by A-chain-containing immunotoxins alone. PMID- 6578513 TI - Characterization of human hybridomas secreting antibody to tetanus toxoid. AB - We have selected a thioguanine-resistant lymphoblastoid cell line (LTR228) that forms human-human hybrids with high efficiency. Fusions with peripheral B cells consistently yield one colony per 10(5) cells plated. To produce antitetanus monoclonal antibodies, we withdrew blood from persons who had recently received booster injections of tetanus toxoid. T cells were separated from peripheral mononuclear cells by 2-aminoethylisothiouronium bromide-induced rosette formation, given 1,500 rads (1 rad = 0.01 gray), and cultured in a 1:1 ratio with nonrosetting cells. After 3 days of pokeweed mitogen stimulation, heterokaryons were produced by a plate-fusion technique and cultured in Iscove's Dulbecco's minimal essential medium for 24 hr prior to hybrid selection. Colonies appeared after 10-14 days in hypoxanthine/azaserine supplemented medium. A direct binding enzyme-linked immunosorbent assay with specific tetanus toxoid inhibition identified positive wells. The hybridomas were cloned twice in soft agarose and by limiting dilution. The subcloned hybridomas double every 26 hr (vs. every 16 hr for LTR228) and produce 1-5 micrograms of specific IgG, kappa antibody per 10(6) cells per ml per 24 hr. All subclones (almost 200) continue to secrete antibody after 11 months of continuous culture. Twelve representative subclones have near tetraploid amounts of DNA. From hybridomas grown in 5-liter spinner flasks, milligram quantities of the IgG, kappa antibody were purified by staphylococcus protein A affinity chromatography. Specific antibody from hybridoma cultures protected mice injected with 1,000 times the LD50 of tetanus toxin. Our cell line and associated techniques should permit the production of therapeutically important human monoclonal antibodies. PMID- 6578514 TI - Immunostimulatory mouse granuloma protein. AB - Earlier studies have shown that from subcutaneous talc-induced granuloma in mice, a fraction could be extracted that fully protected mice against Listeria monocytogenes. Using standard biochemical procedures--i.e., ammonium sulfate fractionation, preparative electrophoresis, gel filtration chromatography, isoelectric focusing, and preparative polyacrylamide gel electrophoresis--we have now purified an active factor to homogeneity. A single band was obtained in NaDodSO4/polyacrylamide gel with an apparent Mr of 55,000. It migrated with alpha 1-globulins and the isoelectric point was 5 +/- 0.1. The biological activity was destroyed with Pronase but not with trypsin and a monospecific polyclonal rabbit antiserum was obtained. The intravenous injection of 5 micrograms of this "mouse granuloma protein" fully protects mice against a lethal inoculum of L. monocytogenes. Moreover, after their incubation with 10 nM mouse granuloma protein, mouse peritoneal cells became cytostatic against Lewis carcinoma cells. PMID- 6578515 TI - Production and characterization of a monoclonal antibody directed against the 43,000-dalton v1 polypeptide from Torpedo marmorata electric organ. AB - Subsynaptic membrane fragments prepared from Torpedo marmorata electric organ contain, in addition to the acetylcholine receptor polypeptides, a major protein band of apparent molecular mass 43,000 daltons. On two-dimensional gels, this band yields three spots referred to as v1, v2, and v3. Monoclonal antibodies against the 43,000-dalton proteins were developed in CBA mice. One of them reacted exclusively with the v1 polypeptide but not with v2 and v3. Staining by the "immunogold" reaction followed by observation by electron microscopy showed that this antibody exclusively labeled the innervated membrane of T. marmorata electroplaque on its cytoplasmic face. Electroblots of one-dimensional gels of membrane preparations from 80-mm embryo electric organ were prepared. After reaction with the anti-v1 monoclonal antibody, a strongly stained 43,000-dalton band was revealed. PMID- 6578516 TI - Comparative localization of acetylcholinesterase and pseudocholinesterase during morphogenesis of the chicken brain. AB - The histochemical localization of specific acetylcholinesterase (AcChoEase) and nonspecific cholinesterase (BtChoEase) is described during the early morphogenesis of the whole chicken head with main emphasis on the visual system. It is found that: (i) Expression of AcChoEase is an early differentiation event in the entire brain. Its pattern of first appearance on the external part of the neuroepithelium correlates with the general spatio-temporal pattern of differentiation. AcChoEase thus represents an early differentiation marker. (ii) The late pattern of AcChoEase (at E18), reflecting at least partially the distribution of synaptic AcChoEase shows no direct correlation to the distributions found at early stages when synapses are not yet formed. This argues for a nonsynaptic function of the early appearing AcChoEase. (iii) BtChoEase in early nervous tissue is diffusely localized on the ventricular side of the neural tube. At later stages it becomes concentrated on the ependymal layer as well as along fibers reaching from this inner layer outwards. Minor activities appear in specific external layers of tectum and retina. (iv) During the course of differentiation the enzymes express pronounced graded distributions within the areas where they are detectable. (v) Mesenchymal and epidermal BtChoEase is abundant in the entire head. Prominent amounts of activity are expressed on the rostral epidermis, along the eye cup next to the sclera, and on the rostro-dorsal surrounding of the optic nerves. The results are discussed in the light of possible morphogenetic functions of these enzymes. PMID- 6578517 TI - Processing of enkephalin-containing peptides in isolated bovine adrenal chromaffin granules. AB - Intact chromaffin granules isolated from bovine adrenal medulla were incubated at 37 degrees C for up to 22 hr. Processing of enkephalin-containing (EC) peptides in the granules was followed by the change in their size distribution as shown by chromatography on Sephadex G-75 columns. A gradual shift toward lower molecular weight EC peptides was observed during the incubation, indicating processing of the higher molecular weight to lower molecular weight EC peptides. The total amount of [Met]-enkephalin, free and in peptide linkage, remained constant indicating that little or no nonspecific degradation occurred during the experiment. HPLC resolution of the fraction containing the low molecular weight EC peptides showed that free enkephalins as well as [Met]enkephalin-Arg6-Phe7 and [Met]enkephalin-Arg6-Gly7-Leu8 accumulated while [Met]enkephalin-Arg6 and [Met]enkephalin-Lys6 disappeared. All the above data indicate the presence of an atypical trypsin activity and the presence of a carboxypeptidase B-like activity within the granules. From the rates of accumulation of the low molecular weight EC peptides and the disappearance of the higher molecular weight EC peptides, a processing rate of 65-70 pmol/g tissue per hr was estimated, which calculates to a lifetime of 6-8 days for EC peptides in the granules. Under steady-state conditions this rate of processing appears to be too low to produce significant amounts of free enkephalins from larger EC peptides. This is well in accord with previous observations that relatively small amounts of free enkephalins are found in bovine adrenal medulla. PMID- 6578518 TI - Sarcomere length and tension changes in tetanized frog muscle fibers after quick stretches and releases. AB - The sarcomere length changes in tetanized frog muscle fibers in response to quick fiber length changes were examined along the fiber length with a high-sensitivity laser diffraction technique. The experiments were only performed with muscle fibers in which the uniform orientation and sarcomere length of the component myofibrils were well preserved during a tetanus. When the sarcomere length changes were recorded near the fixed fiber end, the delay of the onset of sarcomere length change in response to the applied fiber length change tended to be longer than that of the onset of tension changes recorded at the fixed fiber end. The magnitude of sarcomere length changes was larger near the moving fiber end than near the fixed fiber end. In the case of quick releases, the resulting sarcomere shortening tended to outlast the fiber shortening, so that the quick tension recovery started during the sarcomere shortening. These results indicate (i) that the tension changes in response to quick fiber length changes may not give direct information about the cross-bridge properties and (ii) that the viscoelastic multisegmental nature of muscle fibers should be taken into consideration in interpreting the tension responses to quick length changes. PMID- 6578519 TI - Separation of the two components of the contractile activity of leukotriene C4 on the guinea pig lung parenchymal strip. AB - The contractions, induced by LTC4 in the guinea pig lung parenchymal strip are composed of two parts, one of which is due to the effect of the released TxA2 and the other one to the direct action of LTC4. After the addition of indomethacin, the TxA2 release is totally inhibited, but the contractions only partly. It is shown that the release of TxA2 only occurs during the initial period of the contractions. This indicates that the direct action of LTC4 represents the slow acting component in the contraction. PMID- 6578520 TI - In-vitro production of prostaglandin E, F and 6-oxo-prostaglandin F1 alpha by the uterine and ovarian tissues of pseudopregnant rabbits. AB - The production of prostaglandin (PG) E, PGF and 6-oxo-PGF1 alpha by the uterine and ovarian tissues of pseudopregnant rabbits was investigated at the various stages of pseudopregnancy. The production of PGE, PGF and 6-oxo-PGF1 alpha in the tissues tested was expressed as mean (+/-S.E.M.) ng/mg protein per 6h. The production of PGE by endometrial tissue was found to be slightly raised with levels ranging from 2.15 to 2.92 on days 13 - 19 compared with values on day 5 (P less than 0.01). Subsequently PGE production declined on day 22 to the same level as that on day 5. In the myometrial tissue the same tendency in PGE production was observed as in the endometrial tissue. A significant increase in PGF production in the endometrial tissues was observed on day 13 (4.08 +/- 0.56) compared with that on day 12 (1.28 +/- 0.17) (P less than 0.001). The highest activity was detected on day 19 (7.19 +/- 0.29). An abrupt decrease occurred on day 20. In the myometrial tissues there was a slight and gradual increase in PGF production from day 12 (1.88 +/- 0.18) until day 16 (3.22 +/- 0.21). A sudden decline in the activity was detected after day 17. A marked increase of the 6-oxo PGF1 alpha production activity in the myometrial tissues was observed on days 12 20 ranging from 14.60 to 19.25 compared with that on day 5 (P less than 0.001). The maximum activity was detected on day 16 (19.25 +/- 2.76). In the endometrium significant increase ranging from 4.85 to 8.31 occurred continuously from days 14 - 20 compared with that of day 12 (P less than 0.01). The myometrial tissue was shown to be significantly more potent in 6-oxo-PGF1 alpha production than endometrial tissue (P less than 0.01). No significant increase of PGE and PGF production activity was detected in the ovarian tissues throughout pseudopregnancy. The corpora lutea were shown to have very low 6-oxo-PGF1 alpha production activity. The 6-oxo-PGF1 alpha production activity of the remaining ovarian tissue was demonstrated to be significantly (P less than 0.01) more potent than the corpus luteum. The endometrial tissue of pseudopregnant rabbits has marked PGF2 alpha production activity in the late stage of pseudopregnancy, whereas the myometrial tissue is remarkably potent in 6-oxo-PGF1 alpha synthesis. Conversely, ovarian tissues showed much lower PG production activity than the uterine tissues. These experiments suggest that the main site of PGF production in luteolysis may be the endometrium and not the ovary itself. The physiological significance of PG production in relation to luteolysis is discussed. PMID- 6578522 TI - Plasma 6-keto-PGF1 alpha in acute myocardial infarction. PMID- 6578521 TI - Influence of sex steroids during early development on aortic 6-keto-PGF1 alpha synthesis in adult rats: selective sensitivity to estrogens. PMID- 6578523 TI - Effect of preexisting borderline personality disorder on clinical and EEG sleep correlates of depression. PMID- 6578524 TI - Premenstrual tension syndrome: diagnostic criteria and selection of research subjects. AB - The investigation of premenstrual tension syndrome (PMTS) has been hampered by several methodological problems, particularly an inadequate definition of study subjects. Diagnostic criteria for PMTS that use both interview and self-report information were tested in 24 symptomatic female volunteers. Each woman subsequently completed daily reports of emotional and somatic symptoms for 1 1/2 menstrual cycles. Symptom profiles from subjects meeting the diagnostic criteria for PMTS were compared with profiles from subjects who failed to meet the criteria. This study demonstrated that the diagnostic instruments used could identify a group of women with a severe and time-limited premenstrual psychological disturbance and distinguish them from women with milder and more temporally diffuse changes. The need for such instruments and their importance for further research into this disorder are discussed. PMID- 6578525 TI - Biochemical and hematological consequences of posttreatment drinking behavior in male alcoholics. AB - A prospective study was designed to determine the effects of posttreatment alcohol consumption by alcoholics on 25 commonly ordered clinical laboratory tests. Laboratory values were determined on 56 male alcoholics on admission to an alcoholism treatment program and again some 7 months later. Although there was a significant decrease in posttreatment alcohol consumption, frequency of drinking and quantity per occasion were predictive of approximately half of the laboratory tests. Increased frequency or quantity per occasion predicted more impaired hepatic and hematologic functioning. Additional analyses revealed that abstainers showed significant improvement in hepatic and hematologic parameters, whereas drinkers had levels similar to those observed at admission. Continued alcohol consumption by alcoholics increases the risk of adverse medical consequences as measured by clinical laboratory tests. PMID- 6578526 TI - Sympathetic nervous system function in XYY subjects. AB - Initial reports of males with the XYY sex chromosome anomaly indicated that these individuals excessively exhibit impulsive, aggressive, and criminal behavior. Central nervous system (CNS) defects, including low intelligence, in certain XYY subjects may be associated with these antisocial behaviors. The sympathetic nervous system (SNS) is activated in stressful conditions of "fight or flight" upon standing up from a supine posture, with physical exercise, and with aggressive behavior. Norepinephrine (NE) is the principal neurotransmitter of the SNS, and plasma levels of NE and dopamine-beta-hydroxylase are indices of SNS function. We questioned the integrity of SNS function in XYY subjects for two reasons: (1) their inferred propensity for aggressive behavior and the association of this behavior with increased NE levels; and (2) their potential for CNS dysfunction, which could be reflected in abnormal SNS regulation by the CNS. In the current study plasma levels of NE in XYY subjects are nonsignificantly higher than in normal volunteers. Additionally, XYY patients have a normal NE half-life indicating normal SNS activity and metabolism. Thus, we are unable to document with confidence any abnormality in SNS function in these XYY subjects. PMID- 6578527 TI - Concentration and mnemonic training in elderly subjects with memory complaints: a study of combined therapy and order effects. AB - In a study of a cognitive retraining program for the elderly, subjects received a combination of two types of training designed to reduce the memory impairment associated with normal aging. Concentration training (CT) consisted of techniques to improve selective and sustained attention. Mnemonic training (MT) involved an associative imagery technique designed to enhance the organization and retrieval of information. Order effects were examined using two groups of subjects. One group received CT followed by MT whereas the other group received MT before CT. It was hypothesized that the CT-MT sequence would improve immediate and delayed serial recall more than the reverse sequence. This hypothesis was supported and transfer effects were found on a paired-associates learning task. The findings suggest a need for further research on potential interactions and sequencing effects among different forms of cognitive training. PMID- 6578528 TI - Ventricular brain enlargement and outcome of acute schizophreniform disorder. PMID- 6578529 TI - Reported weight loss and the dexamethasone suppression test. PMID- 6578530 TI - Vulnerability to psychosis associated with hallucinogen use. AB - Ninety-five patients hospitalized for acute psychosis were reviewed with respect to hallucinogen use and family history of mental illness. Sixty-three percent of admissions had used hallucinogens to some degree within 3 years of the index admission. Drug users were predominantly male, although no age or diagnostic differences with the nondrug group were found. The incidence of hospitalized first degree relatives was approximately 30% and equal for both drug and nondrug groups. Male drug users and female nondrug users were more likely to have had first degree relatives hospitalized. For male psychotics only, lower degrees of drug use were associated with a greater number of hospitalized first degree relatives. For female psychotics only, drug use was positively associated with full scale IQ. The findings suggest sex differences in vulnerability to psychoses associated with hallucinogen use. PMID- 6578531 TI - Brain purinergic activity linked with depressive symptomatology: hypoxanthine and xanthine in CSF of patients with major depressive disorders. AB - The purine metabolites hypoxanthine and xanthine were analyzed in cerebrospinal fluid (CSF) of 70 patients with major depressive disorders (diagnosed according to Research Diagnostic Criteria) and, for reference, in 26 nonpsychiatric individuals. In the patient group, levels adjusted by analysis of covariance to same sex, age, height, and weight were univariately and multivariately correlated with both depressive subdiagnoses and individual depressive symptoms. Results indicate that raw CSF levels in depressed patients are significantly correlated with the four variables used in adjustment (for hypoxanthine mainly negatively with height; for xanthine mainly positively with age). Hypoxanthine and xanthine both appear to be linked with the expression of depressive symptomatology: lower levels of hypoxanthine are associated with anger and suicidal tendencies, and higher levels are related to memory disturbance; lower xanthine levels characterize patients with subjective feelings of depression, and in patients with higher levels appetite is poor. PMID- 6578532 TI - Lithium ratio in psychiatric patients: a caveat. AB - We divided bipolar patient samples into two groups: Group I (off lithium 10 days to 2 weeks, n = 14) and group II (off lithium 3 weeks or longer, n = 13). Only group I was significantly different from controls. The mean for group II was significantly different from that for group I but not that for controls. Previous reports may have exaggerated the number of "high ratio" patients due to a treatment artifact. We recommend that patients be tested only after having been withdrawn from lithium treatment for 3 weeks or more. Otherwise spurious differences between patients and controls may result. PMID- 6578533 TI - Language complexity and age of onset of schizophrenia. AB - Measures of syntactic complexity, derived from the grammatical analysis of free speech samples from schizophrenic subjects, were significantly correlated with age of onset of schizophrenia. A significant correlation remained after controlling for chronological age. These results were independent of duration of illness. The relationship between reduced syntactic complexity and early age of onset of schizophrenia suggests a salient role for language functioning in the manifestation, or even the etiology, of schizophrenia, and adds putative support to previous findings indicating left hemispheric dysfunction in schizophrenia. PMID- 6578534 TI - Perceptual discrimination and reaction time in hallucinatory schizophrenics. AB - Perceptual discrimination tasks were administered to a group of normal control subjects and the following three groups of schizophrenic subjects: those currently experiencing auditory hallucinations, those who experienced auditory hallucinations in the past but not at present, and those who never experienced auditory hallucinations. No one who ever experienced visual hallucinations was included. Reaction times (RTs) and accuracy in an auditory and in a visual perceptual discrimination task were recorded. The normal subjects were generally more accurate and had faster RTs than the schizophrenic groups. Among the schizophrenic groups, the currently hallucinatory group was generally most accurate. Also, their RTs early in the session were faster than those of the other schizophrenic subjects in the auditory, but not the visual, task. Unlike the other schizophrenic subjects, the currently hallucinatory group displayed faster auditory, as compared with visual, RTs throughout the session. The results point to altered processing of auditory information during the time schizophrenic subjects experience auditory hallucinations. PMID- 6578536 TI - Psychiatric and social aspects of premenstrual complaint. AB - A number of fundamental methodological problems exist in the area of premenstrual symptomatology and psychiatric ill-health. In the study described these have all been taken into account. The study has been so designed as to make expressly clear the definition of premenstrual complaint being employed and material gathered by means of a retrospective questionnaire is checked by means of an interview administered to a sub-sample and the use of a menstrual diary (Sampson & Jenner, 1977; Dalton, 1978). The use of an interview also permits a careful check to be made of the accuracy displayed by women asked to estimate their particular position in the menstrual cycle at the time of completion of the questionnaire. The use of the premenstrual interview, together with a standardized, semi-structured psychiatric interview specifically designed for the population under study, and a standardized, semi-structured social maladjustment schedule, permits a detailed assessment of the inter-relationship between premenstrual, psychiatric and social variables. Finally, the use of a general practice sample of women attending their general practitioners for many and varied reasons, together with a sample of women drawn from attenders at a specialized premenstrual tension treatment clinic, permits a comparison to be made between the symptom profiles of women in a general practice population who have not overtly identified themselves to the treatment agencies as premenstrual sufferers with a group of women who have so identified themselves. In this way, a more accurate estimate of the numbers of women in general practice samples who manifest a degree of premenstrual complaint equivalent to that shown by special treatment clinic attenders can be achieved. PMID- 6578535 TI - Auditory ERP augmentation-reduction and methylphenidate dosage needs in attention and reading disordered children. AB - From their event related potentials (ERPs) to tones of four intensity levels, a sample of attention disordered and/or reading disabled children, recommended for a trial on methylphenidate, were classified as auditory augmenters or reducers. The augmenters were blindly titrated at significantly lower dosage levels than the reducers. Moreover, the ameliorative effects of the drug, as assessed by teacher ratings, were more evident in hyperactive augmenters. The children diagnosed either as hyperactive or hyperactive and reading disabled had steeper (or more augmenting) gradients than the nonhyperactive reading disabled and attention disordered subjects. The ERP (N1-P2) gradients were not consistently related to reaction time (RT) gradients to the tones or to an RT measure of nervous system sensitivity. It is suggested that ERPs index registration but not response strength, the first being largely automatic and the second purposive. PMID- 6578537 TI - Quantitative assessment of psychologic state of patients with anorexia nervosa or bulimia: response to caloric stimulus. AB - Hospitalized patients with anorexia nervosa (N = 17) or bulimia (N = 11) were given a standard liquid meal containing 400 calories. Using analogue scales, bulimic patients were found to have greater anxiety, lower mood, lower sexual arousal, and more fear of fatness than either control or anorectic patients. This finding of increased general "dysphoria" in bulimic patients persisted after the meal without any significant premeal to postmeal changes. Anorectic patients also differed from controls, but less than the bulimic patients. Some measures of anxiety correlated significantly with body mass index before the meal in bulimic patients, whereas in anorectic patients the correlation was significant only after the meal. PMID- 6578538 TI - Psychological and behavioral characteristics of normal-weight bulimics and normal weight controls. AB - This study compares psychological traits, physical traits, behavior, demographic data, incidence of family pathology, incidence of life stress, and scores on eating disorder scales in a sample of normal-weight female bulimics with a sample of normal-weight female controls. The groups, matched for age, socioeconomic status, and I.Q. were found to have comparable physical traits, family demographics, incidence of family pathology, and incidence of life stress. However, bulimics demonstrated significantly higher levels of psychological pathology and impulsive behavior. There were significantly more suicide attempts, psychiatric hospitalizations, episodes of stealing, use of drugs, and menstrual disturbances among the bulimics than the controls. The bulimics consistently rated themselves sicker than the controls on all psychometric scales. Most notable were the depression, anxiety, obsessive-compulsive, and interpersonal sensitivity factors on the Symptom Checklist 90, and the internal control score on the Nowicki-Strickland Locus of Control Scale. The discussion includes a brief description of weight set-point theory and its role in the maintenance of bulimia. PMID- 6578539 TI - [Topical nuclear magnetic resonance--a non-invasive probe for biochemical measurements in living organisms]. AB - Topical Nuclear Magnetic Resonance (TNMR) is a noninvasive and non-hazardous new technique which allows local observation of chemical composition and metabolism in living objects. This article gives an introduction into TNMR, along with a brief discussion on instrumentation. Some clinically relevant TNMR results from literature will also be described and illustrated with our own experimental spectra of a forearm. PMID- 6578540 TI - Discriminating analysis of "in vitro" prostaglandin release by myometrial and luminal sides of the ewe endometrium. AB - An original perifusion device which allows a discrimination between the 30 mn releases of prostaglandins F2 alpha and E2 by the luminal and the myometrial faces of sheep endometrium is described. Tissue was sampled on day 4, 14, 16 or 17 of the cycle and on day 14 or 17 of pregnancy. Total prostaglandin (PG) release measured with this device was in good agreement with PG's concentrations in media of in vitro endometrium incubations already described. Discrimination analysis of the PGs release by each side of the endometrial tissue during the 30 mn perifusion time revealed that PGF2 alpha concentrations of the perifusion medium issued from the lumen compartment were higher than those of the myometrial compartment in all physiological status where corpus luteum is active (including early pregnancy). Therefore in the ewe, it seems that luteal structure maintenance during early pregnancy is not due, as in the gilt, to a shift in PGF2 alpha secretion towards the uterine lumen. PMID- 6578541 TI - Plasma 13,14-dihydro-15-keto-PGF alpha (PGFM) in pregnant and nonpregnant heifers prior to and during surgery and following intrauterine injection of PGF2 alpha. AB - On day 17 postestrus or postmating, heifers were given intrauterine injections of saline (2 pregnant, 2 non-pregnant) or 200 micrograms PGF2 alpha (7 pregnant, 6 nonpregnant) through cannulae installed surgically into the uterine horn ipsilateral to the corpus luteum bearing ovary. Jugular blood samples were collected prior to the laparotomy at which the cannulae were installed during surgery, and for 90 min following the intrauterine injection. Plasma was assayed for progesterone and 13,14-dihydro-15-keto-PGF2 alpha (PGFM). Laparotomies were reopened to confirm proper cannula placement and to determine if blastocysts were present in mated heifers. Concentrations of PGFM were higher in pregnant compared to nonpregnant heifers during the presurgery (68 +/- 26 vs 24 +/- 26 pg/ml; P less than .025) and surgery (186 +/- 47 vs 65 +/- 17 pg/ml; P less than .05) periods. Pregnancy status did not alter the mean concentrations of PGFM (pregnant, 554 +/- 70 pg/ml; nonpregnant, 422 +/- 81 pg/ml) or the half-life of its decline in concentration (18 min) following intrauterine injection of PGF2 alpha. Pregnancy at 17 days in cattle does not appear to influence PGF2 alpha transport from the uterine lumen or its metabolism in the uterus or elsewhere in response to an acute intrauterine injection. PMID- 6578542 TI - Levels of interaction between schizophrenia and manic-depressive disease. AB - Interaction between schizophrenia and manic-depressive disease (MDI) has to be examined with respect to type, intensity and time points within the courses. Interactions are possible at the level of genetics, constitution, biological (e.g. biorhythmical) mechanisms, neurophysiological actions, biochemical complexes and psychopathological interferences including defense mechanisms of personality. The common denominator seems to be the energetic situation into the satellite-glia-neuron cooperation. Activity of G6PD and AK 2-1 could be a hint of a factor of bipolarity, existing independently from schizophrenia and MDI. Interactions of different psychoses should be designated as interference psychoses. Within this field, the term schizoaffective characterizes the interference between schizophrenia and MDI, mixed psychoses mean stages of rapidly alternating or stable combinations of symptoms within the MDI. 'Legierungspsychosen' should be reserved for interferences at the genetic level. PMID- 6578543 TI - What can genetics contribute to reduce the problems of schizo-affective psychoses? AB - The biological base of psychoses is controlled by multifactorial genotype compounds using sometimes the same gene locus or DNA information section for diverse diseases, but always in different and repeatable combinations. These compounds can be formed by special regulatory or junction genes. With the help of inherited serum markers of the haptoglobin and the Gc system including quantitative studies of the ceruloplasmin and transferrin serum level, the combinations of diverse biological factors have been presented especially for cycloid psychoses, unsystematic schizophrenias, and paranoid psychoses with late onset and a cyclic axis syndrome. Considering the specifications of genetic control and clinical course no indefinite mixtures in the sense of schizo affective psychoses should be discussed furthermore. PMID- 6578544 TI - Improve your purchasing and inventory control for better profits. PMID- 6578545 TI - Abstracts of the Fourth International Symposium on Gastrointestinal Hormones. Stockholm, Sweden, June 20-23, 1982. PMID- 6578547 TI - [Free flap curettage]. PMID- 6578546 TI - [Therapeutic and chronologic foci in treatment of cleft lip and palate]. PMID- 6578548 TI - [Dental amalgams with high copper content]. PMID- 6578549 TI - [An interview with Dr. Manuel Lopez Lopez, professor of the School of Dentistry in Granada]. PMID- 6578550 TI - [Matrices in conservative dentistry. Qualities of matrices for amalgam]. PMID- 6578551 TI - Prostaglandin biosynthesis in submitochondria membrane fractions from rabbit kidney medulla. AB - We have previously shown (Erman and Raz, 1981; Erman et al, 1982) that mitochondria from rabbit kidney medulla contains prostaglandin synthase activity. Current studies are aimed at localizing this activity in the mitochondrial membrane subfractions. Medullary mitochondria was subfractionated into outer and inner membrane fractions which were characterized by specific enzyme markers. Both outer and inner membrane fractions catalyzed prostaglandin E2 (PGE2) biosynthesis from arachidonic acid. Significantly, the specific activity of prostaglandin synthase in the outer membrane was 9-10 fold higher than in the inner membrane. PMID- 6578552 TI - More on DRGs. PMID- 6578553 TI - Society objects to substantial JUA rate increase. PMID- 6578554 TI - Uniform determination of death. PMID- 6578555 TI - Radiographic case of the month: acourstic neuroma. PMID- 6578556 TI - The diagnosis and treatment of thrombocytopenia and intravascular coagulation in late prepgancy. PMID- 6578557 TI - Presidential address. Coalitions, consumers, and the society. PMID- 6578558 TI - Lone Star tick sighted in Newport County. PMID- 6578559 TI - Peer review organizations. PMID- 6578560 TI - [Occurrence of dental expenses in the view of Social Security]. PMID- 6578561 TI - Ionized Calcium Workshop No. 1. PMID- 6578562 TI - An ionized calcium regulated calcium clamp technique in man. AB - A new method for calcium infusion in man is described. It is possible with this method to select, obtain and maintain a whole blood ionized calcium (WB-Ca++) level in a steady state by means of frequent ionized calcium determinations. Using the same initial calcium chloride infusion rate 17.55 mmol Ca++ per hour) in three groups of normocalcemic patients (n = 23), hypercalcemia (i.e. WB-Ca++ greater than 1.32 mmol/l) was reached within 7-15 minutes; the desired level of WB-Ca++ (1.45 mmol/l) was obtained within 15-35 minutes. This level could then be maintained throughout the infusion period, 120 minutes. Thus, postmenopausal females with osteoporosis (n = 10) showed steady state WB-Ca++ levels of 1.46 +/- 0.09 mmol/l (mean +/- s.d.), premenopausal females (n = 5) 1.45 +/- 0.05 mmol/l and males (n = 8) 1.43 +/- 0.05 mmol/l. The difference between the mean WB-Ca++ for the steady state period and the desired level was less than or equal to 0.04 mmol/l in each individual. With a coefficient of variation of less than or equal to 0.04 in each individual for WB-Ca++ during the steady state the physiologically active calcium fraction could be kept remarkably constant. No complications were noted during the infusion. The calcium clamp technique described is safe and suitable for purposes where a presettled, easily controlled WB-Ca++ level is needed in man. PMID- 6578563 TI - Assessment of calcemic status in dialyzed uraemic patients. PMID- 6578564 TI - What is "ionized calcium"? AB - "Ionized calcium", in clinical chemistry, designates the free calcium ions which are present in the biological fluids as hydrated ions: Ca2+, 12 H2O. The calcium ion selective electrode measures differences in activity, however, values are reported not as the activity, but as the activity divided by the activity coefficient (gamma) of Ca2+ in "normal plasma". The latter is assumed to be equal to the activity coefficient (gamma) in a calibration solution of CaCl2 + NaCl with an ionic strength of 0,16 mol X kg-1. We have estimated the activity coefficient in this calibration solution to be gamma Ca2+ = 0,3040 (molal basis) or gamma Ca2+ = 0,3048 (substance concentration basis). The derivation of gamma Ca2+ is based on a convention for derivation of the activity coefficient of the chloride ion. We have used the Debye-Huckel equation extended by the Stokes Robinson hydration theory plus the Bates-Staples-Robinson convention that the hydration number for Cl- is zero. International consensus is needed concerning the convention to be used for deriving the activity coefficient of Ca2+ in the calibration solutions and concerning the most appropriate value for gamma Ca2+ in normal plasma. PMID- 6578565 TI - Total and ionized calcium levels during open heart surgery with two different pump priming solutions. AB - Changes of total (Ca) and ionized Ca-levels (Ca2+) were studied during open heart surgery in 18 patients. 9 patients (group A) had only crystalloid solutions as pump priming, the other 9 patients (group B) had 500 ml of citrated whole blood in the priming solution. For assessment of hemodilution hct and total plasma protein and plasma albumin were determined. Measurements were done preoperatively, before and after systemic heparinisation, during and after extracorporeal circulation (ECC) and on the first postoperative day. RESULTS: 1. Anticoagulation with 375 U/kg BW heparin had no effect on ionized calcium levels. 2. With onset of ECC (Ca) decreased by 30% in group A and by 20% in group B. (Ca2+), however, decreased by 20% in group A and by 35% in group B. The percentage of ionized calcium increased by 15% in group A whereas it decreased by the same amount in group B. This difference is contributed to the calcium binding effect of citrate added to pump priming in group B. Mechanisms of the relative increase of ionized calcium during ECC in group A, however, remain to be studied. PMID- 6578566 TI - Ionized Ca2+ in blood during hypothermic cardiopulmonary bypass in dogs. PMID- 6578567 TI - Metabolism of phosphate and calcium after severe accidental trauma. AB - Hypophosphatemia is a common finding during the first 4-5 days after severe accidental trauma. We demonstrated that hypophosphatemia after trauma is caused by a definite decrease in renal phosphate threshold (TmPO4/GFR), that is the theoretical plasma phosphate concentration at which all of the filtered phosphate is reabsorbed by the renal tubules and renal excretion of phosphate is close to zero. We speculated that the decrease in renal phosphate threshold could be due to an increased activity of PTH which in turn could be the result of ionized hypocalcemia. In 7 patients with severe and in 8 patients with moderate trauma, however, we found ionized calcium and PTH levels to be within normal limits. Total plasma calcium was below normal (1.90-2.00 mmol/l) up to 20 days after trauma, probably due to a decreased plasma albumin concentration (25-30 g/l). We conclude, that ionized hypocalcemia and consecutive stimulation of PTH is not the cause of decreased renal phosphate threshold after severe accidental trauma. PMID- 6578568 TI - Ionized calcium in human seminal plasma. AB - A low concentration of ionized calcium (Ca++) - 2-4% - was found in human seminal plasma with a calcium sensitive electrode. The mean level of ionized calcium (measured after a standardized air exposition) was 0.17 mM +/- 0.05 (s.d.) (range 0.09-0.29 mM). Dilution of the seminal plasma gave a linear decrease in free calcium concentration. Freezing and thawing or storage of the seminal plasma under anaerobic conditions did not influence the level of ionized calcium. Storage under aerobic conditions gave a temperature dependent decrease in which Ca++ parallelled a spontaneous increase in pH. Spermatozoa in semen samples with an ionized calcium level less than average had a better motility and viability than in semen samples with a higher Ca++ level. PMID- 6578569 TI - A comparison of four Ca2+ analyzers. PMID- 6578570 TI - Evaluation of radiometer ICA1 as a routine instrument for serum ionized calcium and its application for whole blood capillary samples from newborn infants. AB - The Radiometer ICA1 was evaluated with four sets of samples: a) 289 serum samples sent for routine analysis of ionized calcium, b) a reference set of serum samples from 40 healthy laboratory workers, c) 42 capillary whole blood samples from healthy full-term and d) six capillary whole blood samples from pre-term infants. For comparison, all sets except the capillary samples were also run on the Orion SS-20. The ICA1 gave higher readings than the Orion SS-20 for normo-(mean difference 0.011 mmol/l) and hypocalcaemic (mean difference 0.037 mmol/l), but not for hypercalcaemic serum samples. The mean +/- 2 SD range for the serum reference set was 1.15-1.31 mmol/l for ICA1 and 1.14-1.27 mmol/l for Orion SS-20. The within-assay and between-assay precision were 0.014 and 0.032 mmol/l (SD) respectively for ICA1 and 0.010 and 0.022 mmol/l (SD) for Orion SS-20. The 42 healthy full-term infants had a mean +/- 2 SD range of 1.18-1.47 mmol/l. The six pre-term infants had whole blood ionized calcium 0.82-1.07 mmol/l. Three of them had ionized calcium less than 0.90 mmol/l and a symptomatic hypocalcemia. PMID- 6578571 TI - Factors affecting the determination of ionized calcium in blood. AB - Reproducibility with the same electrode on the same day is expressed by the CV. For standard solutions CV = 0.68%, for blood CV = 1.36%, for serum CV = 0.92%. The measure with 2 different Orion electrodes performed on blood samples on the same day gives no more variation between electrodes than within electrode. Results of Ca++ measured with SS-20 Orion and ICA1 Radiometer electrodes on the samples of normal blood or serum are significantly higher with the ICA1 electrode than with the SS-20 Orion. The use of decreasing concentration of NaCl (170 to 110 mmol/l) in calibration solutions shows an apparent increase of Ca++ concentration in normal blood. Sampling conditions may affect Ca++ results. The pH of peripheric venous blood drawn without torniquet in 57 normal people was 7.34 +/- 0.03 and differs from the normal arterial pH values (740 +/- 0.02). By applying the following equation: Ca++ (pH 7.40) = Ca++ [1-0.53 (7.40 - pH)], Ca++ can be adjusted to pH 7.40. The correction in pathologic condition should, however, take in account the real arterial pH of the subject. We tested if sitting versus recumbent position could modify Ca++ results. The difference was non significant. Heparin, necessary for blood and plasma sampling, may affect the electrode membrane and binds calcium ions. We compared in the same blood sampling the same dilutions of 2 kinds of heparin. Heparin Radiometer: 10 microliters in 1 ml blood (8 UI) and heparin Roche: 10 microliters in 1 ml blood (50 UI) and observed significantly higher Ca++ results with the lower concentration of heparin. Storage of serum 24 hours at -20 degrees C does not alter the Ca++ results. After 7 days at -20 degrees C the Ca++ decreases by 3.6% in average, mainly due to pH increase. PMID- 6578572 TI - An evaluation of the ICA1 ionized calcium analyzer in a clinical chemistry laboratory. AB - A production model of the Radiometer ICA1 ionized calcium analyzer has recently been evaluated in this Department. Performance characteristics such as stability, precision and selectivity are described and the problem of assessing accuracy is discussed. The influence of pH changes and of packed red cell volume on results is described. The potential of the instrument in routine and in research applications in clinical chemistry is considered. We conclude that the instrument represents a significant advance in providing convenient and precise ionized calcium measurement. PMID- 6578573 TI - Ionized calcium during dialysis and ultrafiltration. AB - The changes in ionized calcium during dialysis and ultrafiltration with albumin containing solutions were highly dependent on the total electrolyte concentration. Protein interference on the calcium electrode could not explain the observation, which was, however, consistent with the Donnan theory. The uneven distribution of sodium ion also agreed with a Donnan membrane potential. PMID- 6578574 TI - Elimination of the erythrocyte effect on the liquid junction potential in potentiometric measurements on whole blood using mixed salt bridge solutions. AB - An effect of erythrocytes on the liquid junction potential of the junction "concentrated KCl whole blood" has previously been described, the effect being a positive bias of +1,4 mV with a high erythrocyte volume fraction (0.75). We have studied the erythrocyte effect with different concentrated salt solutions, and found a similar positive bias with KBr, KJ, KNO3, K2SO4, but a negative bias with NaCl, NaNO3, LiCl and CaCl2. The erythrocyte bias may be eliminated by mixing salts with opposite effect, e.g. KCl + NaCl (1.0 + 7.0 mol/l), KNO3 + NaNO3 (1.0 + 3.0 mol/l) KNO3 + Li-acetate (0.15 + 4.0 mol/l). The use of a mixed salt bridge solution may be advantageous for eliminating the erythrocyte bias when measuring ionic activity (e.g. Na+, K+, Ca2+) directly in whole blood. PMID- 6578575 TI - The concentration of free calcium ions in whole blood. PMID- 6578576 TI - A reference system for ionized calcium. AB - Reference systems in clinical chemistry, whether loosely structured or highly organized like the National Reference System for Clinical Chemistry (NRSCC) in the USA are built upon an assemblage of interrelated materials, methods, and agreements. For example, the NRSCC Council has accepted the following items for the measurement of total calcium in human serum: 1) the Reporting Unit (the SI non-coherent molar concentration unit-mmol/l), 2) a Certified Reference Material (NBS/SRM 915 CaCO3), 3) a Definitive Method (IDMS) and 4) a Reference Method (FAAS). Recently, the IDMS measured calcium value has become available on a freeze-dried human serum (NBS/SRM 909) and allows the direct accessment of the accuracy of routine methods, instrument systems, calibrators and control materials. Utilizing the NRSCC reference method and materials for total calcium measurements and the Radiometer System (ICA1) for ionized Ca2+ measurements, we have begun to ask the question, "What are the essential items in a reference system for ionized calcium?" As expected, our initial explorations reveal more problems than answers, thus our very limited and unsophisticated initial data will be presented primarily as a means to ensure discussion. Despite, the electrochemical complexity of the electrochemical interactions, and the technologic differences from one measuring system to another, it is my belief that a reference system capable of widespread acceptance for ionized Ca2+ must be introduced to ensure the long-term integrity and interlaboratory compatibility of this vital physiological measurement. PMID- 6578577 TI - Nomograms for calculating the concentration of ionized calcium of human blood plasma from total calcium, total protein and/or albumin, and pH. AB - Two nomograms are described. One is a Cartesian nomogram similar to the original McLean-Hastings nomogram but supplemented by an albumin scale and a pH scale to allow calculations in case of an abnormal albumin/globulin ratio or an abnormal pH. The other is an alignment nomogram. The underlying arithmetic equations, which are slightly different for the two nomograms are described. Both refer to 37 degrees C. Calculated and measured ionized calcium are compared for 24 specimens and it is concluded that the calculated value may be subject to a considerable bias amounting to 0.2 mmol/l in the worst cases. Nomograms size A4 and BASIC program are available on request. PMID- 6578578 TI - Estimation of free calcium by nomogram: a retrospective study on a new population. PMID- 6578579 TI - Ionized calcium versus total calcium. PMID- 6578580 TI - Measure of blood ionized calcium versus total calcium in normal man, in renal insufficiency and in hypercalcemia of various origins. AB - Ca++ and Ca tot were measured and compared at 2 years interval (S1 and S2) in 45 normal volunteers: 26 females and 19 males age 20/65 years. For Ca++ the mean difference between S1 and S2 was small (0.009 mmol/l) but significant (p less than 0.01). For Ca tot the mean difference between S1 and S2 (0.06 mmol/l) was very significant (p less than 0.001) due to the combination of various factors: technical, sex difference and proteins. In both series (S1 + S2) Ca++ did not differ significantly between females and males, whereas Ca tot was significantly (p less than 0.05) higher in males (mean difference 0.06 mmol/l) for S1 and non significant for S2. In 63 normal volunteers we cross correlated the factors of calcium homeostasis and showed significant relationship between Ca++/Ca tot r = 0.428 (p less than 0.001), Ca++/PTH r = -0.297 (p less than 0.05), Ca tot/Proteins r = 0.518 (p less than 0.001). The relationship between Ca tot and PTH does not reach the level of significance. We compared Ca++ and Ca tot in renal insufficiency (RI) (n = 16), hyperparathyroidism surgically confirmed (Hyper P) (n = 10), cancer with hypercalcemia (C) (n = 9) and in normal volunteers (N) (n = 63). The relationship between Ca++ and Ca tot in the pathologic groups has significantly steeper slopes than the control group (N), p less than 0.05 for RI and C and p less than 0.01 for Hyper P. The increase of the Ca++/Ca tot ration in RI and Hyper P is positively correlated to PTH levels, nor albumin variations neither pH and P04 variations could completely account for the increase of the ratio. The increase of Ca++/Ca tot in cancer is independent of PTH and cannot entirely be explained by the albumin drop. PMID- 6578581 TI - Relation between pH and ionized calcium in vitro and in vivo in man. AB - We investigated the in vitro and in vivo relation between pH and ionized calcium during acute respiratory pH changes. The in vitro slope delta 1gcCa2+/delta pH determined in 20 healthy volunteers after equilibration at two different pCO2 values was -0.22 +/- 0.04 (mean +/- 2 SD) for whole blood and -0.24 +/- 0.04 (mean +/- SD) for serum. The in vivo slope delta 1gcCa2+/delta pH during acute respiratory changes in 10 healthy volunteers was -0.17 +/- 0.04 (mean +/- 2 SD) for capillary blood. A mathematical formula which describes the relation between pH and ionized calcium is presented. PMID- 6578582 TI - The circadian rhythms of blood ionized calcium in humans. AB - It is well known that several hormones and minerals develop daily variation in human blood. Recently the presence of circadian rhythms of blood ionized calcium and serum phosphate concentrations in man reported (Science 213: 672-674, 1981). To clarify the difference in race and age, we examined the serum concentration of minerals such as ionized calcium, inorganic phosphate, total calcium and magnesium, and venous blood pH during 24 hours in three 31 to 40 years old Japanese males in good health. Result [1]. There was a correlation between concentration of ionized calcium and blood pH (r = -0.467 p less than 0.001), and between concentration of ionized calcium and total calcium (r = 0.366 p less than 0.005). [2]. Apparent rhythms of ionized calciums and inorganic phosphate concentrations has been noticed. PMID- 6578583 TI - Clinical studies on ionized calcium using the radiometer ICA1 analyzer. AB - It is generally believed that measurement of ionized calcium in blood should more clearly reflect changes in calcium metabolism than measurements of total calcium concentration. We have investigated ionized calcium levels using the Radiometer ICA1 Analyzer in number of clinical situations where total calcium, hydrogen ion or protein concentrations are abnormal. While there are a number of clearcut situations in which ionized calcium measurements are superior to total calcium, it is apparent that chemical activity of calcium ions in blood may sometimes not reflect their physiological activity. In addition, the problem of clinical interpretation of ionized calcium levels found in patients with extreme disorders of acid-base balance or of plasma protein concentration remains to be resolved. The role of ionized calcium measurement in routine clinical chemistry will be discussed. PMID- 6578585 TI - Anaerobic infections in clinical medicine. Proceedings from a meeting at Holmenkollen, Oslo, 25-26 September 1981. PMID- 6578584 TI - Renal handling of calcium in fasting subjects: relation to ketosis and plasma ionized calcium level. PMID- 6578586 TI - Anaerobic infections in clinical medicine. A microbiological and clinical introduction. PMID- 6578587 TI - Antimicrobial prophylaxis in biliary and gastrointestinal surgery. PMID- 6578588 TI - Skin and soft tissue infections caused by anaerobic bacteria. PMID- 6578589 TI - Anaerobic pulmonary infections. AB - The main cause of anaerobic pulmonary infections is aspiration of saliva, upper airway secretions of gastric content. Predisposing conditions include prominent dental disease, chronic upper respiratory tract infections and reduced consciousness. Fusobacterium nucleatum, Bacteroides melaninogenicus and anaerobic Gram-positive cocci are the most frequently encountered organisms. The clinical presentations are lung abscess, lung gangrene and empyema, which all tend to take a slow and indolent course. Preferred localization are dependent lung segments, most often of the right side. For bacteriological examination in these infections, only transtracheal aspirate and aspirate from the lung or pleural space are considered adequate. In 26 cases of empyema treated in our hospital during the last 3 years, adequate specimens had been taken in 19. Fifteen had been adequately examined, and anaerobes were cultured in 6. Among 29 abscesses treated during the same period, adequate specimens had been taken in only 14, and 11 had been properly examined. Seven specimens grew anaerobes on culture. In prospective studies of transtracheal aspirate in 15 chronic bronchitis without emphysema, anaerobes were not demonstrated. In 11 patients with bronchiectasis, anaerobic bacteria were cultured in 3. Finally, no anaerobic bacteria could be demonstrated in the transtracheal aspirate from 76 patients with acute exacerbation of chronic bronchitis. Anaerobic, pulmonary infections do not represent an intriguing medical problem in our region. However, knowledge of these infections is necessary to secure adequacy in collection of specimens and in their bacteriological examination. Except for metastatic infections, the key word for all lower respiratory infections is aspiration.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6578590 TI - Infection prophylaxis with doxycycline in surgery for ulcerative colitis. PMID- 6578591 TI - Density distribution and size of megakaryocytes in inflammatory reactions of the bone marrow (myelitis) and chronic myeloproliferative diseases. AB - Morphometric evaluation was performed on semi-thin sections of core biopsies of the bone marrow and included 20 cases of each group of diseases besides control specimens. (i) Hyperergic myelitis of rheumatic origin. (ii) Chronic granulocytic leukaemia (CGL). (iii) Polycythaemia vera (P. vera). (iv) Chronic megakaryocytic granulocytic myelosis (CMGM). (v) Myelofibrosis or osteomyelosclerosis (MF/OMS). The following classification of megakaryopoiesis was applied: normal megakaryocytes; giant forms; microforms; intussusceptions; cytoplasmic fragments; naked nuclei. The density distribution shows an increase of megakaryocyte number in those 5 different marrow disorders, ranging from about 13/mm2 in the normal sample up to 65 cells/mm2 in MF/OMS. Microforms are most frequently encountered in CGL, whereas giant megakaryocytes, intussusceptions and many cytoplasmic fragments characterize P. vera, CMGM and MF/OMS. Our measurements suggests 3 distinct categories of bone marrow lesions with corresponding alterations of the megakaryopoiesis: (i) myelitis and CGL; (ii) P. vera; (iii) CMGM and MF/OMS. PMID- 6578592 TI - [Sealing capacity of thin layer calcium hydroxide cavity liner materials]. PMID- 6578593 TI - [Follow-up of complete dentures from the Zurich Public Dental Clinic after more than 10 years of wear. II. Inflammatory mucosal changes in the prosthetic bed and rhagades of the labial angles]. PMID- 6578594 TI - [Experiences with surgical improvement of the palatal arch by osteotomy of the palatine vault]. PMID- 6578595 TI - [Adaptation of a uniform periodontal terminology to recent findings]. PMID- 6578596 TI - [Lateral tooth composites--an assessment of the situation]. PMID- 6578597 TI - Pulmonary embolus with a normal ventilation perfusion lung scan: case report. PMID- 6578598 TI - Nitrous oxide, a health hazard?? PMID- 6578599 TI - A simple method of treatment of fractures of the fifth metacarpal neck and distal shaft (boxer's fracture). PMID- 6578600 TI - Myxoid tumor of the uterus and right atrial myxomas. PMID- 6578601 TI - Induction of labour in pregnancy complicated by heart disease. AB - Thirty-seven patients whose pregnancies were complicated by heart disease and who required induction of labour were given 4 mg of prostaglandin E2 (PGE2) oral tablets per vaginam. Thirty-one patients (84%) went into labour and delivered within 24 hours, 28 of them vaginally. Although 3 infants had an Agpar score of less than 7 at birth, 2 having been delivered vaginally, all were discharged from hospital thriving and in good condition. No side-effects of PGE2 were observed and although these women had a wide range of functional disabilities, none developed deterioration in cardiac status. Vaginal administration of PGE2 for induction of labour is a safe and simple method of achieving elective delivery in patients with pregnancies complicated by heart disease. PMID- 6578602 TI - Is there not a strong relationship nowadays between caries and consumption of sweets? AB - The aim of the study was to assess the relationship between the consumption of sweets in the preceding three years and the occurrence of proximal caries in the posterior regions of 15-year-old schoolchildren. Information on proximal restorations, excluding the mesial surface of the 1st molar, was obtained from records of about 1,700 children. Thirty children with 0-2 restorations and another 30 with 6-8 were randomly selected, together with the 22 children who had 12-14 restorations. Later, recent bitewing radiographs were used to register the total number of DF surfaces in the relevant regions. The children were interviewed about average consumption of sweets: amount, money spent and frequency. The subjects were cross-tabulated according to the variables amount and frequency. The dependence of cost on each of these variables was found to be statistically significant. Combinations were constructed to give three consumption classes. The mean values of DF surfaces for the three classes appeared in a logical order but, owing to a wide dispersion around the means, the correlation between individual DF surfaces and consumption of sweets was statistically not significant. It was concluded that nowadays the consumption of sweets does not seem to be as strong a factor for the occurrence of caries as it used to be. PMID- 6578604 TI - Prevalence of crossbite among children with prolonged dummy- and finger-sucking habit. AB - The prevalence of crossbite was determined among 252 children with prolonged finger-sucking habit and 31 children with prolonged dummy-sucking habit. The prevalence of crossbite in both groups was within the values regarded in the literature as normal for the age group. An analysis was also made of 289 patients registered for orthodontic treatment. An elevated prevalence of crossbite was not recorded, either, among children with dummy- or finger-sucking habit in this group of patients. PMID- 6578603 TI - Postoperative complications in oral surgery. A study of cases treated during 1980. AB - Postoperative complications associated with 1.457 surgical operations performed during 1980 at the Department of Oral Surgery, Faculty of Odontology, Karolinska Institute, Stockholm, are reported. The frequency was found to be 7.4%. With the exception of alveolitis which mostly occurred in older patients, no sex or age differences could be found. The majority of operations were performed in the region of the mandibular third molar and most of the postoperative complications were found to occur here. Of the 102 postoperative complications those most frequently found were alveolitis (41), postoperative infections (31), bleedings (11) and postoperative prolonged anaesthesia (10). PMID- 6578605 TI - Nursing - home patients in Orebro. Oral status and aspects of dental care. AB - An epidemiological study of oral status in two nursing-homes in Orebro was performed. Totally 352 patients were examined. In one of the nursing-home stomatitis occurred more frequent among younger than older denture wearers greater than 75 years old (P less than 0.05). In the other home there was a correlation between denture hygiene and stomatitis (P less than 0,01). The estimated need of treatment from different types of dental personal was calculated for one of the homes. 17.6% of the patients needed treatment by a dentist. For the other patients the dentist was only necessary for planning and leading treatment performed by other nursing personal. PMID- 6578606 TI - Radiation shielding in dental radiography. AB - The protective effect in the thyroid region from different types of radiation shielding at intraoral radiography has been studied as well as the reduction of the absorbed dose to the sternal and the gonadal regions. The shielding tested were the different types of leaded aprons, of which three had an attached leaded collar and the other two were used in combination with separate soft leaded collars. Furthermore one of the soft leaded collars and an unflexible horizontal leaded shield were tested separately. Two dental x-ray machines of 60 and 65 kVp with rectangular and circular tube collimators were used. The exposure times corresponded to speed group E film. The absorbed doses were measured with two ionization chambers. No significant difference in the protective effect in the thyroid gland could be found between the different types of radiation shieldings. There was a dose reduction by approximately a factor of 2 to the thyroid region down to 0.08 mGy per full survey using parallelling technique, and below 0.001 mGy per single bitewing exposure. The shielding reduced the thyroid dose using bisecting-angle technique by a factor of 5 down to 0.15 mGy per full survey (20 exposures). In the sternal region the combinations of apron and collar reduced the absorbed dose from a full survey to below 2 microGy compared with 18 microGy (parallelling) and 31 microGy (bisecting-angle) without any shielding. With the horizontal leaded shield a reduction by a factor of 6 was obtained, but no significant sternal dose reduction could be detected from the soft collar alone. The gonadal dose could be reduced by a factor of 10 with the horizontal leaded shield, parallelling technique and circular collimator. Using leaded aprons the gonadal was approximately one per cent of the dose without any shielding, i.e. below 0.01 microGy per single intraoral exposure. PMID- 6578607 TI - Dental health of Finnish immigrants in Sweden. AB - Though foreign citizens today constitute 5% of the population of Sweden, very few attempts have been made to assess the types and amount of dental disease and treatment needed by different immigrant populations. A survey, including a clinical and radiographic examination for dental health, was carried out on an age-stratified probability sample of 170 Finnish citizens, 20-80 years old, living in the community of Huddinge, a suburb of Stockholm. The study showed that in the age group 20-29 years 90% and in the older age groups 60% of the dentate subjects had caries. All of them had gingivitis. 20% of subjects aged 20 to 39 years and 54% of those aged 40 and over had the diagnosis parodontitis gravis, indicating a time-consuming need for periodontal treatment. Periapical lesions were frequent and more than half of the root fillings present were poor. This study indicates poorer dental health and a greater need for dental treatment in this group of Finnish immigrants than in Swedish populations. PMID- 6578608 TI - Intra HLA-D/DR region recombinant detected by primed lymphocyte typing (PLT). AB - The chromosome 6 markers, HLA-ABC, D, DR, MT, properdin factor Bf, and complement factors 2 (C2) and 5 (C4), were studied in three families, each of which included two HLA identical siblings, one or both of whom were known to be HLA-B: GLO recombinants. The families were also typed with primed lymphocyte typing (PLT) for HLA-D/DR region associated DP antigens. None of these studies gave evidence that the recombinations had occurred within the HLA region. Mixed leucocyte culture (MLC) tests within the families showed no detectable stimulation between the HLA identical siblings in two of the families, but a very weak stimulation between the HLA identical siblings (H and G) in the third family (GG). No reactive PLT reagents were generated when cells from the HLA identical siblings of the first two families were primed against each other. In contrast, priming between cells of H and G gave rise to reactive reagents. One of these (GHx), reacted with a determinant which segregated within the GG family as if child G was a paternal recombinant between the HLA-D, DR, DP, and C4 loci, on the one hand, and on the other hand one or more loci governing other HLA-D/DR region controlled lymphocyte activating determinants. This reagent was only restimulated by cells from two of 47 unrelated individuals. The other PLT reagent (HGx) did not give a clearcut pattern within the family because it was weakly positive with all family members (most of whom were D/DR2-positive) except the specific responder; in the panel it reacted with a determinant significantly associated with D/DR/DP2. Other PLT reagents could be generated within the family against lymphocyte activating determinants controlled by genes in the two paternal haplotypes telomeric to the assumed recombinational site. These reagents gave stronger reactions than the HGx and GHx reagents and reacted with two determinants in the unrelated panel strongly associated with D/DR/DP2 and D/DR/DP6, respectively. It seems likely that the GG family represents a third example of a recombination between the HLA-DR and SB loci. Our findings further support the assumption that the DR determinants may be immunodominant in lymphocyte activation. PMID- 6578609 TI - [Interrelation between salivary pH and the specific difference in the potentials in the oral cavity]. PMID- 6578610 TI - [Human supra- and subgingival dental calculus studied by IR spectroscopy]. PMID- 6578612 TI - [Effect of experimental surgical intervention in the palatal process on the growth and development of the maxilla]. PMID- 6578611 TI - [Trophic disorders in the oral mucosa in the pathogenesis of chronic recurrent aphthous stomatitis]. PMID- 6578613 TI - [Prevention of stomatological diseases in pregnant women]. PMID- 6578614 TI - [Late results of treating severe forms of chronic recurrent aphthous stomatitis]. PMID- 6578615 TI - [Late results of treating patients with mandibular macrognathia]. PMID- 6578616 TI - [Bacteroides and the treatment of phlegmons of the maxillofacial area]. PMID- 6578617 TI - [Clinico-physiological characteristics of brain function in injury to the visceral cranium]. PMID- 6578618 TI - [Significance of the compression factor in the origin of neuralgia of the inferior alveolar nerve and its elimination]. PMID- 6578619 TI - [Changes in the blood osmotic state as affected by hyperbaric oxygenation in patients with acute inflammation of the maxillofacial area]. PMID- 6578620 TI - [Initial experience in using the Svetlana (REIS-D) x-ray emitter in dentistry]. PMID- 6578621 TI - [Odontogenic changes in the paranasal sinuses based on data from enlarged panoramic roentgenography and orthopantomography]. PMID- 6578622 TI - [Structural changes in the regional submandibular lymph nodes in malignant tumors of the maxillofacial area]. PMID- 6578623 TI - [Motor reinnervation of an Abbe flap and of a free full-thickness flap from the lower lip]. PMID- 6578624 TI - [Dental prosthesis in prognathic bite in adults]. PMID- 6578625 TI - [Immediate and late results of orthodontic treatment in periodontosis in patients with bite anomalies and dental arch deformities]. PMID- 6578626 TI - [Role of the dental community in the ideological, political and ethical education of medical personnel]. PMID- 6578628 TI - [Physical methods of treating temporomandibular joint dysfunction]. PMID- 6578627 TI - [Effectiveness of caries prevention in children with stage-III activity of the carious process]. PMID- 6578629 TI - [Characteristics of the specialized teaching of normal physiology in the dental departments of medical colleges]. PMID- 6578630 TI - [Treatment of vascular tumors of the tongue]. PMID- 6578631 TI - [Necrotic form of herpes zoster of the maxillofacial area]. PMID- 6578632 TI - [Permeability of the enamel of pulpectomized teeth]. PMID- 6578633 TI - [Prostaglandins and 3',5'-AMP in rat tissues following administration of thiamine and its derivatives]. AB - The level of prostaglandins and 3':5'-AMP was studied in tissues of albino rats against a background of administering thiamine or its derivatives, oxythiamine and thiochrome. Oxythiamine (12.5 mg per 1 kg of mass; each 3 h for a day) increases the level of a sum of prostaglandins E and A as well as of prostaglandin F2 alpha in the liver and kidneys; thiochrome at the same dose produces the same effect for prostaglandins F and A in the liver and kidneys and for prostaglandin F2 alpha in the liver; and thiamine increases a sum of prostaglandins F and A in the kidneys. 72 h after a single injection of oxythiamine (40 mg per 100 g of mass) the level of prostaglandin E and A sum in the liver and kidneys increases as well, which is not connected with the effect of the substances under study on thiamine-dependent reactions. All the three compounds rise the 3':5'-AMP level in the liver. Variations in the prostaglandin content have no effect on the liver fatty acid composition. PMID- 6578634 TI - [Metabolism of nucleotides and RNA in leukocytes in chronic myeloleukosis]. AB - Biosynthesis of purine and pyrimidine nucleotides was distinctly increased in leukocytes of patients with chronic myeloid leukosis, involving mainly the reutilization of preformed nitrogenous bases and nucleosides. An increase in the rate of 14C-orotate and 3H-uridine incorporation into the pyrimidine pool of myeloid leukosis cells correlated with stimulation of uridine kinase and orotidine monophosphate pyrophosphorylase, catalyzing biosynthesis of pyrimidine nucleotides in the reutilization pathway and de novo, respectively. The system of adenosine deaminase, providing the high rate of adenosine incorporation into the nucleotide pool, was apparently responsible mainly for the rate of reutilization synthesis of purine nucleotides in normal and leukemic leukocytes. Synthesis of RNA in leukocytes of patients with chronic myeloleukemia was increased mainly due to consumption of nucleotides formed via the reutilization pathway. PMID- 6578635 TI - [Changes in the immunity factors in patients with chronic leukemia]. PMID- 6578636 TI - Record keeping and the law. PMID- 6578637 TI - New patient records law. PMID- 6578638 TI - Efficacy of lengthy therapy in childhood acute lymphoblastic leukemia. PMID- 6578639 TI - Assessing patients' health status with the Navy Dental Health Questionnaire. PMID- 6578640 TI - [Plasma hormone concentrations in induced abortion with local prostaglandin administration in the 1st trimester]. AB - Abortion was performed by curettage on 71 women with pregnancies between the 7th and the 13th week of gestation seven to eight hours after intracervical application of a tylose gel containing 3mg prostaglandin F2 alpha. Prior to the application of the prostaglandin and immediately before the surgical intervention a sonographic examination for determining the vitality of the pregnancy was carried out.--Plasma progesteron, estradiol and HPL levels were determined radioimmunologically prior to the application of prostaglandin, at four-hour intervals on the day of intervention, and 24, 48 and 72 hours after the intervention. In 22 women a complete or an incomplete abortion occurred; in two cases a blighted ovum was observed; 47 pregnancies, according to sonographic examination, remained intact until curettage. After seven to eight hours duration of the effect of the prostaglandin gel, progesterone levels were found to be reduced to 60.5 per cent and 17-beta-estradiol to 31.4 per cent of the initial values, whereas the HPL values fell below the specificity of the testing procedure (12.5 ng/ml). Comparative investigations of the pregnancies which, according to sonographic findings, remained intact until curettage and those which were aborted after the application of prostaglandin did not, in spite of low plasma progesterone and estradiol levels in the abortive group, reveal any statistically significant differences. The abortive effect--even with local application--of the prostaglandins was confirmed. Conclusions regarding the effective mechanism of the prostaglandins upon the fetoplacental unit and the function of the corpus luteum remain subject to speculation. PMID- 6578641 TI - [Treatment of malocclusion with removable appliances. III. Clinical cases]. PMID- 6578642 TI - [Caries, restorative dentistry and periodontics]. PMID- 6578643 TI - Accuracy of endometrial aspiration in the diagnosis of endometrial cancer. AB - A study was performed to evaluate the cytologic criteria for recognizing endometrial cancer and to determine the accuracy of endometrial aspiration in its detection. In addition to the conventional cytologic criteria for the diagnosis of endometrial cancer, the irregular chromatin distribution around the macronucleoli proved to be a useful criterion. Using all criteria, cytology was reported as positive in 18 of 19 patients (94.7%) with endometrial cancer. In 856 of 12,563 high-risk outpatients at Kinki University Hospital, aspiration using the Masubuchi apparatus was carried out in screening for endometrial cancer. Cancer was detected in 18 patients (2.1%), with 94.7% of the cancers detected by the cytologic screening. This result indicates that endometrial aspiration using the Masubuchi apparatus is a reliable and safe method of screening for endometrial cancer. PMID- 6578644 TI - The natural history of cervical intraepithelial neoplasia as determined by cytology and colposcopic biopsy. AB - The smears preceding the histologic diagnosis of cervical intraepithelial neoplasia (CIN 3) were examined in 100 consecutive cases from an intensively screened population. In 60 patients, negative cytology has been recorded prior to the development of dysplasia; in 27 this had occurred within two years of the histologic diagnosis. These findings suggest that the transition time from epithelial normality to CIN 3 may be shorter than has been generally assumed; therefore, the intensity and frequency of screening should be reviewed. PMID- 6578645 TI - Exfoliative cytodiagnosis of gastric adenocarcinoma. Comparison with biopsy and endoscopy. AB - Endoscopy complemented by directed biopsies and exfoliative cytology was performed on 593 patients with different gastric lesions. Of the 194 cases of proven adenocarcinoma of the stomach, cytology was positive for malignancy in 176 (90.7%) and yielded the highest diagnostic rate. Endoscopy correctly diagnosed 171 cases (88.1%), and biopsy had the lowest accuracy, 153 cases (78.9%). The combined use of the three techniques increased the positive diagnosis to 185 adenocarcinomas (95.4%). Only three early gastric cancers were diagnosed by the combined methods, with only cytology positive in all three cases. There were five (1.3%) false-positive cytologic reports, principally due to benign gastric ulcers. It is concluded that these techniques have a complementary function in distinguishing benign from malignant gastric lesions. Since the value of endoscopic signs is limited, biopsy and cytology should always be performed. Exfoliative cytology plays an effective diagnostic role in cancer of the gastrointestinal tract and should be used more frequently by gastroenterologists, who, however, should be aware of the risk of false-positive results. PMID- 6578646 TI - Exfoliative sputum cytology in pulmonary embolism. AB - In a prospective, double-blind, randomized study of cytologic changes found in pulmonary infarction, nine roentgenologically proven cases of pulmonary embolism were studied with sputum samples from the 1st to 26th postinfarction days. Maximum atypical cytologic changes were seen during the second and third postinfarction weeks. Specific cytologic features included three-dimensional clusters of glandular cells with enlarged nuclei and macronucleoli: they were malignant-appearing cells except for their inconsistent morphology, fewer numbers, transient appearance and lack of solitary atypical cells. A similar study in a canine model is discussed, and a case of pulmonary embolism with abnormal cytology and corresponding histology is presented. PMID- 6578648 TI - Osteoclast-type giant-cell tumor of the pancreas. AB - The incidence of pancreatic malignancies in Western countries is increasing. Acceptance of fine needle aspiration as a diagnostic tool in the evaluation of pancreatic lesions necessitates that cytologists recognize unusual tumor variants as well as adenocarcinoma. The aspiration cytology of a pancreatic carcinoma containing osteoclast-type giant cells is reported, and the differential diagnosis of multinucleated giant cells in pancreatic aspirates is discussed. PMID- 6578647 TI - Benign squamous cells with pleomorphic microvilli in urine or bladder washings. AB - Exfoliated cells in catheterized urine or bladder washings from 40 patients were observed by light microscopy (LM) and by scanning electron microscopy (SEM). The specimens from seven of these patients (six postmenopausal females and one 85 year-old male) contained squamous cells with pleomorphic microvilli (PMV) on their surfaces. Four of these cases had no bladder lesions by cystoscopic examination. Three patients had recurrent papillary transitional-cell carcinoma of the bladder, and the cytologic specimens from two of them contained transitional cells with PMV. The distinction between squamous and transitional cell is readily made by SEM, based primarily on cell shape and thickness. The presence of PMV on otherwise-benign-appearing squamous cells in urine or bladder washing specimens may be a source of confusion in the interpretation of SEM findings. The presence of PMV on exfoliated squamous cells in cytologic material from the human urinary tract does not seem to have the same diagnostic and prognostic significance as the presence of PMV on transitional cells. PMID- 6578649 TI - Aspiration cytology of intramuscular myxoma. A comparative clinical, cytologic and histologic study of ten cases. AB - Soft-tissue tumors are a fairly new area for aspiration cytology. As part of the correlation between the cytology and histology in these tumors, a retrospective study of ten intramuscular myxomas was conducted. All of the patients presented with a firm, painless intramuscular mass that was excised with different surgical margins; no recurrences were found at follow-up. The cytologic findings corresponded well with the histologic ones. Droplets of a highly viscous fluid typically characterized an aspirate from an intramuscular myxoma. The fluid was generally not very cellular. The cells had elongated cytoplasm and spindle-shaped nuclei. They varied in size and shape, and cellular atypia was minimal. Aspirates from low-grade myxofibrosarcoma and myxoid liposarcoma presented the main differential diagnostic problems. PMID- 6578650 TI - Mucoepidermoid carcinoma of the salivary gland in pleural fluid. A case report. AB - The cellular features of mucoepidermoid carcinoma of submandibular gland origin observed in pleural fluid are presented. The pleural fluid contained predominantly atypical spheroid cell clusters accompanied by numerous mesothelial cells. The cells had round nuclei with conspicuous nucleoli, coarsely granular chromatin and abundant cytoplasm with vacuoles. The cellular features of the malignant cells in the pleural fluid were correlated with the histology of the parent lesion. PMID- 6578651 TI - Condylomata acuminata and their possible relation to cancer of the uterine cervix. Case report and geographic observations. AB - A unique case is described of a 21-year-old female with gonorrhea, condylomata acuminata of the vulva and the uterine cervix, a squamous-cell papilloma and precancerous changes in the cervix. In the observed lesion, a very gradual transition was seen from benign areas, displaying marked cytoplasmic vacuolization, to moderately dysplastic areas, with only slight vacuolization. Giant squamous cells with centrally located vesicular or hyperchromatic nuclei were a prominent feature of both the condylomatous and premalignant portions of the lesion. A geographic correlation was observed in the 18 districts of Uganda between the incidence of vulvar and vaginal condylomata acuminata and cervical cancer; the finding may include cervical warts since vulvovaginal changes often extend to the cervix uteri. In addition to the common flat condyloma, the acuminate variant may be a precursor of cervical cancer and progress to malignancy through the stage of a squamous-cell papilloma. PMID- 6578652 TI - Verrucous carcinoma of the uterine cervix. A case report. AB - The cytohistopathologic features of a verrucous cervical carcinoma are reported. The presence in a cervical smear of two distinct types of dyskaryotic cells, with regularity of size and shape, and of occasional vacuolated cells set in a bright, eosinophilic background should suggest the lesion. With the cytologic suggestion and the typical warty clinical appearance of the tumor, an accurate preoperative diagnosis may be established. PMID- 6578653 TI - CIN or not CIN. PMID- 6578655 TI - Abstracts: American Society of Cytology. 31st annual meeting, Denver, November 1 5, 1983. PMID- 6578654 TI - Loa loa microfilariae in an endometrial smear. PMID- 6578656 TI - Advance abstracts of papers: Scandinavian Society for the Study of Diabetes, 18th annual meeting. June 1-3, 1983, Kuopio, Finland. PMID- 6578657 TI - Etiology and pathogenesis of monophasic and relapsing inflammatory demyelination human and experimental. AB - The close similarity of the CNS lesions in cr-EAE and MS renders this model especially valuable for the study of pathogenetic factors, leading to the formation of inflammatory demyelinated plaques. Recent evidence indicates, that various immune reactions, directed against different CNS antigens cooperate in the formation of the plaques. Furthermore it is discussed, that a combination of virus infection and autoimmunity may result in similarity structured lesions. It is thus propose that multiple different etiologic factors (autoimmune as well as exogenous events) may lead to the clinical pathohistological syndrome of multiple sclerosis. PMID- 6578658 TI - Circulating myelinotoxic factors in human and experimental demyelinative disease. AB - Demyelinating agents in demyelinating diseases have been analysed using organoid cultures of the nervous tissue. The agents can be classified into humoral and cellular factors. Humoral factor is complement C3 dependent IgG antibody against glycolipids, such as galactocerebroside, sulfatide and ganglioside. Antigenicity of these glycolipids seems to be species specific. Other than rabbits, vulnerability seems to be low. Demyelinating pattern in vitro produced by application of antisera and patient sera are characterized by enhancement of activities of the macrophages. Adhesion of activated cells to myelin, penetration, loosening, splitting and vesicular dissolution of myelin lamellae are characteristic features. Hapten antigen described above also induces myelination inhibiting antibody, which interferes with in vitro myelination. Cellular factors are characterized by lymphotoxic effects and activation of macrophages. These alterations are identical to those by lymphokines liberated from T lymphocytes. Effects of humoral factors can be seen only in limited animal species, whereas cellular factors affect overall animals, suggesting the cellular factors play the major role in the processes of demyelination. PMID- 6578659 TI - Analysis of humoral and cellular events and the role of lipid haptens during CNS demyelination. AB - In recent years, considerable interest has focused on the possibility that in experimental allergic encephalomyelitis (EAE), antigen other than myelin basic protein (MBP) may be required for the initiation of demyelination and for the development of exacerbating-remitting disease. Previous results from these laboratories have implicated a role for antibodies against galactocerebroside (GC) in initiating demyelination of central nervous system (CNS) tissue in vitro (8) and in vivo (9). We have now used the rabbit eye model to dissect further the role of antibodies in causing CNS demyelination. The results show: that in animals directly sensitized against GC, no spontaneous CNS lesion develops but primary demyelination is observed if a mononuclear inflammatory reaction is superimposed; that in rabbits sensitized against MBP, antiserum against GC causes enhanced demyelination; and that in normal animals, anti-GC serum initiates primary demyelination only when an inflammatory reaction is induced by supernatants of activated lymphocytes. Injection of anti-GC serum alone has no pathologic effect. These results suggest that antibodies against lipid haptens are capable of causing primary demyelination in the CNS in vivo but that effector cells provided by an inflammatory response are required. Thus, the development of the fully demyelinating lesion probably depends on both cellular and humoral mechanisms. PMID- 6578662 TI - Comparisons of chewing patterns in patients with bridges supported on osseointegrated implants and subjects with natural dentitions. AB - The masticatory muscle activity during chewing was studied by means of electromyography (EMG) in 13 women treated with bridges supported on osseointegrated implants and compared with that in 10 dentate control subjects. The factors studied were the changes of the maximal mean voltage amplitude and the duration and coordination of activity during chewing of peanuts, bread, and apple when comparing the first three with the last three out of ten randomly selected chewing cycles. Patients with implant-supported bridges chewed with approximately the same muscle activity during the whole chewing sequence, whereas the control subjects had a reduced activity at the end of the chewing act. PMID- 6578661 TI - Relationships between oral parafunctions and functional disturbances in the stomatognathic system among 15- to 18-year-olds. AB - An interview and a clinical examination of signs and symptoms of functional disturbances and diseases in the stomatognathic system were performed on 309 adolescents 15-18 years old. Relationships and differences between data from this investigation were analyzed. Statistically significant correlations were found between headaches, bruxism, and tenderness to palpation of the attachment of the temporal muscle. There were also correlations between occlusal interferences in the retruded position (RP) and clickings and between mediotrusion interferences and clickings. The occlusal interferences were correlated to tenderness to palpation of the TMJ and TMJ muscles. Young people with distal occlusal relation were more frequently conscious of symptoms from the stomatognathic system than those with neutral or mesial occlusal relation. Deep bite was correlated to clenching and frontal dental wear. PMID- 6578660 TI - Oral retention and discoloration tendency from a chlorhexidine mouth rinse. AB - Individual differences in tooth discoloration have been observed after using chlorhexidine mouth rinses. To study the correlation between retention of chlorhexidine and the discoloration tendency, two groups, 'stainers' and 'non stainers', were selected. The following parameters were tested: initial retention of chlorhexidine in vivo, retention of chlorhexidine to saliva-coated hydroxyapatite in vitro, and prolonged release of chlorhexidine in vivo. The initial oral retention of chlorhexidine was identical for the two groups, whereas in vitro retention of hydroxyapatite and prolonged release of chlorhexidine in vivo were higher among 'stainers'. PMID- 6578664 TI - Liberation of copper, zinc, and cadmium from different amalgams. AB - Release of copper, zinc, and cadmium from six different amalgams in 0.9% NaCl solution has been registered during a 4-week period. The products showed widely different corrosion behavior. A dispersion-type amalgam released the smallest amounts of copper but the largest amounts of zinc. A product containing indium had a high rate of copper dissolution. Cadmium was liberated to a great extent from a copper amalgam. The rate of corrosion varied greatly for the different products during the time of the experiment. The liberation of copper and zinc was inversely correlated. PMID- 6578663 TI - Effects of ammonia and organic acids on the intradental sensory nerve activity. AB - Ammonia and organic acids constitute a major part of the bacterial metabolites formed in carious decay. The aim of the present study was to investigate their effect on the intradental sensory nerves. Nerve impulse activity was recorded from canine teeth in cats after application of the test solutions in deep dentinal cavities. Ammonia (17-134 mM) consistently generated nerve impulses, whereas organic acids (0.001-1 M) failed to induce any impulse activity. In contrast, acid application resulted in an inhibition of the ongoing nerve activity induced by various stimuli (hypertonic NaCl solution, mechanical pulp exposure, and compound 48/80). However, acid treatment of the cavities resulted in an enhanced neural response to ammonia stimulation. Thus, the present results demonstrate that these bacterial metabolites can influence intradental sensory nerve activity. It is suggested that they may also modulate the symptoms from decayed teeth. PMID- 6578665 TI - Surface microstructure of composite resins after toothbrush-dentifrice abrasion. AB - In vitro, conventional, microfilled and experimental composite resin specimens were subjected to toothbrush-dentifrice abrasion. Subsequently, height loss was recorded, and the appearance of the abraded surfaces was studied by light and scanning electron microscopy. In the experimental composite, which had a polymer impregnated porous glass filler, the glass phase showed flat surfaces. These surfaces were more smooth and lustrous than the surrounding resin. They also showed a rounding-off in the periphery. In the experimental composite smoothness and luster were therefore favored by the presence of large continuous areas of glass in the surface. It was possible to demonstrate the extension of the flat glass areas by the use of optical microscopy. In the conventional composite partly exposed irregular or rounded glass particles were frequent. A microfilled composite showed, except for frequent pores, a relatively smooth and lustrous surface. The wear rate of this material was, however, comparatively high. PMID- 6578666 TI - Vascular reactions in the dental pulp during inflammation. AB - This article deals with blood flow and tissue pressure changes in the inflamed dental pulp. While detailed patho-physiological studies of the circulation in the inflamed pulp are still partly lacking, available data from studies of the normal pulp tissue are also discussed. Knowledge of the normal physiological adjustments may indicate which circulatory changes would take place during inflammation. One of the focal points in the present article is how a localized increased tissue pressure may persist in the inflamed area without a circumferential spread to the rest of the pulp. The article is organized in the following manner: First a short review is given of the vascular changes during inflammation in general. Then available data from morphological and functional studies of the pulpal circulation are treated in some detail. Particular attention is given to the transcapillary fluid flow and the so-called 'self-strangulation theory'. The effect of a localized increased tissue pressure on pulpal blood flow is thereafter discussed. PMID- 6578667 TI - Radiographic findings in cervix uteri after prostaglandin abortion induction. AB - Hysterography was performed on 173 nulliparous patients following termination of midtrimester pregnancy by intra-amniotic prostaglandin F2 alpha (PGF2 alpha). In 21 hysterograms (12%) a pathologically wide internal os was found, compared with three out of one hundred routine hysterograms carried out for infertility examination. A deformed cervical canal with filling defects and synechiae was found in the hysterograms of 28 patients (16%). Only one of the 6 patients with ruptured cervix had a wide internal os. A laminaria tent was inserted more frequently into the cervix of patients whose internal os was of normal wide. The clinical picture of patients and the courses of abortion inductions did not differ in other respects in patients with normal vs. wide internal cervical os. This leads us to believed that there are two types of cervix: a rigid, hypoplastic cervix with high collagen content, which when exposed to the trauma of abortion induction leads to rupture, but not necessarily to incompetence, and a softer type of cervix, very muscular, which leads to wide internal os and incompetence. PMID- 6578668 TI - Hereditary motor and sensory neuropathies in Swedish children. III. De- and remyelinating type in 10 sporadic cases. AB - Clinical, neurophysiological and certain other laboratory data are given for 10 children considered to represent sporadic cases of de- and remyelinating hereditary motor and sensory neuropathies (HMSN). In all 10 families the parents had been found to be non-affected and said to be non-consanguineous. Nine of the 10 families originated from the two most northerly Swedish counties, but none from the Gothenburg area. The median age at clinical onset was 3 years. Gait abnormalities and/or foot deformities were common reasons for referral. Scoliosis developed in all 10 and hand atrophies in 7 children. In the majority there was neurological deterioration through childhood. Nerve conduction velocities, both motor and sensory, were consistently and markedly reduced. The protein level in cerebrospinal fluid (medium 657 mg/l) was slightly to moderately raised in 7 of 9 examined children and greater than or equal to 1 500 mg/l in the remaining two. The fatty acid pattern of serum lecithin was consistently normal in all 10. PMID- 6578669 TI - Reproductive medical care in Sweden and the Province of Ontario, Canada. A comparative study. AB - Reproductive medical care in Ontario, Canada and in Sweden are compared. Accurate statistical information is more readily available for Sweden. The perinatal mortality is significantly higher in Ontario. The populations are comparable in size. Except for a higher percentage of first generation immigrants in Ontario, the composition of the childbearing population is very similar. The percentage of low birth weight infants is higher in Ontario. Swedish governmental authorities realized in the 1930's that social reforms and preventive antenatal care could reduce perinatal mortality and morbidity and regionalization of perinatal care started several decades ago. A difference in attitude towards pregnant women is reflected in the fact that in Sweden, the maternal benefit is paid under the Health and Social Insurance system, whereas in Ontario it is paid by the Department of Employment and Immigration. The highly specialized neonatal and perinatal units in Ontario have outstanding results, and could serve as models to improve the care of the very low birth-weight infants in Sweden, as could the transport system for high-risk mothers and infants in Ontario. If the advantages of each of the two systems for perinatal care in Ontario and Sweden were combined excellent perinatal statistics would be expected, including a decreased incidence of handicap. PMID- 6578670 TI - Chronic myelocytic leukemia with marked myelofibrosis and osteosclerosis. AB - An autopsy case of a 50 years old woman who manifested chronic myelocytic leukemia (CML) with secondary myelofibrosis (SMF) is reported. The interesting point of this case was a marked diffuse myelofibrosis (MF) with osteosclerosis, so that it was difficult to make a diagnosis of either CML or idiopathic myelofibrosis (IMF), but both clinical and histological findings supported the diagnosis of CML with SMF. Her long term busulfan therapy was suspected as being the cause of this severe MF. The relationship of CML and IMF was also discussed. PMID- 6578671 TI - Relation between lower esophageal sphincter (LES) pressure and the plasma concentration of neurotensin during intravenous infusion of neurotensin(1-13) and (Gln4)neurotensin(1-13) in man. AB - Ingestion of fat causes a pronounced decrease in lower esophageal sphincter (LES) pressure. This may be due in part to effects of neurotensin (NT), which is released postprandially after the ingestion of fat. The aim of the present investigation was to establish whether the LES pressure decreases at physiological plasma concentrations of NT(1-13). In addition, we have compared the effects and metabolism of NT(1-13) and (Gln4)NT(1-13). The experiments were performed in 3 healthy male volunteers who had fasted for at least 11 hours prior to the study. NT(1-13) or (Gln4)NT(1-13) were infused intravenously at a dose of 12 pmoles X kg-1 X min-1. LES pressure was monitored by a continuous pull-through method with a perfused catheter. The concentrations of chromatographically identified tridecapeptides were determined using NH2 and COOH-terminal directed antisera. Already one min after the start of the infusions the LES pressure had decreased by 43% of the control value. At that time the plasma concentration of the neurotensin tridecapeptide was about 15 pM. NT(1-13) and (Gln4)NT(1-13) had similar half-lives in plasma (2.5 min). NT(1-8) and (Gln4)NT(1-8) were found to be the main metabolites of NT(1-13) and (Gln4)NT(1-13) respectively. The results indicate that the increase in the plasma concentration of NT(1-13) seen after the ingestion of food is sufficient for neurotensin to function as a hormone of the endocrine type. NT(1-13) and (Gln4)NT(1-13) have the same effects on LES pressure in humans and show the same pharmacokinetic characteristics. PMID- 6578672 TI - Subcellular localization of estramustine in rat ventral prostate following intravenous injection. PMID- 6578673 TI - Inhibition of noradrenaline release from hippocampal slices by a stable adenosine analogue. AB - Electrical field stimulation elicits a calcium-dependent release of 3H-NA from rat hippocampal slices. The release is inhibited by the alpha 2-agonist clonidine and enhanced by the alpha 2-antagonist yohimbine. The stable adenosine analogue N6-L-phenylisopropyl-adenosine (L-PIA) caused a dose-dependent inhibition of 3H NA overflow. The effect of L-PIA was antagonized by the adenosine receptor antagonist 8-phenyl-theophylline, which caused a slight, but significant increase in overflow per se. The results suggest that there are functionally important presynaptic adenosine receptors on nor-adrenergic nerve terminals in the rat hippocampus. PMID- 6578675 TI - The Social Insurance Institution's coronary heart disease study. Baseline data and 5-year mortality experience. AB - The Social Insurance Institution's Coronary Heart Disease Study is a prospective population study designed to investigate the prevalence, risk factors and incidence of coronary heart disease (CHD) in middle-aged Finnish men and women. The study population consisted of 5 738 men and 5 224 women, aged 30-59 years at entry, drawn from 12 cohorts from south-western, western, central and eastern Finland. The cohorts consisted of whole or random samples of rural or semiurban dwellers or employees of a factory. The participation rate was 90 per cent. The prevalence of symptoms was determined by the Rose questionnaire and abnormalities on resting ECG were coded according to the Minnesota code. Blood pressure, smoking habits, serum cholesterol, triglycerides, postload plasma glucose and obesity were the risk factors analysed at the baseline examination. The mortality of examinees has been followed continuously. This report deals with the main findings at the baseline examination and the mortality follow-up experience in 5 years. The prevalence of typical angina pectoris was 4.4 per cent in men and 5.4 per cent in women. Unequivocal ECG signs of past myocardial infarction were observed in 1.0 per cent of men and 0.3 per cent of women. Other ECG findings suggesting CHD were observed in 9.2 per cent of men and 11.1 per cent of women. The 5-year mortality was 4.3 per cent in men and 0.9 per cent in women. Men with typical chest pain symptoms had a seven-fold risk to die from CHD, compared to men without symptoms. Men with ECG abnormalities compatible with an old infarction had a 19.5-fold and men with other ECG findings suggesting CHD a 7.1 fold risk to die from CHD compared to men without resting ECG abnormalities. Men with ECG findings as the only indicator of CHD had worse survival than men with symptoms as the only indicator of CHD. The value of symptoms and ECG findings as predictors of CHD mortality in women was very low. PMID- 6578674 TI - Rhythmical oscillations in rat testicular microcirculation as recorded by laser Doppler flowmetry. AB - We have earlier reported that local testicular blood flow, recorded by laser Doppler flowmetry, shows large oscillations with a frequency of 5-10 min-1. In the present study it is proposed that the recorded oscillations represent mainly local microvascular blood flow variations rather than variations in total testicular blood flow or tissue movements. The reasons for this are: (a) Blood flow simultaneously measured at two separate sites showed oscillations with different frequencies. (b) A local subcapsular injection of room-tempered saline under one probe site eradicated oscillations under that probe but not under another adjacent probe. (c) When the testicular capsule was split open, recordings of blood flow continued to show oscillations. (d) The amplitude of the oscillations was rather large (peak to peak value about 50% of mean flow value). No movements of the testicular surface were seen. A 20 min continuous infusion of 0.4 microgram/min noradrenaline did induce a decrease in plasma testosterone concentration, but did not change the mean blood flow. However, the oscillations nearly completely disappeared during the infusion period. The present study also shows that laser Doppler flowmetry is a versatile method and the rat testis provides a suitable organ in the study of the origin and functional importance of these oscillations. PMID- 6578676 TI - Granular acute lymphoblastic leukemia. PMID- 6578677 TI - Inactivation of corticosteroids in intestinal mucosa by 11 beta-hydroxysteroid: NADP oxidoreductase (EC 1.1.1.146). AB - Activity of the enzyme 11 beta-hydroxysteroid:NADP oxidoreductase (EC 1.1.1.146) in human intestinal mucosa was determined by incubating scraped mucosa with 3H cortisone and 14C-cortisol; these steroids were then extracted, separated chromatographically, and the radioactivity assayed to determine simultaneously both reductase and dehydrogenase activities. This was the only significant metabolic alteration which the substrate underwent. Only two cases had slight (5 and 13%) reductase activity. In 35 patients, 16 male and 19 female, including seven cases of Crohn's disease, three ulcerative colitis, five diverticulitis, two undergoing surgery for repair of injuries and 18 for carcinoma of colon or rectum, cortisol was converted to cortisone in 15 min with a wide range of values distributed uniformly up to 85% dehydrogenation, with a mean of 42%. When tissue homogenates were fortified with coenzymes, excess NADPH lowered dehydrogenase activity 81%; excess NADP increased dehydrogenase activity 2-fold in three cases. It is possible that a value is characteristic of an individual but perhaps more likely enzyme activity varies with metabolic events involving changes in the coenzyme levels in mucosa, and a random sampling might be expected to yield such a distribution of values. In any event, where activity is high most of the cortisol is inactivated within minutes. It is suggested that synthetic corticoids which escape such metabolic alteration might, except during pregnancy, prove superior in the treatment of conditions such as inflammatory bowel disease. PMID- 6578678 TI - Benzene is still with us. PMID- 6578680 TI - Orthopedic effects with "conventional" fixed orthodontic appliances: a preliminary report. AB - This retrospective study involved sixty previously treated patients between the ages of 9 and 14 years, all of whom initially had Class II dental malocclusions. The primary purpose of the investigation was to determine whether orthodontic treatment with a specific round-wire edgewise technique (no extraoral forces) was simply producing dentoalveolar manipulations or was actually affecting measurable skeletal or orthopedic alterations in the craniofacial system. The mean linear changes before and after orthodontic treatment in the maxilla (Ar-ANS), mandible (Ar-PGN), and lower facial height (ANS-MN) were statistically compared with an untreated control group (the Burlington Growth Study). The study sample was analyzed selectively according to sex and also according to the angulation of the mandibular base to the anterior cranial base (the SNMP angle). Apparently, from the observations in this study, the particular edgewise technique employed for the orthodontic treatment of the sixty sample patients did statistically affect more than merely dentoalveolar alterations. The normal forward growth of the maxilla appeared to be hindered, the lower facial height was significantly increased (usually without an appreciable increase in the SNMP angle), and the mean increased growth of the mandible was also statistically significant. Admittedly not its primary purpose, this preliminary report appeared to at least indirectly compare, if not the actual treatment modalities, at least the treatment results between a specific fixed orthodontic appliance and certain removable "functional" appliances. PMID- 6578679 TI - Comparison of plasma oxytocin levels during spontaneous labor and labor induced by amniotomy, prostaglandin F2 alpha, and prostaglandin E2. AB - Plasma concentrations of oxytocin in nine spontaneous labors (group 1), nine amniotomy-induced labors (group 2), six prostaglandin F2 alpha-induced labors (group 3), and five prostaglandin E2-induced labors (group 4) were determined at the stages of 1 to 7 days preceding the onset of labor, onset of labor, and established labor, by means of unextracted radioimmunoassay. The levels of oxytocin in the stage preceding the onset of labor in group 1 were not significantly different from the levels of oxytocin in the corresponding stages in groups 2, 3, and 4. However, the levels of oxytocin in the stages of onset of labor and established labor in group 1 were significantly higher than those in the corresponding stages in groups 2, 3, and 4. These results suggest that oxytocin plays a leading role in the onset and progress of spontaneous labor, whereas something other than oxytocin might be involved in the labor induced by amniotomy alone or by prostaglandins. PMID- 6578681 TI - Three-dimensional x-ray stereometry from paired coplanar images: a progress report. AB - More than fifty years ago, Broadbent reported the development of a three dimensional cephalometric method which complexed information from pairs of x-ray images oriented in two planes at right angles to each other. Empirical problems have prevented the routine clinical use of this "biplanar" method, notwithstanding its obvious conceptual brilliance. The present article reports on recent work toward the development of an alternative method of three-dimensional cephalometry in which the two images of each x-ray pair are positioned in the same plane rather than being at right angles to each other. It is believed that this "coplanar" method avoids many of the technical problems that have limited the use of the Broadbent method. PMID- 6578682 TI - The geometry of three-dimensional measurement from paired coplanar x-ray images. AB - This article outlines the geometric principles which underlie the process of making craniofacial measurements in three dimensions by combining information from pairs of coplanar x-ray images. The main focus is upon the rationale of the method rather than upon the computational details. We stress particularly the importance of having available accurate measurements as to the relative positions of the x-ray tubes and the film plane. The use of control arrays of radiopaque "points" whose projected images upon the film plane allow the retrospective calculation of the spatial relationship between the x-ray tubes and the film plane is explained. Finally, the question of correcting for movement of the subject between two films of an image pair is considered briefly. PMID- 6578683 TI - Periodontal status following the alignment of palatally impacted canine teeth. AB - Twenty-three patients who had completed treatment to resolve the unilateral palatal impaction of a maxillary canine by orthodontic means were examined 2.3 years (mean) after all appliances had been discarded. Scores were noted for the plaque index, gingival index, attached gingiva, pocket depth, and bone support on each of the affected teeth and also on the contralateral canine which had been unaffected and thus acted as a control. In addition, the teeth immediately adjacent to both canines were similarly scored. The results indicated no significant difference in the plaque index and the amount of attached gingiva, while the gingival index, pocket depth, and particularly the bone support all showed statistically valid differences. It is suggested that in these cases a postorthodontic assessment of the state of the supporting tissues be performed and periodontal treatment instituted in those requiring it. PMID- 6578684 TI - Prevalence and severity of malocclusion in Israeli Arab urban children 13 to 15 years of age. AB - Israeli Arab children between the ages of 13 and 15 years, living in the town of Nazareth, were examined in order to determine the prevalence and severity of malocclusion in the permanent dentition. The survey encompassed 803 children, of whom 2.5 percent were under orthodontic treatment at the time of the study and 0.3 percent showed ideal occlusion. The remainder showed various measures of deviation from normal, distributed as follows: 85 percent had Angle Class I malocclusion, 8.5 percent had Angle Class II, Division 1 malocclusion, 1.7 percent had Angle Class II, Division 2 malocclusion, and 1.3 percent belonged to the Angle Class III category. The severity of malocclusion was appraised qualitatively by subjective evaluation, while for quantitative determination the Handicapping Malocclusion Assessment Record (HMAR) was used. There was a positive correlation between the two modes of assessment as expressed in the 12.4 percent of the children who were classified "treatment highly desirable or mandatory" and who scored 30 or more points on the HMAR chart. Further examination of the deviations underlying the scoring revealed that the 52.1 percent of the children with scores of 15 points or more would benefit greatly from orthodontic treatment. Selected items of the TPI and OI charts were incorporated into the HMAR to evaluate the latter's sensitivity. Supplementing the HMAR with some deviations from normal, such as cusp-to-cusp relationships, amplifies the sensitivity of this record. PMID- 6578685 TI - Research biases. PMID- 6578686 TI - Patterns and mechanisms of bone invasion by squamous carcinomas of the head and neck. AB - Patterns and mechanisms of local bone invasion by squamous carcinomas of the head and neck have been investigated. Detailed surgical pathology has shown that these tumors invade contiguous skeletal or metaplastic bone principally through an indirect process; the normal bone resorbing cells of the host (osteoclasts) are activated and erode bone in front of the advancing tumor edge. Tumor cells take over the destructive process when the osteoclast response has waned. These morphologic patterns have been reproduced in an in vitro model where calcium-45 labelled mouse calvaria, cocultured with a tumor for 3 days, are resorbed by osteoclasts. Freshly excised tumors, established tumor cell lines, and tumor xenografts release osteolysins in vitro which act as osteoclastic stimulants. They include both prostaglandins E2 and F2 alpha, and nonprostaglandin factors, and are derived from tumor cells and from the associated host stroma. Virtually all the tumors examined released osteolysins and resorbed bone in vitro independent of their site, size, degree of differentiation, and the presence or absence of clinical bone invasion. PMID- 6578687 TI - Effect of retinoids on oral leukoplakia. AB - This two phase study was designed to observe the toxicity and effectiveness of retinoids on oral leukoplakia. The study design included patients who had visible and measurable oral leukoplakia without history of synchronous oral cancer or oral cancer within the previous 2 years. Documentation of the lesion by direct measurement and photography, as well as a biopsy at the beginning and at the end of the study (for verification of the histologic appearance of the lesion), were performed in each patient. Sixteen patients with oral leukoplakia were treated with 13-cis-retinoic acid formulated in a troche in the strength of 1 mg. Three patients received 3 mg/day, 8 patients received 5 mg/day, and 5 patients received 10 mg/day. The initial visible responding event appeared to be a thinning of the leukoplakia with reduction in the whitish surface leaving a reddish, velvety epithelium. If resolution occurred, the velvety area became pink, assuming the color and texture of the normal adjacent mucosa. Toxicity of the drug appeared to be acceptable among the evaluable patients. Of the 11 patients, 3 demonstrated complete response and 6 demonstrated partial response after 6 months of treatment with the drug under study. Recurrences developed in two of the three patients with complete response, and neither of the two showed complete histologic and cytologic regression. One of the patients with partial response went on to complete response after cessation of treatment. Under the condition of our study, a treatment effect was observed with small amounts of topical 13-cis-retinoic acid and that the level of toxicity was acceptable. PMID- 6578688 TI - Sex and other prognostic factors in acute lymphoblastic leukemia in childhood. AB - A complete national material of children with acute lymphoblastic leukemia diagnosed in the years 1973-1980 was analyzed with regard to prognostic differences between males and females. In accordance with international criteria (age, WBC, CNS involvement, and mediastinal mass), the children were classified as standard risk (SR) and increased risk (IR). Thirty-eight percent of the males and 32% of the females fulfilled criteria for assignment to the group with an increased risk. A linear multiple regression analysis on the material showed that WBC was the most important prognostic criterion, followed by sex, age, and mediastinal mass. The prognosis was significantly poorer for males in the standard risk (p less than 0.03) and in the increased risk group (p less than 0.0001). The IR criteria were more valid for males than for females. Serious complications resulting from therapy were more frequently reported for females than for males. These studies suggest that sex is of significance both for the prognosis and for the efficacy of treatment. PMID- 6578689 TI - Philadelphia chromosome-negative chronic myelogenous leukemia in a child with t(8;9)(p11 or 12;q34). AB - Approximately 78% of chronic myelogenous leukemia patients have the standard Ph' chromosome-negative defect as their only chromosomal abnormality. CML has been extensively studied due to the availability of tumor tissue and the frequency and consistency with which such abnormalities are noted. There have been few cases reported, however, of Ph' chromosome-negative CML with an abnormality involving rearrangement and breaks at the 9q34 band. We report here a unique case of the fourth Ph'-negative patient who demonstrates this break. PMID- 6578690 TI - Acute monoblastic leukemia as a second malignant neoplasm in metastatic neuroblastoma. PMID- 6578692 TI - The ultimate goal? PMID- 6578693 TI - A dangerous misconnexion. PMID- 6578691 TI - Acute lymphoblastic leukemia in the offspring of a mother exposed to diethylstilbestrol (DES) in utero. A case report and hypothesis. AB - A case of a child with acute lymphoblastic leukemia (ALL) is reported. The child's mother was exposed to diethylstilbestrol (DES) in utero during the first two trimesters of pregnancy. Causal association for this child's leukemia could have resulted either from a maternal germ cell event or abnormal DES-induced intrauterine environment. PMID- 6578694 TI - Uterine rupture with the use of vaginal prostaglandin E2 suppositories. PMID- 6578695 TI - [Neutropenia and glycogenosis type IB]. PMID- 6578696 TI - [Tomodensitometry in focal splenic pathology]. PMID- 6578698 TI - A modification of the Knutson's equation for recording epidemiological trend patterns of dental caries. PMID- 6578697 TI - [Radiographic study of the formation of permanent canines and premolars in Santo Domingo]. PMID- 6578699 TI - Analysis of the pedodontic situation. PMID- 6578700 TI - Preventive orthodontics: professional practice and teaching. PMID- 6578701 TI - Occurrence and expression of imipemide (N-formimidoyl thienamycin) resistance in clinical isolates of coagulase-negative staphylococci. AB - More than 500 clinical isolates were screened for resistance to a number of antibiotics, including imipemide (N-formimidoyl thienamycin [MK0787]). Of the 25 coagulase-negative staphylococcal isolates present in the screening sample, almost one-third showed one of two patterns of imipemide resistance. One pattern apparently involves constitutive expression of drug resistance, whereas the other pattern seems to result from an inducible resistance having an apparent induction threshold higher than the minimal inhibitory concentration of imipemide. The mechanism(s) responsible for this imipemide resistance is unclear, but may be distinct from the more common staphylococcal mechanisms of resistance to beta lactam antibiotics. Only two of the patients from whom imipemide-resistant staphylococci were cultured had actually been treated with the antibiotic. PMID- 6578703 TI - Thymosin beta 10, a new analog of thymosin beta 4 in mammalian tissues. AB - A new analog of thymosin beta 4 has been isolated from tissues of several mammalian species. This peptide, designated thymosin beta 10, is composed of 42 amino acid residues and shows 75% sequence homology with thymosin beta 4. It occurs together with thymoxin beta 4 in a variety of tissues including spleen, liver, and thymus and also in several cultured cell lines. In the spleen of rat, mouse, cat, and man, the new peptide accounts for approximately 0.02% by weight of the total protein. In the calf it is replaced by another homologous peptide, designated thymosin beta 9, whose structure has been reported. PMID- 6578702 TI - Learned food aversions: heterogeneity of animal models of tumor-induced anorexia. AB - Learned food aversions have been implicated in the anorexia which develops in rats with transplantable PW-739 tumors. There appear to be striking differences in growth characteristics and physiological effects of different experimental tumors. The present studies examined the issue of heterogeneity of tumor models, while assessing the generality of the finding that learned food aversions arise in anorexic, tumor-bearing animals. This was done by comparing effects on food intake and diet preferences of two transplantable tumors, the Leydig cell tumor, LTW(m), and the Walker-256 carcinosarcoma. We found that animals with Leydig tumors, like those with PW-739 tumors, developed strong aversions to the specific diet they had eaten after tumor implant. In contrast, animals with Walker-256 tumors did not develop diet aversions. These results support the idea that learned food aversions contribute to anorexia in animals with Leydig but not Walker tumors. They further suggest that learned food aversions in tumor-bearing animals are not a response to illness, in general, but rather that the unconditioned stimulus responsible for these aversions is quite specific, and may ultimately prove identifiable. PMID- 6578704 TI - [Thermochemotherapy for malignant melanoma--combination therapy of ACNU and hyperthermia in mice]. AB - The effect of a combination therapy of hyperthermia (43 degrees C, 30 min) and ACNU (10 mg/kg) on B 16 melanoma and C 24 melanoma in vivo was studied. This combination therapy was effective in both melanoma. In C 24 melanoma, remarkably the tumor regression and the partial destruction of the histological structure, were observed. PMID- 6578705 TI - [Aclacinomycin A and behenoyl ara-C combination chemotherapy for untreated acute non-lymphocytic leukemia]. AB - Sixteen patients with previously untreated acute nonlymphocytic leukemia were treated with a combination of aclacinomycin A (ACM-A) and behenoyl ara-C (BH-AC) at Saitama Cancer Center between April 1980 and February 1983. The complete remission was obtained in 10 of 16 patients (62.5%) (M1, 0/1 M2, 8/8, M3, 0/2, M4, 2/5). A combination of daunorubicin (DNR) and cytosine arabinoside (ARA-C) was crossed over to 5 patients who failed to respond to primary treatment of a combined ACM-A and BH-AC. All of these attained the complete remission. The cumulative dose of over 600 mg/m2 of ACM-A has been given to 7 patients as maintenance treatment. The maximum cumulative dose was 2000 mg/m2. The median survival time for all patients was 12 months, and the median survival with complete remission has not been reached; however, it is estimated to be greater than 24 months. ACM-A seemed to induce long-term maintenance when it was used as maintenance treatment. The results have demonstrated that a combination of ACM-A and BH-AC shows equivalent activity with that of a combined DNR and ARA-C in terms of remission induction and remission maintenance. PMID- 6578706 TI - Changes with aging in serum lipoproteins and apolipoprotein C subclasses. AB - The effects of aging on serum lipids, lipoproteins and apolipoprotein C subclasses in very low density lipoprotein (VLDL) were investigated in healthy male subjects aged from the 1st to the 9th decade. The serum cholesterol, phospholipid and triglyceride concentrations, the serum beta-lipoprotein concentration determined immunologically, and the beta-lipoprotein percentage determined by electrophoresis showed the lowest levels in the 2nd decade, increased gradually with age, attained the highest level in the 6th to 7th decade and slightly declined in the 9th decade. The VLDL-low density lipoprotein (LDL) cholesterol level changed almost in parallel with the serum total cholesterol level, but the HDL cholesterol level and the apolipoprotein A concentration remained almost constant showing no age-related change. The free cholesterol percentages in every lipoprotein fraction and the apolipoprotein content in LDL were higher in the subjects in the 6th and 7th decade than those in the 2nd to 3rd decade. The apo C II/C III ratio in VLDL increased with age. These data suggest that the ability to active lipoprotein lipase may not be impaired but the lecithin:cholesterol acyltransferase (LCAT) activity declines with age. PMID- 6578707 TI - [Fatal infectious mononucleosis in a leukemic child in remission]. AB - The authors report the case of a 5 year-old girl who died from primary Epstein Barr virus infection while in remission from acute lymphoblastic leukemia. There was a diffuse, polymorphic and polyclonal proliferation of B lymphocytes, associated with a strong histiocytic reaction with hemophagocytosis. The role of Epstein-Barr virus was ascertained by the appearance of specific antibodies and the finding of EBNA antigen on liver smear. PMID- 6578709 TI - A novel non-centrifugation radioimmunoassay for cannabinoids. AB - A new method is described for the separation of free and bound fractions in a cannabinoid (3H)-radioimmunoassay without the need for centrifugation. The method employs a novel separation device which allows all manipulations to be performed in a single tube simply, rapidly and safely. PMID- 6578708 TI - Pathogenicity of Candida paratropicalis. AB - A new Candida species, Candida paratropicalis, was recently described. Four cases of infections due to C paratropicalis are reviewed in detail and an additional five cases are reviewed to establish the clinical relevance of this species of yeast. Candida paratropicalis was isolated from blood and several other body sites. Although the isolates tested were sensitive in vitro to amphotericin B and fluocytosine, significant morbidity and mortality were associated with the infections. PMID- 6578711 TI - Localization of phencyclidine in the rat brain in vivo. AB - Male rats were injected with 3H-PCP (3 mg/kg; 1.2 mCi/rat) into the tail vein. Three minutes later, the rats were anesthetized, frozen and their heads processed for autoradiographic study. The autoradiograms illustrated diffuse distribution of 3H-PCP or its metabolites in the whole brain tissue. Increased intensity was observed in the hippocampus, corpus callosum, subicullum, thalamus, colliculus caudalis, nucleus caudatus putamen, hypothalamus, and cerebellum. These labelled regions are in accord with those which were found to change glucose metabolism, as has been observed by monitoring labelled deoxyglucose before and after PCP injection. In addition to the previously mentioned sites, radioactivity is seen in the olfactory bulb, chiasma opticus and parts of the eye (lens cortex, retina, cilliary body). The presence of radioactivity in the chiasma opticus, as well as in various parts of the eye itself, may partially explain the effect of PCP on the eye and on vision. PMID- 6578710 TI - Effect of cannabis on enzyme induction by phenobarbital. AB - Cannabis extracts in olive oil administered s.c. to male adult rats decreases oxidizing microsomal enzymes measured as TPNH disappearance and AHH activity in liver postmitochondrial fraction (93.06% and 25.54% maximum inhibition respectively in chronic treatments). Simultaneous administration of single doses of cannabis extracts (330 mg/kg s.c.) and phenobarbital (100 mg/kg i.p.) causes impairment of total microsomal oxidases (86.83% inhibition) and decreases AHH (31.86% inhibition), thus blocking the enzyme induction by phenobarbital. PMID- 6578712 TI - Chemotherapy related leukemogenesis. AB - Administration of aggressive chemotherapy to patients with cancer has considerably improved their outlook for effective palliation or cure. However, a hitherto unappreciated complication consisting of a secondary malignancy, in particular acute leukemia, has emerged. Prolonged therapy with alkylating agents and chemotherapy plus radiotherapy are associated with an increased risk of this complication. The disease evolves through a preleukemic phase of pancytopenia and sideroblastic refractory anemia. The median onset from the initiation of chemotherapy is about 5 years with an increasing incidence with time. Myelomonocytic, monocytic and erythroleukemia with atypical features and resistance to conventional therapy predominate. Hyploidy and aberrations involving chromosomes 5 and 7 are frequent. Alkylating agents are carcinogenic in laboratory animals. Although the pathway to leukemogenesis in humans is unknown, a multistep evolution is envisaged. This involves: 1) initiation through induction of errors in DNA, 2) promotion related to stem cell replication following chemotherapy-induced aplasia and 3) propagation related to immunosuppression. It is possible that, as in myeloproliferative disorders, an underlying tendency for leukemia is present in patients with cancer. This may be accentuated by chemotherapy, and more frequently observed due to the longer survival of such patients. The crucial role of chemotherapy in leukemogenesis is evident from data accumulated in non-malignant conditions such as rheumatoid arthritis. PMID- 6578714 TI - Phencyclidine-dependent chemiluminescence of rat alveolar macrophages. AB - Phencyclidine (PCP) is a drug of abuse which is commonly taken by inhalation or snorting. By this pathway, it comes in direct contact with the alveolar macrophages (AM) which phagocytize inhaled particles. The activated AM produce reactive oxidative products and release photons with resulting chemiluminescence (CL) that can be quantified in the presence of luminol. The effect of PCP on this functional ability has been studied. PCP-treated rat-AM in vitro causes a two-to threefold increase in CL emission, after challenging with zymosan particles. This CL augmentation by PCP appears not to be associated with increased phagocytosis. Several metabolic inhibitors have been studied, and only rotenone has been found to inhibit CL production to a greater degree with PCP than in its absence. It may be assumed that the enhanced CL produced in the presence of PCP is due to activation of the drug by some reactive oxygen state or states that are affected by rotenone. PMID- 6578713 TI - Disposition of phencyclidine after intramuscular administration. AB - The disposition of radioactive phencyclidine (PCP) in various rat tissues, after single or repeated intramuscular injections for 23 days, have been investigated. Peak levels of radioactivity appeared 45-90 min after a single administration. The pancreas, salivary glands and mesenteric fat contained 4 to 6-fold higher radioactivity than brain, muscles, tendons, and bones. After repeated 3H-PCP injections, radioactivity levels showed a similar pattern as to that of the peak levels after a single administration, but at notably higher values. On the other hand, the percentage of depletion, within 48 h after the final injection, was the highest in the pancreas, salivary glands and mesenteric fat. It is possible that despite the low retention capacity of PCP radioactivity per unit weight of muscle, tendon and bone, they may be considered important reservoirs for either PCP, or its metabolites or both because of their large relative mass in the body. PMID- 6578715 TI - Cultures of central neurons grown in the presence of phencyclidine. AB - In order to study the mode of action of phencyclidine at the cellular level differentiating cultures of dissociated nerve cells from brain and spinal cord have been used. Cells were grown in the presence of 50-500 microM of PCP or tritium labelled PCP, for the periods of 1-11 days. PCP in the concentration of 500 microM caused progressive degeneration of nerve cells, already noticeable after 24 h. No significant morphological changes were observed in cells exposed to PCP at concentrations up to 200 microM. In brain cultures exposed to 200 microM PCP, 50% decrease of AChE activity was observed. No decrease in enzyme activity was found in cultures of spinal cord. PMID- 6578716 TI - Naturally occurring toxicants in foods and their significance in the human diet. AB - Among the many biologically active and potentially toxic factors known to be present in plant foodstuffs normally consumed by man, those that are present in legumes have received the most attention. Two categories of legume toxins will be considered - those whose effects have been extensively studied in experimental animals but whose significance in man must remain open to conjecture, and those which are known to produce toxic effects in man but whose identity remains uncertain because similar effects are not readily reproduced in animal models. The protease inhibitors have, over the years, been the object of much study in experimental animals where they have been observed to have an adverse effect on growth and to cause pancreatic enlargement. The relevance of these observations to human nutrition remains obscure, however, because of our lack of knowledge concerning the effect of soybean trypsin inhibitors on the human pancreas. Lectins from certain legumes such as the common bean (Phaseolus vulgaris) have been shown to be toxic to animals upon oral ingestion presumably because of the damage which they inflict upon binding to the cells lining the intestinal mucosa. Lectins may therefore be responsible for reported cases of human intoxication associated with the consumption of inadequately cooked beans. Lathyrism and favism are diseases in man which are associated with the consumption of Lathyrus sativus and Vicia faba respectively. Evidence leading to the probable identification of the causative factors of these diseases and the steps necessary for their elimination will be discussed. PMID- 6578717 TI - Accentuated response to raw soya-bean meal by meal feeding. AB - Diets containing raw soya-beans (RSD) when fed ad libitum cause reduction in growth rate and food utilization, enlargement of the pancreas and increase of its enzyme synthesis. A single meal of raw soya-beans with corn (1:9), tube-fed to geese, caused about 90% mortality, while geese, tube-fed with corn alone, did not show any negative response. No mortality occurred when geese were fed a similar diet ad libitum. Two-week old chicks were fed ad libitum or by tube, twice a day, similar amounts of RSD or heated soya-bean diet (HSD). While the chicks tube-fed HSD behaved similarly to those feeding freely, the chicks tube-fed RSD collapsed after one week. The thymus and bursa of fabricii were atrophied in the RSD tube fed chicks. Diets containing increasing amounts of raw soya-bean meal (0,20%, 42%, and 80%) were fed freely to weanling rats or as one 4 h meal per day. All the rats fed the 4 h meal containing either 42% or 80% raw soya-bean meal died within 3 days; all the others survived. The rats were trained to meal-feeding by gradual reduction of their access to food. The negative effects of the RSD, i.e. reduced food intake and body weight gain, pancreas enlargement, were much more pronounced in the meal-fed rats than in those fed ad libitum. The differences increased by increasing dietary trypsin inhibitor (TI) (raw soya-bean meal). PMID- 6578718 TI - Toxicological evaluation of a liquid fraction derived from palm oil. AB - The possible toxicity and mutagenicity of a heated liquid fraction derived from palm oil by transesterification was tested with rats fed diets containing 15% of the oil and by various in vitro and chemical assays on the animals sera. No adverse effects of any kind were noted in the animals fed diets containing a high level of the oils, and the Ames Test failed to reveal a mutagenic potential in any of them. The chemical tests did not show any noteworthy undesirable changes, either. PMID- 6578719 TI - Amanita verna poisoning in Israel--report of a rare case out of time and place. AB - A rare case of A. verna poisoning in Israel is presented; this occurred in mid winter at a place hitherto free of the fungus. The unsuspecting victim sought help only after anuria had developed. Charcoal hemoperfusion and large dosages of penicillin with hemodialysis were followed by prompt recovery, despite the late start of treatment. It is suggested that such treatment is essential in A. verna poisoning, and is indicated at all stages of intoxication. PMID- 6578720 TI - Intoxication by the chickling pea (Lathyrus sativus): nervous system and skeletal findings. AB - Two hundred patients with chronic neurolathyrism were examined 25-35 years after the appearance of signs and symptoms of intoxication of the chickling pea. Their daily food intake, in a German forced labor camp during World War II, consisted of 400 g Lathyrus sativus peas cooked in water plus 200 g bread baked of barley and straw. Apart from the classic signs of neurolathyrism, i.e., a spastic paraparesis, in five cases, the skeletal findings observed were similar to experimental osteolathyrism. There was an absence of ossification centers of the iliac creasts, ischial tuberosities and vertebrae; and bowing with thickening of the femoral shaft also occurred. These bony changes in human lathyrism have not been described before. PMID- 6578721 TI - Examples of poisonous plants in Israel of importance to animals and man. AB - Several plants causing poisoning in herbivores in Israel have an association with human health. Ferula communis (giant fennel) contains a potent anticoagulant and induces severe haemorrhagic diathesis in grazing ewes, or similar changes in utero in lambs. These and other teratogenic changes have been seen in babies from mothers receiving the anticoagulant warfarin during pregnancy. The Ferula interaction in sheep may be used as a model to study this embryotoxicity in man. Ammi majus (bishops weed) causes severe ophthalmic changes, in particular pigmentary retinopathy in photosensitized domestic fowl. The photoactive principle is currently used in the treatment of psoriasis in man, and such patients should be examined for possible ocular toxicity. Trigonella foenum graecum (fenugreek) caused myopathy in ruminants and is ingested by certain ethnic groups. Oxalis pes-caprae (Bermuda buttercup) causes large-scale oxalate poisoning in sheep and is avidly eaten by children. PMID- 6578722 TI - Chlorinated hydrocarbons in birds and mammals. PMID- 6578723 TI - Drug vulnerability of peripheral blood platelets. AB - The effect of antiinflammatory drugs (aspirin, Voltaren), cytotoxic drugs (cyclophosphamide, vincristine), antibiotics (penicillin, chloramphenicol), as well as of dipyridamole on the different ultrastructural and metabolic parameters of human platelets was examined in vitro. Almost all drugs caused a decreased platelet aggregation but of different degrees. The alteration of the internal structure consisted of a decrease in the number of platelet granules, displacement of the granules and mitochondrial damage. The surface alterations affected the number and appearance of platelet pseudopodia. With the exception of Voltaren the drugs exerted an inhibitory effect on platelet protein synthesizing capacity and on their phagocytotic ability. Voltaren stimulated the ability of platelets to engulf latex particles. PMID- 6578724 TI - Warfarin and the grey squirrel. AB - The anticoagulant warfarin [3-(alpha-acetonylbenzyl)-4-hydroxycoumarin] has been used for controlling the grey squirrel Sciurus carolinensis in Great Britain. Before legislation was passed to allow for its use in Ireland, it was felt that more information on its effectiveness was required. Since the small mammal population of Ireland is low, any toxic effects on the native mammal population could greatly deplete the wildlife in Ireland. No accurate assessment of the toxicity of warfarin for the squirrel appears in the literature. The squirrel were dosed with warfarin at four different concentrations, 6.0, 1.25, 0.5, 0.01 mg per kg of body weight, by stomach tube, in order to find the least effective dose. The prothrombin times (PT) were monitored as an assessment of the action of the drug. The control prothrombin time and the standard deviation of the mean was 13.83 +/- 3.64. Animals that were treated with warfarin showed an elevated PT even at the lowest dose by the 7th day of treatment. The PT was found to be in excess of 30 s and this was statistically significant, p = 0.05. Within the group receiving 0.5 mg/kg one animal showed a very significant initial rise in PT, but after 22 days of daily dosing, the PT decreased to within the normal range of the controls. Despite continuous dosing for a total of 26 days, it remained within this range. PMID- 6578725 TI - The effect of monoacetin and calcium chloride on acid-base balance and survival in experimental sodium fluoroacetate poisoning. AB - Sodium fluoroacetate (compound "1080") was injected intravenously, 3 mmol/kg, to artificially-ventilated anesthetized cats. Blood pressure, ECG, acid-base parameters and serum ionized calcium were monitored in four groups of cats. Group A served as control. Group B cats were treated with calcium chloride to restore normal values of serum ionized calcium. Group C was given monoacetin (glyceryl monoacetate), 0.5 ml/kg every 30 min. Both monoacetin and calcium chloride were given to cats in group D. Fluoroacetate poisoning caused significant decrease in ionized calcium and severe metabolic acidosis with increased levels of lactate and pyruvate. The lactate to pyruvate ratio remained normal as long as there was no significant drop in blood pressure. Correction of blood ionized calcium prolonged survival from 94 to 166 min (group B). Monoacetin prolonged average survival time to 166 min. Metabolic acidosis was aggravated in monoacetin-treated animals (group C). Combined treatment with monoacetin and calcium chloride did not prolong mean survival time above 166 min. PMID- 6578726 TI - Fluoroacetamide poisoning in man: the role of ionized calcium. AB - Two cases are reported of severe acute fluoroacetamide poisoning in man, with successful treatment of the life-threatening cardiac arrhythmias by the administration of calcium chloride. The arrhythmias were preceded by prolongation of the QT interval in the ECG. Calcium chloride therapy restored to normal the markedly prolonged QT interval. PMID- 6578727 TI - Biochemical aspects of fluoroacetate poisoning in isolated rat kidney tubules: reversibility of inhibition of gluconeogenesis by alpha-ketoglutarate. AB - The effects of monofluoroacetate (FAC) on suspensions of isolated rat kidney tubules were investigated. FAC inhibited gluconeogenesis from lactate, pyruvate, fructose, dihydroxyacetone, alpha-ketoglutarate, and succinate. The gluconeogenesis from pyruvate, ketoglutarate, and lactate was less sensitive to FAC than that from other substrates. FAC also caused a decrease in oxygen consumption, hydroxybutyrate to acetoacetate ratio, alpha-ketoglutarate, ATP, and total adenine nucleotide content; the citrate content was increased. Addition of alpha-ketoglutarate, 5 mmol/l, caused a reversal of gluconeogenesis inhibition, an increase in ATP content, and a delay in citrate accumulation in isolated rat kidney tubules incubated with FAC. PMID- 6578728 TI - Acute central nervous system changes due to intoxication by Manzidan (a combined dithiocarbamate of Maneb and Zineb). AB - A 42-year old man sprayed Manzidan (a combined dithiocarbamate of Maneb and Zineb) on a cucumber plantation, twice during a week. Behavioural changes appeared after the first application, and loss of consciousness, convulsions and right hemiparesis after the second application with diffuse slow rhythm in the EEG. Both the behavioural and CNS symptomatology disappeared spontaneously after a few days. The previous history of the patient, the sudden appearance and spontaneous disappearance of the symptoms and a dose-response relationship strongly suggest that Maneb and Zineb were the cause of the illness. PMID- 6578729 TI - Effect of diastereoisomeric epoxyrotenones on hepatic epoxide hydrase activity. AB - The effect on epoxide hydrase activity of the two diastereomeric (6'R) and (6'S) 6',7'-epoxyrotenones formed during the oxidative metabolism of rotenone on the isopropenyl side chain is reported. The activity of microsomal epoxide hydrase was determined using styrene oxide as substrate. The results indicate that the two diastereomeric 6',7'-epoxyrotenones are good substrates for epoxide hydrase and are noncompetitive inhibitors for the hydration of styrene oxide. The more polar of the two isomers is more active as inhibitor of this enzyme. PMID- 6578730 TI - Endorphins in endotoxin-induced hyperglycemia in mice. AB - This study assessed the role of endogenous opiate systems in the hyperglycemic response to endotoxin challenge in mice. Blockade of opiate receptors by administration of the opiate antagonists naloxone (1.0 mg/kg) or naltrexone (1.0 or 5.0 mg/kg) significantly lessened to degree of hyperglycemia cause by endotoxin challenge (80 micrograms). Methyl naltrexone, a peripherally acting opiate antagonist, had no demonstrable effect on endotoxin-induced hyperglycemia. Finally, induction of tolerance to morphine prevented the hyperglycemic response to endotoxin challenge. These results suggest a causative role for central nervous system endorphinergic mechanisms in the hyperglycemic response to endotoxin administration. They support the view that centrally acting opiate antagonist, by blocking the brain opiate receptors, can influence metabolic adaptation to endotoxin shock. PMID- 6578731 TI - Covalent protein binding of vinyl chloride metabolites during co-incubation of freshly isolated hepatocytes and hepatic sinusoidal cells of rats. AB - Proteins of isolated rat hepatic sinusoidal cells incubated with 14C-vinyl chloride, rat liver microsomes and an NADPH-regenerating system were alkylated by vinyl chloride metabolites formed by microsomes. This suggests that reactive vinyl chloride metabolites can penetrate sinusoidal cells. Protein alkylation in isolated hepatic sinusoidal cells was higher when these were co-incubated with isolated hepatocytes, indicating that reactive vinyl chloride metabolites formed by hepatocytes are stable enough to diffuse out of hepatocytes into sinusoidal cells. Glutathione added to the incubation medium inhibited the covalent protein binding of vinyl chloride metabolites in sinusoidal cells as well as in hepatocytes incubated separately and deleted the increased protein binding in sinusoidal cells co-incubated with hepatocytes. The data indicate that glutathione present in the incubation medium traps reactive vinyl chloride metabolites formed by hepatocytes which otherwise would react with cell constituents of sinusoidal cells. If similar conditions exist in vivo, the alkylation of DNA of liver endothelial cells by vinyl chloride metabolites formed in hepatocytes is possible. This would explain the induction of hemangioendotheliomas of the liver by vinyl chloride. PMID- 6578732 TI - The contribution of veterinary toxicology to environmental health. AB - An account is given of three major functions of veterinary toxicology in relation to environmental health. These are: 1) Environmental (epidemiological) toxicology with reference to mass intoxications in domestic animals and wildlife and their role in the early detection of detrimental environmental quality caused by toxic chemicals. 2) Comparative pharmacology and toxicology: The impact of animal poisonings on discoveries in human health or on the development of novel concepts in these disciplines. 3) Regulatory toxicology: The role of the veterinary profession is emphasized in the safeguarding of food with special reference to meat inspection regulations and biological residues in edible tissues. PMID- 6578733 TI - Lead poisoning from ceramics in the Arab population. AB - Despite the widespread use of hand-crafted lead-glazed pottery by the Arab population, no cases of lead intoxication have previously been attributed to these ceramics. Three Arab families were found that used to eat from such earthenware utensils and were afflicted with plumbism. Plumbism was diagnosed by the determination of blood and urine lead levels and in two of the families by the decrease of red cell delta-aminolevulinic acid dehydratase activity. The propositus of the first family was the 23-year-old mother who had abdominal pains and hematuria. Lead intoxication was established and therapy with calcium EDTA institutes. She recovered. Her one-year-old daughter died in another hospital during a similar episode. Family studies revealed subclinical plumbism in her remaining three sons. In another family, a 54-year-old-man had abdominal pains and had a lead line on the gingival margins. Subsequent testing of the surfaces of the earthenware containers from which these families used to eat disclosed excessive amounts of lead. In the third family, eight members had plumbism, four of them with encephalopathy associated with motor palsy. One case was icteric. They also used to eat from primitive pottery with a lead glaze. PMID- 6578734 TI - Conversion of inorganic lead into a highly-toxic organic derivative by marine microorganisms. AB - It has been reported that certain microorganisms isolated from lake sediments may transform inorganic lead compounds to organic derivatives, which are by at least one order of magnitude more toxic than the parent (inorganic) compounds. The purpose of this study was to investigate whether microorganisms isolated from a marine sediment could also produce such metabolites in an in vitro system simulating the marine ecosystem. The experimental setup included: 1) A sterile control system containing added inorganic lead (referred to as Pb2+); 2) a nonsterile control system without added Pb2+; 3) a nonsterile experimental system containing added Pb2+. The amount of added Pb2+ ranged from 5 to 1,000 ppm. Aliquots were taken at different intervals from the nonsterile systems and the surviving microorganisms were identified and counted. The main results were as follows: 1) The higher lead levels were toxic to all microorganisms. 2) Organic lead was only detected in the nonsterile experimental system, apparently due to microbial action, since none was found in the sterile systems. 3) Several bacteria exhibiting various degrees of tolerance for lead were isolated. PMID- 6578735 TI - Sperm cell motility as a new experimental model for toxicological studies. AB - The effects of environmental and toxicological factors were tested in a new and "simple" biological system; the collective motility exhibited by ram spermatozoa. Motility of highly concentrated semen (greater than 1 X 10(9) cells/ml) was evaluated objectively with a multichannel reflectospermiograph (RSG) connected to a minicomputer for an on-line analysis. The effect was tested on one of the energy-producing systems in the sperm cells, while the other was inhibited by 2 deoxy-D-glucose or antimycin-A so that the energy source for motility was known. The effects of the addition of ethanol to the semen in various concentrations, as well as various levels of oxygen in the environment were tested. When motility of the sperm cells was driven by mitochondrial respiration, the intensity and duration of motility was inhibited significantly above a threshold level. At the same level of ethanol, the motility was not significantly affected when the energy source was the fructolysis pathway. The effects of oxygen level were tested below and above the normal oxygen level (21% O2). When fructolysis was inhibited, the motility was fully dependent on oxygen supply, namely, that lower levels of oxygen inhibited motility. It was also found that under higher levels of O2 (hyperbaric hyperoxia conditions) the motility was inhibited due to the known oxygen toxicity effects. PMID- 6578736 TI - The red cell as a sensitive target for activated toxic arylamines. AB - During biotransformation of arylamines, activated phase I metabolites, like aminophenols and hydroxylamines, occasionally escape the liver and exert allergic, toxic or carcinogenic effects in sensitive target organs. The first organ in contact with these proximate toxic compounds is the blood where oxyhemoglobin activates proximate to ultimate toxic derivatives. Thereby hydroxylamines and oxyhemoglobin are co-oxidized to nitrosoarenes and ferrihemoglobin. Because of an enzymic cycle, severe methemoglobinemia can occur even with small, catalytic amounts of hydroxylamines. Reactive oxygen intermediates, if not eliminated enzymically, may be responsible for hemolysis, Heinz body formation, and green pigments. In addition, nitrosoarenes bind covalently to hemoglobin and membranes and deplete glutathione by formation of glutathione-sulfinamides. Aminophenols, on the other hand, have to be activated first by oxyhemoglobin to phenoxyl radicals and quinonimines, which are reduced back with simultaneous ferrihemoglobin formation. Hence, aminophenols catalytically transfer electrons from iron to oxygen. This catalytic cycle is terminated by side reactions: p-quinonimines form adducts with glutathione and hemoglobin. Thereby the physiological functions of hemoglobin can be greatly altered as shown for 4-dimethylaminophenol. o-Quinonimines either condense to the respective phenoxazones, or if condensation is hindered, they form adducts, mainly with thiols. The different pathways for o-aminophenols are concentration dependent, with adduct formation being favoured at low concentrations. Thus, methemoglobin formation poorly correlates with the implications of reactive electrophilic intermediates. PMID- 6578737 TI - Hemoperfusion with chelating microspheres as a new treatment for severe mercury poisoning. AB - Monodisperse beads of 1.0 mm diameter composed of polymercaptal microspheres of 0.8 micron average diameter encapsulated with agarose were prepared. The polymercaptal microspheres have high affinity for organic and inorganic mercury compounds and do not bind to alkali and alkaline earth metalic compounds. The agarose-polymercaptal microsphere beads (APMMB) are blood compatible with high porosity. In vitro experiments with a column containing these beads illustrated their efficiency for the removal of mercury from the blood by means of hemoperfusion. PMID- 6578738 TI - Detection of 14C-carmoisine metabolites by high performance liquid chromatography. AB - 14C-Carmoisine, a sulphonated azodye, 200 mg/kg b.w. (25 muCi), was administered to rats by gavage. Separation of radioactive compounds in faeces and urine of these animals was carried out by HPLC with a UV and a radioactivity detector. In addition to unmodified carmoisine, five radioactive compounds were present. The main peak showed both the retention time and the UV spectrum of naphtionic acid. Metabolic patterns similar to those observed "in vivo" were found by incubation of 14C-carmoisine under anaerobic conditions with a bacterial suspension isolated from human faeces and from the intestinal contents of rats. This procedure permits the preparation of amounts of unknown metabolites suitable for their identification. PMID- 6578739 TI - A new technique for the determination of diethylstilboestrol. AB - A new method has been developed to determine diethylstilboestrol (DES) in bovine urine at the picogramme level. Ion-pair-systems are used for purification and isolation. Following formation of the electrophilic di-heptafluorobutyryl (di HFB) derivative, identification and quantification were carried out by means of capillary gaschromatography-negative chemical ionization mass spectrometry, using CH4 or CH4-N2O 4: 1 as reagent gases. PMID- 6578740 TI - Isolated intestinal cells of guinea pig: a suitable model for assessing direct toxic effects of ethanol on the mucosa of the upper small intestine. AB - The effects of acute ethanol (1-10%) on membrane transport and respiration in isolated jejunal cells of guinea pig were investigated. Three substrates with different transport mechanisms were employed: uridine (active, Na+-dependent transport), choline (saturable, Na+-independent transport), and chenodeoxycholate (simple diffusion). Uridine and choline transport were half-maximally inhibited by 3% ethanol; this inhibition was paralleled by a similar decrease in mitochondrial respiration and ATP production. Chenodeoxycholate uptake in contrast was virtually unaffected by up to 10% ethanol. It is concluded that acute ethanol inhibits active carrier-mediated absorption, but has no effect on transcellular diffusion of lipophilic compounds. PMID- 6578741 TI - Pyrenebutyl-methylphosphonofluoridate: a fluorescent anti-cholinesterase in vivo. AB - In vivo properties of pyrenebutyl-methylphosphonofluoridate (PBMPF) have been studied. The LD50 (i.v.) for mice was 15 mg/kg and toxic symptoms were typical of cholinesterase (ChE) inhibition but central signs were absent. After intraventricular injection of PBPMPF in unanaesthetized rabbits, continued walking in bizarre circular fashion together with peripheral vascular dilation and tachypnoea were observed. Recovery occurred 3 h post-injection. Fluorescent particles of unabsorbed material juxtaposed on lining ependyma were observed up to 14 days of administration. In addition, a large number of hippocampal cells showed vivid fluorescence, particularly in the cytoplasm, which was attributed to ChE inhibition. It is concluded that PBMPF seems promising as an organophosphate marker of nerve cells. PMID- 6578742 TI - Analysis of succinylcholine in tissues and body fluids by ion-pair extraction and gas chromatography-mass spectrometry. AB - The neuromuscular blocking agent succinylcholine (SCh) has been identified and quantitated in biological material using gas chromatography-mass spectrometry. The bisquaternary ammonium compound SCh is extracted from tissue homogenates or body fluids into dichloromethane as an ion pair with hexanitrodiphenylamine (DPA). The evaporated ion pair residue is demethylated with sodium benzenethiolate to form the corresponding tertiary amine which is identified and quantitated by gas chromatography-mass spectrometry using a glass capillary column coated with SE 52. In the quantitative analysis deuterated SCh is used as internal standard. The instrument is focussed on m/z 58 for demethylated SCh and m/z 62 or 64 for the internal standard. Concentrations as low as 5 ng SCh iodide/g tissue or body fluid are easily detected. PMID- 6578743 TI - Survival, bodyweight and food consumption data obtained from life span rodent studies in isolated animal units. AB - A previous poster presentation proposed the use of isolated units for life span studies in rodents. This novel concept of design was considered to be the best available housing system for these studies. To further support our claim that these units provide good quality reproduceable results control data obtained from initial life span studies in the rat and mouse are reported. PMID- 6578744 TI - A comparison of automated data collection and manual data collection for toxicology studies. AB - Automated data collection was compared with manual data collection in terms of accuracy and man-hours devoted to data manipulation and checking. The comparison was based on experience with an automated data collection system (DOLPHIN)TM1 developed at Toxigenics for use in conducting toxicological studies. It was found that on-line data collection increases the quality of the data gathered because: 1) it facilitates scientific observation by displaying historical data and statistics on changes since the last observation period; 2) it virtually eliminates errors due to oversight and transcription; 3) it allows more careful monitoring of the course of the study by providing immediate access to interim summary statistics; 4) it provides complete documentation of all changes made to the data after initial collection. In addition, automated data collection enables more rapid completion of the final report of results because: 1) fewer departmental transfers are required; 2) auditing by Quality Assurance (Q.A.) personnel is facilitated. PMID- 6578745 TI - Effects of radiographic contrast media on the serum complement system. AB - The authors explored the activation of the complement system produced by a nonionic organic iodine compound, namely iopamidol, which is proposed as a contrast medium for radiographic examination by intravenous and intra-arterial injection. The study was conducted in vitro versus established ionic contrasts (diatrizoate, iothalamate, acetrizoate) and a nonionic compound (metrizamide). The adopted experimental model was the immunohemolytic detector system, in which the immune complex consisted of goat erythrocytes sensitized with the corresponding antibody (hemolysin), and complement (C') was supplied by guinea pig serum. All the products caused complement activation. The results show that nonionic contrast media produce less activation of the complement system than the traditional ionic contrast. Thus the use of nonionic contrast for radiological procedures necessitating the introduction of contrast material into the blood compartment would imply a reduced risk of anaphylactoid reactions. PMID- 6578746 TI - Accumulation and adverse effects of metoprolol and propranolol after concurrent administration of cimetidine. AB - Pharmacokinetics of metoprolol, propranolol and atenolol were investigated in six healthy volunteers following 7 days of oral monotherapy with these drugs and after 7 days concurrent administration of each of these betareceptor antagonists with cimetidine. Application of cimetidine did not lead to any interaction with atenolol, whereas mean peak plasma levels of metoprolol were increased by 70%, and those of propranolol by 95% due to concurrent administration of cimetidine (p less than 0.05). The AUC of the two last mentioned beta blockers behaved similarly (p less than 0.05). Measurement of exercise-induced tachycardia on the 6th day of administration showed no differences between monotherapy with the beta blocker and combined treatment with each of them and cimetidine. Except for one volunteer who complained of anxiety, weakness and sweating on the 6th day of cimetidine/metoprolol administration, no adverse effects could be observed during the combination therapy with cimetidine and the beta blockers or in monotherapy with beta blockers. PMID- 6578747 TI - Toxicity studies with human fibroblast interferon. AB - Acute toxicity studies of interferon derived from human fibroblasts (FHIF) were performed in mice and rats with doses between 6 X 10(4) and 480 X 10(4) IU/kg i.v. and an observation period of 14 days. No severe toxic effects, such as loss of weight or other pathological clinical signs were observed. In local innocuity studies (i.v., i.a., paravenous) in rabbits FHIF proved to have no adverse effects. 180,000 IU/kg were pyrogen free in rabbits, in the limulus test the content of lipopolysaccharides (LPS) was 208 pg/ml as compared to the FDA standard EC-2. Studies were performed to assess the pharmacological safety of FHIF in 10 monkeys (Macaca fascicularis). The i.v. injection of 60,000 IU/kg had no pathological effects on circulation, respiration, number of blood cells, or body temperature. In six monkeys a short decrease of arterial blood pressure was noted a few minutes after injection of 120,000 IU/kg i.v. Both doses caused an increase of thrombelastographic time (TEG). The proposed single human dose of approximately 60,000 IU/kg has been proved safe in the acute toxicity studies and the pharmacological safety assessment in mice, rats, rabbits, and monkeys. The LPS content is low. PMID- 6578748 TI - An hypothesis for the induction of leukemia by benzene. AB - Benzene has the sad privilege of being the only industrial chemical inducing leukemia in susceptible individuals chronically exposed to its vapors. Hence, benzene has been included in the list of human carcinogens. Acute myeloblastic leukemia and erythroleukemia are typical examples of benzene leukemia. Most cases show some features in common: 1) development after many years of exposure and, in some cases many months after leaving the toxic atmosphere; 2) leucopenia or moderate degree of leucocytosis; and 3) splenohepatomegaly discrete or absent. Finding of an antecedent of pancytopenia reinforces the suspicion of benzene as the causative agent. There is still no agreement about the role played by benzene in chronic types of leukemia. In assessing diagnosis of benzene leukemia much importance has been attached by French authors and by myself to the demonstration of benzene in blood or in bone marrow aspirates or biopsies. Treatment of benzene hemopathy based on the oral administration of "anti-benzene compounds" such as methyl-donors and thiol-aminoacids is proposed here based on personal research in rabbits, in leukemic patients treated by benzene in the past and on myself as a volunteer. In pre-leukemic states, lowering the benzene burden of the bone marrow might prevent the further development of acute leukemia. Recently, I found out that: 1) benzene can be converted to phenol in the bone marrow independently of liver oxidizing enzymes; 2) benzene injected in the femoral artery of the rabbit can provoke histological changes at the isolated tibial marrow. PMID- 6578749 TI - Partial isolation and characterisation of a hemagglutinating factor from avocado seed. AB - Extracts of ground avocado seeds (Fuerte and Hass varieties), prepared in different buffer solutions (pH 2.0-12.0), show hemagglutinating activity towards A, B, AB, and H (0) human erythrocytes. The extract showing the highest titer of aggulination was extracted at pH 10.5. The crude extract also causes hemolysis of fresh washed erythrocytes. The hemagglutinating factor is not inhibited by most of the simple sugars tested, e.g., D-glucose, D-mannose, D-galactose, and glucose amine. The only sugars which show some inhibitory effect are N-Acetyl-neuraminic acid, melibiose, and stachiose. Basic amino acids, e.g., lysine and arginine also inhibit its activity. However the most potent inhibitors of the agglutinin are proteins and glycoproteins such as bovine serum albumin, collagen, thyroglobulin, ovalbumin, mucin, and fetuin. The agglutinin is adsorbed on polymer beads such as Sepharose 4B, Sephadex G100, Agarose, and Chitin, and it reacts with hog erythrocyte membranes. It can be partially eluted from those materials with alkaline buffers (pH 9.0-10.5). PMID- 6578750 TI - Guide to the analysis of phencyclidine and its metabolites in biological material. AB - Phencyclidine was introduced as an anaesthetic in 1960; and has now become a major drug of abuse in some countries. The rapid advance in the various fields of analytical chemistry during the past decades has made it possible to measure the levels of the compounds in tissues and body fluids. These methods may also be used to study the metabolism and pharmacokinetics of PCP. The resulting publication is an updated guide to these analyses particularly with the application of these techniques in human intoxication. PMID- 6578751 TI - Models to predict cannabinoid-induced disturbances. AB - The most commonly used animal models to evaluate the psychoactivity of cannabinoids have been reviewed. The need for suitable models is acute considering the present interest to develop drugs based on the cannabinoid moiety but preferably dissociated from psychoactivity. Conceivably, a satisfactory assay should show features of cannabinoid-induced disturbances relevant to man as well as sensitivity, specificity and simplicity. These requisites seemed better fulfilled in the monkey model. Various lines of evidence have demonstrated the close pattern of the behavioural response to psychoactive and inactive cannabinoids in man and monkeys. Rhesus monkeys showed development of tolerance and withdrawal symptoms, which have been frequently reported in humans after prolonged exposure to cannabinoids. The exposure was reported also to cause in monkeys alterations of electrical activity and organic damage in deep brain structures. The monkey model has been particularly useful to determine the relative potency of naturally occurring cannabinoids and metabolites, which was adequately compared to that in man, and to establish the structural requirements for psychoactivity in large series of synthetic new compounds. In addition it appeared that rhesus monkeys react similarly to man with respect to proposed antidotes against cannabinoids. Four newly synthetized amino-cannabinoids were tested in baboons. All these compounds were virtually void of typical cannabinoid psychoactivity but two trans-analogs differed from the cis-analogs in that they provoked bouts of vigorous scratching and yawning. This unusual drug-effect, at difference from scratching alone has not been previously observed after administration of cannabinoids. In this presentation some terms of cannabis terminology have been discussed. PMID- 6578752 TI - Serum lipids and lipoproteins in schizophrenic patients with normal renal function treated with hemodialysis. AB - To study the effect of hemodialysis on serum lipids and lipoproteins, five patients with normal renal function who had undergone hemodialysis for schizophrenic symptoms for 10 weeks in a crossover study were investigated. Active or sham (no dialysate flow through the filter) dialysis was instituted randomly. Serum lipids were isolated by ultracentrifugation and precipitation before and after each period. High density lipoprotein (HDL) cholesterol levels were constantly low and correlated negatively with serum alkaline phosphatase concentrations (p less than 0.05). Serum and very low density lipoprotein (VLDL) triglycerides and VLDL cholesterol increased during active, and to a lesser extent during sham, dialysis. Dialysis of this intensity does not affect HDL. The low levels may be secondary to subclinical cholestasis from neuroleptic drug treatment. Some individuals may develop hypertriglyceridemia of unknown pathogenesis during hemodialysis. Both these lipoprotein abnormalities are risk factors for the development of atherosclerosis. PMID- 6578753 TI - Effect of human dental bacterial plaque extract on the connective tissue of in vitro cultured fetal rat calvaria. AB - Plaque extract (50 micrograms protein/ml) stimulated the synthesis of glycosaminoglycans (GAG) in cultured calvaria explants. The production of hyaluronic acid was increased (206-309 per cent) in the medium of bone explants cultured without fetal calf serum. In the presence of serum the synthesis of GAG was increased in control bones to the level of plaque-treated bones. The bone nitrogen content remained relatively unchanged, but dry weights, DNA and collagen contents were all decreased in plaque-treated bones. Bone resorption measured as 45Ca-release was enhanced in plaque-treated (173 +/- 18 per cent) and also parathormone-treated (155 +/- 10 per cent) bones. Serum in culture medium reduced the differences between treated and control bones by increasing the release of 45Ca from control bones. Plaque-induced bone resorption may be caused by increased cell secretion of GAG and inhibition of collagen synthesis or by increased collagen breakdown. Loss of mineral accompanies this modification of the organic substrate. PMID- 6578754 TI - Effect of phytate and hexadecylamine on the permeability of bovine dental enamel. AB - The effect of hexadecylamine on the permeability of bovine dental enamel was investigated using a radiochemical diffusion technique. Treatment with an aqueous solution of hexadecylamine reduced the permeability of the enamel by about 20 per cent. Pre-treatment of the enamel with an aqueous solution of phytate followed by hexadecylamine yielded a reduction in permeability of approximately 70 per cent. The observed effects were similar for ionic (86Rb+ and 36Cl-) and non-ionic [( 3H]-sorbitol and [14C]-glycerol) compounds. The strong permeability-reducing effect of the combined phytate-amine treatment may also be anticariogenic. PMID- 6578755 TI - The acidogenic microbial composition of dental plaque from caries-free and caries prone people. AB - Plaque samples collected from caries-free and caries-prone subjects were analysed for total bacteria, the ratio of acidogenic to total organisms and the proportions of streptococci, Streptococcus mutans and Actinomyces. The acidogenic composition of plaque reflected the dietary habits and caries status of an individual. A high acidogenic ratio was found in individuals with active lesions or recent restorations; individuals who were caries-free or had no recent lesions had a lower ratio although total organisms were similar. The ratio remained constant in sequential samples from caries-prone subjects but was increased by frequent exposure to sugar. Streptococci, Actinomyces and Strep. mutans were isolated from all samples but no consistent relationship was found between either their isolation frequency or proportions and caries status. PMID- 6578756 TI - Factors influencing jaw position sense in man. AB - The relative contribution of muscle sensors, joint sensors and trigeminal exterosensors to the position sense of the mandible was investigated. Subjects compared the sizes of gauges placed between the teeth with the size of a previously explored standard gauge of 4.75 mm. The experimental conditions were either anaesthesia of both mandibular joints and the oral exterosensors, or load on the jaw-closing muscles, or adaptation to an extreme jaw position. The results were compared with control experiments under normal conditions. (1) All subjects matched to standard fairly well in control conditions, the imprecision of the match being approximately 0.5 mm. Under anaesthesia, the matches were 1-1.5 mm greater than the controls, the imprecision being almost unaffected. Anaesthetizing the joints and oral exterosensors before or after exploring the standard gauge did not affect the match. Imposing various loads (less than or equal to 3.4 kg) did not change the match to the standard. Adaptation to a wide open position introduced a considerable mismatch of the standard, leaving the imprecision of the match unaffected. (2) The experiments provide evidence that muscle afferents are important sources in sensing jaw position and fulfil the criteria for an independent position servo in the trigeminal system. It is suggested that the engram of the standard is built up mainly from muscle sensor information. PMID- 6578757 TI - The production of developmental defects of enamel in the incisor teeth of penned sheep resulting from induced parasitism. AB - Thirty-four sheep were infected with nematode parasites (Trichostrongylus spp. and Ostertagia circumcincta) during central incisor formation. The tooth enamel was examined for defects of mineralization at eruption and compared with that of 14 control sheep. The type and number of parasites given, the duration of the infection and the age of the sheep were varied. Sheep receiving high doses of parasites e.g. 200,000 T. vitrinus + 20,000 O. circumcincta showed severe systemic effects (debilitation, scouring and weight loss) which were of short duration (7-10 days) as the infections were terminated by anthelmintic treatment. Hypoplastic enamel (a break in continuity) was induced in all 5 sheep infected at 8 1/4-9 months of age and demarcated opacities (an alteration in the translucency) in 3 out of 4 sheep infected at 10 months of age. Sheep given 150,000 or 40,000 T. colubriformis showed less obvious systemic effects although the weight loss continued in some sheep for up to 54 days. Although opacities of the enamel in the form of parallel lines, sometimes with localized increase in width or with a diffuse opacity superimposed, were seen by microscopic examination (X 10) of teeth in this group, many of the teeth from the control sheep showed similar lesions. Only the hypoplastic lesions can be attributed with confidence to the experimental manipulations. PMID- 6578758 TI - Electron microscopy of dentinal tubule sclerosis in the enamel-free region of the rat molar. AB - Ultrastructural changes in dentinal tubule contents were followed for periods up to 6 weeks following tooth eruption into the mouth. Characteristic odontoblast processes were observed in some tubules throughout the enamel-free dentine. Many dentinal tubules contained shrunken odontoblast processes, large collagen fibres and/or accumulations of mineral in various forms. The mineralization patterns suggest mechanisms of tubule occlusion other than simple formation of peritubular dentine. Both the degenerating odontoblast processes and collagen fibres appear to provide an organic framework for deposition of mineral. This region of rat molar dentine is recommended as useful for study of naturally-occurring tubular sclerosis. PMID- 6578759 TI - Effects of fluoride on locomotion of human blood leucocytes in vitro. AB - The effect of NaF on the locomotion and chemotaxis of human blood neutrophils and monocytes was studied using two assays: the micropore filter assay and a time lapse cinematographic assay in which the chemotaxis of cells in response to spores of Candida albicans was filmed. At high concentrations (greater than 10( 4) M), NaF inhibited locomotion of both cell types, but no inhibition of locomotion of either cell-type was seen in either assay using NaF at less than or equal to 10(-4) M, whether or not the cells were responding to a chemotactic source. This was so, even for monocytes incubated for 48 h in the presence of NaF. It is therefore improbable that fluoride, at levels added to drinking water or found in the body fluids of persons drinking fluoridated water, has any deleterious effect on the locomotor capacity of phagocytic cells or on their capacity to detect and home on to chemotactic sources. PMID- 6578760 TI - The properties of cells in the cat trigeminal main sensory and spinal subnuclei activated by mechanical stimulation of the periodontium. AB - Neurophysiological exploration of the trigeminal sensory complex was done on 42 cats under ketamine anaesthesia, paying special attention to units receiving a periodontal input. Among 492 cells recorded in the trigeminal sensory complex, 73 responded to mechanical stimulation of the periodontium and were precisely localized histologically. Thalamic stimulation was also delivered to the ipsi and contralateral ventro-posterior nucleus to test for antidromic responses. Results of this systematic study were plotted on reference drawings of the full extent of the trigeminal sensory complex. PMID- 6578761 TI - Radioimmunoassay of rat submandibular salivary gland mucin. AB - A solid phase radioimmunoassay (RIA) for rat submandibular mucin (RSM) was developed and applied to studies of mucin concentration, antigenicity and secretion. The assay utilizes the affinity of 125I-Protein A for IgG to quantitate antigen-antibody immunocomplexes immobilized in the wells of plastic microtitre plates. The technique was highly reproducible and capable of detecting as little as 3 ng mucin protein. The submandibular glands of rats weighing 150 180 g contained 257 micrograms of mucin (dry wt) per mg protein, which is equivalent to about 3.6 mg of mucin per gland. The antiserum to RSM was cross reactive with mucins from rat sublingual and pig submandibular glands, and rat, human and pig small intestine. No cross-reactivity was detected with mucins from mouse, canine or bovine submandibular glands, and there was no evidence that ABH blood-group sugars contributed to mucin antigenicity. The RIA was used to estimate secretion from dispersed rat submandibular gland cells and gave a more specific and accurate assay of mucin release than previous assays of precursor labelled radioactive glycoproteins in the culture medium. The beta-adrenergic agonist, isoproterenol, stimulated immunoreactive mucin secretion from cultured cells to approximately twice the level of unstimulated or propranolol-inhibited controls. The RIA appears to offer promising new approaches for studies on mucin metabolism and secretion in health and disease. PMID- 6578762 TI - Morphological and biochemical changes in the rat parotid gland after compensatory and isoproterenol-induced enlargement. AB - Enlargement of parotid glands can be induced in rats by treatment with isoproterenol (ISP) or by removal of the submandibular and sublingual glands. In this study, morphological changes in the enlarged parotid glands and qualitative changes in secreted proteins were examined in rats that had been treated with ISP for 10 days or that had been partially sialoadenectomized by removal of the submandibular/sublingual glands 2 weeks prior to killing. After ISP treatment or salivary gland ablation, secretory cells were enlarged and contained enlarged secretory granules that stained differently from granules in normal glands. Isoproterenol treatment induced the greatest enlargement of cells and granules. Even though gland structure was altered in both experimental groups, electrophoresis of saliva showed that submandibular/sublingual gland ablation did not lead to significant qualitative changes in secreted proteins, while ISP treatment induced major changes in the pattern of secreted protein. The results suggest that compensatory enlargement of the parotid glands and changes after ISP treatment are induced by stimulation of different regulatory pathways. PMID- 6578763 TI - Light- and electron-microscopic study of the microbial deposits present on the tongue and dentition of macropods. AB - The dental deposits in the kangaroos and wallabies were similar to human calculus with lysed bacterial cell remnants embedded in previously mineralized areas. The surface of the microbial deposits in contact with the enamel showed: (a) triangular structures 3-5 micron deep and 4-5 micron wide at their base repeating every 4 or 5 micron which probably occupied the remnants of Tomes processes which in macropods do not flatten out; (b) irregular, short (1 micron) projections that probably occupied the inter-prismatic areas. Few organisms were observed on the anterior or dorsal surfaces of the tongues but on the posterior region there was abundant microbial colonization. Large amounts of extracellular matrix were preserved using a fixation technique designed to minimize the loss of water soluble material. Bacteria were arranged perpendicular to the epithelial cell surfaces and were present on either surface of desquamating epithelial cells. Aqueous fixation erroneously suggested that inter-bacterial and bacterial epithelial cell adhesion was primarily by fine fibrillar strands. PMID- 6578764 TI - Correlations between the concentrations of fluoride and some other constituents in tea infusions and their possible dental caries-preventive effect. AB - Tannic acid, total, complexed and ionized fluoride, calcium, total phosphate, zinc, aluminium, copper, iron, mercury and manganese were determined in infusions prepared from some or all of 30 brands of tea. Mercury and copper were not detected. Significant positive correlations were observed between fluoride, aluminium and manganese. The low reactivity of fluoride in tea infusions with powdered hydroxyapatite compared with that in dilute sodium fluoride solutions may be in part explained by the presence of aluminium and manganese. PMID- 6578765 TI - Volume change in the growing canine mandible measured by intra-vital fluorescent dye three-dimensional reconstruction. AB - A reconstruction method was employed to study the relative contributions of bone deposition and resorption to the overall growth of an individual bone. Total bone volume and incremental bone volume were measured for 24 mandibles spanning an age range from 22 to 211 days. No obvious relationship was demonstrated between the overall rate of bone formation and age; however, the rate of bone formation per unit volume of the jaw conformed to an exponential curve. The rate of increase in bone volume fell to nearly zero over the experimental period, whilst the rate of new bone addition levelled out at 12-13 mm3/cm3 per day. Thus there was significant bone remodelling after adult size was reached. PMID- 6578766 TI - Effects of sympathetic nerve activity on changes in the position of the rabbit incisor tooth evoked by acute alterations in arterial blood pressure. AB - The influence of the sympathetic innervation of periodontal blood vessels on the responses of the upper incisor tooth to sudden changes in mean arterial pressure was studied in 15 anaesthetized rabbits. Changes in axial position of the tooth were measured by ultrasonic transit time technique. With intact sympathetic nerves, the tooth showed small, if any, intrusive movements in response to 6-42 mm Hg reductions in arterial pressure evoked by stimulation of the aortic baroreceptor nerve. When exposed to similar periods of hypovolaemic hypotension, the intrusions were, on an average, 1 micron larger (p less than 0.01). After bilateral sectioning of the cervical sympathetic nerves, tooth intrusions in response to both types of pressure reduction became more marked, as did the extrusive movements evoked by abrupt increases in aortic pressure (produced by inflation of intra-aortic balloon). After sympathectomy, a 19 +/- 6 mm Hg rise in pressure caused extrusions of 6 +/- 3 microns, or 2 microns more than before the sympathectomy (p less than 0.01). The results suggest that the activity in sympathetic nerves to periodontal blood vessels may be inhibited by central nervous mechanisms and that the sympathetic innervation of the periodontal vasculature serves to minimize changes in tooth position brought on by sudden alterations in arterial pressure. PMID- 6578767 TI - Detection of the hypothiocyanite (OSCN-) ion in human parotid saliva and the effect of pH on OSCN- generation in the salivary peroxidase antimicrobial system. AB - Human whole saliva contains the hypothiocyanite ion (OSCN-) which is the principal antimicrobial product of the salivary peroxidase system. The peroxidase system requires a source of peroxide in order to produce OSCN- and in the human mouth this source has been assumed to be primarily the peroxidogenic oral bacteria. However, we report here studies which show that samples of stimulated human parotid saliva collected directly from Stenson's duct have concentrations of OSCN- which are similar to those found in human whole saliva. Thus, the peroxidogenic bacteria are not an absolute requirement for the generation of significant levels of OSCN- in the human mouth. Supplementation of human whole saliva with components [thiocyanite (SCN-), hydrogen peroxide (H2O2)] of the peroxidase system produces a 10-fold or greater increase in OSCN- concentration. However, the magnitude of this increase is critically dependent upon pH and upon the relative and absolute concentrations of SCN- and H2O2. The pH dependence of OSCN- generation is similar for human whole saliva and for the lactoperoxidase/SCN-/H2O2 system. The optimum is in the range 6.5-7.0. Samples of parotid saliva adjusted to pH 6.5 and supplemented with appropriate amounts of SCN- and H2O2 show increases in OSCN- concentrations which are similar to those observed with whole saliva. The results show that there is a significant source of H2O2 within the parotid gland, that the OSCN- generating potential of parotid saliva is similar to that of whole saliva and that the enhancement of OSCN- levels in saliva by addition of SCN- and H2O2 is critically dependent upon pH and upon the relative and absolute concentrations of H2O2 and SCN-. PMID- 6578768 TI - The influence of crown size dimorphism on sex differences in the Carabelli trait and the canine distal accessory ridge in man. AB - When the two sexes were contrasted, Pima Indian males showed larger crown dimensions and more pronounced expressions of two morphologic variables, the Carabelli trait and the lower canine distal accessory ridge. In addition, a significant positive relationship was found between crown size and degree of expression of the morphologic traits. When regression analysis was utilized to control for male-female tooth size differences, the moderate dimorphism shown by Carabelli trait was reduced by about half. The more dimorphic distal accessory ridge, related primarily to mesio-distal diameter, also showed a lesser sex difference when crown size effects were held constant. While size dimorphism does contribute to morphologic dimorphism, factors unrelated to crown size still contribute the majority of variance present in trait expression both within and between sexes. PMID- 6578769 TI - A computer model of jaw and hyoid movement in the cat. AB - A digital model was used to study the varying movements of the feline jaw and hyoid in the sagittal plane. The effect of mandibular movement on the path of movement of the hyoid relative to the palate was investigated for model paths of movement of the hyoid, i.e. paths of movement that were always elliptical relative to the mandible. Major effects upon the path of movement of the hyoid relative to the palate were produced by two factors: (1) the presence of a fast open/fast close complex within the profile of jaw movement; (2) the time relationship of the backwards movement of the hyoid relative to that of the fast open/fast close complex. The average antero-posterior position of the hyoid in the mandibular plane and the angle of the major axis of the ellipse to that plane were less important factors. Within limits (relative to the mandible), the overall amplitude of the hyoid movement, its vertical position and the direction in which the ellipse was travelled were all unimportant factors in determining the general nature of hyoid movement relative to the palate. PMID- 6578770 TI - Isolation and serological typing of ureaplasma in human saliva. AB - Ureaplasmas were detected in the saliva of 3.5 per cent (12/342) of subjects. A total of 60 isolated strains did not revert to bacterial forms on repeated subculture in antibacterial agent-free media, failed to grow in serum-free media, were inhibited by digitonin and hydrolysed urea but not glucose or arginine. Twenty-five strains were divided into serotypes: I (5), II (3), III (5), IV (4) and VI (8 strains). Ureaplasmas of serotype I, II, III, IV and VI were harboured by 2, 1, 1, 1 and 3 subjects respectively and the remaining 4 subjects harboured 2 different serotypes. Ureaplasma-positive subjects were young and middle-aged and, except for 1 subject with mandibular arthrosis, suffered from periodontitis, pericoronitis, gingivitis and maxillary sinusitis. These accounted for only 6.1 per cent (11/180) of the series of subjects examined. PMID- 6578771 TI - Differences in basic proline-rich proteins in rat parotid saliva following chronic isoproterenol treatment or maintenance on a liquid diet. AB - The basic proline-rich proteins (BPRP) in the stimulated parotid saliva of rats treated for 8 days with isoproterenol and rats fed a liquid diet for 2 weeks were compared to those in the stimulated parotid saliva of untreated rats fed a stock pelleted-diet (control). In the control, the BPRP were separated into 5 groups designated Peak A (the basic proline-rich glycoprotein), SP-1, SP-2, SP-3 and SP 4. The percentage of BPRP in each group was as follows: Peak A, 6.5 per cent; SP 1, 37 per cent; SP-2, 6.5 per cent; SP-3, 32.4 per cent; SP-4, 17.6 per cent. In the parotid saliva of rats fed the liquid diet, proteins corresponding to Peak A and SP-2 were not present, the proportion of BPRP in SP-4 was increased to almost 90 per cent while the proportions of material in SP-1 and SP-3 were reduced to 3 and 8 per cent, respectively. In the saliva of rats subjected to chronic isoproterenol treatment, a protein corresponding to SP-4 was not present; proteins corresponding to Peak A, SP-1 and SP-3 were present and in amounts similar to their proportion in untreated rats although material in SP-2 increased to 36 per cent. PMID- 6578772 TI - Decline with age in the rate of reduction of progesterone to 20 alpha hydroxypregn-4-en-3-one in the blood of perinatal ruminants. AB - The activity of the enzyme 20 alpha-hydroxysteroid dehydrogenase present in erythrocytes of foetal and new-born ruminants has been determined by incubating 0.1 ml blood with 0.16 mumol [4-14C]-progesterone for 15 min at 39 degrees C in a final volume of 2 ml buffered saline. It was found that the activity, measured as mumol 20 alpha-hydroxypregn-4-en-3-one produced from progesterone per millilitre of erythrocytes per hour, declined from levels at birth as high as 1.50 mumol for sheep, 0.50 mumol for goats and 0.43 mumol for cattle to levels of around 0.11, 0.08 and 0.04 mumol respectively by 30-60 days of age. This decline in activity was also apparent in blood taken from sheep foetuses in which longitudinal studies were possible and appeared to have begun prior to 35 days before term. The highest activity obtained was 2.59 mumol for foetal sheep blood taken at 115 days of gestation. It is suggested that the observed decline in 20 alpha hydroxysteroid dehydrogenase activity is a function of the replacement of foetal erythrocytes with adult-type erythrocytes which begins around 120 days of gestational age and that the role of the enzyme is to maintain an appropriate progestational environment within the foetoplacental unit. PMID- 6578773 TI - Partial hydatidiform mole: ultrasonographic features. AB - Four patients with partial hyatidiform mole managed at the Queen Mary Hospital, Hong Kong, are described. The diagnosis of blighted ovum or missed abortion was made on the sonographic findings prior to suction evacuation. The dominant features in these cases consisted of a relatively large central transonic area bearing the appearance of an empty gestational sac and surrounded by a thick rim of low-level placenta-like echoes; in contrast with the case of the blighted ovum, a well-defined echogenic sac wall is absent. In another 9 patients with molar pregnancy managed during the same period, the more typical 'snow-storm' vesicular appearance was present. It was concluded that the anembryonic appearance described should alert the sonologist and clinician to the possible diagnosis of partial hydatitiform mole. The evacuated material from the uterine cavity should be examined morphologically and if possible cytogenetically. PMID- 6578774 TI - Management of fetal complete atrioventricular block. AB - Congenital atrioventricular block was diagnosed with B-mode and M-mode ultrasonography at the 30th week of gestation in a bradycardic fetus. Major anomalies were excluded and prenatal fetal well-being was monitored with daily B mode and maternal perception of fetal movement to detect circulatory derangement at an early stage. Because of the sudden onset of circulatory failure, emergency Caesarean section was performed to save the otherwise normal fetus. Two days later, the infant developed ventricular fibrillation, for which surgical intervention was indicated. Pacemaking was effective in reestablishing the neonatal circulation. PMID- 6578775 TI - Renal tubular acidosis presenting in pregnancy with severe hypokalaemia. PMID- 6578776 TI - Acute fatty liver of pregnancy--survival despite associated severe preeclampsia, coma and coagulopathy. AB - Acute fatty liver of pregnancy is the least common and most serious cause of jaundice of pregnancy. It is rare, fewer than 100 cases having been reported (Koff, 1981). There is a high probability that it is frequently misdiagnosed and categorized vaguely as some form of variant of 'toxaemia of pregnancy' which is not surprising because of its late-pregnancy onset and the production of multi system manifestations (Holzback, 1976). In the case reported here, there was associated severe preeclampsia with fetal intrauterine death but maternal survival. PMID- 6578777 TI - Angular and interstitial pregnancies should not be called 'cornual'. PMID- 6578778 TI - Chronic inversion of the uterus. PMID- 6578779 TI - Bowel complications in the management of ovarian cancer. AB - In a consecutive series of 163 patients referred with malignant ovarian tumours there were 24 (14.7%) who developed major bowel complications; 21 patients were operated upon for bowel obstruction and had a mean survival time of 8.1 months; 8 of the 24 patients are alive with cancer and 4 are alive without evidence of residual tumour. It is concluded that laparotomy is indicated when bowel complications occur in patients with ovarian carcinoma. PMID- 6578780 TI - Chromosome 1 C-band heteromorphisms in patients with carcinoma in situ and invasive carcinoma of the cervix uteri. AB - A significantly higher incidence of heteromorphism for the size of the C-band regions of the chromosome 1 homologues was found in the lymphocytes of patients with carcinoma in situ and invasive carcinoma of the cervix uteri than in controls (15 out of 19 and 12 out of 18 patients, respectively, as compared with 13 out of 38 controls). There was also a higher incidence of partial inversions of this region in patients with carcinoma in situ and invasive carcinoma although the differences from that found in the controls were not statistically significant. C-band variants of chromosome 1 may play a part in the cytogenetic events that determine the early stages of some forms of malignancy. PMID- 6578781 TI - Cystyl aminopeptidase in maternal serum for the antenatal recognition of fetal growth retardation. AB - An appraisal has been made of the usefulness of cystyl aminopeptidase (CAS, E.C. 3.4.11.3) activity patterns in the in utero detection of fetal growth retardation; 196 pregnancies at risk from placental insufficiency, classified into 9 aetiologic groups were considered. Absolute levels and trend of enzyme activity were studied in all cases and compared with the reference range of CAS activity established in 267 healthy pregnant subjects. Excluding multiple pregnancies, overall predictive value of CAS in defining fetal outcome in 186 'at risk' pregnancies was 72%, overall sensitivity and specificity being 82% and 71% respectively; 48% of the 'at risk' population delivered growth retarded infants, whereas the prevalence of growth retardation as diagnosed by CAS was 54%. Out of the 89 patients who delivered growth retarded infants, 73 exhibited abnormal CAS activity patterns. In twin pregnancies, values of CAS in 73% of the total number of assays were above mean plus 2 standard deviations for the respective gestational period. CAS in maternal serum is advocated as a simple and reliable antepartum indicator of fetal growth retardation and is suitable for the detection of twin pregnancy as early as the second trimester. PMID- 6578782 TI - The effect of maternal height on the fetal growth of New Zealand European singleton infants: 35-42 weeks' gestation. AB - Using a population of approximately 9,000 singleton deliveries collected over a 10-year period from a defined geographical area, the effect of maternal height on birthweight, length and head circumference was examined. Each 5 cm increase in maternal height accounted for an increase of 85g, 4.1 mm, and 1.5 mm respectively in these measurements in males; and 25g, 1.1 mm and 0.5 mm in females. When maternal height adjustments were used in conjunction with birth centile charts in the diagnosis of small-for-gestational-age infants, this condition was diagnosed less frequently where the mother was small, and more frequently when the mother was tall, than when the adjustment was not made. However, allowing for maternal height made no difference to the incidence of mortality or morbidity in small-for gestational-age babies. PMID- 6578783 TI - Prognostic predictions of threatened abortion. A comparison between real-time ultrasound, clinical assessment and urinary human chorionic gonadotrophin (HCG). AB - Seventy patients admitted to hospital before the 14th week of pregnancy with a diagnosis of threatened abortion were studied. A comparison of ultrasonography, clinical assessment, and urinary HCG levels revealed the superiority of ultrasound scanning in predictive accuracy and as an aid to clinical management, particularly after the 9th week of gestation. PMID- 6578784 TI - The practice of psychiatry in the community. PMID- 6578785 TI - Techniques in brief psychotherapy. AB - There is a need for clear definitions of psychotherapeutic techniques in order to allow for proper evaluation and application of the process of brief psychotherapy. The literature is reviewed on five technical factors germane to brief dynamic psychotherapy: time, activity, focus, transference and termination. With the exception of Malan's (1963, 1976a) finding of the efficacy of therapist parent interpretations there are no replicated data available to support the use of any particular technique. This lack of supporting evidence may reflect insufficient specificity and definition in the use of brief psychotherapy, and an excessively generalised approach to research. PMID- 6578786 TI - A treatment outline for depressive disorders. The Quality Assurance Project. AB - With College and Government support the Quality Assurance Project is developing a series of explicit and detailed treatment outlines of major psychiatric disorders for use in peer review. Three sources of information are used: a meta-analysis of the treatment outcome literature, the opinions of a sample of practising psychiatrists and the views of a panel of nominated experts. The present outline concerns the treatment of depressive disorders. The three sources of information were in agreement that tricyclic and allied antidepressants were the treatments of choice for endogenous depression and were also to be considered in persistent neurotic depressions. Electroconvulsive therapy was recommended in patients with endogenous depression who were severely ill, troubled by hallucinations and delusions or for whom the antidepressant drugs had not proven effective. The psychotherapies, both dynamic and behavioural, were regarded as the treatments of choice in neurotic depression. PMID- 6578787 TI - Disgust with life in general. AB - A syndrome is described which consists of three symptoms: a mood disturbance of fear and sadness, an inability to do anything useful, and an insensitivity to pain and pleasure. Since the fourth century this condition has been known as acedia. The arguments are reviewed for its distinction from mild depression. It is suggested that the condition may be due to a lack of satisfying work. PMID- 6578788 TI - Psychiatric hospital versus community treatment: the results of a randomised trial. AB - One hundred and twenty patients presenting for admission were randomly allocated into two groups. Controls received standard hospital care and after-care. Projects were not admitted if this could be avoided; instead they and their relatives were provided with comprehensive community treatment and a 24-hour crisis service. Patients with a primary diagnosis of alcohol or drug dependence, organic brain disorder or mental retardation were excluded. During the 12 months study period, 96% of controls were admitted, 51% more than once. Of the projects, 60% were not admitted at all and only 8% were admitted more than once. Controls spent an average of 53.5 days in psychiatric hospitals; projects spent an average of 8.4 days. Community treatment did not increase the burden upon the community, was considered to be significantly more satisfactory and helpful by patients and their relatives, achieved a clinically superior outcome, and cost less than standard care and after-care. PMID- 6578789 TI - A review of research relevant to custody and access disputes. AB - With the high rate of marriage breakdown, increasing numbers of children are becoming the subjects of custody and access disputes. The Courts are looking to the services of psychiatrists in these matters. They value our expert opinion on the least detrimental available alternative for the child. This paper reviews available research data which are relevant to psychiatric testimony on the determination of exclusive custody, joint custody and access. It is concluded that there is emerging an objective body of data which can buttress psychiatric opinion in these matters, but that a number of the principles which have guided the Courts to date, have not been thoroughly researched. PMID- 6578791 TI - Quality assurance in aspects of psychiatric practice. PMID- 6578790 TI - An application of strategic family therapy to a residential child and family psychiatry service: Redbank House. AB - This paper describes the application of strategic family therapy as the core treatment model in a teaching hospital child and family psychiatry service providing outpatient and residential care. The admission of the whole family is seen as a desirable innovation in that it may prevent the process by which admission of the troubled child acts as reinforcement to, and a continuation of, family dysfunction. PMID- 6578792 TI - Children of alcoholics. PMID- 6578793 TI - Daily ECT. PMID- 6578794 TI - The influence of changes in tension on protein synthesis and prostaglandin release in isolated rabbit muscles. AB - Intermittent stretching of isolated rabbit muscles increased the rate of protein synthesis by 70% and prostaglandin-F2 alpha release by 105%. Both effects of intermittent stretching were blocked by indomethacin and meclofenamate; the absence of Ca2+ together with added EGTA also inhibited both processes. The residual influence of intermittent stretching on protein synthesis was closely correlated with prostaglandin-F2 alpha release, which may be the link between mechanical activity and protein synthesis in skeletal muscle. PMID- 6578795 TI - Purification and characterization of enkephalin-degradating enzymes from calf brain striatum. AB - Enkephalinase A and B are extracted from Triton-X 100 washed calf-brain particles and purified by DEAE-cellulose chromatography. Both enzymes have identical Km values in their membrane-bound and soluble form. Enkephalinase A has a pH optimum at 6.9 and a Km for Leu-enkephalin of 20-25 microM, which hardly depends on the pH. Thiorphan and phosphate are purely competitive inhibitors of Enkephalinase A with Ki values of 3 nM and 1.5 mM respectively (pH = 6.85). Enkephalinase B is not affected by phosphate or thiorphan. It has a Km for Leu-enkephalin of 10 microM, a pH optimum of 7.0 and is inhibited by low concentrations of apolar dipeptides. PMID- 6578796 TI - Manipulation of the local thromboxane and prostacyclin balance in vivo by the antithrombotic compounds dazoxiben, acetylsalicylic acid and nafazatrom. AB - We have developed an experimental model for the study of local prostaglandin production by platelets and the vessel wall following stimulation 'in vivo'. A nylon thread was inserted into the external jugular vein of rabbits; its presence did not induce an occluding thrombus. Thromboxane (TXB2) values in the blood, sampled through the facial vein, immediately distal to the stimulus, rose and remained high for at least 4 hr, while 6-keto prostaglandin (PG) F1 alpha levels, after a first increase, gradually returned to normal ('exhaustion' of the endothelial cells?). No changes were observed in the contralateral jugular vein without thread. After infusion via the femoral vein of 10 mg/kg dazoxiben, a thromboxane synthetase inhibitor, local TXB2 production was completely abolished, whereas 6-keto PGF1 alpha formation no longer returned to basal values, but tended to increase. This leads to the conclusion that upon inhibition of TXB2 formation endoperoxide metabolism is reoriented 'in vivo' towards prostacyclin, and this mainly at the site where platelets are activated. Injection of 100 mg/kg lysine acetylsalicylic acid resulted in complete inhibition of TXB2 and 6-keto PGF1 alpha formation, the latter, however, slowly recovering with time. The administration of nafazatrom to the animals did not influence the local TXB2 changes, but partially prevented the decline of 6-keto PGF1 alpha with time. The antithrombotic properties of this drug thus could be related to protection of the endothelial cells from 'exhaustion'. PMID- 6578797 TI - Application of monoclonal antibodies to the characterization of cells eluted from human articular cartilage. Expression of Ia antigens in certain diseases and identification of an 85-kD cell surface molecule accumulated in the pericellular matrix. PMID- 6578798 TI - [Acute myelo-monocytic leukemia with collagenous medullary fibrosis and osteosclerotic lesions]. AB - A case of acute myelo-monocytic leukemia (M4) in a 75 year old man with multiple osteosclerotic lesions is reported. Bone metastases were clinically and radiologically suspected. A surgical bone marrow biopsy at the iliac crest revealed a massive infiltrate of blasts with medullary fibrosis, large areas of osteosclerosis and foci of necrosis. Osteosclerosis is rarely observed during acute leukemias in adults. Differential diagnosis with acute myelofibrosis is discussed. PMID- 6578799 TI - [Amylo-1,6-glucosidase deficiency-glucogenosis (glycogen debranching enzyme). Report of a case with functional and histologic enzyme studies]. PMID- 6578801 TI - [Effects of phenobarbital on the metabolism of ACNU in vivo]. AB - The nitrosourea compounds are often used in the treatment of patients with malignant brain tumors in combination with anticonvulsants, such as phenobarbital (PB). Since PB can induce hepatic microsomal enzyme--P 450 and degrade nitrosoureas in vivo, the effect of PB on tumoricidal activity in relation to toxicity of 3-[(4-amino-2-methyl-5-pyrimidinyl)-methyl]-1-(2-chloroethyl)-1 nitrosourea (ACNU) was studied using a rat brain tumor model. To determine toxicity, CD-Fisher rats were treated for 4 days with 19 and 38 mg/kg/day of PB (i.m), 0.4 and 0.7 g/kg/day of sodium valproate--SV (p.o), or 3 days with 50 mg/kg of phenytoin (i.v) prior to an administration of 47 mg/kg of ACNU (i.p). The mortality rate by the toxicity within 14 days after administration of ACNU was calculated in each group. The toxicity of ACNU was markedly reduced in PB pretreated rats compared with those without pretreatment or treated with SV or phenytoin. The tumoricidal activity of ACNU was evaluated in CD-Fisher rats with RG 12 brain tumors. Rats received 20 mg/kg ACNU after pretreatment with 19 mg/kg/day of PB (i.m) or 0.2 g/kg/day of SV (p.o) for 4 days. The mean survival days and the percentage increase in life span (%ILS) were compared in each group. Pretreatment with PB significantly reduced the tumoricidal activity of ACNU as compared with control without pretreatment (p less than 0.001) or pretreatment with SV (p less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6578800 TI - [New contributions on extinction tests of essential headache. II. The test with indoprofen]. AB - The authors described the results about the action of indoprofen (i.v. 400 mg) in three subjects affected by premenstrual migraine. They showed decreased levels of PGF2 alpha in the cerebrospinal fluid evaluated by gas-chromatography and mass spectrometry. The samples were extracted at 0, 15, 30 and 45 minutes. The levels of pain, was also decreased, they were evaluated by the analogic visual scale (V.A.S.). PMID- 6578802 TI - Social skills and dentistry. PMID- 6578803 TI - Day case dental anesthesia. PMID- 6578804 TI - Covert caries detection. PMID- 6578805 TI - General anesthesia and sedation. PMID- 6578806 TI - Product licensing and dental materials. PMID- 6578807 TI - Contact dermatitis and cervical headgear. PMID- 6578808 TI - Diet and the fall in caries prevalence. PMID- 6578809 TI - Do-it-yourself extraction of mandibular premolar with a bath plug. PMID- 6578810 TI - Facial fractures and seat belts. PMID- 6578811 TI - Union action? PMID- 6578812 TI - Devising retention for maxillary obturators. PMID- 6578813 TI - The use of physiotherapy in the treatment of temporomandibular disorders. PMID- 6578814 TI - Oral leukoplakia and cryotherapy. PMID- 6578815 TI - Megadontism associated with traumatic loss of a permanent central incisor. A rare coincidence. PMID- 6578816 TI - Cherubism with serial stereophotogrammetric assessment. PMID- 6578817 TI - Improving British orthodontic services. PMID- 6578818 TI - Attitudes of dental hygienists. PMID- 6578819 TI - Effects of root canal irrigants. PMID- 6578820 TI - Improving British orthodontic services. PMID- 6578821 TI - The histopathology of enamel caries in young and old permanent teeth. PMID- 6578822 TI - Changes in the dental health of Salford secondary school children over six years. PMID- 6578823 TI - Dental health in old age. PMID- 6578824 TI - British undergraduate orthodontic teaching 1951-1981. A report by the Association of University Teachers of Orthodontics. PMID- 6578825 TI - A new valveless all-purpose ventilator. Description and laboratory evaluation. AB - A ventilator, of new design, is described which has been evaluated on a lung model and in animals. It is simple, versatile, inexpensive and easy to sterilize. A single breathing tube is used in which the respiratory gas is introduced near the patient's airway while a jet in a more distal part of the tube drives the respiratory gas into the patient's lungs. Provided the internal volume between the respiratory gas inlet and the driving jet is at least one tidal volume, the driving gas does not take part in respiratory gas exchange. During controlled ventilation only normal ventilation volumes of respiratory fresh gas are required during both normal and high frequency ventilation. It can be used for any age group with any desired respiratory gas, and is suitable for use in the operating theatre and the intensive care unit. As there are no valves in the breathing system, which is open to the atmosphere at all times, complicated systems for synchronizing the machine with spontaneous breathing are not required. PEEP, NEEP, CPAP and IMV are applied easily. PMID- 6578826 TI - A new valveless all-purpose ventilator. Clinical evaluation. AB - Preliminary clinical evaluation of a new ventilator, which embodies a new valveless design principle and a circuit which is open to atmosphere, has been performed on adult patients undergoing surgery. Using normal respiratory fresh gas flows (100 ml kg-1 min-1) PaCO2 and PaO2 were the same as with a conventional ventilator. High frequency ventilation (HFV) up to 100 b.p.m. caused no statistically significant changes in PaCO2 and PaO2. The peak airway pressures were 30% less than with a Manley ventilator and decreased by a further 40% during HFV, PEEP, NEEP, CPAP and IMV were easily applied. PMID- 6578827 TI - Alcoholism and the involvement of psychiatry. PMID- 6578828 TI - Alcohol dependence and responsivity to an ethanol stimulus as predictors of alcohol consumption. PMID- 6578829 TI - An instrument for measuring coping behaviours in hospitalized alcoholics: implications for relapse prevention treatment. PMID- 6578830 TI - Management problems in a small hostel with a controlled drinking programme. PMID- 6578831 TI - Increasing alcohol consumption correlated with hospital admission rates. PMID- 6578832 TI - Behavioural patterns of alcohol use among young adults in Britain and Zimbabwe. PMID- 6578833 TI - Natural history of male alcoholism V: is alcoholism the cart or the horse to sociopathy? PMID- 6578834 TI - Childhood leukaemia: a relationship between intracellular 6-mercaptopurine metabolites and neutropenia. AB - 6-Mercaptopurine is extensively used in the treatment of childhood lymphoblastic leukaemia to prolong the duration of remission achieved with other drugs. The response to remission maintenance therapy varies widely. We investigated the relationship between red blood cell 6-thioguanine nucleotide, a metabolite of 6 mercaptopurine, and myelosuppression in 22 children with acute lymphoblastic leukaemia in remission. The peripheral neutrophil count was used as an index of myelosuppression. 6-Mercaptopurine dose was related to 6-thioguanine nucleotide concentration (r = 0.4; P less than 0.001; n = 90; y = 18.51 + 0.36 x). Large individual variations around the regression line are observed. Neither 6 mercaptopurine dose nor 6-thioguanine nucleotide concentration was related to the neutrophil count at the time of sampling (day 0) or 7 days later. Both 6 mercaptopurine dose and 6-thioguanine nucleotide concentration correlated with the neutrophil count at day 14 (r = -0.33; P less than 0.01; n = 90 and r = -0.3; P less than 0.01; n = 90 respectively). This delay is compatible with a cytotoxic action on bone marrow stem cells. Excluding children with other, uncontrolled, potentially myelosuppressive influences the correlation between 6-thioguanine nucleotide concentration and neutropenia improved (r = -0.6; P less than 0.001; n = 37). A significant degree of neutropenia was observed by day 14 if the 6 thioguanine nucleotide concentration (day 0) was greater than 210 pmol/8 X 10(8) RBCs. The assay of 6-thioguanine nucleotide may highlight those individuals with pharmacokinetic resistance. Two children on continuous high dose 6 mercaptopurine, had low red blood cell 6-thioguanine nucleotide concentrations and neutropenia was not observed. PMID- 6578836 TI - Pulsatile cutaneous haemorrhage in Paget's disease of the bone. PMID- 6578837 TI - Quantitation of chemosensitivity in acute myelocytic leukaemia. AB - A system for the prediction of clinical response in acute myelocytic leukaemia (AML), based on inhibition of growth of colony forming cells (CFC) was studied. If the product of initial drug concentration and time of exposure (C X T) was constant, the response to adriamycin (Adr) was constant, at T values less than 48 h. No constancy of response to the phase-specific agents cytosine arabinoside (Ara-C) and 6-thioguanine (6TG) was demonstrated with constant C X T (T value range 0.25-48 h). Hence in the predictive test, a 1 h incubation with Adr was employed whilst a continuous exposure to Ara-C and 6TG, with these drugs incorporated in the agar medium, was used. The in vitro sensitivity to Adr, Ara-C and 6TG of 19 AML patients and the predictive value of several parameters of sensitivity were evaluated. 6TG sensitivity was not useful for prediction of remission. Adr sensitivity in vitro made a greater contribution to prediction of remission than did Ara-C sensitivity. Seventy-nine percent of patients were correctly classified if Adr data alone were considered. A multivariate function including Adr and Ara-C results was obtained which resulted in 84% of patients correctly classified as sensitive or resistant to the agents received in remission-induction therapy. PMID- 6578838 TI - The prevalence of enterococci in the dental plaque of chronic hospital patients. AB - Enterococci have caused 2 of 3 reported cases of infective endocarditis following dental treatment of patients receiving haemodialysis. Since this could indicate an increased carriage rate of enterococci in the mouths of such patients, the prevalence of enterococci in dental plaque was compared in four groups of subjects, chronic dialysis patients, chronic cardiac patients, medical staff and dental hospital out-patients. The isolation of enterococci was significantly increased in both chronic patient groups and this may be related to their greater exposure to antibiotic therapy. PMID- 6578839 TI - Bilateral parotid gland aplasia. AB - Bilateral parotid gland aplasia is a cause of xerostomia. A case is presented in which the clinical diagnosis was confirmed with the use of 99mTcO-4 salivary gland scintiscanning and computerised tomography. The literature of this rare condition is reviewed and significance to the patient discussed. PMID- 6578835 TI - Interaction of bemetizide and indomethacin in the kidney. AB - The effect of a single oral dose of 25 mg bemetizide on renal function without and with concomitant administration of the prostaglandin synthesis inhibitor indomethacin was investigated in ten healthy volunteers during sustained water diuresis. Bemetizide induced a significant increase in urinary sodium and chloride excretion from 196 +/- 30 and 163 +/- 28 mumol/min to 690 +/- 54 and 537 +/- 51 mumol/min (P less than 0.01). This effect occurred in the absence of changes in glomerular filtration rate, urinary excretion of phosphate or the delivery of chloride beyond the proximal nephron to the distal tubules (distal delivery) [(CH2O + CCl)/GFR . 100], but was associated with a significant decrease in distal fractional chloride absorption (DFACl) [CH2O/(CH2O + CCl)] from 0.84 +/- 0.02 to 0.63 +/- 0.02 (P less than 0.01). Bemetizide also increased urinary excretion of prostaglandin (PG) E2. Concomitant indomethacin administration significantly suppressed urinary excretion of PGE2 and markedly decreased urinary excretion of sodium and chloride during control and following bemetizide administration. Indomethacin had no effect on glomerular filtration rate, urinary excretion of phosphate, distal delivery or the urinary excretion of bemetizide but significantly increased DFACl both during control and after bemetizide administration. Our results show that bemetizide as a thiazide diuretic acts in the diluting segments of the nephron. Indomethacin administration induces retention of sodium and chloride and blunts the renal effects of bemetizide via increased absorption in the diluting segments. The interaction of both drugs most likely represents a pharmacodynamic interaction. PMID- 6578840 TI - Root resorption associated with autotransplanted maxillary canine teeth. AB - A brief review of the published results of autotransplanting maxillary canine teeth has been presented together with the results of a prospective study in which 141 maxillary canine teeth were surgically repositioned in 113 patients, but not root-treated unless resorption occurred. Attention was given to assessing factors (age, sex, tooth positions, surgical difficulty, time out of mouth, acute infection, periodontal disease, caries, occlusion, formation of lamina dura) associated with root resorption of the transplanted teeth but no particular factor of significance emerged. It has been speculated that early post-operative root canal treatment and/or a two-stage technique might reduce the incidence of root resorption of autotransplanted teeth. PMID- 6578841 TI - Immunoglobulin producing cells in human periapical granulomas. AB - Ten cases of periapical granuloma were stained for igG, IgA, IgM, IgD and IgE by the unlabelled antibody peroxidase-antiperoxidase complex method to investigate the class distribution of plasma cells within the lesions. The results indicated that IgG containing plasma cells predominated in all lesions and that IgG, IgA, IgM, IgE and IgD cells represented 81.9, 11.4, 5.4, 1.1 and 0.2 per cent respectively, of the total positive cell population. All specimens contained IgE plasma cells in addition to many non-lymphoid cells showing membrane-like staining for IgE. The results suggest that in addition to tissue damage via local deposition of immune complexes IgE mediated immediate hypersensitivity reactions may have a role in pathogenesis. PMID- 6578842 TI - Traumatic neuroma following sagittal split mandibular osteotomy. AB - A 23-year-old female patient had a sagittal split mandibular osteotomy performed to correct prognathism. Two years after surgery she developed pain in the distribution of the right inferior dental and mental nerves. The area was investigated surgically and a traumatic neuroma was excised. PMID- 6578843 TI - Acute orbital cellulitis: a multidisciplinary emergency. AB - A case of acute orbital cellulitis in an adolescent girl is reported and compared with ten cases treated in the same hospital in recent years. The clinical features and stages of orbital cellulitis and its differentiation from cavernous sinus thrombophlebitis is discussed. Although these complications are nowadays rare with modern chemotherapy and antibiotics, they may still occasionally result in blindness and death. (Duke-Elder et al., 1974). PMID- 6578844 TI - The trans-nasal Kirschner wire as a method of fixation of the unstable fracture of the zygomatic complex. AB - A technique for the fixation of the unstable zygomatic complex is described and compared with other methods currently available. PMID- 6578845 TI - Evaluation of metacarpal bone plates in the mandibular fracture. AB - Of 1587 mandibular fractures, 75 (4.7 per cent) were treated by open reduction with metacarpal bone plates. The plated fractures were reviewed and evaluated for failure. Seventeen plates of the 96 placed were removed (17.7 per cent). Infection was the major cause of failure (9.4 per cent). Operator error played a role in the failure of eight out of 17 plates (47.1 per cent). Various aspects were studied in order to find the significant factors present, and these are discussed. PMID- 6578846 TI - Benign conditions of the temporomandibular joint: a diagnostic dilemma. AB - The diagnosis of certain benign conditions affecting the condyle in the temporomandibular joint can be difficult. A spectrum of osteomas, condylar hyperplasia and synovial chondromatosis can all present the same clinical and radiological picture, while the histological appearance may be difficult to interpret and are often misleading. Trauma, local infection or surgery may play a part in the development of these pathologies. A case is reported which clearly illustrates the difficulties of diagnosis of these benign conditions. PMID- 6578847 TI - Oro-nasal fistula occurring after a simple dental extraction. AB - A case is presented of an oro-nasal fistula appearing after a simple dental extraction. A conservative approach resulted in complete and uncomplicated resolution. PMID- 6578848 TI - Properties of a human lymphoblast AP-endonuclease associated with activity for DNA damaged by ultraviolet light, gamma-rays, or osmium tetroxide. AB - An endonuclease activity for UV-irradiated DNA, gamma-irradiated DNA, and OsO4 treated DNA that was partially purified from human lymphoblasts was found to have associated with it an endonuclease activity for partially depurinated DNA. When this apurinic endonuclease (Endo A) was characterized and compared with the cells' major apurinic endonuclease (Endo B), several notable differences were observed. (1) Endo A bound to oxidized DNA-Sepharose under conditions where Endo B did not. (2) Endo A did not require Mg2+, retaining full activity in 10 mM ethylenediamine-tetraacetic acid, while Endo B showed an absolute requirement for Mg2+. (3) Whereas the nicks made in depurinated DNA by Endo B were efficient priming sites for Escherichia coli polymerase I, those made by Endo A were not. Further characterization of the nicks indicated that Endo A incises depurinated DNA 3' to apurinic sites, leaving 3'-terminal deoxyribose, a poor priming site for DNA synthesis. Endo A action on UV-irradiated DNA produced nicks that resembled those it made in depurinated DNA, suggesting that the UV endonuclease activity acts through an apurinic/apyrimidinic site intermediate. PMID- 6578850 TI - Endometrial prostaglandin E2 binding: characterization in rats sensitized for the decidual cell reaction and changes during pseudopregnancy. AB - As an initial step in testing the hypothesis that uterine receptivity for blastocyst implantation and sensitivity for decidualization are controlled in part by the presence of functional receptors for prostaglandin E2 (PGE2) in the endometrium, we have characterized the high-affinity binding of [3H]PGE2 to an endometrial membrane preparation from ovariectomized rats treated with progesterone and estradiol so that their uteri were sensitized for the decidual cell reaction. As determined by Scatchard analysis, a single class of [3H]PGE2 binding sites with an apparent Kd ranging from 2 to 6 nM and a capacity of approximately 100 fmol/mg protein was found. Prostaglandins E1 and E2 competed equally for binding while relative cross-reactivity of other prostanoids and compounds tested was less than 3%. Binding was temperature-dependent and reversible. Under the assay conditions used, no metabolism of [3H]PGE2 was detectable. Pretreatment of the membrane preparation with proteolytic enzymes, or by heating, reduced subsequent specific [3H]PGE2 binding. These data are consistent with the presence of endometrial PGE receptors in the sensitized endometrium. The binding of [3H]PGE2 to endometrial membrane preparations from rats on Days 2 to 7 pseudopregnancy was determined. No specific binding could be detected on Day 2. A low binding capacity was found on Days 3 and 4; this increased markedly on Day 5 and reached a maximum on Day 6. These data indicate that the onset of uterine receptivity/sensitivity is temporally correlated with the appearance of endometrial PGE binding sites. PMID- 6578849 TI - Analysis of prostaglandins formed from endogenous and exogenous arachidonic acid in homogenates of human reproductive tissues. AB - Isotope-labelled arachidonic acid has been used to study in vitro formation of prostaglandins and other products in mammalian tissue. Quantitative conclusions about cyclooxygenase activity have been drawn from such studies. However, arachidonic acid is present in all tissues, free and esterified, and therefore it can be expected that endogenous arachidonate would interfere with transformation of the radioactive exogenous substrate. (1-14C)-labelled arachidonate was, therefore, incubated with homogenates of various human tissues (amnion, chrorion, placenta and myometrium), and the two molecular forms, 12C and 14C, of arachidonic acid as well as of prostaglandin E2 and prostaglandin F2 alpha were quantitated, before and after 30 min of incubation, using gas chromatography-mass spectrometry with multiple ion detection. The results demonstrate a substantial release of arachidonic acid into the medium during incubation. There was no correlation between either the initial concentration of [12C]arachidonic acid and initial concentration of [12C]prostaglandin E2 or the percent increase of those compounds during incubation. The net formation of [12C]prostaglandin E2 and [14C]prostaglandin E2 from endogenous and exogenous precursor, respectively, were also very different. The study shows that by simply incubating (1-14C)-labelled arachidonic acid in tissue homogenates and measuring the amount of radioactivity transformed into various prostaglandins only qualitative conclusions can be drawn. PMID- 6578851 TI - Endometrial prostaglandin E2 binding during the estrous cycle and its hormonal control in ovariectomized rats. AB - Binding of [3H] prostaglandin E2 ([3H]PGE2) to endometrial membrane preparations obtained from rats at known stages of the estrous cycle and from ovariectomized rats treated with various combinations of progesterone and estradiol was determined. No specific, high-affinity binding of [3H]PGE2 could be detected by endometrial membrane preparations obtained throughout the estrous cycle. In ovariectomized rats treated with progesterone and estradiol to induce either the neutral, receptive or postreceptive phase of the endometrium for blastocyst implantation, the greatest concentration of endometrial PGE binding sites was found in the preparations from the neutral phase. Treatment of ovariectomized animals with estradiol and progesterone, alone or combined, revealed that endometrial PGE binding sites were progesterone-dependent, and were first detectable 48 h after the initiation of progesterone treatment. Following separation of the endometrial luminal epithelium and stroma in progesterone treated ovariectomized rats, PGE binding sites were detected only in the stromal membrane preparation. The results indicate the endometrial PGE binding sites in the rat are under hormonal control and that no simple relationship exists between the concentration of endometrial binding sites and uterine sensitization for the decidual cell reaction. PMID- 6578852 TI - Uterine and placental prostaglandins and their modulation of oxytocin sensitivity and contractility in the parturient uterus. AB - The parturient uterus develops a markedly enhanced sensitivity to the uterotonic action of oxytocin (OT). The mechanism leading to this enhanced OT sensitivity is not known. Our previous work suggested that prostaglandins (PGs) may be involved. To define the relationship between OT sensitivity and uterine PG production, we measured uterine sensitivity to OT by a quantitative dose-response procedure in rats on Days 19, 20, 21 and 22 of pregnancy and monitored uterine and placental tissue concentrations of PGF2 alpha and PGE2. In addition, we determined the effects of inhibition of endogenous PG synthesis on OT sensitivity and uterine contractility. We found that both OT sensitivity and spontaneous contractility are positively related to uterine PGF2 alpha production. An abrupt increase in OT sensitivity was observed on Days 21 and 22 of pregnancy. The increase in OT sensitivity was coincidental with the marked increase in PGF2 alpha production in the uterus on Days 21 and 22 of pregnancy. Suppression of in vivo PG synthesis caused a reduction in both spontaneous uterine contractility and OT-induced contractions. Uterine PGE2 concentrations and release were 3-5 times lower than PGF2 alpha. There were no significant fluctuations of uterine PGE2 concentration measured on these last 4 days of gestation. Placental PG levels were also found not to be related to uterine contractility. Placental PGE2 levels were higher than PGF2 alpha and may play a regulatory role in placental perfusion. However, placental PGs did not vary with gestational age. PMID- 6578853 TI - Electroimmunoassay. A new competitive protein-binding assay using antibody sensitive electrodes. AB - A novel technique is reported in which an antibody-sensitive electrode for anti prostaglandin E2 antisera was used to measure solution-phase PGE2 in nanomolar quantities. The electrode was constructed by incorporating a cation-selective ionophore-hapten (PGE2) conjugate into a polyvinyl chloride membrane. Transmembrane potential in a fixed potassium gradient was measured. The addition of anti-PGE2 antisera changed membrane potential in a concentration-dependent manner. The effect of anti-PGE2 antibodies on membrane potential was decreased by adding free PGE2 to the buffer-containing antisera. With this technique a competitive protein-binding assay was developed, and standard curves for solution phase PGE2 were generated over a concentration range of 1 to 1,000 nM. The assay was relatively specific for PGE2; PGD2 and PGF2a had only minor effects on transmembrane potential over the effective concentration range for PGE2. PMID- 6578854 TI - The ribosomal proteins phosphorylated in vitro by protein kinase activities from Krebs II ascites cells. AB - Studies were performed to identify in cytoplasmic extracts of Krebs II ascites cells protein kinase activities that might be responsible for the phosphorylation of the ribosomal proteins previously identified as phosphoproteins in these cells in vivo. Column chromatography resolved a casein kinase activity that could use ATP or GTP as a phosphoryl donor to phosphorylate, in ribosomes, exclusively the acidic 60S phosphoprotein(s) phosphorylated in vivo. A second casein kinase fraction could use ATP, only, in a similar reaction, but also contained protein kinase activity with respect to other ribosomal proteins, including the basic ribosomal protein phosphorylated in vivo, ribosomal protein S6. This latter was also among several proteins phosphorylated by an activity in the cyclic AMP independent histone kinase fraction. PMID- 6578855 TI - [Derivation of a mutant (HPRT-) cell line based on K-562 human erythromyeloleukemia]. AB - A mutant (HPRT-) cell line was obtained by a series of passages in the medium with 8-azaguanine on the basis of human erythromyeloleukemia K-562 cells. Rapid total death of the cells in a selective medium containing hypoxanthine, aminopterine and thymidine (3 to 4 passages) supported the deficiency as regards hypoxanthine phosphoribosyltransferase. Preliminary experiments aimed at cytotoxicity studies demonstrated that the new mutant cell line lost the property, common to the parent K-562 line, of being sensitive to the attack of natural killers. PMID- 6578856 TI - In vivo modulation of murine myelopoiesis following intravenous administration of prostaglandin E2. AB - The effects of in vivo administration of prostaglandin E2 (PGE2) on several hematologic parameters were investigated in intact mice under both steady-state conditions and in mice hematopoietically rebounding following a sublethal injection of cyclophosphamide. Intravenous injection of native PGE2, or 16,16 dimethyl-PGE2, an enzymatically stable analog of PGE2, resulted in the significant suppression of nucleated bone marrow and splenic cellularity, total resident nucleated peritoneal cells, and the absolute number of detectable granulocyte-macrophage progenitor cells (CFU-GM) per femur or spleen when administered for 3 or 7 consecutive days. The in vivo effects of 16,16 dimethyl PGE2 were more pronounced on the cyclophosphamide-treated mice. Dose titration analysis of the effects of 16,16 dimethyl-PGE2 revealed significant suppression of hematologic parameters over a concentration range of 10 micrograms-10(-5) micrograms/mouse/day (10(-5) M-10(-11) M). The reduction in total nucleated marrow, splenic, and peritoneal cellularity observed following PGE2 administration resulted from a selective effect on nonspecific esterase-positive cells. In situ morphological analysis of the progeny of CFU-GM proliferating in cultures established from mice treated with PGE2 in vivo indicated that the reduction in absolute CFU-GM observed resulted from a preferential effect on those colony-forming cells restricted to monocyte-macrophage differentiation. Prostaglandin F2 alpha was without stimulatory or inhibitory effects in vivo on the hematopoietic parameters investigated. PMID- 6578857 TI - Canine bronchoalveolar cells: antigen-presenting macrophages are Ia-positive, lymphocytes are of non-B lineage. AB - Subsegmental bronchoalveolar lavages were performed in 18 healthy beagles. The average yield per lavage was 45 X 10(6) cells consisting on the average of 24% lymphocytes, 71% macrophages, and 4% granulocytes. Cells were further examined in cytofluorometric studies using monoclonal (anti-Ia, antilymphocyte, anti-T) and polyspecific (anti-Ig) antibodies. Sixty to 90% of lymphocytes were T cells as determined by the T cell antibody DT-2. No surface immunoglobulin-positive cells (B cells) could be detected. All macrophages expressed Ia antigens (p 29/34) whereas lymphocytes did not. In assays of concanavalin A-induced blastogenesis of thymocytes, alveolar macrophages functioned as accessory cells. The anti-Ia antibody 7.2 interfered with this function, indicating that Ia antigens on canine alveolar macrophages are involved in interaction with T cells resulting in T cell proliferation. PMID- 6578859 TI - Remarks to the annual stated meeting of the New York Academy of Medicine. PMID- 6578858 TI - Acute lymphoblastic leukemia hand-mirror cells. Study of nine cases. AB - Acute lymphoblastic leukemia with hand-mirror cells (HMC) was diagnosed in nine adult patients. Blast HMC were seen only in the bone marrow (12-57% range). Cytochemical studies revealed a positive reaction to tartrate-sensitive acid phosphatase in the tail portion of the cells in seven cases, with a strong, localized cytoplasmic reaction in four. Leukemic cells lacked surface immunoglobulins and were E rosette negative in all cases. Normal levels of adenosine deaminase activity (ADA) were found in five of the seven patients. Electron microscope studies confirmed the hand-mirror shape of the cell. These HMC contained large numbers of mitochondria and microspikes in the handle portion of the cell. The patients failed to respond to initial conventional ALL chemotherapy, but the prolonged survival with passable health of the majority of these, despite their lack of complete remission, is emphasized. PMID- 6578860 TI - A short review of perinatal pharmacology. PMID- 6578861 TI - Pemoline induced chorea and Gilles de la Tourette's syndrome. PMID- 6578862 TI - Prostaglandins and acute pancreatitis--experimental and clinical studies. AB - Acute pancreatitis has a mortality of 10-20 per cent, and in cases of acute haemorrhagic pancreatitis this rises to 80-90 per cent. At present there is no reliable treatment for this condition. Based on the hypothesis that the release locally and systemically of the intracellularly activated pancreatic digestive enzymes is due to cell membrane instability, we have studied the cytoprotective (cell membrane stabilizing) role of prostaglandins in this condition. In the first part of this study, an animal model of acute pancreatitis with a mortality of 100 per cent by 14 days has been established by feeding mice a choline deficient ethionine supplemented diet. Using this model we have demonstrated improved survival (16 out of 50 survived 14 days or longer) by administering prostaglandin E2 subcutaneously (P less than 0 X 02). We have demonstrated that the improved survival is dose-dependent, in the range 2 X 5-5 X 0 mg/kg body weight 8 hourly (P less than 0 X 02) and time-dependent, still being effective if treatment is delayed for 24 h (P less than 0 X 02). Great emphasis has been placed on not commencing treatment until after the induction of acute pancreatitis. In the second part we have used cell membrane marker enzymes to study the cell membrane stabilizing effect of prostaglandin E2 in the human. It has been demonstrated that cell membrane instability occurs. In 12 of 50 episodes treated by prostaglandin E2 infusion, the lysosomal, mitochondrial and cell membranes are stabilized, thus decreasing the release of intracellular enzymes. PMID- 6578863 TI - A case report of pathological rule-governed syllable intrusion. AB - A detailed analysis of a unique speech disturbance, marked by the frequent appearance in the speech stream of a meaningless intrusive syllable, is presented. Following a lengthy thoracic surgery, an American English speaking patient began to speak with non-English prosodic patterns, which evolved to a conspicuous intrusion in his speech of the syllable /sis/. This syllable and its variants were attached to words in a manner which conformed to the regular phonological rules in English (for formation of plural, possessive, and third person singular morphemes). The distribution and frequency of the intrusive syllable are described, and possible explanations for the abnormal occurrence of this particular syllable are discussed. PMID- 6578864 TI - Differential effects of morphine on noradrenaline release in brain regions of stressed and non-stressed rats. AB - Effects of morphine on noradrenaline (NA) turnover in the 8 brain regions were investigated in non-stressed and stressed rats. Morphine at 3 mg/kg and 6 mg/kg caused dose-dependent increases in levels of 3-methoxy-4 hydroxyphenylethyleneglycol sulfate (MHPG-SO4), the major metabolite of brain NA, in the hypothalamus, amygdala, thalamus, hippocampus and midbrain and decreases in NA levels in the first 4 of these regions. In contrast to these enhancing effects of morphine on NA release in non-stressed rats, pretreatment with morphine at 6 mg/kg significantly attenuated immobilization-stress-induced increases in MHPG-SO4 levels in the above regions. The morphine effects in both states, non-stressed and stressed, were reversed by naloxone at 0.5 mg/kg and 5 mg/kg in the hypothalamus, amygdala and thalamus. These neurochemical changes are apparently related to the distress-evoked hyperemotionality. Behavioral changes observed during the restraint stress such as struggling, vocalization and defecation were attenuated by morphine at 6 mg/kg and enhanced by naloxone at 5 mg/kg, and this action of morphine was also reversed by naloxone at 5 mg/kg. These results suggest that morphine acts to attenuate stress-induced increases in NA release in the hypothalamus, amygdala and thalamus via opiate receptors, although the drug facilitates NA release in these regions in non-stressed rats. Together with previous findings that naloxone enhances stress-induced increases in NA release selectively in these regions, it is further suggested that endogenous opioids released during stress might act to inhibit NA release in these specific brain areas and that these decreased noradrenergic activities might be closely related to the relief of the distress-evoked hyperemotionality in animals. PMID- 6578865 TI - Treatment approaches in Gilles de la Tourette syndrome. AB - The neurological disorder Gilles de la Tourette syndrome is most often treated with the receptor blocker haloperidol, which also produces multiple side-effects, including the risk for tardive dyskinesia. In placebo control double-blind studies, two other neuroleptic drugs, fluphenazine and trifluoperazine, were found to be as efficaceous as haloperidol, but with fewer side-effects. In other studies, clonidine was shown to be equally efficaceous with haloperidol, but did not produce adverse central nervous system side-effects. To treat the extrapyramidal side-effects accompanying the treatment of Tourette syndrome with neuroleptic agents, amantadine and benztropine were compared in a crossover study. It was demonstrated that amantadine is a superior agent in treating the side effects of haloperidol treatment in Tourette syndrome. The use of lithium was without significant action upon lessening the tics of Tourette syndrome. PMID- 6578866 TI - A case of Gilles de la Tourette's syndrome treated with clonazepam. AB - A case of a 13 year-old boy with Gilles de la Tourette's syndrome is described. The patient favorable clinical responded to small daily doses of clonazepam. Improvement of the tics and the abnormal vocalization were observed. PMID- 6578867 TI - Veno-occlusive disease of the liver in children following chemotherapy for acute myelocytic leukemia. AB - Three children developed acute veno-occlusive disease of the liver following combination chemotherapy for acute myelocytic leukemia. The clinical presentation was similar in all three, with acute onset of hepatomegaly and thrombocytopenia in the absence of significant transaminasemia or icterus. In all three patients, radionuclide imaging with technetium-99m sulfur colloid showed hepatosplenomegaly, decreased liver uptake, and increased splenic activity. The results of liver biopsy established the diagnosis, revealing marked centrilobular congestion with hemorrhage into the spaces of Disse, atrophy of central hepatic cords, and edema of the walls of the central and sublobular veins. Each patient showed marked improvement following temporary cessation of chemotherapy. The diagnosis of veno-occlusive disease is suggested by the triad of: (1) clinical signs and symptoms; (2) scintigraphic findings; and (3) temporal relationship to chemotherapy. PMID- 6578868 TI - Osteogenic sarcoma in the American black. AB - This clinicopathologic study of 100 American black patients with osteogenic sarcoma diagnosed and treated at this Medical Center from 1921-1979, inclusive, demonstrates a progressively increasing proportion of black patients admitted for this disease. The relative upsurge became especially pronounced in the 1970s. The ages of the patients ranged from 3 to 58 years (median, 16, mean 19.2 years). The age distribution shows that blacks, on the whole, are younger than whites when they develop these tumors, and this is particularly evident in the black girls. Skeletal locations for osteogenic sarcomas, in general, are similar in both races, except that the tibia and the fibula were involved significantly more frequently in the blacks while the humerus was afflicted less commonly. The clinical stage of disease on presentation, the duration of signs and symptoms, the histologic subclassification of the tumors, and the radiographic appearances closely matched in both races. The numbers of patients with Paget's sarcomas were also evenly distributed. Twenty-nine patients are currently alive with the 2-year and 5-year disease-free survival being 42% and 32%, respectively. There are no differences in the survival of black as compared to white patients, either for the entire duration of the study or for the period after 1974. The poorer prognosis of cancer in blacks does not apply to osteogenic sarcoma patients. PMID- 6578869 TI - Bone marrow necrosis preceding acute lymphoblastic leukemia in childhood. AB - Two patients who presented with bone marrow necrosis and eventually developed acute lymphocytic leukemia are reported, and similar cases in the literature are reviewed. Both patients responded to chemotherapy. Several possible mechanisms are discussed. Bone marrow necrosis appears to be another condition preceding acute lymphocytic leukemia in children. PMID- 6578870 TI - Disappearance of hypotetraploid clones after short-term culture of leukemic cells. A case report. AB - A case of M4-AML (acute monoblastic leukemia) is presented which was found to be hypotetraploid (79-80-? chromosomes per metaphase) with direct chromosome preparation while 24- and 48-hour cultures contained predominantly normal and some nonclonal hyperdiploid cells. This observation emphasizes the need for both direct and culture methods to disclose the true karyotype of leukemic cells. PMID- 6578871 TI - Chromosomes and causation of human cancer and leukemia. LIII. Comprehensive cytogenetic analysis of an erythroleukemia. AB - A comprehensive cytogenetic analysis has been performed in a case of erythroleukemia (EL), M6 in the FAB classification. A bone marrow sample was shown to be characterized by an unusually high degree of polyploidy with the presence of a dominating hypotetraploid clone. G-banding analysis revealed extensive structural rearrangements involving chromosomes #1,#3,#12,#16,#17, and #21. The SCE frequency was higher in the cells of the dominant clone when compared to that of near-diploid, presumably nonmalignant cells. Cell cycle analysis revealed that the hypotetraploid cells progressed through the cell cycle much slower than did the near-diploid cells. PMID- 6578873 TI - Clinical evaluation of 4-demethoxydaunorubicin in patients with advanced malignant lymphoma. PMID- 6578872 TI - Acetate utilization and fatty acid metabolism in phorbol ester and dimethyl sulfoxide-differentiated human leukemia cells. AB - Cultured human promyelocytic leukemia cells were incubated with [1-14C]acetate to assess the predominant mode of fatty acid synthesis (de novo vs. chain elongation) in these cells and in chemically differentiated populations. 12-O Tetradecanoylphorbol-13-acetate (TPA) and dimethyl sulfoxide (DMSO) will induce differentiation of this leukemic cell line to macrophage- and granulocyte-like cells, respectively. Human peripheral and rat peritoneal macrophages were employed as controls for the TPA-induced counterpart. Labeling of the carbonyl carbon (C-1) was determined by Schmidt degradation and used to distinguish between chain elongation of pre-existing cellular fatty acids and de novo synthesis. Cultured leukemia cells and the TPA-derived macrophage only incorporated from 16% to 23% of the total radioactivity into the C-1 position, indicating an operable de novo pathway. Cells differentiated by exposure to DMSO displayed a preference for the chain elongation mechanism (89% 14C in C-1 position) of fatty acid synthesis. Both rat peritoneal and human peripheral macrophages likewise incorporated greater than 80% of the radioactivity in the C 1 position of the fatty acyl chains. Thus, DMSO-treated leukemia cells resemble normal differentiated cells, whereas phorbol ester-induced cells, in contrast, retain biochemical features of the undifferentiated cancer cell. PMID- 6578874 TI - Relapse of adult acute lymphoblastic leukaemia treated with ifosfamide combination chemotherapy. PMID- 6578875 TI - Generation time of leukaemic blast progenitor cells. AB - Previous studies have indicated that the generation time of human leukaemic cells is longer than that of normal haematopoietic cells. We have employed a modification of the thymidine (TdR)-suicide technique to measure directly the generation time of leukaemic progenitor cells capable of colony formation. The results obtained with two human leukaemic cell lines (KG-1 and HL-60) and with blast progenitor cells from two patients with acute myelogenous leukaemia indicate generation times ranging from 9 X 0-22 X 0 hr and S-phase durations ranging from 5 X 5-8 X 0 hr. Using the same technique, the generation time of normal bone marrow CFU-c was determined to be 9-11 hr. These findings suggest that the proliferation rate of human leukaemic blast progenitor cells is similar to that of normal haematopoietic stem cells. PMID- 6578876 TI - Evidence for intrachromosomal gene conversion in cultured mouse cells. AB - In this report we present an experimental scheme that facilitates the study of homologous recombination between closely linked genes in cultured mammalian cells. Two different Xho I linker insertion mutants of the herpes simplex virus type 1 thymidine kinase (HTK) gene were introduced into mouse LTK- cells as direct repeats on a plasmid carrying a dominant selectable marker. Following stabilization of these sequences in the recipient cell, selection for TK+ was applied to detect recombinational events between different TK- genes. TK+ segregants were observed at a frequency of 10(-4)-10(-5) in lines harboring both mutant genes. Control lines carrying only one type of mutant HTK gene yielded TK+ cells at frequencies of 10(-7) or less. Physical analysis of the TK+ segregants has revealed the presence of an apparently normal HTK gene that is resistant to Xho l endonuclease digestion in each TK+ line examined. Analyses of the TK gene pairs before and after recombination suggest that at least 50% of the recombinants are the result of nonreciprocal exchanges of genetic information, or gene conversion events. PMID- 6578877 TI - [Cytochemical and immunological diagnosis of acute lymphoblastic leukemia of childhood]. PMID- 6578878 TI - Chemical characterization of a blood group H type pentaglycosylceramide of human small intestine. AB - A blood group H type pentaglycosylceramide was isolated in relatively large amounts from human adult small intestine (52 mg from one individual) and human meconium (fetal origin). The structure was made likely by mass spectrometry and NMR spectroscopy of non-degraded permethylated and permethylated-LiAlH4-reduced glycolipid and by degradation to be Fuc alpha 1 leads to 2Gal beta 1 leads to 3GlcNAc beta 1 leads to 3Gal beta 1 leads to 4Glc beta 1 leads to 1Cer. The ceramide was composed mainly of phytosphingosine and 2-hydroxy 16-24 carbon fatty acids. This novel type 1 chain species (Gal beta 1 leads to 3GlcNAc) was not accompanied by the type 2 chain isomer (Gal beta 1 leads to 4GlcNAc) which in contrast is the sole species in human erythrocyte and dog small intestine. PMID- 6578879 TI - [Permanent-wear soft lenses in the correction of aphakia in current daily practice]. PMID- 6578880 TI - [Cytogenetic aspects in leukemias and malignant lymphoproliferative syndromes]. PMID- 6578881 TI - Guanine ribonucleotide depletion in mammalian cells. A target of purine antimetabolites. AB - In a previous report we demonstrated in mouse lymphoma (S-49) cells that DNA synthesis inhibition resulting from guanine starvation is associated with GTP rather than dGTP depletion. Since several effective anticancer drugs act via guanine depletion, it is important to test whether critical GTP depletion is unique to S-49 cells or also occurs in other cell lines. Mycophenolic acid induced guanine starvation caused a drastic DNA synthesis inhibition in the human lymphoblastic T leukemia (CEM) and the mouse B leukemia (L1210) cell lines, which was again associated with GTP depletion rather than dGTP depletion. These results suggest that GTP depletion represents a common target of purine antimetabolites in mammalian cells. PMID- 6578882 TI - Antileukemic effect of alkyl phospholipids. I. Inhibition of proliferation and induction of differentiation of cultured myeloid leukemia cells by alkyl ethyleneglycophospholipids. AB - Various alkyl ethyleneglycophospholipids, i.e., alkyl phospholipids, with ethyleneglycol or its congener in place of glycerol as a molecular backcone, were synthesized and their effects on cell proliferation and differentiation of cultured human (HL-60) and mosue (Ml) myeloid leukemia cells were studied. On incubation with alkyl ethyleneglycophospholipids, proliferation of both cell lines was inhibited and the cells were induced to differentiate into morphologically and functionally mature granulocytes and macrophages. Among the compounds tested, dodecyl ethyleneglycophospholipid with a pyridinioethyl group was the most effective in induction of differentiation of both cell lines. PMID- 6578883 TI - Antileukemic effect of alkyl phospholipids. II. Prolongation of survival times of leukemic mice by alkyl ethyleneglycophospholipids. AB - Alkyl ethyleneglycophospholipids induced differentiation in vitro of mouse myeloid leukemia M1 cells into mature granulocytes and macrophages. The compounds also prolonged the survival of syngeneic SL mice inoculated with M1 cells. Although in mice with florid leukemia these compounds alone scarcely affected survival, administration of dodecyl ethyleneglycophospholipid with pyridinioethyl as a polar group plus actinomycin D significantly prolonged survival. PMID- 6578884 TI - Contract staffing firms: replacing the dentist as the employer. PMID- 6578885 TI - Laminate veneers: progress with problems of aesthetics. PMID- 6578886 TI - Proper hygiene eliminates mercury hazards. PMID- 6578887 TI - Paradental: proposing a new dental sub-specialty. PMID- 6578888 TI - Dental care keeps "normalcy" in their lives. PMID- 6578889 TI - Specific desensitization in 'aspirin-sensitive' urticaria; plasma prostaglandin levels and clinical manifestations. AB - Six out of eight patients with a history of aspirin-provoked urticaria/angioedema responded with adverse reactions, including urticaria and bronchospasm, to provoking doses of oral aspirin from 30-515 mg. The other two patients did not react to 1.2 g of aspirin on three occasions. Five of the six patients who had reacted became desensitized after their initial aspirin reaction, tolerating 650 mg on the second day. They then took 650 mg day-1 of aspirin for three weeks, during which time the ingestion of foods which had previously caused a variety of moderate or severe reactions caused no symptoms. The resting plasma PGF2 alpha in ten 'aspirin-sensitive' urticaria patients (24.89 +/- 2.79 pg m-1) was significantly higher than the levels in ten normal subjects (6.75 +/- 1.1 pg ml 1) (P less than 0.01). In the patient group the lowest levels of PGF2 alpha were found in the two patients who subsequently did not experience a positive reaction after aspirin provocation. The PGF2 alpha/PGE2 ratio in 'aspirin-sensitive' urticaria patients (1.83 +/- 0.026) was significantly higher than that in normal subjects (0.63 +/- 0.14) (P less than 0.01). PMID- 6578890 TI - An HLA-All association with the hemochromatosis allele? AB - Two hundred and seventy-four patients with hemochromatosis and 1005 controls were HLA-typed, and HLA haplotypes were determined for 163 patients and 123 controls. The increased frequency of antigen A3 and haplotypes A3, B7 and A3, B14 in patients with hemochromatosis was confirmed. After correction for the space taken up by A3, a significant increase in All was found. This increase could not be explained by cross reaction between A3 and All. All showed a phenotype association and a haplotype link with Bw35. The genetic significance of this increased All frequency is discussed. PMID- 6578891 TI - Bone resorption in osteogenic sarcoma. I. Release of calcium by tumor cells, normal fibroblasts, and macrophages. AB - The bone calcium resorption activities of three different types of cells that are present either within or in the vicinity of an osteogenic sarcoma tumor mass were examined: osteogenic sarcoma cells, normal fibroblasts, and macrophages. Release of calcium was measured in bone organ cultures in live and killed 45Ca-labeled fetal or newborn mouse long bones. The bone explants, tibiae and humeri, were co cultured with various numbers of effector cells in microwell plates. Cultured osteogenic sarcoma cells resorb calcium from both live and heat-devitalized bones in a cell-number-dependent manner. A reduced effect of the tumor cells on killed bone suggests that the release of calcium from living bone by tumor cells is mediated partially through stimulation of the endogenous bone-resorbing systems. Fibroblasts also resorb calcium both from live and killed bones but at a lower rate than osteogenic sarcoma cells. Peptone-elicited peritoneal macrophages are capable of sustaining calcium resorption from live bones as well as from bones devitalized by a mild nondenaturating method. Macrophages, however, failed to resorb calcium from heat-killed bones. The release of osseous calcium and bone damage associated with osteogenic sarcoma are manifestations of the resorbing properties and interactions among the tumor, bone, and host tumor infiltrating cells. PMID- 6578892 TI - A comparison of Tc-99m colloid labeled leukocytes and Ga-67 citrate for the disclosure of sepsis. PMID- 6578893 TI - Comparison of use of dental services by finnish immigrants and Swedes using national health statistics. AB - Dental statistics and treatment information collected by the National Social Insurance Board (NSIB) since the Dental Insurance Scheme was introduced in Sweden in 1974, give a unique opportunity to study the use of dental services by the adult population. Earlier studies showed that adult Finnish immigrants utilized dental services less, and had a greater need of dental care, than the Swedish population. The possible confounding effects of age and social class were not, however, controlled. The aim of this study was to compare use of dental services and dental treatment performed in matched groups of Finnish immigrants and Swedes using central statistics. All Finnish citizens between 17 and 64 yr old born on the 20th of any month and living in the county of Stockholm in 1975, altogether 1378 persons, were selected from the population register. For each Finn a Swedish "social twin" was selected with respect to age, sex and occupation. Information about use of dental services and treatment performed during 1975 was collected from the patient register at the NSIB. The study showed that Finnish immigrants in 1975 visited a dentist less often than the corresponding Swedish group. Those Finnish immigrants who received treatment had had more comprehensive and more expensive care than the Swedish comparison group. The study shows that there were significant differences in use of dental services by and treatment performed on Finnish immigrants and Swedes even when differences in demographic and socioeconomic distribution were controlled. PMID- 6578894 TI - Effects of dental health care instruction on knowledge, attitude, behavior and fear. AB - A field experiment was done to assess the effects of two methods of dental health instruction on knowledge, attitude, reported behavior and fear. Subjects (n=108) were male and female inhabitants of Abcoude, a suburban Dutch village of about 7000 inhabitants. There were three conditions, two experimental and one control. Subjects of experimental condition 1 were given a 30-min personal instruction on dental hygiene, subjects of experimental condition 2 received the same instruction preceded by a 10-min instructional film on dental hygiene. Subjects of the control condition received no instruction. Half of each group was pretested. All subjects were posttested 6-12 months after the dental health education. Mean postscores of control subjects were significantly lower than either mean postscores of condition 1 subjects (on attitude and three behavioral aspects) or mean postscores of condition 2 subjects(on knowledge, attitude and one behavioral aspect). There were no significant differences between the two experimental conditions or between the pretested and not-pretested groups. PMID- 6578895 TI - Dental X-ray exposure in a group of New Zealand children. AB - The New Zealand School Dental Service provides dental care for children 2 1/2-13 yr of age, without using routine diagnostic radiographs. This study investigated the pattern of dental X-ray exposure in groups of New Zealand children. One group consisted of 100 children who had all treatment before the age of 13 years with the School Dental Service. The other group consisted of 82 children who were treated in the University of Otago School of Dentistry paedodontic programme. Children in both groups turned 13 years of age between 1977 and 1982. From age 13 years these children were cared for by contracting dentists. Radiographic histories were recorded from School of Dentistry charts, and from the area Principal Dental Officer. Cumulative radiation doses were calculated. Surfaces restored at age 13 were noted from Department of Health records. Results show that by age 13 children enrolled in the School of Dentistry paedodontic programme received a mean cumulative skin dose of 23.03 mSv. Thyroid dose was 0.242 mSv. Children treated in the School Dental Service received a mean cumulative skin dose of 1.01 mSv and a thyroid dose of 0.006 mSv. Cumulative radiation dose for both groups was low. There was no significant difference in the mean number of restorations placed at age 13 years despite an extremely low level of diagnostic radiography in the School Dental Service group. PMID- 6578896 TI - Errors on dental bitewing radiographs. AB - The prevalence of common errors on posterior bitewing radiographs was assessed on 2409 pairs of films collected from different public dental clinics in the county of Buskerud, Norway. Only 4.6% fulfilled the criteria for correct bitewing radiographs. Incorrect position of the film was found in 42.7%. Exposures with wrong horizontal angulation of the central beam constituted 10.6%, and under/overaxial exposures 2.2%, of the sample. Cone cutting occurred in 4.3%. Disturbing spots were found on most of the films (88.1%); 7.7% of the films had been insufficiently washed. Other errors due to wrong darkroom procedures or equipment failures were more rarely observed. The present study has shown that unnecessary errors, reducing the readability of bitewing radiographs, are frequently found. Steps should be taken to improve the standard of the radiographs used for diagnosis. PMID- 6578897 TI - A method to reduce interproximal overlapping and improve reproducibility of bitewing radiographs for use in clinical trials. AB - To improve the quality of bitewing radiographs a Bite Registration Technique (BRT) was developed by modifying a commercially available Rinn XCP Instrument. The modification involved using a rubber impression material to register the subject's bite so that the subsequent replacement of the instrument in the mouth was guided by the registration indentations. A total of 240 radiographs were analysed to determine the frequency and severity of the overlapping and the degree of deviation in the horizontal angulation between the subsequent films. Approximately half the films were taken with BRT and the other half were taken with the unaltered Rinn SCP Instrument (without BRT). Two radiographs were taken of each side of the mouth. Only 11.6% of the proximal surfaces had more than half the enamel overlapped 'with BRT' compared with 33% 'without BRT'. In addition, when using the BRT, the initial and the subsequent radiographs of each child were more alike than 'without BRT'. Ninety percent were virtually identical; the mean difference in width of the largest overlap between the two films was 0.11 mm. To check the validity of these findings, 100 radiographs from a previously published clinical trial which used similar aged children and also used a Rinn SCP Instrument (modified), were analysed used the same criteria. The results obtained were similar to the 'without BRT' results; 30% of the proximal surfaces had more than half the enamel overlapped. Improved accuracy allowed a narrower X-ray beam to be used, thus reducing patient irradiation. The use of the Bite Registration Technique is recommended when a high degree of diagnostic accuracy is desired in clinical trials involving primary dentitions. PMID- 6578898 TI - Capability of a national epidemiological survey to predict general dental service treatment. AB - The aim of this investigation was to examine the relationship between the dental status of tooth surfaces, as recorded during the 1978 Adult Dental Health Survey, and the treatment dental attenders subsequently received. A year after the survey, almost twice as many surfaces had been filled than were predicted on the basis of the survey. After 3 yr, this had risen to a 3.5-fold difference. Despite this, 59% of the restorative need identified by the survey criteria remained unmet by the end of the 1st yr; 46% was unmet by the end of the 3rd yr. A surface that received a filling for the first time was three times more likely to have been identified as in need of filling during the survey than a surface which was refilled. These findings cast doubt upon the usefulness of the epidemiological survey as a tool for predicting restorative treatment, and show that maintenance of previous fillings was particularly poorly forecast by the survey data. PMID- 6578899 TI - Oral health survey in Haitian and Hamburg children aged 12-15. AB - Oral hygiene, dental caries and periodontal diseases surveyed in 1743 children aged 12-15. Of these 879 of Black origin resided in Haiti (West Indies) and 864 of White origin in Hamburg (West Germany). Oral hygiene was assessed using the Greene & Vermillion's OHI-S, periodontal status using Ramfjord's PDI and Muhlemann's SBI and the caries rate using the DMFT and DMFS indices. Boys of all age groups showed significantly poorer oral hygiene than girls. In the Hamburg children the mean OHI-S was 1.28, in Haitians 1.14. Periodontal diseases showed equal prevalence in Haiti and Hamburg when expressed in PDI, namely 0.59, while SBI was slightly higher in the Haitians, namely 2.58 against 2.21 in the Hamburg Children. Hamburg girls showed lower PDI and SBI scores than all boys and Haitian girls. Same degrees of OHI-S caused more severe periodontal diseases among Haitian than among German children. In general, scores of OHI-S, PDI and SBI increased with age except in Haitian girls, who showed a decrease. The DMFT and DMFS of the Haitian children averaged 3.65 and 4.80 respectively, and those of the Hamburg children 8.35 and 21.09. PMID- 6578900 TI - Dietary habits and oral hygiene as predictors of caries in 3-year-old children. AB - The value of defined levels of oral hygiene and dietary habits for predicting caries was investigated. The material comprised 143 3-yr-olds. Three levels of oral hygiene and dietary habits, respectively, were used. Oral hygiene was registered as gingival status. Dietary habits were recorded by interview. Two groups were then formed by pooling stepwise the caries data for the nine possible combinations of oral hygiene and dietary habits and setting the most discriminating border, screening level, where the properties sensitivity and specificity simultaneously reached their highest value. Children with clean teeth, irrespective of dietary habits, and children with suitable dietary habits, provided they did not have general gingivitis with bleeding, might be regarded as no caries risks, while children with other combinations of oral hygiene and dietary habits were caries risks. The difference in decayed surfaces between the two groups was statistically significant (p less than 0.001). The sensitivity was 0.89 and the specificity 0.70. The predictive value of a negative test (0.91) was higher than that of a positive test (0.64). PMID- 6578901 TI - Primary dentition caries trends, 1976-1981, in four South African populations. AB - This paper is a comparison of cross-sectional data on dental caries in the primary dentition undertaken between 1976 and 1981 in the Transvaal Province, South Africa, on 690 rural Black, 1463 urban Black, 870 Indian and 1622 White children aged 2-5 yr. There was a decrease in percentage dental caries prevalence in the urban White children and an increase in the other three groups, the fastest rate being seen among urban Indian children. Similar trends were noted for mean dmft. Dental caries in incisor and canine teeth remained fairly static but caries in molar teeth increased in the groups of Black and Indian children and decreased in the White children. Ratios d/dmft, m/dmft and f/dmft indicated that minimal treatment was received by all the children. PMID- 6578902 TI - Edentulousness in the United Kingdom and Ireland. AB - Surveys of adult (16 yr and over) dental health were conducted in England/Wales and Scotland (n = 5967) and in Ireland (n = 1764) and Northern Ireland (n = 1176) in 1979. From the results of these surveys a comparison is made between levels of edentulousness, attendance patterns, attitude to loss of teeth and the wearing of full dentures. Scotland had the highest level of edentulousness (39%) and Ireland the lowest (26%). England/Wales had a level of 29% and Northern Ireland 33%. The percentage edentulous increased considerably ith age and females had a higher level of edentulousness than males. Regular attendance at the dentist was lowest in Ireland and in all countries there was a greater preference for filling rather than extraction of teeth. Levels of edentulousness do not appear to be directly related to any of the parameters investigated. PMID- 6578903 TI - Mesiodens and supernumerary central incisors. PMID- 6578904 TI - Dental amalgam: an update. PMID- 6578905 TI - Crown lengthening procedure. Part II. Treatment planning and surgical considerations. PMID- 6578906 TI - Reconstruction of deformed, partially edentulous ridges, using full thickness onlay grafts. Part I. Technique and wound healing. PMID- 6578907 TI - Advantages and disadvantages of three commonly used esthetic fixed retainers. PMID- 6578908 TI - Scuffing mercury-contaminated flooring: effects on the ambient air mercury levels in the dental office. PMID- 6578909 TI - [Gigantocellular tumors of the jaws in theory and practice]. PMID- 6578910 TI - [Review of 15 years of reconstructive surgery of the nasal pyramid]. PMID- 6578911 TI - [Oblique facial clefts]. PMID- 6578912 TI - [Reconstruction of the thumb using a microsurgical approach]. PMID- 6578913 TI - [2 alternative hypotheses of chi-square test for 2xk tables]. PMID- 6578914 TI - [Transduction of strains of Bacillus thuringiensis serotype XIV]. PMID- 6578915 TI - [Effect of a mixture of prostaglandin F2 epimers on the synchronization of estrous processes in mammals]. PMID- 6578916 TI - Recent research on the role of the dental plaque microorganism Actinobacillus actinomycetemcomitans in the etiology of localized juvenile periodontitis. PMID- 6578917 TI - Perceived differences and distinguishing characteristics between two year and baccalaureate dental hygiene programs. PMID- 6578918 TI - Evaluation of a reinforced school-based dental health education program as provided by dental hygiene students. PMID- 6578919 TI - Influence of trait anxiety on self-grading. PMID- 6578920 TI - Predictors of dental hygienists career performance. PMID- 6578921 TI - An evaluation procedure for clinical assessment. PMID- 6578922 TI - A pilot study of noncognitive & cognitive variables as predictors of success among dental hygiene students. PMID- 6578924 TI - Incorporating the inquiry philosophy: an overview of the present. PMID- 6578923 TI - The extent of favorable dispositions towards the elderly--implications for planning learning experiences. PMID- 6578925 TI - Inquiry process: student criteria development. PMID- 6578926 TI - The inquiry philosophy: one faculty member's experience. PMID- 6578927 TI - Evolution of an inquiry philosophy of education at the University of Maryland. PMID- 6578928 TI - Structure of the Mo-Fe protein component of Azotobacter vinelandii nitrogenase. Analytical ultracentrifugation and electron microscopy studies. AB - The Mo-Fe protein of nitrogenase from both Azotobacter vinelandii and Klebsiella pneumoniae (Av1 and Kp1, respectively) consists of four subunits of similar, but not identical, relative molecular mass. The hydrodynamic properties of Av1 (sedimentation and diffusion coefficient) and its total relative molecular mass are very similar to those of Kp1 and catalase from bovine liver, a tetramer of four identical subunits. By electron microscopy the Av1, Kp1 and catalase tetramers are seen as protein particles of diameter 9.0-10.0 nm; no details of the subunit structure can be observed. Av1 (but not Kp1) forms regular polymers of variable length at low ionic strength in the presence of MgCl2. The structure of these polymers, of diameter 21.2 nm, is complex. Optical diffraction studies give a smallest repeating distance of 8.4 nm (corresponding to the diameter of the Av1 tetramer) and indicate a four-start helix. The latter structure is incompatible with a flat, square subunit arrangement of the Av1 tetramer as proposed by Stasny et al. [(1974) J. Cell. Biol. 60, 311-316]. We propose, therefore, that the subunit arrangement of the Av1 tetramer is of the tetrahedral type. This has also been proposed for the catalase tetramer from optical diffraction studies of electron micrographs of catalase tubes indicating a 222 symmetry [Kiselev, D. A., De Rosier, N. J. and Klug, A. (1968) J. Mol. Biol. 35, 561-566]. Our proposal is in agreement with the recent finding that Av1 protein crystals belong to the P2(1) space group [Weiniger, M. S. and Mortenson, L. E. (1982) Proc. Natl Acad Sci. USA, 79, 378-380]. PMID- 6578929 TI - Haematological findings in type Ib glycogen storage disease before and after portacaval shunt. AB - Persistent neutropenia and repeated respiratory infections were documented in a girl with glycogen storage disease type Ib. A termino-lateral portacaval shunt resulted in normalisation of the granulocyte counts and disappearance of the recurrent infections. The platelet dysfunction that was apparent before surgery, was also corrected by the shunting procedure. A marked hypochromic anaemia, however, probably caused by a sequestration of iron in the spleen and resistant to therapy, remains a persistent feature in this patient. PMID- 6578930 TI - Impaired metabolic function of polymorphonuclear leukocytes in glycogen storage disease Ib. AB - To elucidate the basis for the recurrent infections in patients with glycogen storage disease (GSD) Ib we tested polymorphonuclear leukocyte (PMN) function in one patient. Bactericidal capacity and phagocytosis-induced O2 consumption were reduced. Also, phorbol myristate acetate-stimulated superoxide production and glucose oxidation through the hexose monophosphate shunt were diminished compared to control subjects. Therefore it could be speculated that in PMN of patients with GSD Ib, glucose-6-phosphate has no access to the enzymes of the hexose monophosphate shunt due to a transport-related defect as shown for glucogenesis in hepatocytes. PMID- 6578931 TI - Effect of intracerebroventricular injection of PGE2 and 5HT on body temperature, heart rate and rumen motility of conscious goats. AB - Changes in rumen motility and heart rate following injection of 5-HT and PGE2 into the third cerebral ventricle were investigated in conscious goats. The doses used were known to produce predictable changes in thermoregulation in goats. The changes in body temperature, ear temperature (PGE2, 5-HT) and shivering (PGE2) were as reported by others. The i.c.v. injection of PGE2 and 5-HT inhibited rumen motility and slightly decreased the heart rate, probably due to a central action. PMID- 6578933 TI - Detection of a fetal antigen on mouse erythroleukemic Friend cells. AB - A fetal antigen, expressed on all fetal erythrocytes during normal ontogeny, was detected on Friend erythroleukemic cells but not on circulating erythrocytes from leukemic mice. Friend cells were shown to express the fetal antigen both by immunofluorescence and antiserum absorption. The fetal antigen thus allows a clearcut distinction between the tumoral step from which emerge the Friend and erythro-proliferative cells. PMID- 6578932 TI - Antiandrogenic effects of oestradiol on enzyme activities of hepatic steroid metabolism. AB - Intact female rats and gonadectomized rats of both sexes were administered 0.5 mg 5 alpha-dihydrotestosterone s.c. daily for 15 days. On the 16th day the activities of hepatic microsomal 3 alpha- and 3 beta-hydroxysteroid dehydrogenase and 5 alpha-reductase were determined. Androgen treatment increased the activity of both hydroxysteroid dehydrogenases and decreased the activity of the 5 alpha reductase in all animal models. Simultaneous administration of a steroidal antiandrogen, cyproterone (5 mg/day; 15 days s.c.) did not prevent this androgenic effect, whereas oestradiol (5 micrograms/day; 15 days s.c.) completely reversed the action of 5 alpha-dihydrotestosterone. The nonsteroidal antiandrogen, flutamide, also exhibited a potent antiandrogenic influence on these enzyme activities in female rats, whereas its antagonizing action in males was limited. The effects of cyproterone, oestradiol and flutamide on enzyme activities of hepatic steroid metabolism do not reflect the biological activity of these compounds on the weights of target organs (uterus, seminal vesicle, levator ani). PMID- 6578934 TI - A new look at antifertility vaccines. PMID- 6578935 TI - Control of mammalian sex ratio by sexing sperm. PMID- 6578936 TI - [Significance of the lateral branches of the root canal of upper incisors in endodontics and oral surgery]. PMID- 6578937 TI - [Usefulness of fluoride tablets in the prevention of dental caries]. PMID- 6578938 TI - [An acro-osteolysis syndrome and its implications for dentistry]. PMID- 6578939 TI - [The use of elastic bandages in orthodontics]. PMID- 6578940 TI - [A case of parapharyngeal schwannoma]. PMID- 6578941 TI - [The role of the ventrolateral part of the medulla oblongata in the control of gonadotropin secretion. II. The effect of ovarian steroid implantation into the ventrolateral part of the medulla oblongata on LH secretion in the female rat]. AB - To investigate whether neurons in the ventrolateral part of the medulla oblongata (VLMO) are sensitive to ovarian steroid, estradiol benzoate (EB) or progesterone (Prog.) was implanted through a stainless steel double cannula into the VLMO of ovariectomized, EB-primed rats and serum LH was measured. Two weeks after ovariectomy, rats were primed with 20 micrograms EB at 1200h and this day was arbitrarily defined as day 0. At 1200h on day 3, powdery steroid, EB or Prog., was unilaterally implanted into the VLMO. Implantation of EB into the VLMO was effective in increasing serum LH at 1600, 1800 and 2000h on days 3 and 4, but the serum LH concentration at 1600, 1800 and 2000h was much more increased on day 4 than on day 3. Implantation of Prog. into the VLMO failed to induce a significant increase in serum LH on days 3 and 4. To further investigate the effects of anterolateral hypothalamic (ALH) transection and complete spinal transection at T4-T7 levels on EB implantation into the VLMO was examined. It has been shown that both ALH transection and spinal transection at high thoracic levels (T4-T7) significantly blocked proestrous gonadotropin surges and ovulation. In rats with ALH transection, EB implantation into the VLMO was not effective in increasing serum LH at 1600, 1800 and 2000h on days 3 and 4, but in rats with complete spinal transection, EB implantation into the VLMO was effective in increasing serum LH at 1800 and 2000h on days 3 and 4. These results suggest that EB exerts its stimulatory feedback action on the VLMO and the anterolateral hypothalamic area is involved in the mechanism of this stimulatory feedback action of EB. PMID- 6578942 TI - An introduction to microbiology and sterilization in the dental office. PMID- 6578943 TI - The present status of dental assisting education. PMID- 6578944 TI - Dental radiography instructors in U.S. dental assisting programs. PMID- 6578945 TI - A fail-safe policy for collecting every fee. PMID- 6578946 TI - Easy ways to reduce the stress of treating children. PMID- 6578947 TI - How to get free publicity (and more new patients). PMID- 6578948 TI - A low-cost high-payoff employee benefit plan. PMID- 6578950 TI - A high-powered practice in a low-employment area. PMID- 6578949 TI - Pension plan investing for dentists under 55. PMID- 6578951 TI - Drug in dentistry. Analgesics. PMID- 6578952 TI - Oral health care for the elderly patient. The role of dental hygienists. PMID- 6578953 TI - Needs of geriatric females in private practice setting. PMID- 6578954 TI - Dental care for the elderly: health policies. PMID- 6578955 TI - Assessment of the dental attitudes of the non-insitutionalized older adult. PMID- 6578956 TI - Mass disaster and the dental hygienist: the MGM fire. PMID- 6578957 TI - ADHA statement in response to the ADA Special Committee on the Future of Dentistry. PMID- 6578958 TI - Improving the oral hygiene practices of dental hygienists. PMID- 6578959 TI - Skeletal muscle: anatomy, physiology, and pathophysiology. AB - Many questions remain to be answered. The intention here is to attempt to place in perspective a portion of what is known and understood scientifically, to make working sense of the pathophysiologic process so that we as clinicians can "in our mind's eye" understand what it is that we are trying to treat with what now seems to be a multitude of therapies. When a patient presents to your office with acute or chronic, or both, myofascial pain dysfunction syndrome, some basic questions must be addressed. Is the disease process genetic (intrinsic) or acquired (extrinsic), or both? It is the purpose of diagnosis to unearth the underlying predispositions that patients may exhibit. Often the predispositions are quite obvious (gross postural discrepancies and skeletal and dental malrelationships( or they may be consummately subtle (endocrinopathies and behavioral patterns). It seems that the main job to be completed is diagnosis followed by the utilization of well-known physical medicine (conservative) techniques that treat the source of the disorder: the myofascial trigger zone. PMID- 6578961 TI - Influence of function on temporomandibular joint remodeling and degenerative disease. PMID- 6578960 TI - Management of temporomandibular joint disorders associated with systemic disease. PMID- 6578962 TI - Comparison of three different populations with temporomandibular joint pain dysfunction syndrome. PMID- 6578963 TI - Obtaining a practical case history and examination. PMID- 6578964 TI - Otolaryngologic manifestations of craniomandibular disorders. PMID- 6578965 TI - Radiology of the temporomandibular joint. AB - When evaluating the current status of a patient with diseases of the TMJ, certain guidelines must be followed. It is of the utmost importance to take into consideration the total picture. This must include the history, physical examination, x-rays, films, and any other pertinent information. As stated previously, the TMJ is demonstrated with a great deal of clarity by modern tomographic x-ray techniques. This, however, provides only part of the total evidence. It is indeed unfortunate that some medical and dental consultants for insurance companies and other health groups base their criteria for eligibility on the evidence provided only by the x-ray films, without taking into consideration other important data. Another source of error is the fact that the total duration of the patient's symptoms is not given enough consideration. This is shown in patients with a history lasting many months or years, associated with definite x-ray changes, who are misdiagnosed as having myofascial pain dysfunction syndrome. The fact that this is an acute process of short duration involving primarily muscles of mastication and other related soft tissues is overlooked. When presented with a patient with a long history of TMJ discomfort, it is essential to consider an intrinsic organic process of the joint. It should be stressed that osteoarthritis or degenerative joint disease is a condition frequently found in the TMJ when examined with modern tomographic techniques. It occurs in individuals of all ages. Osteoarthritis of the TMJ is basically a medical or orthopedic condition similar to that found in other joints of the body affected by this primary joint disease. For this reason, osteoarthritis cannot be considered purely a dental condition when it occurs in the TMJ. However, because of the close proximity, both anatomically and physiologically, to the teeth and related structures, these conditions are frequently labeled as dental.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6578966 TI - Diagnosis and treatment of internal derangements of the temporomandibular joint. PMID- 6578967 TI - Arthrokinematics of the temporomandibular joint. PMID- 6578968 TI - Cranial osteopathy and its role in disorders of the temporomandibular joint. PMID- 6578970 TI - You may not need a computer. PMID- 6578969 TI - Herpes simplex virus and acute temporomandibular joint pain-dysfunction syndrome. AB - Although the TMJ or myofascial pain-dysfunction syndrome is probably not brought about by any single etiologic agent, the findings discussed here offer strong evidence that the primary disease is a form of cranial polyneuritis similar in onset, duration, and natural course to acute facial paralysis. These findings of sensory neuritis with secondary neuromuscular dysfunction leave no question unanswered, whereas the classic concept that has evolved through the years into the pain-dysfunction syndrome cannot adequately explain the myriad of signs and symptoms found in this condition. By removing the psychophysiologic (functional) label and recognizing the organic nature of this self-limiting disease, we should now be able to consolidate the many different modes of therapy that are effective in treating patients with the acute TMJ pain-dysfunction syndrome. PMID- 6578971 TI - ADA president-elect says: unmet dental needs challenge profession. Interview by H. Ronald Combs. PMID- 6578972 TI - How to speed up insurance payments. PMID- 6578973 TI - Don't gamble with hepatitis: one dentist's story. PMID- 6578974 TI - Three experts answer questions. PMID- 6578975 TI - ADA recommends vaccine, other precautionary methods. PMID- 6578976 TI - Does your office portray a positive image? PMID- 6578977 TI - How's your bank check I.Q.?. Interview by Betty Lee Kuhn. PMID- 6578978 TI - Acute gangrene of the scrotum and penis in a patient with acute promyelocytic leukemia. A case of acute necrotizing gangrene. AB - The authors describe a case of Fournier's gangrene in a young man affected with acute promyelocytic leukemia. They emphasize the rarity of this disease especially in a patient affected with leukemia. Pseudomonas aeruginosa with the same strict antibiotic sensitivity has been found in cutaneous lesions and in several blood cultures. The Fournier's gangrene etiology is discussed. PMID- 6578980 TI - Rubber dam--a reappraisal. PMID- 6578979 TI - Dental anatomy: the paranasal sinuses. PMID- 6578981 TI - Pinned retention--10 years on. PMID- 6578982 TI - Infective endocarditis--prophylaxis and prevention. PMID- 6578983 TI - Remineralization and enamel caries: new concepts. PMID- 6578985 TI - Photography: 3. Obtaining results. PMID- 6578984 TI - Changing patterns in conservative dentistry. PMID- 6578986 TI - A practical guide to pulp canal therapy. 1. Pulp diagnosis and the aims of treatment. PMID- 6578987 TI - Dental pain. 3. The measurement of pain. PMID- 6578988 TI - Erythroid stem cells in Rauscher viral erythroleukemia. AB - Results reported herein describe the expansion of erythroid stem cells (CFU-e and BFU-e) from marrow and spleen cells from mice infected with Rauscher leukemia virus (RLV). Maximum colony numbers were seen by 5 weeks after viral inoculation. The increase in splenic CFU-e and BFU-e was related to development of splenomegaly, the latter being a characteristic feature of murine oncornavirus infection. Both splenic and marrow RLV-derived CFU-e were erythropoietin (Ep) dependent. However, splenic and marrow RLV-derived BFU-e proliferation occurred at Ep levels considered suboptimal for normal colony formation. This increased erythroid stem cell proliferation may be due in part to the increased demand on erythropoiesis as a result of the profound fatal anemia which occurs in RLV induced erythroleukemia. These studies suggest that factors operating at the level of BFU-e may enhance erythropoiesis, and hence may be a direct result of murine oncornavirus infection. PMID- 6578990 TI - [Familial autoimmune pathology comprising 2 cases of primary biliary cirrhosis]. AB - Two cases of primary biliary cirrhosis (PBC) were observed in two brothers. Clinical, biochemical, immunological and genetic investigations (in particular by HLA typing) were systematically undertaken in nine subjects of this family (including the two above mentioned cases) in two generations. One case of granulomatous hepatitis associated with auto-immune thyroiditis was discovered in a sister. Immunological abnormalities were observed in six out of nine members of the family: anti-nuclear (four cases), anti-mitochondrial (two cases), anti thyroid (two cases), auto-antibodies and rheumatoid factors (two cases). Six subjects (including the three with hepatic disease) had the same HLA haplotype (with in particular HLA DR4, which has been previously associated with sporadic PBC). However, the role of this haplotype in the transmission of PBC in a family could not be demonstrated. Biochemical and immunological survey might be of importance in the kindred of patients with PBC, thereby contributing to the screening of asymptomatic hepatic disease. PMID- 6578989 TI - Hyperphagia alters cholesterol dynamics in diabetic rats. AB - Rats with streptozotocin-induced diabetes stop growing and start eating more chow. These two events elicit an interacting series of changes in cholesterol dynamics. Hyperphagia increases dietary cholesterol intake and cholesterol synthesis by the small intestine. These increases are balanced by a decrease in cholesterol synthesis in the rest of the body so that total cholesterol input is normal. With growth failure, utilization of cholesterol for formation of new tissue ceases. This decrease is balanced by an increase in bile acid synthesis by the liver. The bile acid pool in the contents of the small intestine is enlarged by hyperphagia. Despite these changes, fecal sterol excretion and total utilization of cholesterol are normal. During the course of changes in growth and food intake and the attendant changes in cholesterol flux, the total tissue cholesterol pool does not change. Therefore influx equals efflux and the systems regulating cholesterol and bile acid synthesis are responding appropriately and are themselves unperturbed by insulin deficiency. However, plasma cholesterol level increases threefold. This elevation is due to increased influx of cholesterol from the small intestine and decreased synthesis in the rest of the body, so that a larger portion of total body cholesterol influx passes through the blood. PMID- 6578991 TI - Measurement of prostaglandin E2 in interstitial fluid from the dog stomach after feeding and indomethacin. AB - The purpose of the study was to develop a method for collecting interstitial fluid bathing the stomach tissues in which prostaglandins could be measured. Hollow dialysis fibers attached at the ends to Silastic tubes were surgically implanted into the submucosa of the gastric fundus and antrum of dogs. The Silastic tubes were exteriorized through the body wall. After full recovery from surgery, the fibers were filled with 5% bovine serum albumin in isotonic saline that was replaced at 5-min intervals. Prostaglandin E2 was measured in the dialysate by radioimmunoassay. In 6 dogs, feeding significantly stimulated the release of prostaglandin E2 into the fundic interstitial fluid from 5.3 +/- 0.6 ng X ml-1 to 12.1 +/- 1.6 ng X ml-1 (p less than 0.01) but had no effect on antral levels. In 4 dogs, indomethacin (0.01, 0.1, 1.0, and 10.0 ng X kg-1, i.v.) caused a dose-dependent depression in prostaglandin E2 levels in interstitial fluid of the fundus and antrum. In 4 other dogs, indomethacin depressed the ex vivo generation of prostaglandin E2 in biopsy specimens of the fundus and antrum. These results validate the technique of interstitial fluid dialysis and suggest that it is a powerful method for examining the secretion of locally acting substances in the stomach of conscious animals. PMID- 6578992 TI - [Hemorrhagic syndrome and state of the system of hemostasis in acute leukemia]. PMID- 6578993 TI - [Pathomorphology and pathogenesis of hemorrhage and leukemic infiltration in the central nervous system in acute leukemia]. PMID- 6578995 TI - Coexistent breast and vaginal granulocytic sarcoma. AB - A 34-year-old woman developed a granulocytic sarcoma of the breast coincident with the development of acute myelogenous leukemia. Subsequent to the induction of leukemia remission, marrow relapse was preceded by development of breast and vaginal granulocytic sarcomas on two separate occasions. Granulocytic sarcoma is occasionally reported to involve reproductive organs, but the coexistence in two such organs is indeed rare. When granulocytic sarcoma occurs at other sites, it often precedes the development of overt leukemia. For this reason, granulocytic sarcoma should be considered in the differential diagnosis of a pelvic mass especially in a patient in whom blood smears reveal unusual or early forms. PMID- 6578996 TI - [Acute myeloid leukemia: a late complication of the treatment for Hodgkin's disease]. PMID- 6578994 TI - Spectrophotometric analyses of hydroxysteroid dehydrogenase activity in presumed steroid-producing tissues of the brook lamprey (Lampetra planeri bloch) in different developmental stages. AB - Hydroxysteroid dehydrogenase (HSD) activity was determined spectrophotometrically on homogenates of the pronephros, the opisthonephros, and the gonads of metamorphosing, immature, and mature adult male and female brook lampreys (Lampetra planeri Bloch), employing pregnenolone, dehydroepiandrosterone, androsterone, epiandrosterone, and 3 beta,17 beta-dihydroxy-5 alpha-androstane as substrates and NAD or NADP as coenzymes in October, December, February, and April. With NADP a higher HSD-dependent HSD activity was detected in presumed adrenocortical tissue (PAT) homogenates with pregnenolone and 3 beta,17 beta dihydroxy-5 alpha-androstane and in gonad homogenates only with 3 beta,17 beta dihydroxy-5 alpha-androstane. With 3 beta,17 beta-dihydroxy-5 alpha-androstane as substrate the highest enzyme activities were measured in PAT and gonad homogenates from animals of all investigated life stages. A varying intensity of HSD activity in the examined tissue homogenates probably dependent on stages of the individual development was observed. PMID- 6578997 TI - [Functional results following early surgery of congenital cataract. A contribution to the development of the visual system]. PMID- 6578998 TI - Does PGE2 have a beneficial effect on acute experimental pancreatitis in the rat? AB - Prostaglandin E2 (PGE2) is known to have a cytoprotective effect on the gastric mucosa exposed to a variety of noxious agents. A cytoprotective effect on the pancreas in acute pancreatitis has been postulated, but available evidence is contradictory. Acute experimental pancreatitis was induced in 170 male Wistar rats by retrograde injection of 0.6 ml of 5% Na-taurocholate into the pancreatic duct. PGE2 (0.1 microgram/g rat) was given intraductally, intraperitoneally or subcutaneously before and after induction of pancreatitis. PGE2 had no effect on survival rate, enzyme levels in serum and ascites, or on morphologic damage to the pancreas. PMID- 6579000 TI - Some food additives, feed additives and naturally occurring substances. PMID- 6578999 TI - An appraisal of the value of the bone marrow biopsy in the assessment of proliferative lesions of the bone marrow. AB - The diagnostic value of the bone marrow needle biopsy has proved impressive in a variety of disorders. As a complementary procedure to the aspiration smear it adds an invaluable dimension to the examination of haematopoietic tissue. The procedure is easily learned and safe and should be utilized routinely in haematological practice. The usefulness of the bone marrow biopsy is examined in assessing proliferative lesions of the bone marrow. PMID- 6579001 TI - Cinnamyl anthranilate. PMID- 6579002 TI - Furazolidone. PMID- 6579003 TI - Fusarenon X. PMID- 6579004 TI - Gyromitrin (acetaldehyde formylmethylhydrazone). PMID- 6579005 TI - Kaempferol. PMID- 6579007 TI - Nitrovin. PMID- 6579006 TI - Nithiazide. PMID- 6579008 TI - Ochratoxin A. PMID- 6579009 TI - Petasitenine. PMID- 6579010 TI - Quercetin. PMID- 6579011 TI - Senkirkine. PMID- 6579013 TI - Trp-P-1(3-amino-1,4-dimethyl-5H-pyrido[4,3-b]indole) and its acetate. PMID- 6579012 TI - Symphytine. PMID- 6579014 TI - Trp-P-2 (3-amino-1-methyl-5H-pyrido[4,3-b]indole) and its acetate. PMID- 6579015 TI - T2-trichothecene. PMID- 6579016 TI - AF-2 [2-(2-furyl)-3-(5-nitro-2-furyl)acrylamide]. PMID- 6579017 TI - Agaritine (L-glutamic acid-5-[2-(4-hydroxymethyl)-phenylhydrazide]). PMID- 6579018 TI - 2-amino-5-nitrothiazole. PMID- 6579020 TI - Cholesterol. PMID- 6579019 TI - Carrageenan. PMID- 6579021 TI - Two-step enrichment of HLA-DR antigens from spent medium of human malignant melanoma culture by flotation and density separation procedures. AB - HLA-DR antigens released by cultured human melanoma cells were harvested from spent medium. Antigenic activity was monitored by quantitative absorption analysis in the mixed hemadsorption assay using anti-HLA-DR rabbit antiserum. Following concentration by amicon filtration, and removal of insoluble components by centrifugation at 136,000 g, the spent medium was subjected to KBr (density, 1.23 g/ml) flotation. The antigenic material was enriched in the upper one-third fraction (lipoprotein-rich), by a factor of 7 with 79% recovery. Further purification of this upper fraction by sucrose (5-30%) density gradient resulted in a marked increase in antigenic activity in the bottom fraction (No. 6), by a factor of 167 with 56% recovery from the spent medium concentrate. Thus, these procedures offer a promising approach towards the isolation of HLA-DR antigens from shed material of cultured melanoma cells for further purification and structural studies. PMID- 6579022 TI - No role of HLA in mate selection. PMID- 6579023 TI - Perinatal leukemia: the surface antigens, cytochemistry and cytogenetic features. PMID- 6579024 TI - Hormone patterns and reproduction in cattle. PMID- 6579025 TI - The Danish oral health care service for children: from school dental services to oral health care. AB - The Danish oral health care services for children began its development at the beginning of this century. The aims and main principles of the service were formulated in the 1960s and in 1971 the Danish Parliament passed the Act on the Children's Oral Health Care System. By 1987 a complete oral health care service as a decentralized public health enterprise will be fully established covering all Danish children from 0 to 16 years of age. The oral health care programme is founded on health education and prevention. Treatment services are considered to be a safety net for disease not yet prevented. The oral health care service for children is described in detail and future developments are discussed. PMID- 6579026 TI - The Danish oral health care service for children: its achievements. AB - Child dental services in Denmark were legally defined in 1971 and have functioned under this law for about a decade. Although no operational goals were defined, it is fair to say that the activities and results of the service have lived up to the expectations held at the inception of the law. The evaluation and planning system has made it possible to monitor developments in health as well as the use of resources. There have been consistent trends towards improved dental health in children and at the same time no increases in the use of personnel. There is general agreement in society that child services should remain a public activity. Pressures upon the services in the years to come must be expected to mount due to increased competition for scarce resources, simultaneous improvement in dental health and a reduction in the number of children. These pressures will stimulate a re-examination of goals within the service so that appropriate short and long term local action can be taken before outside influences force changes with deleterious effects on the structure and function of the service. The success of the service and its ultimate achievements, therefore, will have to be measured against its abilities to adapt to changes in health as well as to an economic situation which will be more demanding than hitherto. PMID- 6579027 TI - The Danish oral health care service for children: an evaluation. AB - An evaluation of the children's oral health care service was performed by an international assessment team who undertook a field programme in Denmark. Three counties were visited, one metropolitan, one urban and one rural. Data on dental health costs were collected and dental services in six municipalities selected at random were examined. Opinions of administrators at all levels and those of clients and providers were obtained and interviews also took place with staff and students at the two dental schools. The service was considered effective insofar as active dental disease was closely controlled by restorative care and a high level of dental awareness was instilled in all sections of the child population. The service was also clearly adequate since participation of schoolchildren was almost universal. However, resource expenditure on both professional personnel and clinical facilities was considered high and the efficiency of the service was possibly rendered less than optimal by a degree of over-provision in 'passive' prevention and orthodontics. The appropriateness of devoting so much resource to children at the expense of the population as a whole was also regarded as questionable as was the lack of a fluoridation programme. Client groups wholeheartedly supported the service as a result of the high quality of care and the attractive, considerate image projected by clinics and staff. The overall excellence of the service was a matter of satisfaction to administrators, of gratification to clients and of pride to the providers whose morale was high. PMID- 6579029 TI - The Danish oral health care service for children: an international appraisal. AB - The Danish children's oral health care service has been so successful in achieving its objectives that it will need to change and adapt in order to survive. It is suggested that the service should gradually become community-based rather than child-based. This process can be commenced by introducing treatment for the elderly, the handicapped and the indigent, converting the school clinics to municipal oral health units. Although it is important that private practice is maintained, private dentists should be encouraged to work in the system part time, leading teams of supporting auxiliary personnel trained within an integrated system. Eventually, the facilities could form the basis of primary health care centres. The lessons to be learnt from the Danish experience have a wider application to other countries. In developing countries it is obvious that they should first place limited dental resources into public health prevention and only invest in expensive treatment clinics as funds become more available. Manpower planning should ensure that personnel are not overtrained for the needs of the community. In developed countries, increasingly more resources will need to be channelled into adult dental care, and dental education must lead the profession into this new era. Difficult though these changes will be, the stable relationships that have developed between the various arms of the service under the guidance of the Danish Dental Association, will ensure that the profession will survive and flourish for the benefit of the Danish people. PMID- 6579028 TI - The Danish oral health care service for children: a comparison with alternative systems. AB - Aarhus in Denmark, Adelaide in Australia, Saskatchewan in Canada, Bristol in England and Limerick in Ireland were chosen as representing five different systems for improving the dental health of children. Fluoridation apart, the system of dental care delivery seems to have little influence on the level of dental disease, but appears to have remarkable cost implications. The most expensive system employs salaried dentists to carry out all the operative procedures. Employing dental therapists to do the simple operative procedures reduces costs materially, but utilizing private dentists in an insurance scheme that encourages efficient practice may be less expensive still. The results of this study highlight the need for more detailed comparison of delivery systems, in order to advise public dental health authorities on the most effective and efficient systems for children. PMID- 6579030 TI - The physiology and pathophysiology of ageing. AB - Ageing is a physiological process which impairs vitality and ultimately leads to death. It is found in all differentiated multicellular organisms. Recent theories attribute ageing to an accumulation of errors as the capacity of mechanisms for their repair and compensation becomes limited. Erroneous processes leading to ageing and death stem mainly from the protein-synthesizing machinery of the cell. At present, three types of hypotheses to explain ageing are under consideration. These are (1) the limited stability of genetic information, (2) a restriction in the availability of genetic information and (3) the liability to error of the information flow in protein synthesis. Recently, increasing interest has also been shown in certain post-synthetic changes in biological molecules which may impair cell functions. However, ageing cannot be explained entirely at the molecular and cellular level. Since it has been shown that faults may also emerge at the higher organizational levels of multicellular organisms, it is necessary to study ageing processes at various levels, taking into account the specific type of order innate in living organisms. The relationship between ageing and disease is characterized by increased morbidity and accompanied by an increasing chance of dying from certain diseases. The following events may be of major importance: (1) the progressive loss of specific order ('bionomic order') which leads to a reduced capacity of adaptation, compensation and repair; (2) continuous changes of the organism throughout life ('biomorphosis') which lose their usefulness after the attainment of maturity and promote pathological changes; (3) the long term accumulation of low-level noxious influences which increase the chance of becoming ill as age advances. PMID- 6579031 TI - Age-induced changes in the teeth and their attachment apparatus. AB - Both the hard substances and the soft tissues of the teeth and their attachment apparatus are subject to constant change. This begins immediately after eruption and continues throughout life. An exact dividing line between changes which are physiological and pathological cannot always be drawn. Enamel undergoes attrition, and in addition its mechanical characteristics alter, owing probably to changes in diffusion conditions. The age-induced changes occurring in dentine are much more obvious, the biological properties of this hard substance being fundamentally altered. The dentine of older people is characterized by the continuous narrowing of the lumen of the dentinal tubule, increasing calcification, reduction in the amount of peritubular fluid and reduced sensitivity. In this process, dentine becomes able to assume the function of enamel as it wears. With age cementum undergoes continuous deposition, mainly functionally induced. It is evident, even macroscopically, that the volume of the pulp declines owing to the deposition of secondary dentine or of amorphous dentine with age. Histologically, young pulp differs fundamentally from that of the pulp of an older person. Regressive processes commence immediately after tooth eruption. The number, nature, properties and capabilities of the cells change, but the pulp does not suffer any appreciable loss of vitality. Circulation in the pulp is affected by deposition of hard substance in the apical part of the root canal. These processes are important in endodontics, and because of them different treatment methods have to be used for patients of different ages. The tooth supporting tissues are also subject to constant rearrangements, the physiological occlusal and mesial movements of the teeth being relevant here. All these structural and biological differences must be allowed for when therapy is being considered. They have not hitherto been taken sufficiently into account. PMID- 6579032 TI - Age-induced changes in the oral mucosa and their therapeutic consequences. AB - The oral mucosa is subject to specific changes with increasing age but these do not by themselves impair the function and well-being of the patient. The dentist should, however, devote particular attention to the reactions of the oral mucosa when it has undergone age-induced changes, to the effects, extending over years and even decades, of foreign bodies such as prostheses and of other agents--in particular, smoking. Changes are brought about mainly by arteriosclerotic processes, the progressive obliteration of the capillaries and the reduction of cell metabolism. Nerves and end organs in the oral mucosa may also be affected by age. The effects include a progressive loss of sensitivity to thermal, chemical and mechanical stimuli, while gustatory ability declines in old age. The reactions of the oral mucosa to a prosthesis also change with increasing age. In young people, mechanical irritation tends to give rise mainly to painful inflammation and swelling, while chronic atrophic processes predominate in old age. Although the age-induced changes in the oral mucosa show a wide range of individual variation, there are nevertheless some specific trends which bring out the difference between chronological age and biological status. The dentist must be aware of possible age-induced morphological and functional processes, so that he can adopt a preventive strategy and draw the right conclusions for therapy, even in very old patients. Given constant care of both the mouth and prostheses, regular examinations and prompt therapeutic measures, there is no reason why the oral tissues of denture wearers, like those of other patients, should not be healthy and fully functional even into very old age. PMID- 6579033 TI - Psychological and social factors in the dental care of the elderly. AB - With age there are major changes in social status, in sensory perception and in motor and cognitive functions. These and attitudinal barriers among elderly patients and practitioners have a role in determining patients' oral health status. Dentists must understand the psychological and social changes which occur with ageing and must apply this understanding to the relationship between psychological status and the motivation to maintain oral health, general health and nutrition. Services may then be designed to fit the oral needs of the aged patient, not just his or her financial situation. Dental providers must recognize differences between the prognosis for similar oral disease in elderly patients and in younger patients, and provide appropriate care. Differences in lifestyle, dental awareness, sensory-perceptual and physiological functioning must be recognized. Dentists should play a critical role in providing each member of the growing population of elderly with a healthy and satisfying life in the later years. The dentist should become a resource for improving the quality of life among older persons, improving their oral health and thereby conferring physical, social and psychological benefits. Through concerted efforts to educate both dental providers and elderly patients, we may eventually realize these goals. PMID- 6579034 TI - Medical and psychosocial risk factors in the dental treatment of the elderly. AB - There is evidence to show that a 'new' type of elderly consumer of dental services is evolving with characteristics and expectations different from those of the 'old' elderly that dentists have had experience in treating. In providing care for the 'new' elderly the dentist must consider the many modifying factors which influence the type of treatment that an individual patient needs. These are the patient's lifespan, medical history, drug history, mental status, mobility, neuromuscular coordination, dental status, previous dental experience, the patient's or family's dental expectations as well as the economic status of the patient and the family. Before commencing treatment the dentist must also assess his/her own skills, the facilities in which he/she is working and the availability of equipment to carry out the dental procedures that may be required. Only when all of these considerations have been taken into account can rational dental care for an individual elderly person be planned and completed. The variation in what is rational is large. For one patient it may be no treatment at all and for another the most technologically sophisticated care dentistry can provide. PMID- 6579035 TI - Delivery programmes for elderly and isolated populations. AB - The provision of dental care for the elderly and for other isolated population groups cannot be ignored. In particular, special provision must be made for the housebound and institutionalized elderly as well as for those who are isolated for social or medical reasons. Continuous liason with social service personnel and health service workers, as well as with voluntary agencies, is essential for identifying and treating these populations. The assessment of dental treatment needs must take account of the clinical dental status of the subjects, their demands for treatment and their oral handicaps. The aims should be to treat overt oral and dental pathology and to relieve oral handicaps. Treatment should be readily available and must not be an added burden for those who are already medically or socially disadvantaged. Careful consideration must be given to treatment and manpower requirements. The dental team should consist of people who are particularly skilled at treating elderly and/or handicapped people. Schemes for domiciliary visits should be devised and facilities such as mobile dental units and dental surgeries within long-stay hospitals should be made available. Most importantly, in order to provide an appropriate ongoing dental service, dental personnel and other health workers must be totally committed to making quality dental health care available to all. PMID- 6579036 TI - Classification of dental auxiliary personnel based on strata-training concepts. AB - Dental auxiliaries may be grouped into various vertical strata and horizontal levels according to their degree of training and education. The classification is designed so that the majority of known types of auxiliary personnel may be located within its structure. It is based on strata-training, with instruction in fundamental or 'core' subjects at each level of the strata. Additional training permits progression to a higher stratum and to more complex tasks. A model stratum-based training programme is described. PMID- 6579037 TI - Problems in treating the dental and medical professions alike. PMID- 6579038 TI - An odontogenic cyst with significant implications. PMID- 6579039 TI - Water softener influence on anions and cations. PMID- 6579040 TI - Maxillofacial prosthetic treatment. PMID- 6579041 TI - Periodontal disease and oral hygiene among new immigrants to Israel from three regions of origin. AB - The purpose of the present investigation was to gather information on the prevalence of periodontal disease and oral cleanliness status of new immigrants to Israel. A comparison was made between the different regions of origin. New immigrants, residents of four absorption centers in Israel, who arrived in Israel no more than three months prior to the date of their examination, were included in the study. Altogether, 1031 immigrants (417 Eastern Europeans, 338 Western Europeans/North Americans and 276 South Americans) were examined. During the examination periodontal status and oral hygiene were checked. Periodontal status was recorded according to Russell's Periodontal Index (PI). The oral cleanliness was assessed according to Greene and Vermillion's Simplified Oral Hygiene Index (OHI-S). A markedly lower prevalence of periodontal diseases and a significantly better oral cleanliness were demonstrated by the West European/North American group as compared to the other two groups. The South American group, as intermediate group, exhibited significantly lower mean PI and OHI-S scores as compared to the East Europeans. Generally, the same distribution of prevalence of periodontal diseases between the three groups were found by the respective age groups. The results demonstrated a significant increase in prevalence of periodontal diseases, by age. Oral cleanliness showed a trend to deteriorate by age, but not significantly so. A sex difference was apparent in the prevalence of periodontal diseases and in oral hygiene. Low OHI-S scores (indicating improved oral hygiene) were associated with the low PI scores (indicating better periodontal status) in the whole study population and within the different regions of origin. PMID- 6579042 TI - Dental caries and oral hygiene status among Arab school children in the Village of Tira. PMID- 6579043 TI - Cryotherapy of lesions of the oral mucosa. PMID- 6579044 TI - Effect of prostaglandins on polymorphonuclear leukocyte motility. AB - The effect of prostaglandins (PGE1, E2, F2 alpha on LIF production, LIF activity, and on the random migration of polymorphonuclear leukocytes was investigated. Concanavalin A-induced LIF production was tested in an indirect LIF assay using agarose microdroplet technique; PGE1 and PGE2 inhibited the LIF production. PGE1, PGE2, and F2 alpha in physiological concentration, decreased the random migration of leukocytes, they also interfered with the LIF activity of supernatants, decreasing their inhibitory effect on cell migration; but the opposite explanation that LIF-treated PMNs escaped the inhibitory effect of PGs, cannot be ruled out. Macrophages produce supernatant factor(s) in the course of phagocytosis which inhibit the motility of polymorphonuclear leukocytes. The active component of supernatant seems to be PG, since its production can be blocked by indomethacin. These data indicate that prostaglandins may have different sites of attack in the local regulation of leukocyte motility. PMID- 6579045 TI - Hypnosis as a primary anesthetic in reconstructive and cosmetic facial surgery. PMID- 6579046 TI - A presumed case of spontaneous psychokinesis in a psychotherapy situation. Part II. PMID- 6579047 TI - Chronic myelogenous leukemia in the dog. AB - Chronic myelogenous leukemia was diagnosed in 7 dogs. In each case, marked neutrophilia in the absence of infection was observed in association with nonspecific illness. Diagnosis was based on morphologic cytology of blood smears, bone marrow aspirates, and in 1 case, a lymph node biopsy specimen. In 5 cases, treatment with hydroxyurea was successful in lowering circulating WBC counts, but was of questionable value in the prevention of leukemic blast crisis. PMID- 6579048 TI - Acute lymphoblastic leukemia in the dog: a review of 30 cases. AB - Acute lymphoblastic leukemia was diagnosed in 30 dogs. Diagnosis was confirmed by examination of blood smears and bone marrow aspirates. The most common clinical signs were lethargy, anorexia, splenomegaly, and pallor of mucous membranes. Three dogs were not treated, 3 dogs were treated with prednisone, and 3 dogs were treated with cyclophosphamide; survival times in these 9 dogs ranged from 1 to 60 days. Twenty-one dogs were treated with vincristine and prednisone; of these, complete remission was achieved in 4 dogs and partial remission was achieved in 4 dogs, with survival times ranging from 8 to 241 days. PMID- 6579049 TI - Interaction of anthracycline antibiotics with biopolymers. VIII. Binding parameters of aclacinomycin A to DNA. AB - The binding of aclacinomycin A to DNA was investigated spectrophotometrically under equilibrium conditions. The self-association behaviour of aclacinomycin A was identified as dimerization. Based on a model of overlapping potential binding sites the subsequent results were obtained: equilibrium constant of cooperative binding K = (7.58 +/- 2.15) X 10(6) M(-1), size of a binding site alpha = 3.98 +/ 0.14 base pairs, cooperativity parameter sigma = 0.12 +/- 0.10. These parameters were compared with those of adriamycin, daunomycin, and iremycin to draw some conclusions regarding the structural specialities of aclacinomycin A. PMID- 6579050 TI - Calcified loa-loa infestations. PMID- 6579051 TI - Crystallization of the Azotobacter vinelandii nitrogenase iron protein. AB - The iron protein from Azotobacter vinelandii nitrogenase has been crystallized in the reduced form. The needle-shaped crystals are in space group P2(1)2(1)2 (a = 94.6 A, b = 179.9 A, c = 74.1 A) and diffract to at least 3.5-A resolution. Five or six Fe-protein monomers are present in the asymmetric unit. PMID- 6579052 TI - Phase-II clinical trial of 4'-epi-doxorubicin in metastatic solid tumors. AB - 4'-Epi-doxorubicin, one of the analogs of doxorubicin, was shown in experimental animal tumor models to have a wide spectrum of antitumor activity. In comparison, its toxic side effects were less prominent than those of doxorubicin. Results of the first phase-I and II clinical trials in human tumors have confirmed experimental data. The aim of our study was to carry out a broad phase-II clinical trial mainly in various types of primarily chemoresistant solid tumors to obtain further information on the antitumor activity spectrum and toxicity of 4'-epi-doxorubicin. Ninety-two patients, 55 males and 37 females aged from 32 to 75 with an average age of 51 years, were available for the study. Karnofsky performance status was not less than 50. Previous chemotherapy was recorded in 33 patients. The drug was administered at doses of 40 mg/m2 i.v. daily for 2 days in the first 25 patients and, in all other patients, the dosage was increased to 50 mg/m2 i.v. daily for 2 days (100 mg/m2/cycle). The overall response was registered in 18 (seven complete, 11 partial remissions) out of 92 patients (20%). Regarding tumor types, the response was observed in 2/15 lung, 4/15 stomach, 3/14 colorectal, and 5/13 breast cancers. No response was observed in 11 patients with melanoma and five with hypernephroma. Toxicity was mild (myelosuppression, gastrointestinal toxicity, cardiotoxicity) and tolerable for the patients. On the basis of these results, we could conclude that 4'-epi doxorubicin is an active antitumorigenic agent in breast cancer and in stomach, rectal, and small-cell lung tumors. These results justify further clinical investigation of this compound especially in combination chemotherapy treatment. PMID- 6579054 TI - Marketing your practice. PMID- 6579053 TI - Evidence that a variety of cultured cells secrete protease nexin and produce a distinct cytoplasmic serine protease-binding factor. AB - Four criteria were used to examine serum-free conditioned cell culture medium for protease nexin (PN):(1) formation of SDS-stable approximately 77 K Da complexes between a medium component and [125I]thrombin; (2) acceleration by heparin of the rate of formation of these complexes; (3) cellular binding of these complexes; and (4) inhibition by heparin of the cellular binding of complexes. Listed in order of decreasing PN production, PN was detected in media conditioned by the following cell types: human foreskin fibroblasts (0.18 micrograms/10(6) cells), rat embryo heart muscle cells (0.13 micrograms/10(6) cells), mouse myotubes (0.1 micrograms/10(6) cells), monkey kidney epithelial cells, human fibrosarcoma cells, human lung fibroblasts, simian virus 40 (SV-40)-transformed human fibroblasts, human epidermoid carcinoma cells, bovine aortic endothelial cells (only after phorbol ester treatment), and mouse myoblasts. No PN was found in medium conditioned by mouse 3T3 cells, SV40 virus-transformed 3T3 cells, human lymphoblasts, or mouse leukemia cells. Eleven of the cell types examined for secretion of PN were also examined for the presence of cytoplasmic thrombin binding factors. Lysates from all of these cell types contained a factor that formed approximately 60-65 K Da sodium dodecyl sulfate (SDS)-stable complexes with [125I] thrombin. This MW is significantly lower than that of [125I] thrombin PN complexes, indicating that the factor is distinct from PN. Nevertheless, PN and the cytoplasmic factor share similarities. Production of both PN (by HF cells and WI-26 cells) and the cytoplasmic factor (by HF cells and 3T3 cells) are stimulated by epidermal growth factor and phorbol myristate acetate. Also, both PN and the cytoplasmic factor complex trypsin, plasmin, urokinase, and thrombin, but not pancreatic elastase. Because a number of the cells that produce PN or the cytoplasmic serine protease-binding factor are known to produce plasminogen activators, both PN and the cytoplasmic factor could regulate plasminogen activator activity. PMID- 6579055 TI - The Vari-simplex discipline. Part 3: extraction treatment. PMID- 6579056 TI - Retracting labially displaced cuspids. PMID- 6579057 TI - Combination treatment card. PMID- 6579058 TI - Suppression of the periodontopathic microflora in localized juvenile periodontitis by systemic tetracycline. AB - Since recent studies have implicated Actinobacillus actinomycetemcomitans in the etiology of localized juvenile periodontitis, this investigation determined the effectiveness of subgingival debridement, topical Betadine Solution, and systemic tetracycline in suppressing subgingival A. actinomycetemcomitans and other microorganisms. A total of 20 deep periodontal pockets and 10 normal periodontal sites of 6 localized juvenile periodontitis patients was included in the study. Each patient was treated in 3 stages over a period of 22 weeks, and the result of treatment was monitored for an additional 38 weeks. The first stage of treatment included plaque control, as well as thorough scaling and root planing, composed of at least 6 h of debridement. No concomitant periodontal surgery was performed. In the second stage, Betadine saturated cotton gauze was inserted into the periodontal pockets for 10 min. Stage 3 involved systemic tetracycline therapy (1 g/day) for 14 days. The subgingival microflora was determined at frequent intervals by selective culturing of A. actinomycetemcomitans and Capnocytophaga and by direct microscopic examination. The clinical effect was assessed by measuring changes in probing periodontal attachment level, probing periodontal pocket depth, radiographic alveolar bone mass, and other relevant clinical parameters. Scaling and root planing reduced the total subgingival bacterial counts and the proportions of certain Gram-negative bacteria, but no periodontal pocket became free of A. actinomycetemcomitans. Betadine application had little or no effect on the subgingival microflora. In contrast, tetracycline administered via the systemic route suppressed A. actinomycetemcomitans, Capnocytophaga, and spirochetes to low or undetectable levels in all test periodontal pockets. A. actinomycetemcomitans reappeared in 9 of the deep periodontal pockets after the administration of tetracycline. Most of these 9 pockets became free of detectable A. actinomycetemcomitans during the second week of tetracycline administration, whereas pockets which yielded no A. actinomycetemcomitans after tetracycline therapy became free of the organisms during the first week of tetracycline treatment. This data suggests that systemic tetracycline therapy of localized juvenile periodontitis should, as a practical rule, be continued for 3 weeks. Periodontal destruction continued in 4 deep pockets which all showed high posttetracycline A. actinomycetemcomitans counts. All 6 pockets which demonstrated a marked gain in periodontal attachment yielded no cultivable A. actinomycetemcomitans. No association was found between periodontal disease status and subgingival Capnocytophaga, spirochetes or motile rods. The present study indicates that A. actinomycetemcomitans is an important etiologic agent in localized juvenile periodontitis.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6579059 TI - Principles and concepts of treatment derived from these studies, and their application to dentistry. 12th James A. English lecture series. PMID- 6579060 TI - Current sterilization and disinfection procedures in dental practice. PMID- 6579061 TI - The group solo practice. (Practicing dentistry in the 1980s). PMID- 6579063 TI - Overdose of isotretinoin. PMID- 6579062 TI - Aleukemic leukemia cutis: juvenile chronic granulocytic leukemia presenting with figurate cutaneous lesions. AB - We report a 3 1/2-year-old girl who developed a figurate cutaneous eruption. Distinctive findings in her skin biopsies, as well as unusual red cell characteristics, in the presence of a normal peripheral smear and bone marrow biopsy, led us to suspect the diagnosis of preleukemic juvenile type chronic granulocytic leukemia. This is the first case we know of in which this diagnosis was suspected prior to abnormal findings in the peripheral smear or bone marrow. PMID- 6579064 TI - Metastatic osteosarcoma to the heart and mediastinum presenting as esophageal obstruction. PMID- 6579065 TI - The hazards of occupational exposure to nitrous oxide in the dental office. PMID- 6579066 TI - The ethical marketing of dentistry: is it a misnomer? PMID- 6579067 TI - Financial planning. Fiscal fitness for the dentist. PMID- 6579068 TI - Professional responsibility curriculum report. American College fellows serve as expert assessors. Teaching ethics at the University of Minnesota. PMID- 6579070 TI - What is ethics in practice? PMID- 6579069 TI - Retail dentistry. Practice and patient characteristics. PMID- 6579071 TI - Dental hygiene comments. PMID- 6579072 TI - Amalgam vs composite. PMID- 6579073 TI - Light-curing resin systems. PMID- 6579074 TI - Advances in dental practice: experts explore the future for office staffing, computers, and devices, instruments, and equipment. PMID- 6579075 TI - National trends in the prevalence and severity of the periodontal diseases. AB - In summary, between the 1960 to 1962 national health survey and the 1971 to 1974 national health survey, the mean periodontal index scores remained unchanged. However, the classification of adults into broad disease categories showed that those with no evidence of disease increased significantly. This improvement in the nation's experience with the periodontal diseases was restricted to those with gingivitis, and a concomitant improvement was observed in the nation's oral hygiene status; debris scores decreased substantially, whereas little change was observed in calculus scores. Hypotheses have been raised in this paper about the decline in the prevalence of gingivitis and its possible association with variables such as OHI-S scores, socioeconomic status, dental care utilization, cigarette smoking, fluorides, and antibiotics. Also noted between the two surveys was a slight decrease in the prevalence of periodontal pockets in persons younger than age 35, whereas in persons older than 35, there was either no change or a slight increase. During this same period, both total loss of teeth and number of missing teeth per person decreased for all ages. A hypothesis is proposed that links this slight increase in the more severe signs of periodontal disease in older adults to an increase in the number of teeth at risk to the disease. The modest change in the prevalence and severity of advanced periodontal disease may be an early sign of a trend that will become accentuated as a result of a distinct increase in the nation's older population coupled with the increased retention of the natural dentition. Thus, it would seem that a decline in edentulism and an increase in number of teeth per person may well contribute to circumstances that will lead to greater, not lesser, risk of advanced periodontal disease problems in the later decades of life. Although this hypothesis may or may not hold true for today's younger adults as they age, it seems to be the likely occurrence for the nation's older adults, at least for the next several decades. A third national survey, using the same indexes and more current periodontal disease measures, is needed to help to clarify the trends reported here. PMID- 6579076 TI - Adult root fracture. PMID- 6579077 TI - Reevaluation of submerged vital roots. AB - A total of eight vital roots were submerged and retained under complete dentures in two patients. Within two to three years, each patient experienced problems of pain, re-exposure, and inflammation, resulting in the removal of the roots. Histologic evaluation showed evidence of chronic inflammation of the pulpal tissue. Because of alveolar resorption and perhaps super-eruption of the submerged roots, the likelihood of exposure and abscess is a distinct disadvantage to the procedure. Therefore, some doubt remains as to the long-term success with this technique. PMID- 6579078 TI - Multiple congenital defects: report of a case. AB - An unusual case history is presented in which a 4-year-old Oriental boy, born with multiple congenital defects primarily affecting anatomic structures in the midline, was treated by an oral surgeon, restorative dentist, and others. The defects included cleft palate, two complete and separate tongues, missing and decayed teeth, and an aortic abnormality. Treatment procedures included restoring the teeth, uniting the two tongues, lip repair, and fabrication of an obturator to close the palatal defect. PMID- 6579079 TI - Actinomycosis involving a mandibular odontoma. PMID- 6579080 TI - The impacted third molar: referral patterns, patient compliance, and surgical requirements. PMID- 6579081 TI - Suicide statistics of dentists in Iowa, 1968 to 1980. PMID- 6579082 TI - Oral reconstruction: an instrument to establish vertical and physiologic occlusion. AB - The Coble Balancer can be used to locate the most comfortable vertical dimension before fixed restorative procedures are begun. It can be used to locate and record centric relation at this vertical dimension, and can transfer the relationship to a simple or complex articulator. After restorations are fabricated, the balancer facilitates adjustment of the restorations to conform to the patient's jaw movement. PMID- 6579083 TI - Asymptomatic, ill-defined radiolucent area in the posterior body of the mandible. AB - The focal osteoporotic bone marrow defect is seldom considered preoperatively when a differential diagnosis is considered for focal, ill-defined radiolucent areas of the jaws. Clinicians should be aware of the existence of this abnormality and understand that it appears radiographically similar to other lesions, some of which are malignant; therefore a biopsy is necessary to establish a diagnosis. PMID- 6579084 TI - Pit and fissure sealants. Council on Dental Materials, Instruments, and Equipment. PMID- 6579085 TI - Methods of calculating UCR benefits. Council on Dental Care Programs. AB - A total of 15 insurance firms and service plans responded with completed or partially completed questionnaires to a survey conducted by the Council in response to a directive of the 1981 House of Delegates. The survey to determine the various methods used in the calculation of UCR benefits asked that the firms and service plans provide the source of their fee data; the locality used in establishing customary fees; the frequency with which their maximum allowable benefits are updated; the age of the data used in the updates; the percentile used as the upper limit on the range of fees; the method of determining the percentile; and their definitions of "unusual fee," "customary fee," "reasonable fee," and "prevailing fee." In addition, the surveyed firms and plans were asked to supply their maximum allowable benefits for eight dental procedures provided in a given city on a given date. Most respondents advised that they use the 90th percentile as the upper limit on allowable fees. Most commonly, postal zip code (first three digits) or counties updated quarterly using fees from the previous six months are used for locality and fee updating. Among insurance firms, claim statistics normally are used to develop the fee base, but among service plans, prefiled fees predominate. Although most examples indicated that similar statistical calculations were used in determining the upper limit on benefits, some notable variations were reported, including a composite weighting of all fees filed by a dentist and individual dentist profiles for usual fees, which are used to calculate customary fees. Insufficient responses were received on maximum allowable benefits to permit statistically valid analysis. The Council recognizes that a free market encourages variety among competitors. To make sure that plan participants are not misled about the benefits provided, the Council urges that specific information concerning the method of calculating benefits be provided to plan participants and in the case of service plans, to participating dentists. PMID- 6579086 TI - Pedodontic sedation. PMID- 6579087 TI - MPD syndrome. PMID- 6579089 TI - Dental practice insurance. Choosing your direction. PMID- 6579088 TI - Cervical erosion. PMID- 6579090 TI - New finishing instruments for composite resins. AB - The trimming of composite resin restorations encompasses gross finishing, contouring, fine finishing, and polishing. A series of aluminum oxide-coated flexible disks have been marketed and are suitable for that purpose. However, their use is confined to directly accessible convex surfaces. For precise finishing of small delineated areas, and for concave and occlusal surfaces, rigid rotary instruments are necessary. The currently used stones and tungsten carbide burs are ineffective with microfilled composite systems. Thus, a series of finishing burs coated with 40- and 15-microns diamond chips were evaluated because of the superior grinding effectiveness as compared with existing instruments. Surface roughness measurements, and qualitative and quantitative SEM evaluations, indicate that these fine and superfine diamond finishing burs produce surfaces on composite resins as smooth as tungsten carbide burs and stones. At the same time, they cause less surface and subsurface damage or marginal fractures on composite resin restorations. The three-year clinical experience is generally favorable. Further quantitative clinical studies are warranted. PMID- 6579091 TI - Analgesic effects of nitrous oxide with controlled painful stimuli. AB - This study was designed to provide statistical estimates of the effects of N2O on pain and anxiety associated with tooth-pulp shock in a clinical and in a laboratory setting. Amounts of electric stimulation needed to first feel sensation, amounts to feel pain, and pain tolerance were measured. N2O had a significant effect on raising levels of absolute sensation, pain threshold, and pain tolerance in response to increasing electrical stimulation of teeth. These effects were noted when N2O and pulp stimulation were delivered in a clinical dental setting or in a pain-research laboratory. Subjects also decreased their evaluation of the intensity of the same stimulus as N2O was inhaled at various concentrations; their aversion to the same stimulus tended to be influenced by N2O to a greater extent than perceived intensity. Anxiety levels were reduced to a statistically significant degree. PMID- 6579092 TI - A survey of radiographs obtained at the initial dental examination and patient selection criteria for bitewings at recall. AB - This paper reports the results of a 1980 survey of a 27% simple random sample of all practicing dentists in North Carolina. The objective of the survey was to establish current practice standards regarding panoramic, full-mouth series, and bitewing radiographs. A total of 414 dentists (76.2% of those surveyed) responded. A questionnaire recorded demographic data on the dentists, age specific prevalence data on the type of radiograph most often done at a patient's initial visit, and prevalence of radiographs based on need as perceived by the dentist and assessed separately for a variety of patient characteristics (age, oral hygiene, caries activity, fluoride treatment, and systemic medical problems). Results of the survey of a subset of 338 dentists in general practice showed the median age to be 40 with a median length of experience of 13 years. At an initial visit, for patients younger than 12, bitewing radiographs only were most commonly taken; for patients older than 12, bitewings plus a panoramic radiograph were taken. Full-mouth series plus bitewings were rarely performed among patients younger than 6 years (2.1% of the time), but were more commonly performed as patients aged (29.0% for patients aged 40 and older). A variety of patient characteristics were considered for their impact on the need for bitewing radiographs on recall. Caries activity was ranked most important by the general dentist, followed by oral hygiene and periodontal activity. PMID- 6579093 TI - Clinical considerations in the diagnosis and treatment of intra-alveolar root fractures. AB - Clinical and radiographic data collected from the 14 cases of intra-alveolar root fractures, with follow-ups of one to 25 years, complement the findings of other investigators in that the prognosis of the endodontium is extremely favorable. A survey of reports indicate that 75% to 80% of the pulps in intra-alveolar root fractures recover with no need of any endodontic therapy. Furthermore, pulpal pain is seldom encountered. Although the electric pulp tester is considered an important diagnostic tool, it does have limitations. The significance of the negative response is questionable, especially in young, undeveloped teeth with open apexes. The failure to respond to the tester may be attributed to a high electrical impedance. As nociceptor nerve fibers are last to develop, failure to respond to the tester in young teeth may give a false signal of pulp necrosis. Traumatized vital teeth often give an initial negative response, as does a tooth with rapid dentin deposition. Fracture detection can be increased by taking X rays from more than one angle. Radiolucent areas occur in the region of the root fracture more readily than in the periapical region, in a ratio of 7 to 1. Variations in angulations can give false impressions of complete dentinal union and complete or incomplete calcification of the pulpal space and an illusion of a comminuted fracture. The latter seldom occur in intra-alveolar root fractures. Furthermore, the apparent obliteration of the canal and pulp chamber, as seen on the radiograph, does not imply total obliteration with calcific tissue. The root canals are most often patent and negotiable.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6579094 TI - The broken needle: report of case. AB - After any patient who is to receive a local anesthetic has given informed consent about the possibility of broken instruments, the practitioner should carefully prepare the patient and instrumentation for a successful anesthetic. If a needle does break and cannot be immediately removed, the practitioner should not try to retrieve it. The patient should be referred to a knowledgeable specialist familiar with the detailed anatomy of the head and neck and the surgical removal of foreign bodies from the same. PMID- 6579095 TI - The prevalence of dental fear and avoidance: a recent survey study. AB - This study evaluates the current incidence of dental fear and avoidance in the general population. A telephone survey, using a random dialing procedure, was used as a means of data collection. Results indicated that 11.7% of the respondents reported high dental fear, and another 17.5% reported moderate dental fear. Results also disclosed that 36.5% of those surveyed had not been to the dentist in over a year. Approximately 15.5% of the respondents surveyed had some degree of dental fear and were dental avoiders (using the criterion of no dental visitation for at least one year). These findings highlight the fact that additional attention and research efforts still need to be dedicated to dealing with the highly fearful and avoidant dental patient. PMID- 6579096 TI - Comparison of physical properties of commercial calcium hydroxide lining cements. PMID- 6579097 TI - Root surface measurements of mandibular molars using stereophotogrammetry. AB - Ten mandibular first molars were hemisected and the root surface of each root was measured using stereophotogrammetry and computer analysis. In each tooth the mesial root was determined to have a greater surface area than the distal root. This difference was statistically significant. The fact that the mesial root has the larger surface area must be a consideration when hemisection is planned. PMID- 6579098 TI - Status report on amalgamators. Council on Dental Materials, Instruments, and Equipment. PMID- 6579099 TI - American National Standards/American Dental Association Specifications. Council on Dental Materials, Instruments, and Equipment. PMID- 6579100 TI - Advertising standards of the American Dental Association. PMID- 6579101 TI - Acute and chronic clonidine treatment in Tourette's syndrome: a preliminary report on clinical response and effect on plasma and urinary catecholamine metabolites, growth hormone, and blood pressure. PMID- 6579102 TI - Behavioral toxicity to medications in a six-year-old boy: a genetic marker? PMID- 6579103 TI - The developmental effects of prostaglandin D2 on the pulmonary and systemic circulations in the newborn lamb. AB - Prostaglandin D2 (PGD2) lowers pulmonary arterial blood pressure without changing systemic arterial blood pressure in fetal and newborn lambs but increases pulmonary arterial pressure in older animals. We investigated the effect of PGD2 on the circulation in 15 newborn lambs, some studied intermittently from 1 to 30 days of age, with induced pulmonary arterial hypertension. PGD2 was infused intravenously in doses of 1 to 25 micrograms/kg per min. During the first 3 days of life, a 5 micrograms/kg per min infusion decreased mean pulmonary arterial pressure by 33.9%, increased mean systemic arterial pressure by 11.5% and increased cardiac output by 7.3%. After 15 days of age there was a 10.7% increase in mean pulmonary arterial pressure, a 1.8% decrease in mean systemic arterial pressure and a 6.1% increase in cardiac output. Pulmonary vascular resistance decreased by 38.2% in the first 3 days of life but increased by 9.9% after 15 days of life. With this progressive pulmonary vasoconstriction, there was systemic vasodilation with advancing age. Similar age specific effects were seen with 1 and 25 micrograms/kg per min infusions. The specificity of PGD2 for the pulmonary circulation and the attenuation of its vasodilating properties during the first week of life suggests that PGD2 may be important in the regulation of pulmonary vascular resistance and pulmonary blood flow during the immediate perinatal period. PMID- 6579104 TI - [Ultrastructural demonstration of the direct amygdaloid projections to the dorsal motor nucleus of the vagus nerve in the rat]. PMID- 6579105 TI - [The electrical cell communication between acinar cells of rat submandibular gland after parasympathectomy]. PMID- 6579106 TI - [Adherence of oral microorganisms to dental restorative materials (in vivo)]. PMID- 6579107 TI - [Fundamental studies on the denture base resin treated with surface smoothing agent (1). Bending properties]. PMID- 6579108 TI - [Fundamental studies on the denture base resin treated with a surface smoothing agent (2). Compressive and tensile properties]. PMID- 6579109 TI - [Fundamental studies on the denture base resin treated with a surface smoothing agent (3). Physical properties and abrasive resistance]. PMID- 6579110 TI - [Ambient air contamination with anesthetic gases in the operating theater. 1. Present conditions in the Hiroshima University Dental Hospital]. PMID- 6579111 TI - [Scanning electron microscopy studies on the healing process following experimental pulpotomy]. PMID- 6579112 TI - [Statistical and descriptive analysis of patients with cleft palate speech treated in the Division of Speech Disorders, Hiroshima University Dental Hospital]. PMID- 6579113 TI - [Clinico-pathological studies of postoperative maxillary cyst--a consideration on its etiology]. PMID- 6579114 TI - [Experimental studies on bacterial invasion into radicular dentinal tubules of infected root canals]. PMID- 6579115 TI - [Endotoxic activity of infected root canal contents]. PMID- 6579116 TI - [Collagen in alveolar bone tissue - age-related changes of pyridinoline cross link contents]. PMID- 6579117 TI - Inhibitory effect of a new nonsteroidal anti-inflammatory drug, 6-methoxy-4 phenyl-1-(2,2,2-trifluoroethyl)-2-(1H)-quinazolinone, on prostaglandin biosynthesis. PMID- 6579118 TI - [A case of skeletal Class III treated with a maxillary forward protractor in mixed dentition]. PMID- 6579119 TI - [A case of completely impacted mandibular second deciduous molar]. PMID- 6579120 TI - [An adult case of canine cross-bite: changes in form and function following treatment]. PMID- 6579121 TI - [Two orthodontic cases treated with utility arch to correct overbite]. PMID- 6579122 TI - [Effect of polishing on staining and plaque formation on composite resins]. PMID- 6579124 TI - [Scanning electron microscopy study on periodontally diseased root surfaces]. PMID- 6579123 TI - [Root canal filling materials containing calcium hydroxide. 3. Tissue reactions of the apical region after immediate filling of the pulpectomized root canal]. PMID- 6579125 TI - [Effect of toothbrushing instruction for the children at nursery schools in Hiroshima City]. PMID- 6579126 TI - [Ultrastructural cytochemical studies on the embryonic cytodifferentiation of the secretory epithelium in mouse submandibular gland]. PMID- 6579127 TI - Electron microscopic and fluorescence histochemical studies on the gustatory organ of African clawed toad, Xenpus laevis. PMID- 6579128 TI - Cytotoxicity in promyelocytic cell lines. PMID- 6579129 TI - Treating root hypersensitivity. PMID- 6579130 TI - ABC's periodontics. "A" is for amputation. PMID- 6579131 TI - Dental and oral effects observed in a long-term tobacco chewer: case report. PMID- 6579132 TI - [Biological safety of nickel-chromium alloys]. PMID- 6579133 TI - [Characteristics and handling of light-polymerized resins]. PMID- 6579135 TI - [Partially adjustable articulator]. PMID- 6579134 TI - [Tissue reactions to ceramic implants]. PMID- 6579136 TI - [How to use dental floss]. PMID- 6579137 TI - [Manifestation of psychological disorders in dental patients]. PMID- 6579138 TI - [A scanning electron microscopy study of subgingival plaque formation in patients with periodontitis]. PMID- 6579139 TI - [Effect of advancing periodontitis on the dental pulp]. PMID- 6579141 TI - [Improvement of periodontal tissue by minor tooth movement]. PMID- 6579140 TI - [The endogenous and succinate respiration of healing canine gingiva, using the oxygen electrode technic]. PMID- 6579142 TI - [Root Surface area. 3: surface areas of root trunks, furcations and divisional roots of molars]. PMID- 6579143 TI - [A comparison of the effect of various plaque disclosing materials on plaque accumulation]. PMID- 6579144 TI - Separation of 7 alpha- and 7 beta-hydroxysteroid dehydrogenase activities from clostridium absonum ATCC# 27555 and cellular response of this organism to bile acid inducers. AB - Both 7 alpha- and 7 beta-hydroxysteroid dehydrogenases (HSDH) were induced by either chenodeoxy-(CDC) or deoxycholic (DC) acid in C. absonum. 7 beta-HSDH was partially purified 35-fold from CDC-induced cultures of C. absonum by Procion Red (PR) affinity chromatography and high performance liquid chromatography (HPLC) using a TSK 3000 SW gel filtration column. A relative molecular weight of 200 K was estimated for 7 beta-HSDH using Sephacryl S-300 chromatography. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) of the 35-fold purified 7 beta-HSDH showed six polypeptides in the molecular weight range of 40 50 K. Induction of cultures of C. absonum with CDC or DC (0.4 mM) also resulted in the differential synthesis of at least five new polypeptides with molecular weights of 94 K, 42 K, 32 K, 21 K, and 16 K. The 16 K polypeptide was induced by DC but not by CDC. SDS-PAGE of Triton X-100-solubilized membranes from these extracts revealed the presence of a new membrane-associated polypeptide of molecular weight 80 K. The soluble inducible polypeptides were eliminated during purification of the 7 alpha- and 7 beta-HSDH and, therefore, are not required for these enzyme activities. It is proposed that this organism synthesized 7 alpha- and 7 beta-HSDH as well as a series of other proteins in response to bile acids which may, in the absence of the dehydrogenases, be toxic to C. absonum. The HSDH's catalyze the epimerization of chenodeoxycholic acid to ursodeoxycholic acid, which is less toxic than the chenodeoxycholic acid. The other proteins may assist the survival of the organism in a high bile acid environment by mechanisms not yet understood. PMID- 6579145 TI - Masticatory muscle transposition in primates: effects on craniofacial growth. AB - The effects of early transposition of the masticatory muscles on the craniofacial growth and development of infant primates are documented with the aid of serial cephalometry, EMG's, and dry-skull preparations. The bilateral posterior transposition of the insertion of the masseter and temporalis muscles was followed by a significant superior and anterior rotation of the midfacial growth pattern as well as by marked skeletal morphological changes. The study documents the ability to change skeletal craniofacial growth patterns by altering muscle attachments. PMID- 6579146 TI - 6-oxo-PGF1 alpha -a new tumour marker for tumours in the maxillo-facial region. AB - The diagnosis of secondary or recurrent tumour growth after operations on primary maxillo-facial tumours is still only possible at a late stage. On the other hand, the prostaglandins of the E series assume an important role in connection with tumour growth. The present investigation succeeded for the first time in detecting an increase in the level of 6-oxo-PGF1 alpha, the stable metabolite of PGI2, before planned radical operation in patients with maxillo-facial tumours. In the further course of the illness it was possible to establish a correlation between the plasma values and the occurrence of metastasis or recurrence of disease. These results indicate that a certain significance can be attributed to 6-oxo-PGF1 alpha as a tumour marker. PMID- 6579147 TI - Cancrum oris: principles of management and reconstructive surgery. AB - A survey of 140 cases of cancrum oris in Nigerian Africans is presented. The salient clinical features, the problems of management and the modern approaches to the reconstruction of facial deformities seen in this disease are described. Mainly affected were children under the age of 10 years and the commonest involvement was the full thickness of the cheek. A high incidence of ankylosis was noted and the methods of anaesthesia and surgical correction of ankylosis are examined. The number of patients presenting for reconstruction of facial defects due to cancrum oris appears to be increasing. Preventive measures that may reduce the incidence of the disease are suggested. PMID- 6579148 TI - A pseudo-tumour of the mandible in a haemophiliac patient. A case report. AB - The presence of a rare pseudo-tumour of the mandible in a haemophiliac justifies the presentation of this case in which the history and the clinical and radiological examinations were sufficient for a presumptive diagnosis. The authors present a case of pseudo-tumour of the mandible in a boy, with a history of haemophilia following a traumatic injury. They comment on the clinical and radiological aspects and surgical technique employed. The patient underwent the surgical treatment after the administration of 1000 U. of factor VIII. The whole pseudo-tumour was removed. The postoperative follow up one year after surgery was normal both clinically and radiologically. PMID- 6579149 TI - Calcifying odontogenic cyst: a survey of 23 cases in the Japanese literature. AB - The clinical, radiographic and histological characteristics of the calcifying odontogenic cyst were studied in 23 well-documented cases in the Japanese literature. The cysts occurred equally in males and females whose mean age was 21 years. The appeared as a painless swelling with cortical expansion and involved the maxilla three times more often than the mandible. There was no report of the lesion involving the soft tissues. Radiographically, the lesions were unilocular in most cases and contained aggregates or dispersed foci in the radiolucencies which were diagnosed as odontomes in 5 cases. Unerupted teeth and root resorption of the adjacent teeth were noted in approximately half of the cases. Except for one case, they were simply enucleated under a diagnosis of cyst or odontome and recurrence was encountered in no case. The excised specimens consisted of cystic sacs mostly containing calcified materials with or without tooth-like structures which were histologically diagnosed as odontomes in 10 cases. An intimate relationship between the cysts and the unerupted teeth was observed in 4 out of 10 cases. The pathogenesis of the lesion is discussed. PMID- 6579150 TI - The significance of tracheostomy in the management of fractures of the facial skeleton. AB - Although tracheostomy in relation to maxillofacial injuries has been performed for a long time, opinions differ about the necessity and indications for this procedure. In the present study 44 cases of tracheostomy in patients with maxillofacial trauma are reported and the results analysed. The case for tracheostomy, the indications and contra-indications are presented and discussed. PMID- 6579151 TI - Mandibular traction for relieving respiratory distress in the Pierre Robin Anomaly. A case report. AB - A case of Pierre Robin Anomaly with severe, prolonged respiratory distress and feeding difficulties is presented. The respiratory distress is adequately relieved by mandibular forward traction. The procedure employing a mandibular suspension and elastic traction system is described. Feeding under the traction was successful, providing more effective self-control of the tongue. The authors recommend the mandibular traction device described here as a very simple life saving approach to the problems in the Pierre Robin Anomaly. PMID- 6579152 TI - Visual training for velopharyngeal closure in cleft palate patients; a fibrescopic procedure (preliminary report). AB - Velopharyngeal closure in various tasks was examined in 59 cleft palate patients with persistent velopharyngeal incompetence using nasopharyngeal fibrescopic (NPF) examination. The degree of velopharyngeal closure was analyzed according to the categories reported previously by Yamaoka (1973) and Matsuya et al. (1979). The NPF self-training system was developed and applied to those patients so as to investigate a longitudinal effect of the NPF in velopharyngeal closure mechanism. The training was performed every two weeks for nearly one year. The results indicated that the patient who showed complete velopharyngeal closure during blowing and/or several productions of speech samples could attain a much better improvement in all speech samples after one year of self-training. On the other hand, the patients who did not show complete velopharyngeal closure during all tasks, failed to improve the velopharyngeal closing mechanism. The ability to close the velopharynx during swallowing was seen in all patients examined. However, it appeared to have nothing to do with the prognosis of velopharyngeal closure. The data suggested that the NPF self-training system provided a strong neuro-muscular signal for velopharyngeal movement. Besides, it was considered that the NPF was a useful tool for activation of velopharyngeal activity by way of visual feed-back control. PMID- 6579153 TI - Autogenous rib grafts in maxillofacial surgery. AB - A review of 41 patients in whom rib grafts were used has shown that this is a relatively simple, reliable and safe procedure for obtaining autogenous bone. The incidence of pneumothorax was significantly lower than that previously reported. PMID- 6579154 TI - Rhomboid-to-"W" technique for excision and closure of facial skin lesions. AB - The authors present their experience with the rhomboid-to-W excision technique for cutaneous lesions in the face, its utilization in lesions of more than 20 mm., and a modification of the original method. This type of reconstruction using the adjacent triangular flaps forming a "W", leads to a barely-visible scar. The advantages of this surgical procedure are also enumerated. PMID- 6579155 TI - Late results following the Brosch-procedure for treating large mandibular ramus cysts. AB - The Brosch-procedure and its modification, removal of the lingual cortex, for treatment of large cysts of the mandibular ramus is presented. 29 patients were treated by this method in the period 1961-1979. In a late follow-up it was found that recurrence occurred within 2 years in 8 of the 21 patients with odontogenic keratocysts. No recurrence could be found in patients with other cysts. Seven of the recurrences occurring within the first 2 years were treated under local anaesthesia. One patient with Gorlin's syndrome refused further treatment and 9 years postoperatively cystic expansion of the whole ascending ramus and ipsilateral mandibular body was present. It was noted that bone regeneration, irrespective of the nature of the causative cyst, is generally complete in two years. PMID- 6579156 TI - Three-dimensional analysis for prediction and assessment of mandibular movement in orthognathic surgery in the ramus. AB - A new method (Three-Dimensional (3-D) Analysis of Mandibular Movement) was developed to evaluate the movement of the mandible during surgery and in postoperative years, in three dimensions. The analysis was done with the aid of preoperative cephalograms and preoperative, predicted and postoperative dental models. The method consisted of measuring the amount and direction of the movements of defined points on the dental models and displaying the movement of other bony landmarks in the cephalometric tracings by coordinate transformation. All the calculations for the coordinate transformation were performed with the aid of a micro-computer. The results of an analysis with the method in two cases indicated that it is quite useful in determining the operative procedure as well as in evaluating the postoperative stability of the mandible, because in addition to the vertical and antero-posterior movement, it enables us to see the lateral movement of the mandible. PMID- 6579157 TI - The disco-malleolar ligament: a possible cause of subjective hearing loss in patients with temporomandibular joint dysfunction. AB - The presence of aural symptoms in patients with temporomandibular joint dysfunction has been known for a long time. Although many suggestions have been made as to their cause, none has yet proved adequate. In this article reports are given on four patients with temporomandibular joint dysfunction presenting with aural symptoms, the pertinent literature is reviewed, and a new theory of their causation is discussed. PMID- 6579158 TI - A bilateral total cleft of lip and hard and soft palate and transverse cleft face with an atypical paramedian defect of the lower lip and lower jaw on the right side. A case report of a new syndrome? AB - A three-month-old male baby who has a complete bilateral cleft of the lip and hard and soft palate, and a right unilateral transverse facial cleft, with an atypical paramedian defect of the lower lip and jaw is reported in detail. As these associated malformations are very rare, it may represent a new dysmorphic syndrome. PMID- 6579159 TI - Excessive pneumatization of the sphenoid sinus: a case report. AB - A rare case, where excessive pneumatization of the sphenoid sinus resulted in a clinically obvious swelling of the temporal region and proptosis of the globe on the affected side, is reported. The relevant literature is discussed. PMID- 6579160 TI - Lipoma of the tongue: a case report. PMID- 6579161 TI - Some letters on Jewish Medical Ethics. AB - Specializing in Jewish Medical Ethics--a term, I believe, first used as the title of my doctor's thesis (1955) subsequently condensed and revised in book form (1959)--I frequently receive inquiries from individuals and organizations seeking guidance on the Jewish attitude to moral issues in medicine. After a review of my voluminous correspondence on many phases of this subject, I have made a small selection on a variety of topics. The correspondence on the last of the four topics, 'Medical Experimentation on Animals', is the longest, because it contains an element of polemics. Since this might make it of special interest to the Journal's readers, and since this subject is infrequently discussed in the literature of Medical Ethics, I decided to include it in this brief selection. PMID- 6579162 TI - Androgen 5 alpha-reductase and 3 alpha-hydroxysteroid dehydrogenase activities in ventral prostate epithelial and stromal cells from immature and mature rats. AB - To study androgen-mediated differentiation in the rat ventral prostate, we separated the two principal cell types (epithelial and stromal) derived from prostates of immature and mature rats on two continuous Percoll gradients. Cells were immediately placed in culture medium. Testosterone metabolism by the two prostatic cell types was evaluated using [3H]testosterone and quantifying the formation of 5 alpha-[3H]dihydrotestosterone (5 alpha-DHT) and 5 alpha [3H]androstane-(3 alpha or 3 beta), 17 beta-diols. In epithelial cells from both immature and mature rat prostates the major testosterone metabolites were 5 alpha DHT and 5 alpha-androstane-3 alpha, 17 beta-diol. Stromal cells metabolized less testosterone than did the epithelial cells. Differences in the relative levels of the various metabolites were observed for the two age groups. To examine in more detail the changes in testosterone metabolism observed in vitro both types of cells and unfractionated cells from immature and mature rat prostates were assayed for testosterone 5 alpha-reductase (using testosterone as substrate) and 3 alpha-hydroxysteroid dehydrogenase (using 5 alpha-DHT as substrate) activities (expressed as pmol substrate reduced/min per 10(6) cells). In immature rats both 5 alpha-reductase and 3 alpha-hydroxysteroid dehydrogenase activities were localized in the epithelial cell fraction (17 and 52 respectively); stromal cells showed lower 5 alpha-reductase and 3 alpha-hydroxysteroid dehydrogenase activity (4 and 4). Relative to epithelial cells from immature rats epithelial cells from mature rats showed a decrease in 5 alpha-reductase (7) and an increase in 3 alpha hydroxysteroid dehydrogenase (160) activity while stromal 5 alpha-reductase showed little change (3) and 3 alpha-hydroxysteroid dehydrogenase increased to 22.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6579163 TI - Prolactin-binding capacity, prostaglandin synthesis and fluidity of murine hepatic membranes are modified during pregnancy and lactation. AB - The objective of these studies was to determine whether the changes observed in prolactin-binding capacity of mouse liver microsomal membranes during pregnancy and lactation correlated with those observed in the fluidity and prostaglandin (PG)-synthesizing activity of these membrane preparations. Prolactin-binding capacity increased with the advance of pregnancy to reach a peak at 16 days of gestation and declined thereafter to non-pregnant, non-lactating (NPNL) levels. Membrane microviscosity, studied by fluorescence polarization, was significantly decreased throughout early gestation but returned to NPNL levels by day 20 of gestation and remained unchanged thereafter. The amount of PGE synthesized in vitro by these membranes increased during gestation to reach a peak at 12 days of gestation but declined thereafter to below NPNL levels on the day of parturition and returned to NPNL levels by day 20 of lactation. Synthesis of PGF2 alpha remained at a higher level from day 12 to day 18 followed by a decline in activity at parturition to NPNL levels. These changes and other data suggest an interrelationship of receptor levels, fluidity and PG synthesis during pregnancy. Such modifications in local PG synthesis may influence the fluidity of these membranes, which ultimately play a significant role in maximal exposure of membrane receptors during pregnancy. PMID- 6579164 TI - The survivability of F43 strain of Streptococcus sanguis in root canals filled with gutta-percha and Procosol cement. PMID- 6579165 TI - The periodontal ligament injection: histological effects on the periodontium in dogs. PMID- 6579166 TI - Internal bleaching of tetracycline-stained teeth in dogs. PMID- 6579167 TI - Evaluation of tissue reaction to endodontic materials. PMID- 6579168 TI - Continued root development after apexification of an immature tooth with dens invaginatus. PMID- 6579169 TI - Incidence of pain associated with clinical factors during and after root canal therapy. Part 2. Postobturation pain. PMID- 6579170 TI - Comparison of the relative risk of molar root perforations using various endodontic instrumentation techniques. PMID- 6579171 TI - Retrograde instrumentation and obturation of the root canal space. PMID- 6579172 TI - A model for teaching the Buccal Object Moves Most Rule. PMID- 6579173 TI - A new technique of selective anesthesia for diagnosing acute pulpitis in the mandible. PMID- 6579174 TI - Evaluation of the effects of carbon dioxide used as a pulpal test. 1. In vitro effect on human enamel. PMID- 6579175 TI - A study of the strength of endodontic files: potential for torsional breakage and relative flexibility. PMID- 6579176 TI - Serum immunoglobulin levels and bacterial flora in subjects with acute oro-facial swellings. PMID- 6579177 TI - Clinical investigation of in vivo endodontically treated mandibular anterior teeth. PMID- 6579178 TI - Sickle cell anemia: an etiological factor in pulpal necrosis. PMID- 6579179 TI - Orthodontic external root resorption--endodontic considerations. PMID- 6579180 TI - Apical closure of nonvital permanent incisor teeth where no treatment was performed: case report. PMID- 6579181 TI - Diplopia resulting from a mandibular injection. PMID- 6579182 TI - A magnifying lens comparative evaluation of conventional and ultrasonically energized filing. PMID- 6579183 TI - A scanning electron microscopic investigation of principal and accessory foramina on the root surfaces of human teeth: thoughts about endodontic pathology and therapeutics. PMID- 6579184 TI - An evaluation of Kodak Ektaspeed periapical film for use in endodontics. PMID- 6579185 TI - The use of ultrasonics in the removal of the smear layer: a scanning electron microscope study. PMID- 6579186 TI - Endodontic therapy of an unusual maxillary permanent first molar. PMID- 6579187 TI - Evaluation of the effects of carbon dioxide used as a pulpal test. Part 2. In vivo effect on canine enamel and pulpal tissues. PMID- 6579188 TI - In vivo remineralization of carious dentine treated with 10% solution of stannous fluoride. PMID- 6579189 TI - A study of the cutting efficiency of seven brands of endodontic files in linear motion. PMID- 6579190 TI - A scanning electron microscope study comparing the efficacy of hand instrumentation with ultrasonic instrumentation of the root canal. PMID- 6579191 TI - Idiopathic bone cavity associated with a necrotic pulp and facial cellulitis. PMID- 6579192 TI - Endodontic treatment modalities for external root resorption associated with impacted mandibular third molars. PMID- 6579193 TI - Diagnosis and treatment of vertical root fractures. PMID- 6579194 TI - Expanded use of the electronic canal length measuring devices. PMID- 6579195 TI - Moistness, more than temperature variation, prevents autolysis of pulp tissue in avulsed teeth. PMID- 6579196 TI - Maxillary first molars with six canals. PMID- 6579197 TI - The maxillary sinus--revisited by an endodontist. PMID- 6579198 TI - Incidence of pain associated with clinical factors during and after root canal therapy. Part 1. Interappointment pain. PMID- 6579199 TI - The retrieval of foreign objects from root canals: a simple aid. PMID- 6579200 TI - A teaching aid for maxillary molar palatal root surgery using an in vitro model. PMID- 6579201 TI - Susceptibility to Friend helper virus leukemias in CXB recombinant inbred mice. AB - The seven CXB recombinant inbred strains were tested for susceptibility to Friend helper virus (F-MuLV) hematopoietic neoplasms. BALB/c and CXB-H mice develop erythroblastosis after neonatal inoculation with F-MuLV, while C57BL/6 and the six other RI strains develop lymphoma and myelogenous leukemia. This strain distribution pattern is different from that for H-2, Gpd-1 (linked to Fv-1), Fv 2, Rfv-3, and Cv (linked to Rmcf) but the same as that for Bv, the endogenous ecotropic virus of C57BL/6. However, analysis of crosses segregating Bv show that resistance to F-MuLV erythroblastosis is not linked to Bv. Disease-free survival is shortest for BALB/c mice, intermediate for CXB-H and CXB-J, and longest for C57BL/6 and the other RI strains. We conclude: (a) the major C57BL/6 gene for resistance to F-MuLV erythroblastosis is different from previously identified Friend virus restriction loci; (b) latency for F-MuLV leukemias is controlled by more than one gene; and (c) latency and susceptibility to F-MuLV erythroblastosis are not inherited concordantly in the CXB-RI strains. PMID- 6579202 TI - Comparison of 20-oxosteroids and cortisol in urine as parameters of adrenocortical function. AB - The coefficient of correlation between values for urinary 20-oxosteroids and urinary cortisol was 0.75 in 106 24-hours urines. Urinary cortisol was usually the more specific and sensitive parameter for the evaluation of adrenocortical function. With an analysis time of 4-5 hours for 100 samples, the method for cortisol was also faster and cheaper. Furthermore, the intra- and interassay variances of 2.7 and 8.2%, respectively, indicate high precision. PMID- 6579203 TI - Prostaglandin E--vasopressin interrelation in the syndrome of inappropriate secretion of antidiuretic hormone. PMID- 6579204 TI - Diagnostic criterion of granulomatous thyroiditis by the needle aspiration cytopathology. PMID- 6579205 TI - Mitral plication annuloplasty for mitral regurgitation--a new surgical technique. PMID- 6579206 TI - [Transcatheter coil embolization of renal cell carcinoma]. PMID- 6579207 TI - Lupus band test in patients with systemic lupus erythematosus. PMID- 6579208 TI - Peripheral vascular thrombosis in primary nephrotic syndrome. PMID- 6579209 TI - Esophageal atresia and tracheoesophageal fistula: results of treatment and factors affecting survival. PMID- 6579210 TI - Right ventricular function in acute myocardial infarction and chronic coronary artery disease. PMID- 6579211 TI - Bone marrow involvement in non-Hodgkin's lymphoma. PMID- 6579212 TI - [Porokeratosis--report of 10 cases]. PMID- 6579213 TI - Temporal arteritis--a case report. PMID- 6579214 TI - [Idiopathic mediastinal fibrosis]. PMID- 6579215 TI - Postinfarction ventricular septal rupture. PMID- 6579216 TI - [A case of osteoma in the nasal cavity]. PMID- 6579217 TI - Acute renal failure and hepatic injury following multiple wasp stings--report of 2 cases. PMID- 6579218 TI - Characterization of the purified anticoagulant principles from Apis mellifera (honey bee) venom. PMID- 6579219 TI - Selective antagonism by uranyl nitrate against Formosan Krait venom--Part I. PMID- 6579220 TI - [Left ventricular function in patients with postoperative hypoparathyroidism and primary hyperparathyroidism]. PMID- 6579222 TI - [Eruptive vellus hair cysts--a first case report in Taiwan]. PMID- 6579221 TI - [Toxic shock syndrome--report of 2 cases]. PMID- 6579223 TI - Ultrastructural studies on human atrial myocardium after prolonged hypothermic anoxic arrest in cardiac operation. PMID- 6579224 TI - A study on complications of percutaneous renal biopsy with 2 marker method. PMID- 6579225 TI - [Real-time abdominal echography in the diagnosis of choledocholithiasis]. PMID- 6579226 TI - Total hip replacement. II. Five-year post-operative radiographic study. PMID- 6579227 TI - [Primary carcinoma of the gallbladder]. PMID- 6579228 TI - Low-density lipoprotein cholesterol in ischemic cerebrovascular disease. PMID- 6579230 TI - Lumbar hernia simulating an adrenal pseudotumor - case report - a CT diagnosis. PMID- 6579229 TI - [Osteogenic sarcoma of the head and neck--report of 5 cases]. PMID- 6579231 TI - Humoral components of immunological response in primary IgA glomerulonephritis. PMID- 6579232 TI - Study on the reliability of HbA1 as a stable index of diabetic control. PMID- 6579234 TI - Comparison of 2 methods for high density lipoprotein cholesterol quantitation on automatic analyzer. PMID- 6579233 TI - Increased circulating platelet aggregates and coagulation factors in patients with Blackfoot disease. PMID- 6579236 TI - The criteria for sampling and determining of E rosette-positive acute lymphoblastic leukemia. PMID- 6579235 TI - [Ultrasonographic patterns of primary carcinoma of the gallbladder]. PMID- 6579237 TI - Abdominal aortic aneurysm in Marfan's syndrome--a case report. PMID- 6579238 TI - [A case of fibrosarcoma of the mandible]. PMID- 6579239 TI - An adult case of Andersen's disease--Type IV glycogenosis. A clinical, histochemical, ultrastructural and biochemical study. AB - A middle-aged man presented with a thirty-year history of progressive, asymmetrical limb-girdle weakness. The muscle biopsy revealed a vacuolar myopathy. The vacuoles which did not disrupt the fibre outline, lay in a subsarcolemmal position. They were PAS-positive and the material was partially resistant to diastase digestion. Electron microscopy showed the vacuoles to contain free unbound glycogen with filamentous material. Leucocyte brancher enzyme activity was normal but the muscle activity was less than half the control value. Histochemical and ultrastructural characteristics of the storage material resemble the amylopectin polysaccharide deposits seen in childhood Type IV glycogenosis. PMID- 6579240 TI - Combining nursing quality assurance and research programs. AB - This article discusses the advantages and disadvantages of combining nursing quality assurance and research programs in clinical settings. The intended audiences and scopes of quality assurance and research differ, causing potential conflicts in combined programs. Such conflicts include the methods of disseminating findings, action taken on data obtained, analytic methods used, and issues of territoriality. However, advantages of combining these programs are great. Nursing research can be introduced into the clinical setting via quality assurance; resultant studies are more likely to be of direct clinical relevance; and results are more likely to be integrated into practice when programs are combined rather than separate. Combined programs are also cost efficient. PMID- 6579241 TI - Nursing needs and resources assessment: work in progress. PMID- 6579242 TI - A response to the evaluation of the NYS Hospice Demonstration Project. PMID- 6579243 TI - Isolation and partial characterization of a sulfated glycoprotein from a Kaposi's sarcoma. PMID- 6579245 TI - Multimodality steroid therapy of erosive and ulcerative oral lichen planus. PMID- 6579244 TI - A photometric method for assessing in vitro plaque formation. PMID- 6579246 TI - Lingual osseous choristoma. PMID- 6579247 TI - Malignant Schwannoma of the inferior alveolar nerve: report of a case. PMID- 6579248 TI - Infected central neurofibroma of the mandible. Report of a case. PMID- 6579249 TI - Carcinoma of the lip in xeroderma pigmentosum. A case report. PMID- 6579250 TI - Benign cementoblastoma. (Report of an atypical case). PMID- 6579252 TI - New twists in the control of health care costs. PMID- 6579251 TI - Pitfalls of simultaneous orthognatic and rhinoplastic reconstruction. PMID- 6579253 TI - Microsurgical reconstruction of the infraorbital nerves. AB - The pathogenesis of damage to and the microsurgical anatomy of the infraorbital nerve are reviewed. Indications for surgery and a microsurgical technique for decompression and scar removal or anastomosis of the nerve are presented. Results from seven surgical cases indicate a high degree of successful regeneration, with complete return of sensation occurring in six cases. PMID- 6579254 TI - Venous complications of intravenous diazepam. AB - In an attempt to clarify the confusion about venous complications from intravenous diazepam, a study of 2,468 consecutive oral surgery and general dentistry cases in which diazepam was used was undertaken. It was found that 7.9% of the patients experienced local phlebitis and 4.5%, thrombophlebitis during the week after the injection. These findings were correlated with age, weight, sexual gender, dosage, type and duration of procedure, and degree of apprehension experienced by the patient. PMID- 6579255 TI - On the genesis of "dry socket". AB - One major school of thought regarding the pathogenesis of a dry socket occurring following tooth extraction is based on the concept that a blood clot fails to form, a concept that is, however, refuted by the clinical symptoms associated with the phenomena of a dry socket. A second theory maintains that, initially, clot formation takes place, but that the clot is subsequently lysed, bringing about the severe symptoms of a dry socket. Fibrinolysis generated by tissue activators only partly explains the occurrence of a dry socket. Based on the data accumulated in the literature, it is postulated that bacterial agents are involved in the fibrinolysis and that Treponema denticola may play a leading part in this process. PMID- 6579256 TI - The microbiologic flora of orofacial abscesses. AB - Fifty orofacial abscesses were studied using culture techniques for both aerobic and anaerobic organisms. Eighty-six per cent of the specimens contained anaerobes; of this group, 39 per cent had organisms resistant to penicillin. PMID- 6579257 TI - Blood pressure fluctuations in hypertensive patients during oral surgery. AB - The lability of blood pressure during oral surgical procedures and the effects of antihypertensive drugs on this lability have not been investigated sufficiently to evaluate potential medical risks. The purpose of this study was to accurately evaluate blood pressure fluctuations during oral surgical procedures in three groups of patients: normotensive patients; stratum I hypertensive patients not taking medication; and stratum I hypertensive patients taking antihypertensive medication. Blood pressure measurements were recorded by an American Heart Association certified technician at baseline, immediately prior to surgery, during administration of the local anesthetic, during the surgical procedure, and 15 minutes after surgery. Analysis of variance indicated that the blood pressure fluctuations (systolic and diastolic) among these five intervals were not statistically significant for any of the groups. The clinical significance of the above findings is that stratum I hypertensive patients experience minimal fluctuations in blood pressure that are no greater than those in normotensive patients and, therefore, may present no greater clinical risk during the dental stress associated with certain oral surgical procedures. PMID- 6579258 TI - Periodontal evaluation of two mucoperiosteal flaps used in removing impacted mandibular third molars. AB - This study compared the results of two types of access flap used in removing impacted mandibular third molars. Fifteen patients were given periodontal examinations consisting of measurements of attachment level, level of the gingival margin, and width of the masticatory mucosa at three locations around the mandibular second molars. The examinations were done preoperatively, and two, six, and 12 weeks after removal of the impacted molars. Analyses of variance indicated that there was no significant difference between the two flap techniques and, therefore, the choice of flap technique is one of operator preference. There was a significant decrease in mean sulcus depth at all measured points for either flap technique, indicating a generally healthier condition around mandibular second molars 12 weeks after the surgical removal of mandibular third molars. PMID- 6579259 TI - Proliferation of pulpal tissues following early transplantation of developing teeth. AB - The responses of pulpal tissues were assessed histologically in teeth that had been transplanted as soon as crown formation was completed. The teeth were unerupted at the time of surgery and were transferred to other bony crypts, where attempts were made to reproduce their natural alignment. The pulpal tissues remained viable, although variations occurred in cellularity, vascularity and texture. There was widespread production of intrapulpal bone and osteodentine, and confluence of these tissues with proliferating apical and adjacent bone often resulted in ankylosis. The view was supported that transplanted dental tissues have a strong likelihood of surviving if the procedure is undertaken relatively early during tooth development; however, structural variations and ankylosis may compromise their subsequent value. PMID- 6579260 TI - Central giant cell granuloma of the mandible. PMID- 6579261 TI - Carcinoma of the lung presenting as a mandibular metastasis. PMID- 6579262 TI - New method for reduction of acute anterior dislocation of the mandible. PMID- 6579263 TI - The relationship of occlusal wear to occlusal contact area. AB - It has been suggested that masticatory efficiency is directly related to the area of the occlusal surfaces that make contact. However, little work has been carried out to determine if occlusal wear increases the area of contact, and controversy exists as to whether this would be an advantage. Using a wax registration method, occlusal contact area was measured in a group of individuals with either local or generalized wear, before and after treatment. The changes in occlusal contact area were statistically significant for the group exhibiting generalized wear but not for the group exhibiting localized war. PMID- 6579264 TI - Initial physical tests of aluminoborate cements in the context of periodontal dressing development. AB - A new glass ionomer cement system (aluminoborate) is under consideration for dental applications, including the possibility of a periodontal dressing material. Following the development of pertinent adhesive and rheological tests, two experimental formulations were selected by a simple screening procedure and subjected to appropriate adhesive tests. One formulation proved satisfactory and was subjected to a rheological test in addition. The possible role of aluminoborates as periodontal dressing materials is discussed. PMID- 6579266 TI - Development of the swallowable composition of food in normal dentate subjects. AB - This study aimed to find out the changes which occur in the frequency distribution of the size of particles produced during mastication of a convenient mouthful of hard-baked soya beans to its swallowable composition (SC), and to identify the particles which undergo rapid pulverization. In this group the total number of masticatory strokes utilized to prepare food for the SC varied between forty and eighty masticatory strokes. All the subjects produced a similar pattern of the frequency distribution of particles produced at the end of mastication and when mastication was interrupted at a particular phase. Particles larger than 1180 micrometers were pulverized to form particles smaller than 1180 micrometers. Most rapid pulverization was seen in particles of 2400 micrometers whereas particles of average size 655 micrometers, formed rapidly. PMID- 6579265 TI - Laser techniques for the evaluation of wear in Class II restorations. AB - A technique for the quantitative determination of the changes in surface topography of restorations during wear has been developed. This involves the optical contouring of the surface using a laser, and the generation of contour maps. Several different methods for interpreting these maps are discussed. A computer-aided method is the most consistently accurate and measures wear volume to an accuracy of 2--5%. PMID- 6579267 TI - Pigmented soft tissue lesions. Part one. PMID- 6579268 TI - Oral health care for the elderly - the dental hygienist's role. PMID- 6579270 TI - A tale of three practices. PMID- 6579269 TI - The geriatric patient in the dental office. PMID- 6579271 TI - [Preferential action of naloxone on stimulation-produced inhibition of the evoked potentials by tooth pulp stimulation in the trigeminal nucleus caudalis of the rat]. PMID- 6579272 TI - [Purification and characterization of the lectin present on the cell surfaces of Streptococcus sanguis ATCC 10557]. PMID- 6579273 TI - [Location of the cell body and the peripheral course of the axon of the motoneurons supplying the rat hypobranchial muscle group, with special reference to the geniohyoid and infrahyoid muscles: a study using the HRP method]. PMID- 6579274 TI - [Stimulation of human monocyte migration by immunomodulating components from bacterial cell surfaces and related compounds]. PMID- 6579275 TI - [Phagocytosis of oral actinomyces by polymorphonuclear leukocytes, with special reference to the involvement of the opsonic activity of anti-actinomyces serum and cell surface components]. PMID- 6579276 TI - [Effect of shark cartilage-derived factor on chondrocytes from growth costal, nasal septal and mandibular condylar cartilages]. PMID- 6579278 TI - Experimental gingivitis in humans. A clinical and histologic investigation. AB - AN EXPERIMENTAL GINGIVITIS STUDY was carried out to relate the clinical parameters (plaque and gingival index) to the histologic appearance of the associated gingival lesions. Fifteen third-year dental students took part in the study. Following the withdrawal of oral hygiene, biopsies were taken on days 0, 4, 8 and 21 of the experimental period. A statistically significant association was found between the plaque and gingival indices and the various time intervals throughout the experimental period (P less than 0.001). At day 0, although all sites had a GI of 0, all but 2 of the 15 specimens showed some degree of inflammation. Histologically, these lesions consisted of over 60% lymphocytes, while plasma cells comprised less than 5% of the infiltrating population. Although the degree of inflammation increased both clinically and histologically throughout the experimental period, the nature of the infiltrate did not change significantly. Lymphocytes remained as the dominant cell type. In fact, no association was seen between the degree of inflammation and the nature of the infiltrating cells. PMID- 6579277 TI - Ultrastructural study of new connective tissue attachment following phosphoric acid application on human root dentin. AB - THE PRESENT STUDY was undertaken to verify whether acid conditioning of the root surface can promote new connective tissue attachment in man. A flap was raised over two maxillary central incisors, with 6-mm pockets, which had to be extracted in a 72-year-old woman. Following root planning, a rectangular area was delineated by a groove on the buccal surface of the teeth. Inside these limits, cementum was removed and the denuded dentin was etched with a 50% gelified phosphoric acid solution (pH, 1.3) for 1 minute and the flap was repositioned. Forty-two days later, the experimental teeth were extracted, and undecalcified specimens were prepared routinely for transmission electron microscopy. Results showed that new connective tissue attachment had occurred between healing connective tissues and acid-treated dentin surface, with functionally oriented Sharpey's fibers. The mechanism of new connective tissue attachment could be observed as a typical cementum crystallites deposition on a denuded dentin matrix coupled with an active collagen fibrils synthesis. This process resulted in the incorporation of fibers into the new superficial layer of cementoid tissue. PMID- 6579279 TI - Relationship between proximal tooth open contacts and periodontal disease. AB - ONE HUNDRED FOUR adult subjects (mean age 42.8 years, SD = 16.3 years) with unilateral open contacts were assessed interproximally for periodontal status at both the open and contralateral closed contact. An open contact was defined by unrestricted passage of unwaxed dental floss through the interproximal area. Gingival index, crevicular bleeding, probing depth, attachment level, debris, calculus and tendency for food impaction in each study area were recorded. Less debris was seen at open contacts (P less than 0.001). However, increased probing depth (0.27 mm, P = 0.002) and attachment loss (0.48 mm, P less than 0.001) were found at the open contacts. Small but statistically significant relationships were observed between side to side differences in food impaction and both probing depth (P = 0.005) and attachment level (P = 0.006). Differences in calculus index and attachment level were associated similarly (P = 0.003). PMID- 6579280 TI - Distribution and readability of periodontal health education literature. AB - THIS INVESTIGATION was undertaken to determine the distribution pattern and readability level of 20 widely distributed printed items containing periodontal health education literature. Average annual distribution was obtained from distributors of the material. The Minnesota Interactive Readability Approximation Program (MNIRAP) was used to determine the reading skill (educational grade level) necessary to understand each of the pieces of literature. Results indicated that over two million pieces of printed materials were distributed annually. The MNIRAP analysis revealed that three of the 20 materials studied (15%) would be understood by persons reading at sixth-grade level. Those reading at the 10th-grade level would understand seven of the 20 materials (35%), while the 12th-grade level would allow individuals to understand 17 of them (85%). Only those reading as well as a typical third-year college student could be expected to understand all of the materials analyzed. PMID- 6579281 TI - Ultrastructure of nondecalcified supragingival and subgingival calculus. AB - THE ULTRASTRUCTURE of nondecalcified supragingival and subgingival calculus was studied in mature deposits. To facilitate sectioning of the embedded material, a thin reinforcing film of plastic was painted on the block. A new film was applied for each section. Light microscopy showed that supragingival calculus was heterogeneous with islets of calcified material within the covering plaque and with noncalcified areas within the calculus. Under transmission electron microscopy supragingival calculus was heterogeneous, dominated by microorganisms, small needle-shaped crystals and large ribbon-like crystals. In the covering soft plaque small crystals were often scattered in the intermicrobial matrix. In the supragingival calculus itself noncalcified microorganisms were surrounded with densely packed small crystals. There were also rosettes and bundles of large crystals. Subgingival calculus was homogeneous in light microscopy. The covering plaque contained no calcified material and only calcified material was seen within the calculus itself. Transmission electron microscopy of subgingival calculus revealed crystals of small size only. Subgingivally very few noncalcified microorganisms were seen within the calculus. The bacterial cell wall seemed to be the structure that was last calcified, both supragingivally and subgingivally. PMID- 6579282 TI - Fibroblast cytotoxicity associated with plasma cells and lymphocytes in chronic periodontitis lesions in rats. AB - INTERDENTAL PERIODONTITIS LESIONS in rats 20 to 27 months of age were found to contain large aggregations of plasma cells and lymphocytes. Fibroblasts in areas of dense immunocyte infiltration appeared damaged. The close juxtaposition of both plasma cells and lymphocytes to the altered fibroblasts suggests that a cytotoxic effect of immunocyte origin might be a significant element in connective tissue alteration in advanced periodontitis lesions in older rats. At the ultrastructural level, the damaged fibroblasts exhibited alteration of the nucleus, loss of cytoplasmic content including microfilaments and microtubules, swelling and degeneration of mitochondria and Golgi vesicles and cisternae. Dilation of the rough endoplasmic reticulum, including the perinuclear cisterna, along with vesiculation of the cytoplasmic membranes, suggests osmotic dysfunction in various cellular organelles. PMID- 6579283 TI - Amphetamine-induced hyperphagia and obesity caused by intraventricular or lateral hypothalamic injections in rats. AB - Overeating and obesity relative to controls was produced by multiple bilateral injections of 0.5 mg of amphetamine in the lateral ventricles of female rats eating a palatable, high fat diet. This behavioral and physiological rebound following the expected period of anorexia was accompanied by long-term depletion of dopamine in the striatum and of norepinephrine in the hypothalamus. This suggested the next experiment in which 50 micrograms of amphetamine were injected repeatedly in the lateral hypothalamus; again a brief period of anorexia was followed by hyperphagia and chronic obesity. This suggests that amphetamine acts in the lateral hypothalamus not only to suppress feeding, but in high doses it may also have local neurotoxic effects that cause an upward shift in body weight maintained by overeating. PMID- 6579284 TI - A six-year retrospective study of Molloplast-B-lined dentures. Part II: Liner serviceability. AB - A 6-year retrospective investigation was conducted into the serviceability of Molloplast-B-lined dentures with the following results: The Molloplast-B-lined denture is not a temporary expedient but can remain serviceable for a time competitive with that of conventional acrylic resin dentures. All the soft liners were still serviceable after 4 years and 83% after 6 years. The longevity of the soft liner is dependent on correct processing procedures and proper home care. The three liners judged as unserviceable exhibited excessive wrinkling, and all had been soaked in a bleach-type cleanser. The resilience of the liner is dependent on its thickness. The optimum thickness is approximately 3 mm. The resilience of the liner did not decrease with time. No noticeable wear of the soft liner was observed. Staining was present in about half the soft liners. Smoking was commonly associated with staining and odor of the soft liner. PMID- 6579285 TI - The effect of denture cleansers on temporary soft liners. AB - Circular samples of commonly used liners were prepared and immersed in solutions of nine cleansers. Solutions were changed daily for a period of 1 month. Six properties were tested: color change, porosity, surface distortion, size change, water sorption, and solubility. Statistical analysis was applied to measurements to evaluate performance of both cleansers and liners. The results demonstrate that selection of a liner cannot be based on a single property. Changes in resiliency of the liners were not tested in this experiment, but it is recognized that this could be an important factor in liner selection. The liners found to be least affected by the cleansers were Lynal, Tissuedyne, F.I.T.T., and Hydro-Cast, in that order. Viscogel, Softone, and Veltec were most affected. Clorox/Calgon and Miller demonstrated the same overall average performance, tying for first place for four of the liners. Clorox/Calgon was compatible with most liners (six of eight). Mersene and Duo tied for third and fourth places. The thickness of liner materials made little difference on the effects of the cleansers on the properties evaluated. PMID- 6579286 TI - Effects of chemical denture cleaners on the flexibility of cast clasps. PMID- 6579287 TI - A classification and evaluation of composite resin systems. PMID- 6579288 TI - An evaluation and comparison of the pulpal response to gold foil and indium alloy. AB - All teeth restored with gold foil had pulpal changes marked by persistent hemorrhage, destruction of odontoblasts, and inflammation. Bacteria were found more frequently on cavity walls of teeth restored with gold foil and with increasing frequency for all materials as the observation period became longer. The presence or absence of bacteria could not be related to the pulpal response for either indium alloy or gold foil. Because this and previous studies indicated that gold foil in direct contact with prepared dentin surfaces produces pulpal injury, a base to protect the pulp is indicated. Indium alloy or another appropriate base could be used for the required pulpal protection. PMID- 6579289 TI - Marginal leakage of contemporary cementing agents. PMID- 6579290 TI - Fabrication of a flexible prosthesis for the edentulous scleroderma patient with microstomia. AB - The exercise prosthesis serves as an interim device to achieve an increased opening of the jaws. Once the patient is able to insert the existing denture or when an impression tray can be placed in the patient's mouth without extreme discomfort, its purpose will have been achieved; the dentures should be relined or remade. Some patients need only achieve slight increases in the maximal vertical oral opening to make prosthetic treatment possible (Fig. 6). While this technique is useful for the edentulous scleroderma patient, it may have application for individuals with limited mouth opening secondary to facial burns or other scarring. It is suggested as an alternative to surgical correction through bilateral commissurotomies. PMID- 6579291 TI - Evaluation of the effects of palatal augmentation on partial glossectomy speech. AB - Patients who have had surgical removal of part of the tongue are left with varying degrees of speech deficiencies. Augmentation of the palate has been suggested as a means of compensation for this deficiency. This pilot study suggests a technique for evaluating prosthodontic efforts to improve speech for partial glossectomy patients. Although firm conclusions cannot be based on the observations of one patient, it appears that both the shape of the palatal surface and the contour of the cavity size anterior to the tongue are important factors to be considered in prosthodontic efforts to optimize fricative sound production for partial glossectomy patients. Further studies with patients who have a wider variety of tongue resections are indicated. The technique described is an effective one for further studies. PMID- 6579292 TI - Statistical study of the angle formed by the lateral part of the mandibular condyle and the horizontal plane. AB - The angle between the LCA and frontal plane and the inclination of the lateral part of the mandibular condyle and the horizontal plane were measured in a sample of the skulls used in the study. Correlation between the two angles was found to be almost insignificant. Fifty-eight percent of the TMJs had an inclination of the lateral part of the condyle less than 15 degrees. The maximum value for this angle was found to be 45 degrees, and the minimum was -6 degrees. PMID- 6579293 TI - Oral findings in osteoporosis. Part I: Measurement of mandibular bone density. PMID- 6579294 TI - Accurate protrusive registrations for patients edentulous in one or both jaws. PMID- 6579295 TI - Conventional radiography compared with arthrography in internal derangements of the temporomandibular joint. PMID- 6579296 TI - Post-radiation sarcoma. A report of four cases. PMID- 6579297 TI - Safety first. PMID- 6579298 TI - The microscope and the telescope. PMID- 6579299 TI - Proceedings of a forum on the use of fissure sealants in public health programs. Sponsored by the Dental Health Section, American Public Health Association. PMID- 6579300 TI - Caries distribution and the case for sealants. PMID- 6579301 TI - Comments and questions on the use of pit-and-fissure sealants. PMID- 6579302 TI - The cost of sealant application in a state dental disease prevention program. AB - A school-based pit-and-fissure sealant activity was developed by the Dental Health Section, Health Services Division, New Mexico Health and Environment Department as an adjunct to an ongoing dental disease prevention program. The sealants were applied by dental hygienist and dental assistant teams using a "four-handed" technic. The teams took portable dental equipment directly into the schools to apply the sealants to newly erupted permanent teeth. The costs to seal 15,281 teeth in 3,272 children were calculated to be $1.59 per tooth, and $7.41 per child. The average time for sealant application was nine minutes, 24.6 seconds per child. The one-year retention rate was 83 percent complete retention and 10 percent partial retention. PMID- 6579303 TI - Effect of PGF-2 alpha on uterine activity, and concentrations of 13, 14-dihydro 15-keto-PGF-2 alpha in peripheral plasma during parturition in the tammar wallaby (Macropus eugenii). AB - Intravenous administration of PGF-2 alpha or an analogue stimulated uterine contractility in gravid uteri during seasonal quiescence and late pregnancy. The exogenous PGF-2 alpha was metabolized to 13,14-dihydro-15-keto-PGF-2 alpha (PGFM) which was assayed in peripheral plasma by a radioimmunoassay. PGFM was cleared from the circulation with a half life of 8-15 min. Blood samples were taken approximately every 6 h from Day 26 to Day 30 from tammars which were expected to give birth on Day 27-28. Basal levels of PGFM were less than 400 pg/ml, and only occasional samples contained higher PGFM concentrations. Therefore, if uterine PGF-2 alpha release is elevated at parturition in tammars, the corresponding rise of circulating PGFM is either small or of short duration. PMID- 6579304 TI - Cervical softening in late pregnant sheep by infusion of prostaglandin E-2 into a cervical artery. AB - Cervical softening was induced in late pregnant sheep by infusion of PGE-2 into a cervical artery. The effect of this treatment was assessed by measurement of the extensibility in vitro of a strip of cervical tissue. After infusion of a saline/ethanol mixture extensibility was 2.84 X 10(-3) +/- 0.3 X 10(-3) min-1 (mean +/- s.e.m., N = 5); after infusion of PGE-2 it increased significantly (P less than 0.02) to 8.6 X 10(-3) +/- 1.8 X 10(-3) min-1 (N = 6). Infusion of PGE-2 did not increase uterine activity, and there was no significant change in the concentration of progesterone in the maternal jugular venous plasma. These data suggest that PGE-2 might act as a mediator of cervical softening in vivo and show that the cervix can soften in the absence of uterine contractions. PMID- 6579305 TI - Effects of intrauterine infusion of oestradiol-17 beta and prostaglandin E-2 on luteal function in non-pregnant heifers. AB - Non-pregnant heifers (4/group) received intrauterine infusions of vehicle, oestradiol-17 beta (150 ng), PGE-2 (250 micrograms), or oestradiol + PGE-2 every 6 h from 12:00 h on Day 13 to 06:00 h on the day of subsequent oestrus or 06:00 h on Day 21 (day of oestrus = Day 0). Ten of 12 heifers receiving vehicle, oestradiol or PGE-2 returned to oestrus by Day 21, whereas none of the heifers receiving oestradiol + PGE-2 returned to oestrus by Day 21. Jugular venous progesterone concentrations of vehicle- and PGE-2-treated heifers declined rapidly after Day 15 and were basal (less than 1 ng/ml) by Day 20. For heifers receiving oestradiol infusions, systemic progesterone levels did not decline until after Day 18, but were again basal by Day 20. Heifers treated with oestradiol + PGE-2 maintained elevated systemic progesterone levels until Day 21 after oestrus. In addition, the corpora lutea of the heifers treated with oestradiol + PGE-2 were heavier (P less than 0.01) and contained more (P less than 0.05) progesterone than did corpora lutea of the heifers in the other 3 groups on Day 21 (3.4 g and 19.52 micrograms/g and 1.2 g and 1.65 micrograms/g, respectively). It is concluded that oestradiol-17 beta and PGE-2, both of which are produced by the bovine conceptus and secreted from the gravid uterus, may act synergistically to maintain luteal function during early pregnancy in the cow. PMID- 6579306 TI - Tetracyclic chromophoric analogues of actinomycin D: synthesis, structure elucidation and interconvertibility from one form to another, antitumor activity, and structure-activity relationships. AB - Two different tetracyclic chromophoric analogues of actinomycin D have been synthesized by engaging two chromophoric DNA-binding functions in actinomycin D, i.e., 2-amino and 3-oxo, into either a 1,4-oxazin-2-one or an oxazole ring system. A third analogue has an extra quinone function at C-8 of the oxazole analogue. In all the analogues the chemical integrity of the peptide lactones of the parent antibiotic is kept intact, but their sterochemistry is altered. The analogues are designed as transport-modified prodrug forms of either the tricyclic active analogues of actinomycin D or actinomycin D itself. All analogues exhibit cytotoxicity that is several-fold less potent than AMD; they also have no binding affinity toward extracellular DNA. Nonetheless, the analogues of the first and the third series show improved antitumor activities (P388 leukemia, CDF1 mice). In fact, two of these analogues having a phenyl substituent at the C-3 site of the oxazinone ring or the C-2 position of the 8 oxo-8H-oxazole ring exhibit the highest antitumor effects. Most of the analogues are active over a broader dose range than actinomycin D and are 6- to 16-fold less cytotoxic to human lymphoblastic leukemia (CCFR-CEM) cells in vitro. The analogues with the most pronounced antitumor activity are those that retain most elements in the peptide stereochemistry of actinomycin D and have a quinone function or demonstrate susceptibility of their chromophores to biotransformation. PMID- 6579307 TI - Misdiagnosis of acute myocardial infarction. PMID- 6579308 TI - Guidelines for Optimal Handling of Chemically Impaired Physicians in a Hospital Setting. PMID- 6579309 TI - Campylobacter gastroenteritis associated with raw clams. PMID- 6579310 TI - Foodborne hepatitis A associated with cheeseburgers. PMID- 6579311 TI - Pediatric surgery in the community hospital. PMID- 6579312 TI - Consequences of living in a hair-trigger alert era. PMID- 6579313 TI - Abdominal distention syndrome in a patient receiving cimetidine-nortriptyline therapy. PMID- 6579315 TI - The impaired physician and the family. PMID- 6579314 TI - Analysis of vitamin status. PMID- 6579316 TI - FDA issues pediatric respiratory device alert. PMID- 6579317 TI - [Second-look operations and chemotherapy for malignant tumors of the brain]. AB - Second-look operations for glioblastomas, one of the most malignant types of brain tumor, were performed after the administration of chemotherapeutic treatments of general-VM 26 plus ACNU, local-MTX, or interferon-beta in each of ten, two, and three cases, respectively. Patients who had received the treatments were divided into two groups, living and deceased, as of August 1982. Therapeutic evaluation was performed with clinical parameters. Among the cases of CR, one (a 14-year-old female) had undergone surgery four times in the four years following onset, and no trace of tumor shadow appeared on the CT grams that were taken one month after the last surgery. Her performance was evaluated as almost 100% (ECOG). In cases of local administration, one case, which had been treated with IFN-beta, demonstrated an apparent decrease in the growth fraction and a pronounced decrease in tumor progression potency. Cell kinetic analyses were also performed, and cell cycle time and growth fraction were estimated by computer with the aid of flow cytometry. Efficacious chemotherapy yielded a decreased value of the growth fraction and an increase in cell cycle time. The decreased value of the growth fraction demonstrates especially well the effectiveness of a chemotherapeutic regimen. The cell kinetic analyses aided in the rational establishment of a chemotherapeutic regimen. Second-look operations for malignant brain tumors will enable more effective refinements in chemotherapeutic regimens and more successful results. PMID- 6579318 TI - [Differentiation induction of acute leukemia cells and its clinical usefulness]. PMID- 6579319 TI - [Clinical analysis of adult acute leukemia without successful induction of remission]. PMID- 6579320 TI - [Acute myeloblastic leukemia with transient loss of A and H antigens of the red blood cells--a case report]. PMID- 6579321 TI - [Successful prevention of cerebrovascular attack in chronic myelocytic leukemia with cytapheresis]. PMID- 6579322 TI - [Intravenous globulin preparations for infectious diseases complicated with various hematologic diseases]. PMID- 6579323 TI - [Primary hyperlipoproteinemia type 3]. PMID- 6579324 TI - Lymphocyte transformation test in lepromatous leprosy patients and their healthy siblings. AB - Lymphoproliferative response to M. leprae, PHA, PPD and mixed leucocyte culture (MLC) were measured in 20 cases of lepromatous leprosy, 17 of their normal healthy siblings and 15 healthy controls. 7 siblings of LL patients were HLA-D identical, which was identified by doing MLC reaction. All healthy siblings including HLA-D identical responded normal to all stimulating agents including M. leprae antigen. In contrast 20 cases of LL responded very poorly to M. leprae antigen and almost near normal to other stimulating agents. The specific unresponsiveness of LL patients to M. leprae antigen does not result from an HLA linked genetic defect and the defective CMI response to M. leprae antigen seems to be acquired and not genetically determined. PMID- 6579325 TI - Rocky Mountain spotted fever. PMID- 6579326 TI - Meningococcal meningitis and complement (C6) deficiency. PMID- 6579328 TI - The jury and Rocky Mountain unspotted fever. PMID- 6579327 TI - Endodermal sinus tumors of gonadal and extragonadal origin. PMID- 6579329 TI - AIDS in South Carolina. PMID- 6579330 TI - The coming generation of antidepressant therapy. PMID- 6579331 TI - The Angelchik prosthesis in surgery for esophageal reflux. PMID- 6579332 TI - An empirical assessment of the impact of the revised commitment laws in South Carolina. PMID- 6579333 TI - Treatment and follow-up of acute leukemia in children 1973-1982. PMID- 6579334 TI - The SP Frame. PMID- 6579336 TI - An in-service training program for general dentistry faculty. PMID- 6579335 TI - Vertical root fractures: diagnosis & consequences. PMID- 6579337 TI - [67Ga-citrate in the differential diagnosis of benign lesions and lung cancer]. AB - A total of 77 patients with tumors and benign lesions of the lungs were examined. In addition to the x-ray method the use of a study with 67Ga-citrate was found appropriate in the differential diagnosis of spheroidal lesions of the lungs. PMID- 6579338 TI - [Differential diagnosis of leukemias. II. Chronic leukemia]. PMID- 6579339 TI - Nucleotide sequence of the 5'-terminal region of rat 18S ribosomal DNA. AB - The 5'-terminal 597 base-pairs (bp) of the Sprague-Dawley rat 18S ribosomal RNA gee and 10 bp of the adjoining transcribed spacer have been sequenced. Previously sequenced 10 large oligonucleotides of rat 18S RNA were located in this region. This mammalian sequence has been compared with the known sequences of yeast and frog 18S rDNA's. The analysis indicates that 534 bp of the 597 bp (89%) are conserved between rat and frog sequences but only 75% of the nucleotides are conserved between rat and yeast in this region. Two large and two small sections have been identified where insertions have been introduced during evolution. Of these 58 bp long inserted sections of the rat rDNA sequence, 50 bp (86%) were G-C base-pairs. PMID- 6579340 TI - Changes in lipoproteins and subfractions following oophorectomy and oestrogen replacement in peri-menopausal women. AB - Serum cholesterol concentrations in lipoprotein fractions and subfractions were determined in 11 peri-menopausal women both before and after bilateral oophorectomy, as well as 60 days after commencement of oral oestradiol replacement therapy. Pre-operatively, all subjects were found to have normal lipid and lipoprotein concentrations. There was a post-operative increase in the total cholesterol level, which was attributed to a raised very-low-density lipoprotein (VLDL) cholesterol. Changes in high-density lipoprotein (HDL) subfractions HDL-2 and HDL-3 were noted but since these were compensatory little difference in total HDL cholesterol was observed. Following oral oestrogen replacement, the cholesterol level decreased as a result of a drop in both VLDL and low-density lipoprotein (LDL) cholesterol. The oestradiol-induced HDL cholesterol increment reflected an increase in the levels of both HDL subfractions. PMID- 6579341 TI - Prognosis in acute lymphoblastic leukemia of childhood as determined by cytogenetic studies at diagnosis. AB - Fifty-one children with acute lymphoblastic leukemia on a common protocol of treatment were classified according to presence or absence of chromosomal abnormalities found at the time of diagnosis in bone marrow and/or blood. Twenty two or 43% had normal karyotypes while 29 (57%) had clonal abnormalities using the Giemsa-trypsin banding technique. Thirteen of the 29 (45%) chromosomally abnormal patients relapsed while only three of 21 (14%) with normal karyotypes have relapsed with a median follow-up of 49.5 months (42-76 months). (One child with a normal karyotype did not respond to therapy.) Several hypotheses have been offered to attempt to explain the significantly better prognosis of patients with no observable initial chromosomal aberrations. PMID- 6579342 TI - Treatment of childhood acute lymphoblastic leukemia in Malaysia, 1976-1982. AB - One hundred four children with acute lymphoblastic leukaemia were diagnosed at the University Hospital, Kuala Lumpur, Malaysia, between 1976 and 1982; 87 were evaluable with respect to treatment. They were divided into good prognosis (GP) and bad prognosis (BP) groups based on their initial total white cell count, their treatment differing only during the maintenance phase. Remission was achieved in 82 patients (94%) of whom ten (12%) subsequently died in remission from infection. Twenty-eight (34%) relapsed while on treatment and three while off therapy. Eleven patients ceased treatment after 3 yr of continuous complete remission (CCR). Three of these later relapsed, two within the first year. Survival in CCR was significantly better in the GP group up to 30 months, after which the difference diminished. There was no difference in survival between boys and girls. The overall disease-free survival at 3 yr and 5 yr was 40% and 25%, respectively, with a median follow-up period of 20 months (range 4-69 months). The reasons for the relatively low survival rates as compared with those in developed countries are discussed. PMID- 6579343 TI - Morphologic changes in blast cells of children with acute lymphoblastic leukemia in relapse. AB - Relapse in children with acute lymphoblastic leukemia (ALL) on therapy may be due to development of a resistant clone of blast cells. Seven children who presented initially with the "common"-type, L1 lymphoblast relapsed with a morphologically different and more undifferentiated blast cell. All were male, with a median age of 12 years at initial presentation. One child who relapsed while off therapy was successfully reinduced and remains in hematologic remission on therapy. The remaining 6 children died within 10 months of relapse. Selection of a resistant clone of lymphoblasts by chemotherapy may be responsible for relapse in children with ALL and should be studied in hopes of controlling the disease. PMID- 6579344 TI - Energy-dependent reduced drug binding as a mechanism of Vinca alkaloid resistance in human leukemic lymphoblasts. AB - We studied the accumulation of [3H]vinblastine (VLB) by lines of CCRF-CEM cultured human leukemic lymphoblasts that were either sensitive or resistant to the drug. Neither cell line metabolized VLB, nor selectively retained any radioactive impurities. There was an apparent "instantaneous" accumulation of VLB by cells of both lines, resulting in cell to medium ratios greater than 1.0 within 1 sec after drug addition. Experiments between 0 and 60 sec revealed that the presumed undirectional initial rate of VLB accumulation by resistant cells, termed CEM/VLB100, was about one-half that of sensitive CEM cells. In experiments carried out over 60 min, the VLB-resistant cells accumulated considerably less [3H]VLB than did the sensitive cells. Drug accumulation by both cell lines was temperature-sensitive, since incubation of cells at 4 degrees resulted in only minimal uptake beyond that observed at zero time. CEM/VLB100 cells retained less drug than did CEM cells, apparently because of a larger fraction of readily releasable VLB compared with CEM cells. The accumulation of VLB by either cell line was related in part to cellular levels of ATP. Although depletion of ATP was associated with decreased accumulation of VLB by CEM cells, it was related to enhanced drug accumulation by CEM/VLB100 cells. Restoration of ATP levels to near control values by addition of glucose also had opposite effects on the two cell lines, causing further accumulation of VLB by the sensitive line but leading to apparent drug efflux from the resistant line. Potentially competing substrates (VM-26, colchicine, daunorubicin, and doxorubicin) failed to block this glucose mediated release of VLB from the CEM/VLB100 cells. In experiments with energy depleted CEM/VLB100 cells preloaded with VLB and then incubated in drug-free medium, initial drug loss was shown to be independent of cellular metabolism, being roughly the same for both metabolically intact and metabolically depleted cells. Glucose (energy) was required only for subsequent release of what appeared to be a more tightly bound cell-associated fraction of VLB. Results of zero-time binding studies tended to confirm that VLB binding by resistant cells has two components, one requiring and the other not requiring metabolic energy. Differences in the proportions of these two components between the sensitive and resistant cells suggest a mechanism for resistance to VLB and similar compounds. PMID- 6579345 TI - Home care for children on respirators. PMID- 6579346 TI - Leukemic karyotype in CFU-C of a patient with acute myelomonocytic leukemia. PMID- 6579347 TI - Chromosome 16 and bone-marrow eosinophilia. PMID- 6579348 TI - Philadelphia chromosome-negative progenitors in chronic granulocytic leukemia. PMID- 6579349 TI - Mediation committees. Conflict resolution--the easy way. PMID- 6579350 TI - So you want to buy a computer. PMID- 6579351 TI - Should I incorporate? PMID- 6579352 TI - Where have all the dental mechanics gone? PMID- 6579353 TI - Presidential address. PMID- 6579354 TI - Applicability of the North Carolina Right to a Natural Death Act as amended in 1983. PMID- 6579355 TI - Recent changes in the supply and distribution of physicians in North Carolina. PMID- 6579356 TI - Please pass me the onions and the socks--lidocaine toxicity. PMID- 6579357 TI - Successes of and challenges to our State Health Department. PMID- 6579358 TI - Medicine and pharmacy. PMID- 6579359 TI - Whatever happened to starch blockers? PMID- 6579360 TI - Shingles. PMID- 6579361 TI - Multiple problems challenge the internist. PMID- 6579362 TI - The importance of the dental exam. PMID- 6579363 TI - Changing health care scenes. PMID- 6579364 TI - Aids. PMID- 6579365 TI - Reflections on midtrimester pregnancy termination by dilation and evacuation in a free-standing facility. PMID- 6579366 TI - The promotion of physician well-being. PMID- 6579367 TI - Hospital medical staff and the impaired or troubled physician. PMID- 6579369 TI - Uninsured pregnant women of North Carolina: whose responsibility? A private practitioner's viewpoint. PMID- 6579368 TI - Ascariasis at North Carolina Memorial Hospital. PMID- 6579370 TI - Legislative report. Anatomy of a bill. PMID- 6579371 TI - Some light on the charge brigade--disc battery ingestion. PMID- 6579372 TI - The continuous vision lens. PMID- 6579374 TI - An epilepsy information network for North Carolina. PMID- 6579373 TI - Distended neck veins. PMID- 6579376 TI - Fact sheet on nutritional supplements. PMID- 6579375 TI - Nonprescription appetite suppressants. PMID- 6579377 TI - Should the AMA support an indemnity system of payment for physicians' services? PMID- 6579378 TI - Hospital utilization patterns in North Carolina: implications for cost of care. PMID- 6579379 TI - Aloe Vera, true and false. PMID- 6579380 TI - [Local resection of osteosarcoma of the femur after chemotherapy followed by reconstruction with an endoprosthesis]. PMID- 6579381 TI - [Bulimia]. PMID- 6579382 TI - [Late results of irradiation of the head and neck region]. PMID- 6579383 TI - [Mandibular deficiency: cephalometric aspects of surgical-orthodontic treatment]. PMID- 6579384 TI - [Anorexia nervosa]. PMID- 6579385 TI - [The protective effect of 0.4% and 1.2% F-Elmex Gel on sound and lightly demineralized enamel. An in vitro experiment]. PMID- 6579386 TI - [Tooth root implants under complete dentures]. PMID- 6579387 TI - [The first interim report of the Advisory Commission on Dental Education]. PMID- 6579389 TI - [The changing role of the teacher in dental education]. PMID- 6579388 TI - [Aspects of social dentistry and the role of behavioral sciences in dentistry]. PMID- 6579390 TI - [Treatment of chronic apical periodontitis]. PMID- 6579391 TI - [Periodontal surgery as an option]. PMID- 6579392 TI - [An application of balloon probes. Preoperative electrophysiological test of the tolerance to temporal occlusion of the artery of cervical enlargement]. AB - The authors report a case of testing of the temporary occlusion of origin of the radiculo-medullar artery for the cervical enlargement by balloon occlusion and both testing by clinical evaluation and evaluation of somesthesic evoked potentials and F wave. This testing allowed the surgical removal of a malignant tumor of the cervical vertebra including the vertebral artery and the origin of the radiculo-medullar artery for the cervical enlargement. About this case, they discuss possibilities and the theorical value of these pre-operative tests. PMID- 6579393 TI - Abdominal vagotomy does not activate the corpus luteum in rats. AB - Rats were vagotomized at proestrus and 4 days later serum prolactin and progesterone were determined by radioimmunoassay. The histology of the ovaries and the activity of ovarian delta 5-3 beta-hydroxysteroid dehydrogenase (3 beta HSD) were also studied. There was no difference between hormone values in sham and vagotomized rats 4 days after surgery. In addition, the ovarian histology and activity of 3 beta-HSD were similar in both sham and vagotomized animals. We conclude that vagotomy at proestrus does not interrupt estrous cycles by activating the corpus luteum. PMID- 6579394 TI - Tick-borne diseases. PMID- 6579395 TI - Unusual penetrating injury of face and neck. PMID- 6579396 TI - Pulmonary blastomycosis in a New York City resident. PMID- 6579397 TI - Dormant foramen magnum meningioma 'activated' by chiropractic manipulation. PMID- 6579398 TI - Chest wound and hematuria. PMID- 6579399 TI - Prophylactic preoperative insertion of pacemakers in patients with bifascicular block. PMID- 6579400 TI - The subpleural lymph node: a differential diagnostic problem. PMID- 6579401 TI - Bacteremia associated with fiberoptic bronchoscopy. PMID- 6579402 TI - Tick-borne ulceroglandular tularemia. PMID- 6579403 TI - Unusual contents in inguinal hernia sacs. PMID- 6579404 TI - Disopyramide-induced profound hypoglycemia. PMID- 6579405 TI - Metabolic alkalosis following relief of urinary tract obstruction. PMID- 6579406 TI - Severe systemic reactions following administration of different ureotonic drugs. PMID- 6579407 TI - More is not always better. PMID- 6579409 TI - Superficial set of light-activated composite resins. PMID- 6579408 TI - The fermentation of sucrose, sorbitol, and xylitol by Propionibacterium avidum, resulting in the formation of caries-like lesions in enamel. PMID- 6579410 TI - New Zealand Committee on Adverse Drug Reactions: Seventeenth Annual Report, 1982. PMID- 6579411 TI - Symposium: Renal blood flow, sodium and hypertension. Dunedin, 22-23 February 1983. PMID- 6579412 TI - Childhood cancer in New Zealand: incidence and survival, 1961-1976. AB - Mortality from cancer in New Zealand children is higher than in most other western countries. This paper reports an analysis of the incidence and survival of all cases of childhood cancer registered in New Zealand from 1961 to 1976. The overall incidence was very similar to that reported by American registries, but higher than in Britain. Survival rates in New Zealand for children with lymphoma and leukaemia were rather poorer than in Britain as a whole, and appreciably worse than in Manchester and in selected regions of the USA. For most other malignancies, survival rates were similar to those in Britain. Survival rates in New Zealand were improving during the period of this study. The possible advantage of centralising treatment was examined by comparing the survival of children treated in the largest centre (Auckland--with 32% of all cases) and in other parts of the country. Children treated in Auckland generally had a longer remission, but experienced no significant advantage in five-year survival. This lack of advantage was not due to referrals from outside the region or to differences in racial composition. PMID- 6579413 TI - Anaesthesia under scrutiny. PMID- 6579414 TI - Medical Practitioners Disciplinary Committee: analysis of complaints for 1982. PMID- 6579415 TI - Talking with patients about smoking. PMID- 6579416 TI - The New Zealand anaesthetic training scheme, 1979-1982. PMID- 6579417 TI - Ethical dilemmas in psychiatry. PMID- 6579418 TI - Smoking at school. PMID- 6579419 TI - Acupuncture. PMID- 6579420 TI - A sensitive radioimmunoassay for measuring plasma anti-diuretic hormone in man. AB - A radioimmunoassay has been developed which permits the measurement of plasma antidiuretic hormone (arginine vasopressin (AVP), in the normal and subnormal range. Plasma was first extracted with octadecasilyl-silica to remove non hormonal immunoreactivity, then assayed using a sensitive antibody and mono iodinated AVP. After centrifugation of blood, we found AVP levels to be highest in the lowest layer of plasma--presumably because platelets are a reservoir for the hormone. In normal volunteers the range of plasma AVP was 0.8-14.3 pmol/l, and water loading generally lowered AVP levels. Appropriate increments in measured AVP were observed during intravenous infusion of the peptide, and during insulin-induced hypoglycaemia. Extremely low levels were found in cranial diabetes insipidus, whereas in some patients with bronchial carcinoma and hyponatraemia, AVP values were elevated. The sensitivity of the method and its practicability should make it useful both in clinical medicine and in research. PMID- 6579422 TI - Health trends. PMID- 6579421 TI - The acute phase response: clinical aspects. PMID- 6579423 TI - Psychotherapy: a profession. PMID- 6579424 TI - Liaison psychiatry in a general hospital. AB - An analysis of referrals to the psychiatric liaison service, Auckland Hospital showed that 1.56% of hospital admissions were referred. Females were referred more frequently as were separated, divorced, widowed and unemployed people. Adjustment disorder and affective disorder were the more common diagnoses, but a wide range of diagnostic types were seen. The service dealt with two-thirds of cases without recourse to other psychiatric resources. PMID- 6579425 TI - Medic-Alert certificates. PMID- 6579426 TI - Diagnostic value of fibreoptic bronchoscopy in sputum smear-negative pulmonary tuberculosis. PMID- 6579428 TI - Abortion. PMID- 6579427 TI - Mianserin and jaundice. PMID- 6579429 TI - Antibiotic prescribing. PMID- 6579430 TI - Rubella outbreak. PMID- 6579432 TI - Analgesia and dextropropoxyphene. PMID- 6579431 TI - Rifampicin-induced adrenal crisis. PMID- 6579433 TI - The vitamin E/selenium responsive diseases of animals and the sudden infant death syndrome: common findings. PMID- 6579434 TI - In defense of the Keyes technique. PMID- 6579435 TI - Exploit the inevitable--dentistry's strategy for the eighties. PMID- 6579436 TI - Complex criticism. PMID- 6579437 TI - Clinical applications of microbiologically monitored and modulated periodontal therapy. PMID- 6579438 TI - Candid clinical confessions. PMID- 6579439 TI - "The new non-surgical periodontal therapy" a guide for the perplexed dentist. PMID- 6579440 TI - Keyes technique viewed through a legal microscope. PMID- 6579441 TI - A final comment on "non-surgical" periodontics. PMID- 6579443 TI - The Dental Society of the State of New York. Constitution and bylaws. December 1983. PMID- 6579442 TI - Checking out bank accounts. PMID- 6579444 TI - The current status of dental luting cements. PMID- 6579445 TI - New dental casting alloys. PMID- 6579446 TI - Dental amalgams. PMID- 6579447 TI - The impacted tooth--its legal and surgical management. PMID- 6579448 TI - Can marketing benefit your practice? PMID- 6579449 TI - Nutritional quackery, the health food industry and the antifluoridation movement. PMID- 6579451 TI - Basic science in dentistry: past, present and future. PMID- 6579450 TI - Peer review and you. PMID- 6579452 TI - Marketing: the buzz word for the '80s. PMID- 6579453 TI - Eating with dentures. Suggestions for patients. PMID- 6579454 TI - Successful preparation of the fine curved canal. PMID- 6579455 TI - Reduction in dental caries prevalence and treatment needs for elementary school children from 1972-1982. PMID- 6579457 TI - Extraoral sagittal osteotomy of the mandibular ramus. AB - A new type of extraoral sagittal osteotomy of the mandibular ramis and retromolar region is described. This is a simple and versatile procedure which may may be used in the correction of prognathism, retrognathism, open bite, and mandibular asymmetry. The procedure shares all the advantages of the intraoral sagittal osteotomy of the mandibular ramus and has several other advantages as well. A case is presented for illustration. PMID- 6579456 TI - Muscular rehabilitation after orthognathic surgery. AB - There is both a biologic and a clinical foundation for the use of therapeutic exercise after othognathic surgical procedures to restore normal function of the jaw muscles. This can be accomplished by a systematic plan Of occlusal and muscular rehabilitation after release of maxillomandibular fixation. Through the diligent application of physical therapy principles, the function of the masticatory muscles can be more efficiently rehabilitated after orthognathic surgery and maxillomandibular fixation. PMID- 6579458 TI - Influence of polylactic acid mesh on the incidence of localized osteitis. AB - A biodegradable polylactic acid surgical implant, designed to facilitate dental extraction wound heading, is described. Animal studies have proved the safety and tissue compatibility of the implanted polylactic acid material. A clinical study using this material in mandibular third molar extraction sites in human subjects is reviewed. Results of that study reveal the implant to be effective in reducing the incidence of localized osteitis following mandibular third molar extractions. PMID- 6579459 TI - Thermography and oral inflammatory conditions. AB - A brief review of the literature on the use of thermography in medicine and dentistry is presented. This is followed by the presentation of eleven case reports of the use of thermography in dental clinic patients with various oral inflammatory conditions. The results showed that in seven of the eleven cases the thermogram was able to delineate the involved from the noninvolved side. The findings were nonspecific, however, and in its current form thermography cannot be used alone for differential diagnosis. PMID- 6579460 TI - Accelerated periodontal disease in a patient with essential mixed cryoglobulinemia. AB - A 32-year-old woman diagnosed as having Type III essential mixed cryoglobulinemia presented with a history of gingival swelling and hemorrhage. Further clinical findings, in addition to sequential radiographs, revealed the presence of an unusual case of rapidly progressive periodontitis. An association between the presence of cryoglobulinemia and the periodontitis is implicated. PMID- 6579461 TI - Dentinogenesis imperfecta in the Brandywine isolate (DI type III): clinical, radiologic, and scanning electron microscopic studies of the dentition. AB - Teeth of seven patients from the Brandywine isolate who had dentinogenesis imperfecta (DI) type III were evaluated by clinical, radiologic, and scanning electron microscopic techniques. The deciduous and permanent teeth were opalescent, and there was marked attrition. Enamel pitting was present on some permanent teeth. Anterior open bites were found in all persons with complete permanent dentitions. Pulps of developing teeth were larger than normal during early development but rapidly became almost completely obliterated. There was increased constriction at the cementoenamel junctions. While radiolucencies were noted at the apices of teeth which had pulp exposures due to attrition, several patients had similar radiolucencies which could not be attributed to caries or attrition. Scanning electron microscopy showed a significant reduction in the number of dentin tubules on fractured dentin surfaces; calcospherites at the calcification front were either irregularly shaped or absent. A single tooth from a patient with DI type II was studied and had similar abnormalities on scanning electron microscopy, although tubules were easier to find and calcospherites at the calcification front were more regular than in DI type III. The findings in DI type III of enamel pitting, enlarged pulps early in tooth development, and radiolucencies at the apices of teeth without pulp exposures support the hypothesis that DI type II and DI type III are different disorders. PMID- 6579462 TI - Fetal rhabdomyoma of the tongue, with a discussion of the two histologic variants of this tumor. AB - Fetal rhabdomyomas are rare benign tumors of skeletal muscle that must be distinguished histologically from various sarcomas, including rhabdomyosarcoma. They have recently been subdivided into two histologic variants myxoid and cellular fetal rhabdomyomas, respectively. This article describes the sixth fetal rhabdomyoma to be reported in the oral regions, illustrates the histologic features of the two types, and discusses the means of distinguishing these lesions from various other conditions with which they may be confused. PMID- 6579463 TI - Spectrophotometric analysis of microleakage in the fine curved canals found in the mesial roots of mandibular molars. AB - Mesial roots from forty human mandibular first and second molar teeth were randomly assigned to two groups and obturated with laterally condensed gutta percha or silver cones. Each group was divided into two subgroups. The first subgroup for each group consisted of specimens that had two canals with a common foramen. The second subgroup consisted of specimens with two canals and separate foramina. All specimens were obturated and exposed to 2 percent methylene blue dye at 37 degrees C. for a period of 30 days. A dye-recovery, spectrophotometric method was used to evaluate the apical microleakage. Results indicated no statistically significant difference in leakage between the groups or subgroups. PMID- 6579464 TI - Pulpal effect of citric acid applied topically to root surfaces. AB - Five beagle dogs were subjected to the raising of full-thickness flaps on the buccal aspects of premolar teeth. Approximately 7 mm. of buccal bone was removed to expose the root surfaces, which were treated with 20 percent citric acid. Saline was used as a control, and after periods of 1, 7, 14, 28, and 56 days, the animals were killed. Specimens were examined histopathologically when microscopic examination failed to detect any pulpal changes in either the experimental or the control specimens. PMID- 6579465 TI - Spontaneous expulsion of a retrograde filling. Report of a case. AB - The placement of a retrograde filling is designed to seal the apex of a tooth when conventional procedures have either failed or cannot be performed. This case report describes the mechanical failure of this procedure, as well as the expulsion of the filling material from the oral cavity. PMID- 6579466 TI - High-yield radiography of the maxillofacial complex using the free focus and conventional imaging concepts. The resolution performance of nonscreen and screen film combinations. AB - Free focus radiography with miniaturized dental x-ray machines may be a valuable source of "high-yield" diagnostic information in dentistry. This study evaluated the resolution performance of conventional image receptors, including nonscreen and screen-film combinations which were available in sizes suitable for panoramic free focus radiography or conventional extraoral radiography. Results with nonscreen films produced resolution performances ranging from about 10 lp/mm. to about 20 lp/mm. For each film tested, the performances in conventional radiography as well as in free focus radiography with the film in the buccal fold approached the maximum measurable of 20 lp/mm. In a mode of free focus radiography with the film positioned extraorally, there were significant variations in performance according to film brand. A significant reduction in resolution performance occurred when screen-film combinations were tested; resolution ranged between 4.0 lp/mm. and 7.4 lp/mm., with the better performance obtained with free focus radiography. The performance of a rare earth system was similar to other screen-film combinations tested in conventional radiography. In free focus radiography the performance of the rare earth system was slightly below the mean resolution for conventional screen-film combinations at 4.0 lp/mm. and 4.3 lp/mm. An example of a small cassette adapted for intraoral use was given. PMID- 6579467 TI - Three-dimensional perception of radiographic images among dental students and dentists. AB - Six radiographs exhibiting problems of three-dimensional perception were shown to seventy-six inexperienced dental students and to seventy-six experienced dentists. They were asked (1) from which viewing direction they perceived the image, (2) if they were able to reverse the image, and if not (3) if they denied the possibility of reversibility. In most cases a vast majority (83 to 93 percent) agreed in one perception. Twelve to 62 percent were unable to reverse the images. High percentages of the observers denied perceptions other than their own. No statistically significant differences were observed between the answers of the students and the dentists. The decisions of the observers and their restricted ability for ambiguous perception are discussed. Rules governing the choices of perception are suggested. The importance of training at undergraduate as well as postgraduate levels in perceiving radiographic images ambiguously and three-dimensionally is stressed. PMID- 6579469 TI - External resorption of an unerupted third molar. PMID- 6579468 TI - Bifurcated mandibular canal. PMID- 6579470 TI - Multiple radiolucent lesions in basal cell nevoid syndrome. PMID- 6579471 TI - Evaluation of osteogenesis following immediate and delayed reimplantation of frozen autogenous mandibular bone. AB - A follow-up study of the feasibility of delayed reimplantation of frozen autogenous mandibles after ablative surgery for oral carcinomas with mandibular involvement was performed. Fifteen young adult mongrel dogs were used and evaluated clinically, bacteriologically, radiographically, histologically, and by radionuclide imaging. The animals were divided into two groups according to whether they underwent immediate or delayed reimplantation. These were subdivided into those who received grafts with and without autogenous marrow augmentation. The results were positive and suggested clinical evaluation. Twelve patients had undergone delayed reimplantation along with marrow augmentation over the past 3 years. Again, the results are most promising and we believe that, with further refinement, this technique will offer a new and acceptable modality for facial reconstruction in the cancer patient. PMID- 6579472 TI - Submandibular gland function following transoral sialolithectomy. AB - Conflicting views exist with regard to surgical treatment of a salivary stone in the knee of the submandibular duct, the options being excision of the submandibular gland and transoral removal of the stone. The key question in this dispute is whether or not a gland with a stone in this position has suffered irreparable functional damage. To determine the extent of glandular recovery after transoral sialolithectomy, a clinical and scintigraphic study has been carried out in a consecutive series of twenty-one patients. The results show a return to normal function in the vast majority of these patients, which indicates that transoral removal of the stone is the treatment of choice. PMID- 6579473 TI - Penicillin-induced anaphylaxis in a patient under hypotensive anesthesia. AB - Elective use of penicillin during hypotensive anesthesia for orthognathic surgery induced a nearly fatal anaphylactic reaction. The first symptom of anaphylaxis was increased inspiratory resistance to mechanical ventilation, followed by severe hypotension. The therapeutic management of anaphylaxis is discussed. Patients susceptible to reactions from the administration of B-lactam antibiotics can be identified through skin tests. Patients reactive to such antibiotics should be treated with alternate antibiotics or they should be desensitized prior to receiving penicillin. PMID- 6579474 TI - Phenytoin-induced hyperplasia of the pre-eruptive stage. Report of a case. AB - A patient with a rare manifestation of phenytoin-induced hyperplasia is reported. Severe maxillary and mandibular gingival hyperplasia occurred prior to the eruption of the dentition and without evidence of any predisposing local irritation factors. PMID- 6579475 TI - The psychiatric referral in dentistry: indications and mechanics. AB - Psychiatric consultation is sometimes a part of the diagnostic evaluation of facial pain. The indications for referral arise out of the history. Several brief questions may indicate whether or not a psychiatric illness is present. Patients may hold beliefs or attitudes about their illness or about psychiatric treatment that make referral difficult. Successful referral depends on the relationship that the dentist establishes with the patient. Recommendations to facilitate the referral are presented. PMID- 6579476 TI - Oral malignant acanthosis nigricans. AB - Awareness of a possible association of late-onset oral acanthosis nigricans with internal malignant disorders is important for early detection and treatment of the underlying cancer. A classic case of malignant oral acanthosis nigricans is reported here, and its possible etiologic factors and pathogenetic mechanisms are discussed. PMID- 6579477 TI - Oral drug reaction to methyldopa. Report of a case. AB - This case report presents and follows a rare oral drug reaction linked to the administration of methyldopa (Aldomet). The clinical appearance of oral ulcerations coincides with increased dosage of the drug. Withdrawal of methyldopa leads to gradual healing of these lesions. PMID- 6579478 TI - The differentiation of malignant lymphoma from anaplastic seminoma in a patient presenting with testicular and jaw swelling. AB - The histologic differentiation of anaplastic seminoma from lymphoma is often difficult. In the case presented, a malignant lymphoma showing prominent testicular and jaw involvement was initially interpreted as seminoma. The histologic and ultrastructural criteria for differentiation, as well as a comparison of the clinical and epidemiologic characteristics of these tumors, are discussed. A reassessment of previously reported cases of seminoma metastatic to the jaws/antrum, made relative to these data, suggests that in most cases the tumors may actually be lymphomas. PMID- 6579479 TI - Chronic granulomatous cheilitis and its relationship to Crohn's disease. AB - Investigation of a 15-year-old white male patient with chronic granulomatous cheilitis revealed asymptomatic Crohn's disease of the lower gastrointestinal tract. This is reported to support the suggestion that chronic granulomatous cheilitis and Crohn's disease may be intimately related. Tests for nutritional status are shown to be important in the investigation and management of patients with this condition, being the first indication of any gastrointestinal pathology. PMID- 6579480 TI - Ultrastructural localization of alkaline phosphatase in the calcifying epithelial odontogenic tumor. AB - The localization of alkaline phosphatase in a calcifying epithelial odontogenic tumor obtained from a 53-year-old man was examined cytochemically. The majority of enzyme activity was associated with the epithelial cell membranes of the tumor, and faint activity was found in the cell membranes facing the adjacent stromal tissue. The reaction product of ALP was also detected in some membrane bound vacuoles (lysosomes) and the Golgi apparatus of tumor cells. It is suggested that the appearance of enzyme activity associated mostly with the epithelial cell membrane may be related to transport function of cell membranes. PMID- 6579481 TI - Clinical evaluation of a new method for determining tooth length without radiographs. AB - A new instrument (the Apexfinder) for measuring tooth length was recently introduced for use in endodontics. The procedure of measuring tooth length with this instrument was found to be simple and easy. It also eliminated the need for radiographs, with their problems. One hundred forty-two teeth were used to compare the new method with two different methods, widely used in endodontics, that employ radiographs. The investigation showed that the new technique offers a direct method for measuring the distance between the coronal and apical ends of the tooth. Statistical analysis of the data indicated that the new method was superior to the others. The Apexfinder was accurate in 90 percent of the cases. When radiographs were used, the results were accurate in 75 percent of the cases, while the use of the radiograph and the tooth-length formula gave 60.4 percent accuracy. PMID- 6579482 TI - Hard-tissue resorption and deposition after preparation and disinfection of the root canal. PMID- 6579483 TI - Survey of radiographic requirements and techniques in United States dental assisting programs, 1982. AB - A survey of dental assisting programs revealed little standardization of student requirements for dental radiography in the United States. Areas for concern were (1) the high proportion of programs in which classmates exposed one another to ionizing radiation for training purposes and (2) the continued use of closed cones in some cases. Preclinical laboratories in radiography were, on average, of considerably longer duration than those previously reported for dental students. Conversely, clinical requirements in intraoral techniques were less for dental assisting students than is the case for dental students. Available methods of reducing patient exposure to ionizing radiation are not being fully implemented. PMID- 6579484 TI - Technical aspects of a dedicated quality-control system for dental radiology. PMID- 6579485 TI - Bilateral radiopaque masses. PMID- 6579486 TI - Epitheliated keratocyst surrounding a third molar. PMID- 6579487 TI - Bony protuberance like a second condylar head. PMID- 6579488 TI - Hepatitis B: the clinical detection of the chronic carrier dental patient and the effects of immunization via vaccine. AB - The dental staff must be aware of the potential for transmission of hepatitis B in the dental operatory via the undetected chronic carrier patient. To detect these patients, one should be familiar with signs and symptoms of the disease, the validity of the medical history in this area, and general populations which are at a higher risk of developing the disease. Once these patients are identified, the dental staff can protect themselves should exposure to these patients' secretions occur. Immune serum globulin, hepatitis B immune globulin, and a vaccine against hepatitis B are all available and indicated in specific situations. PMID- 6579489 TI - [Generalized aspergillosis in a patient with acute lymphatic leukemia]. PMID- 6579490 TI - [Hepatic forms of glycogenosis - clinical and biochemical findings in 15 cases]. PMID- 6579491 TI - Psych. clinical nurse specialist spotlighted. PMID- 6579492 TI - Gerontological nursing project. PMID- 6579493 TI - Will computers actually help define nursing? PMID- 6579494 TI - A clinical evaluation of polished and unpolished amalgams: 18-month results. PMID- 6579495 TI - Milk as an interim storage medium for avulsed teeth. PMID- 6579496 TI - Effect of flossing and brushing immediately prior to weekly fluoride mouthrinsing. PMID- 6579497 TI - Effect of sodium hypochlorite solution on the subgingival microflora of juvenile periodontitis lesions. PMID- 6579498 TI - Immunology in pediatric dentistry. PMID- 6579499 TI - Immunoglobulins and complement in the chronic interradicular lesions of the primary teeth. PMID- 6579500 TI - Osteogenesis imperfecta with dentinogenesis imperfecta: a mistaken case of child abuse. PMID- 6579501 TI - Immature primary molar in the newborn. PMID- 6579502 TI - Supernumerary primary first molar and first premolar: clinical report. PMID- 6579503 TI - Treatment of severe microstomia caused by massive fungal destruction of the lips: clinical report. PMID- 6579504 TI - Fusion of maxillary incisors across the midline: clinical report. PMID- 6579505 TI - Chronic renal failure and hypoplasia. PMID- 6579506 TI - [Hepatic involvement in pediatric neoplasms]. AB - The liver is an organ which appears particularly susceptible to undergo a series of toxic effects related to the presence of a neoplastic process and the modalities adopted for its treatment. However, the phenomena of liver toxicity which are encountered at diagnosis and during treatment of pediatric neoplasias, are numerous and of complex nature, quite often of difficult explanation. The authors have distinguished: - primitive benign and malign tumors of the liver; - toxic effects dependent from the neoplastic infiltration of tumors arising in extrahepatic sites; - toxicity not related to neoplastic infiltration. Several cases of different solid neoplasias are described, which exemplify the several modes by which the liver can be affected by tumors, and the possible etiopathogenetic mechanisms are searched for. In addition, the authors refer on the aspects of liver toxicity observed in a series of 44 children affected by acute lymphoblastic leukemia. They distinguish a toxicity which precedes treatment; - a toxicity which arises during the induction-consolidation phase of therapy; - a toxicity which comes out during maintenance with Methotrexate and 6 mercaptopurine, this latter strictly correlated to the continuous administration of these two drugs. Finally, the complicated correlation between acute hepatitis and leukemia is discussed, and the attention is focused particularly on the possible antileukemic affect of the acute liver infection, which is capable to determine, in few well described cases, a complete, although transient disease remission. PMID- 6579507 TI - C-reactive protein in rapid diagnosis and follow-up of bacterial septicemia in children with leukemia. AB - C-reactive protein (CRP) was evaluated as an indicator of septic bacterial infections in children with acute lymphoblastic leukemia (ALL). Thirty-five children with newly diagnosed ALL and 10 children receiving antileukemic chemotherapy developed 13 episodes of verified septicemia. Newly diagnosed ALL alone influenced the CRP level moderately; half of the children with no concomitant bacterial infection had measurable CRP values. However, the CRP values in this group were significantly lower than those in children with proved septicemia in whom the CRP level ranged from 15 to 340 mg/liter (median, 125 mg/liter). We conclude that CRP levels exceeding 100 mg/liter indicate bacterial septicemia with a high specificity regardless of the stage of ALL. Moreover, a negative CRP value virtually excludes septicemia. Patients ith moderately elevated CRP values, i.e. under 100 mg/liter, should be closely observed. Sequential CRP determinations are useful in children with invasive bacterial infections. PMID- 6579508 TI - [Calcium metabolism disorders in acute leukemia]. PMID- 6579509 TI - [Results of combined treatment of advanced forms of multiple myeloma with vincristine, melphalan, cyclophosphamide and prednisone (VMCP) and with vincristine, doxorubicin, cyclophosphamide and prednisone (VDCP)]. PMID- 6579510 TI - [Smouldering leukemia]. PMID- 6579511 TI - [A cluster of 5 premolars, or eumorphic hyperdontia]. PMID- 6579513 TI - Dental therapists in Botswana. PMID- 6579512 TI - [Various methods of fluoridation for the community--situation in Africa. 3. Combined methods to provide fluorides to the community. Situation in Africa]. PMID- 6579515 TI - Focal epithelial hyperplasia (Hecks' disease) in a Sudanese boy. Report of a case and review of literature. PMID- 6579514 TI - Normal craniofacial architecture of the Cameroonian and of the Senegalese. PMID- 6579516 TI - Opinions of British dental providers on the training, employment and utilization of dental therapists in the United Kingdom. PMID- 6579517 TI - [Complete denture for a case with temporomandibular syndrome due to extreme resorption of the alveolar ridge]. PMID- 6579518 TI - [Complete denture for cases with marked alveolar resorption]. PMID- 6579519 TI - [Removable denture in a mandibular right quadrant 1st and 2nd molar defect]. PMID- 6579520 TI - [Partial removable denture with attachment in a mandibular left quadrant 1st and 2nd molar defect]. PMID- 6579521 TI - [A gold-silver-palladium Konus telescopic crown in a mandibular left quadrant 1st and 2nd molar defect]. PMID- 6579522 TI - [Nickel-chromium alloys and porcelain for the Konus telescopic crown for a mandibular left quadrant 1st and 2nd molar defect]. PMID- 6579523 TI - [Use of the Konus telescopic crown in a mandibular right quadrant 1st and 2nd molar defect]. PMID- 6579524 TI - [Elongated bridge for a mandibular left quadrant 1st and 2nd molar defect]. PMID- 6579525 TI - [Bioceramic implant in a mandibular left 2nd premolar and 1st and 2nd molar defect]. PMID- 6579526 TI - [Dental implantation following minor tooth movement in the region of a mandibular left 1st and 2nd molar defect]. PMID- 6579527 TI - [Management of a mandibular left 1st and 2nd molar defect]. PMID- 6579528 TI - [Undine and Erysichton syndrome in diabetes insipidus patients]. PMID- 6579529 TI - tRNA transport from the nucleus in a eukaryotic cell: carrier-mediated translocation process. AB - The mechanism by which a tRNA molecule is delivered from the nucleus of a cell to the cytoplasm has been studied in the Xenopus laevis oocyte utilizing nuclear microinjection and manual microdissection techniques. tRNA nuclear transport in this cell resembles a carrier-mediated translocation process rather than diffusion through a simple pore or channel. tRNA transport is saturable by tRNA, with a maximal rate measured to be about 190 X 10(7) molecules per min per nucleus (21 degrees C) in the mature oocyte. Competitive inhibition between two different tRNA species can be demonstrated, suggesting that many tRNA species share a common carrier system. tRNA nuclear transport is sharply dependent on temperature, with an optimal rate observed at 31 degrees C. A single G-to-U substitution at position 57 in the vertebrate tRNAMeti molecule reduces the transport rate of this tRNA by a factor of about 20, implicating this highly conserved region of the tRNA molecule (loop IV) as critical for recognition by the transport mechanism. On morphologic grounds I propose that ribosome-like components surrounding the nuclear pore may function as the tRNA translocation "motor." The tRNA nuclear transport mechanism represents a distinctly eukaryotic process and a site of potential control over cell growth and proliferation. PMID- 6579530 TI - Initiation of adenovirus DNA replication in vitro requires a specific DNA sequence. AB - Initiation of adenovirus DNA replication in vitro occurs on a linearized plasmid DNA containing 3,327 base pairs of the adenovirus terminal sequence. Various deletions have been constructed in the plasmid DNA and their template activities examined. Deletions from an internal restriction enzyme cleavage site that retain only 20 base pairs or more of the adenovirus terminal sequence support initiation and limited chain elongation, whereas deletions that leave 14 base pairs or less of the terminal sequence do not. On the other hand, all deletions extending from the very terminus of the adenovirus DNA destroy the template activity. The terminal 20 base pairs of adenovirus DNA contain a sequence A-T-A-A-T-A-T-A-C-C, which is perfectly conserved in the DNAs from different serotypes of human adenovirus. Base changes within the conserved sequence greatly reduce the template activity. These results suggest that the terminal 20 base pairs constitute a functional origin for the initiation of adenovirus DNA replication in vitro. PMID- 6579531 TI - Monoclonal antibodies to rabbit progesterone receptor: crossreaction with other mammalian progesterone receptors. AB - A mouse was immunized with purified rabbit uterine cytosolic progesterone receptor (specific activity: 3 nmol of steroid bound per mg of protein). After fusion of its spleen cells with Sp2-OAg myeloma cells, supernatants of 11 hybrid cultures were found to react in both an immunoenzymatic test and a double immunoprecipitation test with the progesterone receptor. Clones were obtained from the five hybrid cells that gave the strongest response in both tests. Antibodies from cell culture supernatants and ascitic fluids were characterized. Three are of the IgG1 and two of the IgG2a isotype. Their apparent affinity for the progesterone receptor was measured by immunoprecipitation in physiological salt conditions. The equilibrium dissociation constants were between 0.1 and 4 nM. All five monoclonal antibodies crossreacted with the rabbit nuclear receptor, the human cytosolic receptor, and other mammalian (rat, guinea pig) but not avian (chicken) cytosolic progesterone receptors. There was no interaction with the glucocorticoid receptor and corticosteroid binding globulin. PMID- 6579532 TI - Seminal vesicle secretion IV gene: allelic difference due to a series of 20-base pair direct tandem repeats within an intron. AB - The rat seminal vesicle secretion IV (SVS IV) gene was isolated from a lambda Charon 4A library. The SVS IV gene transcription unit was found to be on one 3.3 kilobase (kb) EcoRI fragment. Restriction mapping and DNA sequence analysis demonstrated that the entire length of the SVS IV transcription unit is 1,930 base pairs (bp) and contains two introns. The 3.3-kb EcoRI fragment contains 144 bp of 5'-flanking region. At -113 bp from the presumed transcription initiation site an interesting structure with perfect dyad symmetry is noted. In another lambda clone, a 3.5-kb EcoRI fragment was isolated that contains the SVS IV gene and was shown to be identical to the 3.3-kb EcoRI fragment except for 180 bp of DNA in the second intron. The extra DNA consists of several (8-10) 20-bp tandem repeats flanked on each side by seven or eight copies of this same 20-bp repeat. Fisher X Sprague-Dawley hybrid rats, which contain both the EcoRI 3.5-kb form and the 3.3-kb form of the SVS IV gene, were crossed with each other. Analysis of the F1 generation demonstrated that the presence or absence of the 180-bp intronic insertion in the SVS IV gene defines an allelic difference. This report also presents the DNA sequence of the transcription unit and flanking regions of the SVS IV gene. PMID- 6579533 TI - Solid-phase synthesis of cecropin A and related peptides. AB - Cecropin A, a 37-residue antibacterial peptide amide, was synthesized by the solid-phase method. It was shown to be homogeneous and totally indistinguishable from natural cecropin A by chemical and physical criteria, as well as by its antibacterial activity against several Gram-positive and Gram-negative organisms. The synthetic material was also used to establish unambiguously that the carboxyl terminal blocking group of natural cecropin A is a primary amide as tentatively proposed earlier. The role of the amino terminus of cecropin A in antibacterial activity was investigated by the synthesis of two analogs. PMID- 6579534 TI - Tissue-specific expression of a chicken calmodulin pseudogene lacking intervening sequences. AB - An eel calmodulin cDNA probe has been used to isolate a calmodulin gene from a chicken DNA library. Sequence analysis revealed this calmodulin gene (cCM1) to contain the nucleotides that code for 148 amino acids, a termination codon, and 486 residues of 3'-noncoding sequence before an A-A-T-A-A-A poly(A) addition signal. The amino acid sequence derived from these nucleotides is 87% homologous to that of bovine brain calmodulin. cCM1 is one of two calmodulin genes in the chicken genome but is unique in that it does not contain intervening sequences to interrupt the structural segments of the protein. This suggests that cCM1 originated as a processed gene copy derived from the other calmodulin gene, cCL1, a circumstance usually associated with pseudogenes. In contrast, cCM1 appears to be a functional member of a multigene family whose expression is specific for muscle cells. PMID- 6579535 TI - Transcription in cloned spacers of Xenopus laevis ribosomal DNA. AB - Rare individuals of Xenopus laevis exhibit frequent initiation of transcription in the spacers of oocyte ribosomal DNA (rDNA). Using electron microscopy we have characterized spacer transcription in such an individual and have confirmed that the sites of transcription initiation correspond to the imperfectly duplicated promoters ("Bam islands") present in the X. laevis rDNA spacer. We have cloned a repeat unit containing a gene and a spacer from this individual and have injected the recombinant plasmid, pXlr 164, into oocytes of other X. laevis individuals. In electron microscope preparations the spacers of some of the cloned repeats were transcribed by RNA polymerase I. This demonstrates that the ability to initiate transcription at the Bam islands is a property of the spacer DNA. On pXlr 164, initiation in the spacer occurred about 5% as frequently as transcription from the gene promoter. However, transcribed spacers were as closely packed with RNA polymerase as was the gene. We conclude that polymerase I promoters may vary over a wide range in the frequency with which they "activate" but that once activated all can load polymerases to maximal density. The presence or absence of spacer transcription had no observable effect on either the frequency of activation or the density of polymerase loading of the gene immediately downstream. A subclone, pXlr 264, containing only spacer DNA also showed regular initiation and termination, providing further evidence that there is an effective "fail-safe" termination signal 225 base pairs upstream from the rRNA gene initiation site. PMID- 6579536 TI - Mitochondrial DNA and nuclear DNA from normal rat liver have a common sequence. AB - Although Pst I does not cut the circular mitochondrial genome of the rat, BamHI generates from this genome two unequal fragments of DNA. Each of these fragments was cloned in pBR322. Nuclear DNA was digested from rat liver singly or doubly with Pst I and BamHI, and it was demonstrated that nuclear DNA shared a common sequence with the larger mitochondrial DNA BamHI fragment. The cloned larger mitochondrial DNA fragment was further subdivided with HindIII into four pieces that were labeled and then used to probe the double-digested nuclear DNA. The hybridization data showed that the common sequence is less than 3 kilobase pairs long and lies within the part of the mitochondrial genome containing the D-loop and a portion of the rRNA genes. It therefore appears that, as in lower eukaryotes, there are shared sequences between the nuclear and mitochondrial genomes in mammals. PMID- 6579537 TI - Ethanol acceptance as a function of genotype amounts of brain [Met]enkephalin. AB - Our results indicate a negative correlation between the amount of ethanol (10%) consumed and endogenous levels of brain [Met]enkephalin in C57BL/6J (alcohol preferring) and DBA/2J (alcohol-nonpreferring) inbred mice strains. Additionally, it was found that 8 wk after 1-day starved groups of both C57BL/6J and DBA/2J mice were challenged with ethanol (10%) for 1-day acceptance, they had significantly lower levels of brain [Met]enkephalin compared with their nonalcohol-treated controls. These results suggest that the brain endogenous peptidyl opiates may play a crucial role in alcohol-seeking behavior. PMID- 6579538 TI - Polymerization of actin: mechanism of the Mg2+-induced process at pH 8 and 20 degrees C. AB - A detailed mechanism that fully accounts for the Mg2+-induced polymerization of actin in the presence or absence of Ca2+ at 20 degrees C and pH 8 is presented. In the absence of Ca2+, the mechanism of the Mg2+-induced polymerization is as follows: Mg2+ binds to a metal-binding site on G-actin and induces a conformational change, which is required for eventual polymerization. The overall dissociation constant for this binding is about 30 microM. This actin species then binds a second molecule of Mg2+ (Kd = 5 mM), which yields a species capable of polymerization. Dimer formation from this monomeric species is quite unfavorable, but trimer formation from dimer and monomer is much more favorable. The trimer may then elongate to give filaments. Ca2+, when present, binds at the same site as the tightly bound Mg2+ and must be displaced by Mg2+ before the conformational change can occur. The rate and dissociation constants for tight binding of Ca2+ and Mg2+ and for the conformational change are consistent with those observed previously by using a fluorescently labeled G-actin. With the mechanism proposed, it is possible to fit the full time course of polymerization over a wide range of actin concentrations, Mg2+ concentrations, and Ca2+ concentrations. PMID- 6579539 TI - Biological activity of mRNA immobilized on nitrocellulose in NaI. AB - In 12.2 molal NaI and at 25 degrees C or below, mRNA bound to nitrocellulose while DNA and rRNA did not. Neither the poly(A) tract nor the cap were required for binding. The immobilized RNA could be translated, reverse transcribed, hybridized with radioactive probes, or released for further manipulation. mRNA was efficiently transferred from polyacrylamide to nitrocellulose in NaI. Baking was not required to fix NaI-immobilized mRNA to nitrocellulose. When cells dissolved in 12.2 molal NaI were filtered through nitrocellulose, mRNA became selectively bound (quickblot). The quick-blot system utilizing protease and detergents to prepare cells for NaI solubilization was especially suitable in quantitative, rapid screening of cells for expression of specific genes. Expression of highly repeated DNA sequences was detected in human leukemia cells. PMID- 6579541 TI - Complete amino acid sequence and predicted membrane topology of phenobarbital induced cytochrome P-450 (isozyme 2) from rabbit liver microsomes. AB - The complete amino acid sequence of phenobarbital-induced isozyme 2 of rabbit liver microsomal cytochrome P-450 (P-450LM2) is presented. The polypeptide consists of 491 residues with a calculated Mr of 55,755. The rabbit isozyme is 77% identical to the corresponding rat cytochrome, P-450b, as deduced from cDNA, with 96% of the hydrophobic, 88% of the anionic, and 83% of the cationic positions conserved. The secondary structure of isozyme 2 was predicted and a model was developed for the membrane topology of this cytochrome. Of the two highly conserved cysteinyl peptides in P-450LM2, P-450b, and bacterial P-450cam, we favor, on the basis of our model, the one nearer the NH2 terminus (Cys-152 in P-450LM2) as the source of the thiolate ligand to the heme iron atom. The recently reported sequence of the apparently identical protein [Heinemann, F. S. & Ozols, J. (1983) J. Biol. Chem. 258, 4195-4201] has two fewer residues and differs in 14 other amino acid assignments. PMID- 6579540 TI - At least six forms of extremely homologous cytochromes P-450 in rat liver are encoded at two closely linked genetic loci. AB - A subpopulation of phenobarbital-induced cytochrome P-450 in rat liver has been shown to consist of four closely related forms of the enzyme that appeared to be strain-related. In the present study, polypeptides composing this family were analyzed by two-dimensional electrophoresis of hepatic microsomes from 64 individual phenobarbital-treated rats. The animals surveyed included both sexes from four inbred and five outbred strains/colonies and F1 progenies from 10 crosses. Two new members of this polypeptide family were identified on the basis of their unique electrophoretic behavior and peptide maps. Eight phenotypes were observed that consisted of two to four member polypeptides. The six closely related cytochromes P-450 were found to be encoded at two genetic loci with at least four alleles at the P-450b locus and at least two alleles at the P-450e locus. Most colonies of outbred strains were characterized by polymorphism at one or both of these loci, and in no case did they contain unique alleles. Analyses of parents and their F1 progenies indicated that the P-450b and P-450e loci are closely linked on the same autosome and are expressed codominantly. Furthermore, the products of these loci appear to be coordinately regulated. The extreme homology between P-450b and P-450e genes, their high degree of polymorphism, and their close linkage suggest that they are subject to the same genetic mechanisms that maintain these features in other multigene families. PMID- 6579542 TI - Primary structure of the essential replicon of the plasmid pSC101. AB - The replicon of the low copy number plasmid pSC101 has an obligatory requirement for the dnaA initiator protein of Escherichia coli as well as a plasmid-encoded initiator protein. We have identified the cistron of the plasmid-encoded initiator by DNA sequence analysis. Fusion of the initiator cistron with the lacZ gene of E. coli yielded a fusion protein of approximately equal to 150 kilodaltons, thus confirming that the open reading frame detected by DNA sequence analysis actually encoded a 37.5-kilodalton protein. Deletion of 26 amino acid residues from the COOH terminus of the plasmid initiator abolished autonomous replication from pSC101 origin. By in vitro deletion analysis we have shown that, although sequences downstream from the initiator cistron are dispensable, a maximum of 400 base pairs immediately upstream from the NH2-terminal region of the initiator is necessary for plasmid replication. These upstream sequences contain an A + T-rich region and three tandem repeats of a 21-base pair sequence; these features are characteristics of other replication origins. PMID- 6579543 TI - Eukaryotic initiation factor 4A is the component that interacts with ATP in protein chain initiation. AB - Protein synthesis in a resolved homogenate of wheat germ requires ATP and eight factors functioning at the level of protein chain initiation. To identify the component(s) interacting with ATP, the different factors were treated with the ATP affinity analogue 5'-p-fluorosulfonylbenzoyladenosine (FSBA) and tested for their function in protein synthesis. The activity of eukaryotic initiation factor 4A (eIF4A) was strongly curtailed, whereas all other factors were unaffected. At a concentration of 250 microM, AMP, ADP, and ATP protected eIF4A against FSBA inactivation, whereas at a concentration 50 microM, protection was afforded only by ATP. GTP did not protect at a concentration of 250 microM. In another approach, the substrate analogue 2',3'-O-(2,4,6-trinitrophenyl)adenosine 5' triphosphate (TNP-ATP) was found to inhibit protein synthesis in a manner, at least in part, competitive with ATP. Supplementing a TNP-ATP inhibited reaction with eIF4A substantially reversed the inhibition. Except for a small effect by factor C1, no reversal was obtained with any other component. Finally, a preincubation of ribosomes with ATP, mRNA, and eIF4A resulted in the formation of a complex capable of TNP-ATP-resistant amino acid incorporation. These data are interpreted to indicate that the primary interaction of ATP is with eIF4A. A model is proposed reconciling this conclusion with other observations relevant to the mRNA . ribosome attachment reaction. PMID- 6579544 TI - Avian carcinoma virus MH2 contains a transformation-specific sequence, mht, and shares the myc sequence with MC29, CMII, and OK10 viruses. AB - Avian carcinoma virus MH2 has been grouped together with MC29, CMII, and OK10, because all of these viruses share a transformation-specific sequence termed myc. A 5.2-kilobase (kb) DNA provirus of MH2 has been molecularly cloned. The complete genetic structure of MH2 is 5'-delta gag(1.9-kb)-mht(1.2-kb)-myc(1.3-kb)-delta env(?) and noncoding c-region (0.2-kb)-3'. delta gag, delta env, and c are genetic elements shared with nondefective retroviruses, whereas mht is a unique, possibly MH2 transformation-specific, sequence. Hybridizations with normal chicken DNA and cloned chicken c-myc DNA indicate that the mht sequence probably derives from a normal cellular gene that is distinct from the c-myc gene. The genetic structure of MH2 suggests that the delta gag and mht sequences function as a hybrid gene that encodes the p100 putative transforming protein. The myc sequence of MH2 appears to encode a second transforming function. Therefore, it seems that MH2 contains two genes with possible oncogenic function, whereas MC29, CMII, and OK10 each carries a single hybrid delta gag-myc transforming gene. It is remarkable that, despite these fundamental differences in their primary structures and mechanisms of gene expression, MH2 and MC29 have very similar oncogenic properties. PMID- 6579545 TI - Harmonic dynamics of proteins: normal modes and fluctuations in bovine pancreatic trypsin inhibitor. AB - A normal mode analysis making use of an empirical potential function including local and nonlocal (nonbonded) interactions is performed for the bovine pancreatic trypsin inhibitor in the full conformational space of the molecule (1,740 degrees of freedom); that is, all bond lengths and angles, as well as dihedral angles, are included for the 580-atom system consisting of all heavy atoms and polar hydrogens. The heavy-atom frequency spectrum shows a dense distribution between 3 and 1,800 cm-1, with 350 modes below 216 cm-1. Most of the low-frequency modes, of which many have significant anharmonic character, are found to be delocalized over the protein. The root-mean-square amplitudes of the atomic fluctuations are calculated at 300 K from the normal modes and compared with those obtained from a solution molecular dynamics simulation based on the same potential function; very good agreement is obtained for the variation in the main-chain fluctuations as a function of residue number, though larger differences occur for the side chains. The fluctuations are generally, though not always, dominated by frequencies below 30 cm-1, in accord with the results of the dynamics simulation. The vibrational contributions to the thermodynamic properties of the protein are calculated as a function of temperature; the effects of perturbations on the spectrum, suggested for ligand or substrate binding, are examined. The analysis demonstrates that, in spite of the anharmonic contributions to the potential, a normal mode description can provide useful results concerning the internal motions of proteins. PMID- 6579546 TI - Homology of bone-inductive proteins from human, monkey, bovine, and rat extracellular matrix. AB - Allogeneic implantation of rat extracellular demineralized diaphyseal bone matrix in subcutaneous sites induces a sequence of events resulting in the local differentiation of endochondral bone. However, xenogenic subcutaneous implantation of human, monkey, and bovine extracellular bone matrix into rat showed that bovine matrix had only a weak capacity to induce bone, whereas human and monkey matrix had none at all. This suggested that extracellular matrix induced bone differentiation is apparently species-specific. We recently reported that the extraction of matrix with 4 M guanidine X HCl resulted in complete removal of the ability to induce endochondral bone differentiation, with the biological activity of the matrix being again restored when the extracted active matrix components (less than 50,000 daltons) were reconstituted with the inactive residue. To define the possible biochemical basis of species specificity, human, monkey, and bovine extracellular bone matrices were extracted with 4 M guanidine X HCl and the extracts were reconstituted with biologically inactive rat residue and bioassayed. The results were similar to those obtained with intact matrices and showed that total extracts of bovine matrix had a weak capacity to induce bone, whereas corresponding extracts of human and monkey matrix did not induce bone. However, partial purification by gel filtration of 4 M guanidine X HCl extracts from each species followed by reconstitution of the different fractions with inactive rat residue resulted in bone induction by all species from fractions containing proteins of less than 50,000 daltons. These observations demonstrate that species specificity of xenogenic extracellular bone matrix is due to immunogenic or inhibitory components (or both) in the guanidine X HCl residue and solubilized extracellular matrix components of greater than 50,000 daltons. These results imply that there is homology in the bone inductive proteins from human, monkey, bovine, and rat extracellular bone matrices. PMID- 6579547 TI - Involvement of a cell-surface glycoprotein in the cell-sorting process of Dictyostelium discoideum. AB - Cell sorting among prespore cells and prestalk cells in Dictyostelium discoideum was studied by using fluorochrome-labeled cells in an in vitro assay. Labeled prestalk cells first formed randomly mixed aggregates with unlabeled prespore cells. Then cells began to sort out from each other. About 3-4 hr later, prestalk cells became clustered at one pole of the aggregate. Aggregates deposited on an agar surface underwent morphogenesis and formed migrating slugs within 3 hr. The addition of Fab fragments directed against a cell-surface glycoprotein of Mr 150,000 (gp 150) to the cell mixture completely inhibited the cell-sorting phenomenon. Morphogenesis of such aggregates on agar was also delayed by 5 hr. However, inclusion of Fab fragments directed against the endogenous lectins, the contact site A glycoprotein, or vegetative cells had no detectable effect on cell sorting or morphogenesis of these reconstituted aggregates. PMID- 6579548 TI - Correction of a genetically caused enzyme defect by somatic cell hybridization. AB - Liver cells obtained from newborn mice homozygous for any one of several overlapping deletions in chromosome 7 fail to express a number of liver-specific differentiated traits. Among these is the activity of the membrane-bound liver specific enzyme glucose-6-phosphatase (Glc-6-Pase; D-glucose-6-phosphate phosphohydrolase, EC 3.1.3.9). Previous studies have led to the suggestion that the region of the genome covered by these deletions includes genes that normally regulate the expression of structural genes encoding liver-specific enzymes and proteins mapping elsewhere in the genome. To find out whether the deficiency of Glc-6-Pase may be caused by the deletion of the relevant structural gene, mouse liver cells homozygous for the deletion c14CoS were hybridized with 2S Faza rat hepatoma cells, and the hybrid cell cultures were analyzed for mouse and rat Glc 6-Pase activity. Hybrids showed expression of mouse Glc-6-Pase activity, proving that the structural gene for this enzyme is not included in the deletion c14CoS in chromosome 7. In the hybrid cells the rat hepatoma genome apparently contributes a factor that activates the structural gene of the mouse and corrects its failure of expression, which most likely resulted from the deletion of an essential regulatory or processing gene. By using as a marker glucose-6-phosphate isomerase (Glc-6-PIase; glucosephosphate isomerase, D-glucose-6-phosphate ketolisomerase, EC 5.3.1.9), known to map on chromosome 7, this entire chromosome could be excluded as a possible carrier of the Glc-6-Pase structural gene. In addition, the structural genes for Glc-6-Pase and for tyrosine aminotransferase (TyrATase; L-tyrosine:2-oxoglutarate aminotransferase, EC 2.6.1.5), another enzyme deficient in lethal deletion homozygotes, were shown to map on two different chromosomes. Together with our previous studies of TyrATase gene regulation, the present experiments suggest that the region of the mouse genome defined by the deletions includes one or more genes regulating the expression of several structural genes that map on different chromosomes and that encode liver cell-type specific traits. PMID- 6579549 TI - Biological significance of carbohydrate chains on monoclonal antibodies. AB - We have prepared monoclonal hapten-specific mouse IgG2b antibodies depleted of asparagine-linked carbohydrate chains by treating the hybridoma cells with tunicamycin. The carbohydrate-deficient antibodies behaved in an identical manner to the normal antibodies with regard to fine antigen-binding reactivity (a Fab fragment feature) and protein A binding capacity [a feature requiring integrity at the CH2 and CH3 domain-interaction regions in the constant region of the heavy chain (CH)]. However, they lost the ability to activate complement, to bind to Fc receptors on macrophages, and to induce antibody-dependent cellular cytotoxicity. Furthermore, antigen-antibody complexes produced from such carbohydrate-deficient antibodies failed to be eliminated rapidly from the circulation. We conclude that removal of carbohydrate chains from IgG molecules may have a profound and highly select impact on the biological activity to these antibodies. PMID- 6579550 TI - Composition and distribution of low density lipoprotein fractions in hyperapobetalipoproteinemia, normolipidemia, and familial hypercholesterolemia. AB - Hyperapobetalipoproteinemia is defined as the combination of a normal low density lipoprotein (LDL) cholesterol in the face of an increased LDL apolipoprotein B (apoB) protein. To examine the physical basis for the apparent disproportion between LDL cholesterol and apoB characteristic of this syndrome, we used density gradient ultracentrifugation to isolate LDL fractions from 10 normal subjects, from 20 patients with hyperapobetalipoproteinemia (10 normotriglyceridemic and 10 hypertriglyceridemic), and from 7 patients with familial hypercholesterolemia. In familial hypercholesterolemia, more LDL was in fraction 1--"light" LDL--and this LDL was relatively enriched in cholesterol and poor in protein. By contrast, it was fraction 2--"heavy" LDL--that differed in hyperapobetalipoproteinemia, being denser, depleted of cholesterol (particularly cholesteryl ester), and relatively enriched in apoB. These findings were more pronounced in the hypertriglyceridemic patients than in the normotriglyceridemic patients with hyperapobetalipoproteinemia. Thus this study confirms that considerable heterogeneity exists between LDL subfractions within individuals but, in addition, indicates there are also marked--and apparently characteristic- differences in LDL composition amongst normal subjects and patients with hyperapobetalipoproteinemia or familial hypercholesterolemia. PMID- 6579551 TI - Combination therapy of schistosomiasis by tubercidin and nitrobenzylthioinosine 5'-monophosphate. AB - Nitrobenzylthioinosine 5'-monophosphate (NBMPR-P) inhibits the transport of nucleosides, including tubercidin, in mammalian systems but not in Schistosoma mansoni. Administration of NBMPR-P with high doses of tubercidin (lethal doses if injected alone) by intraperitoneal injection into S. mansoni-infected mice was highly toxic to the parasite but not to the host. Combination therapy resulted in a striking decrease in the number and copulation of worms. The few worms that could be found were so stunted that it was difficult to identify their sex. Mice receiving the combination of tubercidin plus NBMPR-P appeared healthy and had normal-sized livers and spleens. Combination therapy also caused a drastic decrease in the number of eggs in the liver (from 32,500 to 1,800 eggs per liver) and in the intestine (from 1,295 to 2 eggs per cm2). All eggs found were dead, indicating the termination of oviposition. Very few granulomas were detected in livers of treated animals. Sections of these livers showed lesions containing dead worms and what appeared to be a process of regeneration of normal tissue around old granulomas. Thus, combination therapy reduced the number and the progress of the primary pathological lesions associated with schistosomiasis. These results demonstrate that through combination therapy, highly selective toxicity against a parasite can be achieved. The effectiveness, simplicity, and practicality of host protection afforded by this method may yield a promising chemotherapeutic approach for the treatment of schistosomiasis and other parasitic diseases. PMID- 6579552 TI - Mechanisms of hydroxylation by cytochrome P-450: metabolism of monohalobenzenes by phenobarbital-induced microsomes. AB - The monohydroxylation of halobenzenes by phenobarbital-induced rat liver microsomes was studied. The p-halophenol was found to be the major metabolite from all four halobenzenes; o-halophenol formation decreased as the halogen atom size increased. Vmax for total hydroxylation (ortho and para products) correlated well with the sigma + Hammett constant with a negative rho value. This implies a positively charged intermediate in the rate-determining step. Vmax for either ortho or para hydroxylation alone did not correlate with a Hammett constant, implying that the product-determining step occurs after the rate-determining step. Rate-determining formation of a radical cation intermediate is postulated to explain this data. PMID- 6579553 TI - Detection of hepatitis B virus DNA in hepatocytes, bile duct epithelium, and vascular elements by in situ hybridization. AB - A radiolabeled probe specific for hepatitis B virus (HBV) nucleotide sequences was hybridized in situ to liver tissue from three patients with chronic hepatitis B. The HBV genome was detected not only in infected hepatocytes but also in bile duct epithelial cells, endothelial cells, and smooth muscle cells. These findings extend the known host cell range for HBV, suggest new mechanisms of viral dissemination, and illustrate the usefulness of in situ hybridization in the study of pathogenesis of HBV infection. PMID- 6579554 TI - Single-cell origin of mouse hemopoietic colonies expressing multiple lineages in variable combinations. AB - By using a micromanipulator, single cells from blast cell colonies were individually transferred to 35-mm culture dishes for secondary colony formation. When individual colonies appeared to be mature, they were examined for cellular composition by May-Grunwald-Giemsa staining and were replated for determination of unexpressed hemopoietic potentials. We describe here a total of 50 mixed hemopoietic colonies. Seven types of colonies consisting of cells in two different lineages were seen--i.e., neutrophil-macrophage, neutrophil-eosinophil, macrophage-eosinophil, macrophage-mast cell, macrophage-megakaryocyte, macrophage erythrocyte, and erythrocyte-megakaryocyte. Six types of colonies revealed three cell lineages--i.e., neutrophil-macrophage-eosinophil, neutrophil-macrophage-mast cell, neutrophil-macrophage-erythrocyte, macrophage-mast cell-erythrocyte, neutrophil-macrophage-megakaryocyte, and neutrophil-erythrocyte-megakaryocyte lineages. In addition, multilineage colonies expressing terminal differentiation in varying combinations of more than three lineages were present. Replating studies confirmed that the progenitors for many of these colonies are terminally committed to differentiation only in the lineages disclosed by staining. This study, thus, provides a proof for the single-cell origin of mouse hemopoietic colonies expressing various combinations of cell lineages. It also supports the hypothesis that the differentiation of multipotential hemopoietic progenitors is through progressive and stochastic restriction in cell lineages. PMID- 6579555 TI - Metabolism of tobacco-specific N-nitrosamines by cultured human tissues. AB - N'-Nitrosonornicotine (NNN) and 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) are present in cigarette smoke and snuff and are carcinogens in laboratory animals. In tobacco smokers, the buccal mucosa, trachea, esophagus, bronchi, and peripheral lung are exposed to smoke containing significant amounts of these N nitrosamines. The results of the present study demonstrate that explants of these tissues as well as of the urinary bladder have the capacity to metabolize NNN and NNK by alpha-carbon hydroxylation. This metabolic pathway yields alkyldiazohydroxides, which are reactive and DNA-damaging electrophiles. The extent of alpha-carbon hydroxylation of NNN and NNK in human tissues was only 1/10th to 1/100th of that in animal tissues. Although the levels of alpha-carbon hydroxylation of NNN among different tissues of the same individual were similar, a 10-fold variation among individuals was observed. Reduction of the NNK carbonyl group was a major metabolic pathway observed with all human explants and may occur in the surface epithelia of the respiratory tract of smokers. These results provide further evidence that tobacco-specific N-nitrosamines could play a role in cancers related to the smoking and chewing of tobacco. PMID- 6579556 TI - Acetylcholinesterase of mammalian neuromuscular junctions: presence of tailed asymmetric acetylcholinesterase in synaptic basal lamina and sarcolemma. AB - A sarcolemma-rich fraction can be isolated after subcellular fractionation of mouse intercostal muscles by sedimentation on a discontinuous sucrose gradient. The quantitative recovery of the acetylcholine receptor in this fraction is about 50%, which indicates the presence of a high proportion of postsynaptic membranes. Acetylcholinesterase (AcChoEase; EC 3.1.1.7) is found mainly in three different layers: the top layer, which contains soluble AcChoEase, the intermediate layer (fraction A), and the last, AcChoR-rich, layer (fraction C). The relative proportions of the molecular forms of AcChoEase are different in the three layers. The "16S" AcChoEase is in a higher proportion in both types of membrane fractions (A and C) compared to soluble AcChoEase. Both total AcChoEase and 16S AcChoEase are enriched in the A and C fractions. In the C fraction, the sequential use of homogenizations in the presence of detergent and high ionic strength allows the "solubilization" of two distinct AcChoEase pools. One is detergent-soluble and mainly composed of slow-sedimenting forms; the other one is detergent-insoluble, high-ionic strength-soluble, and composed mainly of collagen like, tailed, asymmetric (16S) AcChoEase. Thus, most of the asymmetric AcChoEase is specifically localized in the synaptic extracellular matrix of the mammalian muscle fiber. However, in the A fraction, most of the 16S AcChoEase found is solubilized by detergent alone, suggesting an association with microsomal membranes. It may mean that at least some of the basal lamina-embedded 16S AcChoEase is preassembled intracellularly in the sarcoplasmic reticulum. PMID- 6579557 TI - Identification of the probable site of synthesis of butyrylcholinesterase in the superior cervical and ciliary ganglia of the cat. AB - The source of butyrylcholinesterase (acylcholine acylhydrolase, EC 3.1.1.8) in the ganglion cells of the cat superior cervical and ciliary ganglia has been elusive, inasmuch as the enzyme is present in high concentrations in the neuropil, where it is confined largely to the dendritic and perikaryonal plasma membranes, but appears to be absent from the perikarya. In the present study, ganglionic butyrylcholinesterase was near-totally inactivated by the injection of tetramonoisopropyl pyyrophosphoramide (6.0 mumol/kg of body weight) intravenously. During the ensuing 72 hr, the regenerating enzyme became detectable by the copper thiocholine histochemical method in the somata of essentially all ganglion cells and in the neuropil. Results were similar in preganglionically denervated superior cervical ganglia and in normal ciliary ganglia. These findings suggest (i) that butyrylcholinesterase indeed is synthesized in the ganglion cell perikarya (presumably, the rough endoplasmic reticulum) and transported extremely rapidly to more peripheral cellular sites and (ii) that the synthesis is largely independent of control by any neurotrophic factor provided by the preganglionic axonal terminals. Similar studies were conducted in the rat. In this species, in contrast to the cat, the somata of essentially all ganglion cells of the superior cervical ganglion contain various but at least moderate concentrations of acetylcholinesterase (acetylcholine acetylhydrolase, EC 3.1.1.7) and propionylcholinesterase (acylcholine acylhydrolase, EC 3.1.1.8). After injection of tetramonoisopropyl pyrophosphoramide, propionylcholinesterase reappeared in the ganglion cell somata before its accumulation in the neuropil, as would be expected. PMID- 6579558 TI - Emerging ethical issues in fetal therapy. PMID- 6579559 TI - Is practical utilization of new technological possibilities inevitable? AB - The frequently expressed concern of whether the practical utilization of new technological possibilities is inevitable is considered with regard to four immediate or potential technological possibilities regarding human reproduction. PMID- 6579560 TI - Is sex selection ethical? AB - The argument of this paper is that sex selection, except to avoid sex-linked disorders, is unethical. Two reasons are given: 1) Prima facie examination of any argument for sex selection cannot overcome the unfair and sexist basis of a choice to select the sex of a child. The desire to control the sex of a child is not rational, since any claim that is made for the parents' preference for one sex can be demonstrated to be provided also by the other sex. 2) On an examination of the consequences of sex selection, if it were practiced by parents in significant numbers, the harmful consequences would far outweigh the few fleeting beneficial consequences. The hypothesis that sex selection might reduce population in less developed or overpopulated nations cannot be demonstrated without violation of ethical principles of fairness and beneficence. The paper clarifies and, to an extent, revises a position taken earlier by the author on sex selection by amniocentesis. In an effort to argue that the motives of parents who desire to choose the sex of their child should not be singled out for harsh judgment in societies that allow abortion, the author's position about the ethics of sex selection itself was not directly stated. This paper attempts to strengthen the ethical content of the author's views and recommends a policy for physicians who receive requests from parents to assist them in sex selection. PMID- 6579561 TI - Lessons to be learned from the recombinant DNA controversy. PMID- 6579562 TI - Why surgical oncology? PMID- 6579563 TI - The major histocompatibility system and malignancies. PMID- 6579564 TI - Mechanism of resistance to anthracyclines and vinca alkaloids. AB - Occurrence of cross-resistance between anthracyclines and vinca alkaloids is the rule in experimental tumors with acquired resistance to these drugs. So far, there is no indication that this phenomenon is due to an intracellular mechanism of action common to the two groups of drugs. In nearly all reported studies, acquired experimental resistance and cross-resistance are related to a decreased cellular accumulation of both types of drugs, although other factors also are involved. In Ehrlich ascites tumors, a number of findings at steady-state conditions indicate that the decreased accumulation is dependent on a cellular mechanism for active outward drug transport, which is common to anthracyclines and vinca alkaloids, but changes in inward transport and intracellular binding capacity also contribute. Similar findings have been reported for resistance and cross-resistance in P388 leukemia. Recent results with counteraction of acquired experimental resistance in animal tumors by inhibition of outward drug transport and studies on the effect of different anthracycline derivatives on accumulation of daunomycin in resistant cells are discussed. PMID- 6579565 TI - Chromosome changes in human malignant diseases. PMID- 6579566 TI - Dedifferentiation, maldifferentiation or arrested differentiation in human acute myelogenous leukemias. PMID- 6579567 TI - Induction of normal cell differentiation in leukemia as an approach to cancer therapy. PMID- 6579568 TI - Extramedullary leukaemia. PMID- 6579569 TI - Estimation of phospholipase A2 activity in guinea-pig endometrium on days 7 and 16 of the estrous cycle. AB - Phospholipase A2 (PLA2) activity was detected in both the microsomal fraction and the supernatant fraction of guinea-pig endometrial homogenates following centrifugation at 100,000 x g for 60 min. Between 85% and 95% of the PLA2 activity was detected in the microsomal fraction. The PLA2 enzymes in both fractions had a pH optimum of 8.0. The microsomal PLA2 required 7 mM Ca2+ and the supernatant fraction PLA2 required 2 mM Ca2+ for optimum activity. The activities of the microsomal PLA2 and supernatant fraction PLA2 increased significantly from 662.6 +/- 74.5 and 42.0 +/- 7.6 pmol/mg protein/10 min respectively on Day 7 to 960.4 +/- 106.5 and 79.5 +/- 8.7 pmol/mg protein/10 min respectively on Day 16. There was, therefore, a 1.5- to 1.9-fold stimulation in the initial rate of PLA2 activity between Days 7 and 16 of the cycle. The activities of microsomal PLA2 in guinea-pig endometrium are more than adequate on both Days 7 and 16 of the cycle to account for the amounts of prostaglandin (PG)F2 alpha released from the guinea pig uterus. It is considered that the activation of microsomal (presumably membrane-bound) PLA2 by increasing free intracellular Ca2+ levels is probably of more importance than the absolute activities of PLA2 in controlling the supply of free arachidonic acid for PGF2 alpha synthesis by the guinea-pig endometrium during the estrous cycle. PMID- 6579570 TI - Radioimmunoassay of prostaglandins and thromboxane B2 in extracted and unextracted urine and serum using an iodinated ligand. AB - A comparison of radioimmunoassay (R.I.A.) for 6-keto PGF 1 alpha, PGE2 and TXB2 using 125I-histamine ligands and tritiated tracers showed a 7 to 10 fold increase in sensitivity for the 125I derivative, with a resultant reduction in antisera requirements by 80%. Study of the effect of purification of biological samples by organic extraction and thin layer chromatography showed that for human and rat urine, and urine from perfused rat kidneys, direct R.I.A. of unextracted samples gave substantially higher estimates of PGE2, 6-keto PGF1 alpha and TXB2 than R.I.A. purified material. Indomethacin pre-treatment reduced the levels estimated in both extracted and unextracted samples; the results indicating that the higher estimates obtained by direct assay were due to a combination of PG/TXB2 metabolites and non-specific interference. In serum from incubated human blood, estimated 6-keto PGF1 alpha and PGE2 levels were significantly higher by direct R.I.A. than after extraction, whereas TXB2 levels were similar. Thus purification procedures are unnecessary when high serum TXB2 levels are being measured by R.I.A. with relatively specific antisera. PMID- 6579571 TI - Effect of eicosatetraenyl (3-aminopropyl) phosphonate (URI-73A) on platelet aggregation and arachidonic acid metabolism. AB - Eicosatetraenyl (3-aminopropyl) phosphonate (URI-73A), an experimental anti hypertensive drug, when tested in vitro, inhibits platelet aggregation especially that induced by arachidonic acid (AA) and to a lesser degree by epinephrine. Preincubation of human platelets with this compound in the majority of individuals resulted in a dose-dependent inhibition of the platelet response to AA, mostly in the form of a delay and a reduction of maximal aggregation. Platelets from two smaller groups of donors either exhibited full aggregation or no aggregation. Both the prelabel and pulse label techniques used to study arachidonic acid metabolism yielded complementary results. Production of thromboxane and hydroxy fatty acids was reduced in thrombin-aggregated washed platelets preincubated with URI-73A. In addition, the release of AA from phospholipids was inhibited. Its complex effects on human platelets suggest that URI-73A may, as an AA analog, depress cyclooxygenase and lipoxygenase, and as a phospholipid analog inhibit phospholipase activity. PMID- 6579572 TI - Early streptozotocin diabetes and hunger. AB - The initial effect of streptozotocin diabetes is not hyperphagia, but reduced food intake. Diabetic hyperphagia reaches maximum only after many days. Utilization of body fat may account for the delayed appearance of diabetic hyperphagia; this effect may be mediated by plasma fat metabolites. Plasma levels of free fatty acids (FFAs), ketone bodies, and glycerol are greatly elevated following STZ treatment, but return nearly to normal as diabetic hyperphagia appears. PMID- 6579573 TI - Hyposensitivity to serotonergic stimulation in protein malnourished rats. AB - Rats subjected to early protein malnutrition have higher levels of brain serotonin (5-HT) than well-nourished rats. In the present study we asked whether the elevated 5-HT levels of associated with any changes in sensitivity to serotonergic stimulation. In four different behavioral tets the effects of the 5 HT agonist N,N-dimethyltryptamine (DMT) were, with only a few exceptions, smaller in rats malnourished during both pre- and postweaning stages of development or during just one period or the other. In Experiment 1 the 5-HT syndrome induced by DMT was weaker in malnourished rats than in well-nourished ones. In Experiments 2 and 3, DMT was not a disruptive to malnourished rats in two motor tasks, rotating rod and treadmill, as it was to rats reared under high protein conditions. In Experiment 4 reductions in acoustic startle amplitudes induced by DMT were not as large in malnourished as in well-nourished rats. The hyposensitivity to DMt in protein malnourished rats may reflect a diminished sensitivity of 5-HT receptors resulting from the abnormally high levels of the neurotransmitter. PMID- 6579575 TI - Color coding: a dynamic visualization method for dental charting. PMID- 6579574 TI - Another look at placing and polishing amalgam in one visit. PMID- 6579576 TI - A long-term clinical comparison between a lathe-cut alloy and Dispersalloy. PMID- 6579577 TI - The rationale for a philosopher in a dental school. PMID- 6579578 TI - [Isoenzyme studies in acute leukemia]. PMID- 6579579 TI - Radioprotective and hemodynamic effects of 5-methoxytryptamine following different route of its administration in rats. PMID- 6579580 TI - Prostaglandin F2a, an ovulatory intermediate in the in vitro perfused rabbit ovary model. AB - PGF2a has been proposed as a mediator of mammalian ovulation. To elucidate further the role of PGF2a in the process of ovulation, PGF and PGF2a metabolite were measured by radioimmunoassay in the perfusate of an in vitro perfused rabbit ovary preparation. Perfusion medium samples were collected over a 10 to 12 hour period from ovaries perfused with tissue culture M199 (total volume 150 ml, sample volume 3 ml) to which varying amounts of hCG had been added. [The PGF2a antisera a 40% cross reaction with PGF1a, hence total PGF was measured with this antisera.] Both PGF and PGF2a metabolite showed a linear increase with time and numbers of ovulations. PGF media accumulation was 575 pg/ovary/ovulation/hr and PGF2a metabolite accumulation was 367 pg/ovary/ovulation/hr. Medium prostaglandin content could be correlated with numbers of ovulations, ovulatory efficiency (number of ovulations/total follicles) but not total follicles. These data best fit a model of independent ovulatory units producing PGF2a without recruitment or interaction between them. We infer that PGF and PGF2a metabolites in this system can be used as a direct index of the ovulation process. PMID- 6579581 TI - Differential effects of sex steroids on prostaglandin secretion by male and female cultured piglet endothelial cells. AB - The effect of sex steroids, 17 beta-estradiol and testosterone, on the production of 6-keto-prostaglandin F1 alpha, prostaglandin F2 alpha and prostaglandin E2 was studied in cultures of piglet aorta endothelial cells. In cells isolated from female animals both steroids stimulated the secretion of prostaglandins. In contrast, sex steroids did not affect prostaglandin synthesis by endothelial cells taken from male animals. In addition, female endothelial cells convert testosterone into estriol, estrone and estradiol. Estradiol-induced stimulation of prostacyclin production may explain in part the beneficial role generally attributed to naturally occurring estrogens in cardiovascular diseases. PMID- 6579582 TI - Congressional hearing on the environmental implications of genetic engineering. PMID- 6579583 TI - Response to the "Report on the Social and Ethical Issues of Genetic Engineering with Human Beings". PMID- 6579584 TI - Mechanism of respiratory effects of methylxanthines. AB - Neural respiratory responses to theophylline, aminophylline and ethylenediamine were determined in paralyzed, vagotomized and glomectomized cats whose end-tidal PCO2 and brain temperature were kept constant. Intravenous theophylline and aminophylline similarly stimulated respiration, but ethylenediamine had no effect. The following did not cause the response: muscular and mechanical factors, carotid body and vagal reflexes, spinally mediated mechanisms arising below C7, changes of arterial PCO2 or medullary ECF pH, changes of whole body metabolic rate or release of substances from the adrenal glands. Absence of suprapontine brain did not prevent the response. Pretreatment with a serotonin antagonist did not affect the response but two different dopamine antagonists caused its attenuation. When administered into the third ventricle, theophylline did not stimulate respiration, but both aminophylline and ethylenediamine, due to the latter's ability to mimic the inhibitory effects on neurons of gamma aminobutyric acid (GABA), caused significant depression of respiration. We conclude that the neural respiratory response to systemically administered theophylline is mediated at the level of the brainstem, and somehow involves the action of the neurochemical dopamine. The failure of cerebroventricularly administered theophylline to stimulate respiration must be related to its inability to reach the appropriate neurons from the cerebrospinal fluid. PMID- 6579587 TI - A death knell for UCR? PMID- 6579585 TI - Ferritin and malignant hemopathies. II. Serum ferritin in adults with acute lymphocytic leukemia at presentation and in remission. PMID- 6579586 TI - The specter of Alzheimer's disease. PMID- 6579588 TI - Senile dementia: metaphor for our time. The effect of senile dementia on relationships with others echoes the sense of discontinuity in American society. PMID- 6579589 TI - Dementia and delirium: detection in the general hospital. The detection and management of dementia and delirium must receive a high priority. PMID- 6579590 TI - A strategy for those in the shadow of Alzheimer's disease. Government and the health professions must support efforts to solve the biological, social, and human problems. PMID- 6579591 TI - [Leukocyte adherence inhibition in acute leukemia and in refractory anemia with myeloblastic excess]. PMID- 6579592 TI - [Malignant non-Hodgkin's lymphoma]. AB - Rapid regression of all symptoms was obtained after moderate chemotherapy in two women aged 69 and 77 years respectively with malignant non-Hodgkin's lymphomas. Cervico-facial locations of these tumors are discussed in relation to definition, etiology, geographic factors, genetic markers, and associated immunologic disorders. Diagnosis requires a series of explorations including, obviously as a last resort, exploratory cervicotomy. Other regions may be involved and must be investigated, but lesions not affecting lymph nodes occur in only approximately 2 p. cent of patients with cervico-facial malignant non-Hodgkin's lymphoma (approximately 10 p. cent of all malignant non-Hodgkin's lymphomas). Other localizations include the hard palate, gums, sinuses, and salivary glands. Burkitt's lymphoma represents, on the contrary, 30 p. cent of malignant non Hodgkin's lymphoma seen in European children. The different therapeutic modalities available are discussed. PMID- 6579593 TI - [Thrombopenia as the presenting symptom of acute disseminated lupus erythematosus: Moschcowitz's disease]. AB - Possible relationships between Moschcowitz's disease and acute systemic lupus erythematosus are analyzed based on findings in one case. Initial exclusively buccal symptoms suggested a diagnosis of lupus, and then of Moschcowitz's disease leading to a fatal outcome. The main points discussed relate to diagnostic difficulties to enable distinction between the two diseases. A thrombotic thrombopenic purpura during the second phase of the disease showed a characteristic microangiopathy associated with a non-autoimmune hemolytic anemia and a schizocytosis: two forms of the affection are recognized, one with a chronic and one with an acute course. The latter, which has a fulminating progression leading to death, was that described in the case reported. PMID- 6579595 TI - [Giant ameloblastoma. Apropos of a case of mandibular localization]. AB - A case of a rare form of giant ameloblastoma of the mandible is reported, and the lack of relationship between the size and malignancy of such tumors emphasized, as well as the value of using a modified Pons technique through an enlarged orobuccal approach. PMID- 6579596 TI - [Robinow's syndrome]. AB - Clinical and radiologic findings and differential diagnosis of the rare Robinow's syndrome are discussed in relation to one case. Features included nanism associated with multiple malformations such as mesomelic brachymelia, buccofacial anomalies, genital hypoplasia and hemivertebra. Transmission mechanisms are unknown and the karyotype is always normal. PMID- 6579594 TI - [Circumscribed scleroderma with naso-labio-alveolar localization. Apropos of a case]. AB - A case of morphea linearis is reported. This rare affection carries a good prognosis, as opposed to that of generalized or systemic sclerodermas and certain forms of morphea. Treatment is essentially surgical. PMID- 6579597 TI - [A new concept of Pierre Robin syndrome and disease: dysneurulation of the rhombencephalon]. AB - Pierre Robin's syndrome, a disorder apparently constituted by peripheral signs, is in fact the result of early major disturbances of ontogenesis of motor and regulatory organization of the fetal rhombencephalon. This is confirmed by the presenting signs in neonates with Pierre Robin's syndrome: --electrophysiological deglutition and sucking disorders as demonstrated on electromyography; - disorders in tone of tongue, pharyngeal and laryngeal muscles; --cardiac and respiratory regulatory disorders as shown by central and obstructive apneas with diminished oxygen pressure and bradycardia of central origin during sleep; and gastro-esophageal reflux. Associated signs indicating that Pierre Robin's syndrome is a separate disease entity are: --evidence of a rhomboencephalic neurocristopathy (malformation of 3rd and 4th aortic arch arteries, thymic and parathyroid hypoplasia) associated with a central rhomboencephalic lesion and resulting in dysneurulation; --mesencephalic lesion as seen in Stickler's syndrome and prosencephalic lesion as in Binder's syndrome, indicating more diffuse cephalic dysneurulation. The common origin of Di George's and Pierre Robin's syndromes is emphasized, the neonatal microretrognathism of the latter syndrome being a bulbar sign. Pierre Robin's syndrome has a poor prognosis, as there is a fatal outcome in one out of four neonates affected, and it appears to be an affection that is the clinical expression of an early major anomaly of cephalic neurulation. PMID- 6579598 TI - [Salivary lithiasis as a complication of surgically treated Robin syndrome]. AB - A 15-year-old girl, operated upon (surgical ankyloglossia) at birth for glossoptosis due to Pierre Robin's syndrome provoking respiratory distress, presented with lithiasis of Wharton's duct. The pathogenesis of the lithiasis is considered to be related to the wounds and scars following the sublingual surgery, findings in this case also strongly suggesting the role of mechanical and inflammatory factors in the etiology of salivary gland lithiasis in general. PMID- 6579599 TI - [A paradoxical orthodontic syndrome]. AB - A particular characteristic of dentomaxillary dysharmony, probably the most frequently encountered anomaly in dentofacial orthopedic practice, is often the result of the presence of physiologic facial asymmetry. Attention is drawn to a syndrome, which could be thought to be paradoxical, and which associates facial asymmetry affecting the left side and dentomaxillary dysharmony that is curiously more marked on this same side. PMID- 6579600 TI - Posteruptive development of isolated and confluent pits in fluorosed enamel in a 6-year-old girl. AB - A 6-yr-old Danish girl born and reared in a high fluoride area in Kenya was examined for a period of 1 1/2 yr during which a permanent maxillary central incisor erupted. Present primary and permanent teeth showed obvious dental fluorosis with isolated pits on primary molars. At the time of eruption the crown of the permanent central incisor had its normal anatomical shape. Isolated and confluent pits began to develop about the time of complete eruption. The observations thus confirm previous theories suggesting that pits in fluorosed enamel are secondarily produced defects of traumatic origin. PMID- 6579601 TI - Study on the dissolution behaviour of calcium fluoride. AB - The dissolution of two analytical calcium fluoride preparations was studied in aqueous solution. Dissolved calcium fluoride was determined from analysis of Ca and F in solution. Original samples of the two preparations and the residue after partial dissolution were studied by X-ray diffractometry in comparison with natural fluorite. The dissolution of calcium fluoride was found to be extremely slow. After a period of 1-15 weeks, depending on the experimental conditions, a state was reached where apparently no further dissolution occurred, although the solution was far from saturation. The dissolution rate was obviously closely related to the crystal size. On partial dissolution the mean crystal size increased, probably due to the disappearance of the finest fractions. Placing the salt in a dialysis bag before immersion in the water lowered the dissolution rate and increased the undissolved fraction considerably. The results seem to support the assertion that calcium fluoride accumulated in early carious lesions after topical applications of fluoride may persist for considerable periods of time. PMID- 6579602 TI - Localization of carious lesions in occlusal pits and fissures of human premolars. AB - The position of carious lesions in fissures of 50 maxillary premolars was studied in serial ground sections in polarized light using air and various aqueous media for imbibition. The particular section in which the greatest pore volume was demonstrated, was selected for morphometric measurements of the fissure, i.e. depth, width, and angle. The localization of the carious lesion was registered in relation to four areas around the fissures, i.e. above the entrance, the top and bottom part of the wall, and below the base of the fissure. Most frequently the carious lesion was localized in the lower part of fissures (61%). Multiple foci both in the upper and lower part were found in 36% of the fissures. Only 13% had carious lesions positioned above the entrance. No relationship was found between fissure morphology and site of the carious lesions. However, this study has confirmed that fissured areas are highly susceptible to caries in premolars. PMID- 6579604 TI - Effect of chlorhexidine and lanthanum on plaque formation. AB - The present study included rinses with aqueous solutions of lanthanum prior to and after traditional chlorhexidine mouthrinses. Lanthanum has an extremely high affinity for phosphate, and the experiments were designed to examine the role of this anion as a receptor site for chlorhexidine in the oral cavity. The results indicate that from 1/3 to 1/2 of the chlorhexidine retained in the oral cavity may be bound to phosphate groups. PMID- 6579603 TI - Effect of xylitol on dental plaque in vivo during carbohydrate challenge. AB - Xylitol has previously been shown to inhibit acid production in vitro when glucose is used as energy source, and the present studies were carried out to investigate whether this effect was valid in vivo. A solution containing both xylitol and glucose was applied on sucrose-induced 4-day-old plaque in vivo. The xylitol added to the glucose solution inhibited the acid production in the plaque, measured as a drop in pH, compared to using glucose alone. A further reduction in acidogenicity was obtained when xylitol was used as a rinse for 1 hr continuously prior to the glucose challenge. PMID- 6579605 TI - Actinomyces viscosus and Actinomyces naeslundii agglutinins in human saliva. AB - The objectives were to determine the degree of Actinomyces agglutinating activity in human saliva and to begin characterizing the agglutination mechanism. Agglutination titres of whole saliva collected from adults and 6-yr-old children were compared. Titres for A. naeslundii were always higher than for A. viscosus. The mean A. naeslundii titre for the adults' and children's samples were equivalent. The children had a slightly lower mean titre than the adults for A. viscosus. No correlation was found between IgA concentrations and agglutination titre. Agglutinating activity was partially impaired by incubation with anti-IgA serum. Activity in submandibular/sublingual saliva was resistant to heat at 56 degrees C but sensitive to boiling. Boiling the bacteria had no effect. In sugar inhibition tests, only galactosides (beta-Gal) and glucosamine (for A. viscosus) affected Actinomyces agglutination but impairment was only temporary. Agglutinating activity was diminished by incubating saliva with hydroxyapatite. Thus, Actinomyces agglutinins 1) are probably distinct from IgA but may complex with it; 2) may include both beta-Gal and higher affinity sites; and 3) may contribute to salivary pellicle. PMID- 6579606 TI - Lysis of Streptococcus mutans BHT by salivary lysozyme. AB - The aim of this work was to study the bacteriolytic ability of human salivary lysozyme (HSL) on Streptococcus mutans BHT. The cells were grown in a synthetic medium containing 3H-thymidine to monitor DNA release after incubation with either HSL, purified by ion exchange chromatography, or hen egg white lysozyme (HEWL). The experiments demonstrated that HSL as well as HEWL could liberate DNA from cells. The lysis was dependent on enzyme concentration as well as incubation time. Approximately 80% of the 3H-thymidine was released at final concentrations of 4.5 micrograms/ml and incubation-times exceeding 16 hr. Additional treatment of the suspensions with DNase increased the levels of released radioisotopes. The lytic ability of HSL and HEWL was similar at low concentrations. HSL inactivated with goat antiserum to human lysozyme decreased the liberation of DNA by about 70%. This study suggests that HSL can lyse S. mutans BHT without presence of inorganic ions. PMID- 6579607 TI - Regional variations in viable bacterial and yeast counts of 1-week-old denture plaque in denture-induced stomatitis. AB - Quantitative cultural studies of yeasts and bacteria were made from 1-week-old denture plaque accumulated on pieces of self-adhesive tape stuck on the fitting surface of the maxillary denture in four well-defined locations. A tape piece was also stuck on the buccal denture flange. The cultural examinations were made in 15 patients with denture-induced stomatitis which affected most of the denture bearing mucosa. There was no significant difference of the bacterial counts from the different sampling areas although the variations between patients was significant. The yeast counts from the test area located on the buccal denture flange were significantly lower than those originating from the fitting denture surface. On the other hand, there was no significant variation of the yeast counts when comparing the test areas of the fitting denture surface. In 12/15 of the patients yeast counts of greater than or equal to 10(3)/cm2 were obtained from the fitting denture surface. The results indicate that the environmental conditions beneath a denture base predispose for yeast colonization and are different from those present on the buccal flange. PMID- 6579608 TI - An epidemiologic study of malignant oral tumors in Sweden 1958-77. AB - The paper presents epidemiologic data of malignant oral tumors in Sweden 1958-77 including the total number of cases, the number and relative frequency of cases in different sublocations of the oral region and the mean annual age standardized incidence rate, all ages, per one million population, by site and sex. An analysis of different histopathologic types of oral tumors is also presented. A comparison is made between the two 10-yr periods 1958-67 and 1968-77. Errors involved in epidemiologic studies are discussed. PMID- 6579609 TI - Normal variation in skin surface temperature over the temporomandibular joint and masseter muscle. AB - The range of the temperature at the skin surface overlying the temporomandibular joint (TMJ) and the origin of the superficial belly of the masseter muscle was investigated in 35 individuals with normal TM joints and 29 individuals with normal masseter muscles. The temperature was measured by a thermistor in contact with the skin. The temperature over the TMJ varied between 32.1 degrees C and 35.5 degrees C (average 34.3 degrees C). The difference in temperature between right and left sides was to an average 0.3 degrees C. The temperature over the masseter muscle ranged from 30.9 degrees C to 35.7 degrees C (average 33.2 degrees C). The difference in temperature between right and left sides was an average 0.4 degrees C. It was concluded that there is a fairly wide range of skin temperature over the normal TMJ and origin of the masseter muscle under the experimental conditions prevailing in this study but that the differences between right and left sides are fairly small. It therefore seems possible to use this thermometric method to assess inflammatory processes and/or changed metabolic activity in the TMJ and masticatory muscles. PMID- 6579610 TI - Porosity of restorative resins. AB - Polyethylene tubes were filled with different types of composite resins using either the bulk-packing technique or the syringe injection technique. The porosity of the specimens was studied. Specimens made by light-activated systems were less porous compared to specimens made by two-paste systems. Use of the injection technique was followed by a reduction in porosity in both groups compared to use of the bulk-packing technique. PMID- 6579611 TI - Weight loss of endodontic sealers, cements and pastes in water. AB - A solubility test based on weight loss in water, as proposed for standard testing programs (ADA & ISO), was adapted for assessing the solubility of 10 root canal sealers, cements and pastes. The weight loss of the set materials during 24 hr in distilled water at 37 degrees C ranged from -0.84 (AH26) to 22.71 (Kloroperka N O) weight per cent. The results were reproducible, and the test was considered suitable for routine testing of weight loss in water of endodontic materials. However, the test may not provide information which is directly related to the clinical behavior of the materials. PMID- 6579612 TI - Corrosion of amalgams with special regard to zinc. AB - Five dental amalgams were studied in an in vitro corrosion test. Cylindrical test specimens were stored in weak lactic acid solutions at different pH for 1 month. The solutions were analyzed for zinc, the specimens were inspected and examined in SEM. The results showed that zinc was dissolved rather quickly from the amalgams and the amount was highest for the conventional one. Some amalgams had a low tendency for corrosion products to adhere to the surfaces. The presence of zinc did not seem to reduce their corrosion resistance. PMID- 6579613 TI - Corrosion of zinc-containing dental amalgam. AB - The gamma 1 lattice constant of amalgams with and without zinc kept under corrosive and non-corrosive conditions was determined at different times after trituration. Zinc disappeared during 1 d from the gamma 1 phase of an amalgam made from 0.9% Zn alloy and during 30 d from an amalgam made from 4% Zn alloy, when powdered amalgam was in contact with a 1% NaCl solution. PMID- 6579614 TI - Working time of dental amalgams. AB - The purpose of the present work was to study the setting of amalgams made from several different commercial alloys by recording the rate of initial mercury consumption, and then to compare the findings with those from other methods of defining the early setting process. The results show that the rate of initial mercury consumption is well correlated with clinicians' classification of the rate of setting of amalgams, but not correlated with mechanical tests like early compressive strength and guillotine setting time used till now in estimating the working time of amalgams. Based on these findings an appropriate method of determining the mercury:alloy proportion and working time of dental amalgams is suggested. PMID- 6579615 TI - Proliferation and migration of rat incisor mesenchymal cells. AB - Sixty female Wistar rats were injected with tritiated thymidine and killed at intervals between 1 hr and 72 hr after injection. Autoradiographs of paraffin and Vestopal W embedded sagittal sections of the maxillary incisors were prepared. The distribution of labeled cells after 1 hr revealed the basal pulp cells and the preodontoblasts as proliferative cells. The growth rate of the incisor and the migration of the basal pulp cells were established from the position of labeled cells at 72 hr observation time. The number and localization of labeled and unlabeled mitoses were registered in order to determine the duration of the generation cycle of the proliferative cells. The identical cell generation time of preodontoblasts and basal pulp cells and the migration pattern of the latter indicate that the preodontoblasts are renewed by preodontoblast multiplication and not by migration of basal pulp cells. PMID- 6579616 TI - Histochemical demonstration of activity of acid phosphatase and beta glucuronidase in bovine incisor tooth germs. AB - Activity of acid phosphatase and beta-glucuronidase was shown in bovine preodontoblasts and preameloblasts prior to the onset of secretion. In the preameloblasts the rather weak reaction consisted of small discrete granules dispersed in the cytoplasm apical, lateral, and proximal to the nucleus. After initiation of enamel formation, a change in localization and intensity of the colored reaction product was observed in the ameloblasts. The activity appeared stronger and was restricted to a narrow zone just apical to the nucleus. It is proposed that the acid hydrolases in the tooth forming cells are located to the Golgi complex. The differences in activity of acid hydrolases between bone and tooth forming cells are expounded. PMID- 6579618 TI - Occurrence of caries and periodontal disease in selenium-treated patients with Spielmeyer-Sjogren's disease. AB - The possible influence of continuous exposure to selenium on dental caries and gingivitis was examined during a clinical trial of selenium administration to patients suffering from a progressive encephalopathy, Spielmeyer-Sjogren's disease. The study group consisted of eight children (mean age 12.5 years) and a control group of the same age and size from the same institution. DMFS- and Gingival Bleeding Indices were recorded at the onset of the selenium medication and thereafter once a year. No difference in the caries incidence or in the prevalence of gingivitis between the two groups could be shown during the follow up period. PMID- 6579617 TI - Effect of topical application of stannous fluoride, stannous chloride and stannous tartrate on rat caries. AB - Topical application of 10 mM aqueous solutions of stannous fluoride inhibited caries in rats to a higher degree than 20 mM sodium fluoride, although the difference was not statistically significant. Furthermore, stannous fluoride reduced the number of Strep. mutans in plaque significantly; stannous ions have an antibacterial effect. Stannous chloride and stannous tartrate did not reduce caries in the rats, probably because of the low concentrations of available stannous ions in these solutions at low pH. The high concentration of stannous ions in solutions of stannous fluoride is probably partly due to the reduced hydroxide formation resulting from the buffering effect of HF formed at low pH in this solution. PMID- 6579619 TI - Associations between gingivitis, pocket depths, and radiographic bone loss in interproximal areas in young adults. AB - Fifty-five 15-yr-old Brazilian students were selected on the basis of presence or absence of radiographic bone loss. One hundred and fourteen sites were selected, representing areas with and without bone loss, with varying degrees of inflammation and pocket depths. The association between the parameters were evaluated on a site by site basis. Areas with deep pockets more often showed severe inflammation and bone loss than did areas with shallow pockets. However, deep pockets often occurred where no bone loss could be detected radiographically. In this age group clinical assessments seem to overestimate the prevalence of destructive periodontitis, and should be supplemented with radiographic examination for screening purposes and for identification of risk subjects. PMID- 6579620 TI - Cellular enzyme activity associated with tissue degradation following orthodontic tooth movement in man. AB - Enzyme histochemical techniques were used as markers of macrophage activity and differentiation in the periodontal tissues following orthodontic tooth movement in man. The enzymes studied included lactate dehydrogenase, glucose-6-phosphate dehydrogenase, succinic dehydrogenase, acid phosphatase and its tartrate resistant isoenzyme, arylsulfatase, aminopeptidase M and prostaglandin synthetase. Chloroacetyl esterase activity was studied in order to detect possible neutrophilic degrading activity. Intense activities of arylsulfatase and prostaglandin synthetase and a moderate activity of aminopeptidase M were found in cells degrading the hyaline zone. However, no activity of tartrate resistant acid phosphatase was found in these cells. Giant cells in contact with bone surfaces adjacent to the hyaline zone exhibited an intense activity of succinic dehydrogenase, tartrate resistant acid phosphatase and aminopeptidase M. Chloroacetyl esterase activity did not change following orthodontic treatment. The results indicate that macrophages in various stages of differentiation were responsible for the degradation of the hyaline zone and alveolar bone during orthodontic tooth movement. The enzymatic differences were probably due to the influence of the immediate cellular environment. Prostaglandin synthetase activity, which may be interpreted as a sign of prostaglandin secretion, was associated with the degradation of the hyaline zone in man. PMID- 6579621 TI - Observer variability of and comparison between visual and central bearing point methods of evaluating denture occlusion. AB - Central bearing point and visual methods were used in the study of repeated recordings of occlusion in 30 patients with old complete dentures. The results were classified into di- and trichotomous categories. Intra- and interexaminer variability were generally high. In addition, significant differences were found between the examiners in the level of recording denture occlusion. The use of trichotomous categories increased the variability to an unacceptable level. The variability with the central bearing point method was higher than with the visual method. However, occlusal discrepancies were found with significantly higher frequencies with the central bearing point method than with the visual method. PMID- 6579622 TI - Porosity in microfill restorative composites cured by visible light. AB - Previous studies indicate that porosity in dental microfill composite restoratives reduces the clinical qualities of this group of materials. Porosity may decrease the optical quality of restorations and is probably a strong factor in reducing wear resistance of Class 1 fillings. In view of possibly eliminating this disturbing factor it was the purpose of the present work to study the effect of variables in the clinical technique on porosity. Initially it was found that filling by spatula as well as paste-paste mixing of non-porous microfill materials caused high porosity, and that the visible light curing microfill brands studied were pore-free as delivered by manufacturers. Consequently only this type of material was studied in detail and only when applied by syringing technique. Poor adaptation of composite to tube inside and to cavity walls as well as too small diameter of the tube tip were found to be factors greatly adding to porosity. In cylindrical cavities, 3 mm in diameter and 2 mm deep, porosity could be consistently reduced to zero by wetting the inside of the tube as well as the cavity walls by a drop of visible light curing monomer and by use of tube with a tip opening of 1.0 mm. Similar positive results were obtained for simulated Class 1 fillings. No adverse effects of this technique were found. PMID- 6579624 TI - Gut hormones in disease. Proceedings of the fourth symposium in a series on Basic Science in Gastroenterology. London, UK, 21 September 1982. PMID- 6579623 TI - After-polymerization of visible light activated resins: surface hardness vs. light source. AB - The Wallace hardness of four visible light activated resins (Durafill, Heliosit, Silux and Visio-Dispers) was investigated at different times from 1 min and 35 s up to 60 min after start of irradiation. The prevailing part of the increase in surface hardness was found within the first few min after irradiation and this pattern was similar in all resins independent of light source. PMID- 6579625 TI - Interdigestive motor activity in health and disease. AB - Interdigestive contractile activity in the gastrointestinal tract was measured in dogs and humans. During the interdigestive state, it was found that in healthy dogs and humans, cyclically-recurring strong contractions occurred in the stomach at approximately 100 min intervals and migrated through the small bowel in a caudal direction. The interdigestive contractions consist of three phases, phase I being quiescent while phases II and III are contractile. Phase II contractions resemble those in the digestive state and therefore mix the contents, and phase III contractions are strong in contractile force and consequently squeeze and expel the contents in a caudal direction. Intraduodenal pH changes were studied together with motor activity and it was found that intraduodenal pH remained at a slightly alkaline level during the interdigestive state in the dog; however, in human studies, it was revealed that intraduodenal pH drops below pH 7.0 only during the phase II period. These characteristic contractile changes in the interdigestive state are controlled at least in part by the cyclic increase in motilin concentration in the plasma, but it is not known what regulates the cyclic release of motilin during the interdigestive state. Feeding promptly eliminates changes in the plasma motilin concentration. It is not known whether other gut hormones are involved in the regulation of these specific motor changes in the interdigestive state. One of the typical disorders in motor activity was found in duodenal ulcer. In duodenal ulcer patients, the most characteristic difference from normal subjects was that the duration of phase II activity was significantly prolonged and intraduodenal pH fluctuated widely and intensely during the period. Hypersecretion of acid is well known to be the specific feature of this disease. However, the present study clearly indicates that spontaneous acid secretion per se or vagally induced acid secretion during phase II disturbs the interdigestive motor cycle and, in consequence, leads to the development of ulcers due to the fact that acid contents alone are continuously mixed in the stomach over the prolonged period of phase II activity. These findings lead us to a better understanding of the true pathogenesis of this disease as well as effective treatment of patients from a radical as well as symptomatic standpoint. PMID- 6579626 TI - Significance of the molecular heterogeneity of gut hormones. AB - Molecular heterogeneity is a fundamental feature of ribosomally synthesized proteins and polypeptides. The heterogeneity reflects gene duplications with subsequent differences in mutation of the genes, different post-transcriptional and post-translational processings and different amino acid modifications. Gut hormones are also heterogeneous, but the degree of heterogeneity reported so far for each hormone has varied. The most extensively studied (i.e. cholecystokinins, gastrins, opioid peptides and glucagons) have displayed a high degree off heterogeneity. Similar degrees will probably emerge for the remaining gut hormones when they have been studied in greater detail. In accordance with the nature of the molecular difference, a distinction between macro- and microheterogeneity is proposed. Macroheterogeneity is caused by variations in peptide chain length; microheterogeneity by derivatizations or substitutions in single amino acid residues. The molecular heterogeneity has profound implications for measurement and study of a gut hormone. Thus, measurement in biological fluids requires careful evaluation of the number and affinity of different molecular forms. Understanding of the function and pathophysiology of gut hormones requires full clarification of their molecular heterogeneity. PMID- 6579627 TI - Pathological acid secretion not due to gastrinoma. AB - There are few detailed studies of patients with pathological hypergastrinaemia of antral origin. We have identified four patients with severe acid hypersecretion associated with peptic ulcer disease and in whom no evidence for gastrinoma or isolated retained antrum could be found. Three of these patients also had hypergastrinaemia. In two patients, one with gastric ulcers and one with duodenal ulcer disease, the hypergastrinaemia appeared to be due to antral gastrin cell hyperfunction and there was also evidence for mild antral gastrin cell hyperplasia. In the other hypergastrinaemic patient, a primary intestinal gastrin cell hyperfunction syndrome was suspected, but a hidden gastrinoma could not be excluded. The remaining patient had nearly fatal hypersecretory ulcer disease and cimetidine failed to control the hypersecretory state. In this patient the hypersecretion responded to a more potent H2 antagonist with resolution of a metabolic encephalopathy. No general pathophysiological mechanism could be identified in these patients or in larger groups of patients with gastric or duodenal ulcer disease. PMID- 6579628 TI - The role of neurotensin in disease. AB - Current thinking concerning the possible role off neurotensin in disease is reviewed. The type of approach used in this article is to summarize the results of studies concerning release of neurotensin-like immunoreactivity and to describe the effects of neurotensin which may be of physiological significance such as changes in gastrointestinal motility from a fasting to a fed type in gastric acid secretion and vasoconstriction in adipose tissue. The possible involvement of neurotensin in motility disturbances, duodenal ulcer and obesity has also been discussed. In addition, studies concerning the role of neurotensin in endocrine tumours are presented. PMID- 6579629 TI - Proceedings of the 2nd International Sucralfate Symposium, The 7th World Congress of Gastroenterology, Stockholm 1982. PMID- 6579630 TI - Binding of sucralfate to duodenal ulcer in man. AB - Biopsy specimens of ulcerated and of adjacent non-ulcerated duodenal mucosa were obtained from 17 patients with active duodenal ulcer who had received a single oral dose of 1 g sucralfate. Similar specimens were obtained from 21 patients with a recently healed duodenal ulcer. The specimens were assayed for aluminum to provide an estimate of the amount of sucralfate bound to the mucosa. Sucralfate was present at significantly higher concentrations in ulcerated mucosa than in non-ulcerated mucosa for 6 hr after dosing. In addition, sucralfate was found to bind to healed duodenal ulcers for 6 hr after dosing. This finding provides a rational basis for the use of sucralfate in the maintenance therapy of duodenal ulcer. PMID- 6579631 TI - Effect of sucralfate on ethanol-induced gastric mucosal damage in the rat. AB - We studied the effect of sucralfate on ethanol-induced gastric mucosal damage in the rat. In doses of 25, 50, 100, 200, 400 and 800 mg/kg given 1.5 hr before the oral administration of 3 g/kg ethanol, sucralfate inhibited the development of erosions by 36, 62, 72, 90, 98 and 100 percent, respectively. Cimetidine, up to a dose of 160 mg/kg, was ineffective in this model. Sucralfate, in a dose of 400 mg/kg, also decreased the drop in transmucosal potential difference produced by the intragastric instillation of 3 ml of 20% ethanol from 21 mV to 13 mV. In separate experiments, pylorus-ligated rats received 125I-labeled human serum albumin intravenously and the leakage of 125I-radioactivity into the gastric lumen was studied as a parameter of mucosal permeability to macromolecules. Ethanol, in a dose of 3 g/kg, produced a two-fold increase in leakage over control. This was prevented by sucralfate (250 mg/kg) when given either 1.5 hr before or 3 hr after the dose of ethanol. The results of these experiments suggest that sucralfate protects the gastric mucosa against ethanol-induced damage by enhancing mucosal resistance. PMID- 6579632 TI - Relapse rates following initial ulcer healing with sucralfate and cimetidine. AB - The relapse rate following successful short-term therapy with sucralfate or cimetidine was studied in a group of 86 patients with recently healed duodenal or gastric ulcer. The patients were endoscoped on clinical relapse or, routinely, at 6 weeks, 6 months and one year. Patients whose ulcers had healed on cimetidine relapsed earlier than did those whose ulcers had healed on sucralfate (p less than 0.05 at 12 weeks), but the cumulative relapse rate by the end of one year was of the order of 70% in both treatment groups. The mean duration of remission in patients who developed a recurrence was significantly greater in patients treated initially with sucralfate than in those treated initially with cimetidine - 7.3 and 4.6 months, respectively (p less than 0.01). PMID- 6579634 TI - Travellers' diarrhoea: new insights. PMID- 6579633 TI - Maintenance sucralfate and duodenal ulcer relapse--an interim report. AB - Fifty-four patients with recently healed duodenal ulcers were entered into a single-blind 1 year follow-up study to assess the value of sucralfate in preventing relapse and to establish the lowest dose required to achieve this. To date, 35 patients have completed a 6-month follow-up period. Endoscopic recurrences were found in 1 of 9 patients randomised to sucralfate 1 g bd, in 3 of 14 on sucralfate 1 g nocte, and in 7 of 12 of the controls. The relapse rates in the sucralfate treated groups were significantly lower than in the control group, but the small number of patients at this stage of the study precludes firm conclusion as to whether a maintenance dose of 1 g nocte is as effective as a dose of 1 g bd. PMID- 6579635 TI - Epidemiology of travellers' diarrhoea. AB - Travellers' diarrhoea is the most frequent health problem encountered during a stay in developing countries. A recent study based on interviews with 16,568 charter-flight passengers returning to Europe from 13 destinations in various climatic regions provides epidemiological data on a worldwide scale. Significant differences in diarrhoeal incidence varied not only between individual destinations, but also between hotels in the same area. Travel characteristics, and a record of former tropical journeys influenced the incidence to a minor degree. Persons under 30 were more often affected than older travellers. Within international groups meeting in developing countries, the risk varied according to the patient's country of origin, with the residents of industrialised nations being most often affected. The various regions show non-essential differences in chronology and symptomatology. This is consistent with quantitative rather than qualitative geographical variations in causative agents. Potentially life threatening gastrointestinal infections, such as typhoid and cholera, are very rarely acquired by tourists. PMID- 6579636 TI - Antisecretory activity of opiates in vitro and in vivo in man. AB - Both in vitro and in vivo studies of the influence of opiates on ion transport and of their antisecretory activity are described. Morphine and the synthetic opioid, loperamide, are included particularly. It is clear that the opiates have an antisecretory effect and can inhibit secretion induced by a variety of different secretagogues. Secretion induced experimentally in the human jejunum in vivo is reduced by loperamide, indicating a potential role for such an agent in the treatment of secretory diarrhoeas. PMID- 6579637 TI - Video in dentistry. PMID- 6579638 TI - How to avoid "nothing for something". PMID- 6579639 TI - Gold. PMID- 6579641 TI - Taking the leap: a strategy for successfully automating your practice. PMID- 6579640 TI - Investing for income. PMID- 6579642 TI - Upgrading office sterility. PMID- 6579643 TI - Oral pathology: clinical diagnostic case. PMID- 6579644 TI - The importance of recalling partial denture patients. PMID- 6579645 TI - Occurrence of musculoskeletal, disorders in a manufacturing industry with special attention to occupational shoulder disorders. AB - Among around 11.000 employees of a swedish company, 47,9% of all cases of long term sick-absences were found to be due to musculoskeletal diseases. Diseases from neck and shoulder were almost as common as back-diseases and in light manufacturing workshops neck and shoulder disorders predominated. 112 cases of prolonged shoulder disorder were further studied. All had occurred among labourers. The disorder was found significantly more often among women, among immigrants and within certain occupations. By comparing the 112 cases with matched controls, a long list of different variables characterizing the patients and their jobs was identified. As a consequence of the findings further investigations have been initiated, practical measurements among the workers have been introduced and an EMG-equipment for easy analysis of muscle tension on actual work situations has been constructed. PMID- 6579646 TI - [Miniplate osteosynthesis in maxillofacial trauma and corrective surgery]. PMID- 6579647 TI - [Clinical pharmacokinetics of Articain after intraoral and intramuscular applications]. PMID- 6579648 TI - [Results after sagittal incision of the mandible and simultaneous maxillary osteotomy using the authors' own method]. PMID- 6579649 TI - The effect of salivary coating on dental plaque morphology studied by the replica technique. PMID- 6579650 TI - [Stress from the psychosocial viewpoint]. PMID- 6579651 TI - [Occupational stress and the forms of dealing with it--a study of Swiss dentists]. PMID- 6579652 TI - [Coping with stress situations]. PMID- 6579653 TI - [Problem patients in dental practice]. PMID- 6579654 TI - [Psychology in dental prophylaxis for youth and fringe groups]. PMID- 6579655 TI - [Psychology of coworker management]. PMID- 6579656 TI - [Are we correctly programmed?]. PMID- 6579657 TI - [Psychology and the removable denture]. PMID- 6579658 TI - [Psychosomatic aspects of headache]. PMID- 6579659 TI - [Psychosomatic factors in temporomandibular joint diseases]. PMID- 6579660 TI - [Therapeutic outlook in psychosomatic diseases of the masticatory apparatus]. PMID- 6579661 TI - [Society in transition--comments of a psychiatrist]. PMID- 6579662 TI - Is a statewide tumor registry needed for South Dakota? PMID- 6579663 TI - Clinicopathologic conference. Seventy-four year old Caucasian female with filling defect in cecum by x-ray and blood loss anemia. PMID- 6579664 TI - The rural family medicine clerkship (RFMC) at the University of South Dakota School of Medicine: a six year review 1977-1982. PMID- 6579665 TI - Nursing: a profession built on caring. PMID- 6579666 TI - [Radiological studies on the healing process of tooth extraction wounds. Observations by a density measurement analyzer]. PMID- 6579667 TI - [Scanning electron microscopy of calcified cartilage matrix in the mandibular condyle of the human fetus]. PMID- 6579668 TI - [The clinico-pathological study of human deciduous dental pulp responses to glass ionomer cement]. PMID- 6579669 TI - [Clinical trials of dental xeroradiography. Evaluation of the Xerox 110 System]. PMID- 6579670 TI - [Genetic study of deciduous dentition among American white children, American black children and Japanese children (1)]. PMID- 6579672 TI - [Management of acute periodontal and pulp infections]. PMID- 6579671 TI - Radiologic imaging of osteosarcoma: role in planning surgical treatment. AB - We reviewed radiographic studies of 50 central osteosarcomas to assess their accuracy and contributions to surgical treatment planning. Accurate anatomic delineation was especially important when limb-sparing tumor resection was considered. The plain roentgenograms yielded most of the diagnostic information, and often showed large masses located so that major neurovascular involvement was inevitable. Conventional tomography added little. Computed tomography (CT) usually was accurate in showing tumor extent and relationships to major nerves and vessels. However, CT was less useful when vessels were not seen, when edema and hemorrhage (especially after biopsy) blurred tumor margins, or when tumor margin and soft tissue planes blended together without clear definition. Angiography was essential when vascular relationships were unclear on CT. Scintigraphy occasionally revealed subtle intra-marrow tumor extension, but nonspecific increased uptake beyond the true tumor limits was more common than occult tumor spread. PMID- 6579673 TI - [Preprosthetic surgery]. PMID- 6579674 TI - [Management of impacted teeth]. PMID- 6579675 TI - [Management of injured teeth]. PMID- 6579676 TI - [Periapical curettage and apicoectomy]. PMID- 6579677 TI - [Autologous transplantation of fully developed teeth]. PMID- 6579678 TI - [Surgical management of the labial frenum in children]. PMID- 6579679 TI - [Surgical management of sialolithiasis]. PMID- 6579680 TI - [Significance of initial preparation in periodontal surgery and management of periodontal diseases]. PMID- 6579681 TI - [Subgingival curettage--methods and instruments]. PMID- 6579682 TI - [Gingivectomy and gingivoplasty]. PMID- 6579683 TI - [Flap surgery in periodentistry]. PMID- 6579684 TI - [Mucogingival surgery in periodontal diseases]. PMID- 6579685 TI - [Mechanisms of wound healing]. PMID- 6579686 TI - [Evaluation of systemic health of patients undergoing minor oral surgery]. PMID- 6579687 TI - [Diagnosis of maxillofacial injuries in emergencies]. PMID- 6579688 TI - [Minor surgery and surgical anatomy in maxillofacial area]. PMID- 6579689 TI - [Disinfection and sterilization in dental practice]. PMID- 6579690 TI - [Local anesthesia and management of complications in minor oral surgery]. PMID- 6579691 TI - [Hematopoietic cell cultures in hematology]. PMID- 6579692 TI - [Cultivation of bone marrow and blood cells of patients with acute leukemia in agar medium]. PMID- 6579693 TI - [Prognosis of recurrences and analysis of factors affecting the survival of patients with acute leukemia]. PMID- 6579694 TI - [Neurological changes in acute leukemia (from the standpoint of a therapist hematologist)]. PMID- 6579695 TI - [Clinical, cytochemical and immunological characteristics of the blast crisis in myelocytic leukemia]. PMID- 6579696 TI - [Effect of splenectomy on the phagocytic activity of neutrophils]. PMID- 6579698 TI - Texas dental students' attitudes toward TDA. PMID- 6579697 TI - Texas Dental Association constitution, bylaws, articles of incorporation. PMID- 6579700 TI - Dental assistance plan manual. How to deal with dental "insurance". Texas Dental Association. PMID- 6579699 TI - The miracle mixture. Glass ionomer and alloy powder. PMID- 6579701 TI - Insurance companies don't pay claims--people pay claims. PMID- 6579702 TI - Dental "insurance" complaints. PMID- 6579703 TI - How dental coverage may be offered in Texas. PMID- 6579704 TI - Angiotensin II does not elicit any specific prostaglandin secretion in piglet cultured endothelial cells. AB - PGE2 and PGF2 alpha were measured in culture media from piglet aortic endothelial cells by radioimmunological analysis. Prostacyclin secretion was evaluated by radioimmunological analysis of its stable metabolite, 6-keto-PGF1 alpha after reverse-phase high pressure liquid chromatography separation. No stimulation of either prostaglandin was detectable in culture media after treatment with angiotensin II (10(-9) to 10(-6) M) for 15 to 120 min at 37 degrees C. Under the same conditions angiotensin II (10(-7) M) elicited a 2 to 3 fold increase in PGE2 and PGF2 alpha secretion when incubated with cultured piglet aortic smooth muscle cells. In addition, we failed to detect specific angiotensin receptors at the surface of intact cultured endothelial cells. Since there was a very rapid increase in prostaglandin secretion after washing or medium changes we suggested that the effects of Angiotensin II on prostacyclin production, demonstrated in perfused organs, could be due to the mechanical stimulation elicited by the contraction of the underlying smooth muscle cells. PMID- 6579705 TI - Pharmacokinetic and pharmacodynamic approach to antithrombotic therapy. Proceedings of a symposium, Toronto, Ontario, Canada, September 27-29, 1982. PMID- 6579706 TI - The relationship between dose, pharmacokinetics, plasma-concentrations and antithrombotic effects of nafazatrom. AB - Nafazatrom is rapidly and almost completely absorbed after oral administration. However, the plasma levels of unchanged nafazatrom are very low, suggesting an extensive biotransformation during a first passage through the liver. The concentrations of nafazatrom in the plasma therefore, may only reflect indirectly the effective concentration at the receptor site. Concentrations, half-life and distribution of nafazatrom between aqueous and liquid compartments suggest that the cellular membrane may be the site of action. PMID- 6579707 TI - Dipyridamole disposition after chronic administration: effect of aspirin. PMID- 6579708 TI - The effect of aspirin on the pharmacokinetics of sulfinpyrazone in man. PMID- 6579709 TI - Relevance to redesigning aspirin therapeutic regimens. AB - The quantitative relationship between the plasma aspirin (ASA) concentrations and the various responses have not been established in man. Nevertheless, available information would suggest that the pharmacodynamic Emax model adequately describes both the inhibition of TxB2 production by ASA and the competitive role of salicylic acid (SA) in the reaction. Available pharmacokinetic data can be used to predict plasma ASA and SA levels following different ASA dosing regimen. Such information can be useful in designing prospective studies and managing patients who receive ASA. PMID- 6579710 TI - The relationship between basic biomedical research and the design and analysis of clinical trials. PMID- 6579711 TI - Clinical pharmacokinetics of dipyridamole. AB - The pharmacokinetics off dipyridamole were studied in six normal subjects and 20 patients. The normal subjects received 20 mg IV each and five also took a 50 mg oral dose. Concentrations after the intravenous dose showed a tri-exponential decline with a terminal half-life of 11.6 +/- 2.2 hr (mean +/- S.D.). Total plasma clearance was 138 +/- 30 ml/min and the apparent volume of distribution was 141 +/- 51 l. Peak concentrations after oral dipyridamole occurred 2--2.5 hr after the dose. Systemic availability of the oral dose was 52 +/- 23%. Plasma protein binding was 99.13 +/- 0.24%. Twenty patients, admitted for coronary artery bypass grafting, received total daily doses of 150 mg, either as 50 mg tid or 75 mg bid. Based on drug cumulation during chronic dosing, the terminal half life averaged about half a day. There was wide interpatient variability, averaging about 10-fold, in observed plasma concentrations for both dosage regimens. The bid regimen was not associated with lower trough concentrations of the drug than the tid regimen. These results indicate that dipyridamole concentrations vary widely in patients receiving the drug, and suggest that it could be administered twice a day, and that dipyridamole levels should be monitored for the antithrombotic effect in clinical studies. PMID- 6579712 TI - The endoendothelial fibrin lining. Symposium of the XII. European Conference on Microcirculation. Jerusalem, 5-10 September 1982. PMID- 6579713 TI - The endo-endothelial fibrin lining. A historical account. PMID- 6579714 TI - The physiological significance of the endoendothelial fibrin lining (EEFL) as the critical interface in the 'vessel-blood organ' and the importance of in vivo 'fibrinogenin formation' in health and disease. AB - The author's theory of the endoendothelial fibrin lining (EEFL), first advanced in 1953 and developed by him ever since, localizes the homeostasis between steady fibrin formation and deposition, or 'fibrination', and continuous fibrinolysis in the more or less immobile portion of the plasmatic zone next to the vessel wall. In 1971, the author advanced, in relation to the EEFL, the theory of fibrinogen gel clotting without thrombin action or 'fibrinogenin' formation in vivo. Considerable direct and indirect experimental evidence, secured by the author and by several other investigators, advanced markedly the knowledge of the normal physiology and the pathophysiology of various disease processes involving the vessel wall and blood circulation. The information presented is an extension to that given in the author's recent overview (Clin. Hemorheology 1, 9-72, 1981). It deals both with new data by several investigators including those by the author, as well as with older data from the literature. The author maintained already in 1960 that the blood together with the blood vessels, in which it circulates, constitute 'an entity'. In 1981 he postulated this entity to be a very special organ, named conveniently 'vessel-blood organ', which is ubiquitous and penetrates all other organs and adjacent tissues. The EEFL of the vessel-blood organ is considered by the author as the crucial critical interface between the blood and the vessel wall. It is the primary barrier, followed by the endothelium (comprising the endothelial cells and the interendothelial cement substance which contains or is identical with 'cement fibrin') and the basement membrane for the exchanges between the blood, the vessel wall and its surrounding tissues and spaces. The EEFL acts as anticoagulant, is antithrombogenic, maintains vascular patency and aids cardiac action by decreasing significantly the apparent viscosity of blood, referred to in the literature as the 'Copley-Scott Blair phenomenon'. A new concept of leukocyte emigration traversing the capillary wall is presented, affecting focal fibrinolysis of the EEFL and of fibrin contained in the interendothelial cement substance and in the basement membrane. The physical property of capillary (or vascular) permeability is related to the existence of the EEFL, since, as found by Copley et al, both fibrinopeptides, liberated in the transition of fibrinogen to fibrin, and plasminopeptides, freed in the conversion of plasminogen to plasmin, enhance capillary permeability. Capillary fragility, which is antagonistic to capillary permeability, is in great part due to fibrinolytic action on fibrin as a constituent of the basement membrane.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6579715 TI - On the aggregation of fibrinogen molecules. AB - Aggregates of human and bovine fibrinogen were obtained under various conditions, ranging from segment-like precipitates to highly ordered paracrystals and crystals. Their biochemical characterization and the interpretation of their banding pattern by electron optical means was attempted. The observed extra vivum aggregation of fibrinogen without thrombin action, i.e. without cleavage of fibrino-peptides A and B is of particular interest with regard to Copley's theory of the endoendothelial fibrin lining. The in vivo formation of such fibrinogen gels is discussed. PMID- 6579716 TI - Macromolecular surface films at a solid/liquid interface. AB - Macromolecules generally adsorb well to a solid/liquid interface but do not produce more than a monolayer of molecules in cases where the molecules are reasonably soluble in the liquid medium. This is because for second or higher layer adsorption, the interaction would have to be between segments of macromolecules in solution and segments of macromolecules on the surfaces. Such interactions between segments of soluble macromolecules in solution do not, however, lead to adhesions. Some of the segments of surface held macromolecules would have to have been altered in their reactivity in order that second and, progressively, multilayer formation could occur. This is not too hard to accept in the case where the adsorbing macromolecule is a protein. A decline of reactivity with layer number could be a factor in limiting the growth of the surface multilayer or gel. The presence of a weakly elastic gel at the boundary with a flowing suspension will strongly influence the flow pattern in its vicinity. Effectively flow is slowed down and could essentially be stopped even without having to seal off the vessel totally. It is thus possible to conceive of mechanisms by which an endoendothelial fibrin layer is not only built up but would also function as proposed by Copley. PMID- 6579717 TI - The vascular endothelium as an inhibitor of thrombin. AB - Uptake and inhibition of thrombin on the endothelium of porcine aorta was studied in vitro. The thrombin was labelled with 125J and its enzyme activity was measured with an amidolytic assay. After exposure to the aorta both the enzyme activity and radioactivity disappeared from the solution and were recovered as surface bound activities. The rate of inhibition of the surface bound thrombin was determined in presence or absence of plasma. In presence of plasma the endothelially confined enzymatic activity was rapidly inhibited, no enzymatic activity was recovered in plasma. The surface bound radioactivity, however, decreased slowly and was recovered in plasma. In absence of plasma only slow inhibition took place. It is concluded that thrombin taken up on the endothelium is rapidly inhibited there by an interaction with plasma and then released in an inactivated state. An alternative conclusion, based on the anticoagulant and antithrombotic actions of the endothelial fibrin lining is briefly discussed. PMID- 6579718 TI - Vascular potential and thrombosis. AB - The electrochemical phenomena related to the negative charge of blood cells have provided a means of defining the importance of these parameters in vascular thrombosis. In parallel with these works, measurements of transmembrane potential have revealed that the vessel wall also carries negative charges and thus takes part in the repulsion of blood cells and prevents them from being adhesive on the intima. These charges come from various origins (ion or protein adsorption, active transfer through the vascular wall, ionized groups ...). Vascular potential can be approached by means of various techniques: transmembrane potential (electro-osmosis), circulation potential (in vitro and in vivo). On the basis of published results and his own personal research, the author compares the different values that have been obtained. Consequently, it has been observed that the transmembrane charge measurements that are accessible using electro-osmosis techniques and streaming potential do reflect some discordances according to the methods used. The importance of these parameters and the part they play in thrombosis phenomena is discussed. PMID- 6579719 TI - Plasma protein interactions at biological interfaces. AB - The adsorption of plasma proteins, especially fibrinogen at the endoendothelial interface and to the surfaces of the blood cellular elements in contact with blood is relevant to both hemostasis and thrombogenesis. The intact endothelium is the most thrombo-resistant surface known and the exact nature of this structure holds the answer to developing adequate biocompatibility for implants and prosthetic devices. Under physiological conditions the endoendothelial surface, blood cellular elements and plasma proteins all possess net negative charges which will play a role in their interactions. The density and charge sign of ionizable surface groups will determine the local value of pH at that surface. Distributions of surface charge are possible which could lead to local pH values which vary from one region to another by several units of pH. Erythrocytes and platelets possess adsorbed fibrinogen and the endothelial surface is likely also to attract fibrinogen. The presence of one or more layers of fibrinogen on the endothelial lining is, therefore, a well founded physicochemical expectation. Aggregation of the blood cellular elements is mediated by calcium ions, fibrinogen and other agents depending upon the cell type. The presence of fibrinogen is essential for platelet aggregation induced by adenosine diphosphate and for the observed changes in platelet surface charge. There is evidence that in general electrostatic interactions are important in the contact relationships between the blood cellular elements and other surfaces either natural or foreign. PMID- 6579720 TI - United States Air Force Dental Corps. PMID- 6579721 TI - The tongue: the new role in oral health care, the old role in disease diagnosis. PMID- 6579722 TI - [Liver damage after treatment of acute lymphatic leukemia in children]. PMID- 6579723 TI - A search for association of HLA antigens with paranoid schizophrenia. A9 appears as a possible marker. AB - Sixty-two Dutch patients with the diagnosis paranoid schizophrenia (SCH) were HLA A-, -B- and -C-typed. An increase in the frequencies of A9 (P = 0.02, relative risk 1.8) and B5 (P = 0.04, relative risk 1.9) was found. Although these correlations do not remain significant after correction for the number of antigens tested, both findings confirm other data from the literature, including the first published report from a population in Sweden. From all hitherto published literature data, the combined relative risks for A9 and B5 is significantly increased. These data strongly indicate that the distribution of HLA antigens among SCH patients is different from the control population. PMID- 6579724 TI - Comments on the use of cord-blood mononuclear cells in screening for DR specific maternal antibodies. PMID- 6579725 TI - The palatal ruga pattern: a new classification. PMID- 6579726 TI - The palatal ruga pattern in six southern African human populations. Part I: A description of the populations an a method for its investigation. PMID- 6579727 TI - The palatal ruga pattern in six southern African human populations. Part II: Inter-racial differences. PMID- 6579728 TI - The palatal ruga pattern in six southern African human populations. Part III: An evolutionary perspective. PMID- 6579730 TI - Some extrinsic factors in the aetiology of periodontal disease I. PMID- 6579731 TI - Fruit induced sensitivity at cervical margins. PMID- 6579729 TI - Periodontal instrumentation for the general dental practitioner. Part II Management, maintenance and sterilization. PMID- 6579732 TI - A comparison of Entonox and nitrous oxide for inhalation sedation in dentistry. PMID- 6579733 TI - An investigation into the relationship of alveolar bone height and timing of canine retraction following premolar extraction. PMID- 6579734 TI - A new local anaesthetic for South Africa. PMID- 6579735 TI - Extrinsic factors in the aetiology of periodontal disease. Part II. PMID- 6579736 TI - Acute odontogenic infections of the jaws. PMID- 6579737 TI - Anterior aesthetic restorative resins. PMID- 6579738 TI - [An appliance to standardize profile tomography of the temporomandibular joint]. PMID- 6579739 TI - Hypnotic induction and nitrous oxide sedation in children. PMID- 6579741 TI - Denture cleaner developed by South African dentist. PMID- 6579740 TI - Aesthetic resins - clinical techniques for private practice. PMID- 6579742 TI - Full dentures: the first visit. PMID- 6579743 TI - [Effect of a cariogenic diet on the formation of the incisor enamel ultrastructure in rats]. PMID- 6579744 TI - [Effect of chewing gums on the pH of mixed saliva in vivo]. PMID- 6579745 TI - [Mechanism of the stimulation of reparative osteogenesis by laser radiation]. PMID- 6579746 TI - [Characteristics of the chemical composition of dental calculus]. PMID- 6579747 TI - [Model of electrical current distribution in the tooth root during electrophoresis]. PMID- 6579748 TI - [Effect of sorbitol and saccharose on glycolysis in the mixed saliva of persons with intact teeth and caries lesions]. PMID- 6579749 TI - [Local immunity indices of patients with periodontal pathology]. PMID- 6579750 TI - [Leukocyte migration across the oral mucosa in the dynamics of the surgical treatment of periodontosis]. PMID- 6579751 TI - [Basis for the use of acupuncture reflexotherapy in odontogenic neuralgia of the trigeminal nerve]. PMID- 6579752 TI - [Evaluation of patient psychophysiological status by a clinical scale before a dental surgery intervention]. PMID- 6579753 TI - [For rural workers--accessible and quality dental care]. PMID- 6579754 TI - [Nonspecific reactivity in acute odontogenic infection]. PMID- 6579755 TI - [Use of laser therapy in nonspecific inflammatory processes of the temporomandibular joint]. PMID- 6579756 TI - [HLA antigens in patients with traumatic osteomyelitis of the mandible]. PMID- 6579757 TI - [Kallikrein-kinin system and the blood cortisol level of patients with maxillofacial phlegmons]. PMID- 6579759 TI - [Surgical treatment of odontogenic inflammatory processes in acute leukemia patients]. PMID- 6579758 TI - [Electrolyte balance corrections in patients with acute odontogenic inflammatory processes]. PMID- 6579760 TI - [Physical methods in the combined treatment of maxillofacial actinomycosis]. PMID- 6579761 TI - [Wegener's granulomatosis with generalized necrosis of the facial soft tissues and mandible]. PMID- 6579762 TI - [Treatment of fractures of the middle portion of the facial skeleton using metal plates]. PMID- 6579763 TI - [Treatment of mandibular fracture patients using a compression-distraction apparatus]. PMID- 6579764 TI - [Autotransfusion in the practice of surgical dentistry]. PMID- 6579765 TI - [Psychiatric aspects of the combined therapy of patients with maxillofacial neoplasms]. PMID- 6579766 TI - [Prognosis of the occurrence of regional metastases in patients with oral squamous cell carcinoma based on data on the clinico-morphological manifestation of the tumor]. PMID- 6579767 TI - [Effect of remineralization therapy on enamel mineralization processes and permeability]. PMID- 6579769 TI - [Ways to increase the effectiveness of teaching dentistry in therapeutic and health and hygiene departments]. PMID- 6579768 TI - [Compensatory-adaptive restructuring of the masticatory apparatus and its role in the process of adapting to complete removable dentures]. PMID- 6579770 TI - [Experience in using in the instructional process differential diagnosis by a programmed control device]. PMID- 6579771 TI - [Case of a delayed diagnosis of multiple foreign bodies in the facial soft tissues]. PMID- 6579772 TI - [Spontaneous restoration of the patency of the parotid duct after its complete rupture due to a suppurative wound]. PMID- 6579773 TI - [Apparatus for transposing the upper anterior teeth in the vestibular direction]. PMID- 6579775 TI - [Centralized compressor unit]. PMID- 6579774 TI - [Myositis ossificans of the masticatory muscle]. PMID- 6579776 TI - [Role of function in the development of dentition deformity]. PMID- 6579778 TI - [The toothbrush--the most accessible personal hygiene tool]. PMID- 6579777 TI - [Health and hygiene habits in oral care and tooth loss in the adult population of Finland]. PMID- 6579779 TI - [Clinico-experimental studies on the effect of certain dysgnathias on S-sound pronunciation]. PMID- 6579780 TI - [Experimental studies on thermoplastic impression materials with special regard to MUCO 220]. PMID- 6579781 TI - [The use of statistical analysis methods as an example in dentistry. 2. Discriminant analysis, correlation studies]. PMID- 6579782 TI - [Stereomicroscopic studies of the changes in the plastic bristles of toothbrushes as related to their service life]. PMID- 6579784 TI - [The use of metronidazole (Vagimid) in odontogenic infections]. PMID- 6579783 TI - [The cooperation between oral surgeon and orthodontist in the treatment of a marked prognathism. A case report]. PMID- 6579785 TI - [The diagnosis and therapy of odontogenic soft-tissue infections]. PMID- 6579786 TI - Presidential address. PMID- 6579787 TI - Contusional injuries of the distal optic nerve. PMID- 6579788 TI - Late features of solar retinopathy. PMID- 6579789 TI - Carotico-cavernous fistula neurosurgical management in the 1980s. PMID- 6579790 TI - Massive peri-retinal proliferation following prophylactic treatment of retinal breaks. PMID- 6579791 TI - An ultrasonic spatial sensor's role as a developmental aid for blind children. PMID- 6579792 TI - Report of the 1982 New Zealand Ophthalmological Society travelling fellow. PMID- 6579793 TI - Extended wear hydrophilic contact lenses for aphakia. PMID- 6579794 TI - Ocular toxocariasis. PMID- 6579795 TI - Treatment of pigment epithelial detachments in the elderly. PMID- 6579796 TI - Computerised tomography in orbital problems. PMID- 6579797 TI - The use of draining implants in resistant cases of glaucoma. Late results of 110 operations. PMID- 6579798 TI - [Change in the prostaglandin and catecholamine levels in spontaneously hypertensive rats fed diets with different polyunsaturated fatty acid contents]. AB - The authors provide the data on the content of prostaglandins and catecholamines in biological fluids (blood and urine) derived in experiments on 28 rats aged 4 months with spontaneous hereditary hypertension given the diets with varying content of polyunsaturated fatty acids during pre- and postnatal periods. Rats fed the diet containing sunflower and linseed oil manifested a significant decrease in arterial blood pressure and activation of prostaglandin and sympathoadrenal systems. PMID- 6579799 TI - [Urinary and fecal excretion of porphyrins and their precursors in leukemia patients]. AB - Delta-aminolevulinic acid (DALA), porphobilinogen (PBG) and porphyrins in urine and feces were determined in 40 healthy controls (20 males and 20 females) and in 60 patients with acute leukosis (27 males and 33 females), with chronic myeloleukosis - 23 (10 males and 13 females), and 25 patients with chronic lympholeukosis (II males and 14 females). Another 15 patients (7 males and 8 females) were studied at the initial stage, recurrence, recidivation of acute leukosis (AL). DALA excreted with the urine, manifested no significant discrepancy as compared with the controls of the three groups examined patients and in all the three stage of AL, whereas PBG was moderately reduced in the AL patients - initial stage and recurrence and was within the normal limits in the patients with chronic myeloleukosis (CML) and chronic lympholeukosis (CLL). The urine excreted coproporhyrin was increased, to various degrees, in the patients with CML and CLL and at the initial stage, recurrence and recidivation of AL, whereas uroporhyrin was within the norm. Coproporphyrin, excreted in the feces, was increased in all three groups of patients with leukosis and in the three stages of AL, whereas the other fractions showed no significant difference as compared with the controls. It could be concluded, from the results obtained, that porphyrins metabolism is disturbed in the patients with leukosis. PMID- 6579800 TI - Sonographic antepartum diagnosis of dicephalus dipus dibrachius: two case reports. PMID- 6579801 TI - Effect of ethrane supplementation on intrapulmonary shunting in dogs anesthetized with nitrous oxide and morphine. PMID- 6579802 TI - Public health legacy of the Vietnam War: post-traumatic stress disorder and implications for Appalachians. PMID- 6579803 TI - [Mechanical strain in the forearm bones]. AB - Knowledge of the physiologic distribution of strain in bone is essential for a successful osteosynthesis by means of compression plate. This method guarantees optimum stability if the plate acts as a tension band. If the side of tensile stresses varies within the bone, strain may not only occur on the side of the plate but also on the opposite cortex. In such cases the distribution of pressure in the fracture gap is of special importance. For determining the distribution of strain on the radius, it is necessary to examine the forces caused by the flexor- and extensor muscles of the wrist and fingers. Additional forces come also from flexor- and extensor muscles of the elbow. The frame formed by the bow-shaped radius and the ulna is of further importance for the distribution of strain. Kind and amount of tension is fundamentally influenced by forearm rotation. Anatomic studies on post-mortem specimens showed how the direction of muscle action to wrist and fingers changed in relation to the position of a plate fixed to the proximal shaft of the radius. This already demonstrates possible variations in the bending forces caused by forearm rotation. An analysis of the distribution of strain in the forearm bones was carried out on a biomechanical model using strain gauges. This method allows the simulation of strain to the skeleton caused by muscle force and the influence of load. The distribution of strain can be studied on the same model in various different positions of elbow and forearm. Six muscles and two muscle groups were simulated by means of wire pulls with calibrated strain gauges; these muscles and muscle groups act, on account of the physiological cross section and their position, as bending forces to the forearm bones in a dorsovolar plane. The tensile force on radius and ulna were each controlled by three strain gauges in four sections. The characteristic quantities of these sections were determined by evaluation of the appropriate computertomograms. With the aid of three strain gauges per section it was possible to assess the strain at any one desired point. Distribution of strain was determined by pull to each "muscle" in the extreme position of forearm rotation and three different positions of flexion to the elbow. The tensile force was expressed on graphs as muscle tension of 2 kp/cm2 per cross section (ill. 6 to 12).(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6579804 TI - [7th International Donau Symposium on Diabetes Mellitus. 8-9 July 1983, Ulm Donau. Abstracts]. PMID- 6579805 TI - [Significance of prostaglandin formation in the endometrium for cycle regulation in the female]. AB - By taking 91 samples of tissue the contents of PGE2 and PGF2 alpha in the cyclic endometrium was detected. Until the beginning of the menstruation a continuous rise of both substances could be observed. Especially during the latter half of the cycle the concentration of PGF2 alpha increased fundamentally causing a shifting within the relationship of both primary prostaglandins in favour of PGF2 alpha at the end of the cycle. Whereas hormones stimulate the formation of prostaglandins in the endometrium metindol stops it. PMID- 6579806 TI - Antrectomy and gastroduodenostomy with or without vagotomy in peptic ulcer disease. A prospective study with a 5-year follow-up. AB - The results of a 5-year follow-up of 289 consecutive, peptic ulcer patients treated by antrectomy and gastroduodenostomy, with or without vagotomy, are presented. Patients with a preoperative gastric acid secretory capacity (PAO) below 40 mmol/h were treated by antrectomy alone, while subjects with a higher PAO had a vagotomy in addition. The antrectomy was defined by lithmus indication of the corpus-antrum border and by histologic verification, including gastrin cell counting. The over all incidence of gastroscopically verified recurrent ulceration was 8.5%. In patients with ulcer location in the bulb or the pyloric/prepyloric region (juxtapyloric ulcer) and treated by antrectomy alone, the recurrence rate was 18% (n = 102), and in gastric ulcer patients it was 4% (n = 47). Altogether 14 patients with recurrent ulcer were subsequently reoperated on by vagotomy showing no further recurrence. Antrectomy combined with vagotomy was primarily performed almost exclusively in patients with juxtapyloric ulceration, in whom the recurrence rate was 2% (n = 106). According to a postoperative insulin test, the patients with recurrence after antrectomy and vagotomy were incompletely vagotomized. In patients who remained free of symptoms or signs of recurrent disease, the median reduction in gastric acid secretory capacity was about 60% after antrectomy alone and 80% after antrectomy and vagotomy. In juxtapyloric ulcer patients with recurrence after antrectomy alone there was a small median reduction in PAO one month after operation (26%) and then an increase close to the preoperative level (6% reduction). In patients with a postoperative reduction in PAO of less than 35%, there was a high probability of recurrent ulcer, about 70%. In spite of selection of patients with a comparatively low preoperative PAO (less than 40 mmol/h) for antrectomy alone, the recurrence rate was 18% in patients with juxtapyloric ulcer location. In this selected group of patients the preoperative PAO was not higher in patients with ulcer recurrence than in patients who were asymptomatic after the operation. Selecting patients with juxtapyloric ulcer for antrectomy, with or without vagotomy, on the basis of gastric acid secretory capacity therefore seems unjustified. When vagotomy was added to antrectomy and gastroduodenostomy it seemed to increase the risk of developing serious (Visick 3u and 4) postgastrectomy syndromes; 12% after antrectomy and vagotomy versus 3% after antrectomy alone. Vagotomy appeared to be associated with an increased risk of bile reflux gastritis, gastric mycosis, and milk intolerance. Dumping and diarrhoea after vagotomy often coincided with milk intolerance. Antrectomy, with or without vagotomy, did not markedly impair recorded nutritional parameters.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6579807 TI - Prostaglandin D2 stimulates secretion of luteinizing hormone from pituitary gland in vitro. AB - The effect of prostaglandin D2 on the release of luteinizing hormone was studied in a superfusion system by superfusing human pituitary gland. Perfusion with 30 micrograms of prostaglandin D2 induced a significant increase of luteinizing hormone secretion. This is the first evidence of a direct effect of prostaglandin D2 on the secretion of luteinizing hormone from the human pituitary gland. This finding suggests the possible role of prostaglandin D2 in human reproductive function. PMID- 6579808 TI - Effects of PGF2 alpha and indomethacin on ovulation and steroid production in the isolated perfused rabbit ovary. AB - Both ovaries of 31 rabbits were perfused with a chemically defined medium in vitro in a recirculation system. In one series of experiments, hCG (100 IU) was injected iv 5-6 h prior to anaesthesia and surgery. Approximately 1 h later the perfusion was started. One ovary was perfused as control while the other ovary was perfused with 5 micrograms/ml indomethacin or with indomethacin and 1 micrograms/ml PGF2 alpha. In another series of experiments the rabbits received no pretreatment prior to operation. Instead, bovine LH was added to the perfusion medium of both control and experimental ovaries. The experimental side also received either indomethacin or indomethacin and PGF2 alpha. Finally, the effect of PGF2 alpha in the absence of LH was compared to the control ovary receiving only LH. After injection of hCG in vivo, ovulations occurred in 4 of 5 control ovaries. Indomethacin completely blocked ovulation in 4 of the 5 ovaries treated, while PGF2 alpha restored ovulations in all the experimental ovaries. In the group of experiments where LH was added in vitro, ovulations were induced in all ovaries treated with varying LH doses. Furthermore, indomethacin blocked ovulation in 5 out of 7 ovaries, and PGF2 alpha restored ovulation in all ovaries. Fifty per cent of the ovaries treated only with PGF2 alpha (in the absence of LH) also ovulated. The pattern of steroid release did not differ between control ovaries, indomethacin treated ovaries, and indomethacin + PGF2 alpha treated ovaries. Ovaries treated in perfusion with PGF2 alpha alone had very low steroid levels compared to the ovaries treated with LH.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6579809 TI - Short papers. 9th annual meeting of the Hellenic Endocrine Society Athens, December 5-6 1981. PMID- 6579810 TI - Relapse of acute myeloblastic leukemia after a 16-year-remission. PMID- 6579811 TI - Polycythemia vera terminating in myeloblastic transformation and myelofibrosis with tumor formation. PMID- 6579812 TI - Polycythemia vera with a loss of the Y chromosome, terminating in myeloblastic transformation associated with marked lymphadenopathy. PMID- 6579813 TI - A new technique for the analysis of leukemia marker chromosomes using sequential G and DMA/DAPI staining. PMID- 6579814 TI - Chronic myelocytic leukemia presenting a high incidence of colony formation during the blastic stage: serial cytogenetic studies of granulopoietic colonies. PMID- 6579815 TI - A case of terminal deoxynucleotidyl transferase- and Philadelphia chromosome positive acute leukemia with heterogenous blasts, which responded poorly to vincristine and prednisolone therapy. PMID- 6579816 TI - A case of erythroleukemia with a 45, X,-Y karyotype. PMID- 6579817 TI - Acute monocytic leukemia with tetraploid chromosome constitution involving 1p- and 11q- in duplicate. PMID- 6579818 TI - A comparative evaluation of disposable humidifiers. AB - The performance of four hygroscopic condenser humidifiers (HCH) and two conventional heat and moisture exchangers (HME), all commercially available, have been evaluated in laboratory tests. A clinical study was also made in order to confirm the test results. It was found that the new generation of heat and moisture exchangers, which have hygroscopic properties, are superior to conventional HME units. When dry inspired gases are used, the HCH units, but not the HME units, deliver a moisture level that is comparable to what is produced in the upper trachea during normal breathing the nose. Our clinical experience as well as the extensive body of literature on humidification requirements support the conclusion that in most cases they can be recommended to be used for extended time periods even with dry gases. The humidification efficiency decreases with increasing tidal volume for all units. However, the best units can be used up to tidal volumes of 1000-1500 ml. The dead space of these units varies from 90 ml to 100 ml and the resistances are only about 50 Pa at 0.5 l/s. The weight is in the range 18-40 g. One of the best HCH devices also has distinct antimicrobial properties. The others are found at least not to promote organism growth. This feature added to others such as safety and simplicity in use make an HCH device an attractive alternative to conventional humidification techniques. PMID- 6579819 TI - Hereditary motor and sensory neuropathies in Swedish children. II. Neuronal axonal types. AB - Clinical, neurophysiological and laboratory data are given for 32 children (30 kinships) considered to represent hereditary motor and sensory neurophaties (HMSN) of neuronal-axonal types. In 25 families (27 cases) one of the parents was found to be affected. In one both parents were normal. The mode of inheritance in the 27 patients with familial neuronal-axonal HMSN was concluded to be autosomal dominant HMSN II (Lambert type). The disability was mild to moderate and, on an average, less pronounced than in de- and remyelinating types of HMSN. Seven out of 27 were early toe-walkers of the secondary type. Cavus feet were noted in 25, hand atrophies in eight and mild scoliosis in five. Sensory complaints were recorded in 21. The nerve conduction velocities (NCVm and NCVs) of children and parents were slightly subnormal in a few. EMG proved to be the most important parameter for identifying subclinically affected parents. PMID- 6579820 TI - Lipoprotein pattern in umbilical cord blood of neonates of smoking and non smoking mothers. PMID- 6579821 TI - Body composition of adolescent males. Part I. Total body water in normal adolescent males. Part II. Body composition of the male reference adolescent. AB - This study was undertaken to obtain total body water (TBW) data suitable for derivation of body composition of the typical adolescent male. TBW by the deuterium dilution method, stage of sexual development and anthropometric parameters (weight, height and triceps and subscapular skinfold thickness) were determined in 108 males between 10 and 14 years of age, whose weight and height fell between the 10th and the 90th percentile of the NCHS reference data. TBW/weight did not change significantly between 10 and 14 years, although a slight increase after age 11 years and from genital stage 2 to stage 5 was present. This indicates that body fat content decreases after 11 years and after genital stage 2, especially if the fact is taken into account that water content of fat-free body mass decreases during this age period. The ability of single anthropometric parameters to predict TBW/weight was low (subscapular skinfold thickness, r = -0.62; triceps skinfold thickness, r = -0.54; weight/height cube ratio, r = -0.48). Even with the use of various combinations of anthropometric parameters in multiple stepwise prediction equations it was not possible to explain more than 50% of the variation of TBW/weight and the high standard error of the estimate indicated large errors in prediction. Thus, body composition of normal adolescent males cannot be predicted with an acceptable degree of accuracy by anthropometric parameters. On the other hand, the deuterium dilution method using salivary water represents a noninvasive method for the determination of TBW which is quite simple and suitable for field studies. PMID- 6579822 TI - Demonstration and partial characterization of chronic lymphocytic leukemia lymphocyte-associated antigens by crossed immunoelectrophoresis of Triton X-100 extracts. AB - Crossed immunoelectrophoresis was used to study the antigens of chronic lymphocytic leukemia lymphocytes. A reference pattern was obtained and 20 samples from 18 patients were compared with this pattern. Extensive variation in the expression of individual antigens was observed. The antigens in the reference pattern were further characterized by modifications of crossed immunoelectrophoresis, viz. labelling of intact lymphocytes by lactoperoxidase catalyzed iodination, affinity crossed immunoelectrophoresis with phenyl Sepharose and Lentil lectin-Sepharose, charge-shift crossed immunoelectrophoresis and postelectrophoretic incubation in (125I) Lentil lectin. Six antigens were identified as surface membrane glycoproteins, 5 as cytoplasmic proteins while 5 could not be classified. Two antigens were finally identified as HLA-ABC and HLA DR by application of small amounts of monospecific rabbit antiserum and monoclonal antibody, respectively. PMID- 6579823 TI - Psychological distress in parents of children with acute lymphatic leukemia. AB - Psychological distress in parents of children with acute lymphatic leukemia was evaluated by means of the Symptom Distress Checklist. This scale was administered twice: within a few days after the child's admission to hospital and 8 months later. Twenty-five consecutive, unselected subjects were compared with controls matched for age, sex, marital status and social class. At the first evaluation the sample presented higher mean scores than the controls for anxiety (P less than 0.005), depression (P less than 0.005), sleep disturbances (P less than 0.005) and obsessions (P less than 0.05). An 8 months' follow-up confirmed the persistence of anxiety (P less than 0.05), sleep disturbances (P less than 0.05) and above all depression (P less than 0.005). PMID- 6579824 TI - Increased cardiac output and lowered peripheral resistance during metoprolol treatment. AB - Echocardiography was performed at every six months in hypertensives well controlled on metoprolol, 100 mg twice a day. After six months' treatment blood pressure was reduced from 177/110 mm Hg to 147/88 (p less than 0.02). LV wall thickness (septum + posterior wall) was unchanged 2.10 cm (2.14), and a significant drop in cardiac output (CO) to 5.0 l/min (6.1, p less than 0.02) was recorded (pretreatment values in brackets). After 24 months' treatment LV wall thickness was reduced to 1.94 cm (p less than 0.02), total peripheral resistance (TPR) to 17.3 mm Hg/l/min (23.4, p less than 0.02) and CO increased to 6.7 l/min (6.1, n.s.). After six months' treatment, there was thus a drop in BP with a significant drop in CO and unchanged TPR. After 24 months' treatment, however, CO was back to the pretreatment level and the drop in BP was entirely caused by a drop in TPR which was probably secondary to a reduction in the wall thickness of the arterial resistance vessels as judged by the relationship between the reduction in wall thickness in the LV and the reduction in TPR during the treatment. PMID- 6579825 TI - Neurotrophic effects on the vascular bed. AB - After defining truly "neurotrophic" influences, and giving examples from the many studies of such influences on the somatomotor system, current research concerning sympathetic neurotrophic effects on the vascular bed is discussed. Tissue-culture studies have made it clear that, particularly in early growth phases, local trophic influences are quite important and interdependent between adrenergic neurons and vascular smooth muscle cells. Most experiments aimed at illustrating neurotrophic effects on vascular beds in vivo, however, seem to suggest the dominance of long-term adaptation processes inherent in the effector cells themselves which, particularly on sustained extrinsic activation however achieved, become increasingly mobilised. This is not to dispute the fact that truly neurotrophic influences seem to be superimposed, facilitating and modulating these essentially intrinsic mechanisms for long-term effector cell adaptation, but their relative importance is difficult to judge. PMID- 6579826 TI - Methodological aspects of microelectrode measurements in cellular spheroids. AB - Different types of oxygen microelectrodes have been tested in measurements on cellular spheroids. The shape of the oxygen gradients varied strongly depending on size and type of the spheroids. No significant differences in the results were obtained when different types of electrodes were applied. All measurements were made in a perfusion chamber. The shape of the gradients did not vary with time in the perfusion chamber. The reproducibility was found good in repeated measurements using the same spheroid. No mechanical or chemical disturbances were seen during the penetration of the spheroids. Changes in the medium flow rate through the chamber did not drastically change the shape of the oxygen gradients. Almost no convection could be seen at the bottom of the chamber close to the spheroids. The composition of the medium was found to be of importance. Lock's solution containing glucose was found to be satisfactory. The potential signals in the double barrel electrodes allowed an accurate determination of the position when the electrode hit the spheroid surface. The information gained from microelectrode measurements in spheroids might be valuable for the understanding of effects of new tumor treatment modalities in which hypoxic cell sensitizers or high LET radiation are utilized. PMID- 6579827 TI - [Relationship between the ocular effect of timolol and ocular prostaglandins]. PMID- 6579828 TI - [Effect of aminefluoride on diuresis and quantity of excreted fluoride in rats]. PMID- 6579829 TI - [Enterococci in the root canals of teeth with periapical diseases]. PMID- 6579830 TI - [Palatal invaginations in permanent teeth]. PMID- 6579831 TI - [New approach to the handling and treatment of exarticulated teeth]. PMID- 6579832 TI - [Analysis of the results of Mise's surgical technic for alveolar mucosal hyperplasia]. PMID- 6579833 TI - [Morphological characteristics of resorption of persistent deciduous teeth]. PMID- 6579834 TI - Evaluation of cerebrospinal fluid mononuclear cells obtained from children with acute lymphocytic leukemia: advantages of combining cytomorphology and terminal deoxynucleotidyl transferase. AB - Sixty cerebrospinal fluid (CSF) samples were obtained from 28 children with terminal deoxynucleotidyl transferase (TdT) positive acute lymphocytic leukemia (ALL). Cell morphology was evaluated using Wright's stained cytocentrifugation prepared slides. The presence of nuclear TdT was detected by an immunofluorescent (IF) assay. Evaluation of CSF mononuclear cells using these two methods simultaneously allowed us to differentiate between leukemic and nonleukemic pleocytosis. Agreement between cytomorphology and TdT in identifying CNS lymphoblasts was found in 55 of 60 samples. Seventy-two per cent of the TdT positive samples were obtained from children with CSF cell counts less than 10 WBC/mm3. We recommend that these two methods be used in conjunction when evaluating CSF mononuclear cells from children with TdT positive ALL. PMID- 6579835 TI - Gold-induced diarrhea and the role of prostaglandins. PMID- 6579836 TI - Chronic myelomonocytic leukemia with a chromosome abnormality (46,XY,20q-) in all dividing myeloid cells: evidence for clonal origin in a multipotent stem cell common to granulocyte, monocyte, erythrocyte, and thrombocyte. AB - In a typical case of chronic myelomonocytic leukemia (CMML), a chromosome abnormality, 46,XY,20q-, was observed in all the dividing cells including up to 16-ploid cells in the bone marrow and the blood. As the mitotic figures could be easily seen not only in myelomonocytoid cells but also in erythroblasts in the bone marrow smear, it was concluded that all the cell lineages except lymphocytes had the abnormality. The present case will support the view that the leukemic process in CMML affects a multipotent stem cell rather than a granulocyte monocyte committed stem cell. PMID- 6579837 TI - Acquired partial deletions of the long arm of chromosome 5 in hematologic disorders. AB - We have analyzed the data on 105 patients reported with a deletion of part of the long arm of chromosome 5 in the presence of hematologic disease. The major conditions associated with this abnormality are refractory anemia, polycythemia vera, and acute myelogenous leukemia, as well as the occasional occurrence of several other problems. PMID- 6579838 TI - Intravaginal versus intracervical application of prostaglandin E2 in viscous gel for cervical priming and induction of labor at term in patients with an unfavorable cervical state. AB - Sixty term pregnant women with unripe cervix were randomly given either 0.5 mg of prostaglandin E2 (PGE2) in 2 ml of gel intracervically or 4 mg of PGE2 in 3 ml of gel intravaginally to prime the cervix and/or to induce labor. In patients with a highly unfavorable cervix (cervical score less than or equal to 3), the intracervical application was significantly more effective than the intravaginal. In patients with a more favorable cervical state (cervical score 4 or 5), the two routes of application were equipotent. Gastrointestinal side effects were registered after intravaginal but not after intracervical application. Myometrial activity was significantly more increased after intravaginal than after intracervical gel application. All children were born in good condition with an Apgar score greater than 7 within 5 minutes. PMID- 6579839 TI - Orthopedic coordination of dentofacial development in skeletal Class II malocclusion in conjunction with edgewise therapy. Part I. AB - The skeletal Class II malocclusion may be considered to develop as a failure of the coordinating process to maintain harmonious relationships within the developing dentofacial apparatus. If the skeletal elements are too far apart for adaptation to occur and/or if there are functional abnormalities of the orofacial musculature which inhibit coordination from taking place, a malocclusion will result. An orthopedic technique and appliance system has been developed with the intention of improving those factors responsible for the development and perpetuation of the skeletal Class II malocclusion in a primary stage of treatment. This is accomplished by means of restraint and redirection of forward maxillary growth and an increase in the velocity of mandibular growth. Concurrently, adverse soft-tissue influences are eliminated or ameliorated. Edgewise appliance therapy is subsequently carried out for the final correction. The subject is considered in two articles. This first article describes the effects of the restraint of maxillary growth on craniofacial development and the dental changes produced by a maxillary removable splint with extraoral traction and shows how they can be used clinically for correction of the skeletal Class II malocclusion. The experimental and clinical evidence supporting this approach is considered, and case histories show the clinical use of the maxillary splint. This form of maxillary therapy for the skeletal Class II malocclusion has limitations, and it is desirable for it to be incorporated into a comprehensive orthopedic system. PMID- 6579840 TI - Quantitative analysis of the orthodontic and orthopedic effects of maxillary traction. AB - This article analyzes differences in displacement of ANS and of the upper first molar when different vectors of force are delivered to the maxilla in non-full banded Phase I mixed-dentition treatment of Class II malocclusion. The sample is identical to that for which we have previously reported differences in change in several key measures of mandibular and facial shape. It includes a cervical traction group, a high-pull-to-upper-molar group, a modified-activator group, and an untreated Class II control group. Using newly developed computer-conducted procedures, which are described, we have been able to partition the orthodontic and orthopedic components of upper molar displacement and also to isolate treatment effects from those attributable to spontaneous growth and development. In the region of ANS, small but statistically significant and clinically meaningful differences were noted between treatments. When the intercurrent effects of growth and development had been factored out (Table III), orthopedic distal displacement of ANS was significantly greater in the high-pull and cervical groups than in the activator group. Orthopedic downward displacement of ANS was seen to be significantly greater in the cervical group than in the high pull and activator groups. In the region of the first molar cusp, mean distal displacement of the tooth as an orthopedic effect was found to be almost identical in the cervical and high-pull groups (although variability was greater in the cervical group), but the mean orthodontic effect was significantly greater in the high-pull group than in the cervical group. In the cervical group, where relatively light forces were used for relatively long treatment periods on average, more of the total distal displacement of the upper molar was of an orthopedic character than of an orthodontic character. Conversely, in the high pull group, in which relatively heavier forces tended to be used for briefer treatment periods, most of the distal displacement at the upper molar was of an orthodontic character. These observations are contrary to expectations from conventional orthodontic theory. In the activator-treated group, roughly equal components of the treatment-associated distal displacement of the upper molar were of the orthodontic and orthopedic types. As concerns changes in the vertical direction in the region of the molar cusp, significant intrusion of both the orthopedic and orthodontic types was seen in the high-pull sample as compared to each of the other groups examined.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6579841 TI - Principles of orthodontic mechanics in orthognathic surgery cases. AB - In orthognathic surgery cases the treatment objectives, extraction patterns, and types of mechanics used are frequently the reverse of those used in conventional orthodontics. Thus, starting cases orthodontically and then, if unsuccessful, referring them for surgery often produces compromised results. Presurgical intra arch objectives include positioning of the incisors in "ideal" positions, establishment of correct torque, and elimination of tooth-size discrepancies so as to permit the establishment of Class I canine and molar relationships after surgery. Presurgical objectives in the sagittal plane focus on removal of dental compensations. This may require the use of Class III elastics in Class II cases (and vice versa), thus allowing for maximal surgical correction of the underlying skeletal deformity. In the transverse plane, differentiation of skeletal from dental problems as well as identification of relative and absolute discrepancies should be carried out presurgically. Lateral corticotomies or segmental maxillary procedures should be used, depending on individual circumstances. Presurgical objectives in the vertical plane include maximizing the amount of presurgical orthodontic treatment carried out in open bites and minimizing the presurgical mechanics in deep bites. Encouragement of opening mandibular rotation at surgery while avoiding an increase in posterior face height contributes to stability. Orthodontic mechanics should not always include presurgical leveling of the curve of Spee and should actively avoid movements that may cause relapse tendencies. Careful attention to the use of surgical arch wires and splints during surgery and fixation, along with controlled elastic therapy and exercise programs after fixation, can greatly facilitate treatment. PMID- 6579842 TI - The surgical-orthodontic correction of mandibular deficiency. Part I. AB - Persons with mandibular deficiency and Class II malocclusions have a spectrum of esthetic, skeletal, and occlusal characteristics. In many of these patients optimal overall results are best obtained via a combined orthodontic-surgical approach. In such cases a critical patient evaluation is essential to decide (1) the optimal operation and (2) the appropriate orthodontic-surgical sequencing. In Part I of this article our method of making these two basic decisions is presented, the decisions being predicated upon achieving optimal esthetic, functional, and stable results. In addition, two of the possible orthodontic surgical approaches--the augmentation genioplasty and the anterior maxillary ostectomy are discussed in detail. These approaches are illustrated with representative cases. In Part II of the article additional options for combined orthodontic surgical-management of this patient population will be discussed. PMID- 6579843 TI - Nasal respiratory resistance and head posture: effect of intranasal corticosteroid (Budesonide) in children with asthma and perennial rhinitis. AB - The influence of mouth breathing on craniofacial development has previously been demonstrated. Recent investigations do indicate, however, that head posture also might be related to craniofacial morphology. The aim of the present study was to analyze the effect of a topical steroid spray (Budesonide) on nasal respiratory resistance and head posture in children with asthma and nasal obstruction. Thirty seven children, 8 to 15 years of age, with bronchial asthma, perennial allergic rhinitis, and subjectively assessed mouth breathing were selected for the study. Rhinomanometric and cephalometric analyses were performed. Head posture was defined as the position of the head relative to the cervical column and to the true vertical. After the first examination the children were randomly allocated to two groups, of which one group was treated intranasally with Budesonide (N = 18) and the other with placebo (N = 19), for a double-blind study. After one month of treatment, there was a statistically significant decrease in nasal resistance (p less than 0.001) and an increased flexing of the head (p less than 0.01) (paired t tests) in the children under active treatment. No significant changes were seen in the placebo group. The results indicate that Budesonide nasal spray is capable of reducing nasal obstruction in allergic children and that a reduced nasal resistance leads to a decrease in craniocervical angulation. The clinical importance of these results is yet to be clarified. PMID- 6579844 TI - The dowel-up bite registration for functional appliances requiring a protrusive and open jaw position: a clinical report. AB - The dowel-up technique is an alternative to conventional jaw manipulation in obtaining the desired protrusive and open position of the mandible required for functional appliances. The patient raises or lowers the tip of a dowel. This requires protrusive jaw movement. The thickness of the dowel will determine the vertical position of the mandible. PMID- 6579845 TI - Retention and the state of the art in orthodontics. PMID- 6579846 TI - On caring. PMID- 6579847 TI - beta-Adrenergic blockade of prostaglandin E2- and D2-induced erythroid colony formation. AB - beta-Adrenergic receptors have been linked to the actions of beta-adrenergic agonists as well as that of other hormones on erythroid cells. In the present studies, arachidonic acid, the precursor for the endoperoxide intermediates for prostaglandins, was demonstrated to produce a significant increase in erythroid colony (CFU-E) formation in normal mouse bone marrow cultures. Meclofenamate, a cyclooxygenase inhibitor drug that inhibits prostaglandins synthesis, significantly inhibited the increase in CFU-E colony-forming cells produced by arachidonic acid, thus establishing that arachidonic acid was probably converted to some prostaglandin or prostaglandin metabolite in the bone marrow to trigger CFU-E. Prostaglandins E2 (PGE2) and D2 (PGD2), both of which have been demonstrated to be produced in the bone marrow, were found in the present studies to increase the number of CFU-E colonies in normal mouse bone marrow cultures. DL Propranolol, a beta 1, beta 2-adrenergic blocking agent, and D-propranolol, a non beta-blocking isomer with nonspecific membrane stabilizing effects, both produced a significant (P less than 0.01) inhibition of the effects of PGE2 or PGD2 on CFU E in murine bone marrow cultures. Butoxamine, a somewhat selective beta 2 adrenergic antagonist drug, also produced a significant inhibition of the effects of PGE2 on CFU-E in murine marrow cultures. These results indicate that the effects of beta-adrenergic blocking agents on prostaglandin-stimulated CFU-E are due to their membrane-stabilizing action rather than specific beta-adrenergic blockade. PMID- 6579848 TI - [Collagen and its metabolism in the dental pulp]. PMID- 6579849 TI - Reversal of setting expansion of gypsum-bonded investments. Part III: Effects of water/powder ratio. PMID- 6579850 TI - [Pellucidity of occlusal contact checking materials]. PMID- 6579851 TI - [Evaluation of the ground surface texture of porcelain posterior teeth]. PMID- 6579852 TI - [Discrimination of anterior tooth form]. PMID- 6579853 TI - [Histological and X-ray microanalytical study of subperiosteal implant. The comparison of surrounding tissue of the aluminum oxide coated and uncoated metal subperiosteal implant]. PMID- 6579854 TI - [Comparison between thermal expansions of porcelain and alloy (1)]. PMID- 6579855 TI - [Experimental study on electrolytic polishing of cast dentures--chromium-nickel frameworks]. PMID- 6579856 TI - [A morphological study on dental caries initiation and developmental process in the primary molars. 1. Observation on extracted primary molars]. PMID- 6579857 TI - [A morphological study on dental caries initiation and its developmental process in primary molars. II. Observation on serial non-decalcified ground specimens]. PMID- 6579858 TI - [Effects of hydrocortisone on the mandibular condylar and tibial epiphyseal cartilages of the rat]. PMID- 6579859 TI - Prostaglandin F2 alpha concentrations in the cerebrospinal fluid of children with febrile convulsions, epilepsy and meningitis. AB - Cerebrospinal fluid prostaglandin F2 alpha (CSF PGF2 alpha) levels were measured by radioimmunoassay in children as follows: Febrile convulsions (31 cases), epilepsies (32 cases), meningitides (31 cases) and non-neurological diseases (20 cases), totaling 114 cases. A 4.5-fold increase in CSF PGF2 alpha levels was seen in simple febrile convulsion, and a 2.5-fold increase in those with complex febrile convulsion as compared to those with non-neurological diseases. On the other hand, no increase in CSF PGF2 alpha levels was seen in children with epilepsy. When the body temperature was normal, the mean CSF PGF2 alpha levels showed no relation with age. When the body temperature was between 37.5 degrees C and 40 degrees C, the CSF PGF2 alpha levels in infants were higher than those in older children. The CSF PGF2 alpha levels in children with meningitis were high. The mean CSF PGF2 alpha levels in bacterial meningitis were not statistically (p greater than 0.05) different from those in viral meningitis. The CSF PGF2 alpha levels in meningitis were high on admission and gradually decreased with therapy. The results of our studies indicate that PGF2 alpha of the central nervous system markedly increased in infants and children with febrile convulsions or meningitis but not in those with epilepsy. PMID- 6579860 TI - [A new modular system for respiratory therapy]. AB - Diversification of respiratory therapy into humidification and secretolysis, oxygen therapy, augmentation of FRC, substitution of the work of breathing and changing inspiratory gas distribution is the basis of a modular device system. The basic unit of the modular system consists of an oxygen-air-mixer, a flow module and an emergency O2-supply for resuscitation bags. The system is preferably attached to the wall rail system and the modules locked into each other. The main advantages are: Reduction in the number of devices around the patient's bed, comprehensive setup; reduction of required storage capacity; cost reduction; easy integration at low cost of new therapeutical procedures; quick and easy change of therapy whilst maintaining basic parameters constant. PMID- 6579861 TI - The MIE Carden ventilator. A description and laboratory assessment. AB - The Carden ventilator is described and assessed when used in adult and paediatric modes against test lungs with varying compliance and airways resistance. The ventilator proved to have limited ability to compensate for changes in test lung compliance and resistance. Repeated confirmation of tidal volume is mandatory, but the Carden combines simplicity with flexibility of design and may prove useful as a theatre ventilator. PMID- 6579863 TI - Ventilator malfunction. PMID- 6579862 TI - Routine servicing of the Cape-Waine ventilator. PMID- 6579864 TI - [Experimental studies with a new Giessen model high frequency jet ventilator]. AB - In some critically ill patients respiratory can be maintained by high frequency jet ventilation. Gas exchange and transport by this method cannot be explained exactly up to date. Therefore it is impossible to compare this method with classical IPPV. Statistics and nomograms must be prepared for common clinical use. PMID- 6579865 TI - A bioluminescent assay for 12-alpha-hydroxy bile acids using immobilized enzymes. AB - A bioluminescent assay for 12-alpha-hydroxy bile acids was developed using enzymes coimmobilized onto Sepharose 4B. The immobilized enzymes used were a bacterial 12-alpha-hydroxysteroid dehydrogenase, bacterial luciferase, and NADPH:FMN oxidoreductase or bacterial diaphorase. The assay was specific for 12 alpha-hydroxy bile acids and the lower limit of detection was 4 pmol/0.5 ml assay volume with a linear range of 4 to 2000 pmol. Intraassay precision was from 7.8 to 8.2%. Values obtained with this assay showed good agreement with those obtained by gas-liquid chromatography. The system using diaphorase was not stable at 4 degrees C in the absence of added thiol compounds, but could be stabilized by the addition of glutathione (0.5 mM). The assay is a convenient, a rapid, and an extremely sensitive method for the measurement of 12-alpha-hydroxy bile acid concentrations in the serum of patients or experimental animals. PMID- 6579866 TI - Alkaline butanol extraction of bile salt and steroid sulfate esters: application to the assay of sulfotransferases. AB - A butan-1-ol solvent-extraction procedure has been evaluated for the assay of 3' phosphoadenosine-5'-phosphosulfate:sulfotransferase activity with various bile salt and steroid substrates. Although butanol extracted the sulfate esters of steroids and bile salts from aqueous solution at neutral pH, extraction at basic pH gave optimum recovery which was independent of protein in the sample. Greater than 99.9% of unreacted 3'-phosphoadenosine-5'-phospho[35S]sulfate remained in the aqueous phase. The data for sulfotransferase activities obtained with this solvent-extraction assay were not significantly different from those obtained with a standard thin-layer chromatography method. Solvent extraction has enabled multiple, rapid assays of several steroid and bile salt sulfotransferases during chromatographic purification of these enzymes from tissue fractions. PMID- 6579867 TI - Enzymhistochemical and morphometrical studies on delta 5-3 beta-hydroxysteroid dehydrogenase during the fetal and neonatal development of rat Leydig cells. AB - The aim of the present report was to study the course of development of rat Leydig cells from 17 fetal day (f.d.) up to 5 postnatal day (p.n.d.), with the help of enzymhistochemical reaction of delta 5-3 beta Hydroxysteroid dehydrogenase (3 beta-HSDH). Testes were obtained from 17 to 21 days old embryos and from 1 to 5 days old offsprings. Cryostat sections were cut and processed for enzymhistochemical reaction of 3 beta-HSDH, employing dehydroepiandrosterone as substrate. The areas of the Leydig cells, showing the enzymatic activity, were measured morphometrically. The 3 beta-HSDH positive intertubular Leydig cells appear on 17 f.d., and grow further showing a maximum peak, relative to the size of the testis, on 19 f.d. Thereafter, the percentage of the Leydig cells relative to the size of the testis decreases continuously up to 4 p.n.d.. The Leydig cells did not regress during the period of observation. Postnatally, the large complexes disperse into many small complexes. PMID- 6579868 TI - Wasted ventilation measured in vitro with eight anesthetic circuits with and without inline humidification. AB - Compression of gases (Boyle's law) and circuit compliance are major determinants of anesthesia circuit function. The materials of which circuits are constructed and the use of heated humidifiers may result in clinically important variations in delivered minute ventilation (VE) secondary to variations in compression volume. We examined eight anesthetic circuits both with and without a heated humidifier in an in vitro setting. Compression volume was determined with a large calibrated syringe. Circuit efficiency was determined by measuring VE at multiple peak inflation pressures (PIP) while using a pediatric ventilator with fixed VE, respiratory rate, fresh gas flow, and I/E ratio. As expected, both compression volume and delivered VE highly correlated with the type of circuit and the pressure at which it was examined (P less than 0.001). Mapleson D circuits had the lowest compression volume and were the most efficient circuits (P less than 0.0001). Pediatric circle systems were intermediate and adult circle systems had the largest compression volume and were the least efficient. Humidifiers uniformly increased compression volume. The following conclusions were drawn: 1) the anesthetic circuit, its material, and the pressure at which it operates are important determinants of circuit function; 2) humidifiers increase compression volume; 3) Mapleson D circuits had the lowest compression volume and therefore were the most efficient; 4) highly compliant adult circuits may result in compression volume losses that exceed the tidal volume of a pediatric ventilator; 5) humidifiers with low volume and rigid tubing should have the least effect on minute ventilation; and 6) highly compliant adult circuits when used in the care of infants and small children must be used with caution. PMID- 6579869 TI - The dilemma of Class III treatment. Early or late? AB - A clinical study of the results of various types of early Class III treatment in 14 patients, with emphasis on the reverse-pull face crib. The conclusion is that the important benefits of early treatment should not be denied because of concerns that a few may still require further treatment later. PMID- 6579870 TI - Morphologic factors in open bite and deep bite. PMID- 6579871 TI - Edgewise therapy with cervical and intermaxillary traction--influence on the position of the bony chin. AB - Comparison of treatment and control samples was intended to reveal those factors which, during Class II correction using Tweed Edgewise technique in conjunction with intermaxillary traction and low cervical traction to upper molars, may lead to undesirable posterior rotation of the mandible. Both samples exhibited similar condyle growth rates. Increased variability of the parameters tested was found within the treatment group. No significant difference was found in the vertical movement of the upper molars, while anterior movement of the upper molars was significantly inhibited in the treatment sample. The treatment sample displayed increased vertical and decreased anterior movement of pogonion, accompanied by posterior rotation of the mandible. Close and similar correlations were found in both samples between the anterior movements of the upper molars and pogonion, between the angles of upper molar and pogonion displacement in relation to Frankfort Horizontal, and between both of the upper molar parameters and changes of mandibular rotation. In the treated sample it was inhibition of anterior movement of the upper first molars, not enhancement of vertical movement that appeared to cause posteroinferior rotation of the mandible and displacement of pogonion through a geometric interdependence. The direction of upper molar movement and condyle growth rate both exert important influences on changes in position of the growing mandible and thus on the nature of profile changes in Class II correction. PMID- 6579872 TI - Oriented lateral temporomandibular joint laminagraphs. Symptomatic and nonsymptomatic joints compared. AB - Lateral temporomandibular joint laminagraphs are aligned with the condyle axis on the basis of a submental-vertex radiograph. Condyle positions in nonsymptomatic and symptomatic joints are compared, revealing a wide range in patients with temporomandibular joint and myofascial pain dysfunction syndromes, with significant differences from non-symptomatic patients. PMID- 6579873 TI - Frontal tomography of articulating temporomandibular joint surfaces. AB - A variety of radiographic techniques to overcome the limitations imposed by the complex and dense bony anatomy of the TMJ area have been developed and reported over the years. Body section tomography can produce images of the internal hard tissues of the joint with much less interference from superimposing structures. Multiple lateral tomographs of the joint can provide useful diagnostic radiographic coverage, but the many exposures require relatively large accumulated radiation exposure. Frontal TMJ tomography offers one alternative, visualizing the entire anterosuperior surface of the condyle from medial to lateral pole on one film. Existing frontal tomographic methods provide a view of the superior surface, but not of the important anterior articulating surfaces. This project has developed and tested a technique for angulating frontal tomographs of the temporomandibular joint on two axes to visualize the articulating anterosuperior surface of the condyle and posterior slope of the articular eminence. PMID- 6579874 TI - Long-term stability of dental relationships after orthodontic treatment. AB - Adult changes in selected occlusal parameters are measured, with the study sample limited to 72 subjects with a history of malocclusion treated orthodontically 12 to 35 years previously. Variations were large. Most of the corrections were retained, with mean changes tending toward pretreatment values. PMID- 6579875 TI - Lower cranial height vs craniofacial dimensions in Angle Class II malocclusion. AB - From the serial sample of the Burlington Growth Centre, 68 children with Angle Class II malocclusion were contrasted with 148 children with Class I occlusion. Body height, cranial height, cranial base flexure and jaw position relative to the cranium were compared at ages 8, 12 and 16 years. In the Class II groups, the cranial base angle was significantly (P less than .05) larger, upper cranial height was slightly larger, lower cranial height was slightly smaller, the maxilla was slightly more posterior to Sella, and the mandible was significantly more posterior. Between ages 8 and 16 years, lower cranial height increased and cranial base angle decreased, with a strong negative correlation. Lower cranial height and the anterior position of the maxilla and mandible from Sella correlated significantly (P less than .01) with body height in Class I children, but in Class II only in boys 8 and 12 years of age. This lower correlation in Class II children was accounted for by those with a moderate to tall stature but disproportionately small lower cranial height. In Class II children the jaws, especially the mandible, had a more posterior position under the cranium, and there was a more open flexure of the cranial base and shorter lower cranial height. Correlation of stature with lower cranial height and with the anterior position of the jaws relative to the cranium was much lower in Class II children, especially in girls. PMID- 6579876 TI - Renal hypoprostaglandism, hypertension, and type IV renal tubular acidosis reversed by furosemide. AB - A 13-year-old white girl with severe hypertension and type IV renal tubular acidosis had decreased renal chloride clearance and exaggerated sodium chloride reabsorption by the ascending limb of Henle during hypotonic saline diuresis. Urinary prostaglandin E2 excretion was markedly diminished and often undetectable (0 to 37 ng/24 h). Treatment with oral furosemide completely reversed the hypertension and hyperkalemic acidosis, and effected a 20-fold rise in urinary prostaglandin E2. Sodium chloride reabsorption by the thick ascending limb of Henle decreased from 93.5% to 79.3%. Renal hypoprostaglandism may have a pathogenic role in this syndrome by enhancing chloride reabsorption in the ascending limb of Henle leading to extracellular fluid volume expansion, hypertension, and suppression of the renin-angiotensin-aldosterone axis. The therapeutic effects of furosemide may be partially mediated by enhancing the biosynthesis of renal prostaglandins or inhibiting their breakdown. PMID- 6579877 TI - Acquired factor XIII deficiency with chronic myelomonocytic leukemia. PMID- 6579878 TI - Recombinant DNA methods for prenatal diagnosis. PMID- 6579879 TI - The behaviour of Azospirillum spp. in the presence of plant growth hormones. AB - Tests were carried out to determine the effects of commercial preparations of indole-3-acetic acid (IAA), gibberellin (GA) and kinetin, separately and in combination, on Azospirillum lipoferum and A. brasilense. These hormones showed no effect upon morphology, growth rate, or oxygen uptake. Some random effects of GA, kinetin and the combination of hormones--but not of IAA alone--were observed on the number of viable cells. IAA, in the concentrations 0.001-1.0 microgram/ml, inhibited nitrogenase in A. lipoferum but not in A. brasilense. GA and kinetin separately and in combination with IAA had no influence on nitrogenase activity. PMID- 6579880 TI - Malignant bone tumors and their metastases. PMID- 6579881 TI - Intraperitoneal penetration of cefotetan. AB - The intraperitoneal penetration of cefotetan was studied after a 1-g intravenous injection in 25 patients undergoing elective gastrointestinal surgery. Levels of peritoneal fluid were high within 10 min after administration and increased to 44% of the serum levels after 30 min, rising to 115% at 3 h. The mean concentration of cefotetan between 3 and 5 h after administration was 32.3 micrograms/ml. These findings suggest that 1 g of cefotetan administered before abdominal surgery would result in intraperitoneal cefotetan levels necessary to inhibit susceptible pathogens for 5 h or more. PMID- 6579882 TI - Identification of calcium-independent myosin kinase with casein kinase II. AB - A crude myosin fraction from bovine brain has been found to contain a Ca2+ independent myosin kinase that catalyzes the phosphorylation of 20,000-Da light chain of gizzard myosin. The myosin kinase has been separated from the myosin by Sepharose CL-4B gel filtration and purified further by chromatography on phosphocellulose, Sephacryl S-300, and hydroxylapatite. The myosin kinase was found to copurify with casein kinase II and show the same substrate specificity with the casein kinase. These results indicate that the myosin kinase is identical to casein kinase II. The purified myosin kinase catalyzed the preferential phosphorylation of the threonyl residues of 20,000-Da light chains of gizzard and brain myosins. The 17,000-Da light chains of these myosins and the mixed light chains of skeletal and cardiac muscle myosins were not phosphorylated by the enzyme to an appreciable extent. PMID- 6579883 TI - [Small dose of ARA-C in the treatment of an elderly patient with acute myeloblastic leukemia]. AB - A 79 year old man with a history of myocardial infarction and cerebral infarction was admitted to our hospital in August, 1982. The hematological examination showed anemia and leukopenia (myeloblast 12%), and bone marrow aspiration confirmed the diagnosis of acute myeloblastic leukemia (FAB, M2). Because his general condition was poor, he was treated with small dose of Ara-C (10 mg/m2/12 hr, subcutaneous injections), obtaining complete remission. In cases of acute myeloblastic leukemia in elderly patients where other intensive treatments are contraindicated, it appears to be useful to employ a method of small dose of Ara C therapy. PMID- 6579884 TI - Height and lymphoblastic leukemia. PMID- 6579885 TI - [Neurosurgical methods in the treatment of cancer pain]. PMID- 6579886 TI - Management of pulmonary metastases from osteogenic sarcoma. PMID- 6579887 TI - Survival following aggressive resection of pulmonary metastases from osteogenic sarcoma: analysis of prognostic factors. AB - Between 1975 and 1982, 80 patients with osteogenic sarcoma were entered into prospective trials in the Surgery Branch of the National Cancer Institute. In 43 of these patients, pulmonary metastases developed as the initial site of recurrence, and 39 underwent one or more thoracotomies for resection of the disease. The actuarial five-year survival for the group of 43 patients with pulmonary metastases was 40%. Various prognostic factors were analyzed for their influence on survival after thoracotomy. Age, sex, location of primary tumor, tumor doubling time, and involvement of one or both lungs (bilaterality) were not significant in predicting survival. Prognostic factors that influenced survival, calculated by regression analysis, included the number of nodules on preoperative lung tomograms (negative correlation, p = 0.0004), disease-free interval (positive correlation, p = 0.0136), resectability (positive correlation, p = 0.002), and the number of metastases resected at thoracotomy (negative correlation, p = 0.0032). The presence of 3 nodules or less on preoperative full lung linear tomography was found to be the single most useful preoperative prognostic factor. The application of these prognostic factors preoperatively may identify patients who will benefit optimally from thoracotomy. PMID- 6579888 TI - Genetic markers in alcoholism: no association with HLA. AB - We carried out a study on 63 patients suffering from alcoholism in order to determine the frequency of 27 HLA antigens. In comparison to healthy blood donors no significant deviation of HLA distributions in alcoholics was found. The data on alcoholic patients with physical consequences such as cerebral seizures, liver cirrhosis and polyneuropathy failed to identify an association with HLA. PMID- 6579889 TI - Senile-onset vocal and motor tics. PMID- 6579890 TI - Association of food lectins with human oral epithelial cells in vivo. AB - The association of wheat germ agglutinin (WGA) and peanut agglutinin (PNA) with oral tissues after eating raw wheat-germ or raw peanuts, respectively, was determined. An indirect enzyme-linked immunoassay (ELIA) was used to detect WGA and PNA on epithelial cells. Buccal and tongue epithelial cells, and preparations of salivary sediment exhibited ELIA units of WGA and PNA significantly above background after eating 2--7 g of wheat-germ or 25 g of raw peanuts, respectively. Both lectins were detected also in preparations of salivary bacteria where they persisted for 1--6 h. Samples collected after eating raw wheat-germ and incubated with N-acetylglucosamine, or samples collected after eating raw peanuts and incubated with galactose had reduced ELIA units of lectin present. This suggests that the lectins were not non-specifically adsorbed or present as unbound food particles. Pretreating buccal epithelial cells in vitro with 25 micrograms of WGA increased the numbers of Streptococcus sanguis FC-1 cells which attached. Similarly, statistically significantly higher numbers of Strep. sanguis cells attached to buccal cells which were collected from donors after they had eaten raw wheat-germ compared to buccal cells collected prior to eating. PMID- 6579891 TI - Effects of an experimental diet on parotid saliva and dental plaque pH in institutionalized children. AB - Sixty-six children aged 6-12, permanent residents of a children's home, were placed on a diet during a 45-day experimental period to measure salivary flow rate, pH of saliva and dental plaque, total concentrations of salivary proteins, inorganic phosphate, bicarbonate, calcium and amylase. The total caloric content, as well as the proportional nutrient and calorie distribution of the foods, were determined and compared with those of the previous habitual diet. After the experimental period, stimulated parotid salivary flow, increased by 40 per cent over the pre-experimental values. Total proteins of saliva and pH of both saliva and dental plaque increased significantly, whereas inorganic phosphate concentration decreased. Concentrations of bicarbonate, calcium and amylase did not differ from those found pre-experimentally. The findings appear to derive from lesser retention and increased hardness of the foods in the experimental diet. PMID- 6579892 TI - Activation of rutin by human oral bacterial isolates to the carcinogen-mutagen quercetin. AB - Oral streptococci, isolated from the mouths of 2 healthy subjects, hydrolysed innocuous rutin, a flavonoid glycoside, to its genotoxic aglycon quercetin, in vitro. The isolates were identified as Streptococcus milleri. The glycosidase, rutinase, was studied in cell-free extracts derived from one of the isolates, grown anaerobically in batch cultures by the use of a bioassay, the Ames test, in which S-9 was replaced by the cell-free extracts. This streptococcal rutinase was: constitutive, partly inducible, cytosolic, most active for rutin and most active at pH 6.5. Type-culture collection strains of other oral streptococci (Streptococcus salivarius ATCC 25975 and Streptococcus mutans strain 6715-10) showed no capacity for rutin degradation. A hypothesis for a novel role of the oral microflora in a disease process other than caries and periodontal disease, namely intra-oral cancer, is presented. The possibility of a bacterial liberation of the genotoxic quercetin in situ could be but one example of its involvement in the local carcinogenic process. PMID- 6579893 TI - Evidence that healthy human gingiva contains functionally heterogeneous fibroblast subpopulations. AB - Six mass cultures of human fibroblasts derived from a single biopsy of a normal gingival papilla tip were studied with regard to their protein, collagen and glycosaminoglycan synthesis in vitro, using incorporation of radiolabelled substances. The proliferation rates, replicative life-spans and cell-size distributions of these mass cultures were determined. There were significant differences among the 6 cultures and these differences persisted throughout numerous cell replications in vitro. It is suggested that functional heterogeneity exists among phenotypically stable fibroblast subpopulations or subpopulation mixtures from normal tissue. The concept of participation of fibroblast subpopulations in disease pathogenesis is supported by these preliminary findings. PMID- 6579894 TI - Cephalometric analysis of adaptations after lengthening of the masseter muscle in adult rhesus monkeys, Macaca mulatta. AB - This relationship between the function of the muscles of mastication and craniofacial form was investigated in young adult monkeys by increasing the functional length of the elevator muscles of the mandible non-invasively by a bite-opening splint cemented to the maxillary dentition. The major adaptations to increased vertical dimensional were (1) marked superior and some anterior displacement of the maxillary complex, (2) dental intrusion and (3) rotation of the mandible. These alterations produced a shortening of the lengthened masseter muscle, i.e. a reduction in the amount of muscle stretch brought about by the appliance. Migration of the masseteric insertion along the ramus did not contribute significantly to the pattern of adaptation. The role of the masseter muscle in craniofacial adaptations to altered vertical dimension was determined by detaching and re-attaching the insertion of the masseter muscle in one group of experimental animals. The myotomized monkeys experienced significantly less anterior displacement of the maxilla than the non-myotomized monkeys, indicating that the surgery may have lessened some of the anteriorly-directed distracting forces of the lengthened masseter. Masseter myotomy alone was not sufficient to eliminate the vertically-directed distracting forces of the remainder of the mandibular elevator muscles brought about by increasing the vertical dimension of the lower face. PMID- 6579895 TI - Glucocorticoid-induced atrophy in different fibre types of selected rat jaw and hind-limb muscles. AB - Six weeks of glucocorticoid treatment (triamcinolone-acetonide-21-phosphate, 1 mg/kg of body weight daily) resulted in a similar pattern of fibre type atrophy in jaw and hind-limb muscles. Fast-twitch glycolytic fibres were significantly atrophied in all muscles investigated. Fast-twitch oxidative glycolytic fibres were affected only in the fast (white) regions of the mixed muscles, while slow twitch oxidative fibres were unaffected. The results from pair-fed controls (food intake matched to the glucocorticoid-treated animals) showed that the glucocorticoid produced an atrophic response in addition to that produced by the decreased food intake in the experimental animals. These results suggest that the jaw musculature shares the wasting effects induced by elevated circulating glucocorticoid levels often found in stress situations. PMID- 6579896 TI - The amount and distribution of sclerotic human root dentine. AB - In low-power photomicrographs of ground sections of canine teeth, the amount of sclerosis increased with age linearly and was not markedly affected by the function of the tooth or external stimuli encountered during life. The pattern of distribution was similar in all teeth. Sclerosis started in the apical dentine adjacent to the cementum and extended coronally and towards the root canal, with increasing age. In the plane transverse to the long axis of the root, sclerosis appeared first at the mesial and distal sides so that the sclerotic zones formed a butterfly shape. PMID- 6579897 TI - The effect of a microfilament-disrupting drug, cytochalasin B, on 6-hourly and daily eruption rates of the rat mandibular incisor. AB - The drug did not affect 6-hourly and daily eruption rates of the unimpeded mandibular incisor of the rat. It is suggested that the tooth eruption is not inhibited by the disruption of microfilaments because the disruption was not associated with the motility of the cells and/or that the motility of the cells is not associated with the motive force of tooth eruption. Further studies may be necessary to confirm that the effects of cytochalasin B are on both microfilaments and motility of the periodontal fibroblasts. PMID- 6579898 TI - Phospholipids associated with human parotid gland sialoliths. AB - Ca-acidic phospholipid-phosphate complexes (CPLX) were isolated from 6 whole and 2 pooled human parotid sialoliths containing the mineral phases hydroxyapatite, whitlockite and octacalcium phosphate (ash 78 +/- 16 per cent, n = 7). Total lipids accounted for 25 per cent of the demineralized dry weight of these sialoliths. CPLX was 39 +/- 18 per cent of the lipid phosphorous pool, while diphosphatidyl glycerol, phosphatidyl ethanolamine and phosphatidyl choline were the principal non-complexed phospholipids. The high cholesterol:phospholipid molar ratio (1.0 +/- 0.3) observed in the sialolith lipids suggests a plasma membrane origin for these lipids. PMID- 6579899 TI - Influence of the rate of force application on the absolute psychophysical threshold level of periodontal mechanoreceptors in man. AB - In seven volunteers, controlled small forces were applied in an axial direction to a maxillary central incisor. The forces were generated by a stimulating device supported by the maxillary molars. The stimuli had a symmetrical triangular shape; force-application rates were varied from 1.88 to 960 mN/s. Threshold levels of sensation were determined at the various force-application rates. The relation between force-application rate and threshold level was negative, using 1.88, 3.75 and 7.5 mN/s stimuli. This trend was interrupted as threshold levels were higher at 15 than at 7.5 mN/s. In the range of more rapidly applied forces, 15-960 mN/s, the relationship was also negative, consistently, with a slope of 0.22 of the linear regression line after logarithmic transformation. It was concluded that the periodontal mechanoreceptive unit, as far as conscious functioning is concerned, may be described as a relatively inaccurate static force-detector when small magnitude forces are applied at low rates. Some rate sensitivity appears with more rapidly-applied stimuli. PMID- 6579900 TI - Predominant cultivable microflora of plaque on removable dentures in patients with healthy oral mucosa. AB - Plaque from the fitting surface of upper full dentures in eight patients with healthy palatal mucosa was studied. To characterize the predominant cultivable flora, 916 isolates (100-128 from each sample) were subcultured from anaerobic roll-tubes. Streptococci constituted 0-81 per cent (median, 41 per cent) of the isolates with varying proportions of Streptococcus milleri, Streptoccus mutans, Streptococcus salivarius, Streptococcus mitior and Streptococcus sanguis. Staphylococcus aureus made up 0-13 per cent (median, 6 per cent). Gram-positive rods constituted 1-74 per cent (median, 33 per cent). Among these, Actinomyces israelii, Actinomyces naeslundii, Actinomyces viscosus and Actinomyces odontolyticus were the most common species, whereas lactobacilli were isolated only from two samples, constituting 21 and 48 per cent. Among Gram-negative bacteria, only Veillonella parvula was common, constituting 3-20 per cent (median, 10 per cent). Gram-negative rods were isolated only from three samples in small proportions making up 0-6 per cent (median, 0 per cent) of the flora. Forty-seven isolates (5 per cent) were lost. Cultures for yeasts on Sabouraud agar were positive for five samples and the yeast counts corresponded to 0-0.45 per cent (median, 0.002 per cent) of the total viable counts. The microflora of denture plaque is highly variable and is to a large extent similar to that of some forms of dental plaque. PMID- 6579901 TI - The histology of sclerotic human root dentine. AB - Studies by optical microscopy, microradiography and SEM suggested that sclerosis is the result of occlusion of the dentinal tubules by a mineral substance with a refractive index similar to that of the rest of the dentine. Translucence appeared before the majority of the tubules were completely occluded. The deposition of the occluding mineral took place initially in individual tubules or in groups of tubules. The occluding material and the peritubular dentine were almost indistinguishable under SEM. Both were smooth and densely mineralized. The process of deposition of occluding mineral appeared to be more like that of in vitro mineralization and thus different from that of peritubular dentine. PMID- 6579902 TI - A scanning electron microscopic study of the odontoblast process in human coronal dentine. AB - It is generally accepted that the odontoblast process occupies the dentinal tubules only in the inner part of the dentine, extending approx 0.7 mm from the pulp in both animals and man. Twenty-three premolars, molars and third molars from subjects aged 11-24 yr, all caries-free or only slightly decayed, were processed immediately after extraction by one of four methods. (I) Teeth were split in liquid nitrogen and then fixed, dehydrated in ascending ethanol, and dried by critical point drying (CPD). (II) Teeth were fractured by use of a mallet and a chisel and then prepared as in Method I. (III) The root was cut off using a diamond disk or a mallet and a chisel and the crown was then fixed, fractured in liquid nitrogen, dehydrated and CPD. (IV) As Method III but following fixation the teeth were freeze-dried. All specimens were examined in the scanning electron microscope (SEM). In specimens prepared by Methods II, III or IV the odontoblast process was limited to the inner third of crown dentine. However in all the specimens prepared by Method I the odontoblast process extended to the dentine-enamel junction. PMID- 6579904 TI - An in-vitro model for tooth eruption utilizing periodontal ligament fibroblasts and collagen lattices. AB - An in-vitro model that simulates tooth eruption was devised to determine the possible role of periodontal ligament fibroblasts (PLF) in providing a major force for eruption. The model consisted of agarose-coated wells in multiwell tissue-culture plates to which wire mesh was attached at the rim and a slice of demineralized root was attached to the floor. When the wells were filled with a collagen lattice containing PLF, the lattice contracted and elevated the root slice. The root slice in models that were unattached at the rim was not elevated. Cultures without cells did not contract and root slices were not elevated. Elevation was inhibited by cytochalasin D and Colcemid. Histologically, cultures that had elevated showed orientated cells and collagen fibres. The results suggest that PLF may be capable of generating forces that are sufficient to produce tooth eruption. PMID- 6579903 TI - Lipid composition of human labial salivary gland secretions. AB - Extraction of the dialysed and lyophilized labial saliva with chloroform/methanol yielded 423.8 +/- 73.0 micrograms of lipids/ml of saliva, a level 4-5 times higher than in the major salivary glands. Of the total lipids, 32.4 per cent were represented by neutral lipids, 44.6 per cent by glycolipids and 23.0 per cent by phospholipids. Neutral lipids had a high content of free fatty acids (43.8 per cent), cholesteryl esters (26.9 per cent) and triglycerides (15.4 per cent). The glycolipids consisted mainly of neutral (74.6 per cent) and sulphated (25.4 per cent) glyceroglucolipids, whereas phosphatidylethanolamine, phosphatidylcholine, sphingomyelin and phosphatidylserine accounted for 54.7 per cent of the total phospholipids. PMID- 6579905 TI - Implantation of transformant strains of the bacterium Streptococcus sanguis into adult human mouths. AB - Streptococcus sanguis strains isolated from dental plaque of 12 subjects were screened for their ability to undergo genetic transformation using a streptomycin resistance marker. All subjects harboured at least one transformable strain. Eight of the subjects were implanted with transformant strains originally isolated from their own mouth, whereas four subjects received bacteria from other donors. The Strep. sanguis transformants became successfully implanted; their oral levels remained virtually unchanged during the 3-month experimental period. Their oral establishment did not seem to be related to whether the subjects were implanted with their own transformant strains or not. The implanted Strep. sanguis could be recovered both from teeth, oral soft tissues and throat. PMID- 6579906 TI - Haemolysis of human erythrocytes by the Fusobacterium nucleatum associated with periodontal disease. AB - Fusobacterium nucleatum and Bacteroides gingivalis are associated with oral disease. They both attach to haemagglutinate and human erythrocytes. Experiments were performed to determine whether haemolysis would occur following attachment of strains of F. nucleatum and Bacteroides species including B. gingivalis. The F. nucleatum strains consistently displayed both haemagglutination and haemolytic activity. The B. gingivalis strains and other Bacteroides species displayed haemagglutination but no measurable haemolytic activity. Varying the concentration of the F. nucleatum whole cells in the standard haemolysis assay suggested a F. nucleatum-erythrocyte binding site interaction. The haemolytic moiety was observed in various cell, cell wall and lipopolysaccharide extracts. PMID- 6579907 TI - A kinetic study of rat salivary gland alkaline phosphatase and its inhibition by cadmium. AB - Alkaline phosphatase, confined to myoepithelial cells and blood capillaries in rat submandibular salivary gland (SSG), may participate in the regulation of salivary flow. To determine whether the alkaline phosphatase of SSG has unique properties, comparative kinetic and inhibition studies on enzymes from SSG, intestine and kidney were performed. The Km values (at optimal pH for each tissue) of 0.34, 0.55 and 0.49 mM with p-nitrophenylphosphate for the enzymes from SSG, kidney and small intestine respectively were similar. However, in the presence of cadmium the Ki values of 0.08 and 0.12 microM for the enzymes from SSG and kidney respectively were different from the value of 1.86 microM for the enzyme from small intestine. Differences in Ki values suggest differences in biochemical properties between the enzyme from small intestine and that isolated from SSG or kidney. PMID- 6579908 TI - Age-related changes in reducible crosslinks of human dental pulp collagen. AB - Coronal pulp of human third molars from patients ranging in age from 16 to 40 yr was analysed for collagen, protein, calcium and reducible crosslink content. Dihydroxylsinonorleucine (DHLNL) was the major crosslink; it decreased with age. Hydroxylsinonorleucine (HLNL) and lysinonorleucine (LNL) appeared in insignificant amounts. Calcium content increased with age. Based on the premise that collagen synthesis is characterized by the presence of reducible crosslinks, the study showed that coronal pulp collagen synthesis decreases with age; this is accompanied by a decrease in collagen concentration in terms of dry weight and total protein between 16 and 30 hr of age. PMID- 6579909 TI - The mineral content of human enamel studied by polarizing microscopy, microradiography and scanning electron microscopy. AB - The total observed birefringence and mineral content of the outer 300 micron of longitudinal sections of sound buccal premolar enamel were measured and three dimensional contour maps were made. Using similar contour maps of calcium, carbonate and magnesium content from the literature, it seemed possible to explain the differences between the contour maps of total observed birefringence and mineral content. Scanning electron micrographs provided information about the orientation of the prisms. The cervical part of the enamel had a high intrinsic birefringence which may explain the difference between mineral content and total observed birefringence. This high intrinsic birefringence may be caused by a high carbonate content in cervical enamel. PMID- 6579910 TI - Changes in the structure and chemical composition of the mandibular condylar cartilage of the neonatal mouse. AB - The cartilage of the mandibular condyle of growing mice was used to monitor changes in the content of protein, DNA, hydroxyproline, hydroxylysine, uronic acid, calcium and phosphate. Protein and DNA increased in a stepwise fashion with one spurt seen during the first 2 weeks of post-natal life a second immediately after weaning. Hydroxyproline increased during the entire growth period, i.e. until the 8th post-natal week. Hydroxylysine increased only until week 4. The content of the uronic acid fluctuated and showed highs and lows throughout the growth period. Both calcium and phosphate increased in an almost parallel fashion from birth until the stage of tissue maturation. Morphological studies indicated that the hyaline type of cartilage in the newborn is gradually replaced by a fibrous tissue, which reveals a markedly different structure and composition. PMID- 6579912 TI - Computer simulation of the breakdown of carrot particles during human mastication. AB - There are two separable aspects of the mastication of food particles. One aspect describes the probability of the selection of particles for fracture (selection); the other describes the manner of fragmentation of the particles (breakage). Definitions of these concepts were used to produce an approximate equation for food breakdown, which can be solved by iteration in a computer. Values for the selection and breakage functions, obtained from 10 human subjects using carrot as a test food, were used in a computer program which modelled mastication. The model assumed (1) that selection depended only on particle size (2) that fragmentation (range of fractions or sub-particles produced) was similar for all particles, whatever their size. Good agreement was found between the actual particle-size distributions produced by mastication and those distributions generated by the computer. Simulations predicted that the initial particle size of the carrot before mastication could be varied substantially, so producing similar particle-size distributions after 15 chews. PMID- 6579911 TI - Methods for analysing the breakdown of food in human mastication. AB - A method is described for measuring the rate at which carrot particles are broken down in chewing. In 10 subjects, this rate declined progressively throughout mastication. This was analysed in terms of two variables: (a) the intra-oral selection of particles for fracture, (b) the size distribution of fractured pieces of those particles. When intra-oral selection was measured by different methods, it depended mainly upon particle size. The selection of small particles might depend on the number of chews taken after the food was placed in the mouth. The size distribution of fractured pieces was obtained from one chew on three different particle sizes. These distributions were partially described by two different equations whose characteristics suggest that carrot particles are subjected to only one breakage per chew and that the number of fragments formed per breakage is small. It is suggested that the cusps present on the post-canines were important in determining this breakage pattern, and that the dependence of selection on particle size was primarily responsible for the decline in the rate of breakdown with increasing numbers of chews. PMID- 6579913 TI - Comparison in vitro of the incorporation of D-[2-3H(N)]-mannose and D-[1-14C] glucosamine into glycoproteins of dispersed rat submandibular salivary gland cells. AB - The incorporation of two different radiolabelled sugars, D-[14C]-glucosamine and D-[2-3H(N)]-mannose, into cellular and secretory glycoproteins was compared using dispersed rat submandibular cells. Most of the de-novo biosynthesis appeared to be directed toward the synthesis of secretory material as the molecular profile of the 3H-labelled material released following sympathomimetic stimulation and the percentage of total 3H-labelled acid--precipitable material secreted following cholinergic- or adrenergic-receptor stimulation coincided with the data obtained from similar studies using [14C]-glucosamine. The [3H]-mannose label was found in the neutral sugars mannose, galactose, glucose and fucose, with trace amounts of radiolabel in the amino sugars, whereas the [14C]-glucosamine label was present in three different amino sugars; glucosamine, galactosamine and sialic acid. PMID- 6579914 TI - Comparative effects of five chlorosucrose analogues on acidogenicity and adherence of the oral bacterium Streptococcus mutans in vitro. AB - Standardized Streptococcus mutans suspensions were incubated with five chlorosucrose compounds alone and in the presence of sucrose. Fall in pH was recorded over 4 h. Other experiments used image-analysis techniques to measure deposition by sedimentation from similar test suspensions. In the pH experiments, order of acidogenicity was 1'-chlorosucrose or 4,6,6'-trichlorosucrose greater than 1',6'-dichlorosucrose greater than 6,1',6'-trichlorosucrose. The last two compounds statistically significantly reduced fall in pH from metabolism of endogenous carbohydrate. All the chlorosucroses significantly decreased acidogenicity of sucrose; with 6,1',6'-trichlorosucrose and 4,1',6' trichlorosucrose terminal pH was approximately 1 unit higher than with sucrose alone. In the deposition experiments, all chlorosucroses except 1',6' dichlorosucrose decreased deposition in the presence of sucrose after either 30 min or 4 h incubation. The greatest reduction in deposition in the presence of sucrose after 4 h was with 6,1',6'-trichlorosucrose or 1'-chlorosucrose. PMID- 6579916 TI - Effect on peroxidase activity and specific binding of the hormone 17 beta oestradiol and rat salivary glands. AB - The effect was studied on immature and adult female rats. Oestradiol, given either once (10 micrograms) or three times (3 X 10 micrograms) subcutaneously significantly retarded the total weight gain of immature rats whereas, at the same time, the weight of the uteri increased several fold. The weights of neither salivary nor lacrimal glands were dependent on oestradiol. The activity of the peroxidase enzyme, a marker of oestrogen-responsive tissues, increased significantly in the rat uteri but had no effect on lacrimal peroxidase. The levels of rat salivary peroxidase increased during oestradiol administration with considerable differences between various glands. The increase in peroxidase activities could not be explained by changes in the total protein content but seemed to be specific for this enzyme. Experiments using [3H]-oestradiol indicated specific binding to uterus, parotid and submandibular glands. It is concluded that rat salivary glands are oestrogen-responsive. PMID- 6579915 TI - The repressible metabolism of sorbitol (D-glucitol) by intact cells of the oral plaque-forming bacterium Streptococcus mutans. AB - Sorbitol metabolism of Streptococcus mutans was studied. Cocci adapted to growth in sorbitol, glucose or both were challenged to grow on and to ferment those carbohydrates in pH-controlled defined media with intact cells capable of metabolic inductions and regulations. Glucose degradation when in high concentration did not depend upon induction of glucose-specific phosphoenolpyruvate-dependent phosphotransferase activity, as it did at low glucose concentrations. Sorbitol utilization was signalled by the induction of sorbitol-specific phosphoenolpyruvate-dependent phosphotransferase and sorbitol-6 phosphate dehydrogenase activities which persisted throughout the growth cycle. However, when even low levels of glucose were present, sorbitol transport and catabolic activities were rapidly repressed and they were not de-repressed until essentially all glucose had been utilized. Metabolism of sorbitol thus relies on the sorbitol phosphotransferase/sorbitol-6-phosphate dehydrogenase pathway whose activity is sensitively repressed in the presence of glucose. PMID- 6579917 TI - Progressive decrease in dentine permeability following cavity preparation. AB - Dentine permeability determinations were made longitudinally in cavities prepared in dog teeth in vivo, using two different techniques: isotope clearance and fluid filtration. Measurements made with both techniques indicate that there is a large reduction in dentine-permeability within the first week following cavity preparation. The phenomenon requires an intact pulp and is not the result of microleakage of temporary restorations. PMID- 6579918 TI - The free amino acids in human dental plaque. AB - Analysis of plaques from maxillary and mandibular incisors for free amino acids showed that the dicarboxylic amino acids, glutamic and aspartic, were present in largest amounts, with glutamic acid comprising at least 50 per cent of the total pool. Other amino acids in decreasing order of prominence included proline, ornithine, alanine, lysine, glycine, threonine and serine. This pattern was basically the same in the plaques from the different incisor sites but was clearly different from those of hydrolysates of either the plaque bacteria or the plaque matrix. The results were consistent with the most prominent plaque-free amino acids being associated mainly with the intermediary metabolism of the plaque bacteria. Urea and glucose were then applied to plaque in vivo in the form of rinses to determine if during their metabolism any of the plaque amino acids are affected. Glutamic- and aspartic-acid concentrations both rose after plaque exposure to urea accompanied by a small rise in alanine. After glucose exposure, aspartic- and glutamic-acid concentrations both showed large decreases and alanine showed a small increase. With glucose plus urea, glutamic acid rose and fell, aspartic acid decreased slightly and alanine increased several fold. In each case, the other free amino acids showed little or no change. Thus glutamic and aspartic acids are major components of the intra-cellular pool of amino acids and probably play an important role in alanine synthesis, presumably by facilitating transamination of pyruvate. PMID- 6579919 TI - The concentration of sodium, potassium and chloride in rabbit submandibular saliva during postnatal development. AB - Saliva was collected from the cannulated ducts of submandibular glands of rabbits at various ages from birth to adulthood and analysed for sodium, potassium and chloride. Saliva was obtained at all ages by electrical stimulation of the parasympathetic innervation to the gland. On the day of birth (day 1), salivary sodium was 108.5 +/- 3.4 mM (n = 8) and chloride was 89.9 +/- 3.6 mM (n = 9) falling to adult-like concentrations of 5.7 +/- 0.6 mM (n = 13) and 16.5 +/- 1.2 mM (n = 9) respectively by day 10. On Day 1, salivary potassium was 23.9 +/- 1.8 mM (n = 7) and rose progressively to 76.8 +/- 2.5 mM (n = 8) on day 17. Adult potassium concentration was 30-40 mM. A wide range of flows was obtained at all ages and at each age sodium and chloride concentrations were approximately constant at all flows. Therefore the changes in electrolyte concentration cannot be explained by differences in flow. The results suggest a maturation of ductal transport of sodium, potassium and chloride ions concurrent with the structural maturation of striated duct cells. PMID- 6579921 TI - The effects of topical dinoprostone on the nasal vasculature. A study of patients with allergic rhinitis. AB - We studied the effects of topical dinoprostone on the nasal blood vessels of patients with allergic rhinitis. The outstanding changes noted were constriction of the arterioles and capillaries (to a lesser extent) and tight closure of the interendothelial junctions. These changes caused a diminution of nasal blood flow and edema fluid formation, a reduction in the size of the turbinates, and consequently, an increase in nasal patency. However, dinoprostone had no effect on the nasal venules. PMID- 6579920 TI - Composition of human palatine gland secretions and evidence for the presence of specific arylamidases. AB - After mechanically stimulating the surface of palatine mucosa of adult human subjects, 10-25 microliter of saliva secreted from the openings of the palatine glands were directly collected into graduated glass capillaries. The saliva samples contained large amounts of carbohydrates, sialic acids and hexosamines as a result of the high glycoprotein content of the secretions. The saliva did not show activity from amylase, peroxidase, lysozyme and other typical mixed saliva enzymes, but contained arylamidases at concentrations much higher than mixed saliva from the same subjects. PMID- 6579922 TI - [Influenza]. AB - Influenza is the last great uncontrolled plague of mankind. Pandemics and epidemics occur at regular time intervals. The influenza viruses are divided into the types A, B and C and show unique variability of their surface antigens (hemagglutinin and neuraminidase). Influenza viruses of type A show the largest degree of antigenic variation which, in turn, resulted in the definition of a number of subtypes, each comprising many strains. By comparison, influenza viruses of types B and C exhibit much less variation of their surface antigens. As a consequence, no subtypes but many different strains have been recognized. The degree of antigenic variation correlates with the epidemiologic significance of the virus types, type A being the most and type C the least important. Two different kinds of antigenic variation have been recognized: In the case of minor variation of one or both surface antigens, the term "antigenic drift" is employed. Antigenic drift occurs with all three types of virus, it is caused by point mutations which increase the chance of survival of mutants in the diseased host. In addition, influenza A viruses show sudden and complete changes of their surface antigens in regular time intervals, resulting in the appearance of new subtypes. This event is called "antigenic shift". The mechanisms responsible for antigenic shift are poorly understood, only. In addition to the recycling of preceding subtypes, reassortment resulting from double infection of cells with strains of human and animal origin are considered possible explanations. By use of modern DNA recombinant technology, the base sequences of a series of virus genes and, as a consequence, the amino acid sequence of the corresponding antigens have been determined. By means of monoclonal antibodies, the antigenic structure of many influenza antigens has been further elucidated. It can be expected that further research on the molecular basis of antigenic variation could finally result in an understanding of the causal mechanisms. It is an outstanding feature of the epidemiology of influenza A viruses that a family of related strains prevails for a certain period of time and disappears abruptly as a new subtype emerges.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6579923 TI - The establishment of human choriocarcinoma cell line in vitro. PMID- 6579924 TI - Day-stay oral surgery. PMID- 6579925 TI - The effects of waiting time and waiting room environment on dental patients' anxiety. PMID- 6579926 TI - Dental education at The University of Adelaide: an evaluation. PMID- 6579927 TI - Non-vital bleaching--internal and external. PMID- 6579928 TI - Polymerization shrinkage of resin-based restorative materials. PMID- 6579929 TI - The dental health of children eight and fifteen years of age living in Bunbury, Western Australia. PMID- 6579930 TI - Denture cleansing habits. A survey. PMID- 6579931 TI - The effect of long-wave ultraviolet radiation on gingival Langerhans cells. PMID- 6579932 TI - The winds of change. PMID- 6579933 TI - To restore or not. PMID- 6579935 TI - Amiodarone--a drug for all seasons? PMID- 6579934 TI - Hepatitis B viral antigens. PMID- 6579936 TI - Delta associated hepatitis in Australia. AB - Hepatitis B associated delta infection was found in Australian born narcotics users, patients with cirrhosis and hepatoma from Italy and Greece and in south east Asian immigrants. About 9% of patients with chronic hepatitis B were found to have intranuclear delta antigen in liver biopsies with immunofluorescence or anti-delta antibody in serum by radioimmunoassay. Delta may have been imported from southern Europe and Asia and a reservoir of delta infection may exist in narcotics users. Anti-delta was not found in hemophiliacs despite exposure to hepatitis B. Delta occurs in Australia and causes acute and particularly chronic hepatitis in addition to that caused by hepatitis B. PMID- 6579937 TI - Serum lipid and apolipoprotein A and B levels in familial hypercholesterolemia. AB - Serum lipid and apolipoprotein A (apo A) and B (apo B) levels were studied in a family with familial hypercholesterolemia (FH), which comprised two heterozygous parents, five heterozygous children, one homozygote and one normal child. Lipid levels were compared with those of age- and sex-matched normal controls. All subjects with FH had total serum cholesterol and low density lipoprotein cholesterol (LDL-C) levels greater than the 90th percentile value for the reference range. High density lipoprotein-cholesterol (HDL-C) levels were less than the corresponding 13th percentile in heterozygous subjects. The homozygous child had grossly elevated levels of LDL-C and apo B, and very low levels of HDL C and apo A. The most powerful discriminating variable between normal, heterozygous and homozygous family members was the LDL-C/HDL-C ratio. PMID- 6579938 TI - Amiodarone therapy for life threatening or refractory cardiac arrhythmias. AB - Amiodarone was used in 40 patients with life-threatening or refractory tachyarrhythmias. Eighteen patients had recurrent ventricular tachycardia of whom 13 had suffered a cardiac arrest. Control has been excellent or good in 17 of these 18 patients during an average follow-up period of 10 months. A further 22 patients had supraventricular arrhythmias, including three with Wolff-Parkinson White syndrome and paroxysmal atrial fibrillation. In 20 of these control has been excellent or good. The mean daily maintenance dose of amiodarone was 300 mg for patients with ventricular tachyarrhythmias and 200 mg for those with supraventricular tachyarrhythmias. Side-effects were common and included corneal microdeposits, skin rash and discolouration, alteration in thyroid function, and symptomatic bradycardia. Serious adverse effects were uncommon however and necessitated discontinuation of the drug in only two patients. Amiodarone did not appear to precipitate or exacerbate cardiac failure in any patient although many had severe left ventricular dysfunction. We conclude that amiodarone is effective in the therapy of life-threatening or refractory cardiac arrhythmias. PMID- 6579939 TI - Life events and myocardial infarction. AB - Life events reported to have occurred twelve months before the onset of the illness were compared in 55 in-patients who had a first episode of myocardial infarction and 55 control in-patients matched for age, sex, marital status and social class and afflicted with acute abdomen, trauma and multiple trauma. The Paykel interview for Recent Life Events was used. Myocardial infarction patients reported significantly more previous events than the control group (p less than 0.001) with more undesirable (p less than 0.01) and uncontrolled (p less than 0.01) events. Moreover, myocardial infarction patients had significantly more events (p less than 0.01) which had an "objective negative impact" (rated as being traumatic). These findings are consistent with the view that certain recent life events have a positive association with the onset of a first episode of myocardial infarction. PMID- 6579940 TI - Lower respiratory tract symptoms in Queensland schoolchildren. The questionnaire: its reliability and validity. AB - Respiratory symptoms and ventilatory function were recorded on 4549 Queensland schoolchildren. Previously parents of 67 children on two occasions showed that key questions on wheezy breathing and productive cough were reliable, with agreement of responses in 97% and 91% of subjects. These two questions divided the children into four main groups: Group A, those children with attacks of asthma or of wheezy breathing; Group B, those with attacks of cough with sputum; Group AB, those with both symptoms; and Group N, those with neither symptom. The validity of the questionnaire was examined by relating question responses to ventilatory function expressed as normalized residuals. Mean (+/- SD) normalized FEF 25-75 residuals for the major groups were: N, 0 +/- 1.00; B, -0.10 +/- 1.00; A, -0.26 +/- 1.10; and AB, -0.50 +/- 1.07. In subjects with wheeze, residuals distinguished subjects on a basis of frequency of wheeze, total number of attacks, and the association with breathlessness. The proportion of eight year olds in each group (N, B, A and AB) was 44%, 33%, 2.6%, and 20.5% respectively; and of twelve year olds, 52%, 28%, 2.7%, and 18.1%. These results contrast with those of a comparable survey of Tasmanian seven year olds where the proportion was 51%, 33%, 1.8%, and 14.4% respectively. PMID- 6579941 TI - Cerebral abscess: manifestation of pulmonary arteriovenous malformations. AB - Two cases in which cerebral abscess was the initial presenting feature of pulmonary arteriovenous malformations are reported. Cerebral abscess recurred in one patient. The pulmonary malformations were multiple and bilateral in both cases. One patient had associated features of hereditary hemorrhagic telangiectasia. Surgical resection of the largest malformations was performed in both cases. Cerebral abscess did not recur in either case post-operatively, though this may not have been due to surgical intervention. PMID- 6579942 TI - Myoclonus following severe asthma: clonazepam relieves. AB - Three cases of severe asthma requiring mechanical ventilatory support after sudden cardiorespiratory collapse developed myoclonus following the hypoxemic insult. They were unable to stand, walk or feed themselves because of these jerky involuntary movements which were worse on intention. Oral clonazepam in varying doses up to 8 mg daily improved the myoclonus remarkably such that they were able to perform these functions unaided. PMID- 6579943 TI - Month of birth and admission to hospital for asthma. PMID- 6579944 TI - Fatal neurological complications in temporal arteritis. PMID- 6579945 TI - Assessment of osteodystrophy in patients with chronic renal failure. PMID- 6579946 TI - Research and the college. PMID- 6579947 TI - Special investigations prior to surgery for varicose veins. PMID- 6579948 TI - Timing of surgery in hypospadias repair. PMID- 6579949 TI - The use of directional Doppler ultrasound in the assessment of saphenofemoral incompetence. AB - The prevalence of saphenofemoral incompetence in a series of 105 consecutive patients undergoing saphenofemoral ligation as part of an operation for primary varicose veins was determined using a directional continuous-wave Doppler ultrasonic device. Saphenofemoral incompetence was correctly predicted in 97% of limbs. Using conventional clinical methods, incompetence was correctly predicted in 82% of limbs. This difference was highly significant (P less than 0.01 McNemar). It is concluded that a directional Doppler ultrasonic assessment is a useful aid in the pre-operative determination of saphenofemoral incompetence. PMID- 6579950 TI - Chronic pancreatitis: results of a protocol of management. AB - Thirty-five patients with chronic pancreatitis of varying cause have been treated according to a protocol first introduced in 1979. At the end of a mean follow up time of 2.1 years, only 54% of patients were found to have derived benefit defined by pain relief and improved quality of life. Patients with alcoholic pancreatitis did particularly poorly, and alcoholics who continued to drink almost never benefited. Patients with dilated pancreatic ducts were more likely to do well than those with small ducts, and pancreaticojejunostomy had a satisfactory record of pain relief. Patients with biliary pancreatitis generally did well with cholecystectomy and clearance of the common bile duct. The 40-80% pancreatectomy had a poor record for pain relief, and produced diabetes in the majority of patients in whom it was used. Nothing will reverse the established pathology of chronic pancreatitis, which remains an unsatisfactory condition to treat. PMID- 6579951 TI - Long term follow-up of surgical adrenalectomy for breast cancer. AB - A long term follow-up of 300 patients treated by bilateral adrenalectomy for advanced breast cancer is presented. The notable features are the lengthy remissions and survival times which occurred in some patients. This is further evidence of at least two important biological subsets within the general population of breast cancers. Of the responders, 11% were still in remission at four years and 10% were alive at 10 years. Responders also enjoyed a good quality of life. These results are of considerable importance in assessing the relative merits of newer methods of treatment. PMID- 6579952 TI - Splenic regeneration following splenectomy for traumatic rupture. AB - Thirty-three patients previously splenectomized following traumatic rupture of the spleen were assessed using a radionuclide technique. Splenic tissue was detected by this means in 22 patients (67%). Peripheral venous blood was examined for the presence of erythrocyte surface vacuoles. Vacuolated red blood cells were detected more frequently than in the normal population. The incidence of vacuolated red blood cells was inversely related to the estimated volume of regenerated splenic tissue. PMID- 6579953 TI - Role of the intensive care ambulance in the transport of accident victims. AB - The performance of intensive care ambulance officers (paramedics) has been assessed by an analysis of interventions and outcomes in 75 patients transported by ambulance services to the Westmead Centre following accidents. An injury severity score has been used to compare anticipated with actual results. It appeared that some 20% of patients benefited from paramedical interventions, that some 10% reached hospital alive because of the interventions, and that about 3% survived in the long term because of the interventions. Ambulance officers showed themselves to be accurate in assessing the severity of trauma. PMID- 6579954 TI - The effect of blood transfusion on the incidence of deep vein thrombosis. AB - The incidence of postoperative deep vein thrombosis in 120 patients undergoing elective total hip replacement was determined venographically. Significantly more blood was administered to those developing thrombosis, particularly in the subgroups given general anaesthesia (P less than 0.05). There were no differences in the postoperative haemoglobin values in any of these groups. The distribution of other risk factors identified, namely previous thrombo-embolism, malignancy and previous vein surgery or injections did not influence this finding. The use of TED stockings (Kendall) was effective. It is suggested that greater emphasis should be placed on techniques that reduce blood loss such as regional anaesthesia and the posterior approach to the hip. Further research into the fluids used for blood volume maintenance will be beneficial. PMID- 6579955 TI - Urological complications following abdominoperineal excision of the rectum for carcinoma. AB - A retrospective study was made of 122 patients who had an abdominoperineal excision (APE) of the rectum for carcinoma at Concord Hospital between 1971 and 1979. Fifty-two percent of patients suffered one or more significant urological complications. These included urinary tract infection (32%), operative trauma to the urinary tract (8.5%) and temporary or permanent bladder dysfunction in 35% of patients. Acute urinary retention, when temporary, was managed by simple measures. Chronic retention, incontinence and some episodes of acute retention were due to a neurogenic bladder. These patients were difficult to treat. It is recommended that urodynamic studies be used to assess these patients who develop a neurogenic bladder before any treatment is instituted. This is relevant especially in those patients in whom a transurethral resection of either the bladder neck or prostate is contemplated. PMID- 6579956 TI - Hypospadias repair under the age of 1 year. AB - Hypospadias repair is a complex and challenging problem. Psychological, physiological, technical, and logistic problems all play a part. A retrospective survey of 108 infants, aged between 6 and 12 months, operated upon at the two Brisbane children's hospitals between 1977 and 1982, by a one stage total repair procedure, produced results comparable technically, functionally and aesthetically with other reported series. There were minimal psychological effects on the infant, and coincidentally reduced financial cost of the repair and hospitalization to the parents and society. PMID- 6579957 TI - A clinical study of the use of musculocutaneous island flaps for reconstruction in head and neck surgery. AB - Eleven cases of the musculocutaneous island flap (MCIF) and their use in major reconstructions for head and neck surgery are described. Methods used in investigating the blood supply of these flaps in cadaver specimens are discussed as well as the use of radionuclear scanning of the blood supply of the flaps in postoperative patients. PMID- 6579958 TI - A suction cone to prevent spillage during hydatid surgery. AB - A safe and reliable suction cone is described which has an important place in the surgical treatment of hydatid cysts and has been successfully used in 42 cases. This device may also have a role in the surgical treatment of huge malignant ovarian cysts. PMID- 6579959 TI - Luque rod fixation in meningomyelocele kyphosis: a preliminary report. AB - A preliminary report is given of four cases of kyphosis in the thoracolumbar and lumbar regions in paraplegic meningomyelocele patients treated by means of segmental spinal (Luque) rod fixation. The system, incorporating fixation at multiple levels and the principle of the three-point pressure system, appears highly effective in obtaining and maintaining correction in a deformity which has previously proven refractory in a high proportion of cases. PMID- 6579960 TI - Intestinal volvulus: a new concept. AB - A concept of the aetiology of intestinal volvulus is presented based on the fact that bowel when distended becomes elongated. The antimesenteric border of the bowel elongates more than the mesenteric border and this provides the driving force which initiates and sustains the volvulus. It is, therefore, a secondary event resulting from distention. PMID- 6579961 TI - Gustatory syndrome following radical neck dissection. AB - Gustatory syndrome in the temple region is common. This is a report of an unusual presentation in the submandibular region following a cervical block dissection. PMID- 6579962 TI - Delayed presentation of posterior fracture dislocation of the hip in a child. AB - A case of delayed presentation of posterior fracture dislocation of the hip in a child is reported. Only four similar adult cases have been described in the English medical literature. This case is even more perplexing than those already reported in thAT AP and lateral X-rays of the affected hip were performed on initial presentation and were normal. The mechanism of such a phenomenon, explanations for failure to detect such an injury and methods of avoiding this complication are presented. PMID- 6579963 TI - Some comparative effects of gemfibrozil, clofibrate, bezafibrate, cholestyramine and compactin on sterol metabolism in rats. AB - Liver cholesterogenesis in rats was measured by giving [l-14C]octanoate i.p.; 1 h later digitonin-precipitable sterols were isolated and counted. In rats fed normal chow and given 7 daily p.o. doses of compounds and then fasted, at 20 h after the last dose, clofibrate or bezafibrate had no effect at lower doses or inhibited incorporation at higher doses, while compactin or gemfibrozil caused increases; cholestyramine added to the diet also caused marked increases. When rats were fed chow containing 0.1% cholesterol and 5.5% peanut oil, again at 20 h following the last of 7 daily doses, gemfibrozil caused increases of incorporation which diminished at higher levels of dosage, while clofibrate caused only inhibition. A single dose of gemfibrozil caused inhibition at 3 h postdose followed by increases over control at 36 and 48 h; a single dose of compactin caused inhibition at 3 h but not subsequent increase, and a single dose of clofibrate had no effect over the entire period. In rats fed chow containing 1.5% cholesterol and 5.5% peanut oil, gemfibrozil given orally or cholestyramine in the diet prevented the diet-induced decreases of plasma HDL cholesterol and increases of liver cholesterol content, while bezafibrate treatment did not have those effects. The effects of cholestyramine rapidly disappeared when it was withdrawn from the diet, while the effects of gemfibrozil persisted after dosage was stopped. These results suggest that some of the actions of gemfibrozil on rat sterol metabolism are quantitatively different from those of the other agents tested. PMID- 6579964 TI - Analysis of cardiovascular risk factors in chronic hemodialysis patients with special attention to the hyperlipoproteinemias. AB - A group of 252 chronic hemodialysis patients was examined for various risk factors. Special emphasis was placed upon the comparison of patients who had marked cardiovascular alterations with the remainder of the group. The seriousness of the risk factors was determine by hypertension and hyperlipoproteinemia, 78% of the patients received antihypertensive medication or had changes in the fundus of the eye or both. In 74% of the patients there were pathological changes in the plasma lipids or lipoproteins or both. Hypertriglyceridemia (49%) and a HDL cholesterol decrease (61%) were the most striking findings. The average VLDL cholesterol value was significantly higher and the HDL cholesterol significantly lower in the coronary heart disease group than in the remaining group. These results show that hyperlipoproteinemia and a decrease in HDL, together with other risk factors such as hypertension and anemia, play an important role in the accelerated development of atherosclerosis in a hemodialysis group. PMID- 6579965 TI - [Services and education in pediatrics in Puerto Rico]. PMID- 6579966 TI - Geographic distribution of abnormal hemoglobins in Puerto Rico. PMID- 6579967 TI - Acute lymphoblastic leukemia in Puerto Rican children. 73 consecutive cases. PMID- 6579968 TI - Dual chamber demand pacemaker in children: experience at the University Pediatric Hospital. PMID- 6579969 TI - [Arterial pressure in Puerto Rican children between the ages of 5 and 15 years old]. PMID- 6579970 TI - [Pathology review. Normal laboratory values in the pediatric age. Hospital Pediatrico Universitario]. PMID- 6579971 TI - The immotile-cilia syndrome. PMID- 6579972 TI - [Acute renal insufficiency as a late complication of cardiac angiography: report of a case and review of the literature]. PMID- 6579973 TI - Congenital orbital alveolar rhabdomyosarcoma. PMID- 6579975 TI - Acute cholecystitis: the old and the new. PMID- 6579974 TI - Hemophilus influenzae meningitis: unusual clinical aspects. PMID- 6579976 TI - [Nutritional status of the Puerto Rican population: anthropometric and biochemical data in children and adolescents]. PMID- 6579977 TI - Acute cholecystitis. Hepatobiliary study (99mTc disofenin). PMID- 6579978 TI - [Determination of disability for Social Security]. PMID- 6579979 TI - New perspectives on nutritional counseling for the elderly. PMID- 6579980 TI - Nutritional anemia. PMID- 6579981 TI - Electrocardiogram of the month. Eisenmenger's syndrome. PMID- 6579982 TI - [Acquired immunodeficiency syndrome: state of immunological dysfunction in focus]. PMID- 6579983 TI - [Pathology review. Prostatic carcinoma: importance of the histological staging]. PMID- 6579984 TI - Adriamycin tissue injury. PMID- 6579985 TI - Motor neuron disease in Puerto Rico: a study of 76 cases. PMID- 6579986 TI - Legionellosis and Legionella spp. in the waters of Puerto Rico. PMID- 6579987 TI - [Acquired immunodeficiency syndrome]. PMID- 6579988 TI - Osteoporosis. PMID- 6579989 TI - [Depression and anxiety: differential diagnosis]. PMID- 6579991 TI - Sonography quiz. Hydronephrosis. PMID- 6579990 TI - Radiology quiz. Ruptured Baker's cyst. PMID- 6579992 TI - Electrocardiogram of the month. Myocardial infarction and left anterior hemiblock. PMID- 6579993 TI - Children's dental health: the past decade. PMID- 6579994 TI - Children's dental health 1983. The OPCS Monitor. PMID- 6579995 TI - Do dentists fill teeth unnecessarily? PMID- 6579996 TI - Orthodontic treatment in general dental practice. PMID- 6579997 TI - Sweet reason. PMID- 6579998 TI - Fluoride ingestion following APF gel application. PMID- 6579999 TI - Dental health of men in the Royal Navy 1978-80. PMID- 6580000 TI - A new biological dressing for areas denuded of mucous membrane. A preliminary report. PMID- 6580001 TI - Osteosarcoma of the maxilla. PMID- 6580002 TI - Manpower cuts. PMID- 6580003 TI - Dental treatment of the young. PMID- 6580004 TI - Finishing of glass-ionomer cements. The effect of finishing an anhydrous glass ionomer cement with various types of abrasive at various times after initial setting. PMID- 6580005 TI - Surgical repositioning of third molars. PMID- 6580006 TI - Detection of mercury vapour in the dental surgery. An assessment of disposable monitoring discs. PMID- 6580007 TI - Orthodontics in Finland. PMID- 6580008 TI - British Endodontic Society--guidelines for root canal treatment. PMID- 6580009 TI - Do dentists fill teeth unnecessarily? PMID- 6580010 TI - A simple zygomatic splint. PMID- 6580011 TI - Antibiotic cover for endocarditis. PMID- 6580012 TI - 'Jaw involvement in acute lymphoblastic anaemia'. PMID- 6580014 TI - Improving British orthodontic services. PMID- 6580013 TI - Effects of root canal irrigants. PMID- 6580015 TI - Orthodontic teaching. PMID- 6580016 TI - Undergraduate training in dentistry. PMID- 6580017 TI - Reducing hypersensitive gagging. PMID- 6580018 TI - Some social predictors of caries experience. PMID- 6580019 TI - Dark-field microscopy of the microflora of plaque. PMID- 6580020 TI - Oral hygiene instruction prior to orthodontic treatment. A preliminary study. PMID- 6580021 TI - Medical aid for Poland. The work of a charitable fund. PMID- 6580022 TI - L. D. Pankey consultant in London. PMID- 6580023 TI - Do we fail our elderly? PMID- 6580024 TI - Imbalance of manpower in oral surgery. PMID- 6580026 TI - Improving British orthodontic services. PMID- 6580025 TI - Orthodontic teaching. PMID- 6580027 TI - Consultant oral surgeons in the NHS. PMID- 6580028 TI - Do dentists fill teeth unnecessarily? PMID- 6580029 TI - Membership in general dental surgery. PMID- 6580030 TI - A single-visit treatment of septic root canals using periapically extruded endomethasone. PMID- 6580031 TI - Damage to the inferior dental nerve during or following endodontic treatment. PMID- 6580032 TI - Attitudes towards dental care among young people in Scotland. Implications for dental health education. PMID- 6580033 TI - Further observations on mechanisms of bone destruction by squamous carcinomas of the head and neck: the role of host stroma. AB - Mechanisms of bone invasion by squamous carcinomas of the head and neck have been investigated using fresh tumours and established tumour cell lines in an in vitro bone resorption assay with 45Ca-labelled mouse calvaria. Fresh tumours regularly resorb bone in vitro. Activity is consistently reduced by indomethacin. The tumours release E2 prostaglandins (PGE2) in amounts sufficient to account for approximately 50% of the bone resorption observed. Small amounts of non prostaglandin (indomethacin-resistant) osteolytic factors are also produced. Control non-neoplastic tissues show a variable capacity to resorb bone in vitro; PGE2 levels in these tissues may be related to their content of inflammatory cells. Tumour cell lines also resorb bone in vitro but, for most lines, activity is not significantly blocked by indomethacin and PGE2 levels are generally insufficient to account for the osteolysis observed. Non-prostaglandin bone resorbing factors thus predominate. It is concluded that most squamous cancers of the head and neck are osteolytic in vitro and release a mixture of prostaglandin and non-prostaglandin factors which stimulate osteoclastic bone resorption. These factors are derived from both neoplastic and stromal elements, and are "tumour associated" rather than "tumour-specific". In vitro bone resorption and prostaglandin release does not correlate with pathological features of the tumour or with post-operative survival. PMID- 6580034 TI - Non interference by heparin with the cytostatic effect of adriamycin: an in vitro study on a human promyelocytic leukaemia cell line. PMID- 6580035 TI - Esterase cytochemistry in primary myelodysplastic syndromes and megaloblastic anaemias: demonstration of abnormal staining patterns associated with dysmyelopoiesis. AB - Acid alpha naphthyl acetate esterase (ANAE) and combined ANAE-chloroacetate esterase cytochemistry was performed on 121 bone marrow aspirates from primary myelodysplastic syndromes (MDS) and a secondary dysplasia-megaloblastic anaemia (MA). The investigation demonstrated the presence of abnormal ANAE positive granulocyte populations in a significant proportion of cases. These cells, in which the staining patterns were characterized by atypical granular ANAE positivity and double ANAE-chloroacetate reactions, were shown immunologically to lack the receptor and antigenic characteristics of monocytes and morphologically to be granulocytes. Isoelectric focusing, however, indicated that the atypical esterase cytochemistry of these granulocytes was due to the presence of markedly increased concentrations of ANAE isoenzymes usually found in monocytes. Atypical ANAE-staining granulocytes were particularly evident in MDS marrows showing sideroblastic erythroid changes, whilst in MA they were mainly seen in cases of intermediate severity. It is suggested that these cells are associated with dysmyelopoietic changes in both malignant and non-malignant conditions. PMID- 6580036 TI - In vitro culture of clonogenic leukaemic cells in acute myeloid leukaemia: growth pattern and drug sensitivity. AB - Bone marrow from 43 of 45 AML patients grew leukaemic colonies in culture with a technique using methyl-cellulose semi-solid medium and stimulation with PHA leucocyte conditioned medium. Plating efficiency was significantly greater in M4FAB subtypes than in M1 or M2. The presence of Auer rods in cultured cells and the existence of cytogenetic abnormalities in both fresh and cultured blast cells in one patient confirmed the leukaemic origin of these colonies. These clonogenic cells were closely related to the growth fraction, as demonstrated by a high suicide index and a linear correlation between percentage of bone marrow blasts in S phase and plating efficiency. In vitro CFU-L sensitivity to cytosine arabinoside (ARA-C) and to adriamycin (ADR) was tested in 22 patients treated with these two drugs. In the group sensitive in vitro to ARA-C (10 patients), 70% entered complete remission. In the resistant group (12 patients), only 25% had complete remission while 75% had resistant disease. Eight of 14 patients sensitive to ADR in vitro achieved complete remission, while five were resistant to chemotherapy. On the other hand, six of eight patients resistant in vitro were resistant in vivo. When drug sensitivities to ARA-C and ADR were cumulated, an excellent in vitro to in vivo correlation was found when the patient was sensitive or resistant to both drugs in vitro. PMID- 6580037 TI - The pendulum swings--or haven't I been here once before. AB - Presidential address to the British Society for the Study of Orthodontics, November 9th 1981. A review of the changes in orthodontic diagnosis and treatment in the United Kingdom over the last 35 years. PMID- 6580038 TI - Orthodontic treatment in the General Dental Service assessed by the Occlusal Index. AB - As with all other aspects of health care, orthodontic treatment should be evaluated in as objective a manner as possible. In this study, the models of a sample of 256 patients treated by appliance therapy in the General Dental Service were examined. The Occlusal Index was first refined and variability in its use due to articulation and measurement errors was assessed. It was then used to quantify occlusal status both before and after treatment, and thereby monitor changes brought about by treatment. The mean Occlusal Index score at the beginning of treatment was 9.9. At the end of treatment, the mean score had dropped to 5.5. There was wide variation among individual cases, but some reduction was found in 88 per cent of instances. In 56 per cent of cases the reduction ranged up to 6 units, while in 29 per cent of cases the reduction was 6 12 units. However, in cases which started with a marked malocclusion, only about one-third showed a sizeable improvement. In about one-third of all cases there was little improvement in the malocclusion. While there is room for further refinement of the Occlusal Index to increase its usefulness in quantifying occlusal status brought about during orthodontic treatment, the present findings provide a basis for future comparisons. PMID- 6580039 TI - The effect of retention on the relapse of Class II Division 1 cases. AB - Sixty cases of Class II Division 1 malocclusion were studied; 30 of them had been retained after the completion of orthodontic treatment, the other 30 had not and acted as a control group. Using measurements from lateral skull radiographs and statistical analysis, the two groups were compared in respect of skeletal pattern, soft tissue, overjet, overbite and interincisal angle. Both the retained and the non-retained group showed a tendency to relapse after the completion of active treatment; a tendency to relapse even while in retention was observed. The relapse in overjet was found to be more significant than the relapse in overbite. In both groups the relapse in overjet was found to be associated with the size of the original overjet, the overbite at the end of active treatment and the interincisal angle at the end of active treatment. In both groups the relapse in overbite was found to be associated with the size of the original overbite, the change in maxillary-mandibular planes angle and the interincisal angle at the end of active treatment. PMID- 6580040 TI - The use of a buccal arch to control molar expansion. AB - Molar expansion is a secondary reaction to palatal root torquing forces placed in the anterior part of a rectangular archwire. The normal methods to counteract this expansion are discussed, and an additional method using a buccal arch placed in the molar extra-oral traction tubes is described. The method is illustrated with a case history, and some of the advantages of the technique are discussed. PMID- 6580041 TI - Orthodontics: the state of the art. AB - In perusing the literature of the past few months, I have read articles unequivocally supportive of all the philosophies and techniques in current use and an equal number antagonistic to the same methods. The authors are people of learning and ability. However, their differences vary from definitive through questionable, to insupportable, because their contentions are based on comparing opposites. PMID- 6580042 TI - The stabilized buccal canine retractor. PMID- 6580043 TI - A variation in removable appliance design for distal movement or anchorage reinforcement. AB - A modification to appliance design is described to allow total distal movement of the upper arch and a case report presented to illustrate its use. PMID- 6580044 TI - Beware the itinerant transfer case! AB - A case report is presented of an orthodontic patient who had been unsupervised for over 6 months in pre-torqued fixed appliances. PMID- 6580045 TI - Bioprogressive therapy: overbite reduction with the lower utility arch. AB - A series of patients treated with this appliance was investigated clinically and radiographically. True intrusion is only one factor in overbite reduction using the utility arch. PMID- 6580046 TI - Method of presurgical oral orthopaedics. PMID- 6580047 TI - Liposomes as a means to introduce fragment A of diphtheria toxin into cells. AB - The incorporation of fragment A of diphtheria toxin into liposomes is described. The intracellular delivery of the entrapped toxin, as evidenced by the inhibition of protein synthesis by a human lymphoblastoid cell line could be demonstrated with liposomes that contained phosphatidylethanolamine or phosphatidylserine in addition to phosphatidylcholine and cholesterol. Free fragment A, either alone or added to empty liposomes of any composition, did not affect protein synthesis, even when present in considerably higher concentrations than the liposome entrapped form. PMID- 6580048 TI - Fluorescence decay studies of modified dinucleoside monophosphates containing 1 N6-ethenoadenosine. AB - Five dinucleoside monophosphates containing 1-N6-ethenoadenosine (epsilon A) have been studied using fluorescence measurements. The fluorescence spectra of these dinucleoside monophosphates are almost the same as the fluorescence spectrum of epsilon AMP. Fluorescence quantum yields of these dimers are greatly reduced compared to that of epsilon AMP. Intramolecular base-base interactions may be responsible for fluorescence quenching. It is found that the fluorescence decay kinetics does not obey a simple decay law but that the decay data can be well described as a sum of three exponentials. This implies that these dimers cannot be characterized as a two-state system, but can be described as systems consisting of three or more conformational states. Sequence effects upon the fluorescence behavior are observed. The fluorescence quenching and decay parameters of Gp epsilon A and Up epsilon A indicate a higher degree of base-base interaction than in their epsilon ApG and epsilon ApU counterparts. PMID- 6580049 TI - [Effect of arecoline on neuronal activity in the posterior hypothalamus of rabbits with experimental fever]. AB - It has been found in experiments on unanesthetized rabbits that arecoline administered to the lateral ventricle of the brain produced an action which was opposite to that of leukocytic pyrogen. It inhibited the activity of individual neurons of the posterior hypothalamus and decreased the body temperature, with this decrease being attended by the signs of intensified heat emission. Arecoline injection coupled with the central action of PGE2 was followed by an increase in the neuronal activity in the posterior hypothalamus and reduction of hyperthermal response. PMID- 6580050 TI - Retinoic acid treatment of acute promyelocytic leukemia: in vitro and in vivo observations. AB - We describe in vitro studies and a therapeutic trial of retinoic acid (RA) in a patient with acute promyelocytic leukemia (APL) refractory to chemotherapy. Bone marrow promyelocytes from the patient, prior to RA, matured morphologically in liquid culture with RA (97% maturing myeloid cells compared with 26% in control cultures at 7 days). RA-cultured cells displayed leukocyte alkaline phosphatase activity and cytoplasmic maturation (by electron microscopy). Retinoic-acid treated cells, compared to controls, demonstrated increased functional maturation, with phagocytosis of opsonized zymosan (90% versus 10%) and production of superoxide (measured by nitroblue tetrazolium reduction) in response to phorbol ester, opsonized zymosan, or the chemotaxin F-met-leu-phe. There was no evidence of active proliferation in the cultures. RA-treated cells continued to show 15;17 chromosomal translocation after 7 days in culture. The patient was treated with oral 13-cis-retinoic acid (100 mg/sq m/day) for 13 days. During that time, the peripheral white blood count rose from 300 cu mm to 6,700 cu mm, and the maturing myeloid cell count rose from 54 cu mm to 3,800 cu mm. Bone marrow maturing cells increased from 1.8% to 8.0%. Despite the increasing number of maturing myeloid cells, the patient died on day 13 from disseminated candidiasis. These data confirm that RA induces maturation of leukemic promyelocytes in vitro and suggest that similar maturation is achievable in vivo. We suggest that oral retinoic acid may be a useful adjunct in the treatment of APL. PMID- 6580051 TI - Carbohydrate antigen profiles of human erythroleukemia cell lines HEL and K562. AB - The expression of major carbohydrate antigens carried by polylactosaminyl chains in human erythroleukemia cell lines, K562 and HEL, was investigated by applying monoclonal antibodies recognizing specific carbohydrate determinants. The two cell lines showed common differences in their glycolipid compositions: (1) the presence of significant amounts of ganglio-series glycolipids, which are absent in normal erythrocytes; and (2) a remarkable reduction in the amount of globo series glycolipids, which are the major glycolipids in normal human erythrocytes. A variety of differences were also detected in the carbohydrate antigens carried by lacto-series glycolipids and glycoproteins having related carbohydrate chains. K562 cells were i+H-X+, with a minor population of I+ cells. HEL cells were I i+H+X-. The presence of the I+ population in K562 cells is particularly noteworthy, since I-antigen is characteristic of adult mature erythrocytes and is absent in most human leukemic cell lines. Several clones showing I+, I+/-i+/-, or I-i+ specificities were isolated from K562 cells by cloning in either methylcellulose media or limiting dilution, and I+ and I- cells were sorted by FACS fluorometer. HEL cells and these K562 clones provide a useful experimental model for studying the biologic significance and enzymatic control in expression of cell surface polylactosamines. PMID- 6580052 TI - Use of surface markers to identify a subset of acute myelomonocytic leukemia cells with progenitor cell properties. AB - The expression of differentiation-associated surface antigens was used to identify subsets of human acute myelomonocytic leukemia cells. The leukemic colony-forming cells expressed antigens characteristic of very immature myeloid cells (Ia, MY7), while the majority of leukemic cells also expressed an antigen (MY4) characteristic of later myeloid cells. The highly proliferative MY4 negative colony-forming cells may serve as progenitor cells for the less proliferative MY4 + leukemic cells. PMID- 6580053 TI - Fluoride mouthrinsing in Cincinnati elementary schools. PMID- 6580054 TI - Resistance of the canine common bile duct. PMID- 6580055 TI - The effect of rising food costs on the occurrence of malnutrition among the poor in the United States: the Engels phenomenon in 1983. PMID- 6580057 TI - Mouth protectors for contact sports. PMID- 6580056 TI - Radiographic analysis of pulmonary vascular distribution: a review. PMID- 6580058 TI - Expansion: the decision-making process. PMID- 6580059 TI - Unnecessary treatment of hyperkalemia in a patient with chronic granulocytic leukemia. PMID- 6580060 TI - Acute myelogenous leukemia as a second malignant neoplasm following the successful treatment of advanced Hodgkin's disease. AB - Of 209 Hodgkin's disease patients treated at least 6 months with a five-drug combination of induction chemotherapy and having a complete remission, four patients developed acute myelogenous leukemia (AML) as a second malignant neoplasm. The overall relative risk for development of AML is 185.0 (P less than 0.05) and the mean time to occurrence of AML is 5.3 years (median, 5.25 years). When examining patient subgroups, the highest relative risk noted was 338.5 (P less than 0.05) for that group of patients receiving an additional 6 months of postinduction MOPP (nitrogen mustard, vincristine, procarbazine, and prednisone). Patients receiving only 6 months of induction BVCPP (BCNU, vinblastine, cyclophosphamide, procarbazine, and prednisone) had a relative risk of 166.2 (P less than 0.05). These data results are consistent with previous reports that patients treated for Hodgkin's disease are at high risk for development of AML. However, to date, no patients in this series have developed second malignancies other than AML. PMID- 6580061 TI - Four primary tumors in one child. AB - A child is described who, following surgery and irradiation for malignant choroid plexus papilloma at the age of 11 months, developed three further tumors: A benign myxofibroma of the cranium at the age of 3 1/2 years, an undifferentiated anaplastic tumor of his clavicle at 7 1/2 years, and a chondroblastic osteogenic sarcoma of his pelvis at the age of 12 years. There was no apparent genetic predispositions to malignancy. The latter three neoplasms may have originated either in, or at the edge of, the original radiotherapy field, suggesting that the child has a particular susceptibility to the oncogenic potential of radiotherapy. PMID- 6580062 TI - Significance of S-adenosylmethionine pools in the hypomethylation of ribosomal RNA during the propagation of tissue culture cells and oncogenesis. AB - The 5.8S rRNA of normal tissues contains a partially 2'-O-methylated uridylic acid residue which is methylated in the cytoplasm and undermethylated in rapidly growing neoplastic tissues (R. N. Nazar, T. O. Sitz, and K. D. Somers, J. Mol. Biol., 142: 117-121, 1980). This difference in methylation was further characterized by examining the effect of cell age or cell culture passage number on the level of methylation of 5.8S RNAs from normal and malignant cell lines and simultaneous changes in intracellular pools of S-adenosylmethionine and S adenosylhomocysteine. The results indicate that the level of methylation decreases continuously with cell culture passage number as the cells become aneuploid, transformed, or tumorigenic, but there is no direct correlation with the intracellular pools of S-adenosylmethionine or S-adenosylhomocysteine. In contrast, there is a dramatic but inverse increase in the S-adenosylmethionine:S adenosylhomocysteine ratio which correlates with the decreasing levels of 2'-O methylation. The significance of these changes in substrate levels to the hypomethylation of 5.8S and other RNAs during oncogenesis is discussed. PMID- 6580063 TI - Comparative cytotoxic and cytokinetic effects of the epipodophyllotoxins 4' demethylepipodophyllotoxin-9-(4,6-O-2-ethylidene-beta-D-glucopyranoside) and 4' demethylepipodophyllotoxin-9-(4,6-O-2-thenylidene-beta-D-glucopyranoside) and their metabolites on human leukemic lymphoblasts. AB - We compared the effects of the epipodophyllotoxins 4'-demethylepipodophyllotoxin 9-(4,6-O-2-ethylidene-beta-D-glucopyranoside) (VP-16-213) and 4' demethylepipodophyllotoxin-9-(4,6-O-2-thenylidene-beta-D-glucopyranoside) (VM-26) and several of their derivatives on cell cycle progression and viability of human leukemic lymphoblasts (CCRF-CEM). The cis-(picro)-lactone derivatives, like both VP-16-213 and VM-26, produced G2-phase arrest and cytotoxicity, but only at concentrations 100 times greater than required with the parent compounds. The epiaglycone derivative showed potent cytotoxicity: at 100 to 250 nM, it reduced cloning efficiency by 50%, an effect requiring 25 to 40 nM VM-26 and 340 to 425 nM VP-16-213. In contrast to VM-26 and VP-16-213, the epiaglycone arrested cells in M, consistent with evidence that it, like podophyllotoxin, is an inhibitor of microtubule assembly. At concentrations resulting in 50% cell kill and an increase of cells in M, however, the epiaglycone produced little change in the proportion of cells in G1 or early S phase, while podophyllotoxin produced a shift of cells to mid- and late S. The hydroxy acid derivatives, although found in detectable quantities in patients' urine and serum, were inactive in vitro. Structural differences among the compounds account for their different biochemical and cell kinetic effects and, hence, different cytotoxic activities. Because the epiaglycone is a potent compound and combines activities of both the podophyllotoxins and 4'-demethyl derivatives, further studies of its cytotoxicity are indicated. PMID- 6580064 TI - Double minute chromatin bodies and other chromosome alterations in human myeloid HL-60 leukemia cells susceptible or resistant to induction of differentiation by phorbol-12-myristate-13-acetate. AB - An analysis of the chromosomal karyotype of the human promyelocytic HL-60 leukemia cell line and of a number of its sublines that exhibit varying degrees of resistance to induction of differentiation by phorbol-12-myristate-13-acetate was conducted. The HL-60 cell line and the derived sublines contained two consistent marker chromosomes [9p- and t(10;13)], which suggested that they have a common and possibly clonal origin. HL-60 cells that are susceptible to phorbol 12-myristate-13-acetate-induced cell differentiation contained double minute chromatin bodies. The sublines with different degrees of resistance showed a corresponding sequential reduction of double minute chromatin bodies in metaphase cells. This loss of double minute chromatin bodies was not associated with an appearance of homogeneously staining chromosomal regions. Resistant and susceptible HL-60 cells differed also in a number of other chromosomal alterations, including gains or losses involving chromosomes 5, 8, 11, 13, 16, and 17. Thus, it is suggested that acquisition of resistance to phorbol-12 myristate-13-acetate-induced cell differentiation in the HL-60 cells may involve one or more of the above chromosomal changes. PMID- 6580065 TI - Isolation and characterization of gangliosides from chronic myelogenous leukemia cells. AB - Gangliosides isolated from the cells of three patients with chronic myelogenous leukemia (CML) were purified by Folch partitioning, diethylaminoethyl Sephadex, Florisil (acetylated gangliosides), and silicic acid chromatography and were structurally analyzed using thin-layer and gas-liquid chromatography, methylation analysis, enzyme degradation, and high-performance liquid chromatography. With these methods, the major gangliosides isolated were II3-alpha-N acetylneuraminosyl-lactosylceramide, IV3-alpha-N-acetylneuraminosyl neolactotetraosylceramide (sialosylparagloboside), and a ganglioside with the following structure: NeuAc alpha 2 leads to 3(Gal beta 1 leads to 4 GlcNac beta 1 leads to 3)2Gal beta 1 leads to 4Glc beta 1 leads to 1Cer. This ganglioside has previously been characterized as an "i" active compound. Like normal neutrophils, CML cells contain monosialogangliosides that belong to the lactosyl and neolacto family. However, our study shows that CML cells differed from normal neutrophils in that they contained less total ganglioside, and their major ganglioside species is II3-alpha-N-acetylneuraminosyl-lactosylceramide. Differences between gangliosides of CML and acute nonlymphoblastic leukemias are discussed. PMID- 6580066 TI - In vitro busulfan sensitivity of granulocyte-macrophage and erythroid progenitor cells in patients with chronic myelogenous leukemia. AB - As part of an attempt to develop and test potential in vitro measures of busulfan sensitivity of patients with chronic myelogenous leukemia (CML) in chronic phase, we compared the busulfan sensitivity of granulocyte-macrophage (CFU-C) and early erythroid progenitor cells (BFU-E) in the bone marrow (BM) and peripheral blood (PB) specimens obtained from ten normal individuals and from 13 patients with CML. CFU-C in the normal BM and in both the BM and PB of CML patients showed comparable degrees of sensitivity to busulfan. BFU-E, regardless of source, showed similar degrees of sensitivity to busulfan, except that normal PB BFU-E were less sensitive than were PB BFU-E of CML patients. CFU-C were more resistant to busulfan than BFU-E. The sensitivity of BM CFU-C and BFU-E of CML patients reflected that of PB CFU-C and BFU-E, respectively, and the sensitivity of BM and PB CFU-C of CML patients reflected that of BM and PB BFU-E, respectively. When the CML patients were ranked according to sensitivity to busulfan, the order of sensitivity of BM CFU-C and BFU-E paralleled that of PB CFU-C and BFU-E, respectively, and the order of sensitivity of BM and PB CFU-C paralleled that of BM and PB BFU-E, respectively. These results suggest that any of the four progenitor cells, BM CFU-C, BM BFU-E, PB CFU-C, and PB BFU-E, can be used to investigate the relative busulfan sensitivity of the hemopoietic progenitor cells of different CML patients. PMID- 6580067 TI - In vitro drug sensitivity studies of colony-forming units in culture in chronic myelocytic leukemia: lack of specificity between chronic-phase patients and normal donors. AB - Attempts to eliminate Philadelphia chromosome-positive cells during the treatment of chronic-phase chronic myelocytic leukemia (CML) have been largely unsuccessful, probably due to the lack of specificity of drugs which have been used. In an attempt to develop more specific therapy for CML, an assay for colony forming units in culture was used to test for differences between CML blood and normal marrow progenitor cells. The following drugs, which have activity in acute nonlymphocytic leukemia, were tested over a range of concentrations achievable in vivo: Adriamycin; 1-beta-D-arabinofuranosylcytosine; aclacinomycin; m(4 acridinylamino)-3-methoxyphenyl methansulfamide; methylglyoxalbis(guanylhydrazone), and 5-azacytidine. [3H]Thymidine suicide indices were also determined. Normal marrow colony-forming units in culture tended to be more sensitive to all the drugs which were tested, although not of statistical significance. There was no difference in the suicide index between CML and normal colony-forming units in culture. It is concluded that the drugs which were tested are not likely to selectively kill CML progenitor cells while permitting normal hematopoietic elements to survive. PMID- 6580068 TI - Phase I and clinical pharmacology studies of intravenous and oral administration of 4-demethoxydaunorubicin in patients with advanced cancer. AB - 4-Demethoxydaunorubicin (4-DMDR), an anthracycline analogue available in i.v. and p.o. form, has shown significant antitumor activity in murine tumor models while producing less cardiac toxicity than doxorubicin at equimyelotoxic doses. Phase I and clinical pharmacology studies of the i.v. and p.o. preparation were performed. With i.v. 4-DMDR, consistent myelosuppression was observed at a dose of 15 mg/sq m at a median Day 15; mild nausea and vomiting were observed in 9% of all treatment courses. In patients given p.o. 4-DMDR, myelosuppression occurred at median Day 14 in 10 of 12 patients given 50 mg/sq m. Nausea and vomiting occurred in 25% of all treatment courses, and dividing the dose over 3 days did not decrease the incidence. Alopecia occurred in 13% of evaluable patients treated with the i.v. preparation and 30% of evaluable patients treated p.o. No stomatitis was observed with either preparation, and no patient developed clinical signs of congestive heart failure. Pharmacokinetic studies were performed with both preparations and revealed prolonged plasma levels of the 13 hydroxy metabolite 4-DMDR-ol. The suggested starting dose for Phase II studies is 12.5 mg/sq m given every 21 days for i.v. 4-DMDR with dose escalation by 2.5 mg/sq m in the absence of myelotoxicity. For p.o. 4-DMDR, the suggested starting dose is 40 mg/sq m given every 21 days with escalation by 10 mg/sq m if no myelotoxicity is observed. PMID- 6580069 TI - Maytansine in refractory childhood acute lymphocytic leukemia: a Pediatric Oncology Group study. PMID- 6580070 TI - Amsacrine in refractory adult acute leukemia: a pilot study of the Southeastern Cancer Study Group. AB - A phase II pilot study of amsacrine in refractory adult acute leukemia was conducted by the Southeastern Cancer Study Group from May 1979 to August 1980. Amsacrine, 90 mg/m2, was given daily for 5-8 days to 45 patients with acute myeloblastic leukemia, 15 patients with acute lymphoblastic leukemia, and six patients with blastic transformation of chronic granulocytic leukemia. Of the 66 patients entered in the study, 59 (89%) were evaluable for response. Complete remissions were observed in eight of 41 evaluable patients with acute myeloblastic leukemia (20%) and in three of 12 with acute lymphoblastic leukemia (25%). Remissions were short-lived (median, 7.9 weeks; range, 2-27). Toxic effects included the expected myelosuppression (100%), as well as moderate to severe stomatitis (46%), hyperbilirubinemia (30%), and supraventricular tachycardia (1.5%). This cooperative group pilot study confirms previous reports from single institutions that amsacrine is a useful drug in the treatment of refractory adult acute leukemia and is worthy of further study. PMID- 6580071 TI - Phase I clinical trial of 13-cis-retinoic acid in myelodysplastic syndromes. AB - 13-cis-Retinoic acid (13-cRA) induces maturation and differentiation of neoplastic myeloid cell lines in vitro. We conducted a phase I clinical trial of 13-cRA in patients with myelodysplastic syndromes (MDS), using a single daily oral dose schedule. Seventeen patients with MDS and one each with acute nonlymphoblastic leukemia and chronic myelogenous leukemia in blast crisis were treated with 13-cRA at doses ranging from 20 to 125 mg/m2/day. Hepatotoxicity was dose-limiting and was manifested by hyperbilirubinemia and increased SGOT levels. This effect was seen only at the highest dose level of 125 mg/m2/day and was completely reversible upon cessation of the drug. Other toxic effects were mild, and included cheilosis, hyperkeratosis, stomatitis, and elevation of serum triglyceride levels. Fifteen patients with MDS were evaluable for therapeutic response. Five patients showed improvement in hematologic parameters. These responses included normalization of bone marrow blast count and increases in leukocyte count, platelet count, and/or hemoglobin concentration. Responses were generally not seen until at least 3 weeks of therapy were completed. We conclude that further study of 13-cRA in myelodysplastic syndromes is warranted and recommend that future studies utilize a starting dose of 100 mg/m2. PMID- 6580072 TI - SEM and electron microprobe analysis of enamel treated with two-step topical fluorides in vitro. PMID- 6580073 TI - Relation between acid dissolution and histological alteration of heated tooth enamel. PMID- 6580074 TI - Secondary ion mass spectrometry of human deciduous enamel. Distribution of Na, K, Mg, Sr, F and Cl. PMID- 6580075 TI - Effect of time and degree of saturation of buffer solutions on artificial carious lesion formation in human tooth enamel. PMID- 6580076 TI - Influence of fluoride in solution on tooth demineralization. II. Microradiographic data. PMID- 6580077 TI - Uptake and retention of alkali-soluble and alkali-insoluble fluoride in sound enamel in vivo after mouthrinses with 0.05% or 0.2% NaF. PMID- 6580078 TI - Influence of various diets administered by gastric gavage on cariogenicity of foods. PMID- 6580079 TI - Stability of Streptococcus mutans and its relationship to caries in a child population over 2 years. PMID- 6580080 TI - Calcium and phosphorus content of plaque and saliva in relation to dental caries. PMID- 6580081 TI - Reduced clinical effect of monofluorophosphate in the presence of sodium lauryl sulphate. PMID- 6580082 TI - Changes in caries prevalence of Isle of Lewis children between 1971 and 1981. PMID- 6580083 TI - Toxicology of monofluorophosphate. PMID- 6580084 TI - Reaction of monofluorophosphate with apatitic substrates. PMID- 6580086 TI - Intra-articular meniscus dysfunction. PMID- 6580085 TI - Interaction of monofluorophosphate with plaque and saliva. PMID- 6580087 TI - RELP investments--look before you leap. PMID- 6580088 TI - Characterization of the phorbol 12,13-dibutyrate (P(Bu)2) induced binding between human lymphocytes. AB - The mechanisms, cell surface structures, and cell types involved in the phorbol 12,13-dibutyrate (P(Bu)2)-induced binding between human lymphocytes were studied. Induction of cell aggregation by 20 min treatment with P(Bu)2 required Ca2+, an intact membrane, functional microfilaments, and the possible participation of an esterase or, less likely, a protease. Trypsin-sensitive cell surface structures were needed and neuraminidase (NANase) treatment slightly increased the intercellular binding. Retinoic acid, an anti-tumor promoting agent, was inhibitory. Calmodulin-dependent processes, microtubules, phospholipid methylation, intracellular levels of cyclic adenosine monophosphate, and cellular secretion did not seem to be involved. Cell conjugation between 24 hr P(Bu)2 treated and untreated cells required participation of trypsin-sensitive cell surface structures in each of the interacting cells and NANase treatment of one partner slightly increased the intercellular binding. Thymocytes, T cells, mature B and Epstein-Barr virus-transformed B cells aggregated while pre-B, early B, and intermediate B lymphocytes derived from representative malignancies did not. The lack of aggregation was not due to the absence of phorbol ester receptors. It is concluded that the P(Bu2)-induced intercellular binding is mediated by cell surface proteins, depends on certain enzymatic activities and metabolic events and involves certain cell types. PMID- 6580089 TI - Desferrioxamine-mediated inhibition of heme and hemoglobin synthesis in murine erythroleukemia cells: expression of globin genes and commitment to erythroid differentiation. AB - The iron-chelator desferrioxamine inhibits heme accumulation and globin synthesis in induced murine erythroleukemia cells, suggesting that iron metabolism can modulate globin gene expression. However we found experimental conditions (12.5 micrograms/ml desferrioxamine) which do not suppress hexamethylenebisacetamide mediated induction of globin synthesis, commitment of the cells to erythroid differentiation and competence for transcription of beta major globin genes, but prevent heme synthesis. Therefore expression of these erythroid functions might be independent from accumulation of heme molecules. PMID- 6580090 TI - [Extramedullary manifestations in acute lymphoblastic leukemia in childhood]. PMID- 6580091 TI - Mechanisms of escape from desmopressin in the rat. AB - The mechanism(s) of renal escape from the hydro-osmotic effect of vasopressin is unknown. We therefore studied escape in conscious, unrestrained rats receiving continuous intravascular infusions of 1-deamino-8-arginine-vasopressin (desmopressin) and hypotonic fluid over 5 days. Escape from desmopressin started 8 hours after exposure and was characterized by a progressive increase in urine flow and decreases in urine osmolality and free water reabsorption. When positive water balance was prevented by matching the rate of infusion of hypotonic fluid to urine flow while maintaining the dose of desmopressin constant, escape did not occur. This suggested that water retention, rather than chronic exposure to desmopressin, mediated the escape. To elucidate the mechanism whereby water retention induces escape from desmopressin, urinary prostaglandin E2 excretion was measured and found to be increased concomitant with the onset of escape. Prevention of this increase in urinary prostaglandin E2 excretion with indomethacin resulted in additional water retention and a delay in the onset of escape. During the maintenance of escape, after significant water retention occurred, increases in mean arterial pressure, renal blood flow, and glomerular filtration rate were observed. Renal interstitial solute concentration remained constant through escape. Basal and vasopressin-stimulated collecting tubular and thick ascending limb adenylate cyclase did not differ when control and escape animals were compared. These results suggest that enhanced renal synthesis of prostaglandin E2 facilitates the early phase of escape; later, water retention results in plasma volume expansion with increases in cardiac index, arterial pressure, renal blood flow, and glomerular filtration rate. These systemic and renal hemodynamic alterations may be important in maintaining escape from desmopressin. PMID- 6580092 TI - Extended wear contact lenses in pediatric ophthalmology. PMID- 6580093 TI - Extended wear of Softcon Vifilcon A lenses by aphakic patients: a two-year study. PMID- 6580094 TI - Effect of hydrocortisone on the in vitro human antibody response: interaction with monocytes and prostaglandins. AB - The specific plaque-forming cell response induced by trinitrophenyl polyacrylamide beads in cultures of nonadherent human peripheral blood mononuclear cells (PBM) is resistant to the inhibitory effect of hydrocortisone (HC). Previous results showed that low concentrations (up to 10(-7 M) of HC inhibit the same response in cultures of unfractionated human PBM. It is shown that the addition of 5-10% monocytes to nonadherent PBM renders their response HC sensitive. One mechanism of the interaction between HC and monocytes is the potentiation of prostaglandin E2-mediated suppression by HC, which can be demonstrated in vitro and after in vivo administration of HC. However, interaction with a non-prostaglandin-mediated suppression by monocytes should be involved, particularly with high (10(-6) M) concentrations of HC. PMID- 6580095 TI - Aneurysmal bone cyst of the first metatarsal bone mimicking malignant tumor. AB - The clinical results of roentgenographic examination in an eight-year-old girl with a large tumor in the first metatarsus suggested malignancy. The definitive pathologic diagnosis was atypical aneurysmal bone cyst. Massive bone grafting and preservation of the surrounding joints were successful, and a functional foot was obtained two years after operation. PMID- 6580096 TI - Radiogallium imaging in primary renal candidiasis. PMID- 6580097 TI - Inhibition of first-pass metabolism in cancer chemotherapy: interaction of 6 mercaptopurine and allopurinol. AB - Earlier studies suggested that the dose of 6-mercaptopurine (6-MP) can be reduced substantially when the drug is given with allopurinol. We studied the effect of allopurinol on the kinetics of oral and intravenous 6-MP. Studies conducted initially in rhesus monkeys and subsequently in man with 6-MP doses of 100 mg/m2 and 75 mg/m2, demonstrated that allopurinol pretreatment resulted in a nearly 400% increase in peak plasma concentration of oral 6-MP in monkeys (from a mean of 0.54 microM to a mean of 2.1 microM) and a 500% increase in man (0.74 microM to 3.7 microM). Allopurinol pretreatment also led to a 300% increase in plasma AUC in monkeys after oral 6-MP (from a mean of 121 microM/min to a mean of 391 microM/min) and a 500% increase in AUC in man (from a mean of 142 microM/min to a mean of 716 microM/min). In contrast, allopurinol pretreatment had no effect on the kinetics of intravenous 6-MP. This difference was found to be due to inhibition of first-pass metabolism of oral 6-MP as the result of the action of allopurinol on liver or intestinal xanthine oxidase. Our results indicate that, although dose reduction of oral 6-MP given in conjunction with allopurinol is appropriate, it is not necessary when 6-MP is injected intravenously. PMID- 6580098 TI - Xanthine dehydrogenase activity in the clawed frog, Xenopus laevis. AB - Xanthine dehydrogenase (XDH; EC 1.2.1.37) activity in the clawed frog, Xenopus laevis, was detected in kidney tissue homogenates, but not in skin, liver, ovaries or gut tissues. The enzyme migrated as a single band of activity on both polyacrylamide and starch gel electropherograms, exhibited substrate inhibition, and did not appear developmentally until feeding larval stages. The tissue specificity, post-fertilization stage of appearance and single isozymic form make this a useful enzyme marker for further study concerning its developmental appearance and maintenance as a kidney-specific protein. PMID- 6580099 TI - The adult way to wean from mechanical ventilation. PMID- 6580100 TI - [Salivary hexose levels after oral glucose loading in subjects with varying incidence of dental caries]. PMID- 6580101 TI - [Toxicity studies on selected iodopolymers used in dental treatment]. PMID- 6580102 TI - [Blood picture in chronic periapical tissue inflammation of the milk teeth in children]. PMID- 6580103 TI - [Evaluation of oral health state in workers of the Iskra ball bearings factory in Kielce]. PMID- 6580104 TI - [Clinical and bacteriological assessment of the therapeutic effectiveness of Davercin Polfa in the treatment of periodontal inflammatory conditions]. PMID- 6580105 TI - [Various problems of maxillary resection related to subsequent prosthetic treatment]. PMID- 6580106 TI - [The necessity of orthodontic treatment of children 13-14 years old in light of epidemiological data obtained in international studies on the dental health care system in Poland]. PMID- 6580107 TI - [The difficult problems of modern fluoride prevention of dental caries. 3. Fluorides and enamel changes]. PMID- 6580108 TI - [Free gingival grafts in the opinion of surgically treated patients and the physicians treating them]. PMID- 6580109 TI - [Interrelations between professional motivation for oral hygiene maintenance and the condition of the masticatory system]. PMID- 6580110 TI - [Secondary abnormalities in the position of teeth in adults with periodontal disorders and the possibility of their correction in light of personal studies]. PMID- 6580111 TI - [Ionoselective fluoride electrode in dental studies]. PMID- 6580112 TI - [Comparative analysis of the results of different operative methods in treating 35 cases of ankylosis of the temporomandibular joint]. PMID- 6580113 TI - [Clinical analysis of 113 cases of inter-maxillary contracture]. PMID- 6580114 TI - [Survey and analysis of maxillofacial forms and dental arches in normal youths]. PMID- 6580115 TI - [Mottled enamel caused by the polluted air due to burning coal in the room]. PMID- 6580116 TI - [Determination of immunologic functions in patients with recurrent aphthae and their treatment]. PMID- 6580117 TI - [Maxillary central incisor root changes before and after orthodontic treatment]. PMID- 6580118 TI - [Further analysis of dental caries in Chinese people]. PMID- 6580119 TI - [Mao Xiejun's classification of malocclusion]. PMID- 6580120 TI - [Pathological significance of cuticular changes in oral leukoplakia]. PMID- 6580121 TI - [Use of total and tunnel forehead flaps in reconstruction of defects after resection of oral and maxillofacial tumor]. PMID- 6580122 TI - [Enhancement of macrophage function in recurrent aphthae with interferon inducers: polyinosinic-polycytidylic acid]. PMID- 6580123 TI - [Postoperative radiographic observations on the syndrome of temporomandibular joint dysfunction]. PMID- 6580124 TI - [Intra-arterial chemotherapy for malignant tumor of the oral and maxillofacial regions---an evaluation of its therapeutic effect in 500 cases]. PMID- 6580125 TI - [Report of 55 cases of free forearm flap transplantation for the repair of maxillofacial defects]. PMID- 6580126 TI - [Comparison of SIgA of patients with recurrent aphthae and normal persons]. PMID- 6580127 TI - [Odontogenic keratocyst---report of 120 cases]. PMID- 6580128 TI - [Preliminary report on combined cranio-maxillo-facial resection]. PMID- 6580129 TI - [Clinical analysis of 49 cases of erythroleukemia]. PMID- 6580130 TI - [Relation of the nitrate reductase activity of xanthine oxidase to the oxidase and dehydrogenase forms of the enzyme]. PMID- 6580131 TI - Treatment of bulimia. AB - Bulimia (bulimia nervosa; binge eating) is characterized by episodic eating of large amounts of food, followed by self-induced vomiting or laxative abuse. Psychotherapy has been the mainstay of treatment and often has been unsuccessful. The similarity of bulimia to major depression has led to evaluation of antidepressant drugs for treatment of the disease. Imipramine has proven effective in reducing binging episodes, and further evaluation of antidepressants seems warranted. Phenytoin also has been effective in some cases, suggesting that bulimia may be a neurologic disorder analogous to epilepsy. Optimal treatment may be antidepressants combined with a nutrition/psychotherapy program. PMID- 6580133 TI - [Scanning electron microscopic studies of the microbial plaque of severely destroyed deciduous anterior teeth]. PMID- 6580132 TI - [Caries and periodontitis prevalence among the mountain tribes of northern Thailand]. PMID- 6580134 TI - [Relation between the microflora of periodontal pockets and the appearance of polymorphonuclear granulocytes. A microscopic study]. PMID- 6580135 TI - [Effect of diphosphonate on inflammatory-resorptive horizontal bone destruction- an animal model]. PMID- 6580136 TI - [Immune components of plaque as etiological factors in marginal periodontopathies]. PMID- 6580137 TI - [Juvenile periodontitis--a specific infection?]. PMID- 6580139 TI - [Scanning electron microscopy studies on the pattern and structure of enamel prisms in the area of the neonatal line]. PMID- 6580138 TI - [Effect of a water jet apparatus on gingival volumetric pulse. 4]. PMID- 6580140 TI - [Quantitative determination of the effect of fluoride on the mechanical and chemical properties of the dental enamel]. PMID- 6580141 TI - [Effect of plaque on the uptake and loss of loosely bound fluoride from the enamel]. PMID- 6580143 TI - [Appearance of caries on exposed root surfaces. Is there a relation to the incidence of coronal caries?]. PMID- 6580142 TI - [Effect of different types of bacteria and saccharose concentrations on the incidence of caries in gnotobiotic rats]. PMID- 6580144 TI - [Plaque and caries]. PMID- 6580145 TI - [Functional disorders and jaw position in patients with a partial denture]. PMID- 6580146 TI - [Partial dentures]. PMID- 6580147 TI - [Experimental study on the mechanical properties of precision connectors]. PMID- 6580148 TI - [Follow-up studies of partial prostheses using K. H. Korber's conical crowns]. PMID- 6580149 TI - [Comparative methods of pocket therapy in a clinical comparison]. PMID- 6580150 TI - A comparison of various surgical methods for the treatment of periodontal disease. PMID- 6580151 TI - Treatment methods and repair potential of intrabony defects. PMID- 6580152 TI - [Kinetics of fluoride uptake and release from different chemical binding types in tooth models]. PMID- 6580153 TI - [Comparative studies of the effectiveness of amine fluoride on enamel surfaces]. PMID- 6580154 TI - [In vivo reactions on enamel surfaces after fluoride application]. PMID- 6580155 TI - Enamel remineralization using an amine-fluoride containing tooth paste--a pilot study in vivo. PMID- 6580156 TI - [Development of amine fluoride and its use in caries prevention]. PMID- 6580157 TI - [Mechanism of the protracted effect of amine fluoride]. PMID- 6580158 TI - [Effect of amine fluoride and sodium fluoride on the germs of plaque flora]. PMID- 6580159 TI - [Effect of different fluoride and chloride compounds on the ATP content of Streptococcus mutans]. PMID- 6580160 TI - [Plaque inhibition by amine fluoride]. PMID- 6580161 TI - [Value of fluoride intake with food. Studies of its bioavailability]. PMID- 6580162 TI - [Bioavailability of fluoride after local use]. PMID- 6580163 TI - [Experiences with the Swiss system of caries prevention]. PMID- 6580164 TI - [Efficiency of fluoride dosage forms: solutions and gels]. PMID- 6580165 TI - [Chemistry and surface effects of amine fluoride]. PMID- 6580166 TI - Effect of asbestos on the metabolism of vasoactive substances in isolated perfused guinea pig lungs. AB - The measurement of pulmonary metabolism of three vasoactive substances and quantitative assessment of changes in lung morphology were performed in a long term study of asbestos-exposed guinea pigs. Animals received intratracheal injections of a single dose of a sterile suspension of Canadian chrysotile B (5 mg), while control animals received only saline. Six months after the treatment, the guinea pigs were sacrificed, the lungs removed, perfused via the pulmonary artery and the metabolism of vasoactive substances was assessed (in vitro) in a cascade superfusion system. At the end of the experiments, the lungs were fixed in a glutaraldehyde solution for microscopic examination. The tissue response consisted of both inflammatory reaction of terminal and respiratory bronchioles and diffuse alveolar septal infiltration with interstitial fibrosis. The reaction was characterized at six months by a progressive bronchiolitis obliterans with fibroblastic proliferation and collagen formation. The development of the disease did not cause significant changes in the metabolism of acetylcholine and bradykinin. However, the metabolism of prostaglandin E2 decreased with the appearance of the bronchiolitis obliterans. Our results showed that asbestos exposure may produce early biochemical changes resulting in altered lung metabolism of vasoactive substances; these modifications could contribute to the pathogenesis of asbestosis. PMID- 6580167 TI - Biochemical components of bronchoalveolar lavage in early experimental asbestosis of the sheep: phospholipase A2 activity, prostaglandin E2 and proteins. AB - Biochemical analyses of bronchoalveolar lavage (BAL) supernatants of sheep treated with weekly intratracheal instillations (for 6 months) of saline, 2 mg, or 128 mg of asbestos (chrysotile B; UICC) were performed. Our results showed that proteins (either total or its various components) and phospholipase A2 activity were unchanged in the low exposure group as compared to controls. However, in the high exposure group, with histopathological evidence of early asbestosis, there were significant increases in total proteins, albumin, alpha 2 globulin, beta- and gamma-globulins as well as phospholipase A2 activity of BAL fluid. Prostaglandin E2 activity was significantly increased in both low and high dose groups. These changes in protein and lipid components of BAL following asbestos exposure constitute early indices of lung inflammatory reactions which may contribute to the development of asbestosis. PMID- 6580168 TI - Synchrony of gene expression and the differentiation of myeloid leukemic cells: reversion from constitutive to inducible protein synthesis. AB - There are mutant myeloid leukemic cells that cannot be induced to differentiate in serum-free culture medium, or medium with calf serum by the macrophage and granulocyte differentiation-inducing protein (MGI-2) that induces differentiation in normal myeloid cells. These mutants can be induced to differentiate by MGI-2 in medium with mouse serum. The mechanism of this induction of differentiation has been analysed by using two-dimensional gel electrophoresis to study changes in the synthesis of cytoplasmic proteins. In calf serum, 46 of the protein changes that were induced by MGI-2 in normally differentiating cells were constitutive in the differentiation-defective mutant cells. Treatment with mouse serum reverted 13 of these proteins from the constitutive to the non-constitutive state. This reversion was associated with a gain of inducibility for various differentiation-associated properties, so that 23 proteins were induced by MGI-2 for the same type of change as in normal differentiation. A normal developmental program requires synchrony of gene expression. The existence of constitutive instead of inducible gene expression can produce asynchrony in this program and thus produce blocks in differentiation. The results indicate that it is possible to treat these mutant cells so as to induce the reversion of specific proteins from the constitutive to the non-constitutive state, and that this can then restore the synchrony required for induction of differentiation. It is suggested that this mechanism may also allow induction of differentiation in other types of differentiation-defective cells. PMID- 6580170 TI - Antitumor effect of human leukocyte interferon on human osteosarcoma transplanted into nude mice. AB - We studied the effect of human leukocyte interferon (HuIFN-alpha) on a human osteosarcoma (OS-OH) transplanted and passed serially in athymic mice. The growth of OS-OH was strikingly inhibited by HuIFN-alpha (50,000 IU/mouse), regardless of whether the interferon treatment was initiated 24 hr after tumor inoculation or 2 weeks later, when tumors had grown to an appreciable size (4-6 mm). The antitumor effect of HuIFN-alpha was found to be dose-dependent and a daily administration of HuIFN-alpha (50,000 IU/mouse) all but completely arrested the tumor growth. PMID- 6580169 TI - Genetic heterogeneity of the ichthyosis, hypogonadism, mental retardation, and epilepsy syndrome. Clinical and biochemical investigations on two patients with Rud syndrome and review of the literature. AB - Major diagnostic criteria for the Rud syndrome are ichthyosis, hypogonadism, mental retardation, and epilepsy. Two unrelated patients are presented and compared with 28 reported cases. Genetical heterogeneity of the Rud syndrome is suggested by differences in clinical features, histological and endocrinological findings, steroid sulfatase activity, and modes of inheritance. PMID- 6580171 TI - Thrombohaemorrhagic complications in 101 cases of myeloproliferative disorders: relationship to platelet number and function. AB - A series of 101 consecutive patients with chronic myeloproliferative disorders including polycythaemia vera, chronic myelogenous leukaemia, idiopathic myelofibrosis and essential thrombocythaemia have been studied. The aim was to establish the incidence of thrombotic and haemorrhagic complications and the possible role played by platelet number and function. The total incidence of haemostatic complications was 21% and the platelet functional tests investigated (platelet aggregation, generation of malondialdehyde, endogenous serotonin, beta thromboglobulin and platelet coagulant activity) were of little help for predicting these clinical complications. PMID- 6580172 TI - Tumor growth stimulation in vitro by interferons. AB - Interferons (IFNs) are a family of polypeptides originally identified as antiviral substances. Subsequently, other properties of interferons were recognized, including inhibition of cell proliferation, and effects on the immune response and on expression of surface antigens. In this paper we present evidence that interferons, even the highly purified cloned IFNs, can stimulate clonogenic tumor growth in vitro. Of 225 human tumor (HT) samples tested with IFN in a clonogenic assay (HTCA), 30 (13.3%) showed growth stimulation (greater than 2 S.E. above control). The phenomenon was observed most frequently with acute myeloid leukemia (6/22 samples, 27.3%), and renal (2/10, 20%) and breast cancer (4/21, 19%), but significantly less frequent in melanomas (2/34, 5.9%). As an independent assessment of proliferation, tritiated thymidine uptake by tumor cells was measured autoradiographically in 21 patients with multiple myeloma. A significant increase of the thymidine labeling index was seen in 4 (19%) of the samples. Since this growth stimulatory effect was also observed with cell lines which lack any contaminating immunoreactive cells, there is strong evidence that interferons can directly stimulate the proliferation of clonogenic tumor cells in vitro. Growth stimulation by interferons occurred preferentially with lower dosages. It is important to be cognizant of potential clinical implications of tumor growth stimulation by interferons. PMID- 6580173 TI - Effect of opiates on human colonic adenylate cyclase activity. AB - To elucidate a possible mechanism whereby opiates affect human intestinal fluid secretion, opiate effects on human basal and stimulated colonic adenylate cyclase activity were determined. Morphine (10 microM) and naloxone (1 microM) did not affect basal colonic adenylate cyclase activity: 32.6 +/- 2.6 (n = 23; X +/- S.E.) pmol cAMP/mg protein per 10 min or its stimulation induced by sodium fluoride or VIP. However, morphine inhibited the stimulation induced by prostaglandin E2, an effect which was blocked by naloxone. Synthetic enkephalins and metabolically stable retro inverso enkephalins also prevented PGE2-induced stimulation of colonic adenylate cyclase activity. The addition of calcium (0.1 mM) decreased the basal and PGE2-stimulated enzyme activities by 35% and 50%, respectively, regardless of the presence or absence of morphine. These results suggest that morphine and synthetic enkephalins do not affect basal human colonic adenylate cyclase activity but inhibit its stimulation induced by PGE2. This effect may be one of the mechanisms whereby opiates affect intestinal fluid transport. PMID- 6580174 TI - Nutritional adequacy, nutrient availability and needs. Nestle Nutrition Research Symposium, Vevey, September 14-15, 1982. PMID- 6580175 TI - Energy/protein interrelation in experimental food restriction. AB - The effects of restriction of energy and/or protein intake were studied in rats during pregnancy and lactation and in adult mice. Three approaches were employed: sucrose stimulus-induced reduction in the intake of an adequate diet given simultaneously; restriction of intake of a complete food by 30% of ad libitum levels and selective protein or energy restriction of a high protein diet and a non-protein diet. Casein or lactalbumin was the protein source. During lactation the rat's natural food intake regulatory mechanism prevailed over the sucrose stimulus. Restricted intake of the complete food and selective restriction of protein or energy, variably influenced gestational and lactational performance and weight of young at weaning. A distinct regulation in the intake of protein and energy during pregnancy and lactation was observed on selective energy or protein restriction. Restricted feeding of the composite diet starting in the second year of life, to mice previously ad libitum fed a lab chow of constant composition, promoted the highest survival rate. PMID- 6580176 TI - Vitamin A-deficiency impairs the normal mannosylation, conformation and iodination of thyroglobulin: a new etiological approach to endemic goitre. AB - This study was undertaken in order to validate the hypothesis that vitamin A deficiency alters the structure of thyroglobulin (Tg). For that purpose, four groups of 20 Sprague-Dawley rats were submitted during two months to varying dietary conditions, namely a control diet (C+), a vitamin A-deficient diet (A-), an iodine-deficient diet (I-) and a diet characterized by the association of both deficiencies (A-I-). Both the conventional parameters of thyroid function, the intracellular steps of Tg glycosylation and iodination were analyzed. In the A- and A-I- groups, blood levels of retinol fell to one tenth of the control mean and circulating concentrations of total and free T4 and T3 increased significantly. This biochemical hyperthyroidism contrasted with the maintenance of normal TSH plasma values, suggesting a generalized peripheral refractoriness to thyroid hormones. In both A- and A-I- groups, thyroid cytosol 3H-RPM (retinyl phosphate-mannose) and 3H-mannose incorporation into the core of the 12S-Tg and 19S-Tg species were reduced by 40-50%. In contrast, cytosolic concentrations of 3H-DPM (dolichyl-phosphate-mannose) rose, suggesting that the N-glycosylation pathways are affected in opposite direction. The sedimentation coefficient in sucrose gradient of the purified dimeric 125I-19S-Tg after guanidine 6M and dithiothreitol denaturation showed that most of the A- Tg molecules were transformed into monomeric 12S species, implying alterations of both noncovalent and covalent bonds. Finally, the radiochromatogram of 125I-iodothyronines recovered after Tg pronase digestion revealed a significant increase in the mono- (MIT) and diiodothyronine (DIT) fractions in contrast with a significant decrease in the T3 and T4 hormonal compounds. These findings are consistent with the view that vitamin A-depletion impairs the endogenous RPM synthesis and, therefore, the normal Tg 0-mannosylation. The growing peptide is characterized by steric hindrance, leading to abnormal closure of disulphide bonds, reduced MIT-DIT coupling reactions and depressed generation of physiologically active thyroid hormones. pure iodine deficit (I-) induces no effects on the above-mentioned glycosylation reactions, but iodine shortage superimposed on preexisting vitamin A-deficit (A-I-) aggravates the Tg dysmaturation.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6580178 TI - Nutritional adequacy, nutrient availability and needs. General remarks--some personal reflections. PMID- 6580177 TI - Public health/clinical significance of inorganic chemical elements. AB - Food tables documenting the concentration of various nutrients in individual foods do not provide satisfactory information on the contribution of essential inorganic trace elements by prepared meals. Only direct analysis of the actual food consumed during a 24-hour period can give an accurate estimate of the dietary intake. Employing the duplicate portion technique, we have analysed the concentration of a number of inorganic chemical elements in 882 dietary samples from various population groups in Sweden. The intake of several elements including potassium, magnesium, zinc, copper and selenium, in the normal mixed diets is low when compared with recommended dietary allowances (RDA). Vegetarian diets are richer in these elements than ordinary non-vegetarian diets. Plasma levels of trace elements are often poor indicators of body status. A clinical follow-up of a group of pensioners in Dalby, Sweden, for a period of 10-12 years has not indicated any specific signs or symptoms of trace element deficiencies. Vulnerable groups, namely, children, pregnant women, alcoholics and the elderly, may, however, be more susceptible than the population in general to marginal deficiencies resulting from normal everyday consumption of Western diets. PMID- 6580179 TI - Energy expenditure and whole body protein synthesis in very low birth weight (VLBW) infants. AB - To examine the rates of whole body protein synthesis and energy expenditure during the rapid growing period, premature infants of very low birth weight (VLBW) (less than 1500 g), appropriate for gestational age were kept under standard thermoneutrality conditions and received a formula diet providing 110 kcal/kg.d metabolisable energy (ME) and 3.3 g protein/kg.d. Their energy expenditure was measured by open circuit indirect calorimetry. Nitrogen turnover and whole body protein synthesis and catabolism were determined using repeated oral administration of 15N-glycine for 60-72 h followed by the analysis of 15N enrichment in urinary urea. These VLBW infants grew at an average rate of 15 g/kg.d. About half of the ME intake (i.e. 50 kcal/kg.d) was invested in weight gain while the remainder (i.e. 60 kcal/kg.d) was oxidised. The energy equivalent of the weight gain (i.e. the amount of energy stored per g weight gain) and the N balance indicated that lean tissue made up approximately 2/3 of the weight gained and fat tissue the remaining 1/3. The plateau value for 15N enrichment reached on the third day of administration allowed us to calculate a rate of protein synthesis of 14 g/kg.d and protein breakdown of 12 g/kg.d in five VLBW fed a formula diet. The elevated energy expenditure of the very low birth weight infant seems to be related to its rapid rate of weight gain which is accompanied by a high rate of body protein synthesis. More than 20% of the total energy expenditure of the VLBW infants was accounted for by whole body protein synthesis. PMID- 6580180 TI - [The use of antibiotics in dento-alveolar surgery]. PMID- 6580181 TI - [Correction of deep bite by osteotomy of the upper and lower jaw performed in a single session]. PMID- 6580182 TI - [Experience with the Ricketts method]. PMID- 6580183 TI - [Crown measurements of the lower incisors and distance between crown surfaces and pulp chamber]. PMID- 6580184 TI - [Eosinophils granuloma in the mandibular region. Case report]. PMID- 6580185 TI - [Calcifying odontogenic cyst. (Gorlin cyst)]. PMID- 6580186 TI - [Changes and results in postgraduate dental education in Hungary]. PMID- 6580187 TI - [Effect of filling materials on the gingiva and plaque formation (review of the literature)]. PMID- 6580188 TI - [Comparative clinical and experimental studies on the anesthetics on Ultracaine D S and Ultracaine D-S forte]. PMID- 6580189 TI - [Prosthetic rehabilitation after maxillary resection with special reference to the determination of centric occlusion and occlusal relations]. PMID- 6580190 TI - [Cheilitis glandularis simplex]. PMID- 6580191 TI - [Regulation of prostaglandin F2alpha release from the pseudopregnant rabbit uterus in luteolysis]. AB - In previous experiments it was found that PGF2 alpha originating from the uterine endometrium plays a physiologically important role in corpus luteum regression. The present study was undertaken to investigate the regulation of PGF2 alpha release from the uterus in luteolysis. The effect of ovariectomy on PGF2 alpha release was examined. Bilateral ovariectomy was performed on day 14 of pseudopregnancy. PGF2 alpha urinary metabolite excretion was almost constant from day 15 to 22, although a significant increase of PGF2 alpha UM excretion could be seen in the control rabbits. Ovariectomy was performed on day 17. Levels of PGF2 alpha UM excretion increased from day 15 to 17, however, an abrupt decrease occurred after ovariectomy. This indicates that the ovaries are necessary for PGF2 alpha release from the uterus. The effect of steroids on PGF2 alpha release was examined. No significant increase in PGF2 alpha UM excretion could be seen in the ovariectomized pseudopregnant rabbits by the administration of estradiol and/or progesterone, although they are reported to be involved in other species. The effect of the ligation of the vessels between the uterus and ovaries on PGF2 alpha release was investigated. The ligation was performed on day 9. No increase in the production of PGF2 alpha occurred after ligation. Luteal life span was prolonged by 6 days. Endometrial perifusion was carried out to investigate PGF2 alpha production activity on day 18 of the pseudo-pregnant rabbits after the ligation of the vessels between the uterus and ovaries. PGF2 alpha production activity in the treated rabbits was lower than in the controls. These results indicate that a non-steroidal regulator may regulate PGF2 alpha release via the circulation of the uterus and ovaries in the pseudopregnant rabbit. PMID- 6580192 TI - How to move a problem patient out of your practice. PMID- 6580193 TI - Pension plan investing. Part 2: The time for growth is over. Now is the time for income. PMID- 6580194 TI - Choices to cut professional stress. PMID- 6580195 TI - The payoffs in prepaid dentistry. PMID- 6580196 TI - Make prevention your best practice builder. PMID- 6580197 TI - How to use the yellow pages to attract new patients. PMID- 6580198 TI - Build your practice with a patient newsletter. PMID- 6580199 TI - Drugs in dentistry: analgesics. PMID- 6580201 TI - US technicians greet the Orient. PMID- 6580200 TI - The law in Kentucky: pay up or close down. PMID- 6580202 TI - Dental technology and the law - are you vulnerable? PMID- 6580204 TI - Promote success by promoting your lab. PMID- 6580203 TI - Dental alloys compared. PMID- 6580205 TI - What technicians want to tell the boss. PMID- 6580206 TI - The "you" in your first case presentation. PMID- 6580207 TI - Through the looking glass. PMID- 6580208 TI - The ins and outs of phone referral services. PMID- 6580209 TI - Guide to building a better table clinic. PMID- 6580210 TI - Marriage of dental school labs and industry. PMID- 6580211 TI - Emergencies: no time for lectures. PMID- 6580212 TI - Dental advertising requires care and good judgment. PMID- 6580213 TI - Ways to appraise your staff. PMID- 6580214 TI - Coronal root canal preparation. PMID- 6580215 TI - Sears, where America shops for...a dentist? PMID- 6580216 TI - Directions to money sources for your first practice. PMID- 6580217 TI - Weighing employment versus independent contracting. PMID- 6580218 TI - Beating the odds: woman dentist builds practice in Manhattan. Interview by David Denton. PMID- 6580219 TI - Graduate letters of inquiry--they can make a difference. PMID- 6580221 TI - Restrictive covenants: what you should know about them. PMID- 6580220 TI - The price tag of fear. PMID- 6580222 TI - First impressions make lasting patients. PMID- 6580223 TI - New patients: critical to beginning practice. PMID- 6580224 TI - Equipping your first office. PMID- 6580226 TI - Advertising: should nice dentists do it? PMID- 6580225 TI - Scare prevention: when dentistry had bite. PMID- 6580227 TI - Role of expanded dental auxiliaries. PMID- 6580228 TI - Setting salaries for your staff. PMID- 6580230 TI - Three tiers for dentistry. Interview by David Denton. PMID- 6580231 TI - Education: are we missing something? PMID- 6580229 TI - Surviving in the year 2000. PMID- 6580233 TI - Cooperative case planning. PMID- 6580232 TI - Student loans: good news and bad news. PMID- 6580234 TI - New concepts in continuing education. PMID- 6580235 TI - A new generation of dentists. PMID- 6580236 TI - Are license exams best for students? PMID- 6580237 TI - Students provide care for remote islanders. PMID- 6580238 TI - An ounce of prevention worth pound of amalgam. PMID- 6580239 TI - Three-tier dentistry: is it a realistic view? PMID- 6580240 TI - [The enzyme arylsulfatase C and steroid sulfatase as biochemical markers and pathogenetic factors in X-chromosome recessively inherited ichthyosis]. PMID- 6580241 TI - Office condominiums. Could one be in your future? PMID- 6580242 TI - More dentists in higher income brackets. PMID- 6580243 TI - Scheduling update. PMID- 6580244 TI - What is CCTV all about? PMID- 6580245 TI - The Ozymandias syndrome. Don't let your empire crumble in desert sands. PMID- 6580246 TI - Is bigger better? PMID- 6580248 TI - Surveys and the prediction of dental treatment. PMID- 6580247 TI - Practices suffered growing pains. PMID- 6580249 TI - Photography 2. Close-ups: principles and equipment. PMID- 6580250 TI - Four-handed dentistry. 3. Endodontics. PMID- 6580251 TI - Soft tissue lesions in children: 2. Inflammation and infection. PMID- 6580252 TI - Increased efficiency of weight gain and altered cellularity of brown adipose tissue in rats with impaired glucose tolerance during diet-induced overfeeding. AB - We examined the relationship among glucose tolerance, efficiency of weight gain, and cellularity of brown adipose tissue (BAT) in rats (initial weight: 362 +/- 1 g) made hyperphagic and obese by feeding on a highly palatable "cafeteria" (CAF) diet for 4-8 wk. As compared with chow-fed controls, CAF feeding resulted in a 45 60% increase in caloric intake (P less than 0.01), a 40-50% increase in weight gain (P less than 0.01), and hyperinsulinemia. Glucose disposal rate (K) on intravenous glucose tolerance test (IVGTT) was greater than or equal to 1.4% in all chow-fed rats, but fell to less than or equal to 1.3 in 10 of 23 CAF-fed rats. As compared with the chow-fed controls, rats with normal glucose tolerance demonstrated a 12% decline in efficiency of weight gain (g/100 kcal of food consumed) in response to CAF feeding (P less than 0.05). In marked contrast, in rats with impaired glucose tolerance, efficiency of weight gain failed to decline in response to overfeeding and was 18% higher than in the overfed group with normal glucose tolerance (P less than 0.01). Although CAF feeding increased the mass of interscapular BAT by 110-130% in rats with normal as well as impaired glucose tolerance, DNA content of BAT rose only in the normal-K CAF-fed rats (0.19 +/- 0.01 mg DNA/100 mg versus 0.12 +/- 0.02 in chow-fed controls and 0.12 +/- 0.01 in low-K rats).(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6580253 TI - The effects of lead exposure on urban children: the Institute of Child Health/Southampton Study. AB - A study of the associations between level of tooth lead, behaviour, intelligence and a variety of other psychological skills was carried out in the child population aged six to seven years in three London boroughs. Tooth lead was estimated from the chemical analysis of shed teeth donated by children. 2663 (62.4 per cent) of the eligible children donated teeth. A study of the total population was carried out to see if those who donated teeth were representative of that population. There were small but consistent and statistically significant differences--tooth-givers being of slightly higher intelligence and showing fewer behaviour problems. 403 children, selected on the basis of their tooth-lead levels and social class, were studied more intensively. They were classified into six pre-arranged groups--high, medium and low tooth-lead levels, with each lead group divided into two social groups, manual and non-manual. The parents of these children were intensively interviewed in their homes regarding parental interest and attitudes to education, family characteristics and relationships, the early history of the child and the child's physical environment. The intelligence of the mother was measured. The child was then studied in school using tests of intelligence, educational attainment and other cognitive tasks. Teachers and parents completed standardised behaviour questionnaires. The results showed that intelligence and other psychological measures were strongly related to social factors, especially social grouping. Lead level was linked to a variety of factors in the home, especially the level of cleanliness, and to a lesser extent, maternal smoking. There was no significant link between lead level and behaviour, though when rated by teachers, but not by parents, there were small and reasonably consistent non-significant tendencies for high-lead children to show more difficult behaviour. Before social factors were controlled for, there were significant differences between the lead groups in measures of intelligence and two other psychological tests, the children in the high-lead groups performing worse. Once a number of social factors had been taken into account, the differences between the three lead groups (high, medium and low) became small and statistically nonsignificant, although they remained in the same direction.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6580254 TI - Effect of aclacinomycin-A on survival and progression of mouse L cells through the cell cycle. AB - The survival of cultured mouse L cells and the progression of the cells through the cell cycle after exposure to aclacinomycin-A (ACM-A) were studied. At low drug concentrations, there was a slight depression in survival of S phase cells, while at high concentrations, cells at late G1 and late S-G2 were very sensitive to the drug. The dose-survival curve of synchronous cells was similar to that of asynchronous cells. Initially, there was a small reduction in survival, but as the dose was increased no additional killing occurred until a certain level was exceeded, after which an exponential decline in survival resulted. The age response with high concentrations of the drug reflected the differences in the size of the shoulder of the dose-response curve, while that with low drug concentrations reflected the presence or absence of the initial small decrease in survival. ACM-A inhibition of cell progression was greatest for cells in mid G1 followed by cells in late S and finally by cells in G2. PMID- 6580255 TI - Establishment and properties of vincristine-resistant human myelogenous leukemia K562. AB - A vincristine (VCR)-resistant subline of human K562 myelogenous leukemia was established in vitro, and several clones with different susceptibilities to VCR were isolated by the limiting dilution technique. The most resistant clone (H-1) had a 17-fold greater resistance to VCR when compared to the parent K562 cells. The clone gradually lost the resistance during prolonged culture in vitro. These clones generally accumulated smaller amounts of VCR in their cells as compared to the parent cells. The size of H-1 clone cells was almost the same as that of the parent cells. The numbers of potential binding sites of VCR in the K562 cells and the resistant H-1 clone were almost the same. Similar results were obtained for P388 and its VCR-resistant subline. The cells derived from the VCR-resistant H-1 clone were highly cross-resistant to vindesine and moderately resistant to vinblastine. Cells derived from clone H-1 exhibited marginal degrees of cross resistance to adriamycin, maytansine and VP-16-213, whereas VCR-resistant P388 leukemia cells exhibited significant resistance to these agents, especially to maytansine. PMID- 6580256 TI - Thermoregulatory effects of the specific uptake inhibitor citalopram in maturing mice. AB - The effects of a single 20 mg/kg dose of citalopram (Lu 10-171) were studied in mice aged 1-10 days. Body temperature measured 2 and 24 hr after treatment was decreased in treated animals as compared with saline injected littermate controls. Two hours after treatment, temperature preference in a thermal gradient was unchanged in animals younger than 6 days; however, in animals 6 days or older, temperature preference was increased as compared with littermate controls. Twenty-four hours after treatment, temperature preference was increased in citalopram-treated animals at all ages tested. The results are discussed in relation to nervous system maturation. PMID- 6580257 TI - JCAH to initiate new CAP laboratory evaluation procedure. PMID- 6580258 TI - Genetics of human S-adenosylhomocysteine hydrolase. A new polymorphism in man. AB - A specific staining procedure for the demonstration of S-adenosylhomocysteine hydrolase (SAHH, EC 3.3.1.1) is given. The enzyme has a broad tissue distribution and is also present in erythrocytes. The SAHH gene is polymorphic in the population of southwest Germany with two common alleles: SAHH*1 = 0.96 and SAHH*2 = 0.04. Family studies resulted in the expected segregation ratios. No evidence for close linkage with a total of 25 marker loci was found. But information from human mouse somatic-cell hybrids led to the localization of the SAHH gene to human chromosome 20, thereby confirming the findings of Hershfield and Francke (1982). PMID- 6580259 TI - Evidence that the Menkes locus maps on proximal Xp. PMID- 6580260 TI - A search for linkage in families with fragile sites. AB - Linkage relationships to unassigned and provisionally assigned genetic markers were examined from 53 families segregating for various fragile sites. Fragile sites were at Xq27, 2q13, 6p23, 9p21, 9p32, 10q23, 10q25, 11q13, 11q23, 12q13 and 16p12. No new assignments were made but extensive exclusion data are presented for the markers F13A, F13B, CHE2, K, TF, GPT, C3 and Lu arising from linkage comparisons with fragile sites and other genetic markers. Exclusions of at least 10 cM involving fragile site markers were made for F13A (6p23, 9q32, 10q25), F13B (10q23, 10q25, 16p12), CHE2 (16p12), K (10q23), TF (10q23, 10q25, 11q13), GPT (10q23, 10q25, 11q13), C3 (10q23, 10q25) and Lu (10q25, 11q13). PMID- 6580261 TI - Inexpensive intraoral photography. PMID- 6580262 TI - An interview with Leonard Giannone, ISDS president. PMID- 6580264 TI - Nutrition and oral health. PMID- 6580263 TI - Capitation in Illinois. Part III--Advantages and disadvantages of the system. PMID- 6580266 TI - [Nomenclature in oral surgery]. PMID- 6580265 TI - Chemotherapy and corynebacterium parvum for induction and maintenance of remission in acute myelogenous leukaemia--a controlled study. PMID- 6580267 TI - [Reflections on the nomenclature of professional services in operative dentistry]. PMID- 6580269 TI - [Nomenclature and fixed prosthetics]. PMID- 6580268 TI - [Nomenclature: is it needed in periodontology?]. PMID- 6580270 TI - [Evaluation trials of costs in complete dentures]. PMID- 6580271 TI - [Proposed nomenclature in orthodontics]. PMID- 6580272 TI - [Nomenclature for services intended for the treatment of partial edentulousness]. PMID- 6580273 TI - [Composite resin restorations: carving, finishing and polishing of composite resins]. PMID- 6580274 TI - [Composite resin restorations. Classification of composite resins]. PMID- 6580275 TI - [Composites in clinical pedodontics]. PMID- 6580276 TI - [Contact-point restoration with composites]. PMID- 6580277 TI - The effects of gnathologic orthopedics on the cervical spine. PMID- 6580278 TI - Finalization of functional orthopedic therapy. PMID- 6580279 TI - Management and prevention of severe osseous defects distal to the second molar following third molar extraction. PMID- 6580280 TI - Realities in addressing the emotional, economic and sequential aspects of certain advanced periodontal prosthetic cases. PMID- 6580281 TI - Treatment of gingival clefts by occlusal therapy. PMID- 6580282 TI - The psychological determinant in prosthetic treatments: planning an interesting case study. PMID- 6580283 TI - Triple X and erythroleukaemia. PMID- 6580284 TI - The President's Commission: do we need a sequel? PMID- 6580285 TI - Looking back at the President's Commission. PMID- 6580287 TI - [Osteosarcoma of the larynx]. AB - A case of osteosarcoma of the soft tissues of the larynx of a 65 years old man is presented. Adequate surgical excision of the tumour was impossible because the patient had advanced cerebral and coronary vascular disease. Radiation therapy produced no remission of the tumour. The light microscopic findings are described and discussed. This is the sixth recorded case of osteosarcoma of the larynx. PMID- 6580286 TI - A chromosomal inversion polymorphism in Scandinavian populations of the seaweed fly, Coelopa frigida. PMID- 6580288 TI - Exercise hyperventilation in patients with McArdle's disease. PMID- 6580289 TI - Release of lipoteichoic acid from Staphylococcus aureus by treatment with cefmetazole and other beta-lactam antibiotics. AB - The effect of cefmetazole on the growth together with the release of cellular lipoteichoic acid from cefazolin-resistant strains of Staphylococcus aureus was compared with that of cefazolin, cefotiam, cefoxitin and cefuroxime. Bacteriolytic actions were measured by turbidity and bactericidal actions were followed by viable cell count. Release of cellular lipoteichoic acid was measured by the radioactivity in the supernatant of the cultures. Cefmetazole exerted more potent effects on the bacterial growth and induced more marked release of cellular lipoteichoic acid from resistant strains as compared with other beta lactams. PMID- 6580290 TI - Binge eating during menstruation. PMID- 6580291 TI - Thiol reactivity of the nitrogenase Fe-protein from Azotobacter vinelandii. AB - A procedure has been developed to examine some of the functional roles of the 14 cysteinyl residues in the nitrogenase Fe-protein (Av2) from Azotobacter vinelandii. The reduced form of Av2 was alkylated with iodo[2-14C]acetic acid under a variety of experimental conditions, e.g. reaction in the presence of nucleotides, alpha,alpha'-dipyridyl and nucleotides, or denaturants. The labeled cysteinyl residues were identified and quantified using an analytical DEAE Sepharose ion exchange chromatography peptide mapping technique based upon the known amino acid sequence (Hausinger, R. P., and Howard, J. B. (1982) J. Biol. Chem. 257, 2483-2490). From the results of the labeling experiments, the following features of the Av2 structure have been proposed. 1) Av2 contains no disulfides, hyperreactive thiols, or surface thiols as defined by reaction with iodoacetic acid. 2) Cysteines 97 and 132 are the probable ligands for the Av2 Fe:S center which is bound symmetrically between subunits. 3) MgATP partially protects cysteine 85 from carboxymethylation by iodoacetic acid and may be part of the nucleotide-binding site. 4) Of the five nonligand thiols only cysteines 5 and 184 are completely alkylated when Av2 is denatured in hexamethylphosphoramide, whereas all five nonligand thiols appear to rapidly exchange at the Fe:S center if the protein is denatured in the absence of alkylating reagents. 5) Both Av2 and apo-Av2 appear to undergo a reversible conformational change upon binding MgATP. PMID- 6580292 TI - Crystallization and preliminary x-ray studies of spinach ribulose 1,5 bisphosphate carboxylase/oxygenase complexed with activator and a transition state analogue. AB - Ribulose 1,5-bisphosphate carboxylase/oxygenase has been purified from spinach and crystallized by equilibrium vapor diffusion with polyethylene glycol 6000 as a precipitant. Crystals suitable for x-ray studies were obtained from a binary complex with a transition state analogue, 2-C-carboxy-D-arabinitol 1,5 bisphosphate, and a quaternary complex with 2-C-carboxy-D-arabinitol 1,5 bisphosphate, Mg2+, and HCO-3. Two forms of crystals were obtained in the presence of 2-C-carboxy-D-arabinitol 1,5-bisphosphate. Form B crystals are plates which have orthorhombic space group P2(1)2(1)2 with unit cell dimensions a = 184 A, b = 218 A, and c = 119 A. Form C crystals are tetragonal needles with space group I422 and with cell dimensions a = b = 275 A and c = 178 A. In both forms, the asymmetric unit contains half a molecule. PMID- 6580293 TI - Determination of aclacinomycin A by reversed-phase high-performance liquid chromatography. PMID- 6580294 TI - Genetic linkage studies with cleft lip and palate: report of two family studies. AB - Genetic linkage studies are reported on two families with cleft lip +/- cleft palate. For the first family (LP01) the etiology of the clefting is unknown, and the linkage analyses were done assuming both autosomal dominant and autosomal recessive inheritance. Close linkage is rejected with the Duffy blood group under the dominant model and with four loci (Duffy, Kidd, and ABO blood groups and haptoglobin) under the recessive model. The second family (LP02) is a Mexican American family segregating the van der Woude syndrome with lip pits. The linkage analyses for this autosomal dominant trait excluded close linkage with seven genetic markers, including three on chromosome one. The maximum lod scores were 0.6 with BF (chromosome 6) and 0.4 with the P blood group, which is not yet mapped. PMID- 6580295 TI - Concepts and clinical considerations in drug-induced nephrotoxicity. Comments on a review symposium. PMID- 6580296 TI - Plasma zinc and inappetence in sheep infected with Trichostrongylus colubriformis. AB - The concentration of zinc in plasma before and after the occurrence of inappetence was measured in sheep infected with Trichostrongylus colubriformis and in uninfected animals fed freely or pair-fed with the infected group. Infection reduced mean food consumption to about one-third of that of the sheep fed ad libitum, half becoming completely anorexic. Plasma zinc concentrations in the infected sheep were reduced by 17 per cent whereas they were unchanged in the uninfected groups. PMID- 6580297 TI - Dental health behavior modification: a school-based program. PMID- 6580298 TI - Effect of length and number of appointments on children's behavior in a dental setting. PMID- 6580299 TI - Autogenic transplantation of a developing tooth. PMID- 6580300 TI - Protection of dens evaginatus with pit and fissure sealant. PMID- 6580301 TI - Talon-cusp management: orthodontic-endodontic considerations. PMID- 6580302 TI - Dentin dysplasia type II: review of the literature and report of a family. PMID- 6580303 TI - Compound odontoma in a twelve-year-old girl. PMID- 6580304 TI - Clinical evaluation of two patients with a single maxillary central incisor. PMID- 6580305 TI - A congenitally missing canine in association with other dental disturbances: report of two cases. PMID- 6580307 TI - Physical metallurgy of dental amalgams. 3. Transverse strength and fracture behaviour during setting. PMID- 6580306 TI - Nutrition in cystic fibrosis. AB - The goal of nutritional care for the CF patient should be to support normal growth and development, even if the patient has pancreatic insufficiency. By optimizing nutritional habits, using potent pancreatic enzyme supplements effectively and treating patients with appropriate micronutrient supplements, physicians should be able to prevent malnutrition and enhance the general health of cystic fibrosis patients. PMID- 6580308 TI - Clinical deformation of maxillary complete dentures. PMID- 6580309 TI - The histopathology of the apical area where conservative endodontic treatment has failed. PMID- 6580310 TI - An unusual reaction after the treatment of a dry socket. PMID- 6580311 TI - The relationship of the greater palatine foramen to the molar teeth and pterygoid hamulus in human skulls. PMID- 6580312 TI - Fluoride uptake in vitro by interproximal enamel from dental floss impregnated with amine fluoride gel. PMID- 6580314 TI - [The efficiency of instant film in periapical lesion diagnosis]. PMID- 6580313 TI - [Fluoride level in the Bangkok central water supply]. PMID- 6580315 TI - [Cementifying fibroma (report of 2 cases)]. PMID- 6580316 TI - The need for an International Association for Dental Research. PMID- 6580317 TI - Dental research in Australia--present and future. PMID- 6580318 TI - Industry-University relations: putting America's knowledge to work. PMID- 6580319 TI - Plasma beta-endorphin-like immunoreactivity, pain and anxiety following administration of placebo in oral surgery patients. AB - Plasma beta-endorphin was measured in patients undergoing a stressful procedure, the removal of impacted third molars. In patients reporting little pain, endorphin levels increased significantly during surgery, whereas patients reporting pain and anxiety showed little increase in endorphin levels. PMID- 6580320 TI - Use of bacteriophage-resistant mutants to study Actinomyces viscosus cell surface receptors. AB - Spontaneously occurring bacteriophage-resistant mutants of Actinomyces viscosus were isolated. The mutants exhibited altered coaggregation patterns with streptococci. From analysis of the data, it appears that a cell surface structure on A. viscosus may function both as a phage receptor and as a binding site for co aggregation with certain oral streptococci. These mutants will be valuable in the study of surface structures that mediate one type of the cell-to-cell interactions that occur between these two important groups of oral bacteria. PMID- 6580321 TI - Perceptions of dental students' problems. PMID- 6580322 TI - Minority group dental students: a need for added support. PMID- 6580323 TI - Faculty response to personal problems of students: a survey of dental educators. PMID- 6580324 TI - Marketing, advertising and ethics, the dental profession's dilemma of today. PMID- 6580325 TI - Economic pressures. The effect on dental education at Howard University. PMID- 6580326 TI - And lead me not into temptation. PMID- 6580327 TI - Treatment of the avulsed tooth. PMID- 6580328 TI - Odontologic concepts. PMID- 6580329 TI - Pedodontic sedation. PMID- 6580330 TI - Fluoride and bone fracture. PMID- 6580331 TI - Keyes' technique. PMID- 6580332 TI - A proposed index of oral health status: a practical application. PMID- 6580333 TI - Clinical management and soft tissue reconstruction of periodontal damage resulting from habitual use of snuff. PMID- 6580334 TI - Canine transposition--approaches to treatment. AB - Transposition, an infrequently occurring dental anomaly, almost always involves the canines. Transposition occurs in either jaw, bilaterally or unilaterally, and in most cases the primary canine is still present. The canine may transpose with the lateral incisor or the first premolar. In the maxilla, transposition with the first premolar occurs more frequently. In the mandible, as far as can be determined, the canine always transposes with the lateral incisor. Several causative factors have been discussed. When cases of incipient transposition are detected early enough they can sometimes be treated interceptively. When seen at later stages, the positions of the root apexes are important for a decision about where to move the transposed teeth. PMID- 6580335 TI - The extraoral approach to the infraorbital nerve block. PMID- 6580336 TI - Osteotomy of intermaxillary suture for closure of median diastema. AB - A technique for performing an osteotomy of the intermaxillary suture has been described. By removing the cortical bone and soft tissue that lines the intermaxillary suture between the anterior surface of the maxilla and the incisive foramen, stability of orthodontic closure of the median maxillary diastema has been achieved. PMID- 6580337 TI - A clinical comparison of dentinal slot retention with metallic pin retention. AB - Twenty-two pairs of extensive amalgam restorations were placed in 19 patients. One amalgam of each pair had self-threading pin retention, and the other had dentinal slot retention. Evaluations were done at baseline, at one, and two years. After two years, 17 pairs of amalgams were available for evaluations. The data obtained can be summarized as follows: 100% (17) of the slot-retained amalgams were clinically acceptable, whereas 94.1% (16) of the pin-retained amalgams were acceptable. It can be concluded that, in clinical usage, dentinal slot retention is as effective as self-threading pin retention in extensive amalgam restorations. PMID- 6580338 TI - The Kentucky and Washington State demonstrations: expanded-function dental auxiliary personnel in private general practice. PMID- 6580339 TI - The Washington State dental auxiliary project: delegating expanded functions in general practice. PMID- 6580340 TI - The Washington State dental auxiliary project: quality of care in private practice. PMID- 6580341 TI - Dentistry on stamps. PMID- 6580342 TI - Mercury: muddled media ahead? PMID- 6580343 TI - Clinical products in dentistry. A desktop reference. PMID- 6580344 TI - Two-dimensional gel analysis of swine histocompatibility antigens. AB - Miniature swine MHC antigens from three inbred herds were examined by two dimensional gel electrophoresis. These antigens were found to constitute a series of complex glycoproteins displaying haplotype-specific patterns that allowed the distinction of both class I and class II molecules among the three haplotypes. Selected outbred pig antisera reacted with a subset of class I antigens, suggesting the presence of at least two distinct molecular species among these antigens. Similarly, alloantisera reacting with mouse Ia antigens and a monoclonal anti-human DR were shown to immunoprecipitate a subset of class II molecules. Examination of the cells from two recombinant haplotypes demonstrated that both independent recombinational events took place between the class I and class II genes. PMID- 6580345 TI - Lymphokine-stimulated macrophage phagocytosis of fluorescent microspheres: a rapid new assay. AB - A highly sensitive and rapid in vitro macrophage phagocytosis assay is described for screening of lymphokine preparations with macrophage activating properties. Non-induced mouse peritoneal macrophages were incubated on glass slides for 60 min in the presence of fluorescent 2 micron latex beads and partially purified lymphokine fractions or media control. Lymphokine samples were prepared from culture supernatants of the B lymphoblastoid cell line RPMI 1788 by high performance liquid chromatography of a soluble trichloroacetic acid extract of concentrated culture supernatant. Phagocytosis was measured by direct counts of the percent phagocytic cells and the number of intracellular beads per 100 cells as seen by fluorescence microscopy. Phagocytic uptake in the presence of as little as 0.1 ng of active lymphokine could readily be determined qualitatively by correlation plots and quantitatively by appropriate statistical programs for data processing by computer. This technique provides a rapid, reproducible, screening assay for biological activity of macrophage activating lymphokines and other compounds affecting macrophage phagocytosis. PMID- 6580346 TI - Preventing autogenous dental infections. PMID- 6580347 TI - Ten year report of a bifurcated mandibular first molar. PMID- 6580348 TI - Basic science in dentistry - past, present and future. PMID- 6580349 TI - Effects of increased concentrations of prostaglandin E levels with epidermolysis bullosa dystrophica recessive fibroblasts within a populated collagen lattice. AB - Tissue-cultured fibroblasts suspended in a collagen matrix actively reduce the size of that matrix by the process called lattice contraction. Cultured human fibroblasts derived from patients with epidermolysis bullosa dystrophica recessive (EBdr) cannot elongate and spread out when incorporated in a collagen matrix and they are therefore poor at contracting that collagen lattice. Culture medium from EBdr fibroblast-populated collagen lattice (FPCL) shows an increased concentration of prostaglandin, PGE2, compared with that in lattices made with equal numbers of normal human fibroblasts. The addition of the nonsteroid anti inflammatory drug, indomethacin, to EBdr FPCL inhibits PGE synthesis, and promotes both cell elongation and spreading, as well as lattice contraction. However, the addition of indomethacin to normal FPCL does not stimulate either the spreading and elongation of cells or lattice contraction. PGE1 or PGE2 added to normal FPCL inhibits lattice contraction and cell elongation and spreading. Accordingly, EBdr FPCL does not undergo contraction due to altered elongation and spreading of fibroblasts, which process is related to enhanced PGE synthesis. It is proposed then that the contractile forces responsible for lattice contraction are identical to those responsible for the spreading and elongation of cells. Characteristic of EBdr fibroblasts are elevated levels of PGE2 which result in the failure of cells to spread and elongate within a collagen matrix. PGE2 treated normal cells do not readily spread and elongate and they do not readily contract FPCL. PMID- 6580351 TI - An Irish bridge of excellence that has withstood the test of time! PMID- 6580350 TI - Dilaceration and failure of eruption of non successional teeth. PMID- 6580352 TI - Voluntary health insurance, are you in the co-op? PMID- 6580353 TI - [The relation between oral cavity shape and lingual articulation in skeletal Class III cases before and after orthognathic surgery. Observation by electro palatogram]. PMID- 6580354 TI - [Evaluation of postoperative stability in skeletal Class III patients treated by sagittal splitting osteotomy]. PMID- 6580355 TI - [Correction of the measured value of mandibular kinesiography in the analysis of jaw movement around the rest position]. PMID- 6580356 TI - [Characteristics of cultured chondrocytes from the rabbit spheno-occipital synchondrosis]. PMID- 6580357 TI - [Effect of parathyroid hormone on rabbit mandibular condylar chondrocytes, nasal septal chondrocytes, spheno-occipital synchondrosal chondrocytes and costal chondrocytes in culture]. PMID- 6580358 TI - [Experimental study on the displacement of the maxillary complex produced by forward extraoral traction]. PMID- 6580359 TI - [Effects of saliva on the formation of fluorapatite]. PMID- 6580360 TI - [Psychological studies on the effect of orthodontic treatment and the most suitable timing of orthodontic treatment]. PMID- 6580361 TI - [Clinical evaluation of post-treatment periodontal status of impacted and abnormally positioned anterior teeth]. PMID- 6580362 TI - [A dental performance simulation system for preclinical instruction in orthodontic education]. PMID- 6580363 TI - HLA-A, -B, -C antigens in otosclerosis. AB - One hundred unrelated, randomly chosen, consecutive patients with otosclerosis, verified by operation, were typed for HLA-A, -B, -C antigens. No significant association between HLA-A, -B, -C antigens and otosclerosis was found. PMID- 6580364 TI - Unilateral immediate tonsillectomy as the treatment of peritonsillar abscess: results, with special attention to pharyngitis. AB - The results of unilateral immediate tonsillectomy, as the routine treatment of peritonsillar abscess, were studied in 47 patients with no previous history of serious tonsillitis. The follow-up was carried out between three and four years after operation. The incidence of tonsillitis in the contralateral tonsil remained unchanged and peritonsillar abscess did not occur in that tonsil. Symptoms of pharyngitis, periodic or chronic, were present in three patients only. This was found to be significantly lower than that found in the literature in a similar group of patients in whom bilateral immediate tonsillectomy had been performed. The results are discussed and the authors recommend unilateral immediate tonsillectomy in cases of peritonsillar abscess in all patients with no previous history of serious tonsillitis, as this apparently prevents the troublesome side-effects of chronic pharyngitis. PMID- 6580365 TI - Unilateral tonsillectomy--indications and results. AB - Seventy-six cases of unilateral tonsillectomy performed over the last 20 years are reported. The average age was 3.75 years. Fifty per cent had adenoidectomy. A review of their case notes and of 54 questionnaires returned by parents, asking their opinion of the change in symptoms before operation and two years after operation, showed that they could be allotted into three groups: Group 1 35 cases (65 per cent) had dramatic improvement in the symptoms of allergy, colds, otitis, sore throats, eating, meat eating and sleep. Group 2 of nine cases (17 per cent) had considerable improvement in most symptoms. Group 3 of 10 cases (18 per cent) had minimal improvement. Post-tonsillectomy hypertrophy of the remaining tonsil occurred within two to four years in nine cases, necessitating removal. Four (11 per cent) in Group 1, (22 per cent) in Group 2, and three (30 per cent) in Group 3. The three secondary tonsillectomies in Group 3 gave good results in two cases. In five cases the other tonsil was removed six to 15 years later. This series of cases has demonstrated that a tremendous decrease in incidence of throat and upper respiratory tract infection in young children, apparently prone to infection can occur in over 80 per cent of cases following unilateral tonsillectomy, in spite of the continued presence of the remaining large tonsil.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6580366 TI - The treatment of avulsed teeth. PMID- 6580367 TI - Stainless steel crown. An excellent restoration for deciduous molars. PMID- 6580368 TI - A specialized unit for adolescent oncology patients. Is it worth it? PMID- 6580369 TI - Treatment of febrile granuloycytopenic cancer patients receiving antineoplastic therapy with a combination of carbenicillin, cefazolin and gentamicin. AB - A three drug regimen of carbenicillin, cefazolin and gentamicin was used for the treatment of patients with solid tumors, who developed fever while granulocytopenic following chemotherapy. Thirty-five (8%) of 426 cancer patients receiving various combinations of antineoplastic chemotherapy qualified for the antibiotic treatment. Nine patients (26%) had bacteriologically confirmed infections, all with gram negative microorganisms. Twenty-four patients (69%) recovered and eleven (31%) died. All deaths occurred within five days of antibiotic therapy; in patients who recovered, the fever subsided within six days. Mortality was not influenced by the presence of a positive bacterial culture, age, or the cytotoxic agents used. It was, however, strongly related to metastatic spread: nine out of 14 patients with liver metastases (64%) died from the infection, while only two of 11 patients (18%) with other metastatic sites failed to respond to the antibacterial therapy. No death occurred in 10 patients who had local disease or received adjuvant therapy. This combined antibiotic therapy was as effective as reported for other combinations, with no serious side effects. PMID- 6580370 TI - Pharmacokinetics and relative potency assays with analgesic medications. AB - Simulated pharmacokinetic data are used to depict how single-dose relative potency assays fail when medications with half-lives of 3, 6, 12, and 24 hours are compared. When doses are given every six hours, the steady-state maximum concentrations (as a percent of the first dose Cmax) are respectively 133, 199, 377, and 598. Conversely, the sums of the maximum and minimum concentrations following the first dose, as percent of the steady-state Cmax plus Cmin are respectively 75, 50, 30, and 17. Single-dose comparisons among usual (maintenance) doses of analgesics with different half-lives (accumulation characteristics) do not provide satisfactory estimates of relative therapeutic efficacy. PMID- 6580371 TI - Effect of hemodialysis on left ventricular performance. AB - Systolic time intervals (STI) and echocardiograms (Echo) were performed before and 30 min after hemodialysis (H) in 19 stable patients (pts) with chronic renal failure undergoing maintenance H. The % shortening of the internal diameter (% delta D), the mean velocity of circumferential fiber shortening (VCF), and the ratio of the pre-ejection period to the left ventricular (LV) ejection time (PEP/LVET) were used as indices of LV performance; the electromechanical systole corrected for heart rate (QS2I) was used as an index of adrenergic activity. After hemodialysis, LV function was improved in 9 pts, Group (GI) and decreased in 10 pts (GII). Changes due to H are shown. The % delta D and VCF before H were normal in GI but abnormal in GII (31.6 +/- 1.4 vs 24.5 +/- 1.4 and 1.07 +/- 0.06 vs 0.88 +/- 0.04, respectively). Systolic blood pressure remained unchanged in GI but decreased in GII (-9.5 +/- 4 mm Hg, p less than 0.01). Body weight decreased significantly (p less than 0.05) and equally in both Gs (-1.2 +/- 0.03 in GI and 1.6 +/- 0.03 in GII). Serum electrolytes, creatinine, and hemoglobin were identical in both Gs before and after H. LV performance improved in pts with LV dysfunction before H, but decreased in pts with normal LV function before H. The decreased afterload in GII and the different effect of alterations in preload and afterload in the failing and normal LV most likely account for these changes. STI and Echo provide simple techniques to assess changes in LV function due to H and one is complementary to the other. PMID- 6580372 TI - Anthropometric characteristics, cardiac abnormalities and adrenergic activity in patients with primary disorders of sleep. AB - Sixty-one patients (pts) with sleep apnea (SA), 35 with narcolepsy (N) and 24 with idiopathic hypersomnolence (H) were studied in the Clinical Research Center. The height to body weight ratio was less than normal in SA pts (0.32 +/- 0.01 vs 0.45 +/- 0.01, p less than 0.01), but normal in N and H pts (0.45 +/- 0.02 and 0.45 +/- 0.01, respectively). Twenty-four hour urinary epinephrine (E) plus norepinephrine (NE) was greater than normal (p less than 0.01), but not different among SA, N and H pts. The incidence of mitral valve prolapse (MVP) was greater in N (49%) and H (58%) compared to SA (20%) (p less than 0.01). The ratio of the pre-ejection period to the left ventricular ejection time (PEP/LVET) was abnormal (greater than 0.42) in 36% of the pts with SA and only in one pt with N and H (p = 0.02). The % shortening of the echocardiographic internal diameter (% delta D) was abnormal (less than 28%) in 28% of pts with SA and normal in all pts with N and H (p = 0.02). The incidence of malignant ventricular dysrhythmias (24 hour Holter) was 26% in SA, 3% in N and 4% in H (p = 0.04). Thus, pts with impaired alertness have high adrenergic tone despite evidence for a role of catecholamines in wakefulness. Left ventricular dysfunction, malignant dysrhythmias and obesity are common findings in SA, while MVP is very common in N and H. PMID- 6580374 TI - In vitro growth of granulocyte-macrophage colonies from normal human bone marrow, peripheral blood and umbilical cord blood. PMID- 6580373 TI - Identification of a new component in the murine Ia molecular complex. AB - In this report, we describe a previously unidentified component in the murine Ia antigen complex. SDS-PAGE analysis of anti-Ia immunoprecipitates prepared from spleen cells biosynthetically labeled with 35S-sulfate showed no detectable incorporation of 35SO4 into alpha, beta, or Ii chains but did not reveal the presence of a novel sulfate-bearing molecule of considerable molecular weight heterogeneity (46-69-kdaltons). The 46-69-kdalton molecule could be precipitated with monoclonal antibodies specific for I-A, I-E, and Ii glycoproteins but was not seen in control precipitates, nor in association with IgG or class I MHC molecules. Preliminary biochemical characterization indicated that the 46-69 kdalton product is extremely polydisperse, both in charge and apparent molecular weight, is sensitive to proteases, and bears the sulfate moiety on a large pronase-resistant structure. These results suggested this component might be a proteoglycan. Definitive identification of this component as a proteoglycan was accomplished by selective enzymatic degradation experiments which showed that the sulfate-bearing component of the 46-69-kdalton molecule is chondroitin 6-sulfate. PMID- 6580375 TI - Vectorcardiographic findings in mitral valve prolapse. PMID- 6580376 TI - Clinical spectrum of ruptured mitral chordae tendineae. PMID- 6580377 TI - [Preoperative and early postoperative echocardiographic studies of ventricular septal defect in adults]. PMID- 6580379 TI - [Differential diagnosis of type B chronic active hepatitis and type B acute hepatitis by clinical features]. PMID- 6580378 TI - [Endoscopic Nd-YAG laser treatment of gastrointestinal polyps]. PMID- 6580380 TI - [Health survey of children aged 2-3 1/2 years in Taipei City]. PMID- 6580381 TI - [Rupture of arteriovenous malformations during pregnancy--report of 3 cases]. PMID- 6580382 TI - Characterization of human brain phenolsulphotransferase. AB - Both human phenolsulphotransferase M (for monoamines) and P (for phenol) were detected in eight out of twelve brains examined postmortem. Activity values were low compared with those in other human tissues and in brains from other species. The activity of both forms was unevenly distributed in different brain regions in a pattern different from that of the monoamines. From a study of substrate specificity, Km values, and inhibitor sensitivity, the two forms of the human brain enzyme did not appear to differ from their counterparts in platelet. PMID- 6580383 TI - Syndrome identification case report 90: multiple craniofacial and skeletal defects. PMID- 6580384 TI - Pigmentary characteristics of the ectodermal dysplasias. PMID- 6580385 TI - Syndrome identification case report 92: Hirschsprung megacolon, cleft lip and palate, mental retardation, and minor congenital malformations. PMID- 6580386 TI - Syndrome identification case report 93: unusual facies, hypotonia and constipation. PMID- 6580387 TI - Syndrome identification case report 89: thickened subcutaneous tissue, coarse facies, macrocephaly, and hypotonia. PMID- 6580388 TI - Syndrome identification case report 98: arachnodactyly, joint laxity, and spondylolisthesis. PMID- 6580389 TI - Syndrome identification case report 99: proptosis, Robin association, clenched hands, and multiple abnormalities. PMID- 6580390 TI - Syndrome identification case report 95: congenital fusion of the gums and jaws. PMID- 6580391 TI - Syndrome identification case report 100: unusual facies, cleft palate, short stature, and mental retardation. PMID- 6580393 TI - Classification and pigmentary characteristics in ectodermal dysplasia. PMID- 6580392 TI - Syndrome identification case report 101: loose, redundant skin, craniofacial defects, and hypotonia. PMID- 6580394 TI - No evidence for pathological ciliary structure in retinitis pigmentosa. PMID- 6580395 TI - Aganglionic megacolon and cleft palate. PMID- 6580396 TI - Syndrome identification case report 96: syngnathia and multiple defects. PMID- 6580397 TI - Syndrome identification case report 97: tongue fusion, micrognathia and digital defects. PMID- 6580398 TI - A study on morphological changes in the palate associated with orthodontic treatment--the application of Moire topography--1. Adult females with upper protrusions. PMID- 6580399 TI - A study on the effects of treatment for upper protrusion in adult females by the edgewise method. PMID- 6580400 TI - A study on changes in the dental arch of overbite patients resulting from orthodontic treatment. PMID- 6580401 TI - Histological study on the healing of rat dental sockets after partial removal of the buccal bony plate. PMID- 6580402 TI - Healing of tooth extraction wounds in rats with renal hypertension. A histological study. PMID- 6580403 TI - Stomatognathic dysfunction in the western desert of Egypt: an epidemiological survey. AB - Results of a study of 215 male subjects from Siwa oasis are presented. The Siwian community is representative of the Bedouin communities in the Egyptian western desert. The population belongs to a characteristic ethnic group, living in a primitive way. The most prevalent symptoms were headache (29%), pain in the ear (24%) and clicking joint sounds (19%); 84% of the subjects suffered from tenderness of one or more of the masticatory muscles; 8% of the subjects had painful movements of the mandible. The results extend knowledge of the distribution of jaw dysfunction complaints into hitherto uninvestigated communities. PMID- 6580404 TI - A clinical study of the distribution of occlusal tooth contacts in the intercuspal position at light and hard pressure in adults. AB - Young adults (Md 24) and Adults (Md 41) were examined with respect to the distribution of occlusal contacts in molars, premolars and anterior teeth when exerting light and hard pressure respectively in the habitual intercuspal position. There was no difference between the right and left side and the number of contacts per tooth was low. In all groups of teeth there was a smaller number of contacts at light pressure. The lower number of contacts at light pressure in Adults when comparing with Young adults was related only to the anterior teeth. The increase of the number of contacts at hard pressure was greater for the anterior teeth than for the molars. In cases where there was a greater number of contacts present on one side, the distribution did not alter significantly when changing from light to hard pressure. Neither did the articulator-adjusted intercuspal position differ significantly in this respect from the clinically recorded intercuspal position at hard pressure. A further result was that about 50% of the individuals had 60% or more contacts on one side at light pressure. These findings stress the importance of meticulous care when performing occlusal adjustment, as the number of contacts per tooth is low and indicates the need for observing the difference between light and hard pressure. PMID- 6580405 TI - Relationship between creep, gamma 2, and marginal fracture of dental amalgams. AB - The effect of gamma 1 and gamma 2 on the creep deformation of dental amalgams has been investigated. It has been shown that the creep of a conventional amalgam is not dependent on gamma 1 as was previously reported. Rather it is strongly influenced by gamma 2 and its volume fraction. It has been speculated that Sn rich grain boundaries also enhance creep by facilitating grain boundary sliding. The reported correlation between creep and marginal fracture has been explained in terms of this dependence of creep on corrosion-prone Sn-rich microstructural constituents of amalgams. PMID- 6580406 TI - An investigation of the reproducibility of face-bow transfers. AB - An investigation was conducted to determine the reproducibility of the position of a maxillary cast in two widely-used semi-adjustable articulators when a face bow transfer was repeated ten times for the same individual. The results obtained with the Dentatus AEB, Whipmix Quickmount and Almore transfer bows were compared. The variations in cast position rarely exceeded +/- 1.0 mm in any of three planes of space and although the results suggested a ranking in accuracy of the three instruments, all were considered clinically acceptable. On the basis of the results observed, face-bow transfer appears to be a reliable clinical procedure and accuracy in the determination of reference locations is unlikely to be negated by subsequent transfer errors, provided that appropriate care is employed. PMID- 6580407 TI - A comparison of photoelastic and finite element stress analysis in restored tooth structures. AB - Two methods for determining internal stresses in tooth structures were compared under a specific load condition. The numerical method of the finite element method has a definite number of advantages over the experimental photoelastic method. The numerical results obtained by the first method are in reasonable conformity with those obtained by the latter. In addition the sensitivity of the finite element method towards variation of a number of relevant parameters has been studied. PMID- 6580408 TI - The possible activity of large and small jaw muscle units in experimental tooth clenching in man. AB - Eight human subjects exercised maximum voluntary tooth clenching until there was complete exhaustion of the contracting jaw muscles (isometric endurance time). During the isometric muscle contractions the myoelectrical currents of the masseter and anterior temporalis muscle were sampled by bipolar surface electrodes, integrated, and cumulatively stored. The myoelectrical activity was studied at recording thresholds of 1 microV and 40 microV, i.e. all action potentials below threshold level were ignored. The observations suggested that the number of fast glycolytic and fast oxidative glycolytic motor units in the masseter muscle might have exceeded that in the anterior temporalis muscle; and/or the size of the masseter muscle units might have been larger than that of the anterior temporalis muscle units. PMID- 6580409 TI - Monolithic tetracycline-containing fibers for controlled delivery to periodontal pockets. AB - For the purpose of developing controlled delivery devices for periodontal therapy which would release over several days, six fiber types made of tetracycline loaded biocompatible polymers were manufactured and tested. Polyethylene, polypropylene, polycaprolactone, polyurethane and cellulose acetate propionate all released their drug load within 1 day. Ethylene vinyl acetate fibers, however, provided in vitro sustained release for periods up to 9 days. A bioassay was designed to measure levels of tetracycline achieved by local delivery which used growth inhibition of Bacillus cereus as a measure of the amount of tetracycline in measured volumes of gingival sulcus fluid on filter paper strips. By this assay, fibers made from 25% loaded ethylene vinyl acetate established initial concentrations of approximately 500 micrograms/ml. The measurement of tetracycline concentration resulting from the placement of these fibers into deep periodontal pockets as a packing material provided indication that concentrations of greater than 50 micrograms/ml could be maintained for months by weekly to monthly replacement. These studies indicate that monolithic fibers made of tetracycline-loaded ethylene vinyl acetate have characteristics which could prove useful as the basis of a tetracycline delivery system for the treatment of periodontal disease. PMID- 6580410 TI - Tetracycline and its derivatives strongly bind to and are released from the tooth surface in active form. AB - Several antibiotics were found to adsorb to saliva-coated enamel and to inhibit in vitro plaque formation by pure cultures of oral bacteria: Actinomyces viscosus, Actinomyces naeslundii and Streptococcus mutans. Tetracycline, minocycline and oxytetracycline adsorbed to the greatest degree, showing 100-fold higher adsorption than spiramycin, the test antibiotics with least adsorption. Inhibition of in vitro plaque formation was found to require both drug substantivity (capacity for adsorption) and antimicrobial activity. Inhibition of plaque formation in the in vitro assay employed correlated well with clinical efficacy. PMID- 6580412 TI - Albers-Schonberg disease complicated with periodontal disease. Report of a case with 36-year history. AB - A patient had the benign form of Albers-Schonberg disease complicated by periodontitis. Review of the patient's 36-year history revealed that the long term prognosis can be good. Determining factors in the prognosis are the severity of bony involvement and proper periodontal and dental maintenance. PMID- 6580411 TI - Effect of periodontal trauma upon intrabony pockets. AB - Conflicting results have been reported regarding the effect of periodontal trauma upon progression of periodontitis. In these studies, different initial pocket morphologies were present. This study investigated the effect of trauma superimposed upon existing intrabony pockets. Localized intrabony pockets were produced adjacent to the mesial and distal surfaces of the mandibular third bicuspids in 10 squirrel monkeys. Two animals were killed after 10 weeks of periodontitis. In four (experimental) of the remaining eight animals, mesio distal jiggling of the third bicuspid was begun 10 weeks after induction of periodontitis, and continued for another 10 weeks. The other four animals (control) were killed 20 weeks after initiation of periodontitis. Step-serial histologic sections were selected from experimental and control specimens and analyzed for loss of connective tissue attachment, loss of crestal alveolar bone and percentage of bone in the coronal interproximal periodontium. When corresponding dimensions from experimental and control surfaces were compared statistically, there were no differences in loss of connective tissue attachment but a greater loss of bone had occurred in specimens with the combination of periodontitis and trauma. In addition, there was a marked difference in osseous morphology between the experimental and control specimens. It was concluded that trauma superimposed upon existing intrabony pockets increased loss of alveolar bone and altered osseous morphology, but did not affect the loss of connective tissue attachment. PMID- 6580414 TI - Scanning electron microscopic evaluation of several resharpening techniques. AB - The scanning electron microscope (SEM) was used to evaluate the cutting edges of curettes as they came from the manufacturer, after they had been made dull and after they were resharpened by several standard resharpening techniques and one experimental technique. Micrographs were taken of the cutting edges with the SEM at a standard magnification. The quality of the cutting edges was blindly evaluated by five independent examiners who unanimously agreed that the experimental resharpening technique produced the highest quality edge. The experimental resharpening technique used a Whittler Instrument Sharpener on the face of the blade followed by a rotating, abrasive impregnated, felt wheel on the lateral surface of the blade. PMID- 6580415 TI - Observations on temperature and temperature patterns of the gingiva. I. The effect of arch, region and health. AB - The purpose of this investigation was to study the pattern and constancy of temperatures recorded in the gingival crevices and some factors affecting them. The temperatures of the interproximal crevices in the maxillary and mandibular arch of 16 female dental hygiene students were evaluated at the time of examination, immediately afterwards and following a 14-day interval. The temperature difference between each site and the subject's sublingual temperature were calculated. In the analysis, a comparison of sites with a confirmed status of bleeding tendency and pocket depth was carried out. The results show temperature differences between arches (mandible vs maxilla) and regions (posterior vs anterior). The differences are independent of the health status. Inflamed gingiva generally has a higher temperature than clinically healthy gingiva. There is an indication that healthy tissue, more than inflamed tissue, reacts to an outside stimulus with an increase in temperature. It is necessary that environmental and stimulative factors are strictly controlled if temperature gradients are to be applied for diagnostic purposes in periodontics. PMID- 6580413 TI - Scanning and transmission electron microscopic study of tissue-invading microorganisms in localized juvenile periodontitis. AB - This transmission and scanning electron microscope study documents the invasion of microorganisms into the gingiva and along resorbing alveolar bone surfaces in a 15-year-old patient with localized juvenile periodontitis. The invading bacteria were mainly Gram-negative fusiform, coccobacilli and spirochetes. Microorganisms identified as Mycoplasma were also found to invade in some areas. Polymorphonuclear neutrophils (PMNs) were seen in association with the bacteria. The majority of bacteria were covered by PMNs and enclosed by the phagocyte but did not appear to lie within phagosomes. High numbers of PMNs were found in the gingival connective tissue inflammatory infiltrate and in the pocket epithelium. Invasion into the gingiva and alveolar bone by bacteria and Mycoplasma in localized juvenile periodontitis may be importance in the therapy of this infection. PMID- 6580416 TI - Observations on temperature and temperature patterns of the gingiva. II. Estimations of the error in measurement. AB - The diagnostician may expect an error associated with the measurements of clinical parameters. It is important to know how precise these measurements are. The purpose of this study was to make an estimation of the measurement error by comparing repeated measures of the same site. Six dental hygiene students were examined for gingival and were recorded twice. The maximum error associated with 95% of the temperature data and the average error were calculated as 1.3 degrees C and 0.65 degrees C, respectively. The probabilities of making a correct assessment of pocket depth and of sulcular bleeding were computed to be 0.864 and 0.840, respectively. The need for repeated measures was statistically analyzed. It can be concluded from our data that the thermocouple thermometer used in this study is a suitable instrument for measuring the gingival temperature. However, it is necessary to acquire a higher level of precision for the assessment of pocket depth and sulcular bleeding. This can be accomplished by increasing the number of clinical measures on each point. PMID- 6580417 TI - Effect of achromycin ointment on healing following periodontal surgery. PMID- 6580418 TI - Subgingival metronidazole in acrylic resin vs. chlorhexidine irrigation in the control of chronic periodontitis. AB - After initial scaling, root planing and cleaning of subcontact areas, chronic periodontitis patients received oral hygiene instruction consisting of Bass toothbrushing using a sodium fluoride toothpaste, but without stress on interdental cleaning. They were then assigned to two groups, one of which self administered 0.2% chlorhexidine solution subgingivally, once daily for 4 weeks, while the other was subjected to subgingival application of acrylic resin strips containing 40% metronidazole once weekly for 4 weeks. Plaque Index, Sulcus Bleeding Index, probeable pocket depth and gingival shrinkage were assessed for this treatment period and for a further 8 weeks. Highly significant improvements compared with baseline values were achieved and maintained to the end of the study. There were no significant differences between the groups at any time, except for Sulcus Bleeding Index which at Days 56 and 84 showed metronidazole to be superior. It was concluded that the regimens selected were equally effective in improving periodontal health over a 3-month period. PMID- 6580419 TI - The effect of a televised periodontal campaign on public periodontal awareness. AB - The purpose of this investigation was to evaluate the impact of the Minnesota Dental Association's 1979 to 1980 periodontal awareness television campaign in terms of (1) reaching the target population, (2) improving public knowledge regarding the major reason for tooth loss in adults and (3) increasing intended future preventive dental visits. Based on the Health Belief Model, a 30-second television message was developed presenting periodontal disease as an often overlooked but compelling reason to seek preventive dental care. The message was aimed at adults 18 years of age and older who did not visit the dentist regularly. It was broadcast 1280 times over two separate 6-week periods on 17 statewide television stations. A postcampaign personal interview of a representative cross section of 1,000 Minnesota adults indicated that the campaign reached 79% of the population surveyed, or 786 individuals. Eighty-two percent (534) of the 654 individuals who made regular dental visits and 73% (252) of the 346 individuals who did not, indicated exposure to the message. Of the 786 persons who viewed the message, 90% (707) correctly recalled the message content. Seventy-five percent (488) of the 654 individuals who made regular dental visits and 63% (219) of the 346 individuals who did not, correctly recalled the message content. As a result of exposure to the television campaign, 10% (76) of the 786 viewers indicated their intention to make more preventive dental visits in the future. Among individuals stating such an intention were 10% (71) of the 707 viewers who correctly recalled the message and six percent (5) of the 79 viewers who were not able to correctly recall the message content. PMID- 6580420 TI - Acute necrotizing ulcerative gingivitis. A transmission electron microscope study. AB - The purpose of this study was to provide additional evidence that in the lesions of acute necrotizing ulcerative gingivitis (ANUG), spirochetes and other microorganisms are capable of invading the nonnecrotic lamina propria of affected gingivae. Biopsies from eight patients with pathognomonic signs of ANUG were obtained under local anesthesia and processed for light and transmission electron microscopy. The results indicated that spirochetes and other bacteria are capable of penetrating the viable connective tissues of the lamina propria. The four zones of the ANUG lesion as first described by Listgarten were observed without difficulty. The maximum depth of bacterial infiltration into the lamina propria ranged from 155 to 400 microns from the nearest epithelial basal lamina. The histologic picture of the ANUG lesion did not always conform to the acute clinical manifestations. PMID- 6580421 TI - Incidence and extent of venous sequelae with intravenous diazepam utilizing a standardized conscious sedation technique. Part II: Effects of injection site. AB - The effects of site of venipuncture on the incidence of venous sequelae, utilizing a standard protocol, were assessed on 48 human subjects. Data were also recorded based on various demographic and clinical variables, including age, sex, race, vein diameter, dose, procedure time, IV fluid volume, injection pain and initial blood flow velocity. When the site of venipuncture was the antecubital fossa there was a significantly lower incidence of venous sequelae than when the venipuncture site was the dorsum of the hand, with the significant variables being venous diameter and procedure time. These findings further support the antecubital fossa as a preferred venipuncture site to the dorsum of the hand; however, there was a sufficient incidence of venous complications (37%) when the antecubital fossa was used to warrant consideration of contributory factors other than site. It appears that time of continuous infusion is a critical element and should be kept at a minimum. Also, subjects in whom Valium was injected demonstrated significantly more venous sequelae than those in whom 5% dextrose in water was injected, confirming previous reports that diazepam is irritating to the endothelial lining and thus is thrombogenic. PMID- 6580422 TI - Chronic pemphigus vulgaris of the gingiva. A case report with a 6-year follow-up. AB - Since the initial lesions of pemphigus vulgaris often appear in the oral cavity, dentists have a major role in the recognition and diagnosis of this condition. The patient reported here was seen with a mild gingival form of the disease and has been managed successfully for the past 6 years without systemic steroids and with minimal topical steroid therapy. For most of that period he was managed without medication. Various aspects of the disease, including diagnosis, the significance of pemphigus antibodies and therapy are reviewed to provide a better perspective on this case. PMID- 6580423 TI - Rapidly advancing periodontitis in a patient with sarcoidosis. A case report. AB - A brief review of sarcoidosis is presented. It is a multisystem granulomatous disease of unknown etiology. Typically the sarcoidosis patient manifests depressed T-cell function but has hyperactive B-cells. This case report deals with a 27-year old black female who was diagnosed as having sarcoidosis. Prior to the onset of the disease, radiographs taken of her periodontium revealed incipient alveolar bone loss. Two years after the apparent onset of the sarcoidosis, periapical radiographs manifested advanced destruction of the alveolar bone. In addition to the usual clinical indices, the effect of the patient's serum on cultures of normal PMNs and Actinobacillus actinomycetemcomitans (A. a.) was studied. The serum from this patient inhibited the leukotoxic effect of the (A. a.) organism. A similar effect has been observed in juvenile patients with rapidly advancing periodontitis. PMID- 6580424 TI - Gingival findings in spontaneous scurvy. A case report. AB - This case report presents clinical observations of alterations in periodontally diseased soft tissues associated with the development of scurvy. The sudden clinical appearance of the gingival lesions suggested a differential diagnosis of scurvy, acute leukemia and diabetes. Such lesions may develop prior to or simultaneous with extraoral findings. Coordination of systemic and local therapy effectively resolved the disease state. The dentist may be the first source of consultation for the patient with scurvy. An appreciation for this rare but potentially devastating condition is necessary for satisfactory management of the disease. PMID- 6580425 TI - Microbiological study of localized juvenile periodontitis in Panama. AB - The occurrence of subgingival Actinobacillus actinomycetemcomitans and Capnocytophaga in 12 localized juvenile periodontitis and 10 gingivitis patients from Panama was determined using selective culture techniques. A actinomycetemcomitans was present in all localized juvenile periodontitis lesions studied and was, on average, recovered in hundred-fold-higher numbers from localized juvenile periodontitis lesions than from gingivitis lesions. Capnocytophaga was only recovered in approximately threefold-higher numbers from localized juvenile periodontitis than from gingivitis. The study confirms and extends previous data indicating a close relationship between A actinomycetemcomitans and localized juvenile periodontitis. It is proposed that identification of A actinomycetemcomitans may be a valuable adjunct in the diagnosis of localized juvenile periodontitis. PMID- 6580426 TI - The potential for increase in the periodontal diseases of the aged population. AB - The periodontal disease trends in the nation's older adults aged 55 to 74 years are assessed using National Center for Health Statistics data spanning an approximate 12-year period. Both the 1960 to 1962 Health Examination Survey and the 1971 to 1974 Health and Nutrition Examination Survey I surveys used similar multistaged stratified probability samples. Examinations were calibrated and the collection of periodontal disease (PI), oral hygiene (OHI) and tooth loss scores were standardized. Data were collected on 1567 persons in 1960 to 1962 and 4746 persons in 1971 to 1974. The mean PI scores between the two surveys were not statistically different. However, when the periodontal diseases were divided into individuals with or without pockets, there was a significant decline in the per cent without pockets (P less than 0.001) while the per cent with pockets remained unchanged or increased. The significant reduction in OHI scores (P less than 0.02) seems to validate the decrease in gingivitis. The improvement in tooth loss was reflected by both the greater proportion of dentulous adults, and among the dentulous, a retention of more than two teeth per person by 1971 to 1974. A hypothesis is discussed regarding tooth retention and the periodontal diseases with projections for the year 2000. PMID- 6580427 TI - Squamous odontogenic tumor. A lesion of the periodontium. AB - The squamous odontogenic tumor (SOT) is a benign lesion of the periodontium most probably arising from the rests of Malassez. Most lesions are solitary tumors but multiple lesions may occur. There is equal distribution in the jaws with the posterior mandible and anterior maxilla, the most common sites. The majority of patients are under age 32 and there is no sex predilection. Radiographically the usual appearance is a triangular or semicircular radiolucency of alveolar bone with sclerotic and/or scalloped margins. Clinical findings include sensitivity of teeth, mobility and movement of teeth and deep pocket formation. The maxillary lesions tend to be more aggressive than those of the mandible, and extensive resection may be required. In most cases, however, conservative surgery appears adequate. The histopathologic findings are now clearly delineated so that the SOT should not be confused with ameloblastoma or epidermoid carcinoma. PMID- 6580428 TI - Psoriasis. Palatal manifestations and physiologic considerations. AB - The histologic and clinical criteria for psoriasis involving the palate are discussed. A review of the literature shows the present case to be the fifth well documented one in the literature. A possible explanation for the rarity of clinical manifestations in the oral cavity is presented. PMID- 6580429 TI - Bone loss in the elderly. PMID- 6580430 TI - The use of graphoanalysis for complete denture patient evaluation. PMID- 6580431 TI - Marginal leakage of microfilled composite resin restorations. PMID- 6580432 TI - Repairing voids at cavosurface-composite resin margins. PMID- 6580433 TI - Use of high-copper casting alloys: marginal fit of cast copings. PMID- 6580434 TI - A viable alternative: tooth transplantation. PMID- 6580435 TI - Compound splint for comminuted mandibular fracture. AB - Maintenance of an adequate airway, control of bleeding, and neurologic evaluation should take precedence over treatment of facial injuries. Comminuted mandibular fractures are rare and require the use of complex splints. Severe lacerations and bone displacement accompany comminuted mandibular fractures. Extraoral facial splints constructed from donor facial moulages can be used along with intraoral splints for these patients. Preaccident photographs and radiographs are excellent aids to help realign the fractured segments. The use of an extraoral "donor" splint in conjunction with an intraoral splint to stabilize comminuted mandibular fracture helps to eliminate unnecessary gross removal of mandibular bone. PMID- 6580436 TI - A technique for making a facial moulage under general anesthesia. AB - A technique for making a facial moulage under general anesthesia has been described. Where there is a need to form an impression of the face, especially in handicapped and young patients, the procedure is simple and timesaving. PMID- 6580437 TI - Analysis of stress produced by a maxillary mouthstick prosthesis. PMID- 6580438 TI - Centric relation as the treatment position. AB - Centric relation should be considered as "the most superior position of the mandibular condyles with the central bearing area of the disk in contact with the articular surfaces of the mandibular condyles and the articular eminences." This relationship is justifiable on analysis of the morphology and function of temporo mandibular joint structures. PMID- 6580439 TI - Influence of the vertical dimension in the treatment of myofascial pain dysfunction syndrome. AB - Occlusal splints constructed at three different vertical heights were used to study the influence of vertical dimension in the etiology of bruxism and MPD syndrome. The vertical dimension of least EMG activity was determined for each of 75 patients who were randomly divided into three groups according to the vertical dimension at which the occlusal splint was constructed. Group I occlusal splints were constructed at 1 mm from the occlusal vertical dimension, group II splints at 4.42 mm, and group III splints at 8.15 mm. Results showed a faster and more complete reduction in clinical symptoms for groups II and III than for group I. The temporary use of occlusal splints with a vertical height exceeding the physiologic rest position did not encourage a greater muscular tonus or hyperactivity of jaw muscles. It can be concluded that elongation of elevator muscles to or near the vertical dimension of least EMG activity by means of occlusal splints is more effective in producing neuromuscular relaxation. PMID- 6580440 TI - Superior and inferior bellies of the lateral pterygoid muscle EMG activity at basic jaw positions. PMID- 6580441 TI - Histologic changes in rat masticatory muscles subsequent to experimental increase of the occlusal vertical dimension. AB - Histologic changes in various masticatory muscles were studied in Wistar rats from 12 hours to 84 days after an experimental increase of the occlusal vertical dimension. The increases applied (1 to 2 mm) were based on the amount of interocclusal space (1 mm) in the rat. A sequence of tissue reaction from early acute inflammatory destruction of myofibers to healing with myofiber regeneration was most pronounced in the deep masseter muscle of the 2 mm group (12 hours to 21 days). A similar sequence was also observed to a lesser degree in the superficial masseter and anterior temporal muscles, while no changes were detectable in the posterior temporal, medial pterygoid, and anterior digastric muscles of this group. Variable severity of tissue response in different masticatory muscles might be attributable to the amount of stretching of myofibers as a result of an increased occlusal vertical dimension. On the other hand, degenerative atrophy of myofibers in the lateral pterygoid muscle occurred within 2 days with no sign of inflammation, and these condensed myofibers persisted as late as 84 days. Based on these findings, it was suggested that displacement of the mandibular condyle would exert an important influence on the prognosis after an increase in the occlusal vertical dimension. Only a transient acute inflammation occurred in the deep and superficial masseter muscles in the 1 mm group. Except for a small number of condensed myofibers in the lateral pterygoid muscle, degenerative changes of myofibers were not revealed. Therefore, increasing the occlusal vertical dimension within the extent of the interocclusal space might be regarded as appropriate for prosthodontic practices. PMID- 6580442 TI - A method for recording occlusal positions on removable partial denture frameworks. PMID- 6580443 TI - Strength increases with the use of jaw positioners. PMID- 6580444 TI - Murine Sertoli cells: major histocompatibility antigens and glycoconjugates. AB - Sertoli cells, cultured from testes of 2-3-week-old Balb/c mice, contain tripartite nucleoli, exhibit phagocytic function, and have the typical morphologic appearance of Sertoli cells by light microscopy, transmission and scanning electron microscopy. Fluorescence-activated cell sorter analysis indicated the presence on mouse. Sertoli cells of H-2 but not Ia antigens. Alpha D-mannose and N-acetyl-D-glucosamine determinants are detected on Sertoli cell surface by inhibition of lectin binding using appropriate sugars. Interaction of Sertoli cells with concanavalin A (Con A) or wheatgerm agglutinin (WGA) results in rapid patching of the labeled lectin, which become internalized as perinuclear vesicles. These changes are accompanied by rounding of the Sertoli cell, mimicking cellular changes known to occur when fat Sertoli cells are stimulated in vitro by FSH or cyclic AMP. Thus, Sertoli cells have surface alloantigens that permit them to serve as target to cytotoxic T lymphocytes, but not as antigen presenting cells. PMID- 6580445 TI - A prospective analysis of the frequency, course, and possible prognostic significance of the joint manifestations of childhood leukemia. AB - During a 2-year prospective study of 28 leukemic children (24, acute lymphocytic leukemia [ALL]; 4, non-ALL) unselected for musculoskeletal symptoms, objective joint findings were present in 14 cases (p = 0.001 vs normal controls). These findings varied in severity, were most frequently present in the knee (12 of 14 children), and were found most frequently only at disease onset (7 of 14). The group with joint abnormalities had a higher frequency of functionally significant joint complaints prior to diagnosis of leukemia (p = less than 0.01) and radiographic abnormalities of periarticular bone of the knees and ankles (p = less than 0.10). Four of the 5 children with ALL who died had joint findings, a trend whose significance is uncertain because of unequal followup periods. PMID- 6580446 TI - Anorexia nervosa--a preventable illness? PMID- 6580447 TI - The Michigan Department of Health: an acorn sprouts. PMID- 6580448 TI - Veterinary dentistry at the Detroit Zoological Parks. PMID- 6580449 TI - Endodontic practice habits of Michigan general dentists. PMID- 6580450 TI - Attitudes of Michigan general dentists toward undergraduate and continuing education curriculums in endodontics. PMID- 6580451 TI - Credentials committee. PMID- 6580452 TI - In search of excellence: JCAH medical staff standards. PMID- 6580453 TI - Improved echocardiographic visualization in emphysematous subjects. PMID- 6580454 TI - The Blue Shield of New Jersey second surgical opinion program. PMID- 6580455 TI - Thymoma: unusual case and review of the literature. PMID- 6580456 TI - Evaluation of hospital and commercial toxic screens. PMID- 6580457 TI - Sexual abuse of children: rape and incest. PMID- 6580458 TI - Temporary vocal cord paralysis in fibrosing mediastinitis. PMID- 6580459 TI - Phimosis: a cause of renal failure. PMID- 6580460 TI - Health and health care systems. PMID- 6580461 TI - Physician-owned companies and New York rate rise. PMID- 6580462 TI - Learning-disabled children, schools, and doctors. PMID- 6580463 TI - A perinatal program in a community hospital. PMID- 6580464 TI - Cancer prevention study II. PMID- 6580465 TI - Acute pleural effusion induced by ampicillin. PMID- 6580466 TI - Message from the American Medical Association. PMID- 6580468 TI - Surgeon's role in treatment of breast cancer. PMID- 6580467 TI - Impaired physicians program. Support groups. PMID- 6580469 TI - Measurement of prostaglandin biosynthetic capacity in discrete areas of the rabbit hippocampal formation. AB - Assay conditions sensitive enough to measure prostaglandin (PG) biosynthetic capacity in discrete brain areas have been developed. Serial sections of the rabbit hippocampal formation were dissected from the brain, frozen, and 16 micron sections were cut and freeze dried. The assay was performed with 40-200 micrograms dry weight of tissue in a 30 microliter incubation volume containing high specific activity arachidonic acid. The whole hippocampal formation slice or its subdivisions (subiculum, dentate gyrus, and hippocampus) when assayed individually demonstrated the ability to produce approximately 30-50 pmol/mg dry weight PGF2 alpha, PGE2, and lesser amounts of PGD2 (in a ratio of 1:0.8:0.3). A modest yet significant increase in PGE2 production was measured in the dentate gyrus when compared to PGE2 formation in the subiculum or hippocampus. An intact PGE2 isomerase was confirmed in the hippocampal formation slice by incubations with PGH2 endoperoxide. These results demonstrate that quantitative histochemical techniques can be used to measure PG metabolism in microscopic regions of brain. PMID- 6580470 TI - Chronic myelogenous leukemia. Development of blast crisis with both lymphoid and myeloid features. AB - A 50-year-old man had chronic myelogenous leukemia and entered a blast crisis that was both morphologically and histochemically lymphoid. The blasts contained terminal deoxyribonucleotidyl transferase and expressed lymphoblastic leukemia associated antigen. He rapidly entered remission with vincristine sulfate and prednisone therapy. Nevertheless, his blasts displayed a marker generally considered unique to myeloid cells: they selectively bound the granulocyte chemotaxin N-formyl-Met-Leu-Phe. In addition, some cells contained granules resembling those of basophils or mast cells. Such mixed myeloid-lymphoid features in chronic myelogenous leukemia blast cells may reflect malignant transformation of a stem cell capable of both myeloid and lymphoid differentiation, or they may reflect the dedifferentiation as a feature of malignant change. PMID- 6580471 TI - [Clinical analysis of long-term survivors of acute leukemia in adults]. PMID- 6580472 TI - [ALL with CNS involvement and 8 hematologic relapses during 12 years--a case study]. PMID- 6580473 TI - [Chronic myelogenous leukemia with megakaryoblastic crisis revealed by the presence of platelet peroxidase]. PMID- 6580474 TI - Cytogenetic approaches to the clarification of pathogenesis in lymphoid malignancies: clinicopathologic characterization of 14q+ marker-positive non-T cell malignancies. AB - The clinicopathologic features of 53 patients with various types of non-T-cell malignancies were compared with the karyotypic findings. Although all chromosomes underwent numerical and structural rearrangements, a 14q+ marker chromosome (14q32 translocation), which was found in 31 patients, was the single most common abnormality. In terms of survival, no significant difference was noted between the 14q+ positive and negative patients. Donor chromosomes of a 14q32 translocation, which were identified in 27 patients, were quite variable. However, certain chromosomes were predisposed to act as donor chromosomes in the 14q32 translocation. An 8;14 translocation [t(8;14) (q24;q32)] was found in six patients with diffuse non-Burkitt's lymphoma and in four patients with Burkitt's lymphoma-leukemia; in all these patients a stem line or the subline with a t(8;14) had partial trisomy for 1q. An 11;14 translocation [t(11;14) (q13;q32)] was observed in one patient each with diffuse or follicular lymphoma and in two with myeloma; three of the four patients had also structural rearrangements of chromosome 1 in the same cells. A 14;18 translocation [t(14;18) (q32;q21)] was found in six patients with follicular lymphoma and in one with diffuse lymphoma; however, no common involvement of other chromosomes was detected among clones of these abnormal cells with a t(14;18). The median survival was 8 months for patients with a t(8;14) and 39 months for patients with a t(11;14). The difference between the two survival curves was of borderline significance [p = 0.06]. In contrast, patients with a t(14;18) survived significantly longer than those with a t(8;14) [p less than 0.001] or those with a t(11;14) [p = 0.03]. These findings revealed that in non-T-cell malignancies, the clinicopathologic features of the patients with a 14q+ marker depend upon the precise 14q32 translocation and the subsequent karyotypic evolution, although the translocation was not always correlated with a particular type of lymphoid malignancy. PMID- 6580475 TI - PaO2 and intratracheal pressure in oscillatory ventilation in experimental respiratory failure. AB - In order to study the effect of high frequency ventilation on the pulmonary gas exchange in respiratory failure, we measured the PaO2 and other pulmonary gas exchange parameters for ventilatory rates of 0.5, 1.2, 4.8, and 16 Hz in dogs, to which acute respiratory failure was created by intravenous infusion of oleic acid. Either the mean intratracheal pressure or the end-tidal intratracheal pressure was controlled. A loud-speaker ventilator of our own design was modified so as to enable variation of the intratracheal pressure. Ventilation was measured using an ultrasonic instrument which counts the number of turbulent eddies. The tidal volume was set slightly higher than that was determined for healthy animals, but the resulting PaCO2 values were consistently higher than normal when PaO2 values were low. With the mean intratracheal pressure kept constant at 5, 10, and 15 cm H2O, PaO2 values with the FIO2 of 1 were between 41 and 46 at mPit of 5, 65 and 82 at 10 cm H2O, 278 and 423 at 15 cm H2O. No increase in PaO2 was observed with the increase in respiratory frequencies. If anything, a slight reduction in PaO2 at 8 and 16 Hz was observed, though not statistically significant. With the end-tidal intratracheal pressure constant, PaO2 varied but again correlated well with the mPit. PMID- 6580476 TI - Effect of polyamines on acidified ethanol-induced gastric lesions in rats. AB - The participation of polyamines and nonprotein sulfhydryls in the gastric cytoprotective mechanisms was studied using gastric mucosal lesions produced by acidified ethanol in rats as an experimental model. Treatment with prostaglandin E2 (PGE2), but not cimetidine, prevented the formation of gastric mucosal lesions. Oral administration of cadaverine, spermidine and spermine prevented the lesion formation by acidified ethanol in a dose-dependent manner. Indomethacin or acetazolamide had no influence on the cytoprotective effect of spermine, whereas sulfhydryl blockers such as iodoacetamide and N-ethylmaleimide partially blocked it. Sulfhydryl compounds such as cysteine, reduced glutathione (GSH), and cysteamine prevented the lesion formation induced by acidified ethanol. The concentration of nonprotein sulfhydryls in the gastric mucosa was significantly decreased at 1 hr after administration of acidified ethanol, and this decrease was partially prevented by spermine or PGE2. These results suggest that the cytoprotective effect of spermine may not be mediated by endogenous prostaglandins or alkaline secretion in the gastric mucosa, but may be partially related to endogenous sulfhydryl compounds. PMID- 6580477 TI - [Correlation among gallium-67 scintigraphy, broncho-alveolar lavage, and pathological changes of the lung in patients with pulmonary sarcoidosis]. PMID- 6580478 TI - Sequential morphologic changes during methapyrilene-induced hepatocellular carcinogenesis in rats. AB - The pathogenesis of hepatocellular tumors induced in F344 rats by the antihistaminic methapyrilene was investigated by light and electron microscopy in a serial sacrifice study. Eosinophilic foci of altered hepatocytes were found in portal areas after 1 week of treatment, the eosinophilia being caused by proliferation of mitochondria. Eosinophilic neoplastic nodules developed from such lesions after 16 weeks of treatment. Hepatocellular carcinomas developed after 26 weeks of treatment. Mitochondrial proliferation, which had been found as a marker for hepatocytes altered by this compound at 1 week of treatment, was still present in the hepatocellular carcinomas, which therefore met the morphologic criteria of oncocytomas. PMID- 6580479 TI - Modulation of deoxycytidine metabolism in vivo with high-dose thymidine in mice. AB - The question of whether selective biochemical modulation of deoxycytidine (dCyd) metabolism by thymidine (dThd) could be quantitated in vivo was addressed. Plasma clearance of [5-3H]dCyd was altered significantly by prior administration (2 hr) of dThd (3,600 mg/kg). The plasma half-life (beta-phase) of [5-3H]dCyd was raised approximately fourfold by dThd. Although dThd consistently caused an increase in the [5-3H]dCyd incorporated into the DNA of the spleen, duodenum, and femur marrow, there was no clear-cut difference between normal (BALB/c X DBA/2)F1 mice and L1210 tumor-bearing (BALB/c X DBA/2)F1 mice that could be translated into a selective advantage. Analysis of tritiated nucleotides in the spleens of normal and L1210 tumor-bearing mice indicated a greater incorporation of [5-3H]dCyd into the dCyd nucleotide pools of L1210 tumor-bearing mice than of normal mice. An analysis with the use of the proportionality constant kappa representing the combined effects of transport, pool sizes, and metabolic incorporation of [5 3H]dCyd into DNA showed that kappa decreased in each organ studied after dThd administration. PMID- 6580480 TI - Body weight, dietary practices, and tumor susceptibility in the rat. AB - The mature body weight of outbred CD-Crl:COBS CD(SD)BR male rats permitted to select their own diets throughout life was shown to correlate linearly with the frequency of spontaneous tumors. In an analysis of the dietary practices of these animals, a multifactorial model was derived--for which prepuberty and early post puberty data only were used--that accounted for a large proportion of the variance in mature weight. The level of food or calorie intake proved less informative than the following: the interactive effects of food intake relative to body weight, the proportion of protein and carbohydrate constituents in the diet, the intake of each of these components, and, particularly, the efficiency with which the diet consumed was used for growth during early postweaning life. In a prospective study of other rats maintained on a similar feeding regimen, the model was found to be an accurate predictor of mature weight. Several of the explanatory factors necessary for estimation of body weight also contributed to tumor susceptibility. Nonetheless, both dietary and body weight-related factors in a specific time-related sequence were required to explain variation in spontaneous tumor susceptibility. PMID- 6580481 TI - Metabolism and activation of 1,1-dimethylhydrazine and methylhydrazine, two products of nitrosodimethylamine reductive biotransformation, in rats. AB - Nitrosodimethylamine (DMN) and two of its metabolites, methylhydrazine (MH) and 1,1-dimethylhydrazine (UDMH), were metabolized to CO2 by liver slices obtained from Sprague-Dawley rats. Under the conditions used, DMN and MH produced reactive metabolites that bound covalently to nucleic acids, but UDMH did not. Rat liver microsomes or 9,000 X g supernatants were able to transform DMN, MH, and UDMH to CH2O. In the cases of MH and UDMH, enzymatic and nonenzymatic pathways of CH2O formation were observed in both liver microsomes and 9,000 X g supernatants. DMN, MH, and UDMH led to covalent binding (CB) to proteins in incubation mixtures containing either microsomes or 9,000 X g supernatants. In the case of DMN, the process was enzymatic and required NADPH in both cellular fractions. In the case of MH, the process was enzymatic in microsomes and required NADPH and O2. With UDMH or MH and 9,000 X g supernatants, nonenzymatic interactions resulting in CB to proteins dominated. All these results suggest that part of the CO2 produced during DMN metabolism might be derived from UDMH and MH. Similarly, a significant part of the CB of DMN metabolites to proteins in incubation mixtures containing microsomes or 9,000 X g supernatants might be derived from enzymatic and nonenzymatic reactions of UDMH or MH. Also, a minor part of the CB of DMN reactive metabolites to nucleic acids might have resulted from MH's further biotransformation to reactive metabolites. Overall, biotransformation of DMN and MH might not be a detoxication process, as previously thought, but one related to some of the DMN toxic effects. PMID- 6580482 TI - Effect of the synthetic protease inhibitor [N,N-dimethylcarbamoyl-methyl 4-(4 guanidinobenzoyloxy)-phenylacetate] methanesulfate on carcinogenesis by 3 methylcholanthrene in mouse skin. AB - The effect of the potent synthetic protease inhibitor [N,N dimethylcarbamoylmethyl 4-(4-guanidinobenzoyloxy)-phenylacetate] methanesulfate (FOY-305) on skin carcinogenesis in ddY mice was examined over a total observation period of 105 days. Administration of 0.1% FOY-305 in the diet suppressed the incidence of carcinomas induced by repeated local application of the carcinogen 3-methylcholanthrene (MCA) (P less than .05) in mouse skin and delayed the time of appearance of the skin tumors (P less than .001). There was no significant difference in the number of tumors per tumor-bearing mouse and the size of the tumors between mice treated with MCA and mice treated with MCA plus FOY-305. PMID- 6580483 TI - Endocardial tumors in rats exposed to durable fibrous materials. AB - Endocardial tumors in the rat found in association with intrathoracic implantation of durable fibrous materials are reported here for the first time. In Osborne-Mendel female rats, endocardial tumors occurred in 3 of 50 rats associated with the implantation of fiberglass greater than 5 micron in length and 1-3 micron in diameter, in 1 of 15 rats associated with fiberglass of 0.03 X 3 micron, and in 1 of 15 rats associated with pulverized glass fiber. The intrathoracic administrations of pulverized chrysotile, of cigarette smoke condensate and crocidolite, and of coarse cotton lint, and of intravenous injections of air particulate extract were associated with endocardial tumor in 1 of 15 rats each. The dimensions of the durable fibers associated with endocardial tumors were similar to those of carcinogenic asbestos. Endocardial tumors were not observed in concurrently studied control rats. PMID- 6580484 TI - Decreased sensitivity to colchicine-mediated inhibition of metabolite uptake in isolated hepatoma cells. AB - The effects of colchicine on the incorporation of [3H]-leucine and [3H]thymidine were studied in inbred BUF rats bearing Morris hepatomas and in isolated hepatoma cells and hepatocytes. The results confirmed previous work by other investigators that uptake of amino acids in hepatomas can be inhibited by colchicine (250 micrograms/100 body wt) under conditions in which uptake is not impeded in host liver. Uptake and incorporation of [3H]thymidine in hepatomas were also more sensitive to inhibition by colchicine. Evidence was obtained that these inhibitory effects on incorporation were diminished in isolated cells and were similar for isolated hepatoma cells and hepatocytes. The data did not exclude alternative mechanisms, but they were compatible with a previous suggestion that an effect of colchicine on circulation in hepatomas may be a factor in the inhibitory action on metabolite uptake. PMID- 6580485 TI - Reserpine and carcinogenesis: inhibition of carcinoma formation in mice. AB - Long-term administration of reserpine, an alkaloid, significantly retarded the induction of squamous cell carcinomas by a chemical carcinogen, 3 methylcholanthrene (MCA) in Swiss male albino mice. The incidence and development of carcinomas in mice simultaneously treated with reserpine and MCA was notably lowered as compared to those occurring in mice treated with MCA alone at any time interval. DNA synthesis and the percentage of labeled cells with [3H]thymidine was also significantly decreased in the nuclei of tumor cells following reserpine and MCA administration as compared to the findings for cells treated with MCA alone (18.50 and 39.00%, respectively). Electron microscopic and cytologic observations of tumors revealed the predominance of large areas of cytolysis and disintegration with an increase of lysosomes, myelin figures, and a decrease of mitochondria and polyribosome populations in tumor cells treated with reserpine and MCA, as compared to those results after treatment with MCA only. These findings demonstrate that reserpine significantly inhibited the carcinoma induction by a chemical carcinogen (MCA) in mice, possibly by inducing an advanced cytolysis and decreasing DNA synthesis in mouse tumor cells. PMID- 6580486 TI - Possible role of glutathione in the antitumor effect of a copper-containing synthetic superoxide dismutase in mice. AB - The effect of glutathione and a glutathione reductase inhibitor on the antitumor effect of Cu(II)(3,5-diisopropylsalicylate)2 (CuDIPS) was studied. CuDIPS is a low-molecular-weight copper coordination compound that exhibits superoxide dismutase-like activity. CuDIPS had antitumor activity against intraperitoneal Ehrlich ascites carcinoma in Swiss mice. A single ip injection of glutathione partially eliminated the antitumor effect of CuDIPS, whereas a single ip injection of 1,3-bis(2-chloroethyl)-1-nitrosourea enhanced the antitumor effect of CuDIPS. These results are consistent with the hypothesis that CuDIPS exerts part of its antitumor effect by producing H2O2. PMID- 6580487 TI - Fibrin clot retractile activity in normal, established, and tumorigenic human epithelial cells in culture. AB - Normal and established human epithelial cell lines obtained from the same organs were compared for their capacity to retract a fibrin clot. Fibrin clot retraction was maximal in normal epithelial cells, reduced in established nontumorigenic lines, and lost in tumorigenic cancer cell lines. Fibrin clot retraction efficiency seemed to be related to the degree of cellular spreading within the clot at the end of the test. Previous works and the present study suggest that fibrin clot retraction is correlated with some steps of cell transformation in vitro. PMID- 6580488 TI - Urinary excretion of beta-aminoisobutyrate and pseudouridine in acute and chronic myeloid leukemia. AB - End products of nucleic acid metabolism including beta-aminoisobutyrate (beta AIB) and pseudouridine (psi-Urd) have been considered as potential biochemical markers for cancer. The urinary excretion of both metabolites was investigated in abnormal hematopoietic conditions including 26 patients with acute myeloid leukemia (AML) and chronic myeloid leukemia (CML) and was compared to that of 25 healthy controls. beta-AIB excretion in CML was directly correlated to the leukocyte count, the indicator of tumor cell mass. beta-AIB excretion was elevated in 27 and 75% of untreated AML and CML cases, respectively. Marrow blast cell content tended to correlate positively with psi-Urd excretion in AML. psi Urd excretion was elevated in 82 and 87% of untreated AML and CML, respectively. Turnover of hematopoietic cells seemed to be a determinant for beta-AIB excretion, indicating higher cell turnover in CML patients compared to that in AML patients and in controls. With cytostatic treatment, excretion levels of beta AIB and/or psi-Urd decreased after a transient rise. PMID- 6580489 TI - Immunodiagnosis of colorectal cancer: clinical evaluation of Tennessee antigen (Tenagen). AB - Blood samples from 172 consecutive patients undergoing complete colon investigations to exclude colorectal cancer (CC) were examined for levels of Tennessee antigen, i.e., Tenagen (Tg), and carcinoembryonic antigen. Patients included 48 with CC, 34 with adenomatous polyps, 14 with colitis, and 76 with no organic mucosal disease. All patients were investigated by the one clinical and histopathology department. Laboratory estimations were performed blindly. Although there were some statistically significant differences among average values, the degree of overlap among the groups of patients precludes the practical application of Tg in the diagnosis of CC. PMID- 6580490 TI - Analysis of natural killer cell cytotoxicity of cancer patients treated with recombinant interferon. AB - Peripheral blood natural killer (NK) cell cytotoxicity of 24 cancer patients was studied prior to and after single and multiple injections of various doses of human leukocyte recombinant interferon-alpha clone A (IFN-alpha rA). The NK cell cytotoxicity of all cancer patients declined consistently 4 and 8 hours after a single injection of IFN-alpha rA. Twenty-four hours after the injection of IFN alpha rA, NK cell cytotoxicity of patients with low NK cell phenotype (NK-LR) was significantly augmented, whereas that of patients with medium (NK-MR) or high (NK HR) NK phenotype was depressed. After multiple injections of IFN-alpha rA, depression of NK cell cytotoxicity was observed in a number of NK-MR and NK-HR patients, but in some patients with NK-LR phenotype, further potentiation was observed. No direct correlation between the NK cell augmentation and serum IFN levels was detected. In in vitro studies, IFN-alpha rA, when added to cultures of target and effector cells of normal individuals in a dose of 10(3) U/ml, was efficient in augmenting NK cell cytotoxicity. NK cell cytotoxicity of cancer patients could also be augmented by the IFN-alpha rA preparation; however, this augmentation occurred only prior to in vivo IFN-alpha rA therapy. After IFN-alpha rA in vivo therapy, their NK cells became refractory to further in vitro IFN alpha rA treatment. PMID- 6580491 TI - Second cancers after radiotherapy and chemotherapy for early stages of Hodgkin's disease. AB - In a population of 334 patients treated for Hodgkin's disease by the European Organization for Research and Treatment of Cancer between 1964 and 1971, 21 patients with second primary cancers (SC) were observed: 4 patients with acute leukemias, 3 with non-Hodgkin's lymphomas, and 14 with solid tumors. Time to SC ranged from 2 to 16 years after initial treatment. The relative risk (RR) of acute leukemia for the patients with Hodgkin's disease as compared to the general population was 40 (P less than .001). The RR of leukemia in patients treated by polychemotherapy--mechlorethamine, vincristine, procarbazine, and prednisone--for relapse was 300 (P less than .001). However, the RR of leukemia for those patients who did not experience a relapse was 14 (not significant). The RR of other SC in the overall group was 3.76 (P less than .001). For patients whose relapses were treated by polychemotherapy the RR of SC, leukemia excepted, was 26 (P less than .001), whereas for patients not treated by polychemotherapy for relapse the RR was slightly increased (RR = 3.67; P = .027). The cumulative proportions of acute leukemia at 10 years were 0.7% in the "no-relapse" group and 2.7% in the polychemotherapy group. The cumulative proportions of other SC at 10 years was 1.3% in the no-relapse group, 7.2% in the group of patients not treated by polychemotherapy after relapse, and 8.4% in the polychemotherapy group. The first important risk factor for developing an SC was polychemotherapy, and the second was age over 40 years. These data suggest that combination chemotherapy may be responsible for both acute leukemias and other SC. PMID- 6580492 TI - Attempt to prevent doxorubicin-induced acute human myocardial morphologic damage with acetylcysteine. AB - Doxorubicin induced acute as well as chronic myocardial morphologic alterations. Twenty patients with normal cardiovascular function were randomized to 2 groups based on age and dose of doxorubicin. Group I received placebo 1 hour before doxorubicin administration; group II received acetylcysteine (N-acetyl-L cysteine) (Nac) 1 hour before doxorubicin. Endomyocardial biopsies were performed at base line at 4 and 24 hours after doxorubicin administration. Biopsy tissue was viewed by electron microscopy, and stereoscopic techniques were used to determine tubular and mitochondrial area. The change of the tubular area was similar in the 2 groups, was maximum at 4 hours, and was proportionately spread throughout the cell. The mitochondrial swelling was also similar in the 2 groups and proportionate throughout the cell but was maximum at 24 hours. This study demonstrated that the acute doxorubicin-induced damage was diffuse and not prevented by Nac. PMID- 6580493 TI - A phase I trial of beta-all-trans-retinoic acid delivered via a collagen sponge and a cervical cap for mild or moderate intraepithelial cervical neoplasia. AB - A phase I trial was conducted of the vitamin A derivative beta-all-trans-retinoic acid (vitamin A acid; TRA), delivered via a collagen sponge and cervical cap for mild or moderate intraepithelial cervical neoplasia. On the basis of known skin and mucosal membrane toxicity, a concentration of 0.05% TRA in a cream-based vehicle was selected as the starting dose and was escalated later with the use of a modified Fibonacchi scale. The delivery device and the TRA were changed daily for 4 days, and side effects were assessed on days 1, 2, 3, 4, 8, and 30 by clinical and colposcopic examination. Vaginal, cervical, and systemic toxicity were evaluated in 35 patients. No dose-related systemic effects were found; mild cervical inflammation increased in many patients at higher doses. Unacceptably high vaginal toxicity was reached at a TRA concentration of 0.484%. A concentration of 0.372% TRA is recommended for use in phase II trials in mild and moderate cervical intraepithelial neoplasia. PMID- 6580494 TI - Dexamethasone, prostaglandin A, and retinoic acid modulation of murine and human melanoma cells grown in soft agar. AB - The cloning efficiencies of a murine melanoma cell line (S91 CCL 53.1) and a human melanoma cell strain (C8146c) were inhibited by dexamethasone (DEX), prostaglandin A1 (PGA1), and beta-all-trans-retinoic acid (RA) in a dose dependent manner. Murine melanoma tumor colony-forming units (MTCFU) were inhibited more than 99% by DEX (1 X 10(-7) M) and RA (1 X 10(-7) M) with a concentration needed to produce a 50% reduction in colony formation for both hormones of 5 X 10(-9) M. Combinations of DEX and RA effected a synergistic inhibition on colony formation, which was reflected by a 11/2 log reduction in the hormone concentration needed to produce a greater than 99% inhibition of colony formation. When PGA1 was added to DEX and RA, a greater than additive reduction in colony formation was observed. Human MTCFU from cell strain C8146c were inhibited more than 85% at an RA concentration of 1 X 10(-7) M, but they were reduced only to 40% of control at a DEX concentration of 1 X 10(-6) M. DEX RA produced an additive inhibition of colony formation. Addition of submaximal amounts of PGA1 to DEX-RA combinations or to either hormone alone resulted in synergistic reduction of human MTCFU. These results demonstrated that the proliferative potential of human and murine melanomas can be simultaneously regulated by DEX, PGA1, and RA. PMID- 6580495 TI - Nude mouse model of the melanosis syndrome. AB - The occurrence of diffuse hyperpigmentation secondary to a xenografted human malignant melanoma was observed in nude mice. The patient from whom this cell line was established developed cutaneous hyperpigmentation after his disease became disseminated. Light and electron microscopy studies were performed on skin and organ biopsy specimens from the hyperpigmented mice. These studies indicated that this melanoma-associated melanosis was secondary to the release of pigment granules from the xenografted tumors and to the uptake of these granules by macrophages throughout the body, including those located in the dermis. PMID- 6580496 TI - Dietary practices of early life and age at death of rats with tumors. AB - The association between the age at death of rats that develop spontaneous tumors and their early life dietary practices and growth responses was investigated. The data were obtained from outbred male Charles River CD Crl:COBS CD (SD)BR rats maintained for life on a self-selection dietary regimen that permitted them to regulate their protein intake apart from energy intake. A series of multivariable models was derived, after the rats were grouped by tumor type, that accurately accounted for the age of death of the individuals in each class. The models that explain the variance in death age of rats that develop tumors also differed from the combination of factors for rats that do not develop tumors but succumb to other age-related diseases. Although dietary protein and measures of growth are ubiquitous features in these models, no one set of idealized conditions for longevity can be proposed. PMID- 6580497 TI - Comparative study of the morphologic, histochemical, and proliferative changes induced in the large intestine of ICR/Ha and C57BL/Ha mice by 1,2 dimethylhydrazine. AB - The mouse model of 1,2-dimethylhydrazine (DMH)-induced colorectal carcinogenesis was studied to determine the susceptibility of different anatomic segments of the large intestine in ICR/Ha (susceptible) and C57BL/Ha (resistant) mice. In ICR/Ha mice numerous exophytic macroscopic neoplasms were found in the distal colon and rectum after 15 weekly injections of DMH (20 mg/kg). The proximal colon was free of any microscopic or macroscopic neoplasms. In contrast, C57BL/Ha mice given the same treatment showed no macroscopic neoplasms. However, foci of dysplastic crypts were observed throughout the large intestine of C57BL/Ha mice with highest incidence in the distal colon and rectum. In some areas dysplastic crypts were clearly invading the muscularis mucosae and were, therefore, microscopic carcinomas (microcarcinomas). Thus C57BL/Ha mice were not totally resistant to the neoplastic stimulus of DMH, and the susceptibility of the large intestine is site-specific in both mouse strains. PMID- 6580498 TI - Carcinogenicity of potassium bromate administered orally to F344 rats. AB - The carcinogenicity of potassium bromate, a food additive and a neutralizer in permanent waving, was tested by adding it to the drinking water of F344 rats for 110 weeks. Groups of 53 males and 53 females, each, were given solutions of 500 or 250 ppm of potassium bromate or distilled water. A concentration of 500 ppm markedly inhibited an increase of body weight of male rats. The mean survival time was shortest for males given 500 ppm (88.1 +/- 18.1 wk); the survival times of other groups were 101-104 weeks. The percentage survival in week 104 was relatively high in all groups, and it was 77.4% for males and 66.0% for females in the control group. High incidences of renal cell tumors (in males and females given 500 or 250 ppm) and mesotheliomas of the peritoneum (in males given 500 ppm) were observed. The incidences of these tumors in test groups were significantly higher than those in controls (P less than .001). It was concluded that, when orally administered under the conditions of this experiment, potassium bromate was carcinogenic to F344 rats. PMID- 6580499 TI - Mechanism of glucocorticoid action on murine natural killer cell activity. AB - With the use of an in vitro model system, the mode of action of glucocorticoids on murine natural killer (NK) cell-mediated cytotoxicity of tumor cells was investigated. Of the steroids tested, only the glucocorticoids notably suppressed NK activity. Glucocorticoids were not toxic to the NK effector cell since inhibitors of protein synthesis protected NK activity from the suppressive action of glucocorticoids. Glucocorticoid-treated C57BL/6J spleen cells, although suppressed in NK activity, were unable to suppress the NK activity of normal syngeneic spleen cell cultures. Similarly, the supernatants of glucocorticoid treated cultures were also unable to suppress normal NK activity. Thus a role for suppressor cell activity or soluble suppressive factors was excluded. Results of analyses of the NK activity of Percoll-fractionated glucocorticoid-treated C3H/HeN (nu/nu) spleen cells at the single-cell level demonstrated that NK effector cells could efficiently bind to YAC-1 lymphoma cells but were incapable of inducing cytolysis. Moreover, the production of NK cytotoxicity factor(s) in tumor cell-stimulated nude mouse spleen cell cultures was severely depressed after glucocorticoid treatment. The results of these studies suggest that glucocorticoids suppress murine NK activity by acting directly on the NK effector cells, possibly by inhibiting the formation or release of specific effector molecules that are cytotoxic to NK-sensitive tumor cells. PMID- 6580500 TI - Predisposition of [125I]5-iodo-2'-deoxyuridine-labeled normal and neoplastic mouse fibroblasts to lysis by normal macrophages. AB - During an investigation into the apparent natural cytotoxicity of normal peritoneal macrophages toward the murine MCA/76-9, MCA/76-45, and MCA/76-64 sarcoma cells in vitro, it was found that the peritoneal macrophages from nine different inbred strains of mice, as well as spleen and tumor-associated macrophages, preferentially lysed [125I]5-iodo-2'-deoxyuridine [( 125I]dUrd) labeled target cells. However, unlabeled target cells were actively proliferating under the same conditions. Proliferation of target cells occurred independently of the lytic event, as measured by counting residual tumor cells at intervals or by pulsing cultures with tritiated thymidine [( 3H]dThd), both of which parameters were relatively the same in the presence or absence of macrophages. Moreover, macrophage-enhanced lysis of [125I]dUrd-labeled cells was not confined to tumor cells since adherent labeled nontransformed C57BL/6J 3T3 cells, mouse embryo fibroblasts, and suspended concanavalin A-stimulated lymphoblasts were also induced to release 125I faster in the presence than in the absence of macrophages. Prelabeled L1210 lymphoma cells were not lysed by normal macrophages. Lipopolysaccharide (LPS) treatment of resident peritoneal macrophages did not induce a stronger lytic effect than that induced by untreated macrophages, but it did result in macrophage-mediated inhibition of DNA synthesis by tumor cells. LPS-treated thioglycollate-elicited macrophages induced a higher specific 125I release from tumor cells than the release from untreated macrophages. Tumor target cells prelabeled with the less radiotoxic [131I]dUrd were also more predisposed to the lytic action of normal macrophages, while [3H]dThd-labeled target cells were relatively unaffected by the presence of macrophages. Thus certain types of normal and neoplastic cells may become highly susceptible to macrophages or their products after the target cell DNA had incorporated radioactive IdUrd. PMID- 6580501 TI - [HLA system and insulin dependent diabetes in adults]. PMID- 6580503 TI - Stress, vascular changes and the potential for behavioral modification. PMID- 6580504 TI - Caffeine, stress, and cardiomyopathy. PMID- 6580502 TI - Long term follow-up of remission patients in adult acute leukemia. AB - 31 adults suffering from acute leukemia were followed for a period of more than 5 years after achieving complete remission. Maintenance chemotherapy consisted of antimetabolite treatment (mercaptopurine + methotrexate) as well as COAP reinduction every 3 months. Chemotherapy was stopped if the first complete remission lasted for 3 years ("long term remission"). This was the case in 8 out of 31 remission patients (26%). Analysis of hematological parameters at diagnose for long term remission patients revealed that the initial leukocyte count was of prognostic significance. PMID- 6580505 TI - Origins of the Type A (coronary-prone) behavior pattern. PMID- 6580506 TI - Central nervous system risk factors for sudden cardiac death. PMID- 6580507 TI - The role of the frontal cortex in the regulation of cardiac vulnerability to ventricular fibrillation: a neurophysiological model of Cannon's cerebral defense system. PMID- 6580508 TI - Clinical aspects of sudden death. PMID- 6580509 TI - Psychosocial factors: interventions to reduce sudden death following an MI. PMID- 6580510 TI - Sulfurylation of deoxycorticosterone in human fetal tissues. AB - We determined the specific activity of 21-hydroxysteroid sulfotransferase in a number of human fetal tissues and in tissues of a prepubertal boy (5 years of age). In fetal tissues, the highest specific activities of this enzyme were found in adrenal gland, liver, kidney, intestine, aorta, and testis. In the tissues of the prepubertal boy, 21-hydroxysteroid sulfotransferase activity was demonstrable only in adrenal and liver. Thus, 21-hydroxysteroid sulfotransferase activity is present in some fetal tissues in which DOC may be formed by 21-hydroxylation of progesterone, as steroid 21-hydroxylase activity has been demonstrated previously in adrenal, kidney, and testis. We speculate that sulfurylation of DOC in some tissue sites of DOC formation and action may regulate the action of this mineralocorticosteroid. PMID- 6580511 TI - Estrogen sulfatase and estrogen sulfotransferase in human primary mammary carcinoma. AB - Estrogen sulfatase (ES) and estrogen sulfotransferase (ESFT) activities were measured in a group of primary breast tumors. The mean value of ES activities, measured in 66 breast tumor specimens, was 0.9 nmol of estrone formed from estrone sulfate/mg tissue protein per hr regardless of the hormone receptor status of the specimen. However, the average value of the ESFT activity, expressed in nmol of estradiol-3-sulfate (E2S) formed from estradiol (E2)/mg of cytosol protein per hr, was found to be significantly higher in ER +/PGR + tumors (n = 26, 0.18 +/- 0.15, means +/- SD) than in ER -/PGR - tumors (n = 31, 0.08 +/- 0.06, P less than 0.005). Normal breast tissues also contain ES and ESFT but the activities were lower than those in tumors. When fresh breast tumor tissue fragments were incubated with radioactive E2 (0.4 nM) and E2S (3 nM) separately, E2 was not sulfurylated appreciably while E2S was extensively hydrolyzed to free estrogens indicating that the combined effect of ES and ESFT in breast tumor is favored towards the hydrolysis of estrogen sulfate. These results imply that the circulating estrogen sulfate could be utilized as the precursor of active estrogen to promote the cell growth in hormone sensitive tumors. PMID- 6580512 TI - Aromatase activity of steroid sulphatase-deficient placentae. AB - Aromatase activity was measured in homogenates from steroid sulphatase deficient and steroid sulphatase positive placentae. The activity of the aromatase complex was determined from the rate of formation of [14C] oestrone plus [14C] oestradiol when [14C] testosterone was incubated with a rate-limiting quantity of homogenate. A reduced level of aromatase activity was found in vitro in 70% of steroid sulphatase-deficient placentae tested, but the deficiency was much less complete than that of steroid sulphatase. The mean (+/- SD) aromatase activity of steroid sulphatase-deficient placentae was 380 +/- 180 pmol product/h/g tissue (n = 10), significantly lower (P less than 0.001, t-test) than the mean aromatase activity of steroid sulphatase positive placentae (701 +/- 70 pmol product/h/g tissue, n = 10). Seventy per cent of the steroid sulphatase deficient placentae showed lower aromatase activity than that of normal placentae stored for a comparable period of time. Assay imprecision and the sex of the foetus were excluded as reasons for the diminished aromatase activity found. It may arise through an abnormal gene product and consequent alterations in the structure of the microsomal membrane in which both aromatase complex and steroid sulphatase enzymes are retained. PMID- 6580513 TI - Photochemical inactivation of human placental estradiol 17 beta-dehydrogenase in the presence of 2,3-butanedione. AB - Estradiol 17 beta-dehydrogenase of human placenta was rapidly inactivated by 2,3 butanedione under u.v. light, and no protection against the inactivation was observed in the presence of sodium azide. Under ordinary laboratory illumination, the inactivation was biphasically progressed in time-dependent and concentration dependent manners, while a partial protection from the inactivation was indicated by sodium azide. These results suggest that the inactivation mechanism of the dehydrogenase by 2,3-butanedione under laboratory illumination is different from that under u.v. light. Therefore, the inactivation under laboratory illumination proceeded by a reaction with excited singlet molecular oxygen (1 delta g or 1 sigma +g states), and that under u.v. light was caused by a reaction of substrate with triplet sensitizer. In the presence of NADP+, the inactivation of the enzyme by 2,3-butanedione was markedly reduced. The maximum protection by NADP+ was about 80% of the initial enzyme activity. Amino acid analysis of the enzyme treated with 2,3-butanedione under laboratory illumination showed that the modified enzyme contained considerably less of the following amino acids than the native enzyme: histidine, arginine, threonine, methionine, tyrosine and leucine. In addition, other dicarbonyl reagents, 1,4-dibromo-2,3-butanedione, 1-phenyl-1,2 propanedione, phenylglyoxal, 16-oxoestrone, 1,2-cyclohexanedione, 2,4 pentanedione and glyoxal were found to decrease the dehydrogenase activity in various degree. PMID- 6580514 TI - Functional site of human placental estradiol 17 beta-dehydrogenase involves tyrosine residues, as evidenced by reaction to p-nitrobenzenesulfonyl fluoride. AB - Native estradiol 17 beta-dehydrogenase (EC 1.1.1.62) from human placenta was inactivated in time dependent manner by p-nitrobenzenesulfonyl fluoride (NBSF), which is a reagent for chemical modification of tyrosine. The sulfhydryl-blocked enzyme by 5,5'-dithio-bis(2-nitrobenzoic acid) (DTNB) was also reacted with NBSF more slowly in pseudo-first-order kinetics. After the sequential treatments with DTNB, NBSF and dithiothreitol (DTT), the enzyme in which tyrosine residues alone were modified was isolated, and its activity was decreased. These results suggest that tyrosyl residues of the estradiol 17 beta-dehydrogenase from human placenta are located at or near its catalytic site, and play a functional role in the enzyme reaction. PMID- 6580515 TI - Circulating immune complexes in chronic myeloid leukemia: turbidimetric measurement and two-dimensional electrophoretic analysis. AB - A 3.75% polyethylene glycol -6000 mediated turbidimetric method was used for the estimation of levels of circulating immune complexes (CIC) in sera of normal human subjects and patients with chronic myeloid leukemia (CML). In terms of equivalents of heat-aggregated gamma globulin (eq.HAGG mg/ml serum), the mean levels of CIC were: 5.69 mg/ml (SD 4.78) in 81 normal human subjects; 22.63 mg/ml (SD 9.86) in 52 untreated CML patients; 7.61 mg/ml (SD 5.74) in 54 CML patients in remission; and 21.70 mg/ml (SD 8.15) in 18 CML patients in relapse. High CIC levels, thus, showed a significant association with the pretreatment -- and relapse -- status of the disease (p less than 0.001 and p less than 0.001, respectively). Though the levels decreased during remission, they were still significantly above the mean level in the controls (p less than 0.05). The CIC level-disease status relationship was clearly evident in the serial studies on 19 CML patients who donated serum samples prior to treatment as well as during remission. Two-dimensional electrophoretic analysis of the CIC samples revealed the presence of a polypeptide (mol. wt approx. 37,000 and pI approx. 5.8) in 10 out of 18 CIC samples from the untreated CML patients. Such a moiety was not detected in six CIC samples from normal subjects. The association of this polypeptide with CML gains support from the observation that in 5 CML patients, this moiety was present in the CIC samples obtained prior to treatment but absent in the samples subsequently obtained during remission. PMID- 6580516 TI - Growth and differentiation of Friend erythroleukemia cells in serum-free culture. AB - A synthetic medium allowing indefinite optimal growth of Friend erythroleukemia cells (FLC) is described. It consists of Iscove's modified Dulbecco's medium supplemented with bovine serum albumin, transferrin, and a lipid mixture. Transferrin and lipids are essential for Friend cells growth. Under these conditions, FLC erythroid differentiation, promoted by a number of inducers, is less efficient than in cultures with serum-rich medium, suggesting that unknown serum factors may play an additional role in this phenomenon. Conversely, the enhancement of erythroid differentiation induced by low doses of Interferon is superimposable in both types of cultures. PMID- 6580517 TI - Isoenzyme studies in human leukemia -- II. Carboxylic esterase (E.C. 3.1.1.1.). AB - Isoelectric focusing analysis of esterase activity (E.C. 3.1.1.1.) has been carried out on polyacrylamide gel slabs of a variety of immunologically defined acute leukemia subtypes. Distinct isoenzyme bands and isoenzyme groups have been identified and characterized biochemically with regard to their features for substrate specificity, pH optimum and inhibition experiments. The esterase isoenzyme patterns permitted the distinction between acute myeloid and non myeloid leukemias. Acute lymphocytic leukemias localized by their immunological profile along the T-cell axis exhibited a readily recognizable isoenzyme group (T group). Reproducible differences in isoenzyme patterns were observed in childhood common ALL which indicate that the immunologically determined entity cALL displays a clear heterogeneity with respect to biochemical profiles of enzyme markers. These results suggest that further combined biochemical and immunological characterization may significantly contribute to a better understanding of lymphopoietic and leukemic cell differentiation. PMID- 6580518 TI - [Aspergillus endocarditis in a patient with acute lymphoblastic leukemia in remission]. PMID- 6580519 TI - [Refractory anemia with an excess of blasts: study of 30 cases]. PMID- 6580520 TI - [Efficacy of cefmetazole against ampicillin-resistant enterobacteria and Staphylococcus aureus]. PMID- 6580521 TI - [Disseminated intravascular coagulation as the 1st manifestation of a chronic myeloid leukemia]. PMID- 6580522 TI - Casein kinase I. PMID- 6580523 TI - Coordination of growth with cell division: regulation of synthesis of RNA during the cell cycle of the fission yeast Schizosaccharomyces pombe. AB - In the fission yeast Schizosaccharomyces pombe the rate of RNA synthesis, as determined by pulse labeling, increases in a step-like manner in synchronous cultures prepared by centrifugal elutriation. Cultures prepared in this way show marked reductions in perturbations which can be caused by many synchrony techniques. Kinetic evidence indicates that alterations in pool metabolism are not responsible for the step pattern. The long period of increase in the rate doubling (relative to cell number increase) indicates that the period of increasing rate may be due to a growth period and not a sudden transition between a slow and a fast rate. An analysis of synchronous cultures of cells of different cell size and synchronous cultures of temperature sensitive mutants blocked in cell cycle progress indicated that neither size control, changes in DNA content nor septation are directly responsible for the steps in RNA synthesis. Instead the time of the rate change is associated with a specific point in the cell cycle, probably an event associated with nuclear division. PMID- 6580524 TI - Regulation of the maximal rate of RNA synthesis in the fission yeast Schizosaccharomyces pombe. AB - Of interest to many biologists is how growth, e.g., RNA synthesis, and cell division are mutually controlled. One method of establishing the nature of the control is to determine what "factors" are limiting when cells synthesize RNA at a maximal rate. The transcription maximum (maximum rate of RNA synthesis) has been determined in cell division mutants that continue to grow but fail to divide to determine if there is a cell cycle control over RNA synthesis. There is no correlation between transcription maximum and DNA synthesis or septation which suggests that these events do not exert a direct cell cycle control over RNA synthesis in exponentially growing cells. In addition, the lack of strong correlation between the transcription maximum and cell size or gene dosage indicates that the rate of RNA synthesis is not directly regulated by either of these parameters. The possibility that the maximum rate is determined by a concentration effect of an end product which acts in the nucleus, such as a specific RNA or protein, could not be ruled out and evidence is presented in support of such a model. PMID- 6580525 TI - Low-dose cytarabine therapy in hypoplastic acute leukemia. PMID- 6580526 TI - Low doses of cytarabine in the treatment of myelodysplastic syndrome and acute myeloid leukemia. PMID- 6580527 TI - Translocation of c-ab1 oncogene correlates with the presence of a Philadelphia chromosome in chronic myelocytic leukaemia. AB - The localization of cellular oncogenes near the break points of tumour-specific chromosomal aberrations suggests an involvement of these genes in the generation of neoplasms. Recently, we demonstrated the translocation of the human cellular homologue (c-ab1) of the transforming sequence of Abelson murine leukaemia virus (A-MuLV) from chromosome 9 to the Philadelphia chromosome (Ph1) in chronic myelocytic leukaemia (CML). In an attempt to investigate the significance of this translocation in the pathogenesis of CML, we have now studied two CML patients with complex translocations, t(9; 11; 22) and t(1; 9; 22), and two CML Ph1 negative patients with apparently normal karyotypes. In addition to using blot hybridization with human c-ab1 probes and DNA from rodent: CML cell hybrids as before, we have used in situ hybridization of these probes directly to metaphase chromosomes of CML patients. These studies show that the c-ab1 gene is translocated in Ph1-positive but not in Ph1-negative CML patients. CML without the Ph1 chromosome seems to be a distinct entity with a different origin, and this view is supported by clinical observations including correlations which reveal a poorer prognosis. PMID- 6580528 TI - Quick fixes not on the cards. PMID- 6580530 TI - HLA class II antigens and monoclonal antibodies. PMID- 6580529 TI - Association of amplified oncogene c-myc with an abnormally banded chromosome 8 in a human leukaemia cell line. AB - Several unusual chromosome structures have been described in drug-resistant cell lines and in certain tumours. These structures include elongated homogeneously staining regions (HSRs), small extrachromosomal paired chromatin bodies (double minutes, DMs) and abnormally banded regions (ABRs) with strong but anomalous band patterns. There is evidence that these are alternative forms of gene amplification, with HSRs breaking down to form DMs, and DMs integrating into the chromosome to generate HSRs and ABRs. Recently, it was demonstrated that, compared with several normal and leukaemia human cells, DNA sequences representing the human homologue of the onc gene of the avian myelocytomatosis virus (MC29), the so-called c-myc gene, were amplified in HL-60 cells. This is a human promyelocytic leukaemia cell line established in the laboratory of one of us (R.C.G.) at the National Cancer Institute (Bethesda, Maryland) in 1977, and widely used for studies on myeloid and monocytic differentiation. Amplification of the gene was present in primary leukaemic cells of the patient, and DMs were noted in some of these cells as well as in early passages of the HL-60 line. No structure resembling HSRs or ABRs were noted in karyotypic studies at this early stage and there were no alterations involving the long arm of chromosome 8 (8q), to which the c-myc gene has recently been mapped. We have now re-examined the karyotype of the HL-60 line, using cells frozen at various times during its continuous passage at the Wistar Institute (Philadelphia, Pennsylvania) to look for chromosomal abnormalities that might be associated with the amplification of c-myc. We find that, beginning in 1979, HL-60 cells at the Wistar Institute no longer had DMs, but did show an abnormal 8q+ chromosome, replacing a normal chromosome 8, and representing an ABR reflecting the site of myc gene amplification. PMID- 6580531 TI - Ocular emergencies: practical therapeutics. PMID- 6580532 TI - A chronically red eye. PMID- 6580533 TI - A system for examining the ocular fundus. PMID- 6580534 TI - Dehiscence or tear of the levator aponeurosis as a cause of ptosis in children. PMID- 6580535 TI - Conjunctival biopsy in sarcoidosis: 4 year NCMH experience. PMID- 6580536 TI - Phenomenally phunny phungi--psilocybin toxicity. PMID- 6580537 TI - What's it like to be visually impaired all your life? PMID- 6580538 TI - Reading material for the blind. PMID- 6580539 TI - Services for the blind in North Carolina. PMID- 6580540 TI - Orthoptics. PMID- 6580542 TI - A cost perspective on a case report. PMID- 6580541 TI - Lasers in the office. PMID- 6580543 TI - Home care of the stroke patient--a viable alternative to hospitalization? PMID- 6580544 TI - Joseph Ward Hooper lecture: "It was the best of times. It was the worst of times.". PMID- 6580545 TI - Female Kallmann's syndrome. PMID- 6580546 TI - Fatal pulmonary hypertension in a patient with mixed connective tissue disease. PMID- 6580547 TI - Humanism and medicine: the patient centered approach. PMID- 6580548 TI - Features for patients. See how they grow. PMID- 6580549 TI - The North Carolina Arthritis Program. PMID- 6580550 TI - Warts. PMID- 6580551 TI - The evolution of a rural EMT-intermediate training program. PMID- 6580552 TI - Training psychiatrists for public service in North Carolina. PMID- 6580553 TI - Gee, honey, why does the iced tea have a garlic taste? Arsenic intoxication. PMID- 6580554 TI - Experience with intermediate- and high-dose cytosine arabinoside in relapsed and refractory acute leukaemia. PMID- 6580555 TI - [Acute non-lymphoblastic leukemia in patients treated for Hodgkin's disease. Analysis of 309 cases]. AB - The analysis of 309 Hodgkin patients treated by radiotherapy alone or in association with chemotherapy, between 1969 and 1979, has shown seven cases of ANLL (acute non lymphoblastic leukemia). The incidence was 2.26% in the overall group and 3.38% in the patients treated with combined therapies. From the frequency and distribution of ANLL in the various treatment groups we can argue that: ANLL may be considered as a second, therapy-induced tumor, correlated with the association of chemotherapy and radiotherapy. PMID- 6580556 TI - The role of heart registries. PMID- 6580557 TI - Verapamil in atrial fibrillation. PMID- 6580558 TI - Normal-pressure hydrocephalus associated with markedly elevated CSF protein. PMID- 6580559 TI - Giant colonic diverticulum. PMID- 6580560 TI - Metrifonate in the treatment of Schistosoma haematobium infection. PMID- 6580561 TI - Syncope in a general hospital patient population. Usefulness of the radionuclide brain scan, electroencephalogram, and 24-hour Holter monitor. PMID- 6580562 TI - Recent experiments in medical education. PMID- 6580563 TI - Male sexual dysfunction and diabetes mellitus. Multidisciplinary approach to diagnosis and management. PMID- 6580564 TI - Electromechanical dissociation after intravenous verapamil. PMID- 6580565 TI - Small-vessel vasculitis following simultaneous influenza and pneumococcal vaccination. PMID- 6580566 TI - Hypopituitarism associated with systemic amyloidosis. PMID- 6580567 TI - Multiple drug toxicity. Overt and subtle signs in ventricular tachycardia. PMID- 6580568 TI - Primary giant Candida lung abscess. Response to miconazole. PMID- 6580569 TI - Lung carcinoma presenting as a breast tumor. PMID- 6580570 TI - A New Zealand nurse in Pakistan. PMID- 6580571 TI - Working with the Boat People. PMID- 6580573 TI - Different responsibilities for nurses in Arkansas. PMID- 6580572 TI - Nurses need to be more involved. PMID- 6580574 TI - Specialised course for intensive care nurses. PMID- 6580575 TI - Nurses must listen. PMID- 6580576 TI - The nurse's role in safeguarding human rights. PMID- 6580577 TI - Nursing aims and goals are similar world-wide. PMID- 6580578 TI - A "new" direction for dental health policy. PMID- 6580579 TI - Year-end tax planning: avoiding the pitfalls. PMID- 6580580 TI - Burning tongue. PMID- 6580581 TI - A study of ameloblastoma--age, sex and location statistics. PMID- 6580582 TI - National dental licensure: a reality? PMID- 6580583 TI - Removal of foreign bodies using image intensifier fluoroscopy. PMID- 6580584 TI - A growing health care alternative: the preferred provider organization. PMID- 6580585 TI - Dental patients over 65: 25 million and growing. PMID- 6580586 TI - A survey of denture care and denture provider characteristics in the state of Ohio. PMID- 6580587 TI - The fabrication and use of a leaf gauge to locate centric relation. PMID- 6580589 TI - Fractures of the mandibular condyle: review of the literature and presentation of five cases with late complications. PMID- 6580588 TI - Estimation of incidence of human leukaemia subtypes in an urban African population. AB - A rough estimate of the incidence rates (IR) of human leukaemia subtypes is provided for Ibadan, a large urban centre in the south-western rain-forest area of Nigeria. In view of the inavailability of recent census figures, the current population sizes of various 5-year age groups were projected from those of the last reliable census held in 1963, using various recommendations from national and international bodies on population changes in the area. On comparing the IR for the leukaemia subtypes in Ibadan subjects with those of Black and White Americans, we found no striking difference in chronic myeloid leukaemia for the 3 population groups. Leukaemia IR in Ibadan was low for all subtypes after 70 years, probably because of the thinness of the population after that age. IR of acute lymphoblastic leukaemia (ALL) in the first two quiquennia was low while that of acute myelogenous leukaemia (AML) in the second quinquennium was high in Ibadan compared with Black and White US subjects. IR of AML in Ibadan as well as in Black and White US subjects showed a stepwise increase in the 5-year age groups between 15 and 69 years, but unlike the observation in Americans, ALL was not observed after 40 years of age in Ibadan. Though the method used to estimate the leukaemia incidence rate in Ibadan was crude, it did reveal remarkable differences from those of inhibitants of a developed country like the US. These differences are believed to be related to environmental influences. PMID- 6580590 TI - Professional self-government - is it justified? PMID- 6580591 TI - Temporomandibular joint surgery: a review of fifty-one operations. AB - The clinical records of thirty-six patients previously treated with fifty-one TMJ surgical procedures were reviewed and analyzed. Each patient was sent a questionnaire designed to elicit a perception of the results of the surgical treatment. Seventy-seven percent of the respondents reported that their TMJ area discomfort was "much better", and 94 percent would have the surgery again. Fifteen patients had preoperative interincisal openings of less than 35 mm. Of these patients, eleven had postoperative interincisal openings of 35 mm., or more with a mean increase of 13 mm. The findings of this study indicate a high percentage of patient satisfaction with the results of TMJ surgery and a general improvement in ability to function. PMID- 6580592 TI - Life-threatening toxic methemoglobinemia induced by prilocaine. AB - Methemoglobinemia is reviewed briefly with particular reference to prilocaine. One case of prilocaine induced toxic methemoglobinemia is presented and discussed to remind the practitioner that although rare, this condition can be life threatening, and should be considered in the differential diagnosis of cyanosis. PMID- 6580593 TI - Effectiveness of oral hygiene techniques on plaque and gingivitis in patients placed in intermaxillary fixation. AB - Twenty-one patients undergoing reconstructive maxillofacial surgery volunteered to learn and practice specific oral hygiene techniques while in intermaxillary fixation in order to compare the effectiveness of different regimens. Oral irrigation was taught to all subjects; one third of the subjects were also instructed in the use of the sulcus brush, and another third were instructed in the use of the Perio-Aid. Scoring was done every 2 weeks for a 6-week period, with measurements taken of the amount of plaque and the amount of inflammation present in papillary, marginal, and attached gingiva. Results show that the group employing only the Water Pik had less inflammation in the attached gingiva than the group using the Perio-Aid and less plaque accumulation and papillary inflammation than the group using the sulcus brush. While more research is necessary to confirm these results, the simplest home care regimen, use of the Water Pik only, appears to offer the best way for intermaxillary fixation patients to remove plaque and minimize inflammation during convalescence. PMID- 6580594 TI - Oral manifestations of tumor and opportunistic infections in the acquired immunodeficiency syndrome (AIDS): findings in 53 homosexual men with Kaposi's sarcoma. AB - Fifty-three homosexual men with Kaposi's sarcoma (KS) were studied. Twenty-seven had biopsy-proved oral KS, the palate being the most common site. Past or present infections with cytomegalovirus, hepatitis, venereal diseases, and gastrointestinal microorganisms occurred in more than 70%. Oral candidiasis was confirmed in 57%. Heavy marijuana smoking was the most common habit. Transmission of AIDS is thought to be by a viral agent. Precautions involving the use of gloves, eyeglasses, and masks, similar to those recommended for the management of patients with hepatitis B, are urged. PMID- 6580596 TI - Lichen planus: a theory of pathogenesis. AB - From a continuing study of 108 cases of oral mucosal lichen planus, including so called drug-induced lichenoid reactions, the response of patients to topical therapy and to drugs implicated in inducing the lichenoid reactions was used to construct a hypothetical model regarding the pathogenesis of the condition. The results were interpreted to indicate that lichen planus is a predetermined condition or diathesis, perhaps genetically based, rather than a simple cause-and effect disorder. PMID- 6580595 TI - Phenytoin-induced agranulocytosis after treatment for a gunshot wound to the face. AB - A case of phenytoin-induced agranulocytosis is presented. This syndrome is characterized by a decrease in the blood neutrophil count to very low levels. Patients are generally asymptomatic, but they may become febrile and develop an infection, which is frequently fatal. Practitioners treating trauma patients or other patients in whom phenytoin treatment is initiated should be aware of the potential development of agranulocytosis. PMID- 6580597 TI - Differentiating keratoacanthoma from squamous cell carcinoma of the lower lip: an analysis of intraepithelial elastic fibers and intracytoplasmic glycogen. AB - Differentiation of keratoacanthoma from squamous cell carcinoma on the vermilion mucosa of the lower lip can sometimes be difficult. Two histopathologic features that are helpful in distinguishing between these two lesions when they occur on sun-exposed skin are the incidence of intraepithelial elastic fibers and the epithelial intracytoplasmic glycogen content. An analysis of thirty-one keratoacanthomas and twenty-eight squamous cell carcinomas from the vermillion mucosa of the lower lip indicates that while the incidence of intraepithelial elastic fibers and the tumor intracytoplasmic glycogen content are greater in keratoacanthomas, these features are not reliable for differentiating between the two lesions in this location. PMID- 6580598 TI - Traumatic ulcerative granuloma with stromal eosinophilia. PMID- 6580600 TI - Treatment of an unusual case of external resorption. PMID- 6580599 TI - Bacterial contamination and the "toxicity" of materials to the exposed pulp. AB - The role of bacterial contamination in the toxicity to the pulp of a number of metallic salts was investigated. These had been tested as pulp-capping agents in previous studies involving 228 exposed rat molars. Material from the previous investigations was stained to demonstrate bacteria. This revealed bacteria in necrotic pulp tissue and/or the cavity-restoration interface in approximately 60% of the specimens. The presence of bacteria appeared to be related to pulpal inflammation, necrosis, and failure of calcific repair. PMID- 6580601 TI - Enhancement of radiographs used for publication. AB - A technique in which a subtraction film mask is used to enhance radiographic detail and provide a balanced density appropriate for purposes of publication is described and examples are illustrated. PMID- 6580602 TI - Sensitometric characteristics of dental xeroradiography. AB - Dental xeroradiography is a high-quality intraoral imaging system which provides a potentially convenient, rapid, low-dose alternative to conventional film radiography. In this study the sensitometric properties of dental xeroradiography were investigated via assessment of high- and low-contrast xeroradiographic processor settings, transmission versus reflection densitometry, reciprocity-law failure, and kVp (tube voltage) plate dependence. Findings of the study indicated that imaging at high-contrast processor settings results in greater dynamic range but less exposure latitude than imaging at low-contrast processor settings. Determination of characteristic curves demonstrated greater contrast in reflection mode than imaging by transillumination for all but the very densest of images (greater than 1.6 O.D.). There was also little difference in characteristic curves produced from 50 to 90 kVp, indicating that the xeroradiographic plate exhibits a relatively constant sensitivity over the tube voltages tested if exposure is expressed in roentgens. Finally, no substantial reciprocity-law failure was observed for dental xeroradiography over a clinically relevant range of exposure times. PMID- 6580603 TI - Ectopic teeth in an ovarian cyst. PMID- 6580604 TI - Root calculus. PMID- 6580605 TI - Polydactyly associated with missing and supernumerary teeth. PMID- 6580607 TI - [Lymphoblastic leukemia in a boy with ataxia telangiectasia]. PMID- 6580606 TI - Acute myelofibrosis developing into acute monocytic leukemia. A case report. PMID- 6580609 TI - Proposed health benefits tax threatens dental insurance coverage. PMID- 6580608 TI - [Neurotoxoplasmosis in the immunosuppressed child. Apropos of 2 cases]. AB - About 2 cases reports, the authors stress on the principal characteristics of neurotoxoplasmosis : neurologic and/or febrile symptoms in a immuno-compromised patient with predominantly a deficient cellular mediated immunity. Cerebrospinal fluid, electroencephalographic and tomodensitometric abnormalities. Importance of serology in the survey of high-risk patients. Bad prognosis of acute clinical pictures. Potential regression of subacute and chronic forms. PMID- 6580610 TI - Perceptions, attitudes, and habits of Minnesotans in relation to oral cancer. PMID- 6580611 TI - Recent modifications in the use of fluorides for children. PMID- 6580612 TI - Relative analgesia (oxygen: nitrous oxide sedation) in general practice. PMID- 6580613 TI - Fluoride in the eighties. PMID- 6580614 TI - [Effect of prostaglandin F2 alpha on the corpus luteum of the ovary and peripheral blood plasma progesterone concentration in pregnant mice]. AB - A study was made of the effect of prostaglandin F2 alpha on submicroscopic and histochemical structure of the yellow bodies and progesterone concentration in peripheral blood plasma in the pre-implantation period of embryonal development. Electron microscopy, radioimmunoassay and histochemical technique were applied. Apart from the signs of steroidogenesis preservation in luteocytes of the control group yellow bodies (during elevation of prostaglandin F2 alpha concentration in the body), there was a significant reduction of the activity in them of the key enzyme of the steroidogenesis, 3-beta-steroid dehydrogenase. Attention is paid to variation of the capillary system of the yellow bodies, induced by prostaglandin F2 alpha. This variation was marked by the absence of fenestration and by reactive status of endotheliocytes. It is concluded that prostaglandin F2 alpha primarily affects functional properties of steroid-producing cells. The authors suggest that there are potential links between the reduced progesterone level in peripheral blood plasma and submicroscopic changes in luteic cells and yellow body capillaries. PMID- 6580615 TI - Correlation between rate constant for reduction and redox potential as a basis for systematic investigation of reaction mechanisms of electron transfer proteins. AB - Rate constants for the reduction of approximately 40 electron transfer proteins by photoreduced flavins have been determined by laser flash photolysis techniques. The data for a series of 12 homologous cytochromes and 10 homologous high redox potential ferredoxins (HiPIPs) are in excellent agreement with semi empirical equations relating rate constant and thermodynamic redox potential that have proven applicable to nonbiological electron transfer systems. These correlations allow the establishment of relative reactivities within structurally homologous classes of biological oxidation-reduction proteins, including cytochromes and HiPIPs, and a variety of nonhomologous heme-, iron-sulfur-, copper-, and flavin-containing proteins. A qualitative correspondence is shown to exist between such relative reactivity and the extent of solvent exposure of the redox centers in a particular structural class. The implications of these results are considered, and it is concluded that free energy relationships provide a sound basis for systematic analysis of reaction mechanisms of electron transfer proteins. PMID- 6580616 TI - Latent tissue plasminogen activator produced by human endothelial cells in culture: evidence for an enzyme-inhibitor complex. AB - Conditioned medium from cultures of human umbilical vein endothelial cells was analyzed for the presence of tissue plasminogen activator (tPA) and urokinase. Immunoprecipitation studies using metabolically labeled conditioned medium and anti-tPA IgG revealed a single band on autoradiographs corresponding to a Mr of 100,000. No bands were observed after immunoprecipitation with anti-urokinase IgG. The Mr 100,000 tPA was found to be inactive and did not bind to fibrin clots. However, exposure of this tPA to 1% NaDodSO4 resulted in the appearance of plasminogen activator activity with no apparent change in its Mr. Treatment with 10 mM diisopropylfluorophosphate prior to NaDodSO4 activation did not inhibit the NaDodSO4-induced appearance of plasminogen activator activity, indicating that the active site was not available for diisopropylfluorophosphate binding. The possibility that the properties of this Mr 100,000 tPA reflected a tPA-inhibitor complex was examined. Attempts to dissociate such a complex by denaturation, reduction, or extremes of temperature were not successful. However, after treatment of conditioned medium with 1 M hydroxylamine in the presence of 0.1% NaDodSO4, the Mr of the anti-tPA immunoprecipitable material declined by 40,000 to Mr 60,000, a Mr consistent with that of other human tPAs. Hydroxylamine has been shown previously to dissociate covalently coupled serine protease-inhibitor complexes. Furthermore, incubation of purified human melanoma cell tPA with conditioned medium resulted in an increase in its Mr by 40,000 with a concomitant decline in tPA activity. The data suggest that the latent tPA present in the conditioned medium of endothelial cells is composed of a Mr 60,000 tPA associated with an inhibitor. PMID- 6580617 TI - Isolation of a genomic clone for bovine pancreatic trypsin inhibitor by using a unique-sequence synthetic DNA probe. AB - Unique-sequence synthetic DNA probes, based on the known amino acid sequence of bovine pancreatic trypsin inhibitor, were constructed from oligodeoxynucleotides. In genomic Southern blot experiments, these probes were shown to hybridize specifically to discrete restriction fragments. A synthetic probe also was used to isolate a cloned BPTI gene from a bovine genomic library. DNA sequence analysis of this clone indicated that the BPTI coding region was neither preceded by a start codon nor immediately followed by a termination codon. This suggests that the mature form of BPTI may be produced through proteolytic processing from a larger polypeptide precursor. PMID- 6580618 TI - Plasma membrane retrieval in neoplastic pancreatic acinar cells. AB - The dynamics of plasma membrane retrieval has been studied in the pancreatic acinar carcinoma in order to determine if neoplastic cells exhibiting a heterogeneity of cytodifferentiation states retain the capacity to interiorize and recycle plasma membrane. To this end, the plasma membranes of neoplastic pancreatic acinar cells were labeled with radioiodinated cationic ferritin (125I CF), and the fate of the tracer was monitored by quantitative electron microscopic autoradiography. The undifferentiated granule-deficient cells of the tumor internalized membrane-bound 125I-CF and sequestered it predominantly in lysosomes. By contrast, the differentiated granule-rich cells internalized significantly more membrane-bound 125I-CF, and the tracer was localized in secretory granules and in lysosomes. The data suggest that neoplastic cells retain the capability of retrieving plasma membrane and that the dynamics of the process is correlated with the state of cytodifferentiation of the neoplastic cells. PMID- 6580619 TI - Specific DNA sequences associated with the nuclear matrix in synchronized mouse 3T3 cells. AB - Eukaryotic chromatin appears to be organized into arrays of supercoiled loops anchored to the scaffolding structure of the mitotic chromosome core or to the nuclear matrix of interphase nuclei. To reveal whether specific DNA sequences are involved in this level of chromatin organization, we isolated and cloned a population of DNA molecules [average length of 150 base pairs (bp)] closely associated with the nuclear matrix after exhaustive DNase digestion and subsequent extensive protease digestion. The nuclear matrix was obtained from murine BALB/c 3T3 cells synchronized at the G1/S border of the cell cycle. We report the structure of two sequences, designated G4 and G5, which are highly enriched in the matrix DNA. Sequence G4, of 152 bp, contains three 31-bp direct head-to-tail repeats. An 11-bp sequence at the end of each repeat is homologous to the first large tumor antigen recognition site of human papova virus. Sequence G5, of 135 bp, consists of two well-defined domains, in which the first domain is a fragment of the B1 repetitive sequence. The results suggest the possibility that the loops of histone-depleted chromatin are connected to the scaffold of the nuclear matrix, with specific DNA sequences at the anchorage sites. PMID- 6580620 TI - Arylsulfatase in natural killer cells: its possible role in cytotoxicity. AB - Ultrastructural cytochemistry of natural killer cells enriched by Percoll gradient centrifugation showed them to possess arylsulfatase (aryl-sulfate sulfohydrolase, EC 3.1.6.1). The enzyme was located in vesicles, granules, and the parallel tubular arrays, organelles characteristic for cytotoxic lymphocytes. Biochemically, peak enzyme activity correlated with the Percoll fractions containing cells with cytotoxicity for melanoma target cells. Treatment of natural killer cells with Na2SO4, a competitive inhibitor of arylsulfatase, suppressed cytotoxicity by almost 50%. Electron microscopy of effector-target cell conjugates, which had been permitted to incubate for only 30 min, disclosed numerous arylsulfatase-positive sites at the points of contact between the effector/target cell membranes. Thus, the enzyme was translocated to the surface before lysis of the target cell was morphologically evident. It is postulated that the parallel tubular arrays play a role in this translocation and that arylsulfatase may function in the degradation of cerebroside sulfate ester components of the target cell membrane to initiate the lytic event. PMID- 6580621 TI - Hemagglutinin of swine influenza virus: a single amino acid change pleiotropically affects viral antigenicity and replication. AB - The complete nucleotide sequence has been obtained of the H1 hemagglutinin (HA) gene of a high-yielding (H) mutant of the A/NJ/11/76(H1N1) strain of swine influenza virus in studies of a viral reassortant (X-53a) bearing this gene. This determination has permitted comparison with human influenza H1N1 prototype viruses A/WSN/33 and A/PR/8/34, with which 80% and 94% amino acid homology was found between HA1 and HA2, respectively. Partial sequences have been determined for other viral reassortants containing either H or L (low-yielding phenotype) genes derived from A/NJ/11/76. Sequence of the HA1 region of an L mutant prototype was virtually completed and differed from that of the H mutant by only four amino acid changes. Sequence analysis of four other viruses was restricted to regions of the HA with which monoclonal antibodies capable of distinguishing L and H mutants are presumed to react. Therefore, changes in these sequences are relevant to changes in viral phenotype. Change at residue 155 from Gly to Glu is associated with change from L to H HA phenotype. This site, structurally equivalent to amino acid 158 on the Wiley et al. HA model [Wiley, D. C., Wilson, I. A. & Skehel, J. J. (1981) Nature (London) 289, 373-378] is near the tip of the HA monomer adjacent to the proposed receptor binding site and therefore credibly could influence both viral antigenicity and replication. Because both L and H variants exist in nature and because revertants may be selected in the laboratory as replication variants in the absence of immunoselection, these studies provide evidence for fortuitous antigenic change in association with change in biological function, which is determined by a single base change. PMID- 6580622 TI - Prothrombin is activated on vascular endothelial cells by factor Xa and calcium. AB - Vascular endothelial cells derived from adult bovine aorta (ABAE) treated with factor Xa and calcium were found to activate prothrombin. In contrast, nonvascular cells (human foreskin fibroblasts, bovine corneal endothelial cells, or human fetal lung cells) had either no or very little effect on prothrombin activation. In the presence of 6 X 10(5) ABAE cells, 20 ng of factor Xa converted 90 micrograms of prothrombin into 80 units of thrombin after 45 min at 37 degrees C. Exogenous factor V was not required for prothrombin activation, but thrombin generation was enhanced 2- to 4-fold by the addition of factor V (500-2,500 ng/ml). Treatment of ABAE cells with anti-bovine factor V IgG markedly inhibited prothrombin activation by factor Xa and calcium. In cells grown in serum-free medium for 3 months, the amount of factor V activity was equivalent to that found in cells grown with serum, which suggests that these cells probably synthesize factor V. Sparse ABAE cells increased prothrombin activation by factor Xa 6-fold compared to activation in confluent cells. Although previous thrombin treatment of ABAE cells did not enhance prothrombin activation, addition of dansyl arginine 4-ethyl piperidine amide markedly inhibited activation of 125I-labeled prothrombin by factor Xa, indicating that thrombin formation is necessary for optimal prothrombin activation. These data indicate that aortic endothelium may provide a physiologically important surface for activation of prothrombin as well as a mechanism for optimal formation of clots at sites of vascular injury. PMID- 6580623 TI - Use of a monoclonal antibody as a substrate for mature neurons in vitro. AB - A mouse monoclonal antibody was produced against salamander retinal membranes. It binds to the retina as well as to a wide variety of other salamander tissues and is called Sal-1. Because retinal neurons dissociated from the mature salamander retina adhere poorly to standard substrates, cells were plated onto coverslips previously treated with Sal-1. This previous treatment resulted in a dramatic increase in cell-substrate adhesion. At low concentrations, the antibody had no detectable effect on the light response and fine structure of freshly dissociated rod cells. After several weeks in culture, retinal neurons continued to be attached to Sal-1-treated coverslips and appeared healthy. Furthermore, many cells had extended elaborate cell processes and achieved morphologies characteristic of mature neurons. These results show that antibodies can be used as substrates for the culture of mature neurons. This technique may also prove useful for in vitro studies of a variety of cell systems. PMID- 6580624 TI - Lipid metabolism of isolated oligodendrocytes maintained in long-term culture mimics events associated with myelinogenesis. AB - Oligodendrocytes isolated from ovine white matter according to a published procedure [Szuchet, S., Stefansson, K., Wollmann, R. L., Dawson, G. & Arnason, B. G. W. (1980) Brain Res. 200, 151-164] were cultured for up to 35 days and their capacity to incorporate precursors into lipids was investigated. At various times, cultures were double labeled with [3H]glycerol/[14C]acetate or [3H]galactose/35SO2-4. The cells were harvested 72 hr later and lipids were fractionated using standard procedures. The time course of incorporation for each precursor was distinct. In the days after attachment to substratum, oligodendrocytes preferentially incorporated [3H]glycerol into phospholipids and [14C]acetate into cholesterol while uptake of 35SO2-4 and [3H]galactose into glycolipids was modest. A switch in phospholipid metabolism from preferential incorporation into phosphatidylcholine to incorporation into phosphatidylethanolamine, phosphatidylserine, and phosphatidylinositol occurred at about the 10th day in vitro. After 20 days, uptake of [3H]glycerol into phospholipids and [14C]acetate into cholesterol had stabilized but incorporation of 35SO2-4 into glycolipids had increased. 35SO2-4 incorporation into glycolipids was even greater at 35 than at 20 days. Uptake of [3H]galactose did not change over time. An attempt was made to correlate changes in lipid metabolism with morphologic developments. High incorporation into phospholipids and cholesterol coincided in time with the extensive membrane synthesis required for cell attachment and process extension. Differentiation of these newly formed membranes, as assessed by the incorporation of myelin-characteristic glycolipids, galactocerebrosides, and sulfatides, occurred at a time when an intricate network of processes had already been established. The sequence of metabolic events observed in vitro parallels that observed at the onset of myelinogenesis in vivo. We postulate that mature oligodendrocytes can reenact those early events associated with myelinogenesis. PMID- 6580625 TI - Comparative risk analysis of technological hazards (a review). AB - Hazards are threats to people and what they value and risks are measures of hazards. Comparative analyses of the risks and hazards of technology can be dated to Starr's 1969 paper [Starr, C. (1969) Science 165, 1232-1238] but are rooted in recent trends in the evolution of technology, the identification of hazard, the perception of risk, and the activities of society. These trends have spawned an interdisciplinary quasi profession with new terminology, methodology, and literature. A review of 54 English-language monographs and book-length collections, published between 1970 and 1983, identified seven recurring themes: (i) overviews of the field of risk assessment, (ii) efforts to estimate and quantify risk, (iii) discussions of risk acceptability, (iv) perception, (v) analyses of regulation, (vi) case studies of specific technological hazards, and (vii) agenda for research. Within this field, science occupies a unique niche, for many technological hazards transcend the realm of ordinary experience and require expert study. Scientists can make unique contributions to each area of hazard management but their primary contribution is the practice of basic science. Beyond that, science needs to further risk assessment by understanding the more subtle processes of hazard creation and by establishing conventions for estimating risk and for presenting and handling uncertainty. Scientists can enlighten the discussion of tolerable risk by setting risks into comparative contexts, by studying the process of evaluation, and by participating as knowledgeable individuals, but they cannot decide the issue. Science can inform the hazard management process by broadening the range of alternative control actions and modes of implementation and by devising methods to evaluate their effectiveness. PMID- 6580626 TI - Oxygenation of hydrocarbons by cytochrome P-450 model compounds: modification of reactivity by axial ligands. AB - The rate of olefin oxygenation catalyzed by synthetic metalloporphyrins is examined, employing sodium hypochlorite as the oxygen atom source. The rate of epoxidation and the stability of the catalyst are shown to be dependent on the nature of the axial ligand employed. A rationale for this effect is presented and analogy is made to the role of the thiolate ligand in cytochrome P-450. PMID- 6580627 TI - Resonance Raman studies of nitric oxide binding to ferric and ferrous hemoproteins: detection of Fe(III)--NO stretching, Fe(III)--N--O bending, and Fe(II)--N--O bending vibrations. AB - The nature of bonding interactions between Fe(III) and NO in the ferric nitrosyl complexes of myoglobin (Mb), hemoglobin A (HbA), and horseradish peroxidase (HRP) is investigated by Soret-excited resonance Raman spectroscopy. On the basis of 15NO and N18O isotope shifts, we clearly identified the Fe(III)--NO bond stretching frequencies at 595 cm-1 (ferric Mb X NO), 594 cm-1 (ferric HbA X NO), and 604 cm-1 (ferric HRP X NO). The Fe(III)--N--O bending vibrations are located at 573 cm-1 (ferric Mb X NO) and 574 cm-1 (ferric HRP X NO), which are very similar to the Fe(II)--C--O bending modes at 578 cm-1 in Mb X CO and HbA X CO. However, the Fe(III)--NO and Fe(II)--CO stretching frequencies differ by approximately equal to 90 cm-1, indicating a much stronger iron-axial ligand bond for the [Fe(III) + NO] system, which is isoelectronic with the [Fe(II) + CO] system and, hence, presumably also has a linear Fe(III)--N--O linkage (in the absence of distal steric effect). The unusually strong Fe(III)--NO bond may be attributed to the pi bonding involving the unpaired electron in the pi (NO) orbital. The N18O isotope shift data indicate that the widely accepted assignment of the Fe(II)--NO stretching vibration at approximately equal to 554 cm-1 in ferrous nitrosyl Mb/HbA is incorrect; instead, we assign it to the Fe(II)--N--O bending mode. The validity of the assignment of Fe(II)--O2 stretch at 567 cm-1 in oxy-HbA by Brunner [Brunner, H. (1974) Naturwissenschaften 61, 129-130] is now in doubt. Literature data are presented to suggest that it is the Fe(II)--O--O bending vibration. PMID- 6580628 TI - Structure-specific model of hemoglobin cooperativity. AB - A generalization of the Szabo-Karplus statistical mechanical model for hemoglobin cooperativity is formulated. The model fits the available thermodynamic and spectroscopic data with assumptions that are consistent with structural results and empirical energy function calculations. It provides a mechanism of hemoglobin cooperativity that is a generalization of the proposals of Monod, Wyman, and Changeux and of Perutz. The role of nonsalt-bridge related sources of constraints on ligand affinity and the mode of salt-bridge coupling to tertiary-quaternary structural changes are examined within the framework of the model. Analysis of proton release data for a range of pH values indicates that a pH-independent part of cooperativity must be present. The pH dependence of the first and last Adair constants point to partial linkage of salt bridges to ligation in the deoxy state and to a destabilized intra-beta-chain salt bridge in the unliganded oxy state. PMID- 6580629 TI - A random-walk model for helix bending in B-DNA. AB - The double-helical B-DNA dodecamer of sequence d(C-G-C-G-A-A-T-T-C-G-C-G) has been refined independently from x-ray crystal structure analyses in five different variants: d(C-G-C-G-A-A-T-T-C-G-C-G) at 16 K, at room temperature, and with bound cis-diamminedichloroplatinum(II), and d(C-G-C-G-A-A-T-T-brC-G-C-G) in 60% 2-methyl-2,4-pentanediol at 20 degrees C and 7 degrees C. These helices display overall axial bends of 22 degrees, 18 degrees, 17 degrees, 14 degrees, and 3 degrees, respectively, providing an opportunity to investigate the nature of the bending process in B-DNA. Bending from one base pair to the next is best described as a stochastic or random-walk process, having forward, retrograde, and sidewise individual steps, but with an overall sense of bending. Individual steps almost always involve rolling of adjacent base pairs over one another along their long axes, not a tilting or wedge displacement that lifts neighboring base pairs apart at one end. A slight preference is observed for bending the double helix in a direction that compresses the major groove rather than the minor, and this is intuitively reasonable in view of the narrowness of the minor groove and its occupation by the spine of hydration that stabilizes the B form of DNA. This model predicts that, when DNA is wound around the nucleosome core, it should not be smoothly curved but should exhibit discrete bends every five base pairs as proposed by Zhurkin et al. [Zhurkin, V.B., Lysov, Y. P. & Ivanov, V. I. (1979) Nucleic Acids Res. 6, 1081-1096)]. Sharper bends may occur at alternate positions, where the major groove faces the nucleosome core. PMID- 6580630 TI - Targeted and nontargeted liposomes for in vivo transfer to rat liver cells of a plasmid containing the preproinsulin I gene. AB - A plasmid containing the rat preproinsulin I gene was entrapped in large liposomes and intravenously administered to rats. Four hours after inoculation, the livers were processed for the isolation of hepatocytes. Kupffer cells, and endothelial cells, DNA was purified, and the exogenous DNA was detected in the different cell DNA preparations by Southern blotting. By using liposomes consisting of phospholipids and cholesterol, Kupffer cells were shown to be, on a per cell basis, the primary target for gene incorporation. In an attempt to target the liposomes to other liver cells, a glycolipid, lactosylceramide, was included in the lipid bilayer of the liposomes; this resulted in a substantial increase in the proportion of the exogenous gene in the hepatocytes and mainly in the endothelial cells, with a simultaneous decrease of this proportion in the Kupffer cells. Thus, it is shown that inclusion of a specific glycolipid within the bilayer of the liposomes may direct the DNA-containing vesicles to specific cell types in the liver. PMID- 6580631 TI - Crystallographic studies on apocarboxypeptidase A and the complex with glycyl-L tyrosine. AB - The crystal structures of zinc-free carboxypeptidase A (apocarboxypeptidase A) and the complex of glycyl-L-tyrosine with apocarboxypeptidase A are described and compared to the corresponding structures of the zinc-containing enzyme. Only small conformational changes in the zinc ligands accompany removal of the metal. Interactions between the tyrosine residue of glycyl-L-tyrosine and apocarboxypeptidase A are similar to those observed in the complex with the holoenzyme. However, in the absence of zinc, the carbonyl oxygen of the glycyl moiety now receives a hydrogen bond from the side chain of arginine-127. Although not as yet observed, a similar shift of the carbonyl oxygen of a susceptible bond from the zinc to arginine-127 could stabilize tetrahedral intermediates generated during the hydrolysis of substrates by carboxypeptidase. PMID- 6580632 TI - Construction and characterization of an infectious vaccinia virus recombinant that expresses the influenza hemagglutinin gene and induces resistance to influenza virus infection in hamsters. AB - A DNA copy of the influenza virus hemagglutinin gene, derived from influenza virus A/Jap/305/57 (H2N2) was inserted into the genome of vaccinia virus under the control of an early vaccinia virus promoter. Tissue culture cells infected with the purified recombinant virus synthesized influenza hemagglutinin, which was glycosylated and transported to the cell surface where it could be cleaved with trypsin into HA1 and HA2 subunits. Rabbits and hamsters inoculated intradermally with recombinant virus produced circulating antibodies that inhibited hemagglutination by influenza virus. Furthermore, vaccinated hamsters achieved levels of antibody similar to those obtained upon primary infection with influenza virus and were protected against respiratory infection with the A/Jap/305/57 influenza virus. PMID- 6580633 TI - Oxidation of methionine residues in proteins of activated human neutrophils. AB - A simple assay for the detection of 35S-labeled methionine sulfoxide residues in proteins is described. The assay, which is based on the ability of CNBr to react with methionine but not with methionine sulfoxide, requires the prelabeling of cellular proteins with [35S]methionine. The assay was used to study the extent of methionine oxidation in newly synthesized proteins of both activated and quiescent human neutrophils. In cells undergoing a phorbol 12-myristate 13 acetate-induced respiratory burst, about 66% of all methionine residues in newly synthesized proteins were oxidized to the sulfoxide derivative, as compared with 9% in cells not treated with the phorbol ester. In contrast, quantitation of methionine sulfoxide content in the total cellular protein by means of amino acid analysis showed that only 22% of all methionine residues were oxidized in activated cells as compared with 9% in quiescent cells. It is proposed that methionine residues in nascent polypeptide chains are more susceptible to oxidation than those in completed proteins. PMID- 6580634 TI - 3-Hydroxy-3-methylglutaryl-CoA reductase: a transmembrane glycoprotein of the endoplasmic reticulum with N-linked "high-mannose" oligosaccharides. AB - 3-Hydroxy-3-methylglutaryl-CoA reductase (EC 1.1.1.34) is an abundant protein of the crystalloid endoplasmic reticulum of UT-1 cells, a line of cultured hamster cells that over-produces the reductase as a result of gene amplification. In the current studies, we show that reductase in UT-1 cells is a glycoprotein. The solubilized enzyme (Mr = 97,000) from UT-1 cells, Chinese hamster ovary cells, and rat liver was adsorbed quantitatively and specifically to concanavalin A Sepharose. UT-1 cells incorporated [1,6-3H]glucosamine into the reductase; after release with endo-N-acetylglucosaminidase H most of the radioactivity was found in N-linked "high-mannose" chains, including Man6(GlcNAc)2, Man7(GlcNAc)2, and Man8(GlcNAc)2. The carbohydrate of the reductase was localized to a 30- to 35 kilodalton fragment that was separable proteolytically from a cytoplasmic 53 kilodalton fragment that contained the active site of the enzyme. We conclude that 3-hydroxy-3-methylglutaryl-CoA reductase is a transmembrane glycoprotein with an active site facing the cytoplasm and a carbohydrate-bearing site oriented toward the lumen of the endoplasmic reticulum. PMID- 6580635 TI - Translational diffusion in phospholipid monolayers measured by fluorescence microphotolysis. AB - A method is described that eliminates surface flow in monolayers at the air-water interface and makes possible diffusion measurements by fluorescence microphotolysis ("photobleaching"). In contrast to previous studies that did not account for surface flow, lipid probe diffusion has been found to be similar in densely packed monolayers and in related bilayers. Furthermore, it seems that lipid diffusion is based on the same molecular mechanism in monolayers, bilayers, and potentially also cell membranes. In monolayers of L-alpha dilauroylphosphatidylcholine (Lau2-PtdCho) the translational diffusion coefficient D of the fluorescent lipid probe N-4-nitrobenzo-2-oxa-1,3 diazole egg phosphatidylethanolamine decreased from 110 microns2/s at a surface pressure II = 1 mN/m to 15 microns2/s at II = 38 mN/m (T = 21-22 degrees C). Data could be fitted by the "free volume model." In monolayers of L-alpha dipalmitoylphosphatidylcholine (Pam2-PtdCho) D decreased by greater than 3 orders of magnitude upon increasing II at constant temperature, thus indicating a fluid to-crystalline phase transition. In Lau2-PtdCho/Pam2-PtdCho monolayers phase separation has been visualized in the fluorescence microscope and the effect on D measured. These results suggest that monolayers are a promising model system for studying the molecular mobility of lipids and other cell membrane components. PMID- 6580636 TI - Phospholipid domains in bovine retinal rod outer segment disk membranes. AB - Phospholipid behavior in bovine retinal rod outer segment disk membranes and in phosphatidylcholine membranes containing the photopigment rhodopsin is explored. 31P NMR spectra of these systems show two distinguishable resonances. One resembles closely the 31P NMR resonance normally obtained from phospholipid bilayers. The other resonance is much broader. Thus, there appear to be two phospholipid head-group domains in this retinal membrane. Each environment confers different properties on the head groups. Phosphatidylcholine membranes containing the disk photopigment also show two phospholipid domains. Therefore, the environment in the retinal rod outer segment disk membranes characterized by the broad resonance may arise from the influence of the integral membrane protein rhodopsin on the membrane phospholipid bilayer. PMID- 6580637 TI - Deuterium NMR as a structural probe for micelle-associated carbohydrates: D mannose. AB - Residual quadrupole splittings for deuterons on perdeuterated alpha- and beta-D mannose oriented in a potassium laurate liquid crystal have been measured. Multiple quantum two-dimensional NMR spectroscopy at high magnetic field is used to gain sufficient resolution to assign splittings to specific sites within these molecules. The assigned splittings are interpreted in terms of molecular geometries and preferred orientations of the molecules relative to the surface of the potassium laurate micelles that make up the liquid crystalline phase. PMID- 6580638 TI - Laser-induced multiphoton processes in living cells. AB - It is shown that specific light-induced subcellular alterations, usually referred to as phase "paling," result from multiphoton absorption processes. For green light (532 nm), four photons are required to induce paling in chromosomes and nucleoli; a two-photon process is observed for UV light (266 nm). PMID- 6580639 TI - Synthetic leader peptide modulates secretion of proteins from microinjected Xenopus oocytes. AB - To investigate the role of the leader peptide in modulating secretion from living cells, we injected a synthetic peptide into Xenopus oocytes. The peptide consisted of the NH2-terminal leader sequence of mouse immunoglobulin light chain precursor. We found that the leader peptide has two different roles in regulating secretion from the oocytes. First, it competitively inhibits the synthesis of secretory and membrane proteins but not of cytoplasmic proteins. The inhibition occurs both with oocyte proteins and with proteins directed by coinjected myeloma mRNA. The inhibition reaches a maximum 2 hr after injection and decays within 3 hr. It appears to be mediated through the cell membrane, because 125I-labeled leader peptide segregates into the membrane fraction of microinjected oocytes simultaneously with the interference with methionine incorporation. A second role of the microinjected leader peptide is to induce a rapid acceleration in the rate of export of secretory proteins from the oocyte. The maximal enhancement effect is obtained upon injection of 50 ng of leader peptide per oocyte. It is not merely due to the small size, negative charge, or hydrophobicity of the peptide, because enhanced secretion does not occur when glucagon, poly-L-glutamic acid, or Triton X-100 is injected. Furthermore, immunoreaction of the peptide with specific antibodies prior to microinjection prevents the accelerated export. Our observations indicate that in Xenopus oocytes, the leader peptide is involved in both translocation and later step(s) in the secretory pathway. PMID- 6580640 TI - Beta-adrenergic stimulation of Ca2+ fluxes, endocytosis, hexose transport, and amino acid transport in mouse kidney cortex is mediated by polyamine synthesis. AB - We recently found that the beta-adrenergic agonist 1-isoproterenol evokes a rapid (less than 5 min) Ca2+- and receptor-dependent stimulation of endocytosis, hexose transport, and amino acid transport in mouse renal cortex involving proximal tubule cells. This response is associated with increased Ca2+ fluxes and a mobilization of mitochondrial calcium, suggesting that stimulus-response (stimulus-"transport") coupling is mediated by cytosolic Ca2+. We show here that 1 microM isoproterenol evokes a rapid (less than 60 sec) transient increase in the activity of ornithine decarboxylase followed by an early (less than 2 min) sustained increase in putrescine, spermidine, and spermine concentrations in mouse kidney cortex slices in vitro. Small doses of isoproterenol (down to 24 nmol/kg) elicited a rapid (less than 2 min) increase in polyamines in vivo. The ornithine decarboxylase inhibitor alpha-difluoromethylornithine (5 mM) suppressed the testosterone-induced increase in polyamine levels and rates of endocytosis, hexose transport, and amino acid transport, measured by horseradish peroxidase, [14C]aminoisobutyric acid, and deoxy[3H]glucose uptake. alpha Difluoromethylornithine also blocked the isoproterenol-induced increase in 45Ca influx and efflux and 45Ca redistribution; 0.5 mM putrescine nullified alpha difluoromethylornithine inhibition and restored the increment in polyamines, 45Ca fluxes, endocytosis, hexose transport, and amino acid transport. These data implicate polyamine synthesis in isoproterenol stimulation of Ca2+ fluxes and membrane transport processes and support a model for signal transduction and stimulus-response coupling in which ornithine decarboxylase activation and polyamine synthesis play a pivotal role in regulating Ca2+ fluxes. In this model the polyamines generate local Ca2+ signals by stimulating Ca2+ influx or mobilizing intracellular calcium (or both) through a cation exchange reaction. PMID- 6580641 TI - Nerve growth factor: stimulation of polymorphonuclear leukocyte chemotaxis in vitro. AB - Topical application of mouse nerve growth factor (NGF) to superficial skin wounds of mice has previously been shown to accelerate the rate of wound contraction. Results of the present study reveal that NGF in the presence of plasma is also chemotactic for human polymorphonuclear leukocytes in vitro, and the concentration of NGF required for this effect is similar to that which stimulates ganglionic neurite outgrowth. This property does not arise from liberation of the C5a fragment of complement, nor does it require the known enzymic activity of NGF. (NGF inactivated with diisopropyl fluorophosphate is equally active.) We conclude that NGF can display biological effects on cells of nonneural origin and function, and this feature might play a role in the early inflammatory response to injury. PMID- 6580642 TI - Reciprocal modulation of growth and differentiated functions of mature rat hepatocytes in primary culture by cell--cell contact and cell membranes. AB - In primary monolayer cultures of rat mature hepatocytes, many metabolic functions as well as cell growth are regulated by cell density. There are two types of regulatory response of these functions to change of cell density. Growth-related functions, such as DNA synthesis, induction of glucose-6-phosphate dehydrogenase, 2-aminoisobutyric acid transport, synthesis of cellular protein, and cholesterogenesis, are stimulated by low cell density. In contrast, functions related to hepatocyte-specific characters, such as the inductions of tyrosine aminotransferase, serine dehydratase, and malic enzyme and synthesis of triglycerides, are stimulated by high cell density. The reciprocal responses of these cellular activities to cell density were mimicked by addition of plasma membranes purified from adult rat liver to hepatocytes cultured at low cell density. The modulator activity was heat labile and trypsin sensitive. The activity was also found in plasma membranes from kidney, brain, and erythrocytes, although the specific activities of these preparations seemed to be different. These results suggest that the reciprocal regulations of cell growth and hepatocyte-specific functions are mediated by some surface components via cell cell contact. PMID- 6580643 TI - Steady-state theory of the interference of GTP hydrolysis in the mechanism of microtubule assembly. AB - A model is presented for the interference of GTP hydrolysis in the mechanism of microtubule assembly. This model is suggested by previous results showing that both GTP and GDP are present at microtubule ends because of GTP hydrolysis and that tubulin does not bind to a GDP-bound end. The analytical theory developed here is aimed at calculation of the steady-state subunit flux at one end of the polymer. The GTP/GDP features just mentioned result in a nonlinear plot of the flux versus tubulin concentration. Microtubules are predicted to exhibit a different kinetic behavior below and above the critical concentration, which can be considered as a transition between two regimes. PMID- 6580644 TI - Amplified C lambda and c-abl genes are on the same marker chromosome in K562 leukemia cells. AB - The human leukemia cell line K562, derived from a patient with Philadelphia chromosome-positive chronic myelogenous leukemia, contains amplified c-abl oncogenes and unrearranged C lambda genes. Using in situ hybridization techniques, we have determined that the amplified c-abl and C lambda DNA sequences of K562 cells are both located on the same abnormal acrocentric marker chromosome, which may represent an altered Philadelphia chromosome. PMID- 6580645 TI - Lysis of Chinese hamster embryo fibroblast mutants by human natural cytotoxic (NK) cells. AB - The nontransformed, nontumorigenic CHEF/18 Chinese hamster embryo fibroblast line, as well as nontumorigenic CHEF/18 mutants that had become anchorage independent or acquired a reduced serum requirement for growth, and fully transformed, tumorigenic CHEF cell lines were analyzed for their sensitivity to killing in vitro by human natural killer (NK) cells. Nontumorigenic but transformed anchorage-independent and low-serum-requiring mutants remained insensitive to NK-mediated lysis like the parent CHEF/18 line. Only fully tumorigenic CHEF lines were found to be sensitive to NK-mediated lysis, although a few tumorigenic lines were resistant to NK lysis. These results indicate that NK sensitivity is not the result of any cellular changes associated with acquisition of an anchorage-independent or low-serum-requiring phenotype but is the result of some additional change(s) found only in fully tumorigenic CHEF cells. Our studies also show that, whatever the NK target structure is, it is evolutionarily conserved so that human NK cells are able to distinguish between Chinese hamster tumorigenic and nontumorigenic cells. PMID- 6580646 TI - Fibrinogen Baltimore II: congenital hypodysfibrinogenemia with delayed release of fibrinopeptide B and decreased rate of fibrinogen synthesis. AB - A congenital hypodysfibrinogenemia, fibrinogen Baltimore II, was found in a young asymptomatic Caucasian female. Prothrombin, partial thromboplastin, and euglobulin lysis times were normal, as were platelet function and coagulation factor assays. Subnormal plasma fibrinogen levels were found using chronometric, rate-independent, and immunologic assay methods. Kinetic analysis of fibrinopeptide release revealed a delay in the thrombin-catalyzed release of fibrinopeptide B from the abnormal protein. Proteolysis of fibrinopeptide A by thrombin or Arvin, fibrin monomer polymerization, and fibrin polymer ligation occurred at normal rates. Catabolism of radiolabeled autologous and homologous fibrinogen was also normal, but the fibrinogen synthetic rate was less than half the normal value. Comparison of the coagulation characteristics of fibrinogen Baltimore II with those of other abnormal fibrinogens indicates that it represents a unique example of hypodysfibrinogenemia. PMID- 6580647 TI - Pseudo arylsulfatase-A deficiency in healthy individuals: genetic and biochemical relationship to metachromatic leukodystrophy. AB - Metachromatic leukodystrophy is a hereditary neurodegenerative disorder in man associated with deficient arylsulfatase-A activity (aryl-sulfate sulfohydrolase, EC 3.1.6.1). The same enzyme deficiency has been noted in clinically normal individuals, a condition known as pseudo arylsulfatase-A deficiency. With a nonselective method, somatic cell hybrids were obtained from cultured fibroblasts of these two types of individuals; the hybrids showed no restoration of arylsulfatase-A activity. Thus, metachromatic leukodystrophy and pseudo arylsulfatase-A deficiency are allelic conditions. Although these conditions cannot be distinguished by simple quantitative arylsulfatase-A activity assays, they can be differentiated with sucrose density gradient centrifugation, Cellogel electrophoresis, or isoelectric focusing in polyacrylamide gels. In each case, a small amount of activity with characteristics of arylsulfatase-A was found only from fibroblasts of pseudo arylsulfatase-A-deficient individuals and not from those of metachromatic leukodystrophy patients. This residual enzyme has the same pH optimum, heat stability, inhibitor sensitivity, and Km as the normal enzyme but slightly different isoelectric points. In conclusion, although pseudo arylsulfatase-A deficiency and metachromatic leukodystrophy have very different clinical outcomes, they are due to mutations of the same structural gene, coding for arylsulfatase-A. These two conditions can be differentiated now by simple electrophoretic analysis of the residual arylsulfatase-A activity. PMID- 6580648 TI - Experimental tumoricidal effects of monoclonal antibody against solid breast tumors. AB - Two distinct monoclonal antibodies (mAbs) were effective in the therapy of breast carcinomas of human origin established and growing in nude mice. Passive administration of either of the antibodies produced very rapid (less than 1 week) and significant reduction of in vivo tumor volume. Each of the mAbs showed in vivo targeting of the tumors. Histological analysis of mAb-treated tumors revealed extensive cellular necrosis. Each of the antibodies in vitro was effective in complement-mediated cytolysis at a concentration less than 1 ng/ml. The tumoricidal responses show that this is a useful model for passive human immunotherapy using mAbs. PMID- 6580649 TI - De novo purine synthesis in cultured rat embryos undergoing organogenesis. AB - The cultured rat embryo undergoing organogenesis (9.5-11.5 days of gestation) together with its associated yolk sac synthesize purine nucleotides via the de novo synthetic pathway. Although both the embryo and its yolk sac contain significant levels of the purine base salvage enzymes adenine phosphoribosyltransferase and hypoxanthine phosphoribosyltransferase, the culture medium that consists largely of rat serum contains no measurable quantities of salvageable purine bases or nucleosides but high activity levels of purine catabolic enzymes. Short-term pulse-chase experiments with adenine and guanine, carried out under virtually serum-free conditions, confirmed that purine base salvage mechanisms were active and that there was no significant net transfer of purines between the embryo and its yolk sac. A comparison between the specific radioactivities of the [14C]glycine added to the culture medium for the studies of the de novo synthetic pathway and the purine bases in both the cellular nucleotides and the nucleic acids indicated the existence of a large glycine pool, which almost certainly was derived from the degradation of medium serum proteins by the yolk sac. Although there are no clear-cut data available on the in vivo plasma levels of purines that could be potentially utilized to meet the demands of the embryo, it is evident that the de novo pathway is adequately developed to meet these needs. PMID- 6580650 TI - Brain-blood barrier? Yes and no. AB - Ventriculo-cisternal perfusion of horseradish peroxidase (HRP) in the mouse brain has demonstrated that a brain-blood barrier exists at the microvascular endothelium in brain parenchyma but not in the median eminence of the hypothalamus. The brain-blood barrier is similar to the blood-brain barrier in that: tight junctions prevent the movement of protein between endothelial cells, HRP taken into the endothelial cells is directed to lysosomal dense bodies, and, contrary to the literature, a vesicular transendothelial transport of HRP from brain to blood does not occur under normal conditions. The endocytosis of ventricular injected HRP from the abluminal side of the endothelium is demonstrably less than the endocytosis of intravenous injected HRP from the luminal side; hence, the cerebral endothelium expresses a degree of polarity regarding the internalization of its cell surface membrane and extracellular protein. The passage of cerebrospinal fluid-borne or blood-borne HRP between some ependymal cells of the median eminence is not precluded by tight junctions. These patent extracellular channels offer a direct pathway for the exchange of substances between cerebrospinal fluid in the third ventricle and fenestrated capillaries in the median eminence. PMID- 6580653 TI - Renal thromboxane excretion in Brattleboro rats with hereditary hypothalamic diabetes insipidus. Effect of vasopressin treatment. AB - Rats with hereditary hypothalamic diabetes insipidus (Brattleboro strain) which are devoid of vasopressin, excrete significantly increased amounts of immunoreactive thromboxane B2 in urine. The increase was corrected by treatment with vasopressin. These results suggest that, in the intact organism, thromboxane synthesis may be under tonic inhibitory control by vasopressin although other renal mechanisms explaining the increase in thromboxane cannot be excluded. Our observations further support an involvement of prostaglandins and thromboxanes in the regulation of water metabolism. PMID- 6580651 TI - Biochemical and immunochemical evidence that the "major postsynaptic density protein" is a subunit of a calmodulin-dependent protein kinase. AB - By three criteria, two biochemical and one immunochemical, the major postsynaptic density protein (mPSDp) is indistinguishable from the 50-kilodalton (kDa) alpha subunit of a brain calmodulin-dependent protein kinase. First, the two proteins comigrate on NaDodSO4/polyacrylamide gels. Second, iodinated tryptic peptide maps of the two are identical. Finally, a monoclonal antibody (6G9) that was raised against the protein kinase binds on immunoblots to a single 50 kDa band in crude brain homogenates and to both the alpha subunit of the purified kinase and the mPSDp from postsynaptic density fractions. The purified kinase holoenzyme also contains a 60-kDa subunit termed beta. A comparison of the peptide map of beta with the maps of 60-kDa proteins from the postsynaptic density fraction suggests that beta is present there but is not the only protein present in this molecular weight range. These results indicate that the calmodulin-dependent protein kinase is a major constituent of the postsynaptic density fraction and thus may be a component of type I postsynaptic densities. PMID- 6580652 TI - Cellular calcium fluctuations in mammalian heart: direct evidence from noise analysis of aequorin signals in Purkinje fibers. AB - Indirect evidence suggests that fluctuations, or oscillations, in the intracellular free calcium concentration [( Ca2+]i) can occur spontaneously in intact cardiac preparations, but such [Ca2+]i fluctuations have never been demonstrated directly. We used the bioluminescent Ca2+-sensitive protein aequorin to detect fluctuations in the [Ca2+]i in canine cardiac Purkinje fibers. Noise analysis of the aequorin luminescence reveals prominent peaks of power density at frequencies of 1-4 Hz; these peaks become larger and shift to higher frequencies as the [Ca2+]i increases. Caffeine and ryanodine abolish the [Ca2+]i fluctuations, suggesting that Ca2+ release and uptake by the sarcoplasmic reticulum generate these events. When [Ca2+]i fluctuations are present, less tension is produced at any given level of mean aequorin luminescence. Thus, [Ca2+]i fluctuations will undermine attempts to relate [Ca2+]i and force in intact myocardium. PMID- 6580654 TI - Essential hypertension and membrane lithium transport in depressed patients. AB - Na+-Li+ countertransport activity in erythrocytes has previously been reported to be decreased in certain patients with mood disorders, but increased in essential hypertensives and possibly their first-degree relatives. The present investigation examines specific parameters of Na+-Li+ countertransport in relation to both affective disorder and essential hypertension. Depressed patients having a personal or family history of essential hypertension had significantly higher Vmax and fractional lithium release values than did other patients or control subjects. Values of K 1/2 did not differ among the groups. Essential hypertension in experimental subjects or their families may complicate attempts to study human erythrocyte (RBC) lithium transport in depressed patients. PMID- 6580656 TI - Autistic children's hand preferences: results from an epidemiological study of infantile autism. AB - Twenty-six autistic children, constituting a total population sample of children diagnosed in accordance with Rutter's criteria as suffering from infantile autism, were assessed with regard to handedness and certain associated factors. They were compared with 52 age-, sex-, and IQ-matched controls. Sixty-two percent of the autistic children were non-right-handed compared with 37% of the controls. Left-handedness in autism was associated with an abundance of delayed echolalia. Heredity for left-handedness in some cases, and assumed brain damage and immature patterns of lateralization in others, were considered the cause of non-right handedness in the autistic children. Computed tomographic (CT) brain scans and other neurobiological examinations did not provide evidence indicating clear-cut unilateral left hemisphere dysfunction in autism. Rather, a slight trend in the opposite direction (i.e., an association with right hemisphere dysfunction) was seen in the left-handed autistic children. The result points toward the need for further studies of handedness in autism. PMID- 6580655 TI - Use of an MMPI scale to predict antidepressant response to lithium. AB - Previous research has indicated that a subset of Minnesota Multiphasic Personality Inventory (MMPI) items may be able to predict antidepressant treatment response to lithium. Twenty-one patients with major depressive disorder were assigned to treatment with lithium based on this MMPI lithium response scale. Twenty lithium-assigned patients completed the 4-week trial. Sixty percent of these patients showed a 50% reduction in Hamilton depression scores. This response rate is similar to results obtained in studies using no selection criteria in the treatment of depression with lithium. PMID- 6580657 TI - Association of alcoholism and antisocial personality in a narcotic-dependent population: the Lexington addicts. AB - Men with antisocial personality have a higher prevalence of alcoholism than men without. This relationship was examined in a narcotic-dependent sample, and it was found that narcotic-dependent men with antisocial personality had a rate of alcoholism comparable to that of narcotic-dependent men without antisocial personality. The methodological and clinical explanations for this finding are discussed along with the neurophysiological implications. PMID- 6580658 TI - What is deviant about deviant smooth pursuit eye movements in schizophrenia? AB - Smooth pursuit eye movements of schizophrenic, hospitalized nonpsychotic, and normal control subjects (18 per group) were measured in low and high target information conditions. A computer method for measuring saccade frequency and velocity was used. The results indicated that the frequency of saccades was significantly greater in both tracking conditions for schizophrenic than for hospitalized nonpsychotic or normal subjects. Consistent with our earlier finding, the reduction in saccade frequency with high information was greatest for schizophrenic subjects. The results also yielded a unique finding: the velocity of saccades within smooth pursuit records was significantly greater for schizophrenic than for hospitalized nonpsychotic or normal subjects. Greater saccade velocity was not a result of increased saccade size; there was no significant difference in the size of saccades for normal and schizophrenic subjects. Yet, the duration of saccades was significantly less for schizophrenics than for other subjects. Target information affected the frequency, duration and size, yet not the velocity of saccades emitted by all subjects. In contrast to earlier interpretations of deviant smooth pursuit eye movements in schizophrenia, the results may provide the first evidence of differences in the functioning of the saccadic eye movement systems of schizophrenic and normal subjects. PMID- 6580659 TI - Spontaneous and drug-induced remission of alcoholic organic brain syndrome: clinical, psychometric, and neurophysiological studies. AB - The spontaneous and drug-induced remission of alcoholic organic brain syndrome was studied in a double-blind, placebo-controlled trial. Forty patients with alcoholic organic brain syndrome (OBS) were randomly assigned to a 6-week treatment with either placebo or piridoxilate, a reciprocal salt between two stereoisomers of the glyoxylic acid-substituted piridoxine. Clinical, psychometric, and computer-assisted spectral analyses of the electroencephalogram (EEG) were carried out in weeks 0, 2, 4, and 6. Piridoxale-5-phosphate (PLP) blood level determination and laboratory investigations were performed before therapy and also in weeks 4 and 6. Both groups of patients demonstrated significant clinical improvement over 6 weeks of treatment, but the improvement in the piridoxilate-treated group was significantly greater than that in the placebo group. This conclusion was also confirmed by psychometric tests demonstrating a greater improvement in attention, concentration, attention variability, tapping, visual and numerical memory, and aftereffect (Archimedean spiral) in the piridoxilate than in the placebo group. Spectral analysis of the EEG showed an increase in alpha and a decrease in fast beta activities in both groups, while delta activity was attenuated only in the piridoxilate-treated group. The latter was found to be significantly correlated with the improvement in psychopathology. The present data confirm previous predictions about the encephalotropic and psychotropic properties of piridoxilate; these predictions were based on pharmaco-EEG trials in the elderly that suggested vigilance improving qualities of piridoxilate. The reversible alcoholic OBS appears to be a suitable model for the assessment of therapeutic efficacy of nootropic drugs. PMID- 6580660 TI - Serum neuroleptic and prolactin levels in schizophrenic patients and clinical response. AB - Following a drug-free placebo period lasting at least 1 week, 10 female and 11 male newly hospitalized schizophrenic patients received chlorpromazine (CPZ) 200 mg/day for 1 week and 400 mg/day the following week. Serum CPZ equivalent (CPZ-E) levels were measured at the end of each week of CPZ treatment with a radioreceptor assay. Chlorpromazine-E levels were significantly higher in females than males, but this finding could be accounted for by differences in body weight. Serum prolactin (PRL) levels were also higher in females than males. After differences in serum CPZ-E level were adjusted for, females still had significantly higher serum PRL levels than males. Serum PRL levels increased between the first and second treatment weeks in females but not in males. Correlations between serum CPZ-E and PRL levels were higher among males than females. Significant improvement for the patient group as a whole was observed during the 2 weeks of treatment, with a strong trend for females to improve more than males. Clinical outcome at this initial period was not predicted by either serum PRL levels or serum CPZ-E levels. PMID- 6580661 TI - Serum prolactin response to chlorpromazine and psychopathology in schizophrenics: implications for the dopamine hypothesis. AB - The prolactin (PRL) response to 12.5 and 25 mg of chlorpromazine (CPZ) was studied in unmedicated schizophrenic patients and normal control subjects. Both doses produced significant increases in serum PRL levels compared to saline, but the response to 25 mg CPZ was significantly greater than that to 12.5 mg. The PRL response to the 12.5 mg dose only was significantly correlated with baseline PRL levels for both males and females, suggesting that endogenous dopamine release from tuberoinfundibular neurons has a much greater effect upon the PRL response to the 12.5 mg dose of CPZ than to the 25 mg dose. Both doses of CPZ tended to show lower PRL responses in the schizophrenic females. The PRL response to the 25 mg dose was negatively correlated with ratings of severity of delusions at the time of study. The PRL response to 25 mg correlated highly with the morning serum PRL levels following treatment with CPZ 100 mg and 200 mg orally b.i.d. for 1 week at each dose. The PRL response to both doses did not predict clinical response at the end of 2 weeks of treatment with fixed dosages of CPZ. Serum PRL levels during treatment with CPZ 200 mg b.i.d. were significantly negatively correlated with ratings of hallucinations. The negative correlations between severity of delusions and hallucinations and various PRL measures suggest that increased dopaminergic activity in the tuberoinfundibular hypothalamic-pituitary axis may be associated with increased activity of subcortical and cortical dopaminergic systems. PMID- 6580662 TI - The dexamethasone suppression test in demented outpatients with and without depression. AB - The dexamethasone suppression test (DST) was given to 33 elderly, male outpatients, previously diagnosed by DSM-III criteria as having dementia. Fifteen of these patients also had signs and symptoms of depression and, except for the presence of organic mental syndrome, would have met DSM-III criteria for major depressive episode. Of these 15 depressed, demented patients, 40% had abnormal DST results. None of the 18 patients who had dementia alone had abnormal DSTs. Our data suggest that in elderly, demented outpatients, an abnormal DST may be associated with concomitant depression. PMID- 6580663 TI - Phenomenologic relationship of eating disorders to major affective disorder. AB - We administered the National Institute of Mental Health Diagnostic Interview Schedule to 41 patients with a lifetime history of anorexia nervosa (25 with and 16 without bulimia) and to 49 patients with bulimia alone. Results showed that 77% of the patients with eating disorders had a lifetime diagnosis of DSM-III major affective disorder, a rate significantly higher than that found in comparison groups composed of the first-degree relatives of probands with schizophrenia and bipolar disorder. High lifetime rates of anxiety disorders, substance use disorders, and kleptomania were also observed. By contrast, few cases of personality disorders and no cases of schizophrenia were found. These findings combine with the results of studies of family history, long-term outcome, response to biological tests, and treatment response to suggest that anorexia nervosa and bulimia may be closely related to major affective disorder. PMID- 6580664 TI - Self-reported depression in bipolar groups. PMID- 6580665 TI - Isolated advanced periodontal defects with pulpal involvement. PMID- 6580666 TI - Survey of current therapy. part II. PMID- 6580667 TI - Hemifacial osteosclerosis: report of a case. PMID- 6580668 TI - An unusual response to curettage. PMID- 6580670 TI - A flexible appointment control system for the dental office. PMID- 6580669 TI - Brainstorming the braincase: cephalometric theory and technique for the modern dental office. PMID- 6580671 TI - Healing of mucoperiosteal incisions made by electrosurgery. PMID- 6580672 TI - An improved method of three-dimensional study of apical leakage. PMID- 6580673 TI - Primary bone tumors: percutaneous needle biopsy. Radiologic-pathologic study of 222 biopsies. AB - Findings of 222 needle biopsies were evaluated to determine the accuracy of the procedure in diagnosis, the role of the biopsy in limb-salvage procedures, the contribution of needle biopsy in the assessment of tumor effect in patients receiving chemotherapy or radiotherapy, and reasons for failure to obtain diagnostic tissue. The overall accuracy of needle biopsy in diagnosis of benign and malignant tumors was 78.6%. The major tumor categories included osteosarcoma (50 patients), giant-cell tumor (33 patients), Ewing sarcoma (22 patients), and spindle-cell sarcoma (15 patients). The accuracy of needle biopsy in diagnosis for these tumors was 78%, 88%, 95%, and 87%, respectively. The results of follow up needle biopsy were encouraging, with roughly a 70% adequacy in the patients who had osteosarcoma and 50% in the patients who had Ewing sarcoma. The major reason for failure to obtain tissue for diagnosis in 17 of 35 patients was the presence of blastic tumors. The presence of cystic lesions and faulty technique were other reasons for failure. Percutaneous needle biopsy in patients who have primary bone tumors is a helpful diagnostic tool, forms an important part of the limb-salvage procedure, and contributes to the assessment of tumor effects in patients receiving chemotherapy or radiotherapy. To minimize failure in obtaining adequate tissue for diagnosis, biopsy specimens of blastic tumors should be obtained from their soft tissue components, lytic areas, or the least dense areas, while a smear of aspirate from cystic lesions should be prepared for cytologic examination and the clot embedded in paraffin for histologic study. PMID- 6580674 TI - Malignant external otitis: the role of computed tomography and radionuclides in evaluation. AB - Nine patients with malignant external otitis (MEO) were evaluated with Tc-99m bone scans, Ga-67 citrate scans, pluridirectional tomography, and computed tomographic (CT) scans in order to assess the role of each in the diagnosis and management of MEO. The Tc-99m and Ga-67 citrate scans were the most accurate studies in the initial identification of disease activity, while the return to normal or improvement of the Ga-67 citrate scan has been shown to correlate best with clinical resolution of MEO. CT demonstrated soft-tissue disease and central skull base osteomyelitis better than pluridirectional tomography. CT is excellent for localizing and following the progression of bone disease; however, because reossification of the skull base is a very slow process, CT cannot be used to follow accurately regression or inactivity of MEO affecting this area. CT is the best modality for following soft-tissue extension of MEO. PMID- 6580675 TI - Aclarubicin (aclacinomycin A) and irradiation: evaluation using HeLa cells. AB - Aclarubicin (aclacinomycin A), an anthracyclic anti-tumor antibiotic, was examined as a possible factor to improve survival of proliferating HeLa cells following irradiation. After irradiation followed by exposure to 5 micrograms/ml of aclarubicin for 1 hour, cell killing was significantly enhanced from 2 hours onward, reaching a maximum at 24 hours. The maximum enhancement ratio, determined from comparison of D0 values (mean lethal radiation doses), was 2.3. Aclarubicin did not potentiate cell killing appreciably when it was given prior to or simultaneously with irradiation. Potentiation cannot be attributed to suppression of recovery from sublethal radiation damage, but rather is due to interaction between radiation and drug damage and lasts through approximately 10 divisions. A recall effect may be predicted on the basis of these findings. PMID- 6580676 TI - Extraosseous osteogenic sarcoma of the breast: mammographic and pathologic findings. AB - An unusual primary extraosseous osteogenic sarcoma is described. The tumor's mammographic appearance was highly suggestive of the correct histologic diagnosis. This case supports the theory that these tumors originate from a totipotent cell. PMID- 6580677 TI - Bowel perforation in the newborn: diagnosis with metrizamide. AB - Although the diagnosis of bowel perforation is frequently straightforward, it may be difficult in the neonate. Clinical signs may be limited to abdominal distension. If the patient is on assisted ventilation, pneumoperitoneum may be due to air tracking down from the chest rather than perforation. The authors report 6 cases of bowel perforation in infants in whom the diagnosis could not readily be made from the clinical findings and plain radiographs but was apparent when oral metrizamide was employed. This suggests that metrizamide can be a valuable adjunct in some cases of neonatal bowel perforation. PMID- 6580678 TI - Alteration in the reactivity of hamster cheek pouch arterioles to prostaglandin E2 and noradrenaline during pregnancy or sex steroid treatment. AB - Dioestrous and pregnant, or ovariectomized hamsters treated with sunflower oil, oestradiol or progesterone were anesthetized with pentobarbital and the arterioles of the cheek pouch membrane were prepared for microcirculatory study. Prostaglandin E2 (PGE2) or noradrenaline (NA) were topically applied and changes of the arteriolar diameter were measured on the screen of a closed-circuit television. PGE2 induced arteriolar dilatation in dioestrous or ovariectomized hamsters, but induced vasoconstriction in pregnant or in oestrogen-treated animals. Vasoconstriction induced by PGE2 in oestrogen-treated animals disappeared after administration of alpha-adrenergic blockers. In this situation, PGE2 induced vasodilatation once again. NA elicited arteriolar constriction in each experimental group. In ovariectomized hamsters treated with oestrogen the constriction was more pronounced than in progesterone treated animals. In pregnant animals it was significantly greater on day 14 than in dioestrous animals. Progesterone treatment blunted the vascular effect of both PGE2 and NA. It was concluded that the reverse effect of PGE2 and the increased sensitivity to NA induced by high oestradiol levels may have roles in the regulation of local blood flow during the ovarian cycle and pregnancy. PMID- 6580679 TI - Contractile effects of PGD2 and PGF2 alpha on mechanical and electrical activities in longitudinal and circular muscles of the guinea-pig colon. AB - Contractile effects of PGD2 and PGF2 alpha on mechanical and electrical activities were investigated in longitudinal and circular muscles of the guinea pig isolated proximal colon. PGD2 and PGF2 alpha (1 microM)-induced contractions were reduced with a decrease in external Ca ion concentration and were prevented at zero Ca(EGTA 1 mM) in both muscles. In electrical activities recorded by the single sucrose gap method, PGD2 and PGF2 alpha (1 microM) increased the frequency of spike generation on the slow waves in both muscles. Verapamil (10 microM), a Ca antagonist, blocked spontaneous and PG-induced spike activities with little effect on the slow waves in both muscles. Verapamil markedly reduced the contractions to PGs in the longitudinal muscle, but not in the circular muscle. The results suggest that PGD2 and PGF2 alpha produced contractions which may depend largely on an increase in the inward Ca current of the spikes in longitudinal muscle, and may depend both on a release of Ca from the Ca sequestration in the cell, and on a spike-dependent Ca influx in circular muscle of the guinea-pig colon. PMID- 6580680 TI - The metabolism of prostaglandin E2 in perinatal rabbit lungs. AB - The inactivation of prostaglandin E2 (PGE2) was studied in isolated perfused lungs of fetal and neonatal rabbits. 200 nmol of 14C-PGE2 was infused into the pulmonary circulation and the metabolites of PGE2 were analysed from the nonrecirculating perfusion effluent. The amount of the main metabolite, 13,14 dihydro-15-keto-PGE2, increased significantly between the 28th and 30th day of fetal life, remained relatively constant at the time of birth and increased again between 1st and 7th postnatal day. In contrast, the amount of 15-keto-PGE2 remained relatively stable during the studied period. The activity of NAD+ dependent 15-hydroxyprostaglandin dehydrogenase (15-OH-PGDH) was determined from the 100.000 g supernatant fraction of fetal, neonatal and maternal rabbit lungs using 14C-PGE2 (20 microM) as the substrate. In the lungs of late fetal rabbits the activity of 15-OH-PGDH was significantly higher compared to the early postnatal period. Maternal rabbit lungs possessed, however, very high activities compared to the studied perinatal lungs. The results show, that the activity of the pulmonary 15-OH-PGDH is high already during the late fetal period. The inactivation of PGE2 in isolated perfused lungs seems, however, to increase during the last prenatal days. Thus it seems possible that the uptake mechanism could be the rate limiting step in the metabolism of PGE2 in rabbit lungs during the perinatal period. PMID- 6580681 TI - Technical possibilities for lateral occlusal rims on removable orthodontic appliances. PMID- 6580682 TI - Dental laboratory organization--structure, goals, and objectives. PMID- 6580683 TI - The future of dental laboratory technology is dependent upon continuing education, says Kingsley Kau, C.D.T. PMID- 6580684 TI - Intra-arterial infusion of bromodeoxyuridine and radiotherapy in osteosarcoma and other bone malignancies. AB - In order to avoid amputation, which does not seem to improve survival in osteosarcoma, we have initiated a limb-preservation program using intra-arterial radiosensitization. Eleven osteosarcomas with soft tissue involvement and six other bone malignancies were prospectively treated according to the following protocol: (a) surgical insertion of an intra-arterial catheter through a Dacron patch, (b) intra-arterial infusion of 15 mg/kg BUDR on days 1-2 every 5 days for 40 days, (c) 600 rads flash irradiation on day 3 every 5 days, X 8. Median follow up time has been 36 months. In the osteosarcoma group, median survival has been 12 months. Four of the five osteosarcoma patients who died had received prophylactic HD methotrexate-vincristine-adriamycin systemic chemotherapy; one patient refused. PMID- 6580685 TI - Super-selective cytostatic treatment of malignant tumors of the soft tissue and bone. PMID- 6580686 TI - Protective effects of ketotifen on guinea pig trachea. AB - We have studied the effects of ketotifen (Ke), an effective antiallergic drug, on guinea pig trachea. Ke (10(-6)-5 X 10(-5) M) inhibits contractions induced in this preparation by acetylcholine, prostaglandin F2 alpha, barium chloride, potassium chloride and electrical stimulation. These results provide evidence for protective effects of Ke in airways. Furthermore, Ke exerts also a neural inhibitory effect on postganglionic parasympathetic fibers of guinea pig trachea. These findings resemble the effects reported previously for disodium cromoglycate by us and might be relevant for antiasthmatic and antiallergic properties of Ke. PMID- 6580687 TI - [Serum high density lipoprotein cholesterol in a population of asymptomatic men in Santiago, Chile]. PMID- 6580688 TI - [Composites, development of the technology]. PMID- 6580689 TI - [Composites and biocompatibility]. PMID- 6580690 TI - [Temporomandibular joint pain-dysfunction syndrome: myths and realities]. PMID- 6580691 TI - [Current data on the etiopathogenesis of root resorption affecting the permanent teeth]. PMID- 6580692 TI - [A case of multiple tooth resorptions from a hereditary aspect in a patient who has undergone endodontic treatment]. PMID- 6580693 TI - [Actinomycosis: apropos of a case of cervicofacial actinomycosis]. PMID- 6580694 TI - [Round table: endodontic technics. 4: Canal obturation]. PMID- 6580695 TI - [Mouth surgery in general practice]. PMID- 6580696 TI - [Current technics of amalgam restoration]. PMID- 6580697 TI - [Root canal treatment in current practice (Operation on the molar in real time)]. PMID- 6580698 TI - [Preoperative medication]. PMID- 6580699 TI - The P.P.O. and you. PMID- 6580700 TI - Management of fear and anxiety in dental practice. PMID- 6580701 TI - Radiographic case of the month. Dislocation of the meniscus of the temporomandibular joint. PMID- 6580702 TI - Clinicopathological conference. Undetected Hodgkin's disease manifesting as a neoplastic neuromyopathy. PMID- 6580704 TI - Transportation expense deductions. Rulings of the IRS generally are based on tax court decisions. PMID- 6580703 TI - Differences in hospital use by residence: the Rhode Island experience in 1980. Study reveals marked differences in utilization which call for further examination. PMID- 6580705 TI - The accountability of physicians. PMID- 6580706 TI - The nicotine fix. PMID- 6580707 TI - Computed tomography in the management of head and neck cancers. PMID- 6580708 TI - Breach of contract and the Yellow Pages. PMID- 6580709 TI - [Seckel's syndrome (or bird's head dwarfism). Apropos of a case]. AB - A 13-year-old boy presented with Seckel's syndrome, still called bird's head nanism, characterized by: --nanism, mental retardation, microcephaly, and protrusio of the middle third of the face. The typical facial appearance enabled a detailed study to be conducted of both clinical and radiological features, including, particularly, an architectural and structural analysis of profile teleradiographic images, providing objective data on the craniofacial deformities. Skeletal and systemic anomalies are also described, together with elements documented in the literature but absent in the present case. The etiology of this syndrome remains unknown. PMID- 6580710 TI - [Ectopic salivary gland tissue in the neck. Morphology, diagnostic and histogenetic problems. Apropos of 3 cases]. AB - 3 case reports of ectopic salivary gland tissue in the neck are presented. A localized swelling was found in the upper or the middle neck along the anterior border of the sternocleidomastoid muscle. It was not associated with any draining sinus opening on the skin. After surgical excision, the histopathological study demonstrated around a large "cystic" duct few or many lobules of salivary gland tissue containing serous acini and ducts. The embryogenesis of these heterotopies within remanants of the branchial apparatus could be demonstrated in one of our cases by the association of a true branchial cleft cyst with an ectopic salivary gland. PMID- 6580711 TI - [Diagnosis of trismus, excluding tetanus and local causes]. AB - The most frequent causes of trismus are tetanus and local lesions. This report discusses other etiologies. Trismus is usually only a secondary sign of a rich clinical picture, but may be of diagnostic value in some cases. Emphasis is placed on the frequency of involvement of neuroleptic intoxication, the early onset of trismus in the malignant hyperthermia syndrome, and on the useful role of trismus in the localization of neurological lesions. PMID- 6580712 TI - [Use of neck muscle in the correction of facial asymmetry. The Barron-Tessier flap]. AB - The musculocutaneous or purely muscular flap from the platysma can be used effectively for repair of loss of substance of the skin and mucous membranes of the lower third of the face, and also for contour reconstruction of the soft tissues of the face in such difficult indications as Romberg's progressive facial hemi-atrophy. Based on the original description by Barron in 1965, Paul Tessier has widely developed and trained in the use of this procedure for the last 15 years. The operative technique is described, indications and contra-indications discussed, and long-term results and tactics to be followed for correction of facial asymmetries outlined. PMID- 6580713 TI - [Continuous mandibular traction as adjuvant treatment in dysmorphism]. AB - We use the Delbet and Tessier's head frame in order to complete a continuous traction on the jaw. In post operative period, this method can achieve a better result of major facial deformities. PMID- 6580714 TI - [Association of chronic lymphoid leukemia and epidermoid carcinoma of the mouth floor]. AB - Authors report a scarce case of association in stomatologic and otorhinolaryngologic area. After a general study of this type of association, in which the average of 6,8% of carcinoma is usually admitted in lymphocytic leukemia, a case of lymphocytic nodular lymphoma, a disease very close to chronic lymphocytic leukemia, is reported with secondary discovering of an epithelioma. Importance of detection must be underlined, and the treatment of carcinoma is discussed. PMID- 6580715 TI - [Bifractionated radiotherapy and oropharyngeal carcinoma]. AB - The relatively poor results of therapy for epidermoid oropharyngeal carcinoma stages T3 and T4 suggested the need for new treatment regimens. A study involving 24 patients included bifractionated radiation on a daily basis, as used by J. C. Horiot and A. Nabib and then by the E.O.R.T.C. group. The more encouraging results reported by A. Nabib were not obtained. The 5-year survival rate will possibly be no better than after conventional external radiation. Post radiotherapy complications were observed. PMID- 6580716 TI - [Results of ionizing radiation treatment of 2274 epidermoid epitheliomas of the lips]. AB - In preparation for the 18th meeting of the European Curietherapy Group, devoted to cancer of the lip, 2 363 cases of lip cancer from 23 European Hospitals were retrospectively analysed. After presentation of these results, several free communications, and a large interdisciplinary panel discussion, a consensus was reached for the management of the primary tumor and the regional lymph nodes. Interstitial implant with iridium 192 wires results in a local recurrence rate which does not excede 3,4%. This method may be considered the treatment of choice for T1 and T2 tumors and many T3 tumors. On the other hand surgery should be used for in situ tumors and very large deeply infiltrating tumors. As the 2% failure rate after routine prophylactic neck dissection does not significantly differ from the 3% failure rate when patients undergo neck dissection only if clinically positive neck nodes develop, patients with T1, T2 tumors and no palpable neck nodes, who can be expected to submit to regular follow-up examination, may be managed conservatively. Patients with clinically positive neck nodes should undergo a neck dissection followed by radiationtherapy. PMID- 6580717 TI - [The action of prostaglandins on the vaginal cytological picture]. PMID- 6580718 TI - Graft-versus-host reaction in 3 adult leukaemia patients after transfusion of blood cell products. AB - We describe 3 cases of acute graft-versus-host (GVH) disease in patients with acute myeloid leukaemia following transfusions taken from non-HLA-identical healthy donors. The leucocyte transfusions were given because of severe bone marrow aplasia and granulocytopenia following leukaemia induction treatment. The first patient had an acute GVH reaction with an erythrodermia-like skin reaction all over and associated with severe abdominal cramping, enlarged liver and pathological liver function tests. The second patient had a relatively mild skin reaction and enlarged liver. Both died of severe pulmonary infection. The third patient also had a mild skin reaction and enlarged liver. He died of pulmonary embolism. The diagnosis of GVH of the latter 2 cases was made on skin biopsy. The autopsy samples revealed in all cases a heavy lymphocytic infiltration of the kidneys and liver portal area. Until more precise guidelines can be established, irradiation of blood cell products given to patients with neutropenia due to leukaemia induction treatment should be considered. PMID- 6580719 TI - Antigenic expression and proliferative status of multilineage myeloid progenitor cells (CFU-GEMM) in normal individuals and patients with chronic granulocytic leukaemia. AB - We assayed the number of multilineage myeloid progenitor cells (CFU-GEMM) in the blood and marrow of patients with newly diagnosed chronic granulocytic leukaemia (CGL). The mean number of CFU-GEMM in the blood was increased 600-fold and CFU GEMM in the marrow was doubled in the CGL patients compared with normal. A complement-fixing monoclonal antibody with HLA-DR specificity inhibited the proliferation of CFU-GEMM from CGL blood to a greater extent than that of comparable cells in normal marrow. Using a hydroxyurea 'suicide' method we found that the proportion of CFU-GEMM in proliferative cycle was higher in CGL blood than in normal marrow. We conclude that (1) CFU-GEMM numbers are greatly increased in the blood of patients with CGL, (2) CFU-GEMM express HLA-DR antigens on their surface, and (3) the apparently increased expression of the antigen on CFU-GEMM from CGL blood in comparison with CFU-GEMM from normal marrow may parallel the relatively higher proportion of CGL CFU-GEMM in cell cycle. PMID- 6580721 TI - Different hepatitis B vaccines. PMID- 6580720 TI - Eosinophilic granulocytes as a possible source of vitamin B12-binding protein. AB - Leucocyte B12 and B12-binding capacity were measured by Simultrac radioassay in eosinophilic granulocytes, neutrophilic granulocytes and leucocytes obtained from patients with chronic granulocytic and lymphocytic leukaemia. It is shown that (a) eosinophils are a possible source of B12-binding protein similar to neutrophils and (b) granulocytes in myeloproliferative disorders and normal neutrophils have similar B12 and B12-binding capacity indicating that increased B12 and B12-binding capacity in myeloproliferative disorders arise from an increase in myeloid cell turnover. PMID- 6580722 TI - Aspects of vaccination against hepatitis B; passive-active immunization schedules and vaccination responses in different age groups. PMID- 6580723 TI - Immune response to hepatitis B vaccination in the mentally retarded. PMID- 6580724 TI - Vaccination of children with malignant diseases with alum-absorbed hepatitis B vaccine--Immunogenicity studies. PMID- 6580725 TI - Vaccination against hepatitis B sexual contacts of contagious patients. PMID- 6580726 TI - Hepatitis B vaccination of hemophiliacs. PMID- 6580727 TI - Who should be vaccinated against hepatitis B? PMID- 6580728 TI - The development of a vaccine against hepatitis B. PMID- 6580729 TI - Bacterial infections in the upper respiratory tract. A symposium held at the Swedish Medical Society, Stockholm, Sweden, March 24, 1983. PMID- 6580730 TI - Clinical aspects on bacterial infections in the upper respiratory tract. AB - Acute respiratory tract infections represent the major cause of morbidity in younger age groups. Most of these infections involve the upper respiratory tract. The frequency of respiratory tract infections vary not only with age, but also with season of the year and the epidemiological situation. Surveys of the incidence and aetiology of these infections must therefore cover large populations during relatively long periods of time. In the developed countries, the mortality in respiratory tract infections in patients below the age of 60 years is low, while it increases markedly in elderly patients, mainly due to involvement of the lower respiratory tract. Aetiologically, viral infections dominate but bacterial pathogens often cause pharyngitis/tonsillitis, otitis media and sinusitis. In longstanding cough in children, Branhamella catarrhalis has been found to be a pathogen of probably high significance. Other factors increasing the clinical importance of colonisation of the upper respiratory tract with potentially pathogenic bacterial species, are various immune defects, especially reduced IgA production, and granulocytopenia. In the latter case, Gram negative bacteria seem to be more pathogenic than Gram-positive ones. The clinical differentiation between viral and bacterial upper respiratory tract infections is difficult and sometimes not possible. However, based on the knowledge that acute tracheitis, laryngitis and common cold are normally caused by viral agents, it seems reasonable not to use antibiotics for those patients. PMID- 6580731 TI - Epidemiology of acute otitis media in children. AB - A prospective, longitudinal, epidemiological study of acute otitis media (AOM) in children started in Malmo in 1977 and is planned to continue for about 10 years. All cases of AOM in children are registered. The registration includes the name of the patient, the individual ten-digit birth-number and date and place of diagnosis. The registered information is supplemented with information on the patients' dwelling and type of day-care within the city at the time of diagnosis. All data are computerized. In 1977, all children up to 3 years of age were registered. In each of the following two years, a new age class was included. Since 1980 children up to 15 years have been registered. The results regarding the occurrence of AOM in 1980 show that about 10% of all children under 16 years of age had at least one episode of AOM. The disease was most common among one year-olds, and about 30% of this age class had at least one episode. The occurrence did not vary with sex. AOM was most common during the winter season. The results of the cohort study of children born in 1977, with an observation time of maximum 48 months, show that children aged 6-11 months run the greatest risk of getting AOM. Fifty-four % of the children had at least one episode before the age of 48 months, and 48% of these children had more than one episode. There was no difference between the sexes.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6580732 TI - Molecular mechanisms of adhesion of Streptococcus pneumoniae to human oropharyngeal epithelial cells. AB - Adherence of bacteria to mucosal surfaces is an early step in colonization and infection. Streptococcus pneumoniae colonizes the nasopharynx and causes localized and systemic disease. The higher adhesion capacity of strains isolated from patients with otitis as compared to strains from sepsis or meningitis patients indicates that binding to the nasopharyngeal mucosa is important in localized but not in invasive infections. The biochemical basis of the pneumococcal binding to epithelial cells has been investigated. Human nasopharyngeal epithelial cells were mixed with pneumococci, and adherence was determined microscopically. Inhibition of adherence with analogues of epithelial cell receptors was tested by preincubation of pneumococci before the addition of the epithelial cells. Competitive inhibition with glycoconjugates, representing receptor structures on the epithelial cell surface, showed receptor function of saccharides containing the disaccharide GlcNAcbeta1 leads to 3Galbeta-. PMID- 6580733 TI - Penetration of cefaclor to adenoid tissue and middle ear fluid in secretory otitis media. AB - Seventy-nine patients that had persistent or recurrent secretory otitis media for over 3 months and were scheduled for myringotomy and/or adenoidectomy received a single dose of cefaclor (20 or 40 mg/kg) orally 0.5-4 hours before surgery. Cefaclor concentrations were determined in serum, middle ear fluid and/or blood free adenoid tissue homogenate using microbiological methods. Concentrations in adenoid homogenate ran parallel to those in serum, indicating a rapid penetration to adenoid tissue. Penetration to middle ear fluid was delayed in comparison. In the 51 patients receiving 20 mg/kg, peak levels occurred after 0.5 hour in serum as well as in adenoid homogenate and middle ear fluid with mean values of 29, 7.5 and 5.1 mg/l, respectively. Concentrations in the middle ear fluid were greater than 2.0 mg/l from 0.5 to 3 hours after this dose. In the 28 patients receiving 40 mg/kg, concentrations levelled after 0.5 hour in serum and in adenoid homogenate, with mean values of 21-33 mg/l and 6.3-12 mg/l, respectively. Concentrations in the middle ear fluid reached 7.8 mg/l 2 hours after this dose. A dose of 20 mg/kg appears to be suitable for treatment of respiratory tract infections on a b.i.d. basis. PMID- 6580734 TI - Pathogenesis of maxillary sinusitis. AB - Some recent studies concerning the pathogenesis of the maxillary sinusitis is surveyed. The importance of normal sinus ventilation for maintenance of a healthy sinus is stressed. It is concluded that granulocytes in the sinus secretion play an important role in the defence of the mucosa against potentially invading bacteria, but that the granulocytes in purulent secretions release proteases in high concentrations causing heavy inflammatory response in the mucosa. It is also concluded that although bacteria only rarely and not invariably invade the mucosa, bacteria in the secretion activate the humoral and cellular defence systems. When the stimuli are strong, the release of granulocyte protease in tissues and secretion can surpass the capacity of the locally available protease inhibitors and tissue destruction will ensue. PMID- 6580735 TI - Treatment of maxillary sinusitis. AB - Most patients with sinusitis are treated by general practitioners. Since these doctors generally do not puncture the maxillary sinus, they can not be certain that the patient has a purulent sinus infection, which is the most important sign for determining whether or not the patient should have an antibiotic. Thus, the doctor has to rely on symptoms that are most characteristic of a purulent sinusitis. The symptoms are described and the bacteria most frequently seen in sinusitis are mentioned (Haemophilus influenzae, Streptococcus pneumoniae and anaerobic bacteria). Treatment of maxillary sinusitis should primarily consist of restoring the normal milieu within the sinus by antral puncture and lavage. Penicillin V is still the first antibiotic drug of choice, because of its effectiveness in vitro and in vivo. In therapeutic failure, aeration of the maxillary sinus is first recommended. Cefaclor, tetracyclines or trimethoprim are recommended in patients allergic to penicillins. The agents are also recommended when beta-lactamase-producing strains of H. influenzae and Branhamella catarrhalis are isolated. PMID- 6580736 TI - Some non-bacteriological determinants and implications of antibiotic use in upper respiratory tract illness. AB - Antibiotics are widely but inconsistently used by general practitioners in the UK for treatment of respiratory infections. Although it might be expected that antibiotic use would be governed by biomedical factors this is often not the case. Four non-bacteriological determinants of antibiotic use are identified and discussed; these are (i) the doctor's anxiety about his workload, (ii) the response of doctors to social pressures, (iii) misinterpretation of underlying reasons for a consultation and (iv) fear of the possible development of sequels to streptococcal illness. The implications of the variable response of doctors to these influences are discussed. These apply, not only to doctors and patients, but also to relationships between them. In addition there are important implications for the credibility of general practice as a critical and academically respectable discipline. PMID- 6580737 TI - Bacteriological aspects of infections of the upper respiratory tract. AB - In this introductory presentation, the bacteriology of acute otitis media, sinusitis and orofacial infections is surveyed, and recent data on antibiotic resistance of the most common pathogenic bacteria are reported. In addition, the difference in the immunogenic effect of capsular polysaccharides from pneumococci and Haemophilus influenzae in children of different ages is mentioned. In acute otitis media and sinusitis, pneumococci and H. influenzae are the most common isolates followed in frequency by Branhamella catarrhalis and streptococci group A. It should be emphasized that the average relative risk of otitis media with effusion is much higher in children with viral respiratory infections than in children with nasopharyngeal colonization with pneumococci or H. influenzae. Anaerobic bacteria are the most common causes of odontogenic infections. Penicillin remains the most active of the currently available antibiotics against streptococci group A. Resistance to penicillin of clinical isolates has still not been documented, although resistance may occur to erythromycin and tetracycline. In pneumococci isolates obtained in Sweden, a relative resistance to penicillin occurs in a low percentage. They may also be resistant to erythromycin and tetracycline. The frequency of beta-lactamase producing H. influenzae has been followed nation-wide in Sweden during recent years. The mean frequency varies around 3-4% with local and seasonal peaks up to 12%. The majority of the H. influenzae isolates in Sweden are not fully sensitive to erythromycin, but resistance to chloramphenicol occurs. Most strains (including beta-lactamase producing) are sensitive to co-trimoxazole, cefuroxime, cefotaxime, cefotriaxone and cefaclor. Over 40% of clinical isolates of B. catarrhalis in Sweden produce beta-lactamase.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6580738 TI - [What have morphology and cytochemistry contributed to the diagnosis and treatment of acute lymphatic leukemia of childhood?]. AB - Correlations between morphological and cytochemical classification and treatment results in 200 children with ALL (diagnosed from 1964 to 1980) resulted in small, insignificant differences: FAB-L2 morphology, and undifferentiated cytochemistry resulted in slightly worse remission or survival duration. A significant difference emerged between the best group (FAB-L2 and PAS-positivity) and the worst (FAB-L2 and undifferentiated cytochemistry). All immunologically examined blasts with strong acid phosphatase positivity showed T-cell markers, but not all those with T-cell markers were phosphatase positive. On the whole, the morphologic/cytochemical classification used here is not satisfactory and has declined significantly in importance due to the much improved treatment results since 1970. PMID- 6580739 TI - Thirty year old caucasian female with abdominal pain of 11 days duration. PMID- 6580740 TI - Fetal alcohol syndrome--intrauterine child abuse. PMID- 6580741 TI - Ear disease and hearing loss, Pierre, South Dakota, 1962-1982. PMID- 6580742 TI - [The maxillary sinus in the human skull in deciduous and mixed dentition age groups]. PMID- 6580743 TI - [The influence of changes in the occlusal point and occlusal force on the displacement of the mandibular condyle]. PMID- 6580744 TI - [Regeneration of sensory nerve fibers and nerve endings in the labial mucosa after sectioning of the mental nerve]. PMID- 6580746 TI - [Irregularity of mandibular movement in patients with temporomandibular arthrosis]. PMID- 6580745 TI - [A histopathological study of pulp response to 3 kinds of tannin-fluoride cement in cavities in dogs]. PMID- 6580747 TI - [Dynamic studies of mandibular osteosynthesis. I. Stability of bone fragments using intraosseous wiring and metal plate fixation]. PMID- 6580748 TI - [Dynamic studies of mandibular osteosynthesis. II. Interfragment compression of AO osteosynthesis]. PMID- 6580749 TI - Case report 250. Multicentric osteosarcomata (osteosarcomatosis). PMID- 6580750 TI - Genetic engineering for food and additives. PMID- 6580751 TI - Towards better sedation. PMID- 6580752 TI - Electrocardiogram--why and wherefore. PMID- 6580753 TI - Kinetic visual disturbances with contact lenses. AB - Kinetic (variable) visual disturbances in contact lens wearers may be generated optically or mechanically. These disturbances are categorized in two groups: 1) those affecting both phakic and aphakic contact lens wearers; and 2) those peculiar to aphakic patients. Within each category disturbances vary with the types of lens used. In this review, the optical and mechanical bases for the various problems are discussed, as are possible solutions. It is emphasized that the ophthalmologist prescribing contact lenses should be aware of the patient's work hazards and requirements, and weigh the advantages and disadvantages of contact lenses. For example, is the patient exposed to high temperatures, heavy or fast-moving equipment, altered barometric conditions, etc.? Is physical exertion required? Employers and fellow workers should be aware of the contact lens wearers in their work force. PMID- 6580754 TI - Clinical and roentgenographic examination of 697 Swedish recruits, year group 1980. AB - In the present study, 697 recruits starting military service in 1980 were subjected to a clinical and roentgenographic dental health examination supplemented by an inquiry by questionnaire on attitudes towards dental health and dental care. The results confirm the recent improvement of the caries state previously reported for corresponding age groups by other researchers. Intact anterior teeth were observed in 51 per cent of the recruits, while 18.6 per cent had no restored proximal surfaces. A considerable proportion, 79 per cent, had incipient caries, while 61.6 per cent showed manifest carious lesions. Consequently, a substantial need for restorative treatment and caries preventive measures was evident. Nearly 13 per cent of the recruits exhibited roentgenographically visible alveolar bone loss, while about 20 per cent had calculus deposits on the proximal surfaces in the premolar-molar areas. This indicates a necessity for periodontal treatment within this age group to which enough attention has not been paid in the past. PMID- 6580755 TI - Oral conditions in Sjogren-Larsson syndrome. AB - A study was carried out of oral conditions, including caries, gingivitis and periodontitis, malocclusion and enamel hypoplasias, in 34 of the 35 living Swedish patients with Sjogren-Larsson syndrome (SLS). Their residential circumstances (institutional or non-institutional) and medical background variables were recorded. The results were compared with previously published epidemiological data concerning the dental health of fully healthy and also of mentally and physically handicapped individuals. Compared with fully healthy individuals the SLS-patients had higher caries indices, a higher frequency of gingivitis and periodontitis, a higher frequency of enamel hypoplasias, but a similar prevalence of malocclusions. When compared with other mentally retarded individuals, the SLS-patients did not differ significantly with regard to caries frequency and gingival and periodontal status. The frequency of toothlessness in SLS-patients over 40 years of age was high. SLS-patients residing in institutions had a lower average caries prevalence than those who did not reside in institutions. The degree of mental retardation and the occurrence of epilepsy and more severe forms of neuromuscular disorder appeared to influence the extent of gingival and periodontal disease. The frequency of enamel hypoplasias was higher than in patients with cerebral palsy and comparable with the frequency in patients with Down's syndrome. PMID- 6580756 TI - Effects of xylitol on the acid production activity from sorbitol by Streptococcus mutans and human dental plaque. AB - -A method for the determination of acid production from 20-25 mg (wet weight) of Streptococcus mutans and 12-33 mg (wet weight) of human dental plaque is described. After endogenous acid production had been followed, either sorbitol or xylitol or a mixture of sorbitol and xylitol (2:1) was added. After about ten minutes glucose, sucrose or Palatinose were added for a vitality test. Addition of xylitol to the bacterial suspension caused inhibition of acid production from sorbitol by Streptococcus mutans grown on sorbitol or a mixture of sorbitol and glucose. It was also observed that it had a similar effect on acid production from sorbitol in suspensions of dental plaque with few exceptions. On the other hand, Streptococcus mutans cells grown on glucose, sucrose and xylitol media, produced no or insignificant amounts of acid from sorbitol. Streptococcus mutans cells grown on media containing glucose, sucrose, sorbitol and a mixture of sorbitol and glucose generally formed a large amount of acid from glucose and sucrose after the addition of sorbitol and xylitol. However, Streptococcus mutans cells grown on a medium containing xylitol and the mixture of sorbitol and xylitol formed less acid from glucose. The acid production activity from sorbitol in suspensions of dental plaque after the xylitol addition was somewhat lower than the acid production from sorbitol alone (p less than 0.02). PMID- 6580757 TI - On clinical corrosion of pins. AB - In laboratory and animal experiments over a period of four months and using energy dispersive x-ray analysis compositional changes were studied for stainless steel pins, gold plated stainless steel pins and gold alloy pins. Varying degrees of compositional changes were observed for all the studied situations. Generally speaking the results, however, indicate that in vitro corrosion in fresh saliva is more destructive than in vivo corrosion especially when the pins are used to retain amalgam restorations. PMID- 6580758 TI - Getting along without a collection agency. PMID- 6580759 TI - Prison dentist. PMID- 6580760 TI - [Adrenogenital syndrome with salt loss. 3-betahydroxysteroid dehydrogenase deficiency as a cause of life threatening vomiting with dehydration in newborn infants]. PMID- 6580761 TI - The treatment of vital and non-vital exposed pulps in fractured permanent teeth with open apics. A report on two cases. PMID- 6580762 TI - A laboratory evaluation of fluoride dentifrices manufactured in South Africa. PMID- 6580763 TI - Ectopic thyroid tissue in the tongue. PMID- 6580764 TI - [The modern amalgam cavity preparation]. PMID- 6580765 TI - Antimicrobial aspects of treating osteomyelitis of the jaws and maxillo facial fractures. PMID- 6580766 TI - Maintaining the periodontal patient. PMID- 6580767 TI - Effect of examination stress on serum lipid profile. PMID- 6580768 TI - [Screening the degree of oral health with reference to use of the Hemastix method]. PMID- 6580769 TI - [The influence of manipulation upon compressive strength and static creep of dental amalgam]. PMID- 6580770 TI - [Use of a computer in the processing of the results of clinical training]. PMID- 6580771 TI - Human osteogenic sarcoma: fine structure of the osteoblastic type. AB - The fine structure of representative regions of 13 osteoblastic osteogenic sarcomas was studied. These regions contained four morphologically distinguishable subtypes of osteoblastlike cells. In addition, fibroblastlike and chondroblastlike cells were present, along with multinucleated giant cells, leukocytes, macrophagelike cells, and small populations of histogenetically unclassifiable (but probably neoplastic) cells. The morphologic evidence was compatible with the view that the variations in appearance among the subgroups of osteoblastlike cells reflected differences in maturation and differentiation of these cells. In at least one subgroup, the morphologic findings suggested that the cells were capable of manufacturing a secretory product. The multinucleated giant cells occurring in genuine tumor areas appeared to be closely related to neoplastic osteoblasts. The presence of chondroblastlike cells in the tissues illustrates that cells with a diverging differentiation can occur in an osteoblast-dominated cell population. This agrees with the view that the neoplastic cells originate from a mesenchymal stem cell with potential for multifaceted differentiation. PMID- 6580772 TI - Intranuclear branched cylindrical structures in human osteosarcoma cells. AB - A peculiar branched cylindrical structure within the nuclei of human osteosarcoma cells is reported. Although the described structures may be postulated to represent either "vermicellar bodies" or a response to cellular injury by chemotherapeutic agents, their origin and function are unknown to us. PMID- 6580773 TI - Tumors involving bone in the domestic cat: a review of fifty-eight cases. AB - This account of 58 spontaneous tumors involving bone in domestic cats compares and contrasts the pathological findings with previous surveys. Of the tumors described, only one was diagnosed as benign. Squamous cell carcinoma was the most common tumor of the series; osteosarcoma was the most common primary tumor. Only two tumors metastasized to the lungs (one hemangiosarcoma and one osteosarcoma), and only three metastasized to a regional node (two squamous cell carcinomas and one lymphosarcoma). PMID- 6580774 TI - Selection of specific categories of dairy cows for oestrus induction with dinoprost. PMID- 6580775 TI - Home monitoring of infants in West Virginia: a clinician's viewpoint. PMID- 6580776 TI - Career choices, accomplishments: women graduates of West Virginia University School of Medicine. PMID- 6580777 TI - Strengths and weaknesses of the U.S. role in international medicine. PMID- 6580778 TI - Management of recurrent basal cell epithelioma. PMID- 6580779 TI - Acute meningococcemia with DIC, septic shock complicated by hypersensitivity monoarthritis (case report in a 20-month-old patient with complete clinical recovery). PMID- 6580780 TI - Use of immunologic markers in obscure hematologic disease. AB - Tumor cells from two patients with very different clinical diseases were evaluated using immunologic techniques. The first patient had a persistent T-cell lymphocytosis and other symptoms suggestive of T-cell malignancy. She also had an adnexal mass. Following surgical excision, the mass was identified as a benign teratoma that contained thymic tissue. The T-cell lymphocytosis subsided following removal of the mass. The second patient had leukemia, the cells of which were morphologically identified as myelomonocytic. Surface marker studies, however, showed the presence of monoclonal surface immunoglobulins. Enzymatic digestion of the cells showed that the antibodies were cytophilic and not produced by the tumor population. These studies emphasize the value of immunologic techniques in characterizing tumor cells. PMID- 6580781 TI - [Pharmacokinetics and metabolism of the cephalosporins]. AB - Apart from their antimicrobial activity pattern the cephalosporins differ by their pharmacokinetics. Most cephalosporins have a plasma half life of 30 to 120 minutes. Only ceftriaxon has a half life of about 8 hours, which implicates extended dose intervals. Cephalosporins are excreted renally. Cefoperazone and ceftriaxon, however, are excreted with the bile up to 30%. Cefalotin, cefacetril and cefotaxime are metabolized to a significant degree. Only the main-metabolite of cefotaxime shows mentionable antimicrobial activity. With regard to renal insufficiency (creatinine clearance greater than 5 ml/min) dose reduction is not necessary with cefoperazone and with ceftriaxon because of hepatic excretion and with cefotaxime because of metabolism. PMID- 6580782 TI - [Antibacterial chemotherapy in impaired renal function]. AB - In the antibacterial chemotherapy in patients with chronic renal diseases several principles should be considered. Highly nephrotoxic or ototoxic antibiotics are not to be used in patients with chronic renal failure. The dosage ought to be reduced adequately to the degree of damage of renal function. The degree of reduction of renal function is to be evaluated by estimation of endogenous creatinine clearance or by estimation of serum creatinine level. The first dose of an antibacterial drug ought to be the same as in persons with good renal function. Additional doses should be reduced or the interval between the doses prolonged. It is necessary to monitor kidney function and possible side effects. PMID- 6580783 TI - [Introduction to the colloquium on 18 June 1982: New beta-lactam antibiotics and their clinical value]. PMID- 6580784 TI - [Correlation of the pollen content of the air with the geography and vegetation in a mountain range and its allergologic importance]. AB - For several years pollen traps have been installed at different sites in the Inn valley/Tyrol. Even within short distances significant differences in the pollen content of the air in respect to amount and time do occur. The pollen maxima differ even up to 6 weeks during subsequent years. The mean values of the maxima of the same species differ up to 12 days at the different sites. In mountain areas with small-scale vegetation patterns and climatic differences it is therefore necessary to set up a dense network of pollen traps especially in respect to the medical use of the results. PMID- 6580785 TI - [Rotation osteotomy in malignant tumors of the proximal femur]. AB - Described in details is the first rotation-plasty in the surgical treatment of a proximal femur osteosarcoma. The indications for this procedure are discussed. PMID- 6580786 TI - [Osteogenic sarcoma]. PMID- 6580787 TI - Commercialism; professionalism. Viva la difference. PMID- 6580788 TI - Alveolar ridge exostoses formation as a response to habitual occlusal stress: a case report. PMID- 6580789 TI - [Indomethacin kinetics and urinary excretion of prostaglandin E2 following oral administration of various dosage forms of indomethacin]. AB - In a controlled crossover study healthy volunteers received a single oral dose of 75 mg indomethacin, 75 mg sustained-release indomethacin, or the new therapeutic system indomethacin Gits 7/85. Dependence on the time of administration was investigated by comparing the plasma level curves obtained following morning and evening administration of indomethacin and indomethacin Gits. Blood samples were taken at defined intervals following administration for determination of indomethacin plasma levels. To determine urinary excretion of prostaglandin (PG)E2, urine was collected during four consecutive 6 h-clearance periods after administration of the indomethacin preparations. The plasma level curve following administration of indomethacin Gits 7/85 did not exhibit clearly distinct initial peaks and, in contrast to the other drug preparations, remained nearly constant over 10-12 h. Indomethacin induced a significant suppression of urinary PGE2 excretion over a period of 12 h, whereas both sustained release indomethacin and indomethacin Gits 7/85 decreased urinary PGE2 excretion for 18 h. Neither the plasma concentration curve of indomethacin nor the inhibitory effect on urinary PGE2 excretion was dependent on the time of administration. Initial central nervous side effects, such as dizziness, were reported by all volunteers after taking indomethacin and by half of the volunteers following sustained release indomethacin, whereas no adverse effects were observed after administration of indomethacin Gits 7/85. The present study demonstrates that indomethacin Gits 7/85 produces no initial peaks of plasma levels but rather a sustained concentration plateau. The excellent tolerability of indomethacin Gits 7/85 is probably due to the lack of peak plasma concentrations. PMID- 6580790 TI - [Idiopathic myositis ossificans - pseudomalignant osseous tumor of soft tissue]. PMID- 6580791 TI - Abstracts from the 41st congress of the Nordic Surgical Society. Uppsala, Sweden, June 15-17, 1983. PMID- 6580792 TI - Presidential address. PMID- 6580793 TI - Cytologic findings in homosexual males with acquired immunodeficiency. AB - During a three-year period (1979 to 1982), 248 cytology specimens were obtained from 38 homosexual males who were admitted for treatment and had a variety of nonspecific symptoms, such as general malaise and weight loss. Twenty patients had Kaposi's sarcoma. Exfoliative and aspiration/brush specimens were prepared mainly from cerebrospinal fluids and tracheobronchial secretions. One hundred twenty-four specimens were of diagnostic value, exhibiting cytologic abnormalities: acute inflammation (11 specimens), marked cellular atypia (39 specimens), increased number of mature and immature lymphoreticular elements (31 specimens) and organisms such as parasites and fungi (43 specimens). Awareness of an epidemic of acquired immuno-deficiency-associated disease among male homosexuals, in conjunction with special processing and careful interpretation of cytologic specimens, contributed to the identification of organisms and the ruling out of malignancy. Despite prompt treatment, a swiftly progressive clinical course resulted in the death of 20 patients. PMID- 6580794 TI - Comparison of light and transmission electron microscopy for the evaluation of body cavity effusions. AB - Evaluation of 282 body cavity effusions by both light and transmission electron microscopy showed that the two methods compare favorably. The major advantages of electron microscopy are higher rates of unequivocally positive diagnoses, improved diagnosis in borderline or suspicious cases and better discrimination between benign and malignant fluids or decreased numbers of inconclusive results. This was obtained without false-positive results. The major disadvantage of the method is the increased time and preparative procedures needed. As with light microscopy, the false-negative rate was high. PMID- 6580795 TI - Esophageal cytology in patients receiving cytotoxic drug therapy. AB - Our experience with the cytology of esophageal brush specimens from patients who did not have either gastric or esophageal cancer but who received a variety of chemotherapeutic agents is reported. Ten patients received chemotherapy alone, and nine received combined chemotherapy and radiation therapy. Of the ten patients, three showed evidence of moderate to severe epithelial atypia, which was not seen in the combined treatment group or the control group. The cytologic atypias in the three patients consisted of variation in nuclear size with crowding and overlapping, an increased nuclear-cytoplasmic ratio and multiple nucleoli, many of which varied in size and shape. There was also evidence of cell death and keratinization. Although these patients had not been irradiated, other striking changes were similar to those seen following radiation therapy. The cytologic changes reported here pose a serious diagnostic problem because they may be so severe as to mimic malignant transformation. Evidence of infection by herpes simplex alone or herpes simplex associated with Candida was seen in 32% of the treated patients and in 4% of the control group. PMID- 6580796 TI - Asbestos bodies and particulate matter in sputum from former asbestos workers. An ultrastructural study. AB - From sputum samples collected from nine former asbestos workers, one portion not needed for cytopathologic screening was fixed, embedded and sectioned for transmission electron microscopy (TEM) while a second portion was digested and collected on a Nuclepore filter for scanning electron microscopy (SEM). Energy dispersion analysis was used in assessing inorganic matter in both preparations. The ultrastructural relationships between the ferruginous bodies and related macrophages as well as the presence of other particulate matter in the preparations were studied. Our results are the first to confirm the presence of uncoated asbestos fibers, diatomaceous earth and aluminosilicates in sputum. Our data indicate that it would be reasonable to use this analytical technique as an initial test before using invasive procedures in the diagnosis of many pneumoconioses and other lung diseases. PMID- 6580797 TI - Fine needle aspiration biopsy cytology of paragangliomas. Cytologic, light microscopic and ultrastructural studies of three cases. AB - Paragangliomas are uncommon tumors arising in paraganglion tissue, which is especially well represented in the head and neck. In our hospital three head and neck masses recently proved to be paragangliomas on aspiratory biopsy cytology, with subsequent histologic confirmation. One was an apparently benign carotid body tumor, while the others were metastatic nasopharyngeal paragangliomas. The latter two tumors were clearly malignant, with roentgenographically proven pulmonary metastases in one and widespread lymph node involvement in the other. Histologically all were vascular tumors composed of large cells with abundant cytoplasm and pleomorphic, sometimes bizarre nuclei. These characteristic chief cells were clearly evident on cytology, with pleomorphic nuclei, prominent nucleoli, clumped chromatin and generally eosinophilic, finely granular or reticular cytoplasm. However, the distinction between benign and malignant tumors depended on the presence of mitoses or a tumor diathesis. Cytology seems to be able to provide a diagnosis of paraganglioma and, in these cases at least, an estimation of the biologic behavior. PMID- 6580798 TI - Aspiration cytology of metastatic chordoma. A case report. AB - A patient with previously diagnosed sacrococcygeal chordoma presented with multiple skin nodules. Cytologic examination of an aspirate from one of these nodules showed syncytial clusters of hyperchromatic cells surrounded by extracellular mucin. The characteristic physaliphorous cells, although present in a biopsy of the primary sacrococcygeal tumor, were not observed in the aspirate or on histopathologic examination of three excised skin metastases. That chordoma metastases may lack physaliphorous cells should be recognized. PMID- 6580799 TI - Cytologic diagnosis of seminoma metastatic to the central nervous system. A case report. AB - Seminoma cells detected in the cerebrospinal fluid of a patient who had a seminoma of the testis with widespread metastases are described. PMID- 6580800 TI - Pseudomalignant cytologic presentation of spermatic hydrocele fluid. AB - An unusual cytologic presentation of spermatic hydrocele fluid is reported. The aspirate contained highly atypical cells, exhibiting marked anisocytosis and nuclear abnormalities strongly suggestive of cancer. On histologic examination the lesion displayed pseudosarcomatous fasciitis in the cyst wall and foci of atypical reactive mesothelial hyperplasia in the lining. This case illustrates a potential pitfall in the cytology of spermatic hydrocele fluid. PMID- 6580801 TI - Cytopathologic diagnosis of extracolonic amebiasis. AB - Extracolonic amebiasis must be distinguished from bacterial abscesses and neoplastic disease. Newer technology in diagnostic and interventional radiology permits such lesions to be aspirated more accurately for both diagnostic and therapeutic purposes, often averting an open surgical procedure. Paracecal and hepatic masses of one patient, who presented with fever and abdominal pain, were shown to be amebic abscesses by cytopathologic examination of material obtained by ultrasonically guided percutaneous fine needle aspiration. Another patient, who was thought to have metastatic carcinoma, died, with clinically unrecognized extensive pulmonary and hepatic amebiasis proven at autopsy. A review of this patient's sputum cytology smears showed numerous trophozoites of Entamoeba histolytica that were not recognized earlier. Cytopathologic studies of sputum and fine needle aspirates is an important means of detecting extracolonic amebiasis and distinguishing these lesions from neoplastic disease. PMID- 6580802 TI - Cytologic and biologic studies of endometrioid carcinoma of the ovary. AB - The cytologic findings in an ovarian endometrioid carcinoma were investigated, and biologic characterization was performed. Cytologic findings from the ascitic fluid revealed characteristics of adenocarcinoma, such as fine cytoplasm, anisochromasia and prominent nucleoli; findings characteristic of endometrioid carcinoma of the ovary were not found, though a cluster of carcinoma cells on imprinted smears was similar to that of endometrial carcinoma cells. A morphologic comparison between the cells from the ascitic fluid and cells cultured from the ovarian endometrioid carcinoma showed their similarity. Biologic characterization showed a modal chromosome number of 103, a 74.4-hour population doubling time of the cell line and 0 plating efficiency. Heterotransplantation was achieved in one of the four hamsters (25%). PMID- 6580803 TI - Cytomorphology of a mediastinal parathyroid cyst. Report of a case mimicking malignancy. AB - The clinical and cytologic features of a mediastinal parathyroid cyst are presented. Cytologic examination of the cyst fluid revealed the presence of small clusters of epithelial cells, with periodic-acid-Schiff-positive cytoplasmic granules. Special attention is required when atypical proliferating fibroblasts, which may be mistaken for malignant cells, are present. PMID- 6580804 TI - Role of the air bubble in increasing cell recovery using cytospin I and II. AB - The Shandon Cytospin II cytocentrifuge invariably produces greater cell recovery than does the Cytospin I due to the persistence of an automatically formed air bubble created between the cell suspension and the slide by the new design of the head of the centrifuge. Similar results were achieved with the Cytospin I when care was taken to produce such an air bubble while introducing the sample into the chamber. The instructions for creating such an air bubble in the sample chambers of the Cytospin I are given. The protective role of an albumen solution for cells on slides to be air dried for Giemsa staining, which is particularly valuable for many cytocentrifuged preparations, is also discussed. PMID- 6580805 TI - Mamma aberrata axillaris diagnosed by aspiration cytology. PMID- 6580806 TI - Atypical mesothelial cells in peritoneal dialysis fluid. PMID- 6580807 TI - A multicenter study on timolol in secondary prevention after myocardial infarction. AB - Patients who survive the acute phase of myocardial infarction have a high mortality in the following years. The mortality is largely due to sudden cardiac death or recurrent myocardial infarction. The main purpose of the present study was to clarify whether long-term treatment with the beta-adrenergic blocking agent timolol would improve prognosis in such patients. In order to recruit the sufficient number of patients to resolve this question a multicenter study was performed. This study, named "The Norwegian Multicenter Study On Timolol After Myocardial Infarction" was designed as a randomized, double-blind, placebo controlled trial. Twenty hospitals in Norway collaborated within an organizational structure aiming to achieve a maximum of standardization of study procedures. From a representative population of patients less than 75 years of age surviving the acute episode of infarction 52% were recruited for the study. The recruitment rate was high at all hospitals. The 1884 patients included were stratified into 3 risk groups before randomization. Risk Group I (18%) were patients with a recurrent infarction. Risk Group II (58%) were patients with a first infarction considered to be at high risk of sudden cardiac death. The rest, Risk Group III (22%) were patients at low risk. The placebo and timolol groups were similar with respect to most of the important baseline characteristics. Minor differences in a few characteristics did not affect the overall results as was shown by various statistical procedures including the Cox's proportional hazards regression model. The patients were followed 12 - 33 months after discharge from hospital with regular clinical examinations performed by the study investigators at the hospitals. Compliance was very good and no patient was lost to follow-up although 23.3% in the placebo group and 29.1% in the timolol group were withdrawn from the study regimen. The study demonstrated that long-term treatment with timolol improved prognosis in survivors of acute myocardial infarction. The most important finding was a highly statistically significant difference in life table mortality of 39.3% between the placebo group (21.9%) and the timolol group (13.3%) (p=0.0003). This difference was first of all due to a lower rate of sudden cardiac death in the timolol group (7.7%) compared to the placebo group (13.9%) (p=0.0001) when including events in the so-called "per protocol period".(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6580808 TI - [A case of reparative giant cell granuloma of the mandible with rhizolysis]. PMID- 6580809 TI - [Tumors of the parotid gland]. PMID- 6580810 TI - [Bilateral essential bone cyst of the mandible. Report of an unusual case]. PMID- 6580811 TI - An additional contribution to the syndromes with dental agenesis. PMID- 6580812 TI - [Major cryptogenic polymorphic erythema of childhood]. PMID- 6580813 TI - Osteogenic sarcoma treated with limb salvage. PMID- 6580814 TI - A variant 8;21 translocation in acute myeloblastic leukemia. AB - A three-way rearrangement involving chromosomes 1, 8, and 21 was observed in bone marrow cells from a female with acute myeloblastic leukemia, subtype M2 (AML-M2). The translocation break points in chromosomes 8 and 21 were identical to those found in the standard t(8;21) that is associated with this disease type. A review of this and four previously reported cases involving variant 8;21 translocations indicates that a consistent pattern of exchange may be involved in these complex rearrangements even though the third chromosome affected may differ. PMID- 6580816 TI - Linkage analysis in dominant optic atrophy. AB - A kindred of German descent was studied for dominant optic atrophy, type Kjer (McKusick catalog no. 16540). One hundred twenty-three family members were examined clinically, and 36 affected, 81 normal, and six uncertain members were ascertained. Twenty-seven markers were analyzed for 121 members. The maximum lod score obtained was 2.0 at theta = .18 for linkage between the Kidd locus and dominant optic atrophy. Twenty-eight offspring were informative with 2-generation data. There was insufficient information for the acid phosphatase locus to aid gene localization. These data suggest that the locus for dominant optic atrophy is on chromosome 2. PMID- 6580818 TI - No algeny for Jeremy. PMID- 6580817 TI - The effects of reduced fertility, method of ascertainment, and a second unlinked locus on affected sib-pair marker allele sharing. AB - The method of affected sib-pair marker allele sharing has been used not only for the detection of linkage, but also for discerning inheritance. The application of this method has included the tacit assumption of no selective disadvantage for affected individuals. For some of the disorders analyzed by this method, this assumption is not tenable. Also, the method of ascertainment of affected sib pairs is not taken into account. It is shown here that the ascertainment procedure and reduced reproductivity of affected individuals can alter the expected distribution of affected sib-pair marker allele sharing. The effect is greatest for a recessive disease susceptibility locus. While the effect of reduced reproductivity is to inflate the gene frequency necessary to account for the observed distribution, a second unlinked disease susceptibility locus can diminish this effect. Application to type 1 diabetes shows that according to a simple recessive model with 50% penetrance, the observed distribution of affected sib-pair HLA haplotype sharing requires a gene frequency in the range of 0.55 0.60, much greater than estimates previously proposed. According to such a model, the frequency of disease would be around 15%, clearly out of range of the observed frequency of 0.4%. PMID- 6580815 TI - The search for heterogeneity in insulin-dependent diabetes mellitus (IDDM): linkage studies, two-locus models, and genetic heterogeneity. AB - One hundred families with insulin-dependent diabetes mellitus (IDDM) were analyzed for linkage with 27 genetic markers, including HLA, properdin factor B (BF), and glyoxalase 1(GLO) on chromosome 6, and Kidd blood group (Jk) on chromosome 2. The linkage analyses were performed under several different genetic models. An approximate correction for two-locus linkage analysis was developed and applied to four markers. Two different heterogeneity tests were implemented and applied to all the markers. One, the Predivided-Sample Test, utilizes various criteria thought to be relevant to genetic heterogeneity in IDDM. The other, the Admixture Test, looks for heterogeneity without specifying a prior how the sample should be divided. Results continued to support linkage of IDDM with three chromosome 6 markers: HLA, BF, and GLO. The total lod score for Kidd blood group, under the recessive model with 20% penetrance, is 1.63--down 1.2 from the 2.83 reported by us earlier. The only other marker whose lod score exceeded 1.0 under any model was pancreatic amylase (AMY2). The two-locus correction, which involved lowering the penetrance values used in the analysis, affected estimates of theta (recombination fraction) but did not markedly change the lod scores themselves. There was little evidence for heterogeneity within any of the lod scores, under either the Predivided-Sample Test or the Admixture Test. PMID- 6580819 TI - Corneal thickness changes associated with daily and extended contact lens wear. AB - Human corneal thickness was measured during daily wear of hydrogel contact lenses and then during the initial 2 weeks extended wear of hyper-thin (0.035 mm), low water content (38.6%), hydrogel lenses (polymacon). Results show that subjects wearing standard thickness (0.12 mm) and ultra-thin (0.07 mm) hydrogel lenses of low water content for daily wear will exhibit a diurnal swelling of the cornea. Subjects wearing hyper-thin (0.035 mm) low minus power hydrogel contact lenses of low water content for extended wear will exhibit overnight (closed eye) swelling of the cornea followed by a deswelling throughout the day (open eye). The degree of swelling and deswelling can vary greatly among individual subjects. PMID- 6580820 TI - Superimpositional assessment of treatment-associated changes in the temporomandibular joint and the mandibular symphysis. AB - This article analyzes differences in the measured displacement of the condyle and of progonion when different vectors of force are delivered to the maxilla in the course of non-full-banded, Phase 1, mixed-dentition treatment for the correction of Class II malocclusion. The 238-case sample is identical to that for which changes in other parameters of facial form have been reported previously. Relative to superimposition on anterior cranial base and measured in a Frankfort plane-determined coordinate system, we have attempted to identify and quantitate (1) the displacement of each structure which results from local remodeling and (2) the displacement of each structure which occurs as a secondary consequence of changes in other regions of the skull. We have also attempted to isolate treatment effects from those attributable to spontaneous growth and development. At the condyle, we note that in all three treatment groups and in the control group there is a small but real downward and backward displacement of the glenoid fossa. This change is not treatment induced but, rather, is associated with spontaneous growth and development. (See Fig. 5.) Some interesting differences in pattern of "growth at the condyle" were noted between samples. In the intraoral (modified activator) sample, there were small but statistically significant increases in growth rate as compared to the untreated group of Class II controls. To our surprise, similar statistically significant increases over the growth rate of the control group were noted in the cervical sample. (See Table III, variables 17 and 18.) Small but statistically significant differences between treatments were also noted in the patterns of change at pogonion. As compared to the untreated control group, the rate of total displacement in the modified activator group was significantly greater in the forward direction, while the rate of total displacement in the cervical group was significantly greater in the downward direction. There were no statistically significant differences in the rate of total displacement of pogonion between the high-pull sample and the control sample. (See Table IV, variables 21 and 22. PMID- 6580821 TI - Orthopedic coordination of dentofacial development in skeletal Class II malocclusion in conjunction with edgewise therapy. Part II. AB - This second of two articles describes the effects of mandibular growth enhancement in a comprehensive orthopedic approach to the correction of skeletal Class II malocclusion. Clinical and experimental evidence gives support to the concept, and case histories show the clinical mode of use of the appliance system. An initial 10- to 12-month orthopedic phase is followed by a second phase of similar duration in which full edgewise therapy is used to establish a gnathologically ideal occlusion. As the essential corrections are achieved in the orthopedic phase, the second phase is much reduced in complexity and is generally confined to alignment and final detailing. This combined approach to skeletal Class II treatment offers the possibility of better harmony of dental and facial features, with continued stability through the period of facial growth. PMID- 6580822 TI - The surgical-orthodontic correction of mandibular deficiency. Part II. AB - As discussed in Part I of this study, persons with mandibular deficiency and Class II malocclusions exhibit a wide spectrum of esthetic, cephalometric, and occlusal characteristics. In many such patients optimal overall results are best obtained via a combined orthodontic-surgical approach. In such patients a critical evaluation is essential to decide (1) the optimal operation and (2) the appropriate orthodontic-surgical sequencing. Our method of making these two basic decisions was presented in Part I. In this article the indications for mandibular advancement with or without genioplasty, total subapical mandibular advancement, superior repositioning of the maxilla, and inferior repositioning of the maxilla are discussed in detail. These alternatives are illustrated with representative cases, and the results are discussed. The intention of these two presentations is to illustrate an orthodontic-surgical approach to the correction of mandibular deficiency and Class II malocclusion that is predicated on a systematic evaluation of the individual patient rather than a standard approach. PMID- 6580823 TI - Projecting the soft-tissue outcome of surgical and orthodontic manipulation of the maxillofacial skeleton. AB - A simple method is presented for developing one-to-one composite soft-tissue and radiographic patient images. Their use in diagnosis, treatment planning, and prediction of the outcome of surgical and orthodontic manipulations of the facial hard tissues to effect soft tissue change is discussed. Complementing cephalometric analysis and model surgery, this technique uses a 35 mm, slide, acetate tracing paper, a pencil, and a series of integumentary changes which follow rearrangements of the underlying skeleton, including the dentition, maxillae, zygomas, and nose. The pretreatment images is traced from a projected 35 mm, slide, which is sized to the cephalometric tracing to obtain a "life sized" representation of the face. The image is then redrawn, adjusting the dysmorphic parts to the unchanged part of the face to effect balance of the profile and restore normal contours. This recreated image is used then as an objective to which the treatment planning is directed and through which it is commonly seen that the restoration of functional and esthetic balance is a mutually supportive goal. The projected image is of value to the clinician in formulating his treatment goal, but it is more valuable in the visible expression that it gives to his mental image of the ideal outcome. Moreover, it can be readily shared with the patient, who often better appreciates the changes in contours, which he sees daily, than the commonly employed profiles of cephalometric prediction, which are basically foreign to him. The technique is discussed, as are the ratios of hard-to-soft-tissue change, with case reports for demonstration. PMID- 6580824 TI - Measurability of radiographic images. Erratum. PMID- 6580826 TI - HLA antigen frequency in the Koya tribe of Andhra Pradesh, India. AB - The frequencies of HLA-A, -B, and -C antigens were studied in a tribal population of Koya from Andhra Pradesh in southern India. No other well-defined tribal population has been studied with which the present results may be compared. However, the HLA profile of Koya showed distinct differences from the general HLA distribution in India in the frequency of a large number of antigens both at the A and B loci. This study indicates the distinctiveness of this tribal population and suggests the potential importance of the study of HLA frequencies in tribal groups of India. PMID- 6580825 TI - TMJ dysfunction. PMID- 6580827 TI - Lecithin in the treatment of Gilles de la Tourette's syndrome. AB - Five patients with Tourette's syndrome were administered a mean dose of 512 mg/kg per day of oral lecithin. None of the patients exhibited sustained clinical improvement in symptom severity. No significant changes in serum prolactin or growth hormone were observed during lecithin administration. PMID- 6580828 TI - Psychomotor impairment due to N2O exposure. PMID- 6580829 TI - Preventing mercury poisoning in dental practice. PMID- 6580831 TI - Airway interference syndrome. Clinical identification and evaluation of nose breathing capabilities. PMID- 6580830 TI - Conscious-sedation in a patient on combined tranylcypromine and lithium therapy- a case report. PMID- 6580832 TI - The effect of gingival fiberotomy on orthodontic cuspid retraction in cats. AB - Distal tipping forces were applied to the maxillary cuspid teeth of five domestic cats. Surgical elimination of the gingival attachment of one tooth in each cat resulted in greater distal crown movement and a shift of the center of rotation toward the root apex. PMID- 6580833 TI - Mixed dentition treatment with cervical traction and lower lingual arch. AB - The quantitative changes which occurred as the result of this specific regimen of treatment in a sample of Class II malocclusions in the early mixed dentition were compared with like changes in a closely matched sample of untreated Class II malocclusions. Selected parameters were also compared with a comparable group of Class II malocclusions treated with only a Kloehn cervical appliance. Treatment as described does tend to slightly increase the vertical eruption of the upper molar. No maxillary orthopedic effects were noted in the horizontal plane. There was significant inhibition of the forward displacement of the upper molar. Cervical traction without anterior bands resulted in actual distal movement of the upper molar, not just an inhibition of its forward growth. The treatment significantly inhibited the forward growth of the upper incisors and point A. Cervical traction alone had less effect on overjet and the S-N-A angle. A lingual arch is effective in maintaining lower leeway space while still allowing horizontal and vertical growth changes in the positions of molars and incisors. Rotation of the mandible was downward and backward. Overall face height was increased. PMID- 6580834 TI - Hospital privileges for psychologists. A legislative model. PMID- 6580835 TI - [Current perspectives in the treatment of hereditary diseases]. AB - A general review of the multiple up to date therapeutic trends in this field is intended based on new available technology and on a better knowledge of genetic disease physiopathology. Three possible systems to control patients with inheritable disease deduced of our own experience and on literature are analyzed. Cure by correction, replacement or genetic manipulation; Therapy by enzymatic manipulation, biochemical correction or surgical treatment Prevention by genetic counseling and discovery of pharmacogenetic patterns and higs risk populations. The wide perspectives opened to the next future compelled to an exhaustive diagnosis of patients, considering possibilities of reasonable therapy. PMID- 6580836 TI - Human leukocyte interferon to control thrombocytosis in chronic myelogenous leukemia. AB - Nine patients with refractory chronic myelogenous leukemia and severe symptomatic thrombocytosis (greater than or equal to 1 X 10(6) platelets/mm3) were given partially purified human leukocyte interferon-alpha. A significant decline in platelet counts, from a mean (+/- SE) of 1.71 +/- 0.53 X 10(6)/mm3 to a mean of 0.52 +/- 0.24 X 10(6)/mm3 (p less than 0.01), resulted in all patients. Maintenance of low platelet counts was achieved in two patients for more than 143 and 300 days, respectively. Treatment with human leukocyte interferon-alpha was stopped in the remaining patients because of increases in the leukocyte count, toxicity, or both. Our preliminary observations suggest that human leukocyte interferon-alpha may significantly alleviate progressive thrombocytosis in advanced chronic myelogenous leukemia. Further studies of human leukocyte interferon-alpha and chemotherapeutic agents are indicated. PMID- 6580837 TI - Effects of 13-cis retinoic acid on dibutyl-nitrosamine-induced cell kinetic changes in mouse urinary bladder epithelium. AB - The effect of 13-cis-retinoic acid on cell proliferation in normal urothelium and during early stages in N-nitrosodibutylamine (DBN) induced malignant transformation was studied in male hairless mice. The retinoic acid was administered orally, and the parameters studied were (a) variations in total cell number, (b) labelling index (LI), (c) mitotic rate (MR), (d) the proportions of DNA-synthesizing cells in the diploid and tetraploid fractions, and (e) morphological changes. 13-cis-retinoic acid caused no effect on these parameters in normal urothelium, nor did it prevent the changes caused by DBN in the urothelium prior to malignant development. PMID- 6580838 TI - Electrophysiological studies in Tourette's syndrome. AB - The value of standard electrophysiological studies using electroencephalography and evoked responses was evaluated in patients with Tourette's syndrome. Sixteen channel electroencephalograms were obtained in 40 patients (36 males, 4 females) awake and asleep, and evoked responses were obtained in a subgroup of 17 patients. Evoked response variables evaluated included latencies and amplitudes of visual evoked responses, brainstem auditory evoked responses, and somatosensory evoked responses to median and peroneal nerve stimulation. Only 5 of the 40 patients (12.5%) demonstrated electroencephalographic abnormalities, which included central spikes, generalized and paroxysmal slow activity, and slowing of the normal basic frequency. Evoked response studies demonstrated no consistent differences between the patients with Tourette's syndrome and age- and sex-matched controls. The data demonstrate no notable diagnostic or therapeutic value for routine electroencephalographic or evoked response studies in Tourette's syndrome. PMID- 6580839 TI - Long latency between the onset of motor and vocal tics in Tourette's syndrome. PMID- 6580840 TI - [A randomized controlled study on vindesine and vincristine in combination with prednisolone in the treatment of adult acute lymphocytic leukemia and blastic crisis of chronic myeloid leukemia]. AB - Sixty patients with adult acute lymphocytic leukemia (ALL) and 40 patients with blastic crisis of chronic myeloid leukemia (CML . BC) were randomly allocated by envelope method to receive either vindesine (VDS; 2 mg/m2 i.v., twice or once weekly) or vincristine (VCR; 1.2 mg/m2 i.v., once weekly) in combination with prednisolone (Pred; 40 mg/m2 p.o., daily). Out of 100 patients entered, 53 patients with ALL and 34 patients with CML . BC were evaluable. Remissions for ALL were seen in 20 of 25 patients (80.0%; 12 CRs and 8 PRs) treated with VDS regimen, and in 17 of 28 patients (60.7%; 7 CRs and 10 PRs) treated with VCR regimen, respectively. For CML . BC, however, remission rates for VDS regimen (42.1%; 5 CRs and 3 PRs in 19 patients) and for VCR regimen (40.0%; 2 CRs and 4 PRs in 15 patients) were equivalent. Overall remission rates of VDS regimen for both diseases, twice weekly regimen (65.5%; 11 CRs and 8 PRs in 29 patients) and once weekly regimen (60.0%; 6 CRs and 3 PRs in 15 patients) were similar. Patients treated with either regimen experienced high incidence of neurotoxicity. Neurotoxic disturbance appeared severer in patients treated with VCR regimen. Incidence of leukopenia and alopecia was high in patients treated with VDS regimen. These data suggest that VDS in combination with Pred is comparable rather superior-to VCR in combination with Pred for adult ALL and CML . BC. Less neurotoxic and sufficiently effective dosage of VDS is considered to be 2 mg/m2, once weekly. PMID- 6580841 TI - [Phase II study of vindesine in hematological malignancies]. AB - A Phase II study of vindesine was carried out by the Vindesine Study Group in 130 patients with hematological malignancies: mainly 3 mg/body (about 2 mg/m2) of vindesine was administered once weekly by bolus injection. In 122 evaluable patients who had been heavily pretreated with vincristine and/or others, remissions were observed in patients with acute lymphocytic leukemia, blastic crisis of chronic myeloid leukemia, malignant lymphoma and other leukemias. The overall response rate was 39.3% including 20 complete and 28 partial remissions. No remissions were obtained in acute nonlymphocytic leukemia and multiple myeloma. All patients were evaluable for toxicity: Leukopenia occurred in 64.9%; peripheral neuropathy in 24.6%; GPT and GOT elevation in 20.7% and in 10.8%; alopecia in 11.5%; gastrointestinal disturbance in 10.8%; and fever in 5.4%. The treatment with vindesine was generally well tolerated, although in five out of 130 patients (3.8%) the treatment was discontinued due to convulsion, feeling of abdominal distention plus constipation, paralytic ileus, dysuria plus constipation, or interstitial pneumonia. Leukopenia and peripheral neuropathy appeared to be dose-limiting factors. PMID- 6580842 TI - [Phase II study of THP-adriamycin in acute leukemia]. PMID- 6580843 TI - Treatment of cutaneous sarcoidosis with isotretinoin. AB - A patient with chronic cutaneous and pulmonary sarcoidosis, unresponsive to oral corticosteroid therapy, was treated with isotretinoin. The patient's cutaneous manifestations of sarcoidosis showed consistent improvement during the course of retinoid therapy. The lesions that responded earliest either resolved or showed the greatest reduction in size. The patient's WBC count increased and her angiotensin-converting enzyme level decreased during the first two months of isotretinoin therapy; both returned to pretreatment levels during the third month of therapy. Pulmonary function tests were unchanged after four months of treatment. Isotretinoin may be a useful therapeutic agent for cutaneous sarcoidosis. However, the possibility of spontaneous remission of the disease during the course of therapy cannot be excluded. PMID- 6580844 TI - Opportunistic pulmonary aspergillosis with chest wall invasion. Plain film and computed tomographic findings. AB - A 37-year-old man with leukemia had the unusual complication of pulmonary aspergillosis eroding through adjacent bone. We were able to demonstrate this on computed tomography (CT) and even on the plain chest film. Bone invasion by an adjacent pulmonary lesion is most often attributed to other organisms or causes. This case demonstrates that aspergillosis must be added to the differential diagnosis of this finding. Recognizing this can be important for the prompt, appropriate treatment of opportunistic infections in the immunocompromised host. PMID- 6580845 TI - [Trials on separating sperm genotypes using carrier-free deflection electrophoresis]. PMID- 6580846 TI - Ultrastructure and cytochemistry of the Golgi apparatus and related organelles of the secretory ameloblasts of the rat incisor. AB - Glutaraldehyde-fixed rat incisors were either post-fixed in ferrocyanide-reduced osmium impregnated with the Ur-Pb-Cu technique or incubated in the medium for acid-phosphatase (AcPase) reaction. The Golgi apparatus of the secretory ameloblast was composed of 4-7 cisternae, small vesicles and condensing vacuoles. It formed an elongated, continuous membrane system over from one- to two-thirds of the supranuclear cytoplasm. Condensing vacuoles seemed to be produced from the dilated margins of both Golgi cisternae and GERL. AcPase activity was demonstrated in the inner 2 or 3 Golgi cisternae, in GERL and in some condensing vacuoles and secretory granules within the Tomes process. It thus seemed that primary lysosomes originate from both the Golgi apparatus and GERL. Whereas many lysosomal bodies appeared in the supranuclear cytoplasm, autophagic vacuoles were rare. A well-developed Golgi apparatus and GERL were, therefore, considered to be involved in the digestion of exogeneous materials as well as in the formation of the precursor of enamel matrix. The simple Golgi apparatus consisting of only compactly stacked cisternae and small vesicles, were sometimes observed in the supranuclear cytoplasm and having no clear relationship with rough-surfaced endoplasmic reticula or GERL, may serve as a source of the plasma membranes necessary for continuous renewal of the cisternae of the well-developed Golgi apparatus. PMID- 6580847 TI - The flow-rate-dependent excretion of ionized calcium in pilocarpine-stimulated human submandibular saliva. AB - In 10 healthy male subjects the total calcium concentration in submandibular saliva varied between 2.05 +/- 0.12 mmol/l and 2.48 +/- 0.1 mmol/min, and did not show a dependency on the flow rate. The salivary-ionized calcium increased significantly at flow rates between 0.1 and 1.3 ml/min (from 0.74 +/- 0.05 to 1.41 +/- 0.04 mmol/l) and even reached plasma levels. PMID- 6580848 TI - Quantitative assessment of urea, glucose and ammonia changes in human dental plaque and saliva following rinsing with urea and glucose. AB - The rates of three processes associated with the rise and fall in plaque pH, that normally occur following a urea rinse, were determined: (i) disappearance of urea from plaque, (ii) disappearance of urea from saliva and (iii) formation and disappearance from plaque of the ammonia produced by the plaque bacteria from the urea. Also examined were two processes associated with the fall and rise in pH following a glucose rinse: the disappearance of glucose from plaque and from saliva. Entry into plaque of either urea or glucose during rinsing was immediate; the subsequent disappearance of both from the plaque was slow and followed first order kinetics. The ammonia formation and urea-disappearance results suggested that clearance of urea from the plaque occurred mainly by bacterial degradation and not by diffusion out of the plaque. The rate constants for ammonia formation and for its subsequent disappearance from the plaque made it clear why a rapid rise and a slow subsequent fall in the pH occurs after urea rinsing. The rate constants enabled calculation of the ammonia produced as a percentage of the urea utilized. Only 16-26 per cent of the urea was recovered as ammonia and the remainder of the urea-N was stored probably as NH2 moieties of certain amino acids. Such storage may enable the plaque bacteria to maintain the pH at an elevated level for an extended period of time by bacterial production of ammonia from these stored compounds after the urea ceases to be available as a source of substrate. PMID- 6580849 TI - Heterofermentative glucose metabolism by glucose transport-impaired mutants of oral streptococcal bacteria during growth in batch culture. AB - Spontaneous mutants defective in a membrane component of the phosphoenolpyruvate glucose phosphotransferase system were isolated by plating cells of Streptococcus sanguis 10556, Streptococcus mutans GS5-2 and NCTC 10449 on agar containing lactose and 2-deoxyglucose. Toluenized cells of these mutants were defective in their ability to catalyse the phosphoenolpyruvate-dependent phosphorylation of 2 deoxyglucose. The parental strains were mainly homofermentative when grown in batch culture in the presence of various sugars. Nevertheless, the mutants produced acetate, formate and ethanol when cultured in the presence of glucose but were homofermentative when grown in the presence of lactose or maltose. Analysis of one mutant isolated from Strep. sanguis (mutant GS26) revealed normal levels of glucokinase, glucose-6-phosphate dehydrogenase, puruvate kinase and lactate dehydrogenase. This last enzyme was dependent on fructose 1,6-diphosphate for catalytic activity. The determination of the intracellular level of fructose 1,6-diphosphate (FDP) during growth of the cells in batch culture showed that the mutant strains contained 2 to 15 times less FDP than the parental strains. Growth experiments performed at pH 6.0 and 7.0 with Strep. sanguis and its PTS-negative mutant GS26 suggested that the regulation of pyruvate metabolism in this bacterium include the intracellular level of FDP and the initial hydrogen concentration of the growth medium. The results also suggested that, in these bacteria, an active PTS is required to maintain the intracellular concentration of FDP high enough to keep the cell homofermentative during growth in batch culture. PMID- 6580850 TI - An electromyographic study of mastication in the freely-moving rat. AB - The EMG patterns of temporalis, masseter and digastric muscles of twenty Wistar white rats were studied as they ate large and small standard food pellets, bread and pudding. Bipolar EMG electrodes were placed in the muscles and led subcutaneously to a connector pedestal on the rat's head. Integrated records of the EMG patterns were used for analysis. The open-close chewing cycle was initiated by digastric activity to open the mouth; temporalis began the closing phase, followed soon thereafter by activity in masseter. A second burst of activity from digastric occurred during this closing phase analogous to the human lateral pterygoid muscle in stabilizing the structures of the mandibular joint. PMID- 6580851 TI - Programming of antagonist muscle stiffness during masticatory muscle unloading in man. AB - The activity of the masseter and digastric muscles was monitored carrying out a controlled, isometric biting task. In 7 out of 10 subjects, the level of activity in the digastric muscle, during the phase of isometric biting, was greater when the subjects expected the resistance between their teeth to yield suddenly than when they were confident that the resistance would not yield. It is therefore concluded that the co-activation of the digastric muscle which occurs during forceful isometric bites can be modified in accordance with the subject's expectation of the outcome of the bite. PMID- 6580852 TI - The chromatographic and electrophoretic micro-heterogeneity of alkaline phosphatase of rat dental pulp. AB - Alkaline phosphatase of rat dental pulp was separated into two forms by anion exchange chromatography, gel-filtration and electrophoresis. The minor activity (AP I) was eluted at 0.1 M of NaCl from a DEAE-cellulose column, and the major activity (AP II) in the broad range of approx. 0.15-0.5 M. These two enzyme activities gave rise to distinct peaks on a TSK-GEL Toyopearl (Fractogel TSK) HW 55-S column and showed different electrophoretic behaviours on both sodium dodecyl sulphate (SDS) and non-SDS polyacrylamide gels. The molecular weights of AP I and AP II were estimated by gel-filtration to be 130,000-150,000 and above 500,000, respectively. On SDS gel electrophoresis, the molecular weight of AP II was changed to 130,000, while AP I had a molecular weight of 150,000. Judging from the sensitivities to heat and some inhibitors, AP I and AP II are biochemically indistinguishable from each other. PMID- 6580853 TI - Modification of human dental pain thresholds by conditioning vibrotactile stimulation at high frequency. AB - The effects of vibrotactile stimulation on dental pain thresholds were studied in 6 healthy human volunteers. Mechanoreceptive afferents were activated with conditioning sinusoidal vibration at 240 and 100 Hz. Significant dental pain threshold elevations were observed only when the conditioning stimulus was applied at high intensity ipsilaterally to the tested tooth. The present study suggests that the dental pain threshold elevation during high-frequency vibratory stimulation is based on the total number of impulses generated in mechanoreceptive afferents. PMID- 6580854 TI - Labelled-calcium release from rat mandibles exposed to prostaglandins in vitro. AB - Bone resorptive effects of prostaglandins (PGs) in cultured mandibular bone tissue of rat fetus prelabelled with 45Ca were examined in comparison with those in radius-ulna. PGE1 (3 X 10(-6)-10(-4) M) and PGE2 (3 X 10(-8)-10(-4) M) could significantly stimulate the release of 45Ca from mandible with a peak effect at 3 X 10(-6) M. The effects of PGEs were more marked in mandible than in radius-ulna. Salmon calcitonin (SCT) inhibited the stimulating effect of PGE2. PGF 2 alpha did not cause the significant increase of 45Ca-release. Parathyroid hormone (PTH) at concentrations of 0.01-1.0 IU/ml dose-dependently stimulated 45Ca-release and the effects were greater in mandible than in radius-ulna. Dibutyryl cyclic (DBc)-AMP stimulated the release of 45Ca in mandible with a sharp peak effect at 5 X 10(-4) M. The results indicate that mandible is more susceptible to these bone resorptive agents than radius-ulna. PMID- 6580855 TI - Growth of the mandibular condylar cartilage of the rat in serum-free organ culture. AB - To evaluate the intrinsic capacity for growth, the mandibular condylar cartilage of 4-day-old rats was cultured in a serum-free, chemically-defined medium for 28 days and compared with the condylar cartilage cultured in a serum-supplemented medium and with the normal growth in vivo. Under the serum-free culture conditions, cell proliferation, differentiation into functional chondroblasts and matrix formation continued, but chondroclasia and osteogenesis were absent. This resulted, after 28 days of culture, in an enlarged condylar cartilage with altered proportions, a severe reduction of the prechondroblastic and the transitional zone and a considerable increase of the hypertrophic zone. It appears that the serum-free culture system is unfavourable for endochondral osteogenesis and lacks factors modulating the rate of proliferation, differentiation and maturation of the prechondroblasts. In the functional environment of the condyle, humoral or mechanical factors seem to exert this essential modulating influence on the condylar-cartilage growth. PMID- 6580856 TI - Correlations between fibroblast androgen receptor levels and clinical features in abnormal male sexual differentiation and infertility. AB - Androgen receptor binding of radiolabelled methyltrienolone (3H-R1881) was determined in cultured genital skin fibroblasts from 17 normal male controls and from 65 males with genital abnormalities. Analysis of the results was performed with patients grouped according to the predominant clinical features. Of 16 patients with complete male pseudohermaphroditism, 12 had androgen receptor (AR) deficiency, one had "receptor-positive" Testicular Feminization, and in three, alternative diagnoses were established (17 alpha hydroxylase deficiency; 20,22 desmolase deficiency; mixed gonadal dysgenesis). In contrast, only four of 16 patients investigated for ambiguous genitalia (phallus intermediate between male and female, perineal urethra) showed AR deficiency. Borderline or slightly low AR levels were found in each of four boys in whom the sole abnormality was micropenis. In 26 boys with penile hypospadias, however, only one had low AR. Very low levels of AR (levels comparable to those seen in complete Testicular Feminization) were found in two of three men with infertility associated with abnormally high serum testosterone levels. PMID- 6580857 TI - Tuberculous peritonitis in chronic renal failure managed by continuous ambulatory peritoneal dialysis. AB - Continuous ambulatory peritoneal dialysis (CAPD) is being increasingly used to treat chronic renal failure in New Zealand. Peritonitis due in particular to gram positive organisms remains the major complication. Three of 92 CAPD patients trained in the Wellington Renal Unit had tuberculous peritonitis, a previously rarely reported complication. Gram positive or Gram negative bacterial infections preceded or followed isolation of Mycobacterium tuberculosis. Differential peritoneal fluid leucocyte counts were not predictive of tuberculous infection and total leucocyte counts remained elevated in tuberculous patients treated for other concurrent bacterial peritonitides. Systemic toxicity was not encountered in these patients, symptoms being confined almost entirely to the peritoneum. CAPD was continued during treatment with anti-tuberculous therapy, in all three patients. However, peritoneal pain on dialysis fluid in-flow necessitated temporary hemodialysis management in two. Anti-tuberculous chemoprophylaxis may be prudent in the at-risk Polynesian patient with chronic renal failure who is being considered for CAPD management. PMID- 6580858 TI - Intravenous methylprednisolone pulse therapy in minimal change nephrotic syndrome. AB - The effectiveness of intravenous methylprednisolone pulses in 20 mg/kg/day for three consecutive days was compared with a more conventional oral prednisone regime in inducing remission in adult patients presenting with first episodes of minimal change nephrotic syndrome. Methylprednisolone was significantly less effective and failed to induce remission in six of nine patients within two weeks of treatment, while the oral prednisone regime was uniformly effective in all eight patients within five weeks. Of the six non-responders to methylprednisolone five subsequently remitted with oral prednisone, and one with cyclophosphamide. Except for one patient in the oral prednisone group who had acute gastritis with bleeding, no serious side-effect was seen with either treatment regimes. PMID- 6580859 TI - Clinical features of mitochondrial myopathy. AB - Five patients with mitochondrial myopathy are discussed. Two presented with progressive external ophthalmoplegia (CPEO), one with CPEO and retinitis pigmentosa, and two with Kearns-Sayre syndrome. Ragged red fibres and intra mitochondrial paracrystalline inclusions were found in each case. The clinical heterogeneity of the mitochondrial myopathy syndrome in the presence of identical pathological changes in skeletal muscle is emphasised. PMID- 6580860 TI - Serotypes in pneumococcal disease. A ten year study in Australia 1970 through 1979. AB - During the ten year period 1970 through 1979, pneumococci from 1205 episodes of pneumococcal disease affecting children and adults in Australia were studied. These included 188 cases of bacteremic pneumonia (85% in adults), 103 cases of primary bacteremia (50% adults), 201 cases of meningitis (69% children), 13 cases of osteomyelitis and/or arthritis, and 13 cases of peritonitis. Otitis media (403 cases), conjunctivitis and sinusitis were predominant amongst 672 localised infections. Of 36 serotypes of pneumococci met with, the leading types were 19, 14, 6, 3 and 9: type 14 predominated in children with primary bacteremia, bacteremic pneumonia or meningitis, type 9 in adults with bacteremic pneumonia, and types 3 and 7 in adults with meningitis. In otitis media types 19 and 3 predominated, in conjunctivitis types 19 and 6, and in sinusitis types 6 and 19. For bacteremic and meningeal infections the current (United States) vaccine provides 83% cover, deletion of the rare (in Australia) types 2, 12 and 25 and the substitution of types 11, 15 and 33 would increase cover by 5% to 88%. PMID- 6580861 TI - Fine needle aspiration cytology in the management of lymphoma. AB - The use of fine needle aspiration (FNA) cytology in the management of patients with lymphadenopathy was investigated. The cases of non-Hodgkin's lymphoma were classified using the Kiel classification, which is based strictly on cytological criteria. Of the 59 cases of biopsy confirmed lymphoma, FNA of nodes showed lymphoma in 53 (90%), no definite diagnosis in five (8%), and false negative diagnosis in one (2%). During the follow-up of patients FNA was positive in seven of the eight cases with a suspected recurrence which was later confirmed by lymph node biopsy. Results suggest that FNA is useful on the initial presentation of a patient with lymphadenopathy. If the diagnosis is unequivocal it helps in planning staging procedures and in selecting involved nodes for biopsy. In some cases with intra-abdominal disease it may obviate laparotomy. However, because false negative diagnoses do occur and because cytological classification of lymphoma is not always accurate FNA should not replace lymph node biopsy at initial presentation, but it can be used as the only investigation to confirm suspected recurrence. PMID- 6580862 TI - Acute nonspecific carditis with advanced heart block in Malaysians. AB - Acute nonspecific carditis with advanced heart block is rare. We observed nine cases with complete heart block and one with Mobitz type II block over an eight and a half year period. Temporary cardiac pacing was instituted in all while permanent pacing was required in six patients. No death was recorded. PMID- 6580863 TI - Type I hyperlipoproteinemia presenting as sudden death in infancy. AB - A routine post-mortem investigating sudden death in an eight week old male infant revealed gross Type I hyperlipoproteinemia (triglyceride concentration 825 mmol/L). Death was attributed to generalized cerebral anoxia. Study of the family revealed the parents were first cousins both of whom had depressed postheparin lipolytic activity, as did five out of seven of the remainder of the family members tested. This family is a notable example of deficiency of extrahepatic lipoprotein lipase. PMID- 6580864 TI - Hepatosplenic schistosomiasis in a South-East Asian refugee child in South Australia. AB - This report documents a case of hepatosplenic schistosomiasis in a South-East Asian refugee boy who presented with malaise, abdominal distension, and was found to have massive splenomegaly and esophageal varices. The diagnosis was confirmed by liver biopsy and he was treated with a highly efficacious schistosomicide, Praziquantel. The case highlights the possible occurrence in Australia of non endemic tropical diseases in immigrants. PMID- 6580865 TI - Seasonal variation in serum urate levels. PMID- 6580866 TI - Small airways disease. AB - Over the last 10 years the non-specific term "small airways disease" has been applied to a number of histologic lesions seen in the peripheral airways of smokers. It is becoming recognized that airway inflammation is the most important of these lesions. This pathology may be the precursor to the subsequent development of emphysema and is an important cause of the functional abnormality in smokers. A current hypothesis is that small airways disease may be detected early in the smoking careers of subjects who later develop chronic respiratory disability. In these individuals particularly, complete cessation of smoking should be the primary therapeutic goal. With the recent development of special tests to assess small airways function, the presence of small airways disease can be detected in asymptomatic smokers who may have normal routine lung function tests. However, most of the tests to assess airway function are also influenced by other physiological factors such as loss of elastic recoil. We await the results of long term epidemiological studies to confirm the above hypothesis that early small airways disease leads to chronic disability. Without such confirmatory evidence, the routine use of these special tests cannot at present be advocated. PMID- 6580867 TI - The Cardiac Society of Australia and New Zealand. Annual meeting, 1983. Abstracts. PMID- 6580868 TI - Gastroenterological Society of Australia. 25th anniversary annual scientific meeting, May 1983. Abstracts. PMID- 6580869 TI - Diagnostic cues in gastroenterology. AB - Twenty seven gastroenterologists (15 physicians and 12 surgeons) were studied to capture their policy in the usage and weighting of cues in making a diagnosis. This was a relatively small sample and on account of possible sampling bias only tentative generalisations will be made. Five case vignettes, each consisting of four to eight cues, were used. Subjects were asked to give their percentage likelihood estimates of various diagnostic possibilities after each cue. This gave an indication of their perception of the significance of various cues in relationship to each diagnosis. There were marked variations in cue weighting by these experts, and in particular, most individuals were far off the mean regarding the weighting of certain clinical features, thus displaying idiosyncratic behaviour in these instances. As may be expected, there were differences in disease prevalence estimates between physicians and surgeons. Early information had an overwhelming effect on the final diagnosis. In most cases the expert relied on a few critical cues rather than on a pattern to make a diagnosis. In view of the strong influences of early diagnostic formulations, these findings confirm the need for doctors to learn to use and collect accurate factual information on prevalence rates and on the most significant critical cues for various disease processes. The study highlights some of the problems faced by novices in learning from experts who may teach them contradictory information about what are the most significant factors in coming to a diagnosis. PMID- 6580870 TI - Cerebrovascular disease in western Australia: an analysis of stroke type and associated risk factors. AB - The stroke types and major risk factors in 356 patients with cerebrovascular disease were examined. Large artery thrombosis accounted for 53% of strokes, cerebral embolism for 22%, lacunes for 14% and intracerebral hemorrhage for 11%. Hypertension, detected in two-thirds of patients, was the major risk factor. The sex distribution varied with age, the major change being an increase in the number of females affected in older age groups. The extent of systemic vascular disease was greatest in patients with thrombo-embolic infarction. PMID- 6580871 TI - Ventricular standstill despite normal electrophysiology study: a further possible indication for pacing. AB - Permanent pacing has usually been indicated for the treatment of organic disease of the sinus node or specific cardiac conducting tissue. We report three patients in whom profound syncope was apparently related to intense, transient autonomic dysfunction. Although ventricular standstill was documented in all three, detailed electrophysiology study, responses to graded Valsalva manoeuvres and carotid sinus massage, and repeated observations after cardiac autonomic blockade by IV atropine (0.03 mg/Kg) and propranolol (0.15 mg/Kg) were essentially normal. Permanent ventricular (VVI) pacing has controlled symptoms in all three, over follow-up period of 20 to 26 months. These observations suggest that transient autonomic imbalance may be a cause of undiagnosed cardiac syncope. This is neither excluded by normal electrophysiology study nor by normal responses to usual provocative autonomic interventions. PMID- 6580872 TI - Hypertrophic pulmonary osteoarthropathy: response to chemotherapy without documented tumour response. AB - A case is reported of severe hypertrophic pulmonary osteoarthropathy associated with bronchogenic carcinoma which successfully responded to chemotherapy, despite the fact there was no objective response in the primary lesion. Previous treatment and responses are briefly reviewed. The method or methods by which chemotherapy may alleviate HPOA in the absence of response to the primary lesion are discussed. The marked discrepancy between progression of the HPOA and progression of the clubbing is noted. The fact that HPOA is potentially treatable despite the prognosis of the primary is emphasised. PMID- 6580873 TI - Post-obstructive diuresis. AB - A patient with post-obstructive diuresis is described. Inappropriate losses of salt and water occurred, with urine volume exceeding half the glomerular filtration rate. Additionally, excessive urinary excretion of potassium, bicarbonate, calcium, phosphate, magnesium and urate took place in the presence of subnormal blood levels. Transient proteinuria was also observed. This case demonstrates that serious electrolyte disturbances can occur after relief of urinary tract obstruction and the evidence suggests these may be due to disordered proximal tubule function. PMID- 6580874 TI - Scurvy and thrombocytopathy in a chronic hemodialysis patient. PMID- 6580875 TI - Aeromonas hydrophila gastroenteritis. PMID- 6580876 TI - Minoxidil in severe hypertension. PMID- 6580877 TI - Pneumomediastinum, not pneumopericardium. PMID- 6580878 TI - Trends in teenage pregnancy in Australia, 1971-1981. AB - Between 1971 and 1981 the age-specific birth rate among Australian teenagers declined by 49%, faster than in any other age group. This is a reflection of several trends--a decline in the total number of pregnancies indicating better use of contraception, a marked decline in marital births as both the planned births and the ex-nuptially conceived births fell, and a rise in the rates of abortion among teenagers. Since nuptial births declined faster than ex-nuptial births the proportion of ex-nuptial births among teenagers rose from 32% to 57%. However, unmarried teenagers have consistently shown lower rates of ex-nuptial births than other age groups. The options available to young women faced with unplanned pregnancy appear to be changing in emphasis--abortion or single parenthood rather than adoption or forced marriage. The decline may have halted since 1980 and several social factors which may be contributing to the various trends are discussed. PMID- 6580880 TI - Prolapse and presentation of the umbilical cord. AB - The outcome of pregnancies with prolapse and presentation of the umbilical cord at Tsan Yuk Hospital, Hong Kong, 1976 to 1982, was reviewed. The incidence was 0.17%, 70 of 41,939 deliveries; 98% of cases were diagnosed in hospital. Breech presentation, low birth-weight and artificial rupture of membranes were found to be significant associations; 78% of cases were discovered by vaginal examination and the diagnosis-delivery interval was less than 30 minutes in 75%. There were 8 perinatal deaths and 3 of these occurred in babies whose birth-weights were less than 1,000 g; 2 stillbirths were associated with presentation of the cord. The corrected perinatal mortality was 8.6% with a corresponding Caesarean section rate of 73.3%. 80% of the babies born by Caesarean section had 5 minutes Apgar scores of 7 or more. It was concluded that early diagnosis of umbilical cord prolapse followed by prompt treatment are effective in reducing the perinatal mortality rate. Energetic intrapartum monitoring is also essential in order that patients with occult prolapse or presentation of the umbilical cord be diagnosed early and treated promptly. PMID- 6580879 TI - Errors in the measurement of blood pressure. AB - The effect of posture on blood pressure measurement in pregnant and non-pregnant subjects was studied. In non-pregnant patients undergoing cardiac catheterization, central blood pressure remained unaltered with a change from the supine to the lateral position. However in all subjects studied, an apparent decrease in both systolic and diastolic blood pressure occurred when measured in the upper arm in the lateral position. This fall is artifactual and does not represent a change in blood pressure. It is concluded that blood pressure measurements in the lateral position are inaccurate. PMID- 6580881 TI - Can obstetricians prevent neonatal intraventricular haemorrhage? AB - The possible influence of obstetric and early neonatal factors on the development of neonatal intraventricular haemorrhage (IVH) in very low birth-weight infants have been studied. Caesarean section was associated with a significantly lower incidence of IVH, this reduction being largely confined to infants of 25-28 weeks' gestation. Forceps delivery did not seem to influence the rate of occurrence of IVH if one allowed for differences in gestational age between infants delivered spontaneously and those with forceps. Similarly the use of an episiotomy at the time of delivery did not seem to reduce the incidence of IVH, and a similar lack of correlation was found with the other factors examined. PMID- 6580882 TI - Prospective follow-up of growth retarded infants and of those from pregnancies complicated by low oestriol excretion--7 years. AB - Growth and neurological outcome to 7 years of age were determined in 273 growth retarded infants, 341 infants from pregnancies complicated by subnormal urinary oestriol excretion and 72 control infants. By 1 year of age 80.6% of growth retarded infants were above the 10th percentile for weight. Growth continued so that after 2 years of age only 10.6% were beneath the 10th percentile. A neurological abnormality was detected in 9.5% of growth retarded infants and 8.3% of control infants (P = NS). Only 6 (2.2%) of the growth retarded infants were severely handicapped. A neurological abnormality was detected in 16.4% of infants from pregnancies with low oestriol excretion and although this incidence was higher than that of the control infants (8.3%), the difference failed to achieve statistical significance. The neurological abnormality was severe in only 7 infants (2.1%). The intelligence quotient (IQ) was the same in infants from pregnancies complicated by chronically low oestriol excretion whether hypertonic dextrose (mean IQ 103) had been administered to the mother or not (mean IQ 105). It is concluded that the pregnancy complicated by low oestriol excretion and/or fetal growth retardation should be treated with optimism. PMID- 6580883 TI - A prospective study of beta HCG radioimmunoassay in the diagnosis of ectopic and other complicated early pregnancies. AB - The beta-subunit of chorionic gonadotrophin (beta HCG) was measured by radioimmunoassay in the serum of 190 consecutive patients admitted to hospital with the suspicion of ectopic pregnancy. The detection limit was set at 1 ng/ml. A urine sample was also taken for pregnancy testing on admission. A positive serum beta HCG result was obtained in 36 patients (19%); pregnancy was confirmed in 32 (ectopic pregnancy 14, abortion 8, continuing normal pregnancy 7, retained products 3), giving a predictive value of 89%. There was poor correlation between serum and urine results. The serum levels were low in patients who subsequently aborted, intermediate in those with ectopic pregnancy and within the normal range in patients in whom the pregnancy continued normally. The high predictive value of the test should identify the patients for further investigation, thus avoiding unnecessary operative procedures and prolonged hospital stay. PMID- 6580884 TI - Touching and birthing. AB - Although humans are mammals, experts have often acted as though we were not, especially in the realm of our need for touch. Psychologists, surgeons and maternity hospitals are among those who have sought to discourage this basic mammalian form of contact and comfort. Yet there is ample evidence that touch is needed in a number of ways at the time of birth, for the months that precede it and for the years that follow. Even those who criticize touch-advocates for overstating the scientific evidence for their case, share their conclusion about the importance of touch at the time of birth. PMID- 6580885 TI - Hyperprolactinaemic amenorrhoea in Hong Kong. AB - In a retrospective study of 595 patients attending the Menstrual Disorder Clinic from January, 1978 to December, 1981, 92 patients (15.5%) had raised serum prolactin (PRL) levels (greater than 25 ng/ml) on 2 or more separate occasions with a mean (+/- S.E.M.) value of 67.1 +/- 2.5 ng/ml. Galactorrhoea was found in 27.2% of the hyperprolactinaemic patients. Primary amenorrhoea was observed in 1 patient (1.1%) with serum PRL level of 68 ng/ml. Secondary amenorrhoea of longer than 6 months' duration occurred in 61 patients (66.3%) with mean PRL level 84.2 +/- 3.3 ng/ml. The 30 patients (32.6%) with irregular menstruation had a mean PRL level of 47.2 +/- 3.3 ng/ml. Investigations revealed that 43 patients (46.7%) had idiopathic hyperprolactinaemia, 14 patients (15.4%) had drug induced hyperprolactinaemia and 1 patient (1.1%) had hypothyroidism; 18 patients (19.5%) had suspected pituitary microadenoma and 16 patients (17.2%) had abnormal radiographic findings. Bromocriptine treatment was given to 38 patients, 13 with abnormal tomographic findings (mean serum PRL greater than 100ng/ml); 18 with suspected pituitary microadenoma (mean serum PRL 94 +/- 2.7 ng/ml) and 7 with idiopathic hyperprolactinaemia (mean serum PRL 65 +/- 4.7 ng/ml). All patients (38/38) responded to treatment with restoration of menstruation and cessation of galactorrhoea within 1 to 3 months. Mean PRL level was 21.6 +/- 5.2 ng/ml at the time of response. Thirteen patients subsequently became pregnant and all delivered healthy babies. PMID- 6580886 TI - Maternal exposure to environmental chemicals and the aetiology of teratogenesis. AB - Data on exposure of 10,879 pregnant women to various household and agricultural chemicals were obtained by interview; 6,267 of these women were seen both antenatally and postnatally, enabling a genuine prospective study of the association between chemical exposure and congenital abnormalities in the infant. The remaining 4,612 women were privately booked and were first seen postnatally. Statistical analysis of the 2 groups revealed a strong association of malformations with chemical exposure in both groups, even after other known risk factors were taken into account. PMID- 6580887 TI - Infantile pyknocytosis: a cause of intrauterine haemolysis in 2 siblings. AB - Infantile pyknocytosis, a rare cause of intrauterine haemolysis and potential perinatal death, is described and the relevant literature reviewed. Treatment consists of preterm delivery with exchange transfusion as necessary to control the haemolytic process and hyperbilirubinaemia. PMID- 6580889 TI - The differential diagnosis of the psychotic patient. PMID- 6580888 TI - A solitary diverticulum of the fallopian tube. AB - A rare case is described in which a diverticulum of the middle portion of the right Fallopian tube was demonstrated by hysterosalpingography. The patient aged 26 years, had a history of a ruptured left mid-tubal pregnancy 8 years previously and was suffering from infertility. The radiographic appearance of the lesion is characteristic, the aetiology is obscure and treatment should be conservative. PMID- 6580890 TI - Post-hysterectomy adaptation: a review and report of two follow-up studies. AB - Hysterectomy, its indications and its consequences for later health, have been prominent topics in recent psychiatric, gynaecological and lay literature. This study describes the results of two recent surveys, one of 216 women less than 45 years old who had a hysterectomy for non-malignant conditions at a major Sydney hospital. These women were interviewed on the seventh to tenth postoperative day. One hundred and ninety-four were then followed up by questionnaire 13 months later. In a later study carried out at a hospital on the outskirts of Sydney, 100 out of 146 women responded to a follow-up questionnaire approximately one year after their operations. These studies and their relevance to recent similar studies are discussed in terms of post-hysterectomy adaptation and prognostic factors associated with poor psychiatric outcome. PMID- 6580891 TI - Which version of the General Health Questionnaire should be used in community studies? AB - Literature pertinent to the use of the various versions of the General Health Questionnaire (GHQ) is briefly surveyed. The literature indicates that the 60 item version has the highest reliability and validity coefficients, the lowest misclassification rate, and the highest sensitivity and specificity. Using data from a previously published community survey in Perth using the 60-item GHQ, comparisons are made between use of the 60-, 30-, 20- and 12-item versions, including community prevalence rates, simultaneous identification of cases, disagreement rates and patterns of community rates with age. The 60-item version gives the lowest prevalence rates. It is argued that the 60-item GHQ is probably the best as it gives the lowest misclassification rates, the smallest standard error of estimated prevalence rates and allows measurement of certain subscales not contained within the shorter versions. PMID- 6580892 TI - Individual psychotherapy and schizophrenia. AB - Conceptual issues in approaching the role of psychotherapy in the treatment of schizophrenic patients are discussed in the context of trainee supervision. Eight important variables which require consideration in conducting and evaluating the psychotherapy of these patients are elucidated. It is suggested that psychotherapy variables are conceptually distinct from those which belong to the frame of reference of the disease model or syndrome diagnosis, and thus demand separate attention. PMID- 6580893 TI - A comparison of Australian suicide rates in 1969-73 and 1976-80. AB - Australian suicide rates were compared for the 1969-73 and 1976-80 periods by age, sex and State. Rates for males were generally at least twice those for females. The sex difference was marked, irrespective of age, State and time period. Middle-aged and older Australians generally had higher rates than 20-29 year-olds, although this finding was not consistent by State for males. The national age-standardised suicide rate for all age groups combined decreased between the 1969-73 period and 1976-80 both for males and (more so) for females. However, there was a 24% increase for 20-29-year-old males. While the suicide rate for 20-29-year-old females decreased between the 1969-73 period and 1976-80, an analysis of yearly trends within the 1976-80 period revealed an upward trend for individuals aged 20-29 years, for both females and males. PMID- 6580894 TI - Alcohol problems among women working in the home: prevalence and predictors. AB - A sample of 655 women was contacted whilst attending general practitioners' surgeries and questioned on numerous health and social matters. Follow-up interviews were held a year later in the women's homes and information on drinking behaviour and problems with drinking obtained. Almost 15% of the sample could be classified as problem drinkers on the basis of their responses to a 'problems with drinking' scale. Seven major variables were identified as being associated with problem drinking amongst these women. These included familial history of heavy drinking, depression, stress level, major life changes, reported alcohol consumption, usual type of leisure activities and abuse of substances such as coffee and tobacco which can result in dependency. Likelihood of problem drinking increased substantially with the number of adverse factors reported. It was concluded that knowledge of these factors would help the general practitioner in the identification of women with alcohol problems. PMID- 6580895 TI - Sex differences in psychiatric morbidity: an analysis of Victorian data. AB - This study examined relevant Victorian data in the light of overseas findings on sex differences in psychopathology and utilisation of psychiatric treatment resources. Data sources included community health surveys and treatment statistics from the State psychiatric services, general hospitals and general practitioners. It was revealed that more Victorian women than men reported and were treated for psychiatric problems, and that women were most often diagnosed as depressed and otherwise neurotic, whereas men more often had alcohol and personality disorders. Married women had higher rates of mental illness than married men, whereas single and divorced men had higher rates of psychiatric morbidity than their female counterparts. Occupational status was related to men's, but not women's mental health. Various explanations for the findings are discussed, with some stress on the possible contribution of the sex role socialisation and cultural expectations of men and women. PMID- 6580896 TI - Bromo-DMA: the Australasian hallucinogen? AB - If the frequency of seizures by police of hallucinogens reflects the frequency with which various hallucinogens are ingested in Australasia, most toxic states resulting from hallucinogen abuse are due to Bromo-DMA and not to LSD as is commonly reported by the subjects. Two cases of intoxication with the new hallucinogen, Bromo-DMA, are reported. Both recovered within 24 hours following treatment with haloperidol. PMID- 6580897 TI - Cultural perceptions of the mentally ill: Australian and Papua New Guinean high school youth. AB - One hundred and thirty-three (76 male, 57 female) Papua New Guinean (PNG) and 144 (93 male, 51 female) Australian high school students completed a series of structured and open-ended measures on attitudes to the mentally ill, especially opinions about the nature of mental illness, characteristics of the mentally ill, and treatment. Both groups of students suggested hereditary and environmental causes, with PNG students citing more often witchcraft and sorcery. Australian students generally presented more favourable attitudes to mental illness, in that they were more willing to work with or marry the mentally ill. PNG students, however, were more likely to highlight the disruptive, violent behaviour of the long long, and possibly held a much narrower view of the types of persons labelled mentally ill. PMID- 6580898 TI - Musical hallucinations in the elderly: a variation on the theme. PMID- 6580899 TI - Liver impairment associated with nomifensine. PMID- 6580901 TI - Societal approval of suicide. PMID- 6580900 TI - Depression, electroconvulsive therapy and diabetes mellitus. PMID- 6580902 TI - Psychotropic drugs. PMID- 6580903 TI - Stimulatory effect of prostaglandin E2 on 1 alpha,25-dihydroxyvitamin D3 synthesis in rats. AB - The effect of prostaglandin E2 on accumulation in plasma of 1 alpha,25 dihydroxy[3H]vitamin D3 from 25-hydroxy[3H]vitamin D3 was studied in vivo using vitamin D-deficient thyroparathyroidectomized rats. Intra-arterial infusion of 10 50 micrograms of prostaglandin E2/h caused a significant stimulation of 1 alpha,25-dihydroxy[3H]vitamin D3 production. No significant changes in plasma Ca2+ and Pi concentrations or urinary cyclic AMP excretion were observed after prostaglandin E2 infusion. Theophylline did not enhance the effect of a submaximal dose of prostaglandin E2 on 1 alpha,25-dihydroxy[3H]vitamin D3 production. These data indicate that prostaglandin E2 stimulates plasma accumulation of 1 alpha,25-dihydroxy[3H]vitamin D3 independent of the adenylate cyclase/cyclic AMP system, and suggest that prostaglandin E2 has a modulatory role in the regulation of 25-hydroxyvitamin D3 1 alpha-hydroxylase in the kidney. PMID- 6580904 TI - A mesophase (liquid crystal) state of DNA complexes with anthracycline antibiotics. AB - In the presence of polyethyleneglycol water-salt solutions, DNA is condensed to a kind of mesophase (liquid crystals). The peculiar properties of this phase caused by anisotropic orientations have been analyzed by circular dichroism (CD) of condensed particles of DNA complexed with dyes, i.e. anthracycline antibiotics (daunomycin, aclacinomycin A), actinomycin, and ethidium bromide. The anthracycline complexes show intense CD bands in the visible and the UV region. Daunomycin induces a typical reversal of the sign of these CD bands with increasing occupation of the double helix contrary to the other ligands. This characteristic effect and its partial reversal after removal of daunomycin from the condensed particles can be the result of the change of the direction of the mesophase helical twist owing to an energy change of interaction between DNA molecules, and partially to a modification of base-plane inclination (tilt), too. This new type of DNA complex state is characterized in detail. PMID- 6580905 TI - Serum, platelet-derived growth factor, vasopressin and phorbol esters increase intracellular pH in Swiss 3T3 cells. AB - Addition of the growth-promoting agents phorbol esters, vasopressin, platelet derived growth factor or fresh serum to quiescent cultures of Swiss 3T3 cells causes a significant increase in the uptake of 5,5-dimethyl oxazolidine-2-4-dione (DMO), a sensitive measure of intracellular pH. The results further indicate that cytoplasmic alkalinization is an early event associated with the action of a variety of mitogenic compounds. PMID- 6580906 TI - Role of the fast-exchanging calcium compartment in the early cardiotoxicity of anthracycline analogs. AB - Two new anthracycline analogs, 4'-epi-doxorubicin and 4'-deoxydoxorubicin, were tested for their cardiotoxicity and their activity on calcium turnover in guinea pig heart. The df/dt was used as an index of contractile force; calcium turnover was studied by means of a radioisotopic technique. 4'-Epi-doxorubicin was found less cardiotoxic than doxorubicin, whereas 4'-deoxydoxorubicin was found almost completely devoid of cardiotoxicity. The different cardiotoxic activity was found to be linearly correlated with the relative capacity to inhibit the fast exchanging calcium compartment in cardiac muscle: doxorubicin greater than 4'-epi doxorubicin greater than 4'-deoxydoxorubicin. This result supports that the inhibition of calcium exchange is involved in development of the early cardiotoxicity of anthracyclines. PMID- 6580907 TI - Metabolism of intratubular prostaglandin E2 in the rat kidney. PMID- 6580908 TI - Change in the work of breathing imposed by five anaesthetic breathing systems. AB - Measurements of pressure and flow in five anaesthetic breathing systems were studied with various fresh gas flows (FGF) using volunteers, and mechanically simulated breathing. Pressure measurements were made at the patient connection and in the neck of the reservoir bag. A pneumotachograph was used to measure flow in the patient connection. The change in the work of breathing imposed by the circuit was derived from the pressure-volume graph and apportioned to stages of the breathing cycle. All the systems studied increased the work of breathing. Expiratory work was always increased more than inspiratory work. The additional work imposed on expiration and the total extra work imposed on breathing were further increased at FGF greater than the minimum clinical requirement. PMID- 6580909 TI - A more reliable photometric technique for the measurement of scalp sebum excretion. AB - The objective assessment of antiseborrhoeic therapy for the scalp requires a reliable technique for the measurement of sebaceous gland activity. Previously published methods were tried but found to be unreliable. This paper describes a photometric technique which gave repeatable results and demonstrated a reduction of sebaceous gland activity on the scalp with both oral isotretinoin and topical II alpha-hydroxyprogesterone. The accuracy of the method was achieved by careful preparation of the scalp but was affected by recent shampooing. PMID- 6580910 TI - Primary dysmenorrhoea: the importance of both prostaglandins E2 and F2 alpha. AB - Menstrual fluid was collected in a contraceptive diaphragm from 16 women with primary dysmenorrhoea and 12 matched control subjects without dysmenorrhoea. Prostaglandins F2 alpha (PGF2 alpha), E2 (PGE2) and 6-oxo-prostaglandin F1 alpha (6-oxo-PGF1 alpha) were extracted and measured using gas-chromatography: mass spectrometry (GC:MS). The concentrations of both PGF2 alpha and PGE2 were higher on days 1 and 2 in the dysmenorrhoea group than in the control group and the concentration of PGF2 alpha was higher on day 1 than on day 2 in the dysmenorrhoea group. The concentrations of 6-oxo-PGF1 alpha (the stable metabolite of PGI2) were low in both groups. These results confirm suggestions that PGF2 alpha is important in the aetiology of dysmenorrhoea and also indicate that PGE2 may be involved. PMID- 6580911 TI - Stereophotographic measurement of change in facial soft tissue morphology following surgery. AB - Changes in soft tissue morphology induced by surgery are generally analysed using midline profiles only, derived from photographs and cephalometric radiographs. Full face photographs supplement these records. Soft tissues and their changes can be measured in three dimensions using stereophotography. This report described how the three dimensional changes produced by facial surgery were measured for a patient undergoing surgery to the mandible. PMID- 6580912 TI - Photoradiography of facial structures. PMID- 6580913 TI - Plastic baton round injuries. PMID- 6580914 TI - Simultaneous computed tomography and sialography of the parotid and submandibular glands. AB - A technique of simultaneous computed tomography and sialography of the parotid and submandibular glands is described and the examination of 14 patients reported. Tumours were diagnosed in six cases and in the remaining eight cases inflammatory lesions were found. Sialographic enhancement offered definite advantages in localisation of lesions and examination of the tumour-normal tissue interface compared with either C.T. or sialography alone. PMID- 6580915 TI - Post-operative dental pain and analgesic efficacy. Part I. AB - Two groups, each of 100 adult patients who had undergone either a periodontal or oral surgical procedure were asked to record their pain experience over a three day investigation period. The results show that post-operative dental pain is variable in its nature and intensity, but reaches its maximum intensity in the first 12 hours post-operatively. Women appear to be more sensitive to post operative pain than men. Significant differences in the pain experience after different operative procedures were noted. Removal of impacted lower third molars and retained roots result in more post-operative pain than the various other operative procedures. The incidence and severity of post-operative pain showed no clear relationship to the duration of the surgical procedure. PMID- 6580916 TI - Post-operative dental pain and analgesic efficacy. Part II. Analgesic usage and efficacy after dental surgery. AB - The analgesics taken by patients after oral and periodontal surgery were noted over a three day observation period. Analgesic consumption matched closely the pain experience. The efficacy of self-prescribed analgesics was extrapolated from the pain scores obtained in the first 12 hours after surgery, and overall, the apparent efficacy appears poor. However, those patients who reported taking aspirin recorded significantly less pain than those who took either paracetamol or combination analgesics. Analgesic efficacy was not related to dose, although a significant correlation was noted between the number of paracetamol tablets taken and pain severity. PMID- 6580917 TI - Chondromyxoid fibroma of the mandible. PMID- 6580918 TI - Incorporation of cis-parinaric acid, a fluorescent fatty acid, into synaptosomal phospholipids by an acyl-CoA acyltransferase. AB - The cis-isomer of parinaric acid, a naturally occurring C-18 polyene fatty acid, was incubated with brain subcellular fractions and the polarization of fluorescence increased in a time dependent manner. Greatest increases occurred in synaptosomal and microsomal membranes. This increase in polarization of fluorescence was found with the cis, but not the trans, isomer of parinaric acid and required Mg2+ or Ca2+ and was stimulated by coenzyme A and ATP. Synaptosomes were incubated with cis-parinaric acid and lipids were extracted and examined by high performance liquid chromatography. The highest incorporations of cis parinaric acid were found in phosphatidylcholine (71%) and phosphatidylethanolamine (20%) while only traces were found in phosphatidylserine and phosphatidylinositol. [3H]Oleic acid was also incorporated into membrane phospholipids and unlabeled oleic acid blocked incorporation of cis-parinaric acid. It is proposed that cis-parinaric acid, like fatty acids normally found in brain, is incorporated into membrane phospholipids by an acyl-CoA acyltransferase. The presence of this enzyme in nervous tissue may make it possible to easily introduce fluorescent fatty acid probes into membrane phospholipids and to thereby facilitate study of membrane-mediated processes. PMID- 6580919 TI - The kinetic parameters of the uptake of very-low-density lipoprotein remnant cholesteryl esters by perfused rat livers. AB - The aim of this study was to determine the kinetic parameters of the hepatic uptake of VLDL remnant cholesteryl esters. Rat livers were perfused in situ with a broad range of remnant [3H]cholesteryl ester concentrations of known specific radioactivity. Following exactly 3 min of perfusion, hepatic lipids were extracted and labelled cholesteryl esters were separated by thin-layer chromatography and counted. The rate of cholesteryl ester uptake was a saturable process and the apparent kinetic parameters were determined from the Lineweaver Burk plot of the data. Km and Vmax were calculated to be 72 microM and 35 nmol cholesteryl ester/min per g liver, respectively. For the purpose of comparison, we have expressed our kinetic parameters in terms of number of particles (Vmax = 0.022 nmol particles/min per g liver and Km = 45 nM) and compared our values with those obtained with chylomicron remnants by another group of investigators (Sherrill, B.C., Innerarity, T.L. and Mahley, R.W. (1980) J. Biol. Chem. 255, 1804-1807). We found that the maximal capacity for the removal of VLDL particles was similar to what was observed with rat chylomicron remnants. In contrast, the Km for the uptake process of VLDL remnant particles was approximately four times higher than that of rat chylomicron remnant particles. Our results are consistent with the hypothesis that hepatic removal of both chylomicron and VLDL remnants is mediated by the same receptor, but suggest that the affinity of VLDL remnants for the hepatic removal process is substantially lower, possibly due to structural differences between the two remnant particles. PMID- 6580920 TI - Separation of rat plasma HDL subfractions by density gradient centrifugation and the effect of incubation on these fractions. AB - The conditions for the separation of rat high density lipoproteins (HDL) in a single ultracentrifuge run are described. By this method six serum samples can be processed simultaneously. HDL is separated into two main fractions, one with apolipoprotein E and the other with apolipoprotein A-I as the major protein component. The apolipoprotein E-rich HDL contains a relatively high amount of phospholipid and unesterified cholesterol and therefore resembles HDL-1 or apolipoprotein E HDL as isolated by other methods. The other HDL fraction resembles HDL-2. The two HDL fractions appeared to be heterogeneous with respect to apolipoprotein composition. The HDL-1 consisted of particles with and without a low percentage of apolipoprotein A-I. The HDL-2 consisted of particles with a variable amount of apolipoprotein E and A-IV. During incubation of rat serum for 5 h at 37 degrees C in the presence of dithiobis(2-nitrobenzoic acid) (DTNB) a small shift of the HDL-2 peak to lower densities occurred. Incubation of the serum without DTNB led to a loss of cholesterol from the 'light' HDL-1 fractions and an increase in cholesterol ester in fractions at densities intermediate between those of HDL-1 and HDL-2 and in fractions at the densest part of the gradient. PMID- 6580921 TI - Identification of a cadmium-binding protein from a cadmium-resistant variant of human lymphoblastoid cells (WI-L2). AB - Cadmium-binding protein synthesis and induction by cadmium chloride were studied in the human lymphoblastoid cell line WI-L2. Lymphoblasts were adapted to growth in 5 microM cadmium chloride (Cdr) and these cells were 2.5-fold more resistant to cadmium than the parental line. There was no difference in the cellular protein profile between the parental line and lymphoblasts grown for a short period, less than 10 days, in cadmium chloride as measured by [35S]cysteine labelling and SDS-polyacrylamide gel electrophoresis. A basal level of cadmium binding protein was apparent, however, by gel filtration. The Cdr lymphoblasts were found to synthesize a substantial amount of cadmium-binding protein, approximately 25-fold more than the parental line. The cadmium-binding protein has the following properties which are consistent with its being a metallothionein: (1) [35S]Cysteine-labelled protein eluted at a Ve/Vo = 2.1 on a Sephadex G-75 column; (2) the molecular weight was estimated as 11 kDa on 7-17% SDS polyacrylamide gels; (3) the protein was heat-stable; (4) the unlabelled protein bound 109Cd2+. PMID- 6580922 TI - [Effect of prostaglandins on the sensitivity of cerebral cortical neurons in rabbits to cholinoreceptor agonists]. AB - The effect of prostaglandins F2a and E2 on the reaction of rabbit's brain cortex neurons provoked by arecoline and nicotine (stimulators of M- and N cholinereceptors) has been investigated by using a microionophoretic technique. As a rule, prostaglandin F2a decreased and prostaglandin E2 increased the effects of arecoline. Prostaglandins rarely changed the effect of nicotine. The data obtained confirms the supposition that prostaglandin F2a has inhibitory effects on the synthesis in neurons of the cyclical guanosinemonophosphate. Some hypothesis of the prostaglandins participation in integrative activity mechanisms of neurons are supposed. PMID- 6580923 TI - [Blast cell differentiation of a continuous human leukemia line as affected by dimethyl sulfoxide]. AB - The human blast cells line L-101 isolated from blood leukocytes of the patient with the cutaneous erythromyeloleukemia in the media with dimethyl-sulfoxide (DMSO) and maintained by permanent cultivation stimulate myeloid differentiation of this cells. The number of differentiated cells depends on DMSO concentration. Maximum of differentiated cells (up to 75%) have exposed on the 6th day of incubation with 0,75% DMSO. The cell line L-101 is a suitable model for investigation of myeloid differentiation. PMID- 6580924 TI - [Genetic polymorphism of the myogens of the lake frog (Rana ridibunda Pall.)]. AB - 348 individuals of Rana ridibunda Pall. collected in 3 points of the area (Moscow, Kiev, Astrakhan regions) have been studied by means of electrophoresis muscle proteins in polyacrylamide gel. Three variants of fractions have been found in different specimen on one part of the electrophoretic spectrum. These variants are considered as phenotypes of two-allelic codominant system of one locus inheritance that is confirmed by the correspondence of observational and expected number of phenotypes according the Hardy-Vainberg law. The found polymorphism independence of sex has been proved. The frequency of quick alleles fluctuates from 0,361 to 0,867. Similarity and difference according allele A frequency have been shown. The polymorphic system may serve as a genetic marker for the investigation of population structure of lake frog. PMID- 6580925 TI - Specific globin mRNAs in human erythroleukemia (K562) cells. AB - Specific globin mRNA accumulation was quantitated in several lines of K562 cells in the absence and the presence of hemin. Using specific cloned DNA probes, the amounts of zeta, alpha, epsilon and gamma mRNAs were shown to be increased 2-3 fold in the presence of 20 microM hemin. No delta- or beta-globin mRNAs were detectable in any of the lines. In one line, Bos, there was a marked decrease in epsilon-globin mRNA, which increased with hemin, although still to much lower levels than in the other lines. The decreased epsilon-globin mRNA accumulation in Bos is shown to be due to decreased epsilon-globin gene transcription. PMID- 6580926 TI - Primary therapy of acute promyelocytic leukemia: results of amsacrine- and daunorubicin-based therapy. AB - Remission rates for patients with acute promyelocytic leukemia (APL) have improved with the use of anthracyclines and proper management of disseminated intravascular coagulopathy. In a prospective randomized trial of chemotherapy in patients with acute nonlymphoblastic leukemia, there were 16 patients with APL. All 7 of the patients receiving the amsacrine-containing regimen and 5 of 9 receiving the daunorubicin-containing regimen achieved a remission. All patients, except 2 of the 3 who underwent bone marrow transplantation, remain alive and in remission from 1+ to 25+ mo. Amsacrine is an effective replacement for daunorubicin in the treatment of APL, and its use does not compromise the favorable remission duration characteristic of APL. PMID- 6580927 TI - Nonspecific esterases of leukemia cell lines: evidence for activation of myeloid associated zymogens in HL-60 by phorbol esters. AB - Myeloid leukemia cell line HL-60 contains fluoride-sensitive, myeloid-associated isoenzymes of nonspecific esterase that increase in activity when cultures are treated with phorbol ester. These isoenzymes are not detectable in B-lymphoblast cell line KLM-2, either in control or in phorbol-ester-treated cultures. No increased de novo synthesis of the isoenzymes is detectable in HL-60 treated with phorbol ester. The data suggest stimulated conversion of a preformed, myeloid associated zymogen in HL-60. PMID- 6580928 TI - Acute myeloid leukemia with marrow hypereosinophilia and chromosome 16. PMID- 6580929 TI - Therapy of acute lymphocytic leukemia in childhood with intermediate dose methotrexate and CNS irradiation. A report of the ALL 77-02 study group. AB - One hundred and eight children with acute lymphocytic leukemia (ALL) were admitted to a prospective therapeutic regime. Remission induction was achieved in 94% of the cases with vincristine, L-asparaginase, adriamycine and prednisone. One hundred and one patients received three intermediate dose methotrexate (MTX) infusions combined with intrathecal MTX, followed by L-asparaginase 24 h later. High risk (HR) patients (n = 50) were treated in addition with high dose cyclophosphamide and Ara-C over 3 weeks. One hundred and one patients received cranial irradiation (1,800 rads standard risk (SR)-patients, 2,400 rads HR patients) and intrathecal MTX. Maintenance therapy was performed with the usual two drug combination of daily 6 mercaptopurine (6 MP) and weekly MTX orally. Based on phenotyping 67% of patients had common type ALL, and pre-T or T-cell type in 18%. Six per cent of the patients had leukemic blasts expressing both common ALL and T-cell markers (c/T-type); 9% had acute undifferentiated leukemia (AUL). Out of 108, 101 achieved a complete remission, 6 patients died during induction therapy, 1 was a non-responder and 9 patients relapsed. Of these Four patients died in continuous complete remission (CCR). For 101 patients the 30 months probability of CCR is 0.85 (+/- 0.05). For 51 patients with standard risk CCR probability is 0.98 (+/- 0.03), for 50 patients with high risk indices it is 0.65 (+/- 0.11). Patients with c-ALL have a CCR survival of 0.85 (+/- 0.07), those with T- or pre-T-ALL 0.88 (+/- 0.09), all 5 patients with c/T-ALL alive in CCR. In our study pediatric AUL patients have the most unfavourable prognosis. PMID- 6580930 TI - Investigations on karyotype evolution in patients with chronic myeloid leukemia (CML). AB - In an attempt to relate karyotype evolution to clinical and hematological data serial chromosomal analyses were performed in 31 patients with chronic myeloid leukemia (CML), both in chronic and acute phases. Our results in Philadelphia chromosome (Ph1)-positive CML are in line with karyotype profiles described in the literature. In addition, we report on chromosomal findings in 4 cases of Ph1 negative disease, one presenting with an iso17q chromosome in the positive CML. The same chromosomal abnormality was observed in a small population of Ph1 negative cells present in one of two patients with mixed Ph1-positive/Ph1 negative CML. The first case of a female patient with the loss of a sex chromosome in Ph1-positive cells is reported. Two patients with unusually long and mild chronic phases despite the presence of trisomy 8 in their karyotypes are described. Our findings suggest that the order of appearance of additional chromosomal changes of CML is of prognostic significance for the progression and the clinical picture of the disease. PMID- 6580932 TI - Cochlear implant: a treatment for profound neurosensory deafness. PMID- 6580931 TI - Anesthesia for posterior fossa surgery in the sitting position. PMID- 6580933 TI - A perspective on macular degeneration. PMID- 6580934 TI - Epidemic meningococcal meningitis: the case of Mali. PMID- 6580935 TI - Clinical research in geriatrics past, present, and future. PMID- 6580936 TI - Prognostication in patients with coronary artery disease: preliminary results of radionuclide cineangiographic studies. PMID- 6580937 TI - Effects of yohimbine, rauwolscine and corynanthine on contractions and calcium fluxes induced by depolarization and prostaglandin F2 alpha in rat aorta. AB - The effects of the selective alpha 2-adrenoceptor antagonists yohimbine and its stereo-isomer rauwolscine and the selective alpha 1-adrenoceptor antagonist corynanthine (a third yohimbine stereoisomer) on contractions induced in rat aorta by depolarization and prostaglandin F2 alpha (PGF2 alpha) have been compared. In calcium-free solution, depolarization with 100 mM K+ failed to produce a contraction of rat aorta but PGF2 alpha (3 microM) stimulated a contraction equal to about 23% of maximal elicited in normal physiological solution. Yohimbine had no significant effect on depolarization-induced contractions except at concentrations greater than 30 microM. Rauwolscine and corynanthine (1 to 100 microM) depressed depolarization-induced contractions in a concentration-dependent manner, but the characteristics of inhibition were not identical. Contractions induced by PGF2 alpha (3 microM) were depressed in a concentration-dependent manner by rauwolscine (3 to 100 microM) but were unaffected by yohimbine or corynanthine. Depolarization-stimulated 45Ca influx was depressed by rauwolscine and corynanthine to about the same extent as were the contractions; while rauwolscine (100 microM) completely inhibited PGF2 alpha stimulated 45Ca influx, it also depressed part of the PGF2 alpha-stimulated contraction dependent on intracellular calcium. Rauwolscine (100 microM) partly inhibited PGF2 alpha-stimulated release of 45Ca from aortic smooth muscle in calcium-free solution. It is concluded that the yohimbine structure possesses a calcium entry blocking action as well as a depressant action on contractions not dependent on calcium entry. The predominant effect depends on the structural configuration and the nature of the stimulating agent. PMID- 6580938 TI - Dental health consultant - a new role in community health. PMID- 6580939 TI - Carpal tunnel syndrome - an occupational risk. PMID- 6580940 TI - Flow DNA analysis of primary bone tumors. Relationship between cellular DNA content and histopathologic classification. AB - The cellular DNA content of 15 benign and 34 malignant primary bone tumors was analyzed by means of flow cytophotometry. All benign tumors except one of questionable histologic type exhibited a normal DNA content (diploid), whereas 23 of 34 malignant tumors showed an abnormal DNA content (aneuploid). Closer analysis revealed that all supposedly highly malignant tumors, i.e., 16 osteosarcomas and 1 Ewing sarcoma were aneuploid, while 8 of 13 chondrosarcomas, 2 periosteal osteosarcomas, and 1 of 2 adamantinomas were diploid. Interestingly, these diploid malignant tumors represent tumor entities which are known to include variants of low-grade malignancy. Cell distribution analysis showed that the aneuploid tumors exhibited a higher proportion of S-phase and G2 + M cells than the diploid tumors, indicating differences in proliferative activity. However, no significant difference in this respect could be demonstrated between diploid benign and diploid malignant tumors. The current study clearly shows that flow DNA cytophotometry can be applied to most primary bone tumors despite a substantial content of hard tissue. The results also indicate that DNA determinations as an adjunct to conventional histopathologic assessment may provide objective clinically relevant information with respect to the degree of malignancy. Thus, regardless of histogenetic origin, it appears that benign bone tumors as well as malignant bone tumors of low-grade malignancy in general, are diploid, whereas highly malignant bone tumors in general are aneuploid. PMID- 6580942 TI - Involvement of chromosomes #1 and #11 in three cases with myeloproliferative diseases. AB - We describe one case of myeloid metaplasia with a dup(1q21 leads to 1q32), one case of myelomonocytic leukemia with a deletion of 11p (11p12 leads to 11q14), and a case of polycythemia vera with a deletion of 11q (11q14 leads to 11q25) and a presumptive duplication of 1q (1q25 leads to 1q44) via translocation to 6pter. PMID- 6580941 TI - Male reproductive capacity may recover following drug treatment with the L-10 protocol for acute lymphocytic leukemia. AB - Six men with acute lymphocytic leukemia (ALL) were studied prospectively to assess the effect of treatment with the L-10 protocol on reproductive capacity. Before therapy three men had fathered children (two, two children; one, three children); the others were sexually mature although no fertility studies had been done prior to or during their treatment. Each patient had a minimum of 3 1/2 years of continuous chemotherapy as part of this study. Semen analysis was done 10 to 52 months (median, 31.5 months) after completion of therapy. One patient had lower than normal sperm concentration but near normal total sperm count and normal motility; the others had a normal sperm concentration and motility. Sperm nuclei were isolated from each sample and analyzed by flow cytometry for resistance to DNA denaturation in situ; all samples had relatively high resistance to denaturation, consistent with a normal, fertile reproductive status. After completion of therapy, one patient fathered a normal child, and a second patient fathered one child with multiple congenital malformations followed by a second child who was normal. PMID- 6580943 TI - A case of ALL with 4q trisomy. AB - A case of a 7-yr-old girl with acute lymphoblastic leukemia (ALL) with an unusual translocation in the leukemic cells is described. The cytogenetic anomaly consisted of extra material in the long arm of one chromosome #1, with the material probably originating from the long arm of a chromosome #4. The poor response to therapy suggested the possibility that translocations in ALL may carry a poor prognosis. While more will have to be learned about the significance of the material originating from chromosome #4 in ALL, it appears that translocations involving material from the long arm of #4 are not infrequently associated with a poor prognosis. PMID- 6580944 TI - Silver bands in chronic granulocytic leukemia: I. Increased banding associated with blastic transformation. AB - We have tested the proposal that the level of silver banding in leukemic cells of Ph1 + chronic granulocytic leukemia (CGL) patients increases as the disease progresses. Blood and/or bone marrow cells from 14 patients were cultured for 24 hr before banding. In all but one case, there were two populations of mitoses, those with silver bands on their nucleolar organizing regions (NORs) and those without. The percentage of cells that banded was higher, on average, in cultures from 7 patients in blastic transformation (80%) than in 8 chronic cases (36%) or in one accelerated phase (49%). Also, the mean number of NORs stained in banded cells was higher in blastic phase (6.9) compared with chronic phase cells (4.4). Hyperdiploid cell lines were present in four cases of myeloblastic transformation. All such cells were silver banded, and the mean fraction of NORs banded in them was relatively high. An increase in silver banding with time was shown in two of the patients. It seems that silver banding does increase in CGL cells as the disease progresses. This may arise either through an increase in the rate of ribosomal RNA synthesis in leukemic cells present in the blastic phase or possibly by a decrease in the rate of degradation (or processing) of newly synthesized rRNA. PMID- 6580946 TI - Alterations of taste in children with leukemia. PMID- 6580945 TI - Human leukemic cells contain transforming growth factor. AB - A transforming growth factor was found in the extracts of leukemic cells obtained from the peripheral blood of 11 patients with leukemia. This factor stimulated the colony formation of anchorage-dependent BALB/c 3T3 cells in soft agar. The high levels of colony-stimulating activities were observed in the cell extracts from patients with chronic myelogenous leukemia in blastic crisis (CML BC), acute myelogenous leukemia and CML in chronic phase. The factor from a CML BC patient was heat- and acid-labile, relatively stable to dithiothreitol treatment and inactivated by pronase treatment. Molecular size of the factor seems more than 10,000 daltons. PMID- 6580947 TI - Transport of uridine and 3-deazauridine in cultured human lymphoblastoid cells. AB - The transport of uridine and 3-deazauridine was compared in two lines of cultured human lymphoblastoid cells that differ in their sensitivity to 3-deazauridine apparently because of reduced uridine-cytidine kinase activity in the resistant line. The kinetic parameters (+/- S.E.) of uridine transport were similar in the two cell lines: Km, 0.23 +/- 0.02 and 0.25 +/- 0.07 mM; and Vmax, 35 +/- 2 and 57 +/- 10 pmol/microliter of cell water per sec, respectively, for 6410/MP (parental) and 6410/MP/DU (resistant) cells. 3-Deazauridine, while transported with similar kinetic characteristics in both cell lines, was not as good a substrate for the nucleoside transporter as was uridine, and its transport was dependent on pH. Kinetic parameters, determined using calculated concentrations of the undissociated form of 3-deazauridine (pKa, 6.5), were: Km, 0.52 +/- 0.01 and 0.51 +/- 0.03 mM; and Vmax, 28 +/- 0.5 and 24 +/- 0.9 pmol/microliter of cell water per sec, respectively, for 6410/MP and 6410/MP/DU cells. At pH 8, a condition in which 97% of 3-deazauridine molecules are ionized, rates of transport were almost zero. It is concluded that the undissociated form of 3 deazauridine is the substrate for the nucleoside transporter. PMID- 6580949 TI - Phase II trial of aclarubicin in advanced breast cancer: a cancer and leukemia group B study. PMID- 6580948 TI - Phase II study of amsacrine gluconate in refractory leukemia. AB - Twenty-six adults with refractory leukemia were treated with amsacrine gluconate, a new formulation. There were two complete and two partial remissions. This preparation has no apparent advantage when compared with amsacrine lactate. PMID- 6580950 TI - Interaction of urea and human enamel. PMID- 6580951 TI - Enamel fluorosis related to plasma F levels in the rat. PMID- 6580952 TI - Formation of fluoridated apatites on ion-permselective membranes. PMID- 6580953 TI - Effect of frequent rinses with isomaltulose (Palatinose) solution on acid production in human dental plaque. PMID- 6580954 TI - Lipid effect on the progress of artificial carious lesions in dental enamel. PMID- 6580955 TI - Lower fluoride concentrations for topical application. In vitro study on human dental enamel. PMID- 6580956 TI - An infrared method for quantification of carbonate in carbonated apatites. PMID- 6580957 TI - Buffer action of fluoridated CO3-apatites during titration. PMID- 6580958 TI - Effect of the pH of buffer solutions on artificial carious lesion formation in human tooth enamel. PMID- 6580959 TI - Effect of NaF and SnF2 in drinking water on hamster dental caries. PMID- 6580960 TI - Microbial composition, pH-depressing capacity and acidogenicity of 3-week smooth surface plaque developed on sucrose-regulated diets in man. PMID- 6580961 TI - Fluoride balance studies on infants in a 1-ppm-water-fluoride area. PMID- 6580962 TI - Distribution of fluoride to human breast milk following intake of high doses of fluoride. PMID- 6580963 TI - Prenatal lethalities in mice homozygous for human growth hormone gene sequences integrated in the germ line. AB - The mutagenic potential of recombinant DNA in the germ line was investigated in the descendants of mice obtained from eggs injected with the human growth-hormone gene in a pBR322 vector. Six positive animals (including one mosaic) were produced and had 1-20 copies of the donor sequences in unique and often complex integration patterns indicative of a single or an interrupted insertion. All were heterozygotes and transmitted the foreign insert to their progeny, forming six new HUGH strains. Matings between heterozygotes yielded viable healthy homozygotes in four of the strains. However, in the HUGH/3 and HUGH/4 strains, no postnatal homozygotes were found and litter sizes at birth were small. These two independent cases of mutation, both homozygous recessive prenatal lethals, are attributable to disruption of native sequences by alien ones. They constitute the first instances of insertional mutagenesis due to integration of recombinant DNA in the germ line of the mouse. The mutants provide new possibilities for molecular identification of gene functions necessary for normal development. PMID- 6580964 TI - Anorexia nervosa and bulimia in dancers. Accurate diagnosis and treatment planning. AB - Ballet dancers have an increased risk of developing anorexia nervosa, perhaps because of their preoccupation with appearance and body shape related to their career. The author lists the early warning signs of anorexia nervosa and bulimia in dancers. Techniques are described to assist the practitioner in differentiating the normal dieting dancer from the anorectic dancer. The author emphasizes strategic treatment planning with anorectic dancers who initially deny the severity of their illness. PMID- 6580965 TI - [First experience with extra-amniotic intrauterine administration of prostaglandin F2 alpha]. PMID- 6580966 TI - Thromboxane A2 and hemodynamic-biochemical parameters in canine endotoxin shock. AB - Prostaglandins participate in the pathophysiology of endotoxin shock; however, their exact role has not yet been clear. In this study, we investigated the role of the proaggregatory vasoconstrictor, thromboxane A2 (TXA2), an arachidonic acid metabolite, during canine endotoxin shock. The central venous plasma levels of thromboxane B2 (TXB2), the stable metabolite of TXA2, was measured by radioimmunoassay. We also investigated the therapeutic effect of reduced glutathione (GSH), a potential cell-stabilizing sulfhydryl compound, in canine endotoxin shock. Sixty minutes after the intravenous administration of E. coli endotoxin (1 mg/kg), the plasma TXB2 levels were significantly increased from 68.8 +/- 49.0 pg/ml to 318.3 +/- 117.2 pg/ml (N = 5) in the control group and from 67.9 +/- 68,4 pg/ml to 222.6 +/- 133.2 pg/ml (N = 5) in the GSH (300 mg/kg/hr) group. The levels in the GSH group were somewhat lower than in the control group for 60 to 180 minutes after the injection of endotoxin. Thromboxane A2 value appear not to relate to early thrombocytopenia and pulmonary hypertension but to relate to the change of late coagulopathy and of pulmonary vascular resistance. The administration of GSH suppressed the lactic acidemia significantly, however there was a much more decrease in the mean arterial pressure in the GSH group than in the control group. In addition, there was a tendency to inhibit the increase of the serum beta-glucuronidase activity in the GSH group. PMID- 6580967 TI - Two biological sources of 3 alpha-hydroxysteroid dehydrogenase used to measure total bile acids in serum. PMID- 6580968 TI - A longitudinal study of delayed periosteoplasty to the cleft alveolus. AB - The effects of delayed periosteoplasty were studied longitudinally from 5 to 17 years of age in 35 consecutive cases (24 boys and 11 girls) with clefts involving the maxillary alveolar process. The mean age at operation was 6.4 years. In patients younger than 7 years of age at the time of delayed periosteoplasty, good bone formation developed in 80%, compared with 47% after infant periosteoplasty. After delayed periosteoplasty the formation of new bone continued an average of 5 years postoperatively. The frequency of anterior crossbite was lower than that reported for other Scandinavian cleft lip and palate materials of the same age and type of cleft. Cephalometric analysis indicated that growth of the facial skeleton of the patients in the present material was well within the limits reported for the above-mentioned Scandinavian materials subjected neither to periosteoplasty nor to bone-grafting. The results indicate that delayed periosteoplasty might be a superior method in the reconstruction of the alveolar cleft in young individuals. PMID- 6580969 TI - Growth characteristics of the premaxilla and orthodontic treatment principles in bilateral cleft lip and palate. AB - Sixty-three individuals with complete bilateral cleft lip and palate (BCLP) were studied. In 51 of these subjects no surgical set-back or early bone grafting procedures were done. In the other 12 subjects early surgical procedures to reduce the prominence of the premaxilla had been done. In the larger group the premaxilla was, on the average, protrusive until age 12, after which it gradually became more retrusive. By the end of the growth period the premaxilla was not excessively protrusive in any of these subjects. It was concluded that it is advantageous for the premaxilla in individuals with BCLP to be protrusive during most of the growth period, since the premaxilla grows forward at a slower rate than the mandible. In the 12 subjects with premaxillary surgery, midface retrusion was demonstrated at an early age. The forward growth of the premaxilla in these individuals was slower than in the BCLP without premaxillary surgery and all 12 subjects developed rather severe midface retrusion. Orthodontic treatment principles for four different stages of craniofacial and dental development have been outlined. PMID- 6580970 TI - Comprehension abilities of one-year-old infants with cleft lip and palate. AB - Comprehension abilities of ten normal infants and ten infants with cleft lip and palate were investigated in an interactive environment. All subjects were twelve to thirteen months old and were matched with respect to race, sex, socio-economic status, hearing acuity and dialect spoken in the home. Videotapes were made while mothers and their children engaged in play. Analysis of these one-hour interactions revealed no significant difference between the two groups on measures of comprehension skills. PMID- 6580971 TI - Tooth size in children with cleft lip and palate. AB - The mesiodistal and buccolingual dimensions of primary and permanent teeth were measured in 246 children with either isolated cleft palate or complete unilateral cleft lip and palate. The primary teeth of males with clefts were reduced in their buccolingual dimension compared to the control, while in females there were reductions in the mesio-distal dimension. There were no remarkable differences in the size of the permanent teeth in males with clefts. Females with clefts had reduced buccolingual dimensions of the permanent teeth, in both jaws. PMID- 6580972 TI - Craniofacial growth in clefting from one month to ten years as studied by P-A headfilms. AB - Craniofacial growth of 64 children with a unilateral cleft of lip and palate, 32 children with a bilateral cleft of lip and palate, and 78 children with a cleft of palate only were studied at the ages of one month, three months, six months, one year, 18 months, two years, and annually till the age of 10 years. Nine width and 12 height measurements are obtained from the tracings of p-a X-ray headfilms and analysed. It was found that the cleft type differences were mainly restricted to the base line width, interorbital width, optic foramen width, basal maxillary width, interorbital height, optic foramen height, and gonial height. For all these measurements except basal maxillary width, the means are in the order BCLP greater than UCLP greater than CPO. For basal maxillary breadth it was UCLP greater than BCLP greater than CPO. Sex differences are restricted to base line width, basal maxillary width, bizygomatic width, interorbital height, and optic foramen height. For these width measurements, males have larger means than females. For the height measurements, females have larger means than males. PMID- 6580973 TI - Cosmetics as an esthetic aid to the plastic surgery patient. PMID- 6580974 TI - Eruption of incisor teeth in cleft lip and palate. AB - Longitudinal frontal and lateral cephalometric radiographs were used to study the path of eruption of the permanent central incisors approximating the cleft areas in 15 subjects with unilateral and 7 subjects with bilateral complete clefts of the lip and palate, aged between 3 years 8 months and 9 years. Tracings from the longitudinal transparent templates of the Bolton Standards subjects were used as controls for comparative purposes. The findings indicate that the pattern of eruption of the maxillary central incisor follows the pattern of alveolar development in the cleft subjects. The position of the premaxilla subsequent to cleft repair influences the eruption pattern of the maxillary central incisors approximating the cleft areas. The central incisors erupt down and back, and become more retroclined and retropositioned within the nasomaxillary complex, with increment in age. The crowns of the central incisors approximating the cleft in unilateral cleft lip and palate subjects progressively tipped more towards the cleft with age. PMID- 6580975 TI - Cytogenetics of acute leukemia in 90 children and young adults. Prognostic value of karyotypic status at diagnosis. PMID- 6580976 TI - Direct enzymic fluorimetric method for the determination of individual bile acids in bile. AB - We describe a new, simple, fluorimetric enzymic method for the determination of individual bile acids in bile. Bile is diluted 4000-fold with water and 3 alpha- and 7 alpha-hydroxy bile acids are determined by equilibrium methods and chenodeoxycholic acid is determined by a differential kinetic method, without any prior separation and preparatory step. The equilibrium methods are based on the reaction of 3 alpha- or 7 alpha-hydroxy bile acids with beta-NAD+ in the presence of the enzyme 3 alpha- or 7 alpha-hydroxysteroid dehydrogenase (HSD). The kinetic method is based upon the reaction of chenodeoxycholic acid with beta-NAD+ in the presence of the enzyme 7 alpha-HSD. All measurements are monitored fluorimetrically. Cholic and deoxycholic acid are calculated by difference. Recovery experiments gave satisfactory results. Gallbladder bile from patients was analysed for the three major bile acids. The proposed method is suitable for clinical use. PMID- 6580977 TI - Assay of phenol sulphotransferase in human blood. AB - An assay of phenol sulphotransferase in human blood with 4-hydroxy-3 methoxyphenylethylene glycol as partial substrate is described. The pH optimum with this substrate is 8.0. To demonstrate the heterogeneity of the enzyme in blood an alternative partial substrate, 4-methylumbelliferone, at an optimal pH of 7.4, is used. Enzyme activity is linear with time up to at least 60 minutes of incubation. With 4-hydroxy-3-methoxyphenylethylene glycol as the substrate a linear relation between phenol sulphotransferase activity and enzyme concentration exists. Phenol sulphotransferase activity shows no correlation with age or sex of healthy subjects. Varying ratios of the enzyme activities toward both substrates support the idea of two phenol sulphotransferases in blood. As nevertheless a significant correlation exists between both sulphotransferase activities we conclude that neither substrate is sulphated exclusively by one of the two enzymes. Because preparative procedures for platelets may lead to considerable losses of specific subpopulations with relatively low or high enzyme activity, one of the advantages of using whole blood is that the activity in the whole platelet population is determined. PMID- 6580978 TI - Activities of serum acid ribonuclease in patients with malignant neoplasms or with renal failure. AB - The activities of serum acid ribonuclease (RNase) were determined in patients with malignant neoplasm or with renal failure. The levels were markedly increased in myelogenous leukemia and renal failure, and only slightly increased in solid cancers, lymphoid malignancies and multiple myeloma. These increases correlated significantly with serum LDH activity in myelogenous leukemia and with creatinine levels in other malignancies or renal failure. The acid RNase content of granulocytes was 22.7-fold higher than that of lymphocytes. The increase of serum acid RNase may suggest an increased granulocyte destruction in myelogenous leukemia and a reduced glomerular filtration in other malignant neoplasms and renal failure. PMID- 6580979 TI - HLA in kinship determinations among Haitian immigrants. AB - Immunogenetic study of alleged first-degree relatives was undertaken among 258 prospective United States immigrants from Haiti. Methods involved serotyping red cells for ABO, Rh, and MN antigens and typing leukocytes for HLA, A, B, and C locus antigens. Kinship was definitely excluded in a relatively low 4.2% of cases involving putative parents and children. Among cases involving alleged siblings, estimates of fraud appeared slightly higher, but the method is suspect because even in true sibships, there may be an absence of obligatory gene markers. Data suggests that some cases involved half-siblings rather than fraud. Of demonstrated exclusions of parent or child, HLA detected the lack of kinship in 87.4% versus 16.9% by red cell typing. However, there were cases in which exclusions were found by red cell methods alone; furthermore, red cell plus HLA typing allows for a calculation of probability of kinship that is analogous to calculations in paternity studies. Together, the red cell and leukocyte systems offer a prior probability of exclusion of parent-child relationships in 91.3%. PMID- 6580980 TI - Genetic studies of familial amyloid polyneuropathy in the Arao district of Japan: I. The genealogical survey. AB - A genealogical survey of familial amyloid polyneuropathy in the Arao district of Japan was undertaken, and the data were analysed statistically. The survey revealed 92 patients (46 males and 46 females) in 9 families. Thirty-one of the patients (16 males and 15 females) are alive. For 44 patients, the mean age of onset was 34.1 years (range 20-46 years). The penetrance corrected for late onset was 83.5% by Morton's method. The segregation ratio of 18 sibships in which one of the parents was affected was 36 +/- 6% for single ascertainment and 46 +/- 5% for complete ascertainment; the corresponding figures of 14 sibships in which neither parent was affected was 30 +/- 7% for single ascertainment and 40 +/- 6% for complete ascertainment. The results of the analysis were consistent with the assumption of an autosomal dominant mode of inheritance. PMID- 6580981 TI - Binding of mouse monoclonal antibodies to human leukaemic cells via the Fc receptor: a possible source of 'false positive' reactions in specificity screening. AB - Mouse monoclonal antibodies (MoAbs) of different classes and subclasses directed against antigens not expected to be present on human cells have been screened by indirect immunofluorescence using flow cytometry for binding to human non lymphocytic leukaemic cells and normal peripheral blood leucocytes. Antibodies of the IgG2a and IgG3 subclass, but not of the IgG1, IgG2b or IgM class bound to the blast cell and monocyte populations in a peripheral blood mononuclear cell preparation from a patient with acute myelomonocytic leukaemia. F(ab')2 fragments of an anti-salmonella antibody of IgG2a subclass failed to bind, indicating that the results were not due to cross-reactivity with antigens of the cell membrane, thus implicating the Fc region in binding. Furthermore, binding was partly blocked by inclusion of 10% heat-inactivated normal rabbit serum in the assays. IgG2a bound to varying degrees to the leukaemic cell populations in seven of the nine non-lymphocytic leukaemic specimens tested, but no binding to normal peripheral blood mononuclear cells or granulocytes was detected. The results emphasize the importance of including appropriate controls when screening MoAbs for binding to various types of human cells. PMID- 6580982 TI - Urinary excretion of prostaglandins (PGE2 and PGF2 alpha) and kallikrein in acute glomerulonephritis. AB - We studied prostaglandins and kallikrein urinary excretion in 14 children with acute poststreptococcal glomerulonephritis within 48 hours of hospital admission (period A), and again, 4-6 weeks later, when they were clinically recovered (period B). Seventeen apparently healthy children were studied as controls. The results (mean +/- SEM) indicate that PGE2 urinary excretion (ng/kg/day) was diminished during both periods of study (control group = 2.06 +/- 0.43, patients = period A 0.91 +/- 0.28 [P less than 0.02], period B 0.92 +/- 0.21 [P less than 0.02]). PGF2 alpha urinary excretion (ng/kg/day) was also suppressed during period A, but not during period B when large individual variability existed (control group = 7.10 +/- 1.07, patients period A 3.56 +/- 0.66 [P less than 0.001], period B 10.51 +/- 5.01 [NS]). Kallikrein urinary excretion (EU/kg/day) was also depressed during the acute phase and remained low during convalescence (control group = 0.492 +/- 0.1, patients period A 0.143 +/- 0.044 [P less than 0.001], period B 0.265 +/- 0.093 [P less than 0.02]). There was no difference in PGE/PGF ratio between controls and patients in the periods of study (control 0.328 +/- 0.055, period A 0.395 +/- 0.144, period B 0.384 +/- 0.128). Urine volume (ml/day) was lower in period A (582 +/- 75.8) but comparable in period B (1020 +/- 140.2) and control children (1210 +/- 80.2). No correlation could be found between the urinary excretion of PGE2, PGF2 alpha and kallikrein with any of the following parameters: urinary or serum sodium and potassium, serum or urinary osmolality, Cosm, urine flow, plasma renin activity, plasma or urinary aldosterone, hypertension or fluid retention.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6580983 TI - HLA-DR associations with Graves' disease in eastern Hungary. AB - We have typed 196 patients with Graves' disease from eastern Hungary (an iodine deficient region) for HLA-A, -B, and -C antigens and 80 of the same patients for HLA-DR antigens. Our data confirm the previously described association of HLA-B8 and DR3 with Graves' disease, particularly in patients with ophthalmopathy. We also describe several new findings: an increase in the prevalence of HLA-BW35, particularly in combination with B8, among patients with ophthalmopathy and a slight increase in the prevalence of B8, DR7 among patients with ophthalmopathy. These results support the concept that MHC-linked susceptibility to Graves' disease is dose-dependent. Our results do not confirm a report suggesting that the prevalence of HLA-DR5 is increased among patients without ophthalmopathy in iodine-deficient areas: we found that the prevalence of HLA-DR5 was slightly decreased among patients with Graves' disease, with and without ophthalmopathy, in comparison with controls. PMID- 6580984 TI - Orbital accumulation of gallium-67 citrate. AB - In order to determine the normal range of Gallium-67 citrate (Ga-67) accumulation in the orbital regions, and to possibly identify groups tending to have increased Ga-67 concentration in the eyes, 75 studies were performed prospectively over a two-month period. No difference in the ocular count/background ratio was found on the basis of sex, or on the basis of symptomatic ocular involvement in a systemic disease process. A significant difference in this ratio was found between age groups separated by 20 years or more, with younger patients tending to have higher ocular counts. This decrease in the ratio with age possibly reflects the physiologic senile involution of the lacrimal apparatus with time. The wide range of normal ocular Ga-67 accumulation should be kept in mind, and demonstrable Ga 67 concentration in the orbital regions need not be automatically ascribed to a pathologic process. PMID- 6580985 TI - Gallium-67 citrate imaging in subcutaneous abscess. AB - The value of Ga-67 images in identifying unsuspected locations of subcutaneous Staphylococcus aureus abscess is presented. Many of the lesions detected on the Ga-67 study were not clinically evident. In addition, follow-up studies show resolution of the changes after antibiotic therapy. PMID- 6580986 TI - Unusual distribution of radiocolloid and radiogallium in a case of bile leakage from a T-tube. PMID- 6580987 TI - Gallium scanning in a patient with sarcoidosis. PMID- 6580988 TI - Platelet phenol sulfotransferase and erythrocyte catechol-O-methyltransferase activities: correlation with methyldopa metabolism. AB - Methyldopa is metabolized by sulfate conjugation catalyzed by phenol sulfotransferase (PST), O-methylation catalyzed by catechol-O-methyltransferase (COMT), and decarboxylation catalyzed by aromatic L-amino acid decarboxylase. These experiments were performed to determine whether individual variations in red blood cell (RBC) COMT and platelet PST activities might reflect variations in the metabolism of methyldopa in man. Methyldopa, 3.5 mg/kg, was taken orally by 28 subjects. Blood samples were obtained from these subjects for the assay of platelet PST and RBC COMT activities, and a 24-hr urine sample was collected for the measurement of methyldopa and its major metabolites. Human platelets contain two independently regulated forms of PST. One form is thermolabile (TL), and the other is thermostable (TS). Methyldopa and alpha-methyldopamine are substrates for the TL but not for the TS form of PST. The results of the experiment showed significant correlations between TL platelet PST activity and the proportion of alpha-methyldopamine excreted as a sulfate conjugate, and between RBC COMT activity and the proportion of methyldopa excreted as an O-methyl metabolite. There was no significant correlation, however, between TL platelet PST activity, and the proportion of methyldopa itself excreted as a sulfate conjugate. These results are compatible with the conclusion that differences among subjects in drug metabolizing enzyme activities are one factor responsible for wide individual variations in methyldopa metabolism in man. PMID- 6580989 TI - Comparison of methods used in commercial kits for the assay of serum vitamin B12. AB - Fourteen commercial kits for serum vitamin B12 assay have been assessed. The analytical performance and clinical correlation were used to rank the methods employed for the extraction of the vitamin from its binders and for the separation of 'bound' from 'unbound' counts. The introduction of extraction without boiling and the separation by attachment of the vitamin B12 binder to a solid matrix have not been shown to be generally better or worse than conventional methods. PMID- 6580990 TI - Five-day storage of platelet concentrates. II. In-vivo studies. AB - Following in-vitro tests it was concluded that platelet concentrates stored for 5 days at 22 degrees C in polyolefin containers, coded PL732, should be as effective in clinical practice as similar concentrates stored in the standard PVC containers, coded PL146. These predictions have been confirmed by the following in-vivo tests; autologous survival studies in volunteers, determination of recovery, platelet increment calculations 1 and 24 h after transfusion and clinical appraisal after transfusion of haemorrhagic thrombocytopenic patients. Bacteriological cultures of the platelet concentrates were sterile after storage for more than 5 days. It can be concluded that the 5-day storage of platelet concentrates in these containers is a practical proposition. PMID- 6580991 TI - Acute monocytic leukaemia complicating polycythaemia rubra vera: successful response to chemotherapy with recurrence of polycythaemia. PMID- 6580992 TI - 15/17 translocation in acute promyelocytic leukaemia following treatment of Hodgkin's disease. PMID- 6580993 TI - The use of gallium-67 citrate to distinguish between infectious and non infectious arthritis. PMID- 6580994 TI - Factors influencing oral hygiene and gingival health in Greek schoolchildren. AB - 397 children aged 12-17 years from different schools were divided into two groups. Group I comprised 192 children from private schools in Athens and Group II comprised 205 children from state schools of an industrial area in Piraeus. They were also subgrouped according to their socioeconomic class. They were interviewed with regard to their oral health habits, frequency of dental visits, etc., and subjected to clinical examination using the criteria and indices described by Silness & Loe and Loe & Silness. Stepwise regression analysis was used in the statistical evaluation of factors related to GI and Pl I. The following factors were found to be statistically significant in relation to GI: socioeconomic class, toothbrushing frequency, sex, and group examined. For Pl I statistically significant factors were found to be: age, group examined, and sex. All other variables were not significantly correlated to GI and Pl I. PMID- 6580995 TI - Toothbrushing, flossing, and dental visits in relation to socioeconomic characteristics of white American families. AB - This study investigated the patterns of preventive dental behaviors, including toothbrushing, flossing, and dental visits with respect to certain selected socioeconomic characteristics, namely population density, age, family income, size of family, presence of children, and level of education. The sample of the study included 685 white American families. The results indicated that an individual's preventive dental behavior is related to certain socioeconomic characteristics. The individual who lives in an urban area, possesses a higher income or who has a higher educational level is more apt to take preventive dental actions. Among the socioeconomic variables, family income and educational level made significantly stronger differences with respect to toothbrushing, flossing, and dental visits. Dental visits, compared to other dental activities appeared to be more easily influenced by socioeconomic variables. PMID- 6580996 TI - Dental health education by "barefoot doctors". AB - In an insurance company 18 out of 507 employees were trained as dental health educators. They then informed their fellow workers about prevention of caries and periodontal disease in groups of about 10 persons. Two information meetings were held during a period of 10 months. Eighty-nine percent of the employees were positive to this educational programme. Twenty-two percent said that they had reduced the intake of sucrose after the first meeting. Even more persons reduced their sucrose intake later. Saliva secretion rate and buffer capacity were analyzed and the number of lactobacilli and Streptococcus mutans were determined before and after the information meetings. A significant reduction in the number of lactobacilli was found, confirming the change in carbohydrate intake. The information raised the level of knowledge about dental health among the employees. It was suggested that this type of educational programme should be used in other health areas. PMID- 6580997 TI - Dental health among workers at a Danish chocolate factory. AB - All workers (n = 59) at a Danish chocolate factory were given a questionnaire in order to study dental health behavior and self-assessment of dental health. Regular dental visits at least once a year was reported by 71% of the respondents. Toothbrushing at least twice a day was claimed by most of the workers, but only a few reported to brush their teeth daily at work. One fourth declared that they often consumed chocolate at their working place. Good dental and gingival conditions were only reported by 25% and in correspondence with this, nearly one third claimed to have had much or a great deal of trouble with their teeth. Mean DMFS increased from 22.7 in the age group 16-19 yr to 106.7 among persons 40 yr of age or more. In the age group 20-39 yr half of the teeth present had gingivitis and calculus and among the older individuals half of the teeth had gingivitis and pockets deeper than 5 mm. Chocolate workers were considered a high risk group. PMID- 6580998 TI - Application of the Community Periodontal Index of Treatment Needs (CPITN) in a population of young Brazilians. AB - Recently WHO has launched an index for assessing the periodontal treatment needs of a population in terms of resources required. This Community Periodontal Index of Treatment Needs was applied in 308 Brazilian 15-yr-old schoolchildren from a population with a high prevalence of periodontitis. The results showed that all subjects needed some kind of care. Totally, 4133 time units were required. Most of the time needed was for motivation and instruction in oral hygiene, and scaling. Several individuals assigned for complex treatment due to pockets deeper than 5.5 mm showed no signs of radiographic bone loss, and in the cases with bone loss, the lesions were few and small. The CPITN therefore seemed to overestimate the need for treatment in this young population. To overcome this problem, it was suggested that complex treatment should not be included in planning of systematic periodontal care for young populations, and that subjects with true periodontal lesions should be given priority in community programs. PMID- 6580999 TI - Nitrous oxide-oxygen sedation in dental care. AB - The aim of this study was to evaluate the dental treatments under nitrous oxide oxygen sedation carried out during 1 yr by the first 45 Swedish dentists trained at probationary courses in the use of the technique. Special emphasis was placed on evaluating the risk and incidence of side effects. Data from 1719 treatment sessions in 823 patients, mainly children, were analyzed. Standardized sedation technique was used and the maximum level of nitrous oxide administered was set at 60%. About 90% of the patients showed excellent or fair acceptance. Factors influencing the acceptance were the patient's age, history of psychiatric disorders, mental retardation and occurrence of side effects. In 4.5% of the treatment sessions the patient experienced side effects, e.g. restlessness, vomiting or nausea, during treatment and in 0.9% after the treatment session. The side effects were mainly mild. No correlation was found between side effects and the nitrous oxide concentration used, length of treatment, patient's age or health classification. It is concluded that nitrous oxide-oxygen sedation is an excellent and safe aid to dental care. PMID- 6581000 TI - Effect of variation in caries diagnosis and degree of caries on treatment decisions by dental teachers using bitewing radiographs. AB - Nine teachers of clinical dentistry were presented with 12 pairs of duplicated bitewings on four different occasions. At the first two examinations they indicated the presence of caries in need of treatment and at the second two the degree of caries. The diagnostic sessions were repeated to measure reproducibility. A norm for the validity of degree of enamel caries and for the estimation of specificity and sensitivity of the diagnostic categories was applied. The teachers saw on average less caries and less deep caries than the norm. Variability by the teachers was especially large between examinations for enamel lesion categories. There was a mean of 69% agreement by the teachers with their own treatment indication criteria. Over recording of treatment need (mean 19%, SD 20%) and under recording (mean 36%, SD 17%) occurred at the same viewing periods. Using Cohen's kappa, it was found that despite their variation and inaccuracy this group of teachers should select caries in dentin as the teaching criterion for treatment need. It is suggested that the sensitivity and specificity with which dental practitioners can use a criterion should be taken into account firstly when selecting it, and secondly when choosing the frequency of radiographic screening. PMID- 6581001 TI - Epidemiologic characteristics of dental caries: relation of DMFS to DMFT. AB - The relationship between the age-specific mean number of DMF teeth and the age specific mean number of DMF surfaces in the population has been studied using the original data of Knutson and epidemiologic data from five Finnish materials, including data of 4718 subjects examined. Two models of regression between the variables were evaluated statistically by making a comparison between a linear and a curvilinear model of regression. For Knutson's original data, both models were suitable, apart from one data set with a relatively high caries prevalence, for which the association between the variables could be better expressed by the linear model. Concerning the recent Finnish materials, the difference in accuracy between the models seemed to be related to the range of the measurements; the larger the range of the measured caries prevalences, including low and high prevalence rates, the more proponderant the curvilinear model. For very low caries populations as well, the curvilinear model, a correction exponential curve, seemed to fit caries data somewhat better than the straight line. PMID- 6581002 TI - Changes in the caries prevalence of 11-12-year-old schoolchildren in the North West of England from 1968 to 1981. AB - Since 1968, six caries clinical trials have been conducted in the North-West of England by different examiners using the same diagnostic system, and a steady reduction in caries prevalence in 11-12-yr-old schoolchildren has been recorded. In the present study, five of the examiners revisited some of the schools which participated in their original trials and each examined between 196 and 296 children. The time intervals between the original and repeat examinations were 12, 10, 8, 5 and 3 yr. Percent caries reductions (PCRs) ranged from 19 to 33 for DMFT and from 24 to 35 for DMFS but the PCRs did not relate to the time intervals between examinations. The PCRs were greater on free smooth and approximal surfaces than on fissure surfaces and for the anterior teeth than for the mouth as a whole, suggesting that fluoride may have played a role in the reductions. PMID- 6581003 TI - Study of tooth loss in an adolescent Brazilian population. AB - Data concerning tooth loss in developing countries may indicate the dental health status in young people and serve as baseline data for evaluation of future dental health programs. The study population consisted of 304 schoolchildren (145 males, 159 females) from Belo Horizonte, M.G. Brazil. The mean age was 14.5, ranging from 13 to 16 yr. The number of teeth already lost and teeth indicated for extraction were assessed from two posterior bitewing radiographs and one frontal color photo which were obtained from all participants. The results showed that 2/3 of the studied population had lost one or more permanent teeth. The average number of missing teeth was 1.8 in both males and females. Of the various teeth, the mandibular first molars had most frequently been lost. Differences between the sexes concerning amount and pattern of lost teeth were small. PMID- 6581004 TI - Tooth mortality in a selected population in Leeds, UK. AB - Two previous studies of tooth mortality of similar populations were conducted in 1964 and 1969. The study was therefore repeated in 1982 to assess any discernible trends. It was found that there has been a marked reduction in mortality rates amongst all teeth except premolars in the younger age groups. The reduction was attributed to an improved dental service in conjunction with an increased public awareness of matters relating to dental health. The rise in mortality of premolars was correlated to the increased practice of orthodontics which demanded the relief of crowding. PMID- 6581005 TI - Prevalence of oral leukoplakia in Havana City, Cuba. AB - A survey related to the detection of precancerous lesions of the oral cavity has been done in Cuba for the first time. The sample comprised 749 randomly selected workers from Havana City Province, taking into account the census records of the Cuban population up to 1979. Prevalence of lesions and their relation to age, sex and predisposing factors, such as smoking, alcohol habits and mechanical trauma were studied. 4.4% of leukoplakia and preleukoplakia considered together and 2.1% leukoplakia alone, and two cases of oral lichen planus and leukokeratosis nicotina palati (0.1% of each) were found. The former lesions were more frequently encountered in people above 50 years old, specially in males and specifically among those who had smoked for more than 10 years. Sites of location most frequently encountered were the buccal mucosa and the labial commissures. PMID- 6581006 TI - An improved method of using polymeric-reinforced zinc oxide-eugenol in the treatment of furcations. PMID- 6581007 TI - The pharmacologic aspects of emergency drugs in dental practice. PMID- 6581009 TI - Informed consent: theory and practice. PMID- 6581008 TI - Mesiodens and supernumerary central incisors: early diagnosis and treatment to avoid extensive orthodontic treatment--two cases. PMID- 6581010 TI - Airway pressure measurement during high frequency oscillatory ventilation. AB - We developed a method to measure accurately pressures at the airway opening (Pao) and in the trachea (Ptr) in neonates during high frequency oscillatory ventilation (HFOV) from 15-30 Hz. All component parts of the pressure-measuring system were tested as a unit against a reference transducer in a closed chamber in which sinusoidal pressure waves could be generated. The resulting waveforms were displayed on an oscilloscope and measured. Ptr was measured through the intramural lumen of a Hi-Lo jet tracheal tube (National Catheter Co., Argyle, NY) opening 1 cm above the distal tip. Pressure readings from uncorrected waveforms indicated a discrepancy between measured and actual pressures, as high as 100% at frequencies of 100 Hz. When the resonance of the system was damped with a CorrecTORR (Norton Health Care Products, Akron, OH), the ratio of test to reference transducer output was flat +/- 5% from 0-160 Hz for the Pao system and flat +/- 4% from 0-100 Hz for the Ptr system. Ptr system accuracy was verified in an excised rabbit lung and the systems were used clinically in neonatal HFOV. We conclude that Pao and Ptr can be measured accurately during HFOV by this method. PMID- 6581011 TI - [Dentistry and identification: use of the Interpol forms]. PMID- 6581012 TI - [Oral health in Peru. My teeth? I don't know!]. PMID- 6581013 TI - [The case for pulp mummification in the treatment of multirooted teeth]. PMID- 6581014 TI - [The place of extractions in periodontal treatment: evaluation]. PMID- 6581015 TI - [Use of angiography in hemangioma of the maxillofacial region---clinical study of 70 cases]. PMID- 6581016 TI - [Determination of certain constituents of the saliva of normal men and caries patients]. PMID- 6581017 TI - [Effects of 60Co irradiation on dento-gnathic system of rats]. PMID- 6581018 TI - [Diagnosis and treatment of tumors and tumor-like lesions of the thyroid gland in the oral and maxillofacial region---report of 81 cases]. PMID- 6581019 TI - [Evaluation of hand-wrist radiographs as an indicator of the adolescent spurt of growth]. PMID- 6581020 TI - [Short- and long-term observation of fractured impacted wisdom teeth retained in the socket]. PMID- 6581021 TI - [Familial oligodontia with ectodermal dysplasia: a sex-linked recessive hereditary disease]. PMID- 6581022 TI - [Treatment of nonviable immature permanent teeth with a zinc oxide eugenol iodoform paste]. PMID- 6581023 TI - [Determination and analysis of immunological indicators in patients with recurrent oral ulceration]. PMID- 6581024 TI - [Preliminary report on fluoridation of Guangzhou water supply in preventing dental caries]. PMID- 6581025 TI - [Clinicopathological analysis of calcified odontogenic cyst]. PMID- 6581026 TI - [High frequency diathermocoagulation and injection of Ku Tuo Ji in the treatment of hemangiomas---report of 250 cases]. PMID- 6581027 TI - [Sarcoidosis of the maxillofacial and cervical regions---report of 24 cases]. PMID- 6581028 TI - [Analysis of a survey on leukoplakia of the oral mucosa in 58,850 persons in Tianjin]. PMID- 6581029 TI - [Melkersson-Rosenthal syndrome---report of 4 cases]. PMID- 6581030 TI - [Late onset type of chronic mucocutaneous candidiasis---report of 3 cases]. PMID- 6581031 TI - [Supplementary root therapy of the upper lateral incisor]. PMID- 6581032 TI - [Diagnosis and prosthodontic treatment of congenital ectodermal dysplasia with anodontia]. PMID- 6581033 TI - [Determination of fluoride, phosphorus and calcium in teeth after fluoridation of water supply]. PMID- 6581034 TI - [Copper-rich dental silver-mercury amalgam]. PMID- 6581035 TI - [Observation on the changes of prostaglandin E and F2 alpha contents of the plasma and pleural effusion in patients with bronchial asthma, chronic cor pulmonale and pleurisy]. PMID- 6581036 TI - Diflunisal protects human gastric mucosa against damage by indomethacin. AB - Mild irritants have been shown to protect the rat gastric mucosa from damage by the subsequent administration of necrotizing agents. The purpose of this study was to determine if a low concentration of a salicyclic acid analog (8 mM diflunisal) was capable of protecting human gastric mucosa from the damage induced by topical indomethacin. Healthy young volunteers were studied in three separate experiments in which gastric transmucosal PD was used as an index of mucosal integrity. In study I (10 subjects) 20 mM aspirin and 2 mM indomethacin were shown to induce a significant (P less than 0.025) fall in PD of 15% and 10%, respectively. In study II (10 subjects) 20 mM diflunisal was found to produce no significant fall in PD nor any reduction in gastric juice PGE2. In study III (5 subjects) 8 mM diflunisal, given 15 min before 2 mM indomethacin, prevented the fall in PD caused by indomethacin alone. These studies demonstrate that in humans, 8 mM diflunisal protects the mucosa from injury induced by the subsequent administration of a known damaging agent. It is possible that the mechanism of this protection may be by stimulation of endogenous mucosal prostaglandins. PMID- 6581037 TI - Protective effects of prostaglandins against ulcerogenic activity of indomethacin during different stages of erosion development in rat stomach. Role of acid and bicarbonate secretion. AB - Prostaglandin E2 (PGE2) and PGF2 beta decreased the gastric erosive activity of orally administered indomethacin in a dose-dependent manner, when given as a continuous intravenous infusion in the conscious rat. PGE2 protected both during the initial stage of erosion induction and during the later outgrowth to larger erosions. Moreover PGE2 was able to stop the eroding process at any stage as long as the infusion continued. Both PGs were protective only in doses which also reduced the histamine-stimulated acid secretion. PGE2 protected the stomach against indomethacin-induced erosions even in the presence of exogenously administered acid. An infusion of PGE2 stimulated the secretion of bicarbonate in the stomach during some minutes but had no effect during prolonged infusion. These results suggest that, although effects on secretion of acid and bicarbonate were found, these effects cannot be the (only) explanation for the cytoprotective effects observed. Furthermore the protective effect of PGE2 is not confined to any specific stage of the development of indomethacin-induced gastric injury. PMID- 6581039 TI - [The prognostic significance of pathology of osteogenic sarcoma]. PMID- 6581038 TI - Colonic transport of water and electrolytes in a patient with secretory diarrhea due to collagenous colitis. AB - Whole colon perfusion studies and measurements of luminal prostaglandin E2 were carried out in a 41-year-old female with collagenous colitis to investigate pathophysiological mechanisms for the diarrhea. Biopsies of the colorectal mucosa had revealed a continuous 25- to 60-micron subepithelial collagenous layer, but normal junctional complexes and capillaries. When the patient fasted, the diarrhea persisted and fecal electrolytes, as estimated from the concentration of sodium, potassium, and their anions, accounted for all the osmolality (284 mosm/kg) of stool water, the pH of which was above 8.0. The lumen-negative electrical potential difference in the rectum was -64 mV vs -45 +/- 2 mV (mean +/ SEM) in healthy controls. Profuse secretion of fluid and electrolytes occurred during colonic perfusion with saline. Transport of sodium appeared to be passive with flux ratios equal to those predicted for passive sodium movements, while chloride transport against a steep electrical gradient indicated active secretion. Perfusion with an "ileal output"-like solution decreased fluid and electrolyte secretion, suggesting that bicarbonate, in addition to chloride, may be a major determinant of secretion rates. Since immunoreactive prostaglandin E2 levels following in vivo equilibrium dialysis of feces ranged from 555 to 650 pg/ml vs 55 to 235 pg/ml (99% confidence limits) in healthy controls, it is speculated that prostaglandins synthesized locally in response to mucosal hypoxia might be the mediators of anion secretion. PMID- 6581040 TI - [DNA methylation in T3 and T7 phages by DNA-adenine methylases of various types and methylase EcoK ocR+ by protein]. PMID- 6581041 TI - A high affinity inhibitor of pituitary progesterone 5 alpha-reductase. AB - The capacity of the 5 alpha-dihydroprogesterone analog, 4-aza-4-methyl-5 alpha pregnane-3,20-dione (AMPD), to inhibit progesterone 5 alpha-reductase and both 5 alpha-dihydroprogesterone 3 alpha-hydroxysteroid oxidoreductase activities (NADPH and NADH-linked) from the female rat anterior pituitary has been investigated. Dose response studies demonstrate that AMPD is a powerful inhibitor of pituitary progesterone 5 alpha-reduction but is ineffective at inhibiting either of the 3 alpha-hydroxysteroid oxidoreductase activities, even at concentrations up to 10 microM. A kinetic analysis of the interaction of AMPD with progesterone 5 alpha reductase indicates that it is a competitive inhibitor vs. progesterone [Kislope = 7.2 +/- 0.6 nM; apparent Michaelis-Menten constant (Km) (progesterone) = 193 +/ 18 nM] and an uncompetitive inhibitor vs. NADPH (Kiintercept = 17.9 +/- 1.4 nM). These inhibition patterns are consistent with the view that NADPH binding precedes that of either AMPD or progesterone. Furthermore, AMPD does not appear to be an irreversible inhibitor since preincubation of the enzyme (at 37 C) with AMPD and NADPH, for periods of time up to 60 min, does not lead to a time dependent loss of activity. The inhibition can also be readily removed by dilution, even after a 60-min preincubation with the inhibitor and NADPH. It is postulated that the selective and potent inhibition of the 5 alpha-reduction of progesterone by AMPD may be due to the steroid functioning as a transition state analog. This inhibitor should prove useful in studying the properties of progesterone 5 alpha-reductase and the function of anterior pituitary progestin metabolism. PMID- 6581042 TI - Comparative aspects of prostatic growth and androgen metabolism with aging in the dog versus the rat. AB - In untreated rats and dogs, there is a species-specific time period when proliferative growth of the prostate normally occurs during which the gland grows to its maximum normal cellular content. In both species, after the prostate has reached its maximum normal cellular content, which requires 1 yr for the rat and 2 yr for the dog, net proliferative prostatic growth ceases and is replaced by a steady state maintenance of the gland. When 2-yr-old dogs with starting prostates already at their maximum normal cellular content are subsequently treated for 4 months with dihydrotestosterone (DHT), such treatment induces an additional 2 fold abnormal proliferative increase in prostatic cell number above that seen in normal glands from untreated dogs of any age. In direct contrast to the dog, when rats are treated with exogenous DHT for as long as 650 days, such treatment cannot induce any abnormal overgrowth of the gland above the maximum size normally obtained by 365 days of life in untreated control rats. Studies of prostatic androgen metabolism suggest that the differential susceptibility of the dog and rat prostate to DHT-induced abnormal hyperplasia is related to the differential ability of DHT treatment to increase the gland's ability for net DHT formation. This suggestion is based upon the fact that only in the DHT-treated dog, and not the rat, can such DHT treatment induce changes in several of the prostatic activities of DHT metabolism resulting in a 2.5-fold increase in the gland's overall ability for net DHT formation. These results indicate that changes in prostatic DHT metabolism which result in an increased prostatic ability for net DHT formation may be essential in abnormal hyperplasia of the prostate. PMID- 6581043 TI - Casein kinase activity in rat mammary gland Golgi vesicles. Phosphorylation of endogenous caseins. AB - A Golgi vesicle preparation isolated from the mammary tissue of rats in mid lactation has been shown to contain the caseins of rat milk. These proteins were phosphorylated when the Golgi vesicles were incubated in the presence of [gamma 32P]ATP. Although this phosphorylation occurred when the physical integrity of the vesicles was maintained, it was markedly increased when the membrane structure was disrupted by hypoosmotic conditions or by use of detergents. The kinase responsible has been shown to be responsive to the intravesicular concentration of Ca2+ and to the extravesicular concentration of Mg2+. These results have been interpreted in terms of a model suggesting a transmembrane location for the enzyme with binding sites on the cytosolic membrane face for Mg2+ and possibly also for ATP and on the luminal surface for Ca2+ and the caseins. Others have postulated that the assembly of caseins into micelles occurs in Golgi vesicles and requires both prior phosphorylation of the proteins and the presence of Ca2+. In this investigation we demonstrate that treatments which increase the intravesicular casein phosphorylation also alter the Ca2+ balance within the vesicle lumen. These results are discussed in relation to the ATP dependent accumulation of Ca2+ by the mammary gland Golgi vesicles. PMID- 6581044 TI - Cardiac gallium citrate concentration. AB - Cardiac accumulation of 67Ga was noted in a 45 year old black female with a history of fever and shortness of breath. Cardiac 67Ga uptake has been uncommonly cited and we report such a finding in a case of Cox sackie B viral pericarditis. PMID- 6581045 TI - Massive splenomegaly with multiple defects in a chronic myelogenous leukemia demonstrated by 99mTc-sulfur colloid scintigraphy. AB - A 99mTc-sulfur colloid liver-spleen scintigram of a 78-year-old woman with a painful, large mass in the left upper quadrant of the abdomen revealed massive splenomegaly with multiple areas of absent radioactivity. Splenectomy was performed and the removed spleen, weighting 2,010 g, was confirmed to contain acute and old infarcts with leukemic cell and megakaryocyte infiltration. PMID- 6581046 TI - Effect of prostaglandins E1, E2, and F2 alpha on the electric activity of the sphincter of Oddi in living rabbit. AB - The effect of prostaglandins (PGs), i.e. PGE1, PGE2 and PGF2 alpha (0.5-32 micrograms/kg), on the electrical activity of the rabbit sphincter of Oddi was studied in vivo. PGs were injected intravenously as a bolus and electrical activity of the sphincter and the duodenum was recorded before and during 15 min after the injection. Variations in biliary pressure were also studied at the same time. PGE1 strongly decreased the activity of the sphincter and biliary pressure which were both increased by PGF2 alpha. Both PGE1 and PGF2 alpha showed a dose response curve of Michaelis-Menten type. Unexpectedly PGE2 increased at first then decreased electrical activity but not significantly. These effects appeared very early after intravenous injection and were evident with low doses. PMID- 6581047 TI - Failure of 5-methoxytryptamine to evoke the Bezold-Jarisch effect supports homology of excitatory 5-HT receptors on vagal afferents and postganglionic sympathetic neurones. PMID- 6581048 TI - Longitudinal changes in facial type in cases with vertical and horizontal mandibular growth directions. PMID- 6581049 TI - Discontinuities in occlusal relationship and the regulation of facial growth. A cybernetic view. PMID- 6581050 TI - The effect of atopy on the dentition. PMID- 6581051 TI - The effects of lymphadenoid hypertrophy on the position of the tongue, the mandible and the hyoid bone. PMID- 6581052 TI - A comparison of orthodontic services in England and Wales, the Netherlands and Scandinavia. PMID- 6581053 TI - Comparison between a zinc phosphate cement and a glass ionomer cement for cementation of orthodontic bands. PMID- 6581054 TI - The morphological effects on the rat mandibular condyle of section of the lateral pterygoid muscle. PMID- 6581055 TI - Fenoterol inhalation powder and aerosol. AB - The effect of 0.2 mg of fenoterol inhalation powder and 0.2 mg fenoterol from a metered dose inhaler were compared in a double-dummy, cross-over investigation. Ten patients with chronic obstructive lung disease entered the study, which showed no statistically significant difference between the effect of these two forms of the drug on lung function and pulse rate for a period of up to 6 hours after the inhalation of fenoterol. The patients considered the inhalation of powder by means of a commercial inhaler, the Ingelheim inhaler, was simple. PMID- 6581056 TI - Patient errors and preference with regard to the use of a bronchodilating spray and fenoterol (Berotec) powder. AB - The investigation compares the errors in using a bronchodilating spray and fenoterol powder for inhalation, it also determines the patient preference with regard to the preparation. Of 76 patients with obstructive lung disease, 15 (19, 7%) used the spray incorrectly, relatively many of them were elderly women. The most important cause was coordination problems. Only four had difficulty with the powder preparation. Forty-two patients preferred the spray providing the effects of both agents were equally good. Twenty-six preferred the powder and eight had no preference. The preference for powder was relatively greater among elderly women and among these patients who had not previously used a spray. It is concluded that the majority of earlier users of spray prefer this form of treatment and that instruction in the correct use of a spray is essential. The powder preparation is particularly advantageous for patients with coordination problems of various types. PMID- 6581057 TI - Optimal inhalation procedure for the fenoterol powder inhaler. AB - To assess the optimal inhalation procedure of a fenoterol (Berotec) powder inhaler, the degree of reversibility of lung function impairment was studied in 10 patients with stable asthma after 1) deposition of 0.2 mg fenoterol under the tongue, 2) a rapid inhalation from residual volume (RV) to total lung capacity (TLC), and 3) a slow inhalation from functional residual capacity (FRC) to TLC. There was no effect on FEV1 of depositing fenoterol under the tongue, but both inhalation menoeuvres improved FEV1 significantly (p less than 0.01) and the rapid inspiration manoeuvre even slightly more (p less than 0.05) than the slow. It is concluded that the problem of impaction of large particles in the mouth and pharynx following rapid inhalation from a conventional pressurized cannister is considerably reduced with the fenoterol powder inhaler, due to the resistance it causes which tend to automatically reduce a forced inspiration flow rate to optimal low values. PMID- 6581058 TI - Experience with the inhalation of Berotec powder in the treatment of asthma in children. PMID- 6581059 TI - The use of fenoterol powder for the treatment of children with asthma. PMID- 6581060 TI - Acceptance of fenoterol powder for inhalation in children with bronchial asthma. AB - Eighteen children with perennial bronchial asthma, aged 10.3 years, were studied with respect to their attitude to inhalation of fenoterol, a beta 2-agonist, in powder form. Treatment with fenoterol powder was performed for three months and questionnaires were answered after one respectively three months. Almost all children showed a positive attitude towards handling capsules and inhaler. Inhaling fenoterol powder was well accepted and the effect of the powder on asthma symptoms was regarded as good. Although the positive attitude to continue with powder inhalations declined somewhat at the end of the observation period, fenoterol powder for inhalation seemed to be well accepted by children. PMID- 6581061 TI - Addition of a spacer device as an alternative in treatment with a metered inhaler. AB - The effects of 50 + 50 + 100 + 200 micrograms of fenoterol, inhaled from a conventional metered dose inhaler and a metered dose inhaler with an attached spacer device, a tube extension provided with a valve, the so-called aerochamber, respectively, were evaluated in a cumulative dose response study. There were no significant difference in the effect on the lung function or the side-effects following inhalation from the metered dose inhaler with or without an aerochamber. PMID- 6581062 TI - Fenoterol inhalation powder as an alternative to treatment with the metered dose inhaler. AB - Nine adult asthmatics took part in a cumulative dose response comparison of fenoterol (Berotec) inhalation powder and fenoterol metered dose inhaler. The study was carried out as a double-blind investigation using a double-dummy technique. No significant difference was observed in the lung function, in tremor or pulse rate on comparison of the two modes of administration. It is concluded that fenoterol inhalation powder is an effective and freon-free alternative to the metered dose inhaler. PMID- 6581063 TI - A cumulative dose response study for the comparison of the effect of inhalation of two dose sequences of fenoterol inhalation powder. AB - The effect of inhalation of two dose sequences of fenoterol inhalation powder were compared in a double-blind cumulative dose response investigation. Nine patients with stable asthma participated in the study. In dose sequence I, 50 + 50 + 100 + 200 micrograms of fenoterol powder were inhaled and in dose sequence II, 200 + 50 + 50 + 50 micrograms fenoterol inhalation powder. There was no significant difference in the effect on lung function or tremor at any point following the two methods of inhalation. PMID- 6581064 TI - Ventilation effects of fenoterol powder and freon-propelled aerosol in patients with asthma. AB - The efficacy of fenoterol powder (Berotec, Boehringer-Ingelheim) was investigated in ten patients with moderate or severe asthma. Double-blind comparison to placebo powder showed a significant difference (p less than 0.05) between 30 to 180 min after a single dose of 0.2 mg. There was no difference between fenoterol powder and aerosol (0.2 mg). No adverse effects were encountered. PMID- 6581065 TI - A comparison of fenoterol powder capsules and fenoterol metered dose spray in bronchial asthma. AB - In the present investigation the effect of fenoterol powder for inhalation has been compared to that of fenoterol spray in 20 adult patients with reversible obstructive lung disease. No difference could be demonstrated between the two forms of the drug in a randomized cross-over study. Neither was it possible to demonstrate any difference between the two preparations following the use of the drug at home over a minimum of four days, with regard to daily PEF registration and symptom scores. Nine of the patients preferred spray, six powder. PMID- 6581066 TI - [Causes and incidence of loss of permanent teeth]. PMID- 6581067 TI - [Prosthodontic rehabilitation of phonation and feeding problems in patients with microstomia]. PMID- 6581068 TI - [Histological study of resected roots after endodontic treatment]. PMID- 6581070 TI - Public education. The ultimate goal of the FDEF. PMID- 6581069 TI - [Effect of histamine and prostaglandins E2 and F2 alpha on the electrical activity of stomach cells in the rat]. AB - The effect of Ca ions on electrical responses of gastric gland cells to histamine and prostaglandins E2 and F2 alpha was studied using intracellular glass microelectrodes. The hyperpolarization evoked by histamine and prostaglandin F2 alpha was decreased in hypocalcium solutions and did not occur in Ca-free solution. The Ca ions seem to be necessary for the hyperpolarization responses of gastric gland cells to histamine and prostaglandins. PMID- 6581071 TI - The three "R's" of malpractice prevention. PMID- 6581072 TI - Hair analysis raises questions. PMID- 6581073 TI - The role of occlusion in periodontal disease and therapy. PMID- 6581074 TI - Communication styles and job effectiveness. PMID- 6581075 TI - Creating a supportive work environment. PMID- 6581077 TI - Proposed standards for the accreditation of education programs for and the credentialing of dental assistants. PMID- 6581078 TI - NADL gets new leadership: a professional's professional. Interview by Markus Ring. PMID- 6581076 TI - Helping the anxious patient: the role of the dental assistant. PMID- 6581079 TI - 'Internal' marketing produces profits. Interview by Carl M. Caplan. PMID- 6581080 TI - Dental laboratory health hazards. PMID- 6581081 TI - Buying a marginal business is risky, but credit, capital, and common sense can lead to success. PMID- 6581082 TI - Dental hygiene utilization in orthodontics. PMID- 6581083 TI - Nitrous oxide. PMID- 6581084 TI - Review of currently recommended aseptic procedures. I. Dental operatory contamination. PMID- 6581085 TI - What is a randomized sample? PMID- 6581086 TI - A dental hygienist in the hospital. PMID- 6581087 TI - Resin restoration. Factors affecting clinical performance. AB - This article reviewed the significant factors affecting clinical performance of resin restorations: cavity design and manipulation. The appropriate selection of the specific material should be based on the clinical situation, and the types and characteristics of resins available. PMID- 6581088 TI - The mechanism and management of dental cervical sensitivity. PMID- 6581089 TI - Plan now for success in 1984. PMID- 6581090 TI - Municipal bonds. Drop or swap? PMID- 6581091 TI - Watch for traps and new rules in the tax jungle. PMID- 6581092 TI - It couldn't happen to me! PMID- 6581093 TI - The embouchure: hazards and aids for brass wind instrument players. PMID- 6581094 TI - The scanning electron microscope: familiar objects at high magnification. PMID- 6581095 TI - Iatrogenic disorders and informed consent. PMID- 6581096 TI - Inhalation sedation. PMID- 6581097 TI - A practical guide to pulp canal therapy. 2. Pulpal anatomy. PMID- 6581099 TI - Soft tissue lesions in children: 3. Tumours and cysts. PMID- 6581098 TI - Dental pain. 4. The design of analgesic trials. PMID- 6581100 TI - Dental health education--the need for a broader view. PMID- 6581101 TI - Restorative treatment of a bilateral open bite. PMID- 6581102 TI - A hospital-based emergency dental service. PMID- 6581103 TI - Training a new DSA. PMID- 6581104 TI - A practical guide to pulp canal therapy. 3. Instruments and materials. PMID- 6581105 TI - Prescribing and drug use in general dental practice. 1. Principles. PMID- 6581106 TI - Soft tissue lesions in children: 4. Miscellaneous conditions. PMID- 6581107 TI - HLA-DR antigens and diabetic nephropathy. PMID- 6581108 TI - Adverse effects with isotretinoin. PMID- 6581109 TI - [Splenectomy in chronic granulocytic leukemia]. PMID- 6581110 TI - [Gastric localization indicating the development of an acute form of subacute myelomonocytic leukemia]. PMID- 6581111 TI - [Case of the transformation of erythremia into chronic myeloleukemia]. PMID- 6581112 TI - [Basic principles of the ambulatory care of patients with leukemia]. PMID- 6581113 TI - [Stage system of the classification of somatic well-being and ambulatory care of patients with chronic leukemia]. PMID- 6581114 TI - [Preliminary criteria for the evaluation of work capacity in chronic leukemia]. PMID- 6581115 TI - Comparison of the effects of nicardipine and nifedipine on isolated human myometrium. AB - The effects of nicardipine, a calcium-entry blocker which also has a potent phosphodiesterase inhibitory action, were investigated on isolated human term pregnant and nonpregnant myometrium, and compared with those of nifedipine. Both drugs relaxed pregnant and nonpregnant myometrial preparations contracted by potassium (127 mM), and also reduced or abolished contractions occurring spontaneously, or induced by prostaglandin F2 alpha, oxytocin and vasopressin. However, the effect of nicardipine had a slower onset of action than that of nifedipine, and the drug was significantly more potent than nifedipine is at least as effective as nifedipine. If the differences between the drugs can be reproduced also in vivo, nicardipine offers an interesting alternative to nifedipine for inhibition of undesired uterine activity. PMID- 6581116 TI - [Fibrositis]. PMID- 6581117 TI - Questions addressed regarding new hospice program. PMID- 6581118 TI - On the identity of arylsulphatase C and steroid sulphatase. PMID- 6581119 TI - Presence of HLA-DR antigen on synovial type A and B cells: an immunoelectron microscopic study in rheumatoid arthritis, osteoarthritis and normal traumatic joints. AB - The HLA-DR antigen was investigated in synovial epithelia of rheumatoid arthritis, osteoarthritis and normal traumatic joints, using monoclonal anti human HLA-DR antibody and horseradish peroxidase-conjugated antibody. The HLA-DR staining was observed in an electron microscope. HLA-DR antigen was observed to be present on the surface of both macrophage-like (type A) and fibroblast-like (type B) cells in synovial epithelia in all rheumatoid arthritis, osteoarthritis and normal joints. Since type A and B cells are ultrastructurally considered to be of synovial origin, the findings suggest that the expression of HLA-DR antigen on the surface is one of the common attributes of type A and B cells in synovial epithelia, even before cellular infiltration of chronic inflammation in rheumatoid arthritis. These cells may play an important role in the initiation of rheumatoid inflammation, since HLA-DR antigen is considered equivalent to murine Ia antigen. PMID- 6581121 TI - Terminal differentiation in acute myeloid leukemia. PMID- 6581120 TI - Structural polymorphism of the DC1 light chains from DR1-, DR2-, and DRw6 positive cell lines. AB - The heavy and light chain subunits of the DC1 antigen from several cell lines expressing different DR specificities were compared by two-dimensional (2-D) gel electrophoresis. The DC1 light chains from cell lines typed as DR1, DR2, or DRw6 differed in their isoelectric points. No difference in charge was observed for the DC1 heavy chain from the three cell lines. The DC1 light chains from different DRw6-positive cell lines were also found to be structurally polymorphic. The DRw6 cell lines examined did not all express the same DR-like light chains, indicating that the DRw6 specificity is biochemically complex, which is in agreement with the serologic studies of others. PMID- 6581122 TI - Demonstration of MISFI (molecules immunologically similar to fibrinogen) and fibrinogen antibody in various pathological studies using counter immunoelectrophoresis. PMID- 6581123 TI - Essential hypertension: improved differentiation by the temperature dependence of Li efflux in erythrocytes. AB - Kinetic and thermodynamic properties of red cell lithium (Li) efflux were examined in patients with essential hypertension; the maximal rate of Li efflux as affected by temperature was measured at the range of 12 degrees to 42 degrees C. Fifty-two patients with essential hypertension and 22 normotensives were studied. The mean Li efflux, both into sodium (Na) medium and Li-Na countertransport, was higher in hypertensive than in normotensive persons, but the distinction between the two groups was limited by extended scatter and overlap. The distinction could be markedly improved by determining the effect of temperature on Li efflux. While all the normotensives exhibited Arrhenius plots of Li efflux with a change in slope ("break") around 30 degrees C, the corresponding "break" for most (75%) of the hypertensives was about 20 degrees C. Consideration of both the rate and the temperature dependence of Li efflux further improved the differentiation of hypertensive patients. Analysis of normotensive offspring of hypertensives and of patients with secondary hypertension indicates that the temperature dependence of Li efflux may serve as a genetic marker for essential hypertension. PMID- 6581126 TI - Age: a barrier to oral surgery? AB - As a result of major advances in the management of disease, life span has been greatly extended and with it there has been a significant increase in the geriatric population requiring oral surgery. Of major concern to the practitioner is the proper treatment of such patients. Modifications in preoperative, intraoperative and postoperative care are required for the management of these individuals and have to be related to the physiologic, psychologic and pathologic changes occurring in the elderly. When appropriate precautions are taken age should not be a barrier to successful oral surgery. PMID- 6581125 TI - Severe hypertension in the Spanish population. Association with specific HLA antigens. AB - There is now increasing evidence for immunological changes in essential hypertension. Immunological response is determined in part by genes linked to the HLA system. It has been reported a positive association between HLA B15 and the risk for cerebral events in essential hypertensive (EH) patients. We studied the distribution of HLA antigens in 128 EH (age range, 13-85 years) and 1000 normotensive controls. EH were classified in accordance with the World Health Organization (WHO) criteria: in WHO Stages I and II, there were 100 patients; in WHO Stage III, there were 28 patients. HLA-A and B antigens of peripheral blood lymphocytes were studied according to the microlymphocytotoxicity test. The results were compared by chi-square analysis, and the p value was multiplied by the number of antigens studied at each locus, to avoid overestimation of an association. Frequency of HLA-BW 22 was higher in EH compared with controls (5.4% vs 1.2%, p less than 0.01). Frequency of HLA-B12 in EH with WHO Stage III hypertension (64.2%) was significantly increased compared either with EH in WHO Stage I or II (29%, p less than 0.01) or the control group (26.9% p less than 0.001). The incidence of HLA-B15 antigen in the whole hypertensive group was 3.1%, lower than in normotensive controls (6.4%, p less than 0.8). None of the patients with WHO Stage III hypertension had the HLA-B15 antigen. In conclusion, the results seemed to indicated that the Spanish population had an association between HLA-B12 and severe hypertension. PMID- 6581124 TI - Impaired catecholamine inactivation. A prohypertensive stimulus after dietary linoleate deficiency in salt-loaded rats? AB - Experiments were carried out on salt-loaded rats (1.5% NaCl as drinking fluid) to further explore the mechanisms by which blood pressure increases after a linoleic acid-deficient (LAd) diet. In 4-week-old LAd rats (0.5 cal% LA, hydrogenated palm kernel fat) compared to linoleic acid-rich rats (LAr, 13.3 cal% LA, sunflower oil), we observed, from the base of a reduced content of omega-6-polyunsaturated fatty acids in the tissues, an increase in blood pressure by 12 mm Hg (p less than 0.001), a diminished formation of prostaglandin E (PGE), and an unchanged formation of PGF in the aorta as well as a reduction in the in vitro uptake of 14C-norepinephrine into cardiac, aortic, and renal tissues, and a reduced degradation rate of 14C-norepinephrine in cardiac tissue. These differences in LAr vs LAd rats were not exaggerated. With respect to aortic PGE formation, 14C norepinephrine uptake into aortic and renal tissues and 14C-norepinephrine degradation even lessened when the diet was begun prenatally, although the reduction of omega 6-polyunsaturated fatty acids in the tissues was aggravated. Our conclusion is that a fault in catecholamine inactivation may be involved in the pathogenesis of increased sympathetic activity and blood pressure elevation in LAd-fed, salt-loaded rats, possibly via alterations of endogenous prostanoid formation. PMID- 6581127 TI - Diseases of the oral mucosa in the aged patient. AB - A wide variety of diseases of the oral mucosa may occur in the aged patient. The majority arise primarily in the oral cavity. Some, however, are manifestations of generalized diseases. Based on his dental and medical education and with the help of several good atlases (Strassburg and Knolle, 1968; Pindborg, 1980) and textbooks of oral pathology (Shafer et al., 1974; Lucas, 1976) the dentist should be able to recognize most of the lesions warranting intervention. PMID- 6581128 TI - Conservative management of degenerative temporomandibular joint disease in the elderly. AB - Degenerative arthropathy and rheumatoid disease produce significant morbidity in elderly dental patients. Clinical and radiographic examination usually indicates the nature and extent of the disease in the temporomandibular joints and provides the basis for graduated treatment. Conservative measures are generally more acceptable and most successful in the elderly patient with pain, limitation of opening and grating of the joint. Acute-onset arthritis is relieved by local anaesthetics, non-steroidal anti-inflammatory drugs and occlusal adjustment. Occasionally, intra-articular steroids are needed; these provide prolonged relief from pain and stiffness. Remedial exercises, in conjunction with physical therapy, should be continued after resolution of the acute attack or used as primary treatment for chronic arthropathy. A small proportion of cases remain resistant to conservative treatment; blind condylotomy (surgical sectioning) of the affected condylar neck is a safe, effective procedure for refractory cases which do not respond to the conservative regimen described. This procedure may be used for degenerative arthropathy and also for chronic dislocation which has failed to respond to peri-articular injection of sclerosing agents. Rheumatoid disease in the jaw should be treated in conjunction with the medical therapist when other joints are involved. PMID- 6581130 TI - Long term results with intraosseous implants: a questionnaire-based assessment. AB - The results of an FDI questionnaire-based survey involving dentists from five countries reporting on 507 implants were compared with those of similar surveys on implantations conducted by the American Dental Association in 1977 and subsequent years. There were questions on retention time, materials used and types of implants; of the 1024 recorded implants, the loss rate was calculated at 16.5 per cent. This rate was compared with those found in objective follow-up investigations reported in the literature (total 695 implants) and a realistic loss rate of approximately 16 per cent, was confirmed. PMID- 6581129 TI - Cellular responses to implant materials: biological, physical and chemical factors. AB - Adhesion of bone and epithelial cells to the dental implant are vital to its retention in alveolar bone and to the prevention of infection via its 'gingival' margin. Studies of cytotoxicity, tissue irritability and carcinogenicity of implantable polymers, metals and ceramics and of tissue adhesion to them have been carried out in tissue culture and in animal experiments. The more similar the polymeric materials are chemically to living tissue the more easily are they dissolved and digested in the host. Therefore, implant materials having a molecular structure similar to protein or polysaccharide, e.g. Nylon, cannot be expected to function. On the other hand, silicones, polyethylene and Teflon (polytetrafluroethylene), which have molecular structures completely different from living substances, are generally more stable in the tissues. However, these polymers are hydrophobic and have little adhesion to living cells in spite of their high stability. They are not, therefore, suitable materials for the construction of implants. Studies on antithrombotic polymers have demonstrated the possibility of creating implantable polymers which have high stability as well as strong adhesion to the surrounding tissues. These properties may be conferred by grafting a hydrophilic polymer on to the surface of a hydrophobic polymer. Of the metals, Ti, Zr and Ta are fairly stable in living tissue, and allow cells to adhere strongly. Alloys of Co-Cr-Mo, Fe-Ni-Cr-Mo, Ti-Al-V, Ti-Mo, Ti-Pd and Ti-Pt deserve to be better evaluated because they are low in density, have high mechanical strength, stability and corrosion resistance in living tissue, and there is direct adhesion to the surrounding tissues. Biodegradable or bioactive ceramics which induce bone formation around the implant do not have sufficient mechanical strength. Implant ceramics have to be stable, e.g. crystal alumina, vitreous carbon, synthetic hydroxypatite and silicon nitrate. These exhibit high biocompatibility and excellent adhesion to tissue. Single crystal sapphire ceramics with high mechanical strength permit the delicate designs required for implants. Success with dental implants may depend upon combining the rigid retention of porous stable alloys or ceramics of suitable Young's modulus with a stress absorbing superstructure. A further development to be expected is the appearance of composite and polyphase materials which have tissue adhesiveness, stability in living tissues and various degrees of Young's modulus. PMID- 6581131 TI - The FDI two-digit system of designating teeth. PMID- 6581132 TI - Bacterial microleakage and pulpal inflammation in experimental cavities. PMID- 6581133 TI - The management of root resorption in replanted and transplanted teeth. PMID- 6581135 TI - The isolation of teeth and the protection of the patient during endodontic treatment. PMID- 6581134 TI - Paraesthesia following endodontic treatment: survey of the literature and report of a case. PMID- 6581136 TI - Coronal displacement of an apical gutta-percha cone sealed with AH26--a case report. PMID- 6581137 TI - The practice of endodontics by different groups of dentists in England. British Endodontic Society. PMID- 6581138 TI - Guidelines for root canal treatment. British Endodontic Society. PMID- 6581139 TI - Phenotypic changes induced in the human thymic ALL cell line HPB-ALL by an ingenol ester, milliamin. AB - An ingenol ester, milliamin, induced phenotypic changes in human thymic ALL cell line HPB-ALL. These alterations included morphological changes, increased sRBC rosetting, the induction of phenotypic changes of differentiation antigens, i.e. a decrease in OKT4-, OKT6-, OKT9-, OKT10- and Leu3a-positive cells and an increase in Leu2a-positive cells, growth inhibition and decreased DNA synthesis. These phenotypic changes were qualitatively and quantitatively similar to those induced by other polyol diterpens with tigliane and daphnane hydrocarbon skeletons such as TPA and mezereine, respectively. PMID- 6581140 TI - Airway interference: objective measurement and accountability. PMID- 6581142 TI - The relationship between mouth breathing and tongue thrusting. PMID- 6581141 TI - Temporomandibular joint disorders - an overview. PMID- 6581143 TI - Lip and tongue postures following maxillary impaction surgery. PMID- 6581144 TI - Airway interference: a clinical perspective. PMID- 6581145 TI - Root coverage using the free soft tissue autograft following citric acid application. II. Treatment of the carious root. PMID- 6581146 TI - The effect of PGF2 alpha on human and rat oral mucosa. AB - PGF2 alpha exerts a cytoprotective effect on the oral mucous membrane against the caustics, trichloroacetic acid and silver nitrate. The prophlogistic effect of PGF2 alpha and a caustic agent acting synergistically is an exaggerated inflammatory reaction (caustic-prostaglandin reaction or CPR). Intraperitoneal pretreatment with PGF2 alpha can prevent this CPR in rats. Probably the prostaglandin pretreatment depresses the PG receptors. Intraperitoneal pretreatment with indomethacin evokes a more marked CPR in rats. Probably the indomethacine pretreatment activates the PG receptors. Histological sections of the rat oral mucosa show a much less marked reaction after PGF2 alpha pretreatment. They also show signs of more marked swelling after indomethacin pretreatment. PMID- 6581147 TI - Prostaglandin production by human trabecular cells: in vitro inhibition by dexamethasone. AB - In addition to the well-known ability of prostaglandins (PGs) to raise intraocular pressure (IOP), it recently has been reported that moderate and low doses of PGE2 and PGF2 alpha significantly reduce IOP in a variety of experimental animals. These studies suggested to us that PGs might serve as endogenous regulators of outflow facility in the meshwork if these autacoids were produced and secreted by human trabecular cells. To examine this possibility, media from well-defined trabecular cell material were assayed using specific radioimmunoassays. Morphologically differentiated human trabecular cells produced high levels of PGE2, and somewhat lower levels of PGF2 alpha and 6KF1 alpha in the presence and absence of serum. In a typical experiment, the following PG levels were detected in the cell culture media after 24 hours: PGE2; 225; PGF2 alpha, 33.5; 6KF1 alpha, 12.7 ng/ml with the presence of 10% fetal calf serum; and PGE2, 30.0; PGF2 alpha, 4.8; 6KF1 alpha, 3.6 ng/ml in serum-free media. Since glucocorticoids are known to inhibit PG pathways in other tissues, this effect was examined in the cultured trabecular cells. Moderate concentrations of dexamethasone (DEX) produced a marked inhibition in the levels of all three PGs. For PGE2 production, 10(-8) M DEX inhibited approximately 75%, and 10(-7) M DEX inhibited approximately 90%. More detailed dose-response studies revealed that the I50 for inhibition of PG production by dexamethasone was less than 10 nM, thus indicating that the steroid effect probably involved high affinity glucocorticoid receptors.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6581148 TI - Kinetic behaviour of human erythrocyte casein kinases. Effect of 2, 3 bisphosphoglycerate and heparin. AB - The predominant cAMP-independent casein kinase CS isolated from human erythrocyte hemolysate and membrane casein kinase MS are inhibited to the same extent by 2,3 bisphosphoglycerate (2,3-DPG). However, under some conditions, both enzymes may appear to be unaffected or even stimulated by this prominent red cell metabolite, depending on casein and monovalent salt (NaCl, KCl) concentrations employed in the assay. In addition, both casein kinases CS and MS exhibit identical response to heparin, being unaffected by increasing concentrations of this mucopolysaccharide up to 400 ng/ml. On the contrary, the minor cytosolic casein kinase CTS, is inhibited by both 2,3-DPG and heparin under all conditions tested in the assay. PMID- 6581149 TI - Osteosarcoma of the proximal femur and humerus in children treated by resection, endoprosthesis and complementary chemotherapy. AB - Three cases of osteosarcoma of the proximal femur and humerus in children are reported. They were all highly malignant. They were treated by radical resection and prosthetic replacement with complementary chemotherapy. At 6 months, 2 years and 7 months, and 3 years and 2 months respectively they show no signs of local recurrence or metastases. PMID- 6581150 TI - Antiblastic hyperthermic regional perfusion in the treatment of malignant neoplasms of the limbs. AB - The authors describe the theoretical principles and the experimental and clinical investigations that form the basis for the technique of selective hyperthermic perfusion of the limbs, with or without the addition of antiblastic agents. Neoplastic cells are much more sensitive to heat than normal cells, undergoing necrosis at a temperature of 42.5 to 43 degrees C. The authors discuss the histological appearances and the clinical results obtained in the treatment of 29 cases of malignant neoplasms of the limbs in which antiblastic hyperthermic perfusion was carried out one month before surgical removal of the neoplasm. The long term results show that antiblastic hyperthermic perfusion significantly reduces the risk of local recurrences in cases of resection and in some cases enables amputations rather than disarticulations to be performed. This type of treatment is particularly indicated in the highly undifferentiated and aggressive forms such as osteosarcoma, malignant fibrous histiocytoma, adamantinoma, fibrosarcoma, giant-cell sarcoma, Ewing's tumour, and synovioma. PMID- 6581151 TI - [Annual meeting of the Swiss Society of Pediatrics jointly with the Swiss Society of Pediatric Surgery and the Swiss Society of Pediatric Radiology. Winterthur, 17 18 June 1983. Abstracts of reports, communications and posters]. PMID- 6581153 TI - Conversion of chronic myeloid leukemia. PMID- 6581152 TI - Microbial conversion of anthracycline antibiotics. I. Microbial conversion of aclacinomycin B to aclacinomycin A. AB - Streptomyces galilaeus OBB-111 and its blocked mutant were found to convert aclacinomycin B and related anthracycline glycosides of the B type to the corresponding A-type glycosides. Only the cell fraction of cultures of S. galilaeus OBB-111 was capable of catalyzing the reaction. The activity was associated with growth but disappeared before the start of rapid production of aclacinomycins A and B. PMID- 6581154 TI - Lymphoblastic crisis in chronic myeloid leukemia. PMID- 6581155 TI - Acute myeloid leukemia in adults: experience at AIIMS. PMID- 6581156 TI - Inhibition of nitrogenase activity by ammonium chloride in Azotobacter vinelandii. AB - In Azotobacter vinelandii cells, the short-term inhibition of nitrogenase activity by NH4Cl was found to depend on several factors. The first factor is the dissolved oxygen concentration during the assay of nitrogenase. When cells are incubated with low concentrations of oxygen, nitrogenase activity is low and ammonia inhibits strongly. With more oxygen, nitrogenase activity increases. Cells incubated with an optimum amount of oxygen have maximum nitrogenase activity, and the extent of inhibition by ammonia is small. With higher amounts of oxygen, the nitrogenase activity of the cells is decreased and strongly inhibited by ammonia. The second factor found to be important for the inhibition of nitrogenase activity by NH4Cl was the pH of the medium. At a low pH, NH4+ inhibits more strongly than at a higher pH. The third factor that influenced the extent of ammonia inhibition was the respiration rate of the cells. When cells are grown with excess oxygen, the respiration rate of the cells is high and inhibition of nitrogenase activity by ammonia is small. Cells grown under oxygen limited conditions have a low respiration rate and NH4Cl inhibition of nitrogenase activity is strong. Our results explain the contradictory reports described in the literature for the NH4Cl inhibition of nitrogenase in A. vinelandii. PMID- 6581157 TI - A meiotic mutant of the fission yeast Schizosaccharomyces pombe that produces mature asci containing two diploid spores. AB - A mutant of the fission yeast Schizosaccharomyces pombe grew normally in the mitotic cycle but produced two-spored asci in the meiosis cycle. These spores were diploid, and the segregation of centromere-linked markers in the dyads was mostly reductional. Only the first meiotic division appears to occur in this tws1 mutant, resulting in enclosure of diploid nuclei into spores. PMID- 6581158 TI - Nitrogen fixation and nitrogenase activities in members of the family Rhodospirillaceae. AB - Strains of all 18 species of the family Rhodospirillaceae (nonsulfur photosynthetic bacteria) were studied for their comparative nitrogen-fixing abilities. All species, with the exception of Rhodocyclus purpureus, were capable of growth with N2 as the sole nitrogen source under photosynthetic (anaerobic) conditions. Most rapid growth on N2 was observed in strains of Rhodopseudomonas capsulata. Within the genus Rhodopseudomonas, the species R. capsulata, R. sphaeroides, R. viridis, R. gelatinosa, and R. blastica consistently showed the highest in vivo nitrogenase rates (with the acetylene reduction technique); nitrogenase rates in other species of Rhodopseudomonas and in most species of Rhodospirillum were notably lower. Chemotrophic (dark microaerobic) nitrogen fixation occurred in all species with the exception of one strain of Rhodospirillum fulvum; oxygen requirements for dark N2 fixation varied considerably among species and even within strains of the same species. We conclude that the capacity to fix molecular nitrogen is virtually universal among members of the Rhodospirillaceae but that the efficacy of the process varies considerably among species. PMID- 6581159 TI - Effect of oxygen tension on matrix formation and mineralization in hamster molars during development in vitro. AB - The effect of 3 oxygen tensions (20%, 50% and 95%) on the pre-eruptive tooth development in vitro was studied biochemically and histologically in 2nd maxillary molars of the hamster. The specific uptakes (uptake per microgram dry weight) of 3H-proline and 45Ca were used as parameters for matrix production and mineralization, respectively. The best results were obtained at 50% O2. Histologically, considerable amounts of predentine, dentine and enamel matrix were found in these molars. Biochemically, appreciable synthesis of matrix and mineralization were measured. In an atmosphere containing 20% O2 less predentine, dentine and enamel matrix were formed. Moreover, production of the matrices occurred in a less regular way. In particular, dentinogenesis in the deeper parts of these molars was affected. The odontoblasts in these areas showed an abnormal and decreased matrix production and eventually dedifferentiated. Biochemically, a lower matrix synthesis and mineralization were measured in these molars. PMID- 6581160 TI - Pathological effects of N-methyl-N'-nitro-N-nitrosoguanidine on oral mucosa in Wistar rats after transplacental exposure. AB - This study examined the effects of N-methyl-N'-nitro-N-nitrosoguanidine (M.N.N.G.) on the oral mucosa of Wistar rats. The rats were born from dams treated by i.p. injections of M.N.N.G. during gestation. Each pregnant rat of a first group received a total dose of 39.60 mg/kg of M.N.N.G. administered throughout the gestation period. Each pregnant rat of a second group received a total dose of 82.50 mg/kg of M.N.N.G. by i.p. injections during the first ten days of gestation. In the progeny of dams from both groups, the morphology of the gingiva was modified. The lingual gingiva from the lower jaw was most impaired. The epithelium always displayed hyperplasia: acanthosis, papillomatosis and hyperkeratosis. These results indicate a pathogenic effect of M.N.N.G. on lingual, mandibular gingiva. This effect was slight but permanent and irreversible. No carcinogenic effect was noticed on the oral mucosa. Similarities between the lesions described in this work and human epithelial dysfunction makes this experimental model interesting. PMID- 6581161 TI - Cell release from the palatal shelves and the fusion line. AB - Cell release from the palatal shelves and the fusion line prior to and during closure of the secondary palate was studied in Sprague-Dawley rat fetuses of a precise, individually determined age. Fetuses with normal and with experimentally retarded or failing palatal closure were examined by light- and electronmicroscopy. Three different phenomena were observed involving either locally restricted areas or the entire medial shelf edge: (1) desquamation of superficial cells, (2) extrusion of cell blebs, and (3) surface accumulation of basal cells. It is suggested, that desquamation is a process facilitating primary contact and fusion between undifferentiated cells, while extrusion of cell blebs probably represents degradation of the epithelial seam by cellular escape. Basal cells were seen at the surface of unfused shelf edges in fetuses with partial or total palatal clefting, as well as in fetuses with a normal but timewise delayed palatogenesis. It was assumed that, under normal conditions, epithelial surface desquamation is followed or accompanied by basal cell migration and that this may provide an additional mechanism assuring shelf contact between deep-seated cells. PMID- 6581162 TI - [Oncocyte cells in salivary tumors: frequency, histoenzymological and ultrastructural characteristics]. AB - Two types of salivary monomorphic adenomas, the so-called adenolymphoma and oncocytoma (75 cases in a series of 873 salivary gland tumors) were studied. These tumors were almost always located in major salivary glands (essentially in the parotid gland). They were much more common in men (85%) than in women. The oncocyte represented the characteristic cell in these two neoplasms. By electron microscopy, they were seen to contain numerous and abnormal mitochondriae and well-developed lysosomal systems. These findings were correlated with a high level of activity of oxidative enzymes and of acid phosphatases. The histogenesis of these tumors was discussed. They seemed to arise from aberrant striated ducts embedded in heterotopic lymph nodes. The tumoral oncocytes would suffer a primary disturbance of their oxidative metabolism followed by a compensative mitochondrial hypertrophy. PMID- 6581163 TI - [Prevention of dental caries in Thailand: 3 fluoridated products submitted for comparative tests]. AB - The aim of a three-year field trial was to compare the relative effectiveness of a 0.2% fluoride rinse used fortnightly, fluoride chewing-gum sweetened with sucrose and fluoride chewing-gum sweetened with a mixture of xylitol and sorbitol (4 sticks of gum chewed per day for 5 days a week during the school year). Indications from the data are that the chewing-gum/sucrose regime was at best considerably less effective than the other two regimes. The study shows that the effectiveness of the chewing-gum/xylitol-sorbitol and the fluoride rinse regimes was comparable. PMID- 6581164 TI - Effect of fluoride on mineral loss in the intra-oral cariogenicity test. AB - The loss of Ca and P was determined in different layers of enamel slabs after an Intra-Oral Cariogenicity Test with 3% sucrose in the presence and absence of F-. The mineral loss could be inhibited largely by 0.1% F-. A direct relationship between indenter penetration change and mineral loss was demonstrated in the absence of F-. PMID- 6581165 TI - [Proportion and frequency of 3 kinds of anaerobic bacteria in relation to the gingival index]. AB - The proportion and frequency of three groups of particular bacteria (Bacteroides, Fusobacterium and spirochetes) were studied in relation to the gingival index on the sites from which they were sampled. Seventy eight samples collected from 40 individuals were studied together with measurements of the gingival index and the pocket or sulcus depth. The samples were dispersed by ultrasonic treatment, diluted and cultured on a non-selective medium. The identification of the species was done by biochemical tests and by analysis of the metabolic products with gas chromatography. As a whole, our results support the hypothesis of an important change in the microbial flora from a clinical healthy status (with predominant Gram positive facultative anaerobic bacteria) to disease (with predominant Gram negative strict anaerobic bacteria). Furthermore the results suggest that Bacteroides gingvalis as well as Fusobacterium nucleatum and spirochetes through their high frequency and important proportion at the affected sites played an etiological role in the pathogenesis of gingivitis and periodontis Man. PMID- 6581166 TI - Influence of radial TEM distortion on the accuracy of lattice parameter determinations of apatites: a comparison of four electron microscopes. AB - Lattice fringe distances of synthetic hydroxyapatite were measured quantitatively in four different TEM microscopes as a function of the position with respect to the optical axis. Using the accurately known "a" value of this apatite from X-ray diffraction, the maximum radial distortion in the image planes can be determined in various positions. For the Philips EM 400, EM 300 (1) and EM 300 (2) and JEOL 200 CX the maximum radial distortion was found to be 1.0%, 0.8%, 1.5% and 0.5%, respectively. In accurate lattice parameter determinations of mineral and mineral phases in biological tissues by means of TEM; this radial distortion is an important parameter to take into account. PMID- 6581167 TI - Studies of alkaline phosphatase inhibition by p-bromotetramisole in non mineralizing and mineralizing neonatal hamster tooth germs in vitro. AB - The effects of l and d-, p-bromotetramisole (pBTM) on alkaline phosphatase were studied in relation to 45Ca2+, 32phosphate and 3H-thymidine uptakes in non mineralizing second (M2) and mineralizing first (M1) maxillary hamster molar tooth germs under the conditions of organ culture. At the concentration used in culture (10(-3)M), l-pBTM completely inhibited alkaline phosphatase activity in tooth germ homogenates. About 30% of the enzyme activity was inhibited by d-pBTM at the same concentration. In culture, there were no significant differences between the effects of l and d-pBTM isomers on all the parameters measured. In the non-mineralized M2 molars, l and d-pBTM significantly reduced both TCA soluble and TCA-insoluble 32phosphate uptakes but not 45Ca2+. However, 3H thymidine uptake was also significantly decreased. In M1 molars, the pBTM isomers significantly reduced the uptake of TCA-soluble 32phosphate and 45Ca2+ but not TCA-insoluble 32phosphate. Ouabain, a specific inhibitor of Na+-K+-ATPase (but not alkaline phosphatase), also significantly reduced 3H-thymidine uptake to the same extent as the pBTM isomers in the non-mineralizing M2 molars, but it did not significantly affect either 32phosphate (TCA-soluble and TCA-insoluble) or 45Ca2+ uptake. Although this inhibitor significantly reduced both 45Ca2+ and TCA-soluble 32phosphate uptake in the mineralizing M1 molars, this effect was much less dramatic than was the case with the pBTM isomers. The reduced 45Ca2+ uptake in the M1 molars is probably a consequence of reduced mineralization since in the non-mineralizing M2 molars calcium uptake was not significantly affected by the pBTM isomers.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6581168 TI - The influence of a single fluoride treatment (1 000 ppm) on in vitro remineralization of initial enamel lesions. PMID- 6581169 TI - Spinal instability due to malignant disease. Treatment by segmental spinal stabilization. AB - Seven patients with a malignant tumor were treated for spinal instability with Luque-rod fixation either with or without bone-grafting. The stabilization was successful in all patients, including five who died as a result of the tumor between six and eighteen months postoperatively. Two patients were still alive at an average of twenty-two months after operation. The only complication that was directly related to the procedure was cutting through the lamina of a fixation wire. PMID- 6581170 TI - Dedifferentiated parosteal osteosarcoma. AB - Parosteal osteosarcoma is an uncommon malignant tumor of bone, and in a review of Mayo Clinic records we identified eleven cases of so-called dedifferentiated parosteal osteosarcoma. Ten of the eleven patients had had a long history of treatment for multiple recurrences of the tumor as a low-grade parosteal osteosarcoma and then for a definite recurrence as a high-grade undifferentiated osteosarcoma. The prognosis in this group of patients was similar to that in patients with conventional osteosarcoma. PMID- 6581171 TI - Characterization of the early and late stages of myelomonocytic leukemia induced by Friend helper-independent virus F-MuLV: isolation and induction of Friend myelomonocytic leukemic cell lines. AB - With the use of cloned helper-independent Friend leukemia virus (F-MuLV), we have induced a high incidence (approximately 70%) of myelomonocytic leukemia in mice resistant (Fv-6rr or Fv-6rs) to erythroleukemia induction by this virus. The spleen cells from these mice (DBA/2 or BALB/c X DBA/2) were found to contain a high level of progenitor cells capable of forming granulocytic and macrophage colonies (CFU-GM). These CFU-GM, however, were different from those in the spleens of uninfected mice, as they were either very sensitive to or independent of conditioned medium. No erythroid progenitor bursts (BFU-E) or precursor (CFU E) cells were detected in the spleens of these diseased animals. If these mice with myelomonocytic leukemia were kept alive by transfusion of red blood cells from uninfected mice, tumorigenic cell lines, capable of being transplanted, into adult mice can be isolated. Three such cell lines TTA-1, TTA-3, and TTA-9 have been established, and they retain their morphology of monocytes and macrophages as well as being positive for the monocyte-specific stain alpha-naphthyl-acetate esterase. These myelomonocytic leukemia cell lines can also be induced in culture by spleen cell-conditioned medium to differentiate into macrophages. Other conditioned media such as L-cell-conditioned medium, phytohemagglutinin stimulated leukocyte-conditioned medium, and WEHI-3 conditioned medium were less effective in their abilities to stimulate differentiation in these myelomonocytic leukemia cell lines. PMID- 6581172 TI - Utilization of monoclonal antibodies and immuno-scanning electron microscopy for the positive identification of human leukemic cells. AB - Monoclonal antibodies generated against normal and leukemic human leukocytes were tested for their differential reactivity with leukemia and lymphoma cell lines as well as with circulating lymphoid and myeloid leukemic cells by means of immuno scanning electron microscopy (immuno-SEM). Anti-T (OKT3), anti-mu-chain, anti CALLA (J5), anti-BA-1, anti-BA-2, and anti-nonlymphoid (Mol) monoclonal antibodies were covalently conjugated to polystyrene latex microspheres (immunolatex), using a two-step glutaraldehyde reaction, and subsequently incubated with the various cell types. Cultured B-type Burkitt lymphoma cells (Daudi) and chronic lymphocytic leukemia (CLL) cells displayed extensive labeling with monoclonal anti-mu, anti-B1, and anti-BA-1 immunolatex conjugates, while cultured malignant T cells (HD-Mar) showed positive labeling with OKT3 immunolatex alone. Cultured myelomonocytic cells (GDM-1) and cells obtained from patients with acute myeloblastic (AML) and monoblastic leukemia (AMoL) labeled only with anti-Mol immunolatex, while cultured promyelocytic cells (HL-60) displayed far less labeling with this conjugate. Common-type acute lymphoblastic leukemia (C/ALL) cells were labeled predominantly with the J5 (anti-CALLA) and anti-BA-2 immunolatex conjugates. Evidence is presented indicating that immuno SEM employing monoclonal antibodies is a reproducible technique which may be used in the study of leukocyte maturation and may provide additional information in the classification of poorly differentiated leukemias. PMID- 6581173 TI - Clinical and microbiological effects of subgingival restorations with overhanging or clinically perfect margins. AB - The close association between restorations with overhanging margins and chronic destructive periodontitis has been known for many years. However, the mechanisms by which overhanging restorations will interact in the pathogenesis of periodontal disease are still unknown. Generally it is accepted that overhanging restorations contribute to the promotion of the disease process by virtue of their capacity to retain bacterial plaque. The purpose of the present study was to determine if the placement of subgingival restorations with overhanging margins results in changes in the subgingival microflora. 9 dental students with clean teeth and clinically healthy gingivae (GI less than 0.1) gave their consent to participate in the study. 5 MOD cast gold onlays with 1 mm proximal overhanging margins were placed in mandibular molars for 19-27 weeks. They were replaced in a cross-over design by 5 similar onlays with clinically perfect margins which served as controls. Another 5 onlays were placed in reverse order in the remaining patients. Prior to and every 2-3 weeks after insertion, subgingival microbiological samples were obtained by inserting a fine sterile paper point for 30 sec into the gingival sulcus subjacent to the restoration. The predominant cultivable flora was determined using continuous anaerobic culturing techniques. Following the placement of restorations with overhanging margins, a subgingival flora was detected which closely resembled that of chronic periodontitis. Increased proportions of Gram-negative anaerobic bacteria, black pigmented Bacteroides and an increased anaerobe: facultative ratio were noted. Following the placement of the restorations with clinically perfect margins, a microflora characteristic for gingival health or initial gingivitis was observed. Black-pigmented Bacteroides were detected in very low proportions (1.6-3.8%). These changes in the subgingival microflora were obvious irrespective of whether the restorations with the overhanging margins were placed in the first period of the experiment or following the cross-over. Clinically, increasing gingival indices were detected at the sites where overhanging margins were placed. Bleeding on gentle probing always preceded the peak level of black-pigmented Bacteroides. Loss of attachment was not detected in any site. Changes in the subgingival microflora after the placement of restorations with overhanging margins document a potential mechanism for the initiation of periodontal disease associated with iatrogenic factors. PMID- 6581174 TI - Effect of long-term tetracycline therapy on human periodontal disease. AB - The present investigation was performed to study the effect of long-term, low dosage tetracycline therapy on advanced periodontal disease in humans. 14 volunteers participated in the trial. Each of the participants had at least 4 pairs of diseased sites around contralateral premolars and incisors with deep pockets and advanced bone loss. The trial extended over a 50-week period and was designed as a double-blind split-mouth study. A Baseline examination included assessments of oral hygiene, gingival conditions, probing depth, attachment level and analysis of the composition of the subgingival microbiota in samples obtained from 8 selected diseased sites. All participants received oral hygiene instruction. In each patient 2 quadrants of the mouth, chosen at random, were treated by scaling and root planing. The 2 remaining quadrants were left unscaled. Following the Baseline examination the patients were randomly distributed into 2 groups of 7 members each. In one of the groups the patients received tetracycline on a daily basis during a 50-week period. The participants of the control group received placebo. Reexaminations were performed 2, 10, 20, 30 and 50 weeks after the Baseline examination. The findings demonstrated that in patients with advanced periodontal disease long-term tetracycline therapy in the absence of scaling resulted in the establishment of a subgingival microbiota almost devoid of motile bacteria and in markedly reduced signs of gingivitis, probing depth and attachment loss. In fact, the alterations observed as a result of tetracycline administration to patients with excellent self-performed plaque control were similar to those obtained by conventional scaling and root planing in the control group. PMID- 6581175 TI - Observations on gingival health in communities with and without school-based preventive programs. AB - The effect of school-based preventive programs was studied in 13-15 year old children living in 2 regions. In one region, those children who had tooth brushing exercises showed less plaque and gingivitis than control children, while in the other region the respective findings were equivocal. In general relatively low levels of caries prevalence were found. In the discussion part of the unexpected results are explained. PMID- 6581176 TI - Bacterial invasion of the periodontium; an important factor in the pathogenesis of periodontitis? AB - Tissue samples from 2 humans suffering from severe periodontitis were investigated by transmission electron microscopy. Confirming earlier observations in gnotobiotic rats, bacteria were found in various regions of gingival tissues. We observed bacteria invading the pocket epithelium, the underlying connective tissue, and microorganisms were also present deep in the connective tissue. The bacterial invasion of the periodontium was accompanied by different stages of tissue degradation. Various morphologically distinct types of Gram-negative and Gram-positive bacteria were evident. These microorganisms were found in the apical part of the periodontium. More coronally, a heavy infiltrate consisting predominantly of plasma cells was present. It is suggested that bacteria cannot invade regions of connective tissue protected by a massive cellular infiltrate. It seems that they rather circumvent this strong defense by penetrating more apically through the pocket epithelium while producing as camouflage leukochemophobic compounds which paralyze the chemotactically regulated mobile defense. It seems to us that bacterial invasion is a consistent feature of advanced periodontitis, leading to focal necrosis or microabscesses, and may well explain the cyclic nature of this disease. PMID- 6581177 TI - Potential cariogenicity of low and high sucrose dietary patterns. AB - In vivo daytime plaque pH telemetry during 2 week periods was combined with measurement of changes in enamel microhardness and analysis of microbial plaque composition in 2 human subjects. Well defined sucrose rich and sucrose poor diets were used as variables. During the 2 weeks of the high sucrose diet (50-80 g/day), a high cariogenic acid attack calculated from pH changes in "Proton hours" was associated with a marked progressive decrease in enamel microhardness. The low sucrose diet (2-6 g/day) showed a low "Proton hour" acid attack during the entire 2 weeks. The decrease in enamel microhardness, however, was low only during the first week. After day 7 a marked decrease could be observed. It could not be explained by the glycolytic activity of the plaque, which was low. Streptococcus mutans was present in all microbial samples. PMID- 6581178 TI - Longitudinal radiographical study on the rate of alveolar bone loss in patients of a dental school. AB - Two sets of radiographs, taken at an interval of 4-14 years in 105 patients of a dental school, were examined in order to determine the rate of resorption of alveolar bone. The percentage loss of maximum alveolar bone height was measured in the interproximal and interradicular sites by means of the Schei ruler. The average percentage of interproximal bone resorption was 0.51% (0.07 mm) per year. Age, sex, professional status, type of periodontal treatment and general state of health did not seem to affect the annual resorption rate. However, crowned teeth had a significantly greater rate of resorption than uncrowned teeth. Loss of bone tended to be more rapid in interdental as compared to interradicular areas. A positive and statistically significant correlation was found between initial resorption and annual tooth loss. PMID- 6581179 TI - CT follow-up of hepatic and splenic fungal microabscesses. AB - Three patients with acute myelogenous leukemia underwent abdominal computed tomographic (CT) examination for recent deterioration in clinical status. The diagnosis of hepatic and splenic microabscesses was correctly suggested in each patient on the basis of this study. In addition, CT accurately assessed the efficacy of antifungal therapy on follow-up studies. In this limited series of patients, CT was superior to clinical and laboratory evaluation in predicting the degree of parenchymal infection in the liver and spleen during treatment, confirmed by histologic specimens. PMID- 6581180 TI - The marginal polishing of Ion Ni-Chro crowns: a preliminary report. AB - Although several publications about the stainless steel crown are available, only a few studies were found by which the effect of the crowns on gingival health was investigated. Webber suggested that there were no gingival changes after placement of the stainless steel crown. Goto, however, found that gingivitis occurred around most of the crowns. The highest incidence was noticed around the crowns with the poorest marginal adaptation. Henderson showed that the poorer the crown fit, the greater the plaque accumulation and the more severe the gingivitis. Myers also found that gingivitis was associated with poor crown adaptation. In the investigation by Peterson, attention was drawn to the polishing of stainless steel crowns before placement. Following the results of our small pilot study, it was clear that polishing of the crown margins is a very important procedure. It was found that the use of abrasive wheels followed by silicon rubbers was the most satisfactory. Independently, we can state that careful polishing of the crown margins is a "must" to prevent gingivitis. PMID- 6581181 TI - A comparative study of three radiographic surveys in preschool children. PMID- 6581182 TI - In vitro assessment of marginal leakage of combined amalgam-sealant restorations on occlusal surfaces of permanent posterior teeth. PMID- 6581183 TI - Radiographic evaluation of root canal "calcification" following formocresol pulpotomy. PMID- 6581184 TI - Effects of play therapy on preschool children during initial dental visits. PMID- 6581186 TI - Flunitrazepam and diazepam compared as sedatives in children. PMID- 6581185 TI - Classifying and managing child dental patients' misbehaviors: a three-step Adlerian approach. PMID- 6581187 TI - Functional disturbances of the masticatory system in school children. AB - The centralization of treatment for functional masticatory disturbances by the Copenhagen Municipality Children's Dental Service has made possible the present survey of symptoms and results of treatment in a child population. Over a period of four years, a total of 366 children, aged six to sixteen (two thirds girls), were referred for treatment. Their symptoms differed from those reported by adult patients by a marked attrition of the mandibular incisors and concomitant sensitivity to thermal and mechanical stimulation. Other symptoms of functional disturbance, such as reduced mandibular mobility and muscle tenderness, were similar to those reported for adult subjects. Treatment conformed to conventional principles with widespread use of soft bite-splints (Figure 5). Both symptoms and signs were eliminated in about 60 percent of the patients, while 34 percent were essentially symptom-free at the conclusion of treatment. The survey showed that functional disturbances in the mandibular apparatus occur in children, and that many can be treated with good results. The symptomatology, however, resembles that of a wide range of other ailments, especially with respect to headache and facial pain, necessitating a careful differential diagnosis before functional corrective treatment is started. PMID- 6581188 TI - Enamel disturbances in congenital hypopituitarism; report of case. PMID- 6581189 TI - Splinting electrical burns utilizing a fixed splint technique: a report of 48 cases. PMID- 6581190 TI - [Dental caries status of schoolchildren 7-12 years old in Bangkok]. PMID- 6581191 TI - [Preventive dentistry for the community]. PMID- 6581192 TI - [The day care center and dental health]. PMID- 6581193 TI - Cellular fatty acid and soluble protein profiles of oral fusobacteria. AB - We compared the cellular fatty acid and protein content of 43 strains of oral fusobacteria isolated from patients with chronic gingivitis, acute necrotizing ulcerative gingivitis, and juvenile and adult periodontitis, as well as from the stump-tailed macaque, to that of eight reference strains of oral and non-oral Fusobacterium species. A gas-liquid chromatographic examination of trimethylsilyl derivatives of the fatty acid methyl esters revealed n14:0, 3-OH-14:0, n16:0, 16:1, 3-OH-16:0, n18:0, and 18:1 in each of the 51 study strains, and a variable occurrence of 14 other fatty acids. The n16:0 to 3-OH-16:0 ratio distinguished between Fusobacterium nucleatum and the non-oral species Fusobacterium varium, Fusobacterium necrophorum, Fusobacterium russii, Fusobacterium necrogenes, Fusobacterium mortiferum, and Fusobacterium naviforme. The soluble protein content, as determined by polyacrylamide gel electrophoresis, varied considerably among the oral fusobacterial strains studied, and underscored the heterogenous nature of these organisms. "Fingerprinting" of oral fusobacteria may be readily accomplished by polypeptide analysis. PMID- 6581194 TI - Modulation of in vitro human lymphocyte responses by an exopolysaccharide from Capnocytophaga ochracea. AB - An exopolysaccharide (EP), purified from spent culture fluid previously inoculated with Capnocytophaga ochracea strain 25, suppressed in vitro human peripheral blood lymphocyte responses to the mitogen concanavalin A. EP was suppressive when added to cultures before the mitogen, but enhanced responses when added 24 or 48 hr after the mitogen. PMID- 6581195 TI - The composition of recrystallized bone mineral. AB - Bone mineral and synthetic calcium-deficient carbonate apatite (CDCA), when defined in terms of their respective thermal stabilities and ignition products, are homologous. When heated to 550 degrees, they may have a structure similar to that of the mineral dahllite. When heated to temperatures greater than 550 degrees, CDCA (like bone mineral) losses its structural CO3 and is recrystallized to whitlockite and/or OH-apatite, depending on its stoichiometry. PMID- 6581196 TI - Fluoride concentrations in rat and human tooth pulps and their possible interference with phosphatase activities. AB - Alkaline and acid phosphatases (p-ases), fluoride (F), and calcium (Ca) were analyzed in the pulps of rat incisors and young human pre-molars. P-ase activities were about ten times higher in the rat than in the human pulps; in the latter, high p-ase activity appeared to be connected with rapid mineralization. Average total F was 3-4 ng/mg in both rat and human pulp, while Ca showed values several times higher, although greatly varying, in human than in rat pulps. Ionized F was two to three times higher in ultrafiltrates from rat and human pulps than in the blood plasma of the species; in the rat, the F content of the ultrafiltrates increased only three to four times when plasma F was experimentally elevated over 100 times. In vitro, rat pulp alk. p-ase activity was slightly inhibited only in the range above 100 mM NaF, while acid p-ase showed weak inhibition in the region from 0.15-0.25 mM and 40-60% inhibition in the range from 10-100 mM NaF. In vivo, no effect on pulp p-ases was found, even from sublethal NaF doses. PMID- 6581197 TI - Morphology of enamel surfaces treated with topical fluoride agents: SEM considerations. AB - Three topical fluoride agents deposited surface coatings of different morphology and thickness on intact human enamel surfaces. The agents studied were an acidic silane fluoride lacquer, a neutral NaF lacquer, and an APF gel. Each agent reacted with the enamel surface differently, producing its own distinctive etching pattern. The smallest particles observed in the surface coatings were from 20 to 30 nm in diameter and appeared to have indistinct morphologies. They often agglomerated into spherical globules ranging from 1-3 micron in diameter. PMID- 6581198 TI - Enamel demineralization by mouthrinses containing different concentrations of sucrose. AB - Intra-oral enamel demineralization tests, involving rinsing with sucrose solutions (5, 1, 0.5, or 0.3%) at varying frequencies during a 1.5-hour period, showed that demineralization was a function of the total sugar dose (frequency of rinsing times concentration). Two rinses with a 5% solution caused demineralization, nine rinses were needed in the case of a 0.5% solution, and none occurred after nine rinses with a 0.3% solution. Remineralization was also observed and apparently occurred after exhaustion of the sucrose supply. PMID- 6581199 TI - Enamel demineralization potential of dietary carbohydrates. AB - Mouthrinses with 5% solutions of different sugars were tested for their demineralizing effect on blocks of bovine enamel covered with a layer of S. mutans cells and carried in a palatal prosthesis. The extent of demineralization, as measured by the permeability of the enamel to iodide, was similar for fructose, glucose, and sucrose, less for maltose and lactose, and least for galactose. PMID- 6581201 TI - Degradation of luting cements measured in vitro and in vivo. AB - The degradation of luting cements was quantified when these cements were held as a 20-micron cement layer. The degradation process, which is mostly a sequence of absorption, disintegration, and solution, was expressed by a time-constant (tau). By using the same test specimens in vitro as well as in vivo, we determined the correlation of both situations. PMID- 6581200 TI - High-temperature behavior of a Pd-Ag alloy for porcelain. AB - The mechanism of formation of nodular material on the surface of a Pd-Ag-based alloy for porcelain during pre-porcelainization heat treatment was investigated using scanning electron microscopy, x-ray diffraction, quantitative metallography, and Auger electron spectroscopy. The nodules were found to form by a Nabarro-Herring creep mechanism driven by the internal oxidation of tin and indium. Implications of this process with regard to porcelain bonding and discoloration are discussed. PMID- 6581202 TI - Proceedings of the First Annual Conference, the Robert Wood Johnson Dental Services Research Scholars Program. Chapel Hill, North Carolina, May 16-17, 1983. PMID- 6581203 TI - The Dental Services Research Scholars Program. PMID- 6581204 TI - The National Institute of Dental Research and dental health services research. PMID- 6581205 TI - Clinical decision analysis methods applied to diagnostic tests in dentistry. PMID- 6581206 TI - A predictive model of the need for dental services. PMID- 6581207 TI - The status of dental manpower research. PMID- 6581208 TI - Community awareness project. PMID- 6581209 TI - Fluorides, your practice and your patients. PMID- 6581211 TI - Containing health care costs. PMID- 6581210 TI - Orthognathic surgery: mandibular prognathism. PMID- 6581212 TI - Values that never change. PMID- 6581213 TI - Dentistry on stamps. PMID- 6581214 TI - A new definition. PMID- 6581215 TI - Problems with steroids. PMID- 6581216 TI - Question use of oral reconstruction instrument. PMID- 6581218 TI - A prevalence study of the clinical signs associated with mandibular dysfunction. AB - A prevalence study was made of the most common clinical signs of mandibular dysfunction in a sample population of 1,000 patients in a general dental practice. Palpable joint irregularities (joint sounds) were found in about a third of the sample. All other frequencies were relatively low. Females had consistently higher frequencies than males, although the differences were generally not significant. A methodology that was quantified for the first time in relation to muscle palpation was used. Results of this study would indicate that the prevalence of the major clinical signs of mandibular dysfunction in the population expected to be seen in a general dental practice is not high and, furthermore, that their occurrence in the absence of pain does not necessarily indicate a need for treatment. PMID- 6581217 TI - Relation between ascorbic acid intake and periodontal disease in the United States. AB - Only a weak association between periodontal disease and ascorbic acid deficiency has been shown in the analysis of nutritional and periodontal health data collected from a representative sample of the US population. Intake of ascorbic acid in amounts larger than those recommended by the dietary standards does not seem to be associated with better periodontal health. The results of this study also suggest that dental practitioners are better advised to concentrate on plaque control rather than vitamin C supplements to prevent and control periodontal disease in their patients. PMID- 6581219 TI - Clinical work posture for the dentist: an electromyographic study. AB - The results of this study suggest that lumbar support is a significant factor in reducing muscle activity of the upper and lower back for the dentist practicing sit-down dentistry. The importance of lumbar support should be emphasized in any criteria listing correct work posture for the dentist. Under the conditions of this study, stool heights did not influence muscle activity significantly, but did suggest a trend in considering problems of the lower back posture--low stool heights (90 degrees and 75 degrees) produced lower activity than a high stool height (105 degrees) if the back was supported. Therefore, in regard to muscle activity, results of this study suggest that the dental operator should sit low with the lumbar support always in contact with the lower back. PMID- 6581220 TI - Internal enamel pearls: report of case. AB - A case of enamel pearls occurring within dentin is presented. The internal enamel pearl appears to be a rare entity (six reported cases), which has a predilection for the premolar/canine region and may arise from the epithelium of the enamel organ rather than Hertwig's epithelial root sheath. PMID- 6581221 TI - Delayed dental age in hepatorenal glycogen storage disease. AB - The dental findings in three patients with hepatorenal glycogen storage disease are described. In two cases, dental maturation and tooth eruption were considerably delayed. In the third case, dental maturation and tooth eruption are normal, possibly because of newer treatment methods of this disease. PMID- 6581222 TI - Clinical evaluation of periodontal ligament anesthesia using a pressure syringe. AB - Conventional local anesthesia techniques are frequently unsuccessful, particularly for endodontic procedures. Supplementary injections are often necessary; the periodontal ligament injection is useful for this purpose. This study examined the effectiveness of injecting into the periodontal ligament with a pistol-type pressure syringe as a supplemental technique in patients who did not have adequate anesthesia for endodontic therapy. Sixty patients received the supplemental injections and 20 patients were reinjected when the first PDL injection failed. Data were obtained by questionnaire. Percentages were computed and comparisons made by X2 analysis. The conclusions about attaining anesthesia included: --Needle size was not important; overall, 25- and 30-gauge needles were equivalent. --Injecting under strong back-pressure was important; the greatest frequency of success was attained when injecting under pressure. Lack of back pressure on both mesial and distal surfaces resulted in a significantly lower incidence of anesthesia. Proper positioning of the needle and maintaining this position, to force the anesthetic deep into the periodontium, is apparently an effective way to generate the needed back-pressure. --Strong back-pressure could usually be attained on either or both surfaces. --Reinjection was frequently successful if the first periodontal ligament injection failed. --Overall frequency of success in attaining anesthesia with the pistol-type pressure syringe was 83%. This was determined by including the instances in which reinjection was necessary. --Comparing the results of this study with a previous similar study, the pressure syringe were equally effective for supplementary anesthesia. PMID- 6581223 TI - Continuing education course listing for January to June 1984, Department of Membership and Continuing Education Records. PMID- 6581224 TI - [Therapeutic interruption of pregnancy in the second trimester after preparation of the cervix with prostaglandins F2 alpha]. AB - The use of prostaglandins is one of the best techniques for second trimester abortion. The authors present 40 patients aborted by a new two stage technique: First: ripening of the cervix a tylose gel containing 5 or 10 mg PGF2 alpha every 12 hours during 3 days. Then, if abortion is not obtained, previously published techniques are used: intra-amniotic injection (40 mg PGF2 alpha) or intra cervical infusion (2 mg/hour). The mean duration of these abortions is 52 hours using 29 mg of PGF2 alpha. 22 patients aborted during ripening (mean = 27 hours), 12 patients needed an intracervical infusion (mean = 88 hours) and 6, an intra amniotic injection (mean = 72 hours). It seems that abortion is easier when pregnancy is earlier, under 20 weeks of gestation. Few side effects were observed: only three cases of fever with a single case of endometritis. Failure of this technique occurred in five patients (4 aborted outside the time allowed for, and one needed instrumental extraction). With this technique, the mean duration is longer than those previously described in the literature but the efficiency is over 90%. PMID- 6581225 TI - Comparison and partial characterization of guinea pig Ia alpha- and beta-chain oligosaccharides. AB - The structures of the N-linked oligosaccharides of mature guinea pig Ia molecules were partially characterized by serial lectin affinity analysis. Those Ia antigens that are thought to be allelic products (Ia.3,5 and Ia.4,5) were found to bear identical oligosaccharides, whereas differences in glycopeptide distribution were found for Ia antigens known to be products of separate I subregions (Ia.2 and Ia.4,5). The two predominant oligosaccharides present on alpha-chains from all three Ia molecules were of the high mannnose type and the triantennary or tetraantennary complex type. Two structurally distinct beta chains were isolated from Ia.3,5 and Ia.4,5 molecules; beta 1 bore primarily triantennary or tetraantennary complex oligosaccharides, and beta 2 had predominantly biantennary complex-type carbohydrate chains. The composition and distribution of the oligosaccharide moieties of guinea pig Ia molecules indicate that there are structural features shared among guinea pig, murine, and human Ia antigens. PMID- 6581226 TI - The handling of Listeria monocytogenes by macrophages: the search for an immunogenic molecule in antigen presentation. AB - The activation of T lymphocytes for immunity to the intracellular pathogen Listeria monocytogenes requires that Ia-positive macrophages ingest the bacteria. The subsequent handling of Listeria by macrophages was examined in this report and related to antigen presentation to T cells. Macrophages pulsed with radiolabeled Listeria, besides releasing acid-soluble radioactivity--an indication of extensive catabolism of the Listeria-derived proteins--were also found to release acid-insoluble peptides. The rate of release of the peptides was not markedly affected by treatment with chloroquine, ammonia, or monensin and was independent of the state of activation and the level of Ia expression of the macrophage. The peptides were not associated with fragments of membranes and were represented by several molecular species. Listeria-derived peptides were also found associated with the macrophage plasma membrane. The membrane-associated peptides behaved like integral membrane proteins and could be released by proteases or detergents. Their expression was independent of the dose of Listeria and the level of Ia expression of the macrophage, and their presence could not be inhibited by protease inhibitors or chloroquine. The Listeria peptides released by the macrophages were very weakly immunogenic in a T cell proliferation assay. Purified plasma membranes from Listeria-pulsed macrophages, which contained membrane-associated Listeria peptides, were not immunogenic by themselves but could be reprocessed by additional macrophages to subsequently stimulate T cells. Trypsin treatment of Listeria-pulsed macrophages did not cause a significant reduction in their ability to stimulate T cells. No association was found between Ia molecules and either the membrane-associated or the released peptides with the use of several technical approaches. Hence, after internalization of Listeria, potentially immunogenic material can be found at the cell surface as well as in the culture fluid. The release of soluble peptides is a clear indication that proteins can be recycled after their internalization in vesicles. PMID- 6581228 TI - Prostaglandin E is required for the augmentation of procoagulant activity of LPS stimulated rabbit alveolar macrophages. AB - We demonstrated previously that rabbit alveolar macrophages stimulated in vitro by bacterial lipopolysaccharide (LPS) have markedly enhanced procoagulant activity (PCA), caused by increased production of a cell-associated tissue thromboplastin. The present study examined the role of arachidonic acid metabolites in modulating the expression of this PCA. Alveolar macrophages lavaged from normal rabbits were incubated in vitro with LPS, indomethacin, and purified prostaglandins, and the resultant PCA was measured. LPS stimulated a significant increase in macrophage PCA relative to unstimulated controls (p less than 0.01). Indomethacin suppressed the ability of LPS to stimulate PCA in a dose related fashion. The addition of PGE2 or PGE1 reversed the suppressive action of indomethacin (p less than 0.01), whereas PGF2 alpha, PGD2, TXB2, and 6-keto PGF1 alpha had no such effect. PGE2 did not affect PCA unless the macrophages were also stimulated with LPS. A significant correlation (rs = 0.72, p less than 0.01) existed between the level of LPS-stimulated macrophage PCA and the corresponding amount of immunoreactive PGE2 released into the culture medium. The results of this study demonstrate that PGE is required for the LPS-mediated enhancement of rabbit alveolar macrophage-associated tissue thromboplastin and that PGE can stimulate the expression of PCA by appropriately conditioned cells. PMID- 6581229 TI - Turner's syndrome: controlling facial growth. Report of a case. PMID- 6581227 TI - Dietary fish oil augments the induction of arthritis in rats immunized with type II collagen. AB - Certain dietary-induced changes in tissue levels of polyunsaturated fatty acids are known to modify inflammatory reactions, possibly through changes in the synthesis of mediators of inflammation derived from fatty acids, including prostaglandins and leukotrienes. We have therefore examined the effects of a fish oil diet, enriched in highly unsaturated (delta-17) long chain fatty acids, on collagen arthritis. Weanling female Sprague-Dawley rats were maintained on a diet with fat provided by either fish oil (containing 14.5% 5, 8, 11, 14, 17 eicosapentaenoic acid; EPA) or, as a control, beef tallow (containing less than 0.05% EPA). They were immunized with native chick type II collagen emulsified in incomplete Freund's adjuvant 5 to 6 wk later. There was an increased incidence of arthritis in the rats receiving the fish oil compared with the group receiving the beef diet (88 vs 61%, p less than 0.001), but there was no significant difference in the severity of joint inflammation of arthritic rats in the two groups. The mean serum titer of IgG antibodies to type II collagen, measured by an enzyme-linked immunosorbent assay (ELISA), was decreased in the group receiving the fish oil (p less than 0.001), whereas the hemagglutinating antibody titer and delayed-type hypersensitivity to collagen were similar in the two groups. Primary synovial explant cultures from fish oil-treated rats produced only 21 to 24% as much PGE2 as beef tallow-treated controls, and this reduction in the experimental group was not accompanied by any detectable increase in PGE3, the E-prostaglandin derived from the arachidonic acid analogue, EPA, in fish oil. These data demonstrate that inductive mechanisms in collagen arthritis can be altered by diet-induced changes in tissue fatty acid composition without essential fatty acid deficiency. The reason(s) for this effect is unknown, but it is possible that changes in the cyclooxygenase or lipoxygenase products of polyunsaturated fatty acids are involved. PMID- 6581230 TI - Resorption surface of deciduous teeth under the scanning electron microscope. PMID- 6581231 TI - The prevalence of dental caries in pre-school children in Baghdad, Iraq. PMID- 6581232 TI - [Various aspects of childhood pathologies in Algeria and efforts to combat them]. PMID- 6581233 TI - The effect of fluorine and molybdenum on some of the mechanical characteristics of the hard tissues in rats kept on a low and on a normal protein diet. PMID- 6581234 TI - Acute pulmonary mycetoma due to Candida albicans with complete resolution. PMID- 6581236 TI - [Diabetes insipidus associated with leukemia: objective observation on the onset of polyuria]. PMID- 6581235 TI - [Autopsy case of osteosarcoma originating from the pulmonary artery]. PMID- 6581237 TI - [New horizon in orthodontics]. PMID- 6581238 TI - [Experimental microinjury of the articular disc of the temporomandibular joint. Effect of immobilization on the healing process]. PMID- 6581239 TI - [Nonreducible cross-link in dentin collagen. Isolation and characterization of cross-linked peptides containing pyridinoline]. PMID- 6581240 TI - [An approach to pattern matching of curved shapes. Quantitative analysis of similarity of curvatures]. PMID- 6581241 TI - [Projection of tooth pulp and oro-facial afferents to neurons in the cortical somatosensory area in the cat]. PMID- 6581242 TI - [Tooth color appearance under various types of conventional light sources]. PMID- 6581243 TI - [Adsorption of salivary components by dental enamel studied by x-ray photoelectron spectroscopy (ESCA)]. PMID- 6581244 TI - [Clinical feasibility of intraoral xeroradiography]. PMID- 6581245 TI - [Midazolam, a new benzodiazepine anesthetic]. PMID- 6581246 TI - [Langerhans cells in the oral mucosa]. PMID- 6581247 TI - The stabilization of midface-fractures in the vertical dimension. AB - A frontal or zygomatic-bone wire-suspension is often insufficient to retain and stabilize the upper jaw after fractures of the Le Fort II or III type. Caudal and dorsal displacement of the maxilla can only be avoided by the use of intermaxillary immobilization in good occlusion. The use of a maxillary stabilizer makes long-term intermaxillary immobilization unnecessary. The displacement of the maxilla, which can often be observed during splinting and fixation with wire-suspension following midface fractures, can be avoided by the use of stable steel rods. PMID- 6581248 TI - Refracture of untreated fractures of the zygomatic bone. AB - Experience gained in the treatment of 16 patients with refracture of untreated fractures of the zygomatic bone is presented. Refracture, repositioning and wire fixation is the method of choice in the correction of facial deformity after untreated displaced fractures of the zygomatic bone. If necessary, osteoplasty of the orbital floor and raising of the globe by a thick iliac bone graft can be performed at the same time. Usually, it is not so difficult to perform refracture since at the site of fracture, where a large dislocated fragment exists, a solid callus is not formed but rather some kind of fibrous union. If the displaced bone is completely united then an osteotomy of the whole zygomatic bone is performed through the lateral part of the eyebrow, lower eyelid and a wide incision in the upper buccal sulcus, using a sharp chisel or a small round bur. Refracture of the zygomatic arch can be done through the mouth after making a wide incision in the upper buccal sulcus which enables exploration of the zygomatic arch, or by a hand saw after tunnelling from the eyebrow incision to the zygomatic arch. If the zygomatic arch is broken in two or more places then the refracture should be done through a short incision on the face followed by direct interosseous wire fixation. PMID- 6581249 TI - Concomitant transverse growth of the maxillary base and dental arch in experimental submucous mid-palatal clefts. A biometrical study in the domestic cat. AB - To obtain information on correlated growth of the maxillary base and dental arch in submucous mid-palatal clefts, such clefts were surgically created in 18 domestic cats. The growth ratios of the dento-maxillary complex were then compared with corresponding parameters in 18 unoperated controls. When fully grown, the operated cats had developed a significant hypoplasia of the maxillary base. Also the upper dental arch in these cats showed a slight reduction in width, but significantly so only in the posterior region. The results obtained seemed to demonstrate a mutual dependence in growth of these two parts of the dento-maxillary complex, but to a limited degree. Whereas the maxillary base was significantly influenced by the altered morphology in the mid-palatal area, the dental arch growth and its final dimension seemed to be more responsive to compensatory mechanisms. PMID- 6581250 TI - Reconstruction of the orbital floor with the muscle-bone flap (temporal muscle with coronoid process). AB - Various techniques for the reconstruction of the orbital floor are available when resecting the portion of the maxilla which includes the orbital floor. A composite muscle-bone flap of temporal muscle and coronoid process fills the defect satisfactorily and provides good support for the globe. PMID- 6581251 TI - Surgical treatment of an arteriovenous malformation of the mandible in a child. A case report. AB - Arteriovenous malformations of the mandible are rare and potentially life threatening lesions. They are very unusual in young individuals. A case is reported in which a form of surgical treatment is advocated that permits preservation of the continuity of the mandible and the dentition with little potential for life threatening bleeding. PMID- 6581252 TI - Synovial cyst of the temporomandibular joint. A case report. PMID- 6581253 TI - Disseminated cutaneous abscesses caused by atypical mycobacterium. Report of 2 cases. PMID- 6581254 TI - Induction of transient functional luteolysis in cyclic sheep by a 3 beta hydroxysteroid dehydrogenase inhibitor. AB - The mechanism by which prostaglandin F2 alpha terminates luteal function in the sheep is unclear even though it is used extensively in animal husbandry. At the time of luteal regression, a decrease in 3 beta-hydroxysteroid dehydrogenase (3 beta-HSD) activity is apparent in the corpus luteum, but it is not known whether the decrease in enzyme activity is the primary cause of structural luteolysis. The effect of trilostane, a 3 beta-HSD inhibitor, on luteal function and morphology has therefore been investigated. Intravenous injection of trilostane in the mid-luteal phase of the oestrous cycle caused a decrease in ovarian tissue progesterone content. A transient decrease in peripheral and utero-ovarian vein plasma progesterone was observed but there was no significant effect on the length of the luteal phase of the cycle. There was no significant change in plasma 13,14-dihydro-15-oxo-prostaglandin F2 alpha during the period when plasma progesterone was depressed. Morphological examination of the corpora lutea revealed a decrease in the concentration of electron-dense granules without any other features of impending luteal regression. When plasma progesterone was reduced for more than 10 h by two injections of trilostane 4h apart, there was again no subsequent effect on the length of the oestrous cycle or on the return to oestrus. Plasma progesterone returned to preinjection levels within 24 h of injection. This evidence suggests that competitive inhibition of 3 beta-HSD activity, per se, is ineffective in bringing about structural luteolysis. PMID- 6581255 TI - The dilemma of the fractured instrument. PMID- 6581256 TI - A histological comparison of the canal wall planing ability of two new endodontic files. PMID- 6581257 TI - Human pulpal reaction to the modified McInnes bleaching technique. PMID- 6581258 TI - Residual monomer from Hydron. PMID- 6581259 TI - An in vitro study of spreader loads required to cause vertical root fracture during lateral condensation. PMID- 6581260 TI - Epithelially induced denticles in the pulps of recently erupted, noncarious human premolars. PMID- 6581261 TI - Successful treatment of a radicular lingual groove: case report. PMID- 6581262 TI - Necrosis of crestal bone related to the use of excessive formocresol medication during endodontic treatment. PMID- 6581263 TI - A model for demonstrating an electronic canal length measuring device. PMID- 6581264 TI - Gas-CT cisternography in the diagnosis of small acoustic neuroma. PMID- 6581265 TI - 3; 9; 15; 22 complex translocation in an adult chronic myelocytic leukemia. PMID- 6581266 TI - [Evaluation of abnormalities of blood chemical profiles in patients with hyperthyroidism]. PMID- 6581267 TI - Effects of raphe stimulation on cardiovascular response to noxious input in cats. PMID- 6581268 TI - The distribution of HLA-A, B, DR antigens in Chinese population. PMID- 6581269 TI - [Immunologic study on nasopharyngeal carcinoma patients: correlation of mononuclear cell reactivity to phytohemagglutinin and clinical stage]. PMID- 6581270 TI - [Comparative study on ambulatory care utilization and satisfaction derived from 2 new primary health centers]. PMID- 6581271 TI - Small intracerebral hemorrhage clinically simulating lacunar infarction. PMID- 6581272 TI - Heterokaryosis in Fusarium tricinctum and F. sporotrichioides. AB - Heterokaryons were formed in intra- and interspecific crosses between Fusarium sporotrichioides and F. tricinctum auxotrophs. Segregant homokaryons were evaluated for trichothecene toxin production in culture. Results were consistent with nuclear control of toxin synthesis. The sexual compatibility of auxotrophs and 30 additional F. tricinctum sensu Snyder & Hansen strains was tested. Perithecial production was restricted to crosses between Florida isolates pathogenic to English ivy (Hedera helix). The linkage of several auxotrophic markers was determined by analysis of progeny of certain crosses. No T-2 toxin was produced by sexually compatible F. tricinctum isolates. PMID- 6581273 TI - [The importance of HLA typing in cases of disputed paternity]. AB - In dispute paternity, the biologists must reply to two questions: 1. Is the paternity excluded or possible? 2. If it is possible, what is its probability? Valid answers can be given, using several genetic markers, among which HLA genes are specially interesting. Looking at HLA-A, B, C, DR typing of child, mother and presumed father, we propose a method which allows a direct calculation of paternity probability. Crossing over between HLA genes in presumed father and in mother are also considered in this method. In our experience, adding the date provided by the HLA genes and other genetic markers, we obtained, either formal exclusions, or possible paternities with a probability almost always higher than 90%. PMID- 6581274 TI - [Clinical evolution and cytogenetic study of two acute lymphoblastic leukemia (type L2) in the child: prognostic value of the karyotype]. AB - Cases of two newborns with acute lymphoblastic leukemia (ALL) L2 type, are reported. In each case, some chromosomal abnormalities can be found. In the first case, a translocation t (4;11) is noticed. It has to be compared with already published patients' cases and so the non randomly occuring character of those alterations in ALL and poor pronostic factor can be confirmed. In the second observation, a complex translocation t (5;6;X) never described before in literature, was observed. Chromosomal findings in ALL are not only a help to diagnosis but, by cytogenetic data, are also a help to accurate prognosis and adequate treatment. PMID- 6581275 TI - Multiple Sleep Latency Test findings in Kleine-Levin syndrome. AB - Multiple Sleep Latency Test (MSLT) findings in a case of Kleine-Levin syndrome are reported for the first time. MSLT data indicate sleepiness as severe as in narcolepsy or obstructive sleep apnea and the occurrence of four sleep onset rapid eye movement (REM) periods, with a greater REM propensity at 2:00 p.m. and 4:00 p.m. than at 10:00 a.m. and 12:00 noon. The replication of such findings might suggest that Kleine-Levin syndrome could be considered a form of periodic REM sleep disinhibition. Therefore, the traditional hypothesis of diencephalic dysfunction may require modification to include the role of more caudal brain stem structures specifically activated during REM sleep. PMID- 6581276 TI - Lipid peroxide, alpha-tocopherol and retinoid levels in plasma and liver of rats fed diets containing beta-carotene and 13-cis-retinoic acid. AB - The effect of feeding large amounts of beta-carotene and 13-cis-retinoic acid (RA) on plasma and liver levels of alpha-tocopherol, lipid peroxides and retinoids was studied. Groups of young male rats were fed semipurified diets supplemented with 0, 100 mg/kg beta-carotene, 20 and 100 mg/kg 13-cis-RA. After feeding the various diets for 11 weeks, rats were killed and the concentrations of lipid peroxides, alpha-tocopherol, and retinoids were measured in blood plasma and liver. Peroxide levels were increased and alpha-tocopherol levels were decreased in plasma as well as liver of rats fed diets containing 13-cis-RA; this effect seems to be dose dependent, beta-Carotene had no significant effect on either of the above parameters. There was a decrease in the liver and plasma concentrations of retinol in rats fed 13-cis-RA; the levels of RA were generally higher in these two groups. The results suggest that the mechanism whereby 13-cis RA increases the tissue peroxide levels may be related to its ability to decrease alpha-tocopherol levels. PMID- 6581278 TI - Oklahoma women pioneer dental frontiers. PMID- 6581277 TI - Pin amalgams: an economic alternative to cast restorations. PMID- 6581279 TI - Patient responses to the orthognathic surgical experience: factors leading to dissatisfaction. AB - The authors surveyed 93 orthognathic surgery patients about presurgical concerns, preparation for the surgical experience, and postsurgical outcomes. Nine of the 90 respondents indicated they would not re-elect the surgical treatment. Reasons for dissatisfaction varied, although all had in common the occurrence of unanticipated postsurgical events. The importance of effective preoperative preparation of patients cannot be overestimated. The authors have written an information brochure to reinforce verbal orientation for the orthognathic surgery patient and family. PMID- 6581280 TI - Evaluation of gray-scale ultrasonography in the investigation of oral and neck mass lesions. AB - The clinical applicability of gray-scale ultrasonography to oral and neck mass lesions was investigated. Ultrasonographic findings of pattern, boundary echo, internal echo, and posterior wall echo were correlated with pathologic findings in 22 surgically treated cases. Using this method, the solid or cystic nature, the size, the shape, and the location of the lesions could be determined preoperatively. Because it lacks radiation hazard, ultrasonography appears to be the diagnostic method of choice for patients with enlarged oral and neck tumors. PMID- 6581281 TI - Evaluation by thoracic impedance cardiography of diazepam, placebo, and two drug combinations for intravenous sedation of dental outpatients. AB - The cardiovascular and respiratory effects of three common intravenous premedicants were examined noninvasively in a population of 20 dental outpatients scheduled for surgical removal of third-molars. Two third molars from one side of the mouth were removed at each appointment. Group 1 received a diazepam titration (mean dose = 25.6 mgs) at one appointment and placebo at the other appointment. Group 2 received a combination of diazepam (12.5 mg), fentanyl (0.1 mg), and methohexital (mean dose = 18.0 mg) at one appointment and the combination of diazepam (15.0 mg) and methohexital (mean dose = 27.0 mg) at the other appointment. Noninvasive measurement of cardiac output revealed little change during intravenous drug administration, but a significant increase was seen in all groups following local anesthesia and during surgery. Heart rate was elevated and stroke volume decreased during administration of the two-drug combinations. Oxygen saturation was greatly decreased following the combination of diazepam, fentanyl, and methohexital. These findings indicate that the combination of diazepam, fentanyl, and methohexital results in decreased oxygen saturation, a transient decrease in stroke volume, and an elevated heart rate when used as an intravenous premedicant for dental outpatients. PMID- 6581282 TI - Intraosseous wiring in ramus osteotomy. AB - The value of intraosseous wiring of the fragments after oblique osteotomy of the mandibular rami was studied. A wired group (14 patients) and a nonwired group (15 patients) were compared cephalometrically. There were only small differences between the groups but there was a tendency toward a smaller postoperative posterior rotation of the mandible in the wired group. It was concluded that in routine cases of mandibular prognathism wiring is not necessary. PMID- 6581283 TI - Results of soft-tissue surgery over implanted replamineform hydroxyapatite. AB - Sixteen replamineform hydroxyapatite implants were inserted subperiosteally on the residual ridge in five dogs, and various soft-tissue procedures were performed at intervals of one, two, three, and 27 months after implantation. Three implants served as controls. Twelve of the 13 surgical sites healed normally, including four of the five vestibuloplasties and all eight exposure sites. All 16 implants were still in place and firmly attached to the alveolar bone at the time of sacrifice. A normal stratified squamous epithelium was formed in all specimens in which complete healing occurred. No evidence of an inflammatory reaction was found in response to the soft-tissue surgery in the specimens that healed. The favorable results of this study form the basis for proposed human clinical trials to evaluate the response of the implant and the overlying soft tissues to a dental prosthesis. PMID- 6581284 TI - Histometric evaluation of interproximal bone responses to electrosurgical mucoperiosteal incisions in dogs. AB - The periosteal and endosteal interproximal bone remodeling activity following clinically simulated blade and electrosurgical mucoperiosteal incisions was investigated by histologic and morphometric analyses. Undecalcified histologic sections were prepared and evaluated using standard bone morphometric techniques. Periosteal and endosteal bone surfaces subjacent to incisions were examined and the percentages of forming, resorbing, and quiescent surfaces, and the number of osteoclasts per millimeter of bone surface, were calculated. Based on indices of bone remodeling activity, the potentials for activation of interproximal bone remodeling by clinically appropriate blade and electrosurgery incisions in dogs appear to be similar. PMID- 6581285 TI - Adenomatoid odontogenic tumor: clinicopathologic and ultrastructural concepts. AB - Two cases of adenomatoid odontogenic tumor have been presented, along with a review of the literature. One tumor had a rather typical presentation, occurring in a 12-year-old in association with an impacted canine tooth. Subsequent electron microscopic evaluation of this case provided corroboration of other recently published findings. In this case there was a striking accumulation of what could have been secretory granules at the pole of the cell nearest a "duct like" space. This cell had ultrastructural characteristics in common with a preameloblast. The second case occurred in a more unusual situation, the patient being a 32-year-old man, with the AOT developing in the mandible between the roots of the canine and first premolar. Both patients were treated successfully by simple enucleation of the lesion. PMID- 6581286 TI - Guide wire technique for intraoral vertical subcondylar osteotomy. PMID- 6581287 TI - Methotrexate and folate content of erythrocytes in patients receiving oral vs intramuscular therapy with methotrexate. PMID- 6581288 TI - Dissociation of effects of xanthine analogs on renal prostaglandins and renal excretory function in the awake rat. AB - In awake, male rats, oral theophylline (TH) or enprofylline (EN; 3-propyl xanthine), 10 to 50 mg/kg b.wt., similarly increased urinary prostaglandin (PG)E2 excretion, by 2- to 3-fold; urinary PGF2 alpha excretion was increased to a lesser extent (50%), while excretion of a PGI2 metabolite, 6-keto-PGF1 alpha, was not altered. In rat renal high-speed supernatant, neither TH nor EN inhibited activity of 15-hydroxyprostaglandin dehydrogenase, an intrarenal PG catabolizing enzyme, suggesting that the increased urinary PG excretion was due to increased synthesis. TH, at all doses that increased urinary PGE2 excretion, also caused dose-related 2-to 4-fold increases in urine volume and urinary excretion of sodium and potassium. In contrast, at low doses EN increased urinary PGE2 excretion without altering urine volume or electrolyte excretion; at the highest dose tested, EN produced a modest diuresis and natriuresis. Pretreatment of rats with indomethacin or meclofenamate (10 mg/kg b.wt., p.o.), chemically dissimilar PG synthesis inhibitors, prevented effects of TH and EN on urinary PG excretion, and also blocked their diuretic and natriuretic effects. Thus, increased renal PGs may be permissive and requisite for the diuretic and natriuretic effects of xanthines, but not sufficient to cause those effects. Enprofylline has been reported (Persson et al., Life Sci. 30: 2181, 1982) to be more active than theophylline as a phosphodiesterase inhibitor, but inactive as an adenosine antagonist, suggesting that the latter action is not required for xanthine stimulation of urinary PG excretion but may be a factor in the diuretic and natriuretic effects. PMID- 6581289 TI - The retention of vital submucosal roots under immediate dentures: a surgical procedure. AB - An approach to soft tissue management and surgical crown/root sectioning for submucosal vital root retention has been presented. Attention to detail during soft tissue reflection, tooth sectioning, and the relaxing of attached mucogingival tissues is very important. Adequate healthy soft tissue is necessary for proper suturing over the retained roots. Postoperative complications are reduced by placement of well-fitted prostheses. Clinical evaluation of this technique has proved it to be highly successful. PMID- 6581290 TI - Scanning electron microscopy evaluation of four finishing techniques on margins of gold castings. PMID- 6581291 TI - Modification of rubber dam clamp increases access to distal surfaces of anchor teeth. PMID- 6581292 TI - Marginal leakage of glass-ionomer cement restorations. PMID- 6581293 TI - Prosthetic treatment for speech and swallowing in patients with total glossectomy. PMID- 6581294 TI - Commercial cosmetics and their role in the coloring of facial prostheses. PMID- 6581295 TI - Use of TMJ arthrotomography in the diagnosis and treatment of anterior disk dislocation. AB - Treatment of TMJ pain and dysfunction should primarily be directed at correction of a specific abnormality and the patient's chief complaint. The specific approach to treatment of TMJ abnormalities is based on an accurate diagnosis. Although sound clinical judgment often suggests a tentative diagnosis, the specific diagnosis can often be confirmed radiographically. Fluoroscopic arthrotomography can effectively aid in the diagnosis and treatment needed for effective and efficient TMJ care. It is especially beneficial in the diagnosis and treatment of anterior disk dislocation. The authors conclude that (1) anterior disk dislocation is a common occurrence in TMJ intra-articular disorders; (2) standard radiographs are not diagnostic for ADD; (3) arthrotomography is an effective aid in the diagnosis and treatment of TMJ soft tissue derangements, especially ADD; (4) use of arthrotomography should be based on sound clinical judgment; (5) the causes and significance of and the optimal treatment for ADD are controversial at this time; and (6) knowledge gained from arthrotomography may clarify these controversies. PMID- 6581296 TI - Emergency treatment of acute inflammation of the temporomandibular joint. PMID- 6581297 TI - The effect of first molar loss on the dentition and periodontium. PMID- 6581298 TI - Background information: requirements for advanced specialty education programs in prosthodontics. AB - The proposed revisions have been developed to address problems of fragmentation, inconsistency, and lack of balance in advanced prosthodontic education. Minimum didactic and clinical requirements for each subdiscipline are clearly indicated in the proposed "Requirements," and programs will no longer be directed to provide special emphasis in one subdiscipline. It should be noted that the proposed "Requirements" do not prevent or preclude programs from emphasizing one subdiscipline. This option is left up to the sponsoring institutions. The proposed "Requirements," however, do underscore the fact that the primary responsibility of accredited prosthodontic programs is to provide students with the opportunity to achieve competence in the full scope of prosthodontic procedures. PMID- 6581299 TI - Requirements for advanced specialty education programs in prosthodontics. PMID- 6581301 TI - Regional variations in the palatal mucosa of the edentulous mouth. PMID- 6581300 TI - The role of specialists and general practitioners in provision of prosthodontic services. AB - The national situation regarding prosthodontic services is being shaped by the following factors: There is an increasing number of people in the 60-, 70-, and 80-year-old age group. There is less dental caries, which has resulted in more teeth in the adult population. There is less gingivitis, but it is unclear whether this factor is significant. There is an ongoing debate about the continued prevalence and severity of periodontitis, but with more teeth and more older adults there appears to be a great potential for an increase in the total amount of advanced periodontal disease. There is somewhat less total edentulism. There is a substantial unmet need for complete dentures as well as fixed and removable partial dentures. In summary, the stage is set for an increased demand for prosthodontic services. PMID- 6581302 TI - Mounting casts on a new plasterless plane line articulator. AB - A technique of mounting casts on a plane line articulator without the aid of plaster or artificial stone has been described. The advantages of this technique are: The dimensional change errors inherent in a plaster or dental stone mounting are avoided. Casts may be routinely mounted and articulated in less than 3 minutes. Casts may be removed and returned to their original position with precise reliability. The disadvantages include the lack of an adjustable horizontal condylar guidance and the lack of an anterior guide pin or anterior guidance. Further studies should be directed toward determining the accuracy of remounting casts on the instrument. PMID- 6581304 TI - Protective effect of polystyrene liners for composite resin restorations. PMID- 6581303 TI - Preventing green discoloration of porcelain baked over silver-palladium alloys. PMID- 6581305 TI - metoclopramide in Gilles de la Tourette's syndrome (a case report). PMID- 6581306 TI - Effects of the dentist as the primary information source about fluoridation. PMID- 6581307 TI - Construction of a population index of adult oral health status derived from dentists' preferences. PMID- 6581308 TI - A low-cost method for conducting a statewide survey of oral health. PMID- 6581309 TI - Fluoridation's history: what have we learned about constituency building? PMID- 6581310 TI - Building a dental constituency: a survival strategy for public health dentistry. PMID- 6581311 TI - The development and operation of an effective congressional liaison program. PMID- 6581312 TI - Sex selection procedures. PMID- 6581314 TI - Analysis of sodium content of community water supplies. PMID- 6581313 TI - Synthesis and evaluation of a novel series of N,N-dimethylisotryptamines. AB - A novel series of N,N-dimethylisotryptamine (isoDMT) derivatives, i.e., derivatives of 1-[2-(dimethylamino)ethyl]indole, was prepared and found to be isosteric with their corresponding N,N-dimethyltryptamine (DMT) counterparts with respect to serotonin receptor (rat fundus) affinity. Whereas the isoDMT derivatives possessed a greater affinity than did their corresponding DMT derivatives, they were relatively ineffective in displacing [3H]-5-HT binding from rat brain (cortex) homogenates. In a drug discrimination paradigm, using rats as subjects, 6-OMe-isoDMT produced effects similar to those of 5-OMe-DMT. Attempts to antagonize the discriminative stimulus effects of the hallucinogen 1 (2,5-dimethoxy-4-methylphenyl)-2-aminopropane (DOM) using two of the isoDMT derivatives proved unsuccessful. PMID- 6581315 TI - Arterial blood gas determination in the evaluation of disability in coal miners. PMID- 6581316 TI - Hypercalcemia secondary to a cervical cancer: resolution by surgical resection. PMID- 6581317 TI - Addison's disease presenting in the postpartum state. PMID- 6581318 TI - Mixed substance abuse withdrawal treated by clonidine. PMID- 6581319 TI - Trace element nutrition. PMID- 6581320 TI - Prolongation of life: when should we stop? PMID- 6581321 TI - A survey of denture care and denture provider characteristics in the state of Wisconsin. PMID- 6581323 TI - Overeaters anonymous. PMID- 6581322 TI - Classification and definition of alloys. PMID- 6581324 TI - [Clinical evaluation of cefotetan in pediatrics]. AB - Fifteen children with acute bacterial infections, including pneumonia (8), pharyngitis (2), cervical lymphadenitis (1), perforative peritonitis (1), gastroenteritis (1) and urinary tract infection (2), were treated with cefotetan. This drug was effective to all of the patients. In 2 patients the result was excellent and in 9 it was satisfactory. No adverse reactions were observed in the above cases and 2 other patients, during and after the dosage of 30-60 mg/kg/day for 4-11 days. PMID- 6581325 TI - [Experimental and clinical evaluation of cefotetan in pediatrics]. AB - Basic and clinical studies on cefotetan (CTT) were carried out and the results were as follows: Absorption and excretion Two patients were given 10 mg/kg of CTT by one shot intravenous injection. At 30 minutes after injection, mean serum level was 76.5 micrograms/ml and the half-life time was 2.3 hours. Mean 6-hour urinary recovery in same patients was 57.5%. Clinical evaluation Forty-two patients were treated with CTT, in doses of 19.2-102.9 mg/kg divided 2-4 times per day for 3-10 days intravenously. Responses were excellent in 14, good in 23, fair in 1, poor in 4, and the overall efficacy rate was 88.1%. As to adverse reaction, urticaria was observed in 1 patient. Abnormal laboratory data noted were elevation of GOT in 1, GOT and GPT in 2, creatinine in 1, and eosinophilia in 3 patients. PMID- 6581326 TI - [Clinical experience with cefotetan in the treatment of infections of children]. AB - Twenty-five patients in hospital mainly with lower respiratory tract infections and urinary tract infections were treated with cefotetan (CTT). The drug was given intravenously in a dose of 20 mg per kg body weight 1 to 3 times per day. The response to treatment was satisfactory in the 21 patients (84%). There was slight changes in liver function tests in 2 patients and exanthem in 1 patient. CTT appears to be an effective antibiotic for the treatment of children with bacterial infection. PMID- 6581327 TI - [Experimental and clinical evaluation of cefotetan in pediatrics]. AB - Preclinical studies were carried out on cefotetan (CTT), together with clinical studies in the field of pediatrics. The following results were obtained. A total of 114 clinical isolates that have been stored in the authors' department was employed to determine the minimum inhibitory concentrations (MICs) of CTT against various bacterial species. Against E. coli, Salmonella, K. pneumoniae and P. mirabilis, the MICs of CTT showed a peak at 0.78 micrograms/ml, and most of the strains were inhibited by a CTT concentration of 6.25 micrograms/ml or less. The MICs for S. marcescens strains showed a peak at 25 micrograms/ml, with 25% of the strains having MICs of 3.13 micrograms/ml or less, and 67% having MICs of 25 micrograms/ml or more. All of the P. aeruginosa strains had MICs of over 100 micrograms/ml. Against all of the tested strains of S. aureus, a Gram-positive bacterium, CTT showed MICs of 12.5 micrograms/ml or more, while all of the strains of S. faecalis were found to have MICs of over 100 micrograms/ml. CTT was administered intravenously to pediatric patients as a bolus injection, and then the concentration of the antibiotic in the serum was determined as a function of time. When the dosage rate was 10 mg/kg, the mean serum levels were as follows; 58.2 micrograms/ml at 30 minutes, 45.5 micrograms/ml at 1 hour, 33.6 micrograms/ml at 2 hours, 18.0 micrograms/ml at 4 hours and 11.7 micrograms/ml at 6 hours after the injection. The half-life of CTT in the serum at this dosage was thus 2.40 hours. Similarly, at a dosage rate of 20 mg/kg, the mean values at the various times were; 98.6 micrograms/ml at 30 minutes, 75.6 micrograms/ml at 1 hour, 57.8 micrograms/ml at 2 hours, 35.5 micrograms/ml at 4 hours and 23.2 micrograms/ml at 6 hours subsequent to the injection. The half-life of CTT in the serum in these cases was 2.73 hours. CTT was drip-infused intravenously over a period of 1 hour, and then the serum concentration of the drug was monitored with the passage of time. Subsequent to the administration of 10 mg/kg, the mean serum concentrations were as follows; 48.8 micrograms/ml at 30 minutes, 81.5 micrograms/ml at 1 hour, 42.2 micrograms/ml at 2 hours, 23.6 micrograms/ml at 4 hours and 14.8 micrograms/ml at 6 hours subsequent to the injection. The half life of CTT in the serum after this intravenous drip infusion was thus 2.13 hours.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6581328 TI - [Experimental and clinical evaluation of a new cephamycin antibiotic, cefotetan, in pediatrics]. AB - A series of studies was performed on the use of cefotetan (CTT) in the field of pediatrics. The results that were obtained are described below. The minimum inhibitory concentrations (MICs) of CTT against strains of E. coli and K. oxytoca that were recently isolated from child patients were found to mostly be 0.78 micrograms/ml or less. Even strains that were highly resistant to the action of ABPC were sensitive to CTT. CTT was administered to pediatric patients by intravenous drip infusion or by one shot intravenous injection, and then the concentration of the drug in the serum was monitored. The same procedures and dosages were employed for CFX and CMZ. In comparison with these 2 antibiotics, CTT showed a higher peak concentration in the serum, and it was retained in the blood for a longer time. The half-life of the CTT serum concentration was 2 hours or more in most of the subjects. When CTT was administered in a dosage of 10 mg/kg by intravenous drip infusion, the drug could still be detected in the serum as long as 12 hours later in some cases. Repeated intravenous drip infusion administration of CTT was not found to result in any accumulation of this antibiotic in the serum. During the 8-hour period following intravenous injection of CTT, about 50 to 80% of the administered dose was found to be excreted in the urine in its active form. During the acute phase of meningitis, intravenously injected (one shot) CTT was found to be transferred to the cerebrospinal fluid in a concentration that was sufficient to kill those bacteria that were sensitive to the action of this antibiotic. It was proven that, following the intravenous injection of CTT, the concentration of this drug in the feces was sufficient to inhibit the growth of Salmonella, Campylobacter, etc. CTT was administered by intravenous drip infusion as therapy to a total of 37 child patients diagnosed as having acute infections; these infections consisted mainly of upper and lower respiratory tract infections, urinary tract infections, intestinal tract infections and suppurative diseases. The dosage of CTT used in the treatment of these diseases ranged almost from 20 to 40 mg/kg/day, given as 2 doses per day (at intervals of 10-12 hours). The efficacy rate of this therapeutic regimen was 97%.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6581329 TI - [Clinical evaluation of cefotetan in pediatrics]. AB - Pharmacokinetic and clinical studies on cefotetan (CTT), a new cephamycin antibiotic, were carried out and the following results were obtained. Pharmacokinetic study Two patients, 7 years and 10 months of age (22 kg of body weight) and 9 years of age (28 kg of body weight), were administered 20 mg/kg of CTT by 30 minutes intravenous drip infusion. Serum levels of CTT were 148 micrograms/ml and 92 micrograms/ml immediately after the end of drip, 118 micrograms/ml and 63 micrograms/ml at 1 hour after the drip infusion. 76 micrograms/ml and 39 micrograms/ml at 2 hours after, 34 micrograms/ml and 18.2 micrograms/ml at 4 hours after and 18 micrograms/ml and 8.2 micrograms/ml at 6 hours after. Serum half-lives calculated were 1.92 hours and 1.78 hours respectively. Clinical study CTT was administered to a total of 14 patients, 3 with pneumonia, 2 with acute pyelonephritis, 2 with acute enteritis, each one with acute tonsillitis, acute bronchitis, acute bronchiolitis, sepsis, acute lymphadenitis, stomatitis and measles. Because that stomatitis and measles, however, were not indications of CTT, 2 cases with those diseases were excluded. CTT was administered at daily dose of 40 to 73 mg/kg in 2 to 4 portions for 3 to 5.5 days by intravenous drip infusion. Marked response was seen in 2 cases, moderate response in 9 and no response in 1, thus effectiveness rate was 91.7%. Neither side effects nor abnormal clinical laboratory findings were observed. PMID- 6581330 TI - [Experimental and clinical evaluation of cefotetan in pediatrics]. AB - Preclinical and clinical studies were carried out on cefotetan (CTT), a new synthetic cephamycin antibacterial agent. The results are described below. Antibacterial activity The minimum inhibitory concentrations (MICs) of CTT, CEZ, CTM and CMZ were determined against clinical isolates of S. aureus, E. coli, K. pneumoniae and P. mirabilis. To CTT S. aureus, showed its sensitivity peak (in the graphic plot of the MIC distribution) at a concentration range of 3.13-6.25 micrograms/ml when a 100-fold dilution of the pathological specimen was employed as the inoculum. These results were inferior to those with CEZ and CTM by 2-4 concentration tubes. The CTT results were also about 2 tubes inferior to the results with CMZ, which is a cephamycin antibiotic. On the other hand, CTT was found to show very strong antibacterial activity against Gram-negative rods. For example, the sensitivity peak of E. coli, occurred at an antibiotic concentration of less than or equal to 0.1-0.2 microgram/ml, regardless of whether the inoculum was the undiluted pathological specimen or the 100-fold dilution thereof. Similar results were obtained in relation to the K. pneumoniae strains: at a CTT concentration of less than or equal to 0.1 microgram/ml, suppression of growth was achieved in 74% of the strains when the inocula were the undiluted specimens, and 86% when the inocula were the 100-fold dilutions thereof. In addition, against P. mirabilis, when the inoculum consisted of the undiluted pathological specimen the MIC peak for CTT occurred at a concentration range of 0.39-0.78 microgram/ml, whereas the peak occurred at 0.2-0.39 microgram/ml when the bacterial inoculum was the 100-fold dilution of the collected specimen. In contrast, CTM showed slightly stronger antibacterial activity than CTT in relation to P. mirabilis; that is, its MIC peak occurred at less than or equal to 0.1-0.2 microgram/ml when the inoculum was the undiluted pathological specimen, and at less than or equal to 0.1 microgram/ml when the bacterial inoculum was the 100-fold dilution. Otherwise, against these 3 species of bacteria, CTT yielded results which were clearly superior to those achieved with the other 3 antibiotics. Absorption and excretion CTT was administered to children at a dosage of 10 mg/kg and 20 mg/kg as a one-shot intravenous injection or as a 1 hour intravenous drip infusion. Thereafter, the serum concentration of the antibiotic was monitored and it excretion rate in the urine was also determined.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6581331 TI - [Clinical evaluation of cefotetan in pediatrics]. AB - Cefotetan (CTT), a new cephamycin antibiotic having a long serum half-life (2.93 +/- 0.78 hours), was evaluated for its safety and efficacy in children. Twenty four patients were treated with a daily dose of 30 to 100 mg/kg of CTT by intravenous administrations mostly in 2 divided doses. The diagnoses of the effective patients were acute bronchitis (5), pneumonia (4), acute urinary tract infections (4), acute enterocolitis (2), presumed septicemia (1), and phlegmon (1); and the effectiveness was 77.3%. The pathogens recovered from these patients were S. pneumoniae (1), H. influenzae (3), S. marcescens (1), E. coli (2), and K. oxytoca (1). CTT was not effective in staphylococcal pneumonia and empyema (each 1 case), in Pseudomonas pneumonia (2), and in a case of brain abscess and mastoiditis of unknown etiology. Diarrhea (2), and transient elevations of the serum GOT, GPT, and LDH (1) were associated with the CTT therapy, but no severe adverse reaction was encountered. The CSF level of CTT seemed to be lower among several new cephalosporins. From the present study, CTT appears to be a safe and effective antibiotic when used in children with susceptible bacterial infections. A twice-a-day schedule was recommended from its long serum half-life. PMID- 6581332 TI - [Clinical evaluation of cefotetan in pediatrics]. AB - Cefotetan (CTT), a new cephamycin antibiotic, was administered to 21 pediatric patients, 1 year and 1 month to 9 years of age, with moderate or severe infections. CTT was intravenously administered 3 times a day at daily doses of 26.5 to 120 mg/kg for 2 to 14 days, and 0.75 to 31.0 g of the drug were totally given. Total of 21 cases, 12 cases of respiratory tract infections (each 1 case of acute pharyngitis, acute tonsillitis and asthmatic bronchitis, 6 cases of acute pneumonia, 1 case of lung fibrosis and 2 cases of primary atypical pneumonia), 2 cases of urinary tract infections, 1 case of acute appendicitis, 1 case of perianal abscess, 2 cases of sepsis, 1 case of MCLS, 1 case of ReYE's syndrome and 1 case of meningoencephalitis, were received CTT. Five cases were excluded for the evaluation of clinical efficacy, and good response were obtained in 11 cases (effective rate of 68.8%), fair in 1 and poor in 4. Out of 3 strains of causative organisms isolated before the treatment, H. influenzae and K. pneumoniae were disappeared after the CTT treatment, S. faecalis which was resistant against CTT persisted. Neither adverse effects nor abnormal laboratory findings were observed except 1 case of eosinophilia. PMID- 6581333 TI - [Experimental and clinical evaluation of cefotetan in pediatrics]. AB - Fundamental and clinical studies of cefotetan (CTT) were made in pediatric field and the following results were obtained. Antimicrobial activity MIC80 values of CTT against clinically isolated S. aureus (32 strains), E. coli (33 strains) and K. pneumoniae (33 strains) were 25, 0.1 and 0.1 microgram/ml respectively. Antimicrobial activities of CTT against E. coli and K. pneumoniae were superior to those of CMZ, though the activity against S. aureus was inferior to that of CMZ. Pharmacokinetics When 20 mg/kg of CTT was administered to 3 children, who were 3 to 8 years of age, by a intravenous bolus injection, the mean serum concentrations of the drug after 1/2, 1, 2, 4, 6 and 8 hours were 110.7 +/- 9.2, 81.7 +/- 10.1, 50.0 +/- 7.5, 25.3 +/- 4.6, 14.9 +/- 5.5 and 7.7 +/- 2.8 micrograms/ml respectively, and the mean half-life (beta) was 2.01 +/- 0.32 hours. The mean concentrations of the drug in urine after 0-2, 2-4, 4-6 and 6-8 hours were 1,377 +/- 787, 1,045 +/- 689, 1,067 +/- 680 and 358 +/- 80 micrograms/ml respectively, and the mean recovery rate by 8 hours was 67.3 +/- 16.2%. Clinical study CTT was administered to 42 children of 2 monthes to 14 years of age, and clinical response, bacteriological effect and adverse reaction of the drug were studied. Clinical effects were evaluated in 8 cases of acute purulent tonsillitis, each 1 case of acute otitis media and acute bronchitis, 16 cases of acute bronchopneumonia or acute lobar pneumonia, 9 cases of acute pyelonephritis and 1 case of erysipelas, the results were excellent in 30 cases, good in 3, fair in 2 and poor in 1, and thus 91.7% of efficacy rate was obtained. Out of suspected causative organisms including 12 strains of H. influenzae, 1 strain of H. parainfluenzae, 7 strains of E. coli, 2 strains of S. pyogenes, 2 strains of S. pneumoniae and each 1 strain of S. epidermidis and S. faecalis, all the strains except each 1 strain of H. influenzae and S. faecalis disappeared after the treatment. Thus 92.3% of eradication rate was obtained. No side effects were recognized. Though abnormal laboratory findings were observed in 3 cases (7.1%), including elevation of GOT and GPT in 2 cases and eosinophilia in 1 case, those findings came to be normal after the treatment. PMID- 6581334 TI - [Evaluation of cefotetan in pediatrics]. AB - Clinical trials were carried out with cefotetan (CTT) in pediatric infections. Results were as follows; The mean serum concentrations of CTT following intravenous injection of 20 mg/kg were 204, 97, 56, 15, 10 micrograms/ml at 15, 60, 120, 360, 480 minutes after injection. The serum half-life was 2.18 hours. 68.3% was excreted in urine within 8 hours after injection. In vitro, the antimicrobial activity of CTT was more active than CEZ and CMZ against E. coli, H. influenzae and K. pneumoniae. CTT was administered clinically to 22 pediatric patients with various infections; 9 pneumonias, 4 bronchopneumonias, 1 acute tonsillitis and 8 urinary tract infections. Overall efficacy rate was 95%. The favorable clinical response could be gained by the doses of 30 mg/kg with being given every 12 hours. Slight elevation of S-GOT and S-GPT with mild diarrhea was observed in 2 patients and eosinophilia in 1 patient. No other serious side effect was observed. PMID- 6581335 TI - [Experimental and clinical evaluation of cefotetan in pediatrics]. AB - The authors have carried out the laboratory and clinical studies of cefotetan (CTT), and obtained the following results. The antibacterial activities of CTT were measured by the plate dilution method against the clinical isolates of S. aureus, E. coli, K. pneumoniae, S. marcescens and Salmonella sp. The susceptibility distribution of S. aureus to CTT was at concentration of 6.25-12.5 micrograms/ml and the peak of that was obtained at 6.25 micrograms/ml with an inoculum size of 10(6) cells/ml. And the peaks of susceptibility distribution of E. coli and K. pneumoniae to CTT were obtained at less than 0.1 microgram/ml respectively, and that of S. marcescens was obtained at 6.25-12.5 micrograms/ml with an inoculum size of 10(6) cells/ml. The growth of all strains of Salmonella sp. was inhibited at concentration of less than 0.1 microgram/ml. As for pharmacokinetic study, CTT was given by intravenous bolus injection and drip infusion for 30 minutes at a single dose of 20 mg/kg. After intravenous bolus injection of 20 mg/kg of CTT, the mean peak serum level was 175.0 +/- 7.0 micrograms/ml at 15 minutes after injection, and half-life time was 3.53 hours. After 30 minutes drip infusion of 20 mg/kg of CTT, the mean serum concentration was 106.0 +/- 6.0 micrograms/ml at end of infusion, half-life time was 2.41 hours. The mean urinary excretion rates were 49.4% and 64.2% up to 8 hours after drip and bolus injection of 20 mg/kg of CTT, respectively. CTT was given 15 cases with bacterial infection. Daily doses of CTT were from 15.0 to 107.0 mg/kg. Clinical results obtained were excellent and good responses in 12 of 15 cases (80.0%). No side effects were obtained except for 2 cases with elevation of GOT and GPT, and 1 case with eosinophilia. PMID- 6581336 TI - [Clinical application of cefotetan in pediatrics]. AB - Clinical evaluation was made on cefotetan (CTT), a new cephamycin antibiotic, and the following results were obtained. Following 6 patients were treated with a daily dose of 31.0-47.5 mg/kg of CTT, which was given in 3 divided doses by an intravenous injection or a 1 hour drip infusion; 2 patients with cystitis (causative organism: E. coli and P. mirabilis, respectively), 3 with pyelonephritis (E. coli in 3) and 1 patient with Salmonella enteritis (S. typhimurium). CTT showed a remarkable therapeutic effect on cystitis and pyelonephritis but was ineffective against Salmonella enteritis. Neither adverse clinical reactions nor abnormal laboratory findings were noted. Based on the above results, CTT is considered to be an appropriate and useful new antibiotic in the treatment of bacterial infections, particularly urinary tract infections in children. The fact that longer duration of blood concentrations has made is possible to give this antibiotic in 2 divided doses will be of great practical benefit. PMID- 6581337 TI - [Transport of cefotetan into the otorhinolaryngeal tissues]. AB - The tissue specimens were taken to evaluate the efficacy of cefotetan (CTT), a new cephamycin antibiotic, for otorhinolaryngological infectious diseases. The concentrations of CTT in palatine tonsils, maxillary sinus mucosa, wall of maxillary sinus cysts, discharge from otitis media and saliva were studied. The serum level determined at 3 hours following intravenous injection of 1 g of the drug was 49.2 micrograms/ml (n = 4). The serum level at 12 hours following intravenous injection of 2 g of the drug was 14.4 micrograms/ml (n = 4). 15-25% of the serum levels of CTT were demonstrated in palatine tonsils, 20.7-35.7% in maxillary sinus mucosa. We detected high levels of CTT in the effusion of acute maxillary sinusitis, 24.0 micrograms/ml (2 g, i.v., 90 min.), 26.3 micrograms/ml (1 g, i.v., 120 min.). On the other hand, we detected only a few per cent of the serum level of CTT in the effusion of chronic maxillary sinusitis. PMID- 6581338 TI - [Clinical evaluation of the efficacy of cefmetazole in respiratory tract infections of patients with underlying respiratory diseases]. AB - Respiratory infections of 10 subjects with underlying respiratory diseases were treated with cefmetazole (CMZ) and its clinical effects were studied. Five subjects of them were respiratory tract infection, 3 subjects were pneumonia and 2 subjects were pneumonia followed by empyema. The underlying diseases were chronic pulmonary emphysema in 4 subjects, diffuse panbronchiolitis in 3, chronic bronchitis in 2 and bronchial asthma in 1. The doses of CMZ were 4 to 8 grams per day and the durations of administration ranged 3 to 39 days. The clinical effects were judged from the changes of fever, cough, amount of sputum, dyspnea, rale, chest X-ray, white blood cell counts, erythrocyte sedimentation rates, sputum culture and PaO2. The clinical effects of 6 subjects were evaluated as good, those of 3 were fair and that of 1 was poor. In 3 subjects H. influenzae in the sputum was eliminated and in 1 subject both H. aphrophilus and alpha Streptococcus found in the pleural effusion were eliminated. In 1 subject Klebsiella in the sputum was eliminated and replaced by Enterobacter. No side effects were observed. We conclude that CMZ is considerably useful in the treatment of respiratory infections of the patients with underlying respiratory diseases. PMID- 6581339 TI - [Antibiotic transfer into tissue after total hysterectomy with special reference to the cefmetazole concentration of the retroperitoneal space exudate]. AB - The intent of the study was to investigate the transfer of CMZ to the retroperitoneal space exudate after hysterectomy (11 cases of simple abdominal hysterectomy and 6 cases of radical hysterectomy). Concentration of CMZ in the lymphnode was also measured in 2 cases. The results were as follows. Concentration in the retroperitoneal space exudate of CMZ after administration (intravenous drip infusion 1 or 2 g/hour) reached its peak 2 hours after administration (approximately 1 hour later than its peak in the blood). The peak level in the exudate was 1/3 to 2/3 of the peak level in the blood. After 2 hours, the concentration of CMZ in the exudate decreased gradually. The concentration of CMZ in the retroperitoneal space exudate in cases of simple abdominal hysterectomy was higher than in those of radical hysterectomy. After 1 to 3 days of radical hysterectomy, the transfer of CMZ into the exudate was as good as the transfer of that in the period immediately after operation. CMZ concentration in the lymphnode in the cases of radical hysterectomy reached 9 to 13 micrograms/mg approximately 1 hour after the start of CMZ administration (d.i. 2 g in 1 hour). Research results suggest that lymph circulation, in addition to blood stream, plays an important role in the transfer of antibiotics toward the pelvic dead space. PMID- 6581340 TI - [Evaluation of the disc sensitivity test for cefmetazole]. AB - Susceptibilities of 198 strains of 31 bacterial species to cefmetazole (CMZ) were determined by the 2-fold agar dilution method in parallel with the diameter of inhibition zone by the single-disc method, under the experimental condition established by Kanzazwa. The experiments demonstrated significant correlation between MIC by the dilution method and diameter of inhibition zone in each of conventional assay of the overnight (about 16 hours) incubation, delayed assay (about 24 hours incubation), and rapid assay (about 3-4 or 5-6 hours incubation), thus confirming applicability of the single-disc assay for CMZ. Analysis of the data obtained by using CMZ disc containing 30 micrograms revealed the primary regression equation to be: D (diameter, mm) = 27.9-11.2 log MIC (micrograms/ml) in conventional assay, D = 34.5-13.8 log MIC (microgram/ml) in delayed assay D = 18.1-6.0 log MIC (microgram/ml) in 3-4 hours rapid assay and D = 22.9-8.5 log MIC (microgram/ml) in 5-6 hours rapid assay, respectively. The range of variations in MICs estimated from the diameter of inhibition zone by the disc test was then calculated in comparison with that in MIC determined by the 2-fold agar dilution assays, as reference for the experimental errors which may be involved in the estimation of MIC of CMZ by the single-disc assay. PMID- 6581341 TI - [Clinical effect of cefotetan against infectious diseases in obstetrics and gynaecology]. AB - Clinical study on cefotetan (CTT), a new cephamycin antibiotic, was carried out and the following results were obtained. CTT was intravenously administered at a daily dose of 2 to 4 g to 24 cases including 10 cases with intrauterine infection, 2 cases with adnexitis, 6 cases with intrapelvic infection and 6 cases with extragenital infection. Marked response was seen in 8 cases, moderate response in 15 and no response in 1. Neither side effects nor abnormal values in clinical laboratory tests were observed. PMID- 6581342 TI - [Evaluation of cefotetan in obstetrics and gynecology]. AB - Fundamental and clinical studies on gynecological use of cefotetan (CTT), a new cephamycin antibiotic, were performed with following results. Following the intravenous administration of 2.0 g of CTT, T 1/2 beta in serum was 3.1 hours and longer than the previous cephamycin antibiotics. The yields of CTT from serum to various uterine tissues and discharge from retroperitoneum were about 30 approximately 50%. In clinical use, 14 patients with gynecological infections were administrated CTT, and it showed excellent or good efficacy in all patients. No side effects were noted except 1 transient disturbance in liver function. PMID- 6581343 TI - [Clinical study of cefotetan in obstetrics and gynecology]. AB - A new cephamycin antibiotic, cefotetan, was administered intramuscularly to 45 patients with female genital infections including 2 cases with abscess of Bartholin's gland, 14 cases with endometritis, 23 cases with adnexitis and 6 cases with pelvic peritonitis. The daily doses of the drug were 1 to 3 g, with 2 g daily being the most frequent regimen. The treatment was given twice daily in most patients. All cases responded to the drug, and marked response was seen in 22 cases and moderate response in 23. The eradication rate for causative organisms was 64.3%. In 16 cases of S. faecalis, it was rather low at 37.5%. Neither side effects nor abnormalities in clinical laboratory findings attributable to the drug were seen. PMID- 6581344 TI - [Experimental and clinical evaluation of cefotetan in obstetrics and gynecology]. AB - Fundamental and clinical studies on a new cephamycin antibiotic, cefotetan (CTT) was carried out under a joint study programme, in order to evaluate the usefulness of the drug in treating infections of the female genital organs. The results obtained were as follows. CTT was readily transported to female genital organ tissues, and the concentrations of the drug exceeded 20 micrograms/g in various organ tissues in about 1 hour, following intravenous injection of 1 g. A level of more than 1 microgram/g was maintained even 12 hours after the injection. The transport of CTT to various tissues was also studied following intravenous drip of 1 g in 30 minutes or 1 hour. The results were similar to those following intravenous injection. The peak concentration of the drug in the dead space exudate tended to appear slightly later than those in the organ tissues. However, the concentration reached a level of more than 10 micrograms/ml following intravenous injection of 1 g. Clinical effects of CTT were analyzed in 225 patients, including 65 cases with intrauterine infection, 60 cases with intrapelvic infection, 22 cases with external genital infection, 55 cases with adnexitis, 8 cases with mastitis, 8 cases with postoperative wound infection and 7 cases with other infections. Excellent response was seen in 53 (23.6%), moderate response in 150 (66.7%), and no response in 22 (9.8%). The rate of response was calculated as 90.2%. Safety of the drug was analyzed in 273 patients, and side effects occurred in 11 (4.0%) patients. Of these 11 patients, rash was seen in 4 patients, rash accompanying edema in 1, rash accompanying diarrhea in 1, chest discomfort in 2 and feeling of general fatigue in 2. Abnormal values in clinical laboratory findings were seen in 10 patients. Elevations of transaminase were seen in 7 patients, and no other changes of particular note appeared. PMID- 6581345 TI - [Changes in S-phase CFU-c in chronic myelocytic leukemia]. PMID- 6581346 TI - [Case of acute myelogenous leukemia with development of intracerebral tumor and a complete remission by treatment]. PMID- 6581347 TI - [Plasma cell leukemia with 8/14 translocation]. PMID- 6581349 TI - [Morphological evaluation of the basiphils and its diagnostic significance]. PMID- 6581348 TI - [Extramedullary tumor-forming myelogenous leukemia presenting as serous effusion. Report of 2 cases]. PMID- 6581350 TI - [FAB classification--morphological problems and myelodysplastic syndrome]. PMID- 6581351 TI - [Efficacy of radioisotope diagnosis in bone marrow diseases--report of 2 cases]. PMID- 6581352 TI - [Surgical treatment of the ductus arteriosus in premature infants--early surgical ligation]. PMID- 6581353 TI - Oral cancer and mouthwash use. PMID- 6581354 TI - Chromosomes, genes, and cancer: a classification of chromosome abnormalities in cancer. PMID- 6581355 TI - Nipple aspirate cytology for the study of breast cancer precursors. AB - The association of abnormal nonmalignant cells in nipple aspirate fluid (NAF) and atypical proliferative disease (APD) of breast ducts was examined in the presence and absence of breast cancer in 134 patients. A high frequency of NAF samples with cellular abnormalities (atypical hyperplasia) was found when APD occurred with either breast cancer (70%) or benign breast biopsy specimens (54%). APD was present in 27 malignant cases (80%) and in 39 benign cases (39%). Inasmuch as APD may represent an intermediate step in the malignant transformation of duct epithelium, the cytologic examination of NAF offers a new approach with which to study the spectrum of breast cancer precursors and to assist in identifying women at risk for breast cancer. PMID- 6581356 TI - Setting priorities for occupational cancer research and control: synthesis of the results of occupational disease surveillance studies. AB - The objectives of this paper were 1) to identify occupations with potentially high cancer risk by combining the results of 12 major occupational disease surveillance studies, 2) to develop a quantitative methodology for accomplishing the first objective, and 3) to make recommendations concerning priorities for occupational cancer research and control on the basis of the results of this analysis in conjunction with other available epidemiologic, industrial hygiene, toxicologic, and employment data. It was suggested that the first priority be the investigation and control of occupational exposure to asbestos, particularly in the automobile repair and construction industries. Of the 34 occupational groups found to be at high risk for lung cancer in this analysis, 18 have potential asbestos exposure. The second priority was suggested to be research into the consistent lung-cancer excess found among motor vehicle drivers. This excess may be due to occupational exposure to diesel and gasoline engine exhaust, to cigarette smoking, or to both of these factors. PMID- 6581357 TI - Screening for possible drug carcinogenicity: second report of findings. AB - Cancer development was followed up through 1978 in 143,574 outpatients who were identified on the basis of computer-stored drug-dispensing data as users of various medicinal drugs during the 4-year period starting in July 1969. Screening analyses were repeated for the 95 most commonly used drugs and drug groups, which were reported previously after a shorter follow-up, and it was found that several drug-cancer associations had either gained or lost statistical significance since the report. Screening of 120 additional less commonly used drugs revealed one negative and 43 positive drug-cancer associations. A few of these associations suggested interesting new hypotheses about possible drug effects, but further study is required before conclusions on causality can be drawn. The absence of association with cancer for many drugs provides some provisional assurance for the absence of carcinogenicity, but further follow-up is needed to rule out later effects. PMID- 6581358 TI - Role of plasminogen in matrix breakdown by neoplastic cells. AB - Destruction of the extracellular matrix is often observed during tumor invasion, and proteolytic enzymes may participate actively in the degradation of matrix proteins. The present report elucidates the role of plasminogen in the degradation by tumor cells of an in vitro elaborated extracellular matrix. Matrices produced by rat smooth muscle cells in the presence of [3H]proline or [3H]fucose were used as substrates for human fibrosarcoma cells (HT-1080), mouse melanoma cells (B16F1), or human rhabdomyosarcoma cells (RD). All three cell lines degraded part of the glycoprotein compartment of the matrix. HT-1080 cells digested the matrices in a density-dependent manner, and while matrix glycoprotein degradation was plasminogen-dependent at the beginning of the experiment and at low cell densities, the zymogen was not essential for further glycoprotein digestion at high cell densities. Depletion of plasminogen from the growth medium resulted in a threefold reduction of matrix degradation by B16F1 cells showing a distinct plasminogen dependency at low cell numbers. RD cells digested only matrix glycoproteins, and this degradation was completely dependent on the presence of plasminogen at all cell densities. These results suggested that plasmin generated from plasminogen by a tumor cell-associated plasminogen activator may be most important for matrix hydrolysis at low cell densities, and while certain tumor cell lines showed a definite plasminogen-independent matrix degradation with increased cell numbers, other neoplastic cells hydrolyzed the matrix only in the presence of the zymogen at all cell densities. PMID- 6581359 TI - Cytokinetic and cytotoxic effects of urea on HeLa cells in suspension cultures. AB - Total and viable cell counts, differential mitotic cell counts, and incorporation of tritiated thymidine were used to study the kinetics of suspension cultures of HeLa cells exposed to urea concentrations of 0.5-1.5%. Aside from any nonspecific osmotic effects, urea concentrations of 1.0-1.4% exhibited significant cytokinetic and cytotoxic effects. Most characteristically, mitotic cells arrested in metaphase began to accumulate 4-6 hours after addition of urea and reached a peak at 15-18 hours. Thus when the cells were in the S-phase or at the S/G2 boundary at the time of addition of urea, they exhibited metaphase arrest. Subsequently, cultures continuously exposed to urea showed a decline in the mitotic index, indicating that the entry rate of cells into mitosis is lower than the rate at which cells escape from the mitotic block. Such cultures exhibited numerous abnormal and abortive mitoses and a decrease in growth and viability of the cell populations. In contrast to the initial single wave of arrested mitosis seen with continuous exposure to urea, intermittent exposure on alternate days resulted in successive waves of arrested metaphases and had considerably more pronounced effects on the growth and viability of the cultures. PMID- 6581360 TI - Growth, metastasis, immunogenicity, and chromosomal content of a nickel-induced rhabdomyosarcoma and subsequent cloned cell lines in rats. AB - Karyotype patterns, growth, metastasis, and immunogenicity were compared in a rhabdomyosarcoma induced by a single injection of metallic nickel with those in subsequent tumor-cloned cell lines. The primary tumor was induced in a male WAG rat by im injection of 20 mg nickel powder. The parental cell line (9-4/0) and 8 cell subpopulations (J 9-4) isolated from a primary tumor by cloning on agarose were examined. The tumor cell dose inducing tumors in 50% of the animals after sc injection (TD50) and the in vitro growth characteristics showed a marked heterogeneity between parental and cloned tumor cell lines. In vitro doubling times and saturation densities were also heterogeneous without showing a discernible relationship with TD50. Chromosome patterns of the cell lines exhibited very similar modal numbers, whereas chromosome numbers were somewhat different; neither of these exhibited any correlation with tumorigenicity. Parental cell line 9-4/0 expressed a significant degree of immunogenicity, but it did not protect against pulmonary metastasis in immunized rats. Among 6 clones studied, only clone J 9-4/2 appeared to be immunogenic and reduced metastatic spread. The relevance of the comparison between the different characteristics is discussed. PMID- 6581361 TI - Drug-induced immunogenic changes of murine leukemia cells: dissociation of onset of resistance and emergence of novel immunogenicity. AB - n vivo exposure of tumor-bearing mice to the antineoplastic agent 5-(3,3-dimethyl 1-triazenyl)-1H-imidazole-4-carboxamide (DTIC) results in increased immunogenicity of tumor cells, an event often referred to as "chemical xenogenization" (CX). To verify the hypothesis of DTIC-induced somatic mutation(s) as the major mechanism underlying CX, studies were performed to dissociate CX from the onset of drug resistance, which was invoked in the past as an event leading to selection of preexisting immunogenic clones. Therefore, experiments were done with a DTIC-susceptible tumor line treated with DTIC and quinacrine dihydrochloride (Q), an antimutagenic compound, according to selected experimental schedules. At different transplant generations, the CX and the onset of drug resistance were evaluated. The results show that a) Q does not prevent the onset of DTIC resistance, b) DTIC-resistant clones arising after treatment with DTIC plus Q are not immunogenic, and c) CX is selectively antagonized by Q. The present data confirm that DTIC-induced immunogenicity is not the result of a selection mechanism mediated by the drug and give further support to the hypothesis that the molecular mechanism of CX may be related to somatic mutation(s). PMID- 6581363 TI - Carcinogenicity of dipyrone in (C57BL/6 X C3H)F1 mice. AB - The carcinogenicity of dipyrone (sulpyrin)--[(2,3-dihydro-1,5-dimethyl-3-oxo-2 phenyl-1H-pyrazol-4 -yl) methylamino]methanesulfonic acid sodium salt monohydrate -which is widely used as an antipyretic anodyne in Japan and in some European countries, was examined in 314 (C57BL/6 X C3H)F1 mice. Male animals were given 0.5% (group I-a) or 0.125% (group I-b) dipyrone in their drinking water for 78 weeks, and female animals were given 1.0% (group II-a) or 0.25% (group II-b) dipyrone in their drinking water for 78 weeks; both males and females were observed for 86 weeks. Twenty-seven of 48 (56%) group I-a animals and 36 of 44 (82%) group II-a animals developed hepatic tumors, and the tumors in group II-a mice developed earlier than those in the control animals. The tumor incidences were significantly higher than those of 8 of 44 (18%) and 3 of 51 (6%) in the respective control groups. The multiplicity of the hepatic tumors was also significantly increased in groups I-a, I-b, and II-a. Hepatic adenoma incidence was related to the dose of dipyrone in the males. These results show that dipyrone enhances the development of hepatic tumors in mice. PMID- 6581362 TI - Phenylthioalkylamines in experimental tumor treatment in mice. AB - Two phenylthioalkylamines, phenylthioethylamine (PTEA) and phenylthiopropylamine (PTPA), were prepared and tested for cytotoxicity in vitro and as antitumor agents in (C57BL X DBA/2)F1 (BDF1) mice. Low concentrations of PTEA (median effective concentrations of 8.0, 12.0, and 1.3 micrograms PTEA/ml) inhibited the growth of P388 murine lymphoma, L1210 leukemia, and B16 melanoma cells in culture. PTPA was more effective; concentrations of 0.80, 0.56, and 0.35 micrograms PTPA/ml inhibited the growth of P388, L1210, and B16 in vitro by 50%. PTEA and PTPA treatment increased survival times in BDF1 mice bearing the P388 lymphoma, L1210 leukemia, B16 melanoma, and Lewis lung tumors. Multiple daily administrations of the test compounds were more effective than single daily injections in increasing the life-span in mice bearing the P388 lymphoma and B16 melanoma. Both PTEA and PTPA inhibited the enzyme copper-zinc superoxide dismutase. PMID- 6581364 TI - Effect of various levels of dietary butylated hydroxyanisole on methylazoxymethanol acetate-induced colon carcinogenesis in CF1 mice. AB - The effect of dietary butylated hydroxyanisole (BHA) on methylazoxymethanol (MAM) acetate-induced colon carcinogenesis was studied in female CF1 mice fed the NIH 07 open formula diet and the AIN-76 semipurified diet. BHA levels in the experimental diets were 0.6% in the AIN-76 diet and 0.03, 0.1, 0.3, and 0.6% in the NIH-07 diet. Starting at 5 weeks of age, groups of mice were fed diets with or without BHA. At 7 weeks of age, all animals except vehicle-treated controls were given ip injections of MAM acetate (15 mg/kg body wt), four times in 11 days (low dose) and eight times in 22 days (high dose). Animals were fed their experimental diets until 2 weeks after carcinogen treatment, when those receiving the BHA diets were fed their respective control diets without BHA until termination of the experiment. With a low dose of carcinogen, BHA in the NIH-07 diet inhibited lung tumor incidences in a dose-related manner; with a high dose of carcinogen the inhibition was apparent with 0.1-0.6% BHA. Lung tumor incidence was lower in the low carcinogen treated group fed the AIN-76 diet containing 0.6% BHA than in the animals fed the diet without BHA. Colon tumor incidence was lower in mice fed the NIH-07 diet containing 0.3 and 0.6% BHA and treated with a low dose of carcinogen than in the animals fed no BHA; colon tumor multiplicity (adenomas/animal and adenomas/tumor-bearing animal) was inhibited in mice fed the diets containing 0.03-0.6% BHA. In groups given a high dose of MAM acetate, the NIH-07 diet with 0.03-0.6% BHA and the AIN-76 diet with 0.6% BHA greatly inhibited colon tumor incidence and multiplicity. PMID- 6581365 TI - Experimental induction of pancreatic carcinomas in the hamster with N delta-(N methyl-N-nitrosocarbamoyl)-L-ornithine. AB - Carcinomas of the pancreas, stomach, and breast, as well as mesotheliomas and ovarian stromal tumors, were induced in Syrian golden hamsters treated with N delta-(N-methyl-N-nitrosocarbamoyl)-L-ornithine (MNCO), which has previously been shown to cause pancreatic acinar cell carcinomas in rats. The pancreatic carcinomas in hamsters appeared ductlike. The nonneoplastic and preneoplastic lesions induced in the hamster pancreas included cystic ductal complexes, tubular complexes, intraductal hyperplasia and atypical hyperplasia, focal eosinophilic metaplasia, and foci of atypical acinar cells. High doses of 654 mg MNCO/kg body weight were cytotoxic for acinar cells and caused atrophy of the pancreas. Alkaline elution analysis of DNA from acinar cells treated in culture with MNCO showed an increased rate of elution characteristic of single-strand breaks. A group of hamsters treated with a low dose of N-nitrosobis(2-oxopropyl)amine (BOP) developed pancreatic lesions similar to those seen when a subcarcinogenic dose of MNCO was given. The results suggest that MNCO affects both acinar and ductal cells in the hamster and that the response of the hamster pancreas to MNCO and BOP is similar in many respects. PMID- 6581366 TI - Lack of correlation of growth attenuation of murine lymphoma caused by in vitro passage with loss of lactate dehydrogenase virus. AB - Previous studies demonstrated that 6C3HED, a transplantable murine lymphosarcoma, could be modulated by long-term in vitro culture to yield cell lines with attenuated growth characteristics in vivo. The present studies examine the role of lactate dehydrogenase virus (LDV) infection in this phenomenon. LDV, a potentially immunosuppressive virus, was present in the parent tumor maintained by serial transfer in vivo. Explantation and serial propagation in vitro eliminated the virus. Two LDV-free in vitro lines (6C3HED/A and 6C3HED/B) were examined by being grafted into LDV-negative mice. Line 6C3HED/A behaved virulently, growing in a similar fashion as the parent tumor. In contrast, line 6C3HED/B demonstrated the same initial growth rate as the parent tumor, but it was rapidly and regularly rejected by grafted mice. Prior infection of mice with LDV did not affect the growth characteristics of these lines. Thus the growth characteristics of the parent, 6C3HED/A, or 6C3HED/B tumor were not correlated with infection with LDV. PMID- 6581367 TI - Enhanced immunogenicity of line 10 guinea pig hepatocarcinoma cells after culture. AB - Line 10 hepatocarcinoma cells derived from ascites in a strain 2 guinea pig were tumorigenic when transferred intradermally. After they had been cultured in vitro for 20 days or more in medium enriched with 10% fetal bovine serum (FBS), they became immunogenic. Injections of immunogenic cells did not cause lethal tumors, and recipients were resistant to subsequent challenges with tumorigenic line 10 cells. Resistance was specific since growth of line 1 cells, a syngeneic but antigenically distinct tumor, was not affected. Cells cultured in medium enriched with 10% calf bovine serum or 10% normal guinea pig serum or in reduced concentrations of FBS were less effective in inducing resistance. When cultured line 10 cells were injected ip into normal guinea pigs, ascites tumors developed that were tumorigenic. The growth rate of line 10 cells in culture was considerably decreased as determined by reduced [3H]thymidine incorporation and mitotic indices. The mechanism(s) responsible for enhancement of immunogenicity in cultured line 10 cells is discussed but was not determined. PMID- 6581368 TI - Subarachnoid hemorrhage: review of 223 cases from a municipal teaching hospital. PMID- 6581369 TI - The use of the laser in gynecology. PMID- 6581370 TI - Evaluation of a South Carolina perinatal outreach education program. PMID- 6581371 TI - Health promotion activities in South Carolina manufacturing industries- implications for the physician. PMID- 6581372 TI - [Essential thrombocythemia developing into acute leukemia]. PMID- 6581373 TI - Extremely decreased release of prostaglandin E2-like activity from chopped lung of ethyl linolenate-supplemented rats. AB - Three groups of weanling male rats were reared on a fat-free diet for 13 weeks. One group received only the fat-free diet (FF rats), the other 2 groups received the fat-free diet and a daily supplement of 2 energy% ethyl linoleate ([n-6] rats), or 2 energy% ethyl linolenate ([n-3] rats). The chopped lung preparation was used to illustrate an in vitro prostaglandin formation. PGE2-like activity was quantified on rat stomach strip. The release of PGE2-like activity expressed as ng PGE2-equivalent per g lung tissue (mean +/- SD) was 23 +/- 7, less than 6, and 65 +/- 20 for the FF rats, the (n-3) rats, and the (n-6) rats, respectively. PGE2 quantification by radioimmunoassay of the chopped lung effluent collected after passing over the rat stomach strip revealed the same release pattern as the bioassay. Fractionation of chopped lung effluent on HPLC with radioimmunoassay detection indicated that the lung tissue from (n-3) rats released very little PGE3, if any, in spite of a 20:5(n-3)/20:4(n-6) ratio of 5.2 in the lipids of the lung. It is suggested that the pool of arachidonic acid for prostaglandin production in vitro is different from the one which functions in vivo, and the these pools are differently affected by dietary EFA. PMID- 6581374 TI - [Psychological distress among parents of children with acute lymphatic leukemia. 1st follow-up]. PMID- 6581375 TI - Apparent resistance to mutagenesis by ionizing radiation, and some other unusual responses. AB - It is pointed out that in some species it is very difficult or even apparently impossible to get genetic visible marker mutants by means of ionizing radiation. Such results are not as a rule published. Species in which no mutants at all could be obtained, after what seem to be adequate efforts by several geneticists are Limnaea peregra, Rhynchosciara angelae, Coelopa frigida, Oncopeltus fasciatus, Dermestes maculatus. Published data on Sciara, Tribolium, Blattella, in which a relative difficulty in getting mutants is reported, are discussed and compared to many other forms in which obtaining marker mutants is on the contrary easy. What appears to be very abnormal mutagenesis is described in Drosophila busckii, which yielded an unusual frequency of autosomal dominants, and Drosophila nebulosa, in which only very poor mutants could be obtained. Possible reasons for all these departures from the usual are discussed. No firm conclusions are reached, but one is led to consider the possible effects of overall chromosome structure, presence or absence of heterochromatin, and multiplicity at the single locus or single polytene band level. There seems to be no relation between the rates of induction of dominant lethality and of point mutation for visible markers. PMID- 6581376 TI - Homology in the transfer origins of broad host range IncP plasmids: definition of two subgroups of P plasmids. AB - The transfer systems of broad host range IncP plasmids are increasingly used in the genetic analysis and manipulation of many gram-negative bacteria. We have examined the structural and functional relatedness of the transfer origins of ten different broad host range plasmids which belong to the IncP incompatibility group. The data reported here, together with our results on relatedness of the replication segments of these plasmids, demonstrate that the genomes of all IncP plasmids share extensive sequence homology in the regions specifying the transfer origin and replication functions. The homology results reveal the existence of two subclasses among IncP plasmids, designated here as IncP alpha and IncP beta. Furthermore, a functional analysis of the transfer origins of IncP plasmids suggests strongly that the DNA-nicking relaxation complex (Guiney and Helinski 1979) is required for plasmid transfer during conjugation. PMID- 6581378 TI - Immunological comparison of individual ribosomal proteins in six species of the genus Podospora. AB - The ribosomal proteins of six species belonging to the genus Podospora have been compared by electrophoretical and immunological methods. The important variability in the electrophoretical properties is similar to other lower eukaryotes but we could specify the extent of the variability of the r-proteins by the analysis of immunological relationships between individual proteins. Radioimmuno-detection of ribosomal proteins blotted on nitrocellulose sheets after separation on two-dimensional gels, was used to determine common antigenic sites on the r-proteins of the different species. These sites may be present on proteins that do or do not have identical electrophoretical mobilities. Furthermore, the proteins which co-migrate do not necessarily cross-react. PMID- 6581377 TI - Possible plasmid involvement in turimycin production in Streptomyces hygroscopicus. AB - Streptomyces hygroscopicus JA 6599 is the producer of the macrolide antibiotic turimycin. Mapping analysis by conventional matings and protoplast fusion techniques were carried out. The sequence of auxotrophic markers determined by using the method of minimizing the frequency of quadruple crossover recombinants, could be shown to be in accordance with the related marker sequence of Streptomyces coelicolor after both conjugation and protoplast fusion. However, the tur locus could localized between chromosomal markers only assuming quadruple crossover. Moreover, after conventional crosses the tur marker has to be localized at quite another site than after protoplast fusion. Regarding also our results on the evidence of extrachromosomal DNA in strains of S. hygroscopicus, the following hypothesis is proposed: the structural genes for turimycin biosynthesis are localized on the bacterial genome, but plasmid-borne genes might be involved in the control of the antibiotic production in a yet unknown way, possibly by inducing chromosomal rearrangements. PMID- 6581379 TI - The case for gloves. PMID- 6581380 TI - Disc derangements of the temporomandibular joint: definitive diagnosis with arthrography. PMID- 6581381 TI - Kinetic behaviour and allosteric regulation of human deoxycytidylate deaminase derived from leukemic cells. AB - Deoxycytidylate deaminase has been highly purified (1232-fold) from human leukemia CCRF-CEM cells. The native molecular weight of the enzyme is 108 000 and subunit molecular weight 50 500, suggesting that the native enzyme exists as a dimer. The enzyme exhibits a sigmoidal initial velocity vs substrate concentration curve and is regulated by allosteric effectors, dCTP and TTP. The curve relating substrate concentration to initial velocity was changed from a sigmoidal shape to a hyperbolic one by the activator dCTP, while the inhibitor TTP increased the sigmoidicity of the curve. The molecular weight of deoxycytidylate deaminase was unchanged in the presence of allosteric effectors, indicating that aggregation-disaggregation is not the basis of regulation. Deoxycytidylate deaminase exhibited the greatest affinity for the substrate dCMP, with lesser affinity for ara-CMP, and least affinity for CMP. Ara-CMP was an effective substrate in the presence of dCTP concentrations exceeding 4 microM. These data indicate that human neoplastic cell deoxycytidylate deaminase is a highly regulated allosteric enzyme, which is likely to have a significant influence on cellular dUMP, dCTP and TTP pools. These findings further suggest, that the enzyme through its influence on dUMP levels is likely to modulate the biochemical effects of pyrimidine antimetabolites active against the thymidylate synthetase reaction and in the presence of elevated dCTP pools will promote deamination of ara-CMP to the inactive ara-UMP. PMID- 6581382 TI - Large-scale purification of murine I-Ak and I-Ek antigens and characterization of the purified proteins. AB - Detailed analysis of the role of the structural characteristics of these molecules will require isolation of relatively large amounts of these antigens in serologically active form. We have purified murine Ia antigens on a large scale by affinity chromatography using monoclonal antibodies coupled to Sepharose 4B. Both I-Ak and I-Ek were isolated by sequential passage of cell lysate over columns prepared using specific monoclonal antibodies. Elution of the bound antigens required high pH (11-12) but, nonetheless, the purified material was 50 75% serologically active. Using LPS-stimulated spleen cells or B-lymphocyte tumor cells as starting material, 0.5 mg of each antigen can be readily purified. Based on antigen yields, it can be estimated that normal B-cells have about the same surface density of Class I and Class II MHC antigens. LPS blasts, in contrast, have normal levels of Class I antigen but 3-5 times higher levels of Class II antigens. We have now purified I-Ak and I-Ek from a number of different cell sources and have noted differences in both the mol. wts of the alpha- and beta chains and in their apparent associations with cytoskeletal components. Proteins having the same apparent mol. wts as actin and myosin co-purify with both I-Ak and I-Ek antigens from various sources. These proteins do not co-purify with H-2K and D molecules obtained by similar methods, suggesting that Ia antigens may specifically interact with cytoskeletal elements. PMID- 6581383 TI - Invariant proteins associated with guinea-pig Ia antigens. AB - Analysis of guinea-pig Ia immunoprecipitates by two-dimensional gel electrophoresis demonstrated the specific association of Ia molecules with several types of invariant proteins. These include a 33,000 mol. wt basic protein homologous to murine invariant chain (Ii), and a set of 34,000-36,000 mol. wt proteins more acidic than Ii (acidic invariant chain). Two 23,000-25,000 mol. wt non-polymorphic proteins with pIs of 6.0 and 6.5 were also observed in association with Ia, as was a basic protein of mol. wt 42,000. Pulse/chase studies using [35S]methionine demonstrated that Ii, but not acidic invariant chain, was associated with newly synthesized Ia molecules. The amount of 35S-Ii decreased greatly throughout the chase period. 35S-acidic invariant chain was clearly present in Ia precipitates by 30 min after Ia synthesis, but was not detected 4 hr after synthesis. Only acidic invariant chain was associated with mature Ia antigens bound by the lectin Ricinus communis I. Our results indicate that guinea-pig invariant proteins are differentially bound by Ia molecules during maturation of Ia alpha- and beta-chains, and suggest that acidic invariant chain could be a processed form of Ii. PMID- 6581384 TI - DNA polymorphism of the C4 genes. A new marker for analysis of the major histocompatibility complex. AB - Polymorphisms of the proteins encoded by genes that lie within the major histocompatibility complex (MHC) have served as useful markers for organ transplantation and in genetic analysis of a large number of MHC-linked diseases. To extend the range of MHC polymorphic markers, we used a complementary-DNA probe specific for the fourth component of human complement (C4) to identify a new variant within the MHC. Polymorphic variants at the DNA level were detected among subjects with identical phenotypes of the corresponding protein. C4 genomic polymorphisms are inherited with the segment of the short arm of chromosome 6 that carries the HLA-DR and complement loci. The autosomal codominant mode of inheritance of this genetic marker and its utility for evaluation of 21 hydroxylase-deficiency congenital adrenal hyperplasia, one of the many MHC-linked diseases, were established. PMID- 6581385 TI - Cornstarch therapy in type I glycogen-storage disease. PMID- 6581386 TI - Post-induction treatment of childhood acute lymphocytic leukemia. PMID- 6581387 TI - [Maxillary hyperplasia. Various aspects of the Le Fort 1-osteotomy]. PMID- 6581388 TI - [Referral behavior and indications. A case report]. PMID- 6581389 TI - [Cold-polymerized hard resins for lining the denture in the mouth]. PMID- 6581390 TI - [Assessment of dental skills: a systematic approach]. PMID- 6581391 TI - A flurry about the pill. PMID- 6581392 TI - Services for the elderly. PMID- 6581393 TI - Early experiences with alcohol: a survey of an eight and nine year old sample. AB - An interview study of 743 eight and nine year old children, and their mothers, investigated the children's experiences with alcohol. There was a high level of personal experience with alcohol: over 90% of the children have had a least a sip of alcohol and a quarter of the children have a sip in a typical month. This reflects the use of alcohol in a family setting by the parents of the sample, and when asked for their source of information about alcohol the majority of children said it came from first hand experience or conversation within the family. However, one-third of the children mentioned television as their source. The effects of alcohol were perceived by the majority of the children primarily as short-term effects indicating drunkenness and a third of the children had been aware of alcohol-related problems within their own environment. PMID- 6581394 TI - Subacute cardiac rupture: a surgical emergency. AB - Three cases of subacute cardiac rupture following acute myocardial infarction are described. All three patients experienced sudden collapse during convalescence and following cardiopulmonary resuscitation were in cardiogenic shock, the shock being due to haemopericardium causing cardiac tamponade. Two of the patients who had electrocardiographic monitoring at the time of their collapse showed nodal bradycardia and were apnoeic and unconscious with no recordable blood pressure (electromechanical dissociation). The diagnosis was confirmed in all three patients by echocardiography which showed pericardial fluid. The patients were referred for urgent cardiac surgery (infarctectomy and Teflon patching) without further investigation. All three patients survived the emergency operation, but two died soon after surgery. The third patient is alive and well five months after the operation. PMID- 6581395 TI - Appendicectomy drains: a case controlled study. AB - Between January 1967 and January 1971, 323 patients underwent appendicectomy at the Royal Brisbane Hospital. Intraperitoneal and wound drains were used in 53 of these patients, and these were matched with 53 control patients. There were more complications in drained than non-drained patients, although there were more wound problems in the latter group. Twenty-seven patients developed infective complications after drain removal. The drained patients remained in hospital four days longer than their controls. It is suggested that drains were removed before suppuration had time to take place. It is recommended that drains be left in situ for at least ten days. PMID- 6581396 TI - Reflux nephropathy revisited. PMID- 6581397 TI - Developments in diagnosis in psychiatry. PMID- 6581398 TI - The child with a chronic or recurrent cough. PMID- 6581399 TI - GMS benefit. PMID- 6581400 TI - A rational approach to the future. PMID- 6581402 TI - The Medical Council and medical education. PMID- 6581401 TI - Antimicrobial prescribing errors in children. PMID- 6581403 TI - Analgesia and dextropropoxyphene. PMID- 6581404 TI - Changes in education for professionals interested in the treatment of alcohol problems. PMID- 6581405 TI - Childhood development. PMID- 6581406 TI - Abortion 1982. PMID- 6581407 TI - Inquiry into death. PMID- 6581408 TI - Deaths from drugs and poisons. AB - In the eight years from 1975 to 1982, 11 262 ***coronial**autopsies were performed in the School of Medicine, Auckland. Three hundred and ninety-four of the deaths were due to the action of a drug or poison. In this paper we examine the motives and circumstances, age and sex distribution, drugs used and other aspects of these 394 deaths. PMID- 6581409 TI - Abnormally patent eustachian tube syndrome. AB - Seven new cases of abnormally patent eustachian tube syndrome are presented. It is an uncommon disorder in which the voice and breathing are heard loudly in the affected ear. In mild cases blocked ear sensation may be the only symptom. The common predisposing causes are rapid weight loss and pregnancy. It usually resolves without surgical intervention. An occasional patient is extremely distressed by the symptoms. PMID- 6581410 TI - The management of primary open-angle glaucoma. PMID- 6581411 TI - Private medical insurance in New Zealand: issues of membership and growth. AB - Questions concerning ownership of private medical insurance were included in a recent Department of Statistics' survey of a random sample of almost 7000 New Zealanders. The results indicated that 35% of those surveyed owned private medical insurance and such ownership was significantly related to various social, demographic and health related variables. The findings are discussed in terms of the possibilities for growth of private medical insurance and the implications of such growth for both the public and the private health care sectors. PMID- 6581412 TI - Contraceptive knowledge, contraceptive use, and pregnancy risk experience among young Manawatu women. AB - The contraceptive knowledge, use, and desire for information of never-married Manawatu women aged 16-19 years were examined, distinguishing between respondents with and without pregnancy risk (coital) experience. Overall, 45.7% of the women had ever been at risk, the percentage varying positively with age. Awareness of contraceptive methods (especially the pill and condom) was widespread, particularly among the sexually experienced, a higher percentage of whom had also ever wanted and sought contraceptive information. Women who had never been at risk were less knowledgeable, fewer had ever wanted information (19.3%) and about one-third knew of no source of contraceptive information. Few (7.9%) of the sexually experienced had never used any contraceptive methods but others (19.9%) had not yet employed an effective female method. These results, akin to previous studies, indicate a need for school-based sex education. PMID- 6581413 TI - Assessment of gestational maturity using a new fundal height measuring tape. AB - From a series of women with known conception dates, the 50th percentiles of their weekly fundal height measurements were used to calibrate a measuring tape. As a method of gestational assessment, the tape was found to be accurate to within two weeks of the exact dates in 79% of this control group, compared with 96% and 84% respectively using conventional crown rump length and biparietal diameter ultrasound techniques on these same patients. PMID- 6581414 TI - A possible explanation for the declining incidence in dental caries. PMID- 6581415 TI - The health status of fourth form students in Northland. AB - A random sample of fourth form students throughout Northland was studied. Uncorrected visual defects were found in 4.5% and significant hearing loss in 9.1%. Appreciable numbers were overweight; 6.2% of boys and 22.5% of girls exceeded the desirable bulk index range. Levels of total cholesterol appear decreased compared to earlier New Zealand studies and were significantly lower than the Wairoa College survey levels. There was a strong correlation between total cholesterol and low density lipoprotein cholesterol. High density lipoprotein cholesterol was significantly higher in non-Maori than in Maori girls. Overall systolic blood pressure for boys at 114.3 mmHg (15.2 kPa) was significantly higher than for girls at 109.5 mm Hg (14.56 kPa). One-third of boys exceeded the adult uric acid reference range; a significantly higher proportion than for girls. Fifteen point one percent of boys and 23.5% of girls reported smoking seven or more cigarettes per week; 19.1% of boys and 9% of girls reported taking regular amounts of alcohol at least every weekend. PMID- 6581416 TI - Effects of prenatal influences on later life. PMID- 6581417 TI - The management of preauricular sinus. AB - Preauricular sinus is a common congenital condition which does not always cause symptoms. It is often misdiagnosed, can be difficult to treat surgically, and recurrences are common. The results of treatment in twelve Christchurch patients are discussed and a surgical technique is described. PMID- 6581418 TI - Communication in medicine. PMID- 6581420 TI - Antimicrobial prescribing. PMID- 6581419 TI - Medical education. PMID- 6581421 TI - Chronic intractable pain. PMID- 6581422 TI - Lithium toxicity and haemodialysis. PMID- 6581423 TI - Teenage drinking questioned. PMID- 6581424 TI - Caring for the elderly at home. PMID- 6581426 TI - Nurses must strive for excellence. PMID- 6581427 TI - Exams must reflect current health care. PMID- 6581425 TI - Adapting wound irrigation devices for use in orthopaedics. PMID- 6581428 TI - If you love them--buckle them in. PMID- 6581430 TI - NZNA to retain its independence. PMID- 6581429 TI - Nursing--a profession not a trade. PMID- 6581431 TI - Economics affect nurses. PMID- 6581432 TI - Cyclic roster meets individual needs. PMID- 6581434 TI - Maternal deaths - the facts. PMID- 6581433 TI - Nursing unemployment is a fact. PMID- 6581435 TI - Hospice care in a general hospital. PMID- 6581436 TI - Nursing research--what is it and do we need it? PMID- 6581437 TI - Deafness linked to behaviour problems. PMID- 6581438 TI - Man's oldest companion. PMID- 6581439 TI - Implantation of bladevents and corevents into an iliac crest augmented ridge. PMID- 6581440 TI - HTR (hard tissue replacement) for edentulous ridge augmentation. PMID- 6581441 TI - Multiple uses of resorbable tricalcium phosphate. PMID- 6581442 TI - Central giant cell granuloma: report of two cases. PMID- 6581443 TI - The claims made insurance policy explained. PMID- 6581444 TI - An unexpected adverse reaction due to a retained root. PMID- 6581445 TI - DSSNY's liaison with auxiliary organizations. PMID- 6581447 TI - Dental assistants' guide to radiation protection course--part 1. PMID- 6581446 TI - The fibroepithelial polyp - management of a case. PMID- 6581448 TI - Informed consent: patient's right to know takes precedence. PMID- 6581449 TI - Aesthetic restoration of bilaterally fused and supplemental incisors. PMID- 6581450 TI - Strategic extractions: periodontal and restorative considerations. PMID- 6581451 TI - Federal income tax on death. PMID- 6581452 TI - Computed tomography in diagnosis and treatment of mandibular fractures. Report of a case. PMID- 6581453 TI - Periodontal ligament injection: evaluation of systemic effects. AB - By means of a pistol-grip syringe, 0.3 ml. of normal saline solution, 2 percent lidocaine with and without 1:100,000 epinephrine, 3 percent mepivicaine, and 1:100,000 epinephrine alone were injected into large adult dogs via the intravenous, intraosseous, intrapulpal, subcutaneous, periodontal, intramuscular, and submucosal, routes. Changes in heart rate, blood pressure, and respiration were recorded in relation to the time of injection. In the quantities injected, normal saline solution, 2 percent lidocaine, and 3 percent mepivicaine had no measurable effect on the systemic parameters, regardless of the site of injection. Injection of 2 percent lidocaine with epinephrine and of epinephrine alone caused transient decreases in blood pressure and increases in heart rate. The results were similar, whether the injections were done intravenously, intraosseously, or periodontally. Systemic changes were not detected when the epinephrine-containing agents were injected intramuscularly, subcutaneously, submucosally, or intrapulpally. These results support the contention that the periodontal injection is intraosseous in nature and that solutions injected by the periodontal technique are rapidly absorbed into the systemic circulation. PMID- 6581454 TI - Condylar dislocation: an unusual complication observed after mandibular osteotomy. PMID- 6581455 TI - Bilateral hyperplasia of the coronoid processes in siblings. AB - Two cases of bilateral coronoid hyperplasia in siblings have been presented. These are the first reported instances of this developmental condition occurring in two members of a family. PMID- 6581456 TI - Hypersensitivity to amide local anesthetics? Report of a case. AB - The majority of adverse reactions to local anesthetics are either the direct result of pharmacologic properties of the local anesthetics and/or vasoconstrictors or the result of excessive anxiety. However, because of the insidious nature of the symptoms, many adverse reactions are mistakenly identified as allergic. The following case illustrates how knowledge of the above and persistence in evaluation can lead to proper classification of adverse reactions to amino-amide local anesthetics. PMID- 6581457 TI - The attitude of chronic hemodialysis patients toward dental treatment. AB - Dental care of hemodialysis and renal-transplant patients involves various psychological parameters. Their basic illness affects their dental anxiety, self image, active motivation to cope with difficulties, and appreciation of oral health. These parameters were measured by four specific questionnaires in fifty subjects: 25 renal patients and 25 matched controls. Renal patients showed significantly less dental anxiety than did controls, and also less concern about oral health. Patients' coping with difficulties was equal to controls, while their self-image was even more stable. The unusual findings in these patients demonstrate the importance of dentists' cooperation with nephrologists and psychiatrists. PMID- 6581458 TI - Noma. Report of two cases. AB - Noma is an infectious process involving the oral cavity and occasionally other structures. It is characteristically a childhood affliction, and it never occurs in healthy persons. Conservative treatment in debriding facial lesions greatly enhances reconstructive efforts. PMID- 6581459 TI - The use of the terms monomorphic adenoma, basal cell adenoma, and canalicular adenoma as applied to salivary gland tumors. AB - There is considerable confusion in the literature concerning the terms monomorphic adenoma, basal cell adenoma, and canalicular adenoma. This article traces the history of these terms as applied to the pathology of salivary gland tumors and attempts to clarify their usage. It is recommended (1) that monomorphic adenoma be used, as it was originally intended, as a nosologic grouping for all benign epithelial salivary gland tumors that are not pleomorphic adenomas, (2) that basal cell adenoma be used to identify a specific entity that is one component of the monomorphic adenoma group and exhibits a number of histologic subtypes, and (3) that canalicular adenoma be used to describe another entity, distinct from basal cell adenomas but also belonging to the monomorphic adenoma group. PMID- 6581460 TI - Oral melanoacanthoma. Review of the literature and report of ten cases. AB - Melanoacanthoma is a simultaneous benign proliferation of two cell types--the keratinocyte and the melanocyte. It is a rare lesion; only twenty cases have been reported on skin and three cases intraorally. This article reports a series of ten cases of intraoral melanoacanthoma. Significant clinical differences exist between skin and mucosal lesions. Whereas the skin lesions occur almost exclusively in white persons and in an older population, the mucosal melanoacanthoma occurs in a much younger population, is seen almost exclusively among blacks, and is frequently associated with a history of trauma or irritation which precedes the rapid development of the lesion. Several cases have resolved with incomplete removal. It is conjectured that this lesion may represent a reactive phenomenon on oral mucosa rather than neoplasia. PMID- 6581461 TI - Stereologic analysis of leukocyte infiltration in oral ulcers of developing Mikulicz aphthae. AB - Biopsy specimens of 1- to 7-day-old oral ulcers from patients with minor (Mikulicz), herpetiform, and Behcet's aphthae and of nonulcerated oral mucosa of aphthous patients were subjected to a quantitative, stereologic, electron microscopic analysis of the connective tissue infiltrate residing both at the center of and lateral to the ulcers. The data representing volume fractions and the numerical density of cellular and other infiltrate components demonstrated that (1) the infiltrate under the epithelium lateral to the ulcer is different from that at the ulcer's center, (2) at both sites, composition of the gross infiltrate does not change with age of the ulcer, (3) a large population of leukocytes (about 18% in the lateral and 23% in the central region) belong to the monocyte/macrophage series, (4) blast-forming T-lymphocytes are consistently present, blast-forming B-lymphocytes and plasma cells are very rare, and (5) mast cells are several times more numerous than in normal mucosa. In a comparison of the infiltrates of Mikulicz aphthae with those of herpetiform and Behcet's ulcers, it appears that the pathogenesis of the various oral ulcerations may well be diverse. PMID- 6581462 TI - Efficacy of apical seal of Engine Plugger condensed root canal fillings--leakage to dyes. AB - A new rotatory instrument, the Engine Plugger, that is claimed to be less fragile than the McSpadden Compactor, has been introduced since the recognition of thermomechanical compaction as a valid technique for root canal filling. The purpose of this study was to test the efficacy of the apical seal afforded by the Engine Plugger in comparison with that of an established technique, lateral condensation. Eighty roots with round canals prepared to size 45 were randomly divided into two groups: one compacted with the Engine Plugger (Group 1) and the other with the lateral condensation technique (Group 2). AH-26 sealer was used in half the specimens. Four additional roots served as controls. The roots were cleared following immersion in Procion brilliant green, and the maximal depth of penetration of the dye was measured with a stereomicroscope. Severe leakage occurred in both groups when sealer was not used (mean depth: 3.17 mm in Group 1; 4.3 mm in Group 2). Addition of sealer reduced leakage significantly (p less than 0.001). There was no statistically significant difference in the depth of penetration of the dye between the two groups when AH-26 was used, although a trend in favor of the Engine Plugger method (0.15 mm versus 0.425 mm for lateral condensation) was noted. PMID- 6581463 TI - Cold as a diagnostic aid in cases of irreversible pulpitis. Report of two cases. AB - Two case reports are presented to illustrate the effectiveness of cold in localizing the offending tooth in difficult diagnostic situations where painful pulpitis is present. A review of the literature reveals that there are several proposed theories concerning the mechanisms by which cold relieves the painful symptoms present in some cases of irreversible pulpitis. The hydrodynamic theory seems to provide the most feasible explanation of the events that occur. PMID- 6581464 TI - The effect of viewing conditions on the perceptibility of radiographic details. AB - The effect of viewing conditions on the visual detection of radiographic detail has been studied by the method of perceptibility curves. Extraneous light and improper masking of radiographs reduce the amount of information available to the viewer. PMID- 6581465 TI - Variations in film exposure, effective kVp, and HVL among thirty-five dental x ray units. AB - Speed group "E" dental films were exposed in thirty-five dental x-ray units and processed under rigidly controlled conditions. The exposure, in milliroentgens required to produce an overall film density between 0.85 and 1.05 density units at the 9 mm. step of an aluminum step-wedge, ranged from 94 to 186 mR. The wide range in normalized exposure required to produce a standard density of 1.0 was associated with half-value layer and effective operating kilovoltage in only a general way. The half-value layer of thirty-five dental x-ray units ranged from 1.9 to 2.9 mm. Al, and their effective operating kilovoltages ranged from 62 to 77 kVp when units were set at 70 kVp. The exposure required to produce a specific radiographic density depended largely on the individual characteristics of the x ray unit used. PMID- 6581467 TI - [Hormonal homeostasis in acute lymphoid leukemia in children]. PMID- 6581468 TI - [Hepatitis-B vaccination and AIDS]. PMID- 6581466 TI - [Sodium, potassium and adenosine triphosphate concentrations in the erythrocytes of children with acute leukemia and other hematologic diseases]. PMID- 6581469 TI - NJ nurses first in nation to sign death certificate. PMID- 6581470 TI - The dynamic role of school nurse-clinical specialist. PMID- 6581471 TI - The clinical nurse specialist with gerontological focus. PMID- 6581473 TI - The scientific tradition in dentistry. PMID- 6581472 TI - Graduate apprenticeship. PMID- 6581474 TI - Mirror-image twins. PMID- 6581475 TI - Approaching death. PMID- 6581476 TI - Glycogen storage disease. PMID- 6581477 TI - Living with childhood cancer: impact on the healthy siblings. PMID- 6581478 TI - [Late results of BCG immunotherapy of myelocytic leukemia]. PMID- 6581479 TI - HLA antigens and necrobiosis lipoidica diabeticorum--a comparison between insulin dependent diabetics with and without necrobiosis. AB - To investigate whether HLA-A, -B, -C, and -DR alloantigen frequencies are different in diabetic patients with and without necrobiosis lipoidica diabeticorum we studied 37 insulin-dependent (Type I) diabetics, 15 with and 22 without necrobiosis, and 96 normal control subjects. Compared to controls Type I diabetics had increased frequencies of B8, CW3, and DR4 and decreased frequencies of DR5 and DR7. Diabetics with necrobiosis differed from diabetics without necrobiosis only in that HLA-A2 was significantly less frequent in patients with necrobiosis. It is suggested that the lack of major differences between patients with and without necrobiosis argues in favour of the role of metabolic and/or vascular rather than genetic factors in the aetiology of necrobiosis. PMID- 6581480 TI - Prenatal prediction of duplication 10q24 leads to qter by gene dosage of GOT1 on uncultured amniotic cells. AB - Glutamic-oxaloacetic transaminase (GOT1) gene dosage studies were performed on uncultured amniotic cells from a fetus at risk for duplication/deficiency of 10q24 leads to qter, due to maternal translocation t(9;10)(p24;q24). Previous investigations in the same pedigree had shown triplex dosage effect of GOT1 on red blood cells of a 10q24 leads to qter trisomic fetus monitored by midtrimester amniocentesis. In the present pregnancy, the GOT1 activity of amniotic cells exhibited a triplex gene dosage, suggesting duplication of region 10q24 leads to qter in the fetus. The biochemical prediction was confirmed two weeks later by cytogenetic analysis. PMID- 6581481 TI - Limited use of chromosomal markers in prenatal diagnosis. AB - By aid of fluorescent centromere markers in chromosome No. 3 it could be shown that crossing over in a translocation quadrivalent had occurred on two occasions in a father who is carrier of a 3/5 translocation. This case demonstrates that marker chromosomes cannot always be used to trace the parental origin of structurally abnormal chromosomes. PMID- 6581482 TI - Improvement in children's dental health. PMID- 6581483 TI - Chemical renal medullectomy and experimental hypertension. AB - The possible vasodepressor role of the renal medulla was studied by chemical medullectomy (i.v. bromoethylamine hydrobromide) in rats. A significant increase in blood pressure (BP) was observed 10 weeks after injection which related to the increase in urinary volume and decrease in urinary prostaglandin E2 (PGE2) in medullectomised rats, but not to plasma renin concentration (PRC). Creatinine clearance was unchanged. The differences between control and medullary damaged rats were maintained over a wide range of sodium intakes although the patterns of response were similar in the two groups. The increase in BP observed following renal medullectomy is likely to be secondary to a reduction in interstitial cell function. PMID- 6581484 TI - Essential fatty acids and maladjusted behaviour in children. AB - It has been suggested that hyperactivity may be produced by a deficiency in essential fatty acids (EFA) leading to a deficit in prostaglandin (PG) formation. The red blood cells EFAs levels were examined in 23 maladjusted children and in 20 normal children. Although no individual EFA showed statistically significant differences between the normal and maladjusted children, multivariate analysis showed that the levels of EFA series 2 PG precursors in maladjusted children were significantly lower than in controls as predicted (P = 0.0001). PMID- 6581485 TI - Increase of prostaglandin E and F equivalents in amniotic fluid during late pregnancy and rapid PG F elevation after cervical dilatation. AB - Prostaglandin E and F equivalents in amniotic fluid from 163 women were determined after amniocentesis using chromatographic group separation and radioimmunoassay. Both PG E and F equivalents remained unchanged at levels below 100 pg/ml until week 34 of gestation and increased exponentially thereafter reaching levels of 745 and 821 pg/ml at weeks 41/42. Cervical dilatation at weeks 9 - 12 and 37 - 42 of pregnancy resulted in rapid elevations of PG F equivalents, but not of PG E, by factors of about 3 and 13, respectively. It is assumed that the slowly increasing production of both PG E and F demonstrated during the last weeks of pregnancy is connected with maturation processes within the feto placental unit preceding birth, whereas the rapid formation of high PG levels channeled to the PG F pool in response to mechanical stimuli resembles the processes closely related to the trigger mechanisms for the onset and progress of spontaneous labour at term. PMID- 6581486 TI - Construction and analysis of miniplasmids of the colicin Ib plasmid. AB - Miniplasmids of the colicin Ib (ColIb) plasmid have been isolated from two Tn5 induced mutants of ColIb and their structure determined. These have then been used to order the sequence of restriction endonuclease fragments of the whole plasmid. In addition, the sites of the colicin, colicin immunity, and abortive infection gene have been determined in relation to the restriction sites. By comparison of the miniplasmids with other "I" incompatibility group plasmids, the probable location of the incompatibility gene and the origin of replication have been confirmed. PMID- 6581487 TI - Bright white light alleviates depression. AB - Studies of biological rhythm disorders among manic-depressive patients have suggested that depressed patients may have an early photosensitive interval. If so, exposure to bright light during the photosensitive interval might relieve depressive symptoms. As a test of this hypothesis, 12 depressed patients were exposed to bright white light from roughly 5 to 6 a.m. On the afternoon following this treatment, depressive symptoms were reduced in comparison to baseline ratings and as compared to afternoons following similar exposures to dim red light. PMID- 6581488 TI - REM latency in neurotic and endogenous depression and the cholinergic REM induction test. AB - Latency of rapid eye movement (REM) sleep was measured in eight healthy volunteers under baseline conditions and after administration of physostigmine. An infusion of 0.5 mg of physostigmine 5 minutes after sleep onset caused a significant shortening of REM latency in comparison with baseline conditions. In 45 patients with major depression, REM latency during baseline nights was significantly shorter than in control subjects. This shortening of the REM latency was found to be similar in endogenous, neurotic, and unclassified depressed patients. In contrast to findings in the controls, the physostigmine infusion provoked no further significant reduction of REM latency in depressed patients, but awakened the majority of patients. The data concerning spontaneous REM latency and REM latency after physostigmine do not allow a differentiation among the endogenous, neurotic, and unclassified depressed subgroups. The results of the cholinergic REM induction test do not conclusively support the hypothesis of a cholinergic hypersensitivity in depression. PMID- 6581489 TI - Aging and cortisol resistance to suppression by dexamethasone: a positive correlation. AB - Cortisol resistance to suppression by 0.5 mg of dexamethasone given at 11 p.m. was studied in 30 normal subjects, 17 to 78 years of age. Serum cortisol concentrations were determined by radioimmunoassay. A strong positive correlation was found between age and cortisol concentrations 9 hours after dexamethasone administration. The data suggest that aging, per se, might contribute to the increased cortisol resistance to suppression by dexamethasone reported in depression and dementia. PMID- 6581490 TI - Personality style differences in visual search performance. AB - The present study continues the examination of the personality styles in normal populations that have been described in the clinical literature. Earlier work has focused on behavioral, attitudinal, and cognitive components of the personality styles. The present study extends our exploration of the cognitive domain by examining the performance of different personality groups on a visual scanning task. Hysterics searched a stimulus array for letter targets at a mean rate of 0.04 +/- SD 0.177 seconds per unit of information, which was slower than the control rate of 0.0225 +/- SD 0.0078 seconds. The results indicated that hysterics used a serial search strategy to compensate for an inability to process information efficiently and thus differed from compulsives who conformed to task demands and performed similarly to controls. PMID- 6581491 TI - Corticomedial amygdala lesions, behavior, corticosterone, and prolactin: unexpected separation of effects. AB - The present experiment examines hormone: behavior relationships following lesions of the amygdala. Affective behavior and levels of corticosterone and prolactin were compared in rats with lesions of the corticomedial amygdala and in nonlesioned and sham-operated controls. Animals with lesions of the corticomedial amygdala were found to be hyperreactive, but to have normal corticosterone and prolactin resting levels and responses to stimulation. The unexpected separation of behavior and hormone responses is compared with behavior and endocrine changes seen following other limbic system lesions, and the implications for the psychoneuroendocrinology of stress are discussed. PMID- 6581492 TI - Lithium prevents adaptation of brain dopamine systems to haloperidol in schizophrenic patients. AB - To evaluate the effect of lithium treatment on haloperidol-induced changes of brain dopamine systems, cerebrospinal fluid homovanillic acid (HVA) was assessed in nine patients during a sequential treatment protocol with placebo, lithium, lithium plus acute haloperidol, and lithium plus chronic haloperidol. None of the patients developed tolerance to the rise in HVA during treatment with haloperidol and lithium. Concurrent treatment with lithium appears to prevent the development of tolerance in dopamine metabolism during chronic haloperidol treatment. These data provide the first evidence in man that lithium may prevent neuroleptic induced functional supersensitivity of brain dopamine systems. PMID- 6581494 TI - A speculative illness model of over-eating and anorexia nervosa. PMID- 6581493 TI - Cerebellar morphology in chronic schizophrenic patients: a controlled computed tomography study. AB - Simple, objective, linear, and density measures were used to evaluate by computed tomography (CT) the cerebellum-fourth ventricular region of 23 chronic schizophrenic patients and 23 normal controls. Our data suggest that a subgroup of chronic schizophrenic patients have cerebellar atrophy associated with a strong but nonsignificant trend toward increased cerebellar density. The implications of these findings are discussed in view of previous CT and neuropathological studies. PMID- 6581495 TI - A case of rapidly progressing periodontitis and its successful management. PMID- 6581496 TI - Benign vascular anomaly presenting clinically as a gingival cyst: a case report. PMID- 6581497 TI - Management of a periodontal lesion associated with a lingual groove. PMID- 6581498 TI - The interproximal brush and toothbrush abrasion - a case report. PMID- 6581499 TI - Marginal integrity of adhesive fracture restorations: chamfer versus bevel. PMID- 6581500 TI - Clinical and genetic considerations in craniofacial malformations. PMID- 6581501 TI - Case report: a large false denticle. PMID- 6581502 TI - The Hydroceptor: its value and versatilities in the "washed field technique" (I). PMID- 6581504 TI - The efficacy of sodium perborate in maintenance of oral hygiene. PMID- 6581503 TI - An accelerated test for determining creep of dental amalgam. PMID- 6581505 TI - Ga-67 uptake in the lung in sarcoidosis. AB - Images were obtained with Ga-67 and bronchopulmonary lavage performed in 21 patients with sarcoidosis (31 studies). The Ga-67 index, a semiquantitative criterion, was compared to a quantitative computer index based on lung:liver activity ratios; accuracy in predicting active alveolitis (defined by lavage lymphocyte counts) was assessed and differences between 24- and 48-hour studies examined. Computer activity ratios correlated well with the Ga-67 index, which had a sensitivity of 64%, specificity of 71%, and accuracy of 68% compared to 71%, 82%, and 77%, respectively, for the computer scores. Scores at 24 and 48 hours were similar. These results suggest that (a) Ga-67 scanning is useful in staging activity in pulmonary sarcoidosis, (b) quantitative computer scores are accurate in predicting disease activity, and (c) scanning can be performed 24 or 48 hours after injection. PMID- 6581506 TI - [Polysulfide impression materials]. PMID- 6581507 TI - [Comparative studies of the adherence of alginate impression mass to metal surfaces, adhesive tape and pink model wax]. PMID- 6581508 TI - Corpus luteum regression induced by ultra-low pulses of prostaglandin F2 alpha. AB - In view of the pulsatile nature of PGF2 alpha secretion from the ovine uterus at the time of luteolysis, experiments were designed to examine the effect of pulsed infusions of PGF2 alpha on luteal function and to re-examine the minimal effective levels of PGF2 alpha required to induce luteolysis. To mimic physiological conditions, hour-long infusions of PGF2 alpha in increasing concentrations were given either 4 times in 19 h or 5 times in 25 h into the arterial supply of the autotransplanted ovary in conscious sheep on day 12 of an induced cycle. Blood flow and progesterone secretion rate from the ovary were used to monitor directly the luteolytic effect of administered PGF2 alpha. The concentration of LH in peripheral plasma was measured throughout each infusion experiment and the presence of a preovulatory peak of LH was used as an indicator of the permanence of luteal regression. Four pulses of PGF2 alpha in 19 h caused complete corpus luteum regression in only 1 of 4 animals whereas the addition of a fifth pulse (5 pulses in 25 h) caused permanent regression in 4 out of 4 animals. Infusion of 5 hour-long pulses of saline or PGF2 alpha at a rate less than 0.04 microgram/h did not induce permanent suppression of progesterone secretion. The average total effective dose of PGF2 alpha required to induce luteal regression when given as 5 pulses was 1/40th of the amount currently regarded as the minimal effective one when given by constant infusion into the ovarian artery. In another series of experiments the luteolytic effect of a single hour-long pulse of 0.1 microgram/h PGF2 alpha given daily for either 3 or 4 days was investigated. A significant fall (ANOVA, F0.01) in progesterone secretion rate, which reached a nadir at 5.3 +/- 2.2 h (means +/- S.D., n = 15), was followed by a recovery of progesterone secretion rate. Permanent luteal regression did not occur with this protracted regimen, suggesting that a relatively short pulse frequency of PGF2 alpha over a minimal period of 24 h is a necessary condition for physiological regression of the corpus luteum in sheep. PMID- 6581509 TI - In vitro modulation of human and murine melanoma growth by prostanoid analogues. AB - The inhibitory effect of various prostaglandin analogues on the anchorage independent growth of murine and human melanoma cells was measured. PGA analogues (which were modified at C-16 and C-18) did not demonstrate any major improvement in activity over PGA alone. These included 16,16-dimethyl PGA1, 16,16-dimethyl PGA2, 16,16-dimethyl-18-oxa-PGA2 and trans-delta-2-15-alpha acetoxy-16,16 dimethyl-18-oxa-11-deoxy-PGE1-methylester. The thromboxane synthetase inhibitor, U51605, demonstrated weak anti-proliferative activity. PGD2 (with a ketone at C 11 versus C-9 for PGA and PGE) was the most potent prostaglandin tested. Cells from melanoma lines displayed species differences in their sensitivities. PGA1 and PGE1 were the most potent inhibitors of the anchorage independent growth of murine melanoma cells. On human melanoma cells PGD2 was the most active prostaglandin, 2-3 times more potent than PGA1; PGE1 was a very weak inhibitor. PMID- 6581510 TI - The effect of adrenergic stimulation on urinary prostaglandin E2 and 6 keto PGF1 alpha in man. AB - To evaluate the details of the adrenergic stimulation of urinary prostaglandins in man, ten normal volunteers were given various agonists and antagonists. The effect of 4 hour IV infusions of norepinephrine (NE), NE + phentolamine (PHT), NE + phenoxybenzamine (PHB), NE + prazosin (PZ), isoproterenol (ISO), and PHT alone on urinary PGE2 and PGI2 (6 keto PGF1 alpha) were determined. PGE2 and 6 keto PGF1 alpha were measured by radioimmunoassay from 4 hour urine samples. NE stimulated both PGE2 (196 +/- 40 to 370 +/- 84 ng/4 hrs/g creatinine and 6 keto PGF1 alpha (184 +/- 30 to 326 +/- 36), both p less than 0.01. In contrast, ISO had no effect on either PGE2 or 6 keto PGF1 alpha excretion. Alpha blockade with PHT. PHB, or PZ inhibited the NE induced systemic pressor effect. However, the effect of the alpha blockers on the NE induced stimulation of PGE2 and 6 keto PGF1 alpha varied. PHT did not alter the NE stimulated PGE2 or 6 keto PGF1 alpha release (370 +/- 84 vs. 381 +/- 80) PGE2 and (326 +/- 50 vs. 315 +/- 40) 6 keto PGF1 alpha both p greater than 0.2). PHT alone stimulated only 6 keto PGF1 alpha. PHB and the specific alpha 1 antagonist PZ similarly eliminated the NE induced prostaglandin release. These results suggest that adrenergically mediated urinary prostaglandin release in man is via an alpha receptor with alpha 1 characteristics. PMID- 6581512 TI - Centric occlusion - centric relation and practical methods of occluding casts. PMID- 6581511 TI - The in vitro effect of indomethacin on basal bone resorption, on prostaglandin production and on the response to added prostaglandins. AB - Mouse calvaria were maintained in organ culture without serum additives. Basal active resorption, as measured by 45Ca and hydroxy-proline release, was significantly inhibited to 74% control levels by indomethacin (1.4 X 10(-7) M). Prostaglandin F and prostaglandin E2 production, determined by radioimmunoassay, were both significantly lowered by this concentration of indomethacin. DNA, protein and hydroxyproline synthesis, as indices of cell toxicity, were unaffected by low concentrations of indomethacin, while concentrations of 1.4 X 10(-6) M inhibited protein synthesis (p less than 0.005). In the presence of indomethacin (1.4 X 10(-7) M) both PGE2 and PGF2 alpha stimulated resorption in a dose-dependent manner, with PGE2 being the more potent. Neither prostaglandin affected hydroxyproline synthesis at low concentrations, but PGE2 had a marked inhibitory action at a higher concentration (10(-6) M). In combination, the effects of PGE2 and PGF2 alpha showed no evidence of synergism or any antagonistic action. The study shows that in vitro calcium and hydroxyproline resorption in the unstimulated mouse calvaria are inhibited by indomethacin at concentrations measured in serum during human therapy. The decreased PGF and PGE2 production associated with this decreased bone resorption in the presence of non toxic concentrations of indomethacin would suggest a role for these prostaglandins in maintaining the basal resorption of cultured bone. PMID- 6581513 TI - Effective management solves the problems of a growing dental laboratory. PMID- 6581514 TI - The psychological sequelae of childhood leukaemia. PMID- 6581515 TI - Attempt at a cytologico-clinico-therapeutic classification of malignant lymphomas. PMID- 6581516 TI - In vitro study by fluorescence microscopy and microradiography of tetracycline tooth interaction. AB - The administration of tetracycline to the growing child may cause discoloration and hypoplasia in developing teeth. Whether tetracycline may also cause changes in fully mineralized enamel and dentin, is still a matter of discussion. The present investigation examines the in vitro reaction between tetracycline chloride and enamel and dentin of extracted human teeth. Specimens were immersed in 0.5 mg/ml to 20 mg/ml aqueous tetracycline solutions. After 24 hr the specimens were sectioned and studied by fluorescence microscopy and microradiography. The tetracycline solutions, which were all very acidic, were found to cause 1) demineralization of enamel and dentin, 2) incorporation of fluorescent material in enamel and, notably, dentin; and 3) formation of yellow, rhombohedral crystals on dental surfaces, especially in the more concentrated solutions. No fluorescence was seen in totally demineralized dentin. The findings indicate that the incorporation of tetracycline into enamel and dentin is caused by physiochemical processes that may take place regardless of the developmental stage of the mineralized tissues. PMID- 6581517 TI - Effects of salmon calcitonin on growth of teeth and on extraction socket healing in young rats. AB - The influence of salmon calcitonin on the growth of teeth and alveolar bone, and on the healing of alveolar sockets has been studied in young male rats. The experimental animals received daily injections of salmon calcitonin 0.5 MRC-U/kg body weight, whereas the control group received the vehicle. The rats were sacrificed at 14 and 28 days after the tooth extractions. Salmon calcitonin had no effect on the dry weight, calcium concentration and mineralization of the maxillary molars and the alveolar bone. Neither were there any significant effects of the hormone on the healing alveolar sockets. All sockets were healed after 4 weeks. The mineralization rate of molar teeth was only a quarter of that of tibiae, which was used as a reference. PMID- 6581518 TI - Preparation of midsagittal semithin Epon sections of the entire secretory ameloblast population in the maxillary rat incisor. AB - To study cytological changes in the migrating cell layer of the ameloblasts in the rat incisor with semithin Epon sections the ideal section plane would consequently be along the midsagittal plane of the incisor. However, the small dimensions and the complex three-dimensional structure of the apical part of the odontogenic organ covered by alveolar bone make it difficult to orientate and position sections in the midsagittal plane. Serial sectioning of the apical half of the maxillary incisor in the horizontal and sagittal planes clarified the relation of the midsagittal plane of the odontogenic organ to the alveolar bone, and the changes of the sectional profile of the odontogenic organ as a function of its position on the transverse axis of the incisor. From this information a method was designed whereby the two axes of the midsagittal plane were marked directly on the block surface before sectioning, and the position of sections in the midsagittal zone of the ameloblasts standardized. PMID- 6581519 TI - Further studies on the composition of the acquired enamel pellicle. AB - In the present study pellicle material was collected from human teeth 2, 4 and 6 hr after cleaning. The material obtained was examined by gel filtration, ion exchange chromatography on CM-Sephadex and DEAE-Sephadex with subsequent amino acid analyses of the major anionic component. No major changes were observed to occur either in the overall composition or in the main anionic component of the pellicle during the first 6 hr. PMID- 6581520 TI - Ultrastructural visualization of the adherence of Streptococcus mutans and Streptococcus salivarius to hydroxyapatite. AB - S. mutans and S. salivarius adherence to saliva-coated and saliva-uncoated hydroxyapatite was studied by transmission and high resolution scanning electron microscopy. No difference was observed between the saliva-coated and saliva uncoated study series of adherence. The attachment of individual bacteria to apatite crystals was found to be mediated by cell wall projections. These electron-dense structures were characteristically well formed in S. mutans, and even in S. salivarius the projections appeared to link the bacteria to the apatite. The site of attachment in the bacterial cell wall was always at the division area. We suggest that the possible metabolic activity at the cell wall division site, therefore, also works in the adherence process. PMID- 6581521 TI - Streptococcus mutans establishment and dental caries experience in children from 2 to 4 years old. AB - 39 children were studied longitudinally at the age of 2, 3, and 4 yr for the colonization of S. mutans in plaque and saliva and for caries experience. S. mutans was found in 38% of the children, and the predominant serotype group was c/e/f. A total of 16 children got caries before the age of 4. Children who harbored S. mutans in their plaque at the age of 2, appeared to be the most caries-active individuals. Their caries index values (number of decayed, missed and filled surfaces, dmfs = 10.6 +/- 5.3) at the age of 4 differed significantly from the values of children who harbored S. mutans later (dmfs = 3.4 +/- 1.8, P less than 0.005) or remained free from S. mutans infection (dmfs = 0.3 +/- 1.1, P less than 0.0003). It was thus concluded that the early establishment of S. mutans in the plaque of primary incisors indicated early and extensive caries attack in young primary dentition. PMID- 6581523 TI - Mitoses and microorganisms in the periodontal membrane after storage in milk or saliva. AB - Milk and saliva were tested in vitro as potential storage media for avulsed teeth. Developing monkey teeth were extracted and stored in milk or saliva for periods ranging from 1 to 6 h. The osmolality, pH, conductivity and number of viable bacteria in the media were determined after predetermined intervals during the storage periods. After the storage periods the teeth were either prepared for scanning electron microscopy or cultured for 24 h in Eagle's medium supplemented with 3H-thymidine. In the scanning electron microscope numerous adherent bacteria were seen covering the periodontal membrane after storage in saliva but none were found after storage in milk. The cultured teeth were sectioned and evaluated with autoradiography. Superficial parts of the periodontal membrane were rapidly injured by storage in saliva while the epithelial root sheath and the apical pulpal cells were affected at a later stage. Cells neighboring the cementoblasts incorporated 3H-thymidine after 6 h storage in milk but not after storage in saliva for the same length of time. It was concluded that the low osmolality in combination with bacteria which adhered to the periodontal membrane made saliva less suited than milk for long time storage of avulsed teeth. Furthermore, a viable layer of cells close to the root surface seemed to be a prerequisite for a successful healing without root resorption after replantation. PMID- 6581522 TI - Isolation and ultrastructure of Bacteroides sp. with external cell-wall layer (S layer) in periapical osteitis. AB - Bacteroides sp. was isolated in human periapical osteitis and shown to be biochemically closely related to B. ruminicola ssp. brevis and B. capillus. Electron microscopic examination revealed an external cell-wall layer (S-layer). The fractionation of cells by various methods gave partially purified sheets corresponding to the observed layer with a hexagonal molecular arrangement. PMID- 6581524 TI - Longitudinal study of body height, radius length and skeletal maturity in Danish boys with cleft lip and palate. AB - Body height, radius length and skeletal maturity were registered longitudinally in 48 boys with combined cleft lip and palate (CLP) and compared with measurements in a non-cleft control group. Age range was from 6 to 20 yr. Skeletal maturity was evaluated according to the TW2 method. Distance and velocity curves for radius length and body height were determined by means of a computer program which for each month calculated the median and percentiles of the distribution. Compared to the control group the CLP boys were slightly shorter from 6 to 18 yr of age. The velocity curves revealed that pubertal growth maximum occurred on an average 6 months later in the CLP boys and that the pubertal growth spurt was less marked. However, the total growth period was prolonged thus enabling the CLP group to catch up with the control group. Skeletal maturity was retarded during the whole period when compared to normal children. It is suggested that the early feeding problems and recurrent infections of the upper airways combined with the surgical procedures account for an essential part of the delay in the present CLP group. PMID- 6581525 TI - Comparison of two different methods of polishing porcelain. AB - The surface roughness of polished porcelain was investigated. The results showed that no significant differences between the two polishing methods used were found. The two evaluation methods, surface roughness measurements and scanning electron microscopy (SEM), are discussed and some recommendations are given. PMID- 6581526 TI - Surface degradation of amalgams in vitro during static and cyclic loading. AB - Corrosion during static creep of two gamma 2-containing and one dispersed phase amalgam immersed in artificial saliva has been observed, using SEM, to occur in gamma 1-grain boundary regions where grain boundary sliding and dislocation slip take place. Cracking in the interior of gamma 1-grains has also been found, in particular for dispersed non-gamma 2 amalgam. The combined action of corrosion and stress favored the formation of cracks. Signs of similar creep processes which may promote cracks have also been noted after cyclic loading where the accumulative strains were much lower than in the static creep experiments. Due to these low strains and short immersion times corrosion attacks of the same kind as under static loading can only be assumed. Using nuclear tracer technique quantitative measurements of the corroded material from samples exposed to cyclic loading showed the dispersed non-gamma 2 amalgam to release more Hg, Cu and Zn than the two gamma 2-containing amalgams and that 50-90% copper and mercury were present as particulate matter. These observations can be explained on the basis of different tendencies to cracking in the amalgams. Cyclic loading increases the rate of degradation by one or two orders of magnitude compared with corrosion without loading. Reported studies of marginal degradation in non-gamma 2 amalgams compared with gamma 2-containing amalgams do not agree with the present in vitro experiments. PMID- 6581527 TI - Saliva secretion rate in a group of drug addicts (short communication). AB - Stimulated saliva secretion rate was measured in 40 parenteral drug addicts who had a preference for opiates. Illicit drug abuse or intake of legally prescribed medicine within the last 24 h were recorded. Mean saliva secretion rate for the whole group of drug addicts was 1.51 ml/min with no statistical difference from a control group (P greater than 0.30). However, drug addicts who had taken legally prescribed tranquillizers or sedatives had a reduced saliva secretion rate (1.01 ml/min), whereas no decrease was found among the individuals who had taken opiates within the last 24 h (1.42 ml/min, P greater than 0.10). PMID- 6581528 TI - Role of 5-hydroxytryptamine (serotonin) in oral glucose intolerance. AB - The aim of the present study was to investigate the metabolic base of psychoneurological symptoms, most notably tiredness and loss of concentration ability, appearing after carbohydrate-rich meals and during oral glucose tolerance tests. Such metabolic changes may be the cause of many accidents attributed to the "human factor". Oral glucose tolerance tests (OGTT) were performed in healthy volunteers, divided into symptomatic (n = 21) and symptom free (n = 15) groups. Since the symptoms arising during OGTT simulate those in alcohol intoxication, a method for clinical examination of alcohol intoxication was used to separate symptom-free from symptomatic subjects. Comparison of blood glucose concentrations during OGTT revealed the symptomatic group to have higher concentrations in blood samples taken 15 min (p less than 0.05), 30 min (p less than 0.01), 45, 60 and 90 min (p less than 0.05) after intake of glucose than those having no symptoms. The symptoms began when the glucose concentration was at maximum, some 38 min (mean value) following the ingestion of glucose. The symptomatic subjects demonstrated a normal assimilation rate of glucose (mean 1.7 %/min) as tested with intravenous glucose tolerance tests and the differences in blood glucose concentrations between the groups is concluded to depend on the rate of absorption of glucose from the intestinal tract. The enterochromaffine cells of the intestinal tract are the site of biosynthesis, storage and release of 5-hydroxytryptamine (5-HT) (serotonin). In whole blood practically all of the 5-HT is of thrombocytic origin. Thrombocytes are thought to be peripheral models of 5-HT neurons in regard to 5-HT uptake, storage release and metabolism. Thrombocytes have a mechanism for 5-HT uptake analogous to the reuptake mechanism for 5-HT in the serotonergic nerve terminals. The whole blood 5-HT changes parallel changes in the 5-HT concentrations of the neurons. In this work 5-HT concentrations were measured during OGTT in whole blood to ascertain the possible relation between 5-HT changes and glucose absorption. For this purpose a reliable, fluorometric method for 5-HT was developed with the following improvements: In whole EDTA-blood the oxidation of 5-HT was prevented with ascorbic acid. The oxidation of hemoglobin iron to ferri-iron was prevented with carbon monoxide, because 5-HT, being a phenol, will otherwise form a complex with ferri-iron. Proteins were precipitated with perchloric acid and the supernatant neutralized before purification of 5-HT by cation exchange.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6581529 TI - Bioavailability of naproxen tablets and suppositories in steady state. AB - Serum profiles were obtained from patients with rheumatoid arthritis after treatment with naproxen tablets and suppositories for 10 days to assure steady state conditions. The serum concentrations immediately before dose intake correlated well with the area under the concentration curve (AUC) when 250 mg naproxen tablets were taken 12-hourly (r = 0.85) and when 500 mg naproxen was given as tablets or as suppositories once daily in the evening (r = 0.83). These fixed times for blood samplings should be used in clinical trials with naproxen. Naproxen was measured by mass fragmentography. The mean steady state concentration and the mean half-life, calculated from the 12-hourly dosage schedule, were 45.0 +/- 1.7 mg/l and 15.2 +/- 1.4 hours, respectively. Doubling the dose from 250 mg to 500 mg b.i.d. increased the AUC by 30%. Average serum profiles for tablets and suppositories were very similar and gave a relative bioavailability of suppositories compared to tablets of 103% +/- 4%, suggesting comparable efficacy of the two administration forms. PMID- 6581530 TI - Advances in the prophylaxis and treatment of infections in immunocompromised patients (a symposium). Lausanne, 11. 3. 1983. PMID- 6581531 TI - Influenza and pneumococcal immunization of patients with neoplastic diseases. AB - A review of influenza and pneumococcal immunizations of patients with neoplastic diseases is presented. The limitations of these respective immunizations is described. It is recommended that consideration be given to timing of immunization schedules with regard to chemotherapy, radiation therapy, and splenectomy. Chemoprophylaxis may well be indicated in those cases known or expected to be resistant to immunization. PMID- 6581532 TI - Low morbidity and mortality from infection in neutropenic patients, a possible result of multiple measures of infection prevention. AB - 138 patients with neutropenia (PMN's less than 1000), 66 of them with acute myelocytic leukaemia (AML), were hospitalised over a 6-year-period in reverse barrier isolation. All had skin, orifices and gut decontamination. Fever occurred in 78% of the 216 neutropenic episodes. Overall, the incidence of septicemia during febrile episodes was 10% and the mortality from infection 7%; both figures were identical in the patients with AML and are lower than those normally found in this type of patients. Various factors that might be responsible for this low incidence of severe infections in neutropenic patients have been examined. The microbiological methods used to document infection were identical to those currently used. The severity of the underlying diseases and of neutropenia in the patients with AML was similar to that reported in other series. The measures taken for infection prevention, i.e. reverse-barrier isolation plus skin, orifices and gut decontamination, were not different than those used in many other centers, although their strict application in a small specialized unit might partially explain these favourable results. In addition the outcome of infection was analysed in relation to the response to treatment of the underlying disease. The mortality due to infection in patients with a tumor responding to chemotherapy was only 4% but was 45% in patients with end-stage malignant diseases. These results suggest therefore that infection in patients whose malignancy respond to treatment can be efficiently controlled by prompt empiric broad spectrum antibiotic therapy, and failures of antiinfectious treatment are mostly observed in patients with advanced cancer. PMID- 6581533 TI - [Effects of 2 prevention programs on the caries and gingivitis incidence in 13- to 15-year-old schoolchildren]. PMID- 6581534 TI - Fifty-six year old Caucasian female with infection of knee and acute renal failure. PMID- 6581535 TI - Biogen pays high price for Harvard patent. PMID- 6581536 TI - A case report on the surgical management of true ankylosis of the temporomandibular joint. PMID- 6581537 TI - Effects of the change in mandibular position on the soft tissue facial pattern in three dimensions. PMID- 6581538 TI - Retrieval of a broken hypodermic needle. A new technique of localising. PMID- 6581539 TI - Marsupialisation of a dentigerous cyst by decompression into the maxillary antrum with complete removal of its lining. PMID- 6581540 TI - Identification of different types of lymphoblasts in patients with acute lymphoblastic leukemia. AB - Identification of different types of lymphoblasts in acute lymphoblastic leukemia were studied with light microscopy, SEM and TEM. PMID- 6581541 TI - [Variability of cytogenetic results obtained with the direct method and short term cultures in 32 patients with various hematological disorders]. PMID- 6581543 TI - Expression of recessive Aprt- mutations in mouse CAK cells resulting from chromosome loss and duplication. AB - Karyotypes of recessive mutants at the autosomal adenine phosphoribosyltransferase (Aprt) locus in a clone of the near-diploid mouse CAK cell line have been analyzed. The Aprt located on chromosome 8. One copy of chromosome 8 was morphologically abnormal in the parental clone (CAK-B3-Toyr13) from which Aprt- mutants were isolated. Among 22 mutants, there were ten in which one copy of chromosome 8 had been lost. Four of these were monosomic, and in the others duplication of the remaining homolog had occurred. These findings indicate that newly induced recessive mutations in cultured mammalian cells can be expressed as the result of loss of one chromosome carrying a wild-type allele with or without duplication of the homolog carrying the mutant allele. Loss and duplication would not be detected in cell lines lacking morphologically marked chromosomes. PMID- 6581542 TI - Chromosome assignment of genes encoding the alpha and beta subunits of glycoprotein hormones in man and mouse. AB - The chromosomal locations of the genes for the common alpha subunit of the glycoprotein hormones and the beta subunit of chorionic gonadotropin in humans and mice have been determined by restriction enzyme analysis of DNA isolated from somatic cell hybrids. The CG alpha gene (CGA), detected as a 15-kb BamHI fragment in human DNA by hybridization to CG alpha cDNA, segregated with the chromosome 6 enzyme markers ME1 (malic enzyme, soluble) and SOD2 (superoxide dismutase, mitchondrial) and an intact chromosome 6 in human-rodent hybrids. Cell hybrids containing portions of chromosome 6 allowed the localization of CGA to the q12 leads to q21 region. The greater than 30- and 6.5-kb BamHI CGB fragments hybridizing to human CG beta cDNA segregated concordantly with the human chromosome 19 marker enzymes PEPD (peptidase D) and GPI (glucose phosphate isomerase) and a normal chromosome 19 in karyotyped hybrids. A KpnI-HindIII digest of cell hybrid DNAs indicated that the multiple copies of the CG beta gene are all located on human chromosome 19. In the mouse, the alpha subunit gene, detected by a mouse thyrotropin (TSH) alpha subunit probe, and the CG beta-like sequences (CG beta-LH beta), detected by the human CG beta cDNA probe, are on chromosomes 4 and 7, respectively. PMID- 6581544 TI - Cytoprotective effect of prostaglandin E2 in irradiated rat ileum. AB - Radiation injury to the gastrointestinal tract is an infrequent but major clinical problem. Results of previous studies have shown that prostaglandins provide cytoprotection of the gastrointestinal mucosa against a variety of noxious agents, although, prior to this study, the protection against radiation exposure had not been documented. Exteriorized segment of Sprague-Dawley rat ileum was radiated with 10 and 15 Gy (137Cs). One group of rats was pretreated with prostaglandin E2 one hour before and 24 hours after radiation injury. The rats were sacrificed three and five days following radiation injury. Morphometric measurement of mucosal thickness, villous height, crypt of Lieberkuhn height and number of mitosis per square millimeter swath of tissue were analyzed. Also, 125IUdR and 3HTdR were injected in a group of rats radiated with 15 Gy (137Cs). 125IUdR counts per minute per milligram of dry weight and 3HTdR labeled cells were counted and analyzed. The morphometric measurements and radioactive labeled tissue counts suggest that prostaglandin E2 has a cytoprotective effect upon irradiated rat ileum. Speculations about the possible mechanism and usefulness of this observation are included. PMID- 6581545 TI - Chronic depression of lymphocyte traffic by long-term administration of prostaglandins to peripheral lymph nodes in sheep. AB - The objective of this study was to determine the effect on lymphocyte traffic of the long-term administration of prostaglandins to peripheral lymph nodes of sheep in vivo. In 12 studies prostaglandin E2 (PGE2) was infused continuously by digital syringe pump into cannulated afferent lymphatics of nine popliteal lymph nodes in eight sheep. In 32 studies, arachidonic acid emulsified in sterile autologous serum or lymph was injected subcutaneously into the drainage area of peripheral lymph nodes in 11 sheep. Lymphocyte traffic was monitored by the output of small and blast lymphocytes into efferent lymph, which was collected by long-term cannulation. Long-term infusion of PGE2 produced a sustained decrease in the output of small lymphocytes in all of 12 studies and a decrease in blast cell output in all of the six infusions in which blast cell output was elevated prior to infusion. Cessation in PGE2 infusion was associated with increase in the output of small and blast lymphocytes into afferent lymph in all of eight studies. Single or repeated depot-type emulsion injections of arachidonic acid in amounts of 20 mg or more depressed small lymphocyte output in all of 30 studies, and injections of 0.2 mg or more depressed blast lymphocyte output in all of 22 studies in which blast cell outputs were elevated prior to the initial injection. It is observed that long-term bombardment of peripheral lymph nodes of sheep in vivo with prostaglandins, primarily of the E series, produces a chronic depression in lymphocyte traffic as mirrored in the output of small and blast cells into efferent lymph. We suggest that this response may be one of several mechanisms by which prostaglandins may affect the immune response in vivo. PMID- 6581546 TI - Heterogeneity of natural killer lymphocyte abnormalities in colon cancer patients. AB - p6e monoclonal antibody HNK-1 reacts exclusively with human granular lymphocytes that comprise 16 +/- 1.4% of blood mononuclear cells. In normal individuals, almost all natural killer (NK) and killer (K) cell function resides in this lymphocyte subset. The level of HNK-1+ granular lymphocytes, their stage of differentiation, and NK cell function were examined in 70 colon cancer patients and the results compared with data for 114 age-matched normal individuals. Median levels of granular lymphocytes were significantly depressed in colon cancer patients compared to controls (9% versus 16.5%, P less than 0.0001). Despite the depressed numbers of circulating HNK-1+ cells, NK cell function in the colon cancer patients was essentially the same as in normals (P = 0.78). The HNK-1+ lymphocyte level correlated exactly with NK cell function in about two thirds of normal individuals but only one third of colon cancer patients (P = 0.025). Three possible mechanisms for this dichotomy were examined. First, lymphoid cell subpopulations purified with a fluorescence-activated cell sorter (FACS) were examined for altered NK cell functional activity. HNK-1+ cells from the colon cancer patients exhibited significantly less NK functional activity compared to normals (796 versus 1046 lytic units, P = 0.04). Interestingly, the HNK-1- fraction (predominantly T lymphocytes) had increased NK cell functional activity in the colon cancer patients compared to normals (373 versus 218 lytic units, P = 0.0001). Purified monocytes did not contribute to NK cell functional activity. Second, the functional maturity of the HNK-1+ lymphocytes was correlated with NK activity. Two subsets of HNK-1+ cells were identified by surface membrane markers and purified with the FACS. The more mature HNK-1+ subset (i.e., HNK+Leu-4-M1+) exhibited almost ten times more NK cell functional activity than did the less mature cell fraction (i.e., HNK+Leu-4+M1-) cells in normal individuals (2230 versus 286 lytic units/10(7) cells). Further analysis demonstrated that the ratio of mature to immature HNK+ cells in normal individuals was 3:1, while it was decreased to a 1:1 ratio in colon cancer patients P = 0.005). Third, the influence of prostaglandin-mediated suppression on NK cell activity was examined. PGE2 did not appear to influence NK cell function, since NK cell function was unchanged in vitro in the presence of a prostaglandin synthesis inhibitor.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6581547 TI - Clinical evaluation of patients referred with symptoms related to oral galvanism. AB - Sixty-eight consecutive patients (9 males, 59 females) referred for symptoms alleged to be caused by oral galvanism were investigated according to a standardized examination program including clinical examination, epicutaneous patch test with dental materials, haematologic screening, salivary test, calculation of currents created at metallic contacts between restorative materials and testing of electrical taste thresholds. No clinical entity could be identified but recognized clinical conditions that could possibly explain the complaints for which the patients were referred were prevalent. The most common symptoms reported were a smarting sensation in the mouth (71%) and different distant symptoms (47%). As regards oral signs, some of them showed similar prevalences as have been found in a general Swedish population. The main exception was changes at the apex of the tongue - found in 15%. Allergic skin reactions to dental materials were found among 25% of the patients. Mean values of blood and saliva parameters did not differ from what is considered normal. The distribution of currents created by contacting dental metallic restorations showed no deviation from the corresponding currents calculated in a control group. The median value for lowest electrical taste threshold in the group of referred patients was significantly lower than in a control group. PMID- 6581548 TI - Diagnosis of approximal caries in pre-school children. AB - The aim of the study was to ascertain the extent to which bite-wing radiographs are indicated in the examination of pre-school children for caries. The total material consisted of 213 children aged four to six years. Of the four year olds 32%, five year olds 71% and six year olds 91% had approximal surfaces which could not be examined with a probe. These 142 children with posterior contacts were entered into the study. The mean number of carious surfaces was 2.8 in the four years group, 3.0 in the five-years group and 3.2 in the six-years group. The proportion of the approximal carious lesions diagnosable only by radiography of the total number of carious surfaces was 28%, 47% and 64% in the three age groups. 48% of the children aged five and six years without clinical evidence of caries had radiographic caries on the approximal surfaces. Only 9% of the approximal carious lesions were detectable without bite-wing radiography. It is therefore suggested that the clinical caries examination should be supplemented with bite-wing radiography. --of four-year-olds with contacts in the molar area and with clinical evidence of caries --of all five- and six-year-olds with approximal surfaces in the molar area which cannot be probed. PMID- 6581549 TI - Distribution by age and sex of functional disturbances and diseases of the stomatognathic system in 7-18 year olds. AB - The investigation consisted of 749 randomly selected subjects between 7-18 years of age. The subjects were interviewed for symptoms and oral parafunctions and examined clinically for occlusal interferences, malocclusions and signs of functional disturbances and diseases in the stomatognathic system. The group with one or more symptoms indicated no sex difference but the symptoms showed a gradual increase with age. Recurrent headaches were evenly distributed between the ages, but more commonly reported among girls in the age range 7-14 years. Clickings increased by age and some sex differences were found in the age distribution. Grinding and clenching showed a negative correlation with age. Boys reported clenching more often than girls between 7-14 years of age. Lip-cheek biting and nailbiting were frequently reported in all ages. Girls in the age group of 15-18 years reported lip-cheek-biting more often than boys of the same age group; who on the other hand reported nailbiting more often. A correlation was found between thumbsucking and anterior open bite. PMID- 6581550 TI - [Placement of a cervical preparation, a review of the literature]. PMID- 6581551 TI - [Clinical and diagnostic comparison of 2 intraoral radiographic films]. PMID- 6581552 TI - [X-ray diffraction analysis of typical and atypical dental calculus]. PMID- 6581553 TI - [A questionnaire on eating frequency. I. Development of a questionnaire for use in the Danish population]. PMID- 6581554 TI - [Interview study of reasons why patients do not accept cost-free preventive therapy]. PMID- 6581555 TI - [Various properties of visible light-polymerizing restorative resins]. PMID- 6581556 TI - [Dental visits by adult Danes and evaluation of their dental status]. PMID- 6581557 TI - [The importance of field size in the quality of intraoral radiography]. PMID- 6581558 TI - [Kodak Ektaspeed dental radiographic films]. PMID- 6581559 TI - [Radiographic studies of the mandible in familial colonic polyposis]. PMID- 6581560 TI - [The symptomatic styloid process or Eagle's syndrome]. PMID- 6581561 TI - [A simple treatment method for patients with severe abrasion]. PMID- 6581562 TI - [Dental health in adults in Gavleborg county]. PMID- 6581563 TI - [Dental radiographic diagnosis]. PMID- 6581564 TI - [Selection of risk patients in child and adolescent dental care. A model for socioeconomic community cost estimation]. PMID- 6581565 TI - [Sharpening of hand instruments]. PMID- 6581566 TI - [The defining of N2?]. PMID- 6581567 TI - [The Norrkoping experiment. Comparative study of caries frequency in 2 adult groups that received fluoridated water before adolescence]. PMID- 6581568 TI - [Polishing of porcelain]. PMID- 6581569 TI - [Canderel - a new substitute for sugar]. PMID- 6581570 TI - [Fissure sealants in Denmark]. PMID- 6581571 TI - [Dental technology]. PMID- 6581572 TI - [Immunologic heterogeneity of acute lymphoblastic leukemia in children detected with xenogeneic antisera]. PMID- 6581573 TI - Smokeless tobacco. Case report II. PMID- 6581574 TI - [Induction of labor with prostaglandin E2 gel]. PMID- 6581575 TI - [Photography in dentistry]. PMID- 6581576 TI - [Long term follow-up of a case involving occlusal rehabilitation of a seriously impaired dentition]. PMID- 6581577 TI - Autoantibodies, immune complexes and HLA-D in thyrogastric autoimmunity. AB - Forty-one patients with Hashimoto's thyroiditis (HT) and 82 with Pernicious anaemia (PA) were investigated. All 123 patients were HLA-D typed and results correlated to thyroglobulin antibodies (TgAB), microsomal antibodies (MAb), parietal cell antibodies (PCA), circulating immune complexes (IC), and intrinsic factor antibodies (IFA). In PA, TgAb was found less frequently in Dw2 positive patients than in Dw2 negative patients. IFA was rarely found in Dw5 positive PA patients. In HT, patients positive for Dw5 had lower levels of TgAb. IC were present in 67% of patients with HT, but only in 2.5% of patients with PA (p less than 0.01). Dw5 was associated with low levels of IC in HT. In conclusion, HT and PA seem to be related by their association with HLA-D types, but a heterogeneity in the pattern of antibodies and IC could be seen. The organ specific antibodies characteristic for each disease were present in lower levels in patients with Dw5. PMID- 6581578 TI - Exclusion of a tight linkage between familial polyposis coli and HLA. AB - Linkage was investigated between a dominant gene determining familial polyposis coli (FPC) and HLA in a large pedigree. A tight linkage was excluded at a value of the recombination fraction between 0 and 5%. Linkage studies with various markers should be pursued to permit detection of high risk individuals and to better understand the phenotypic variability observed in certain polyposis families. PMID- 6581579 TI - HLA-A, B antigens and asymptomatic monoclonal gammopathy. PMID- 6581580 TI - HLA-A, B and DR in Caucasians with transitional cell carcinoma of the bladder. AB - When HLA-A, B and DR antigens in Caucasian patients with transitional cell carcinoma of the urinary bladder were compared with controls, no significant alterations in antigen frequencies were found. PMID- 6581581 TI - Inhibition of delayed hypersensitivity reaction in mice by cadmium. AB - The effect of a single exposure to Cd on DH was studied through exposure to Cd at different time intervals in relation to antigen administration. Exposure to Cd significantly suppressed the DH reaction, with a dose-response relationship, when administered 2 or 3 days after immunization of BALB/c and DBA/2 mice with sheep red blood cells. A strain difference in sensitivity to Cd was also demonstrated. These results suggest that a single exposure to Cd impairs the cellular immune response in mice. PMID- 6581582 TI - Enzyme histocytochemical studies in human adrenocortical adenomas. [I]. Primary aldosteronism. AB - Enzyme histocytochemical staining including alkaline phosphatase, acid phosphatase, 3 beta hydroxysteroid dehydrogenase and 11 beta hydroxysteroid dehydrogenase was studied in human adrenocortical adenomas associated with primary aldosteronism. Histochemically, these enzyme activities were weaker in clear cell type adenomas than in the normal human adrenal cortex. While compact cell type adenomas showed stronger enzyme activities than the clear cell type adenomas. Electron microscopic localization of alkaline phosphatase was mainly observed in plasma membrane at the intercellular sites. Occasionally, this enzyme activity was also observed in the mitochondrial outer membrane, mainly in compact cells. The significance of these enzymes in the adenoma cells is discussed. PMID- 6581583 TI - Oral health in KwaZulu. A pathfinder survey. PMID- 6581584 TI - Odontogenic and non-odontogenic cysts of the jaws. PMID- 6581585 TI - A practical use for clinically discarded mouth-mirrors. PMID- 6581586 TI - Diet and dentures. PMID- 6581587 TI - [Pin retention with large amalgam restorations]. PMID- 6581588 TI - [Results of 3 years of using comprehensive dental caries prophylaxis in the kindergartens and nurseries of Riga]. PMID- 6581589 TI - [Results of the combined use of remodent and fluorine lacquer for dental caries prevention in preschoolers]. PMID- 6581590 TI - [Treatment of pulpitis in children by intravital pulp amputation]. PMID- 6581591 TI - [Possibilities of preserving the pulp in deciduous teeth with varying degrees of carious process]. PMID- 6581592 TI - [Effectiveness of using SSTA-01 material in treating dental caries in children]. PMID- 6581593 TI - [Local immunity indices of children with manifestations of primary and recurrent herpetic infection in the oral cavity]. PMID- 6581594 TI - [Boron contact dentography--a new method for the objective recording of patient behavior at various stages in dental treatment]. PMID- 6581595 TI - [Prevention of lymphadenitis of the maxillofacial area in children]. PMID- 6581596 TI - [X-ray study in secondary osteoarthrosis deformans of the temporomandibular joints in children]. PMID- 6581597 TI - [Let us improve dental care for children in rural localities]. PMID- 6581598 TI - [Inflammatory processes of the maxillofacial area in children]. PMID- 6581599 TI - [Ultrastructural organization of the muscle tissue of the normal upper lip of children and in incomplete clefts]. PMID- 6581600 TI - [Early orthopedic therapy of children with congenital cleft lip and palate]. PMID- 6581601 TI - [Use of ultrasound for shortening the active period of orthodontic treatment for stenosis of the dentition in children (an experimental and clinical observation)]. PMID- 6581603 TI - [Dynamics of the rheographic indices in odontogenic inflammatory processes in children]. PMID- 6581602 TI - [Effect of a dental prosthesis on the shaping of the bite in preschoolchildren under dispensary observation]. PMID- 6581604 TI - [Rationale for the frequency of performing prophylactic measures on schoolchildren with varying degrees of caries activity]. PMID- 6581605 TI - [Effect of petroleum hydrocarbons on the oral mucosa in an experiment]. PMID- 6581606 TI - [Volumetric blood flow rate and permeability of the capillaries in the periodontium studied by a radionuclide method]. PMID- 6581607 TI - [35S incorporation into the mandibular bone during the course of the healing process in fractures in rats]. PMID- 6581608 TI - [Characteristics of the mineralizing function of saliva]. PMID- 6581609 TI - [Water-salt metabolism in periodontosis patients]. PMID- 6581610 TI - [Desquamative gingivitis in dermatoses]. PMID- 6581611 TI - [Characteristics of the clinico-morphological manifestation of lymphangiomas of the face, neck and oral cavity and their diagnosis and treatment in adults]. PMID- 6581613 TI - [Bacterial contamination of dental technology laboratories]. PMID- 6581612 TI - [Antimicrobial protection factors in treating patients with odontogenic mandibular osteomyelitis]. PMID- 6581614 TI - [Mesiodistal dimensions of human teeth in an isolated ethnic group and their effect on dentition]. PMID- 6581615 TI - [Clinical aspects of a method for the selective grinding of the teeth in periodontal diseases]. PMID- 6581616 TI - [Disease of the marginal periodontium in schoolchildren in Ulan Bator]. PMID- 6581617 TI - [Method of identifying dispensary groups of schoolchildren based on a prenosological diagnosis of dental caries]. PMID- 6581618 TI - Unconjugated and sulfoconjugated steroids in plasma and zones of the adrenal cortex of the guinea pig. AB - The following steroids were measured in their unconjugated and sulfoconjugated forms in plasma and in the outer and inner zones of the adrenal cortex of the guinea pig: pregnenolone, 17-hydroxypregnenolone, 21-hydroxypregnenolone, dehydroepiandrosterone and deoxycorticosterone. In plasma, pregnenolone and 21 hydroxypregnenolone were the predominant unconjugated steroids with concentrations 10-30 times higher than the other three steroids. Among the sulfoconjugated steroids, pregnenolone sulfate had a concentration 25-50 times higher than the other sulfoconjugates. For each steroid except 21 hydroxypregnenolone the sulfoconjugated form was present in a concentration 2-7 times higher than the unconjugated form. In the adrenal cortex, the content of 21 hydroxypregnenolone was significantly higher in the outer zone than in the inner zone and was present in amounts 3-100 times greater than the other unconjugated steroids in the outer zone. On the other hand, the content of pregnenolone was significantly greater in the inner zone than the outer zone, and was present in amounts 3-80 times greater than the other unconjugated steroids in the inner zone. With the exception of 21-hydroxypregnenolone and deoxycorticosterone, the steroid sulfoconjugates were significantly higher in the inner cortical zone. As in plasma, pregnenolone sulfate was the most abundant sulfoconjugated steroid. This report also describes preliminary studies concerning sulfurylated hydroxyl groups in different positions of 21-hydroxypregnenolone. The sulfoconjugate was prepared by using partially purified steroid sulfotransferase from the guinea pig adrenal. The results obtained indicated that of the total 21-hydroxypregnenolone conjugate formed, approximately 40% was the 21-sulfate and 20% the 3-sulfate, whereas 40% was non-hydrolyzable with the techniques used and was not further characterized. PMID- 6581620 TI - [Treatment results of chronic forms of pulp disease using biological methods]. PMID- 6581619 TI - Enzymic synthesis of steroid sulfates XVI. Specificity and regulation of human adrenal hydroxysteroid sulfotransferase. AB - Pure hydroxysteroid sulfotransferase (EC 2.8.2.2) of human adrenal glands possesses a wide substrate specificity towards steroids. This wide specificity has now been found to extend to simple alcohols; normal aliphatic alcohols from C3 onwards acting as substrates with C9 showing the highest rate. Increased rate was accompanied by a decrease in Km. In marked contrast to the sulfurylation of steroids such as dehydroepiandrosterone, which exhibit wave-like kinetics, the kinetics with simple alcohols were of the normal Michaelis-Menten type. By means of enzyme antibody and enzyme stability studies evidence was provided that one and the same enzyme was responsible for sulfurylation of hydroxyls on the 3- and 17- positions of steroids and simple alcohols. The data lend support to previous evidence that the enzyme controls the secretion of dehydroepiandrosterone sulfate via steroid-specific binding sites, enabling self-regulation in response to ACTH action. PMID- 6581621 TI - [Flap surgery and subgingival curettage in the treatment of alveolar pockets - comparative study]. PMID- 6581622 TI - [Densitometric analysis of radiographs and surgical findings]. PMID- 6581623 TI - [Standardized criteria for the evaluation of Bell's paralysis]. PMID- 6581624 TI - [Interdisciplinary approach in the treatment of patients with oro-facial injuries]. PMID- 6581626 TI - [Interesting cases of face and jaw anomalies with respect to hereditary aspects]. PMID- 6581625 TI - [Pathohistological changes of various dog tissues exposed to aluminum oxide implants]. PMID- 6581627 TI - [Observations on hereditary predisposition in the occurrence of calcareous degeneration in tooth pulp]. PMID- 6581628 TI - [Pain in the temporomandibular joint caused by previous head injuries]. PMID- 6581629 TI - [Temporary crowns and the gingival sulcus]. PMID- 6581630 TI - [Treatment results of acute forms of pulp diseases using biological methods]. PMID- 6581631 TI - Management of retinal detachment following congenital cataract surgery. AB - Retinal detachment complicating previous congenital cataract surgery poses problems in management, especially related to difficulties in ophthalmoscopic visualization of breaks. The recent introduction of closed microsurgical techniques has significantly improved the prognosis in such cases. PMID- 6581632 TI - Should diabetes be a contraindication for an intraocular lens? AB - Twenty-five patients with Binkhorst 4-loop intraocular lenses were studied to assess the ease of visualization of their fundi, and the feasibility of treating diabetic retinopathy. All patients had fulfilled several pre-operative selection criteria. Visualization with the direct ophthalmoscope and posterior pole contact lens was good in most cases through undilated pupils. Documentation of fundus abnormalities by fundus photography and fluorescein angiography was possible only if the pupils were dilated. Retinal photocoagulation with argon laser could be carried out through the intraocular lenses in all patients requiring treatment. Iris clip lenses should not be regarded as contraindicated in selected diabetic patients. PMID- 6581633 TI - The Molteno long-tube implant. AB - The surgical treatment of open angle glaucoma in eyes expected to have an unsuccessful result from trabeculectomy is considered. It is concluded that the long-tube implant of Molteno is currently the method of choice. The rationale of the method is discussed. The technique is described. PMID- 6581634 TI - Laser trabeculoplasty. PMID- 6581635 TI - In malignant choroidal melanoma will a delay in radical treatment influence prognosis? AB - In a series of 568 patients with choroidal malignant melanoma some 36 were found to have a history of at least 4 years prior to enucleation. Of these, 20 had actually been observed for a period of 3 years or more before such treatment was deemed necessary. Computer analysis of a series of risk factors and their effect on prognosis showed that there was no worsening of mortality as compared to the series as a whole and further that the post enucleation peak of mortality was the same in this small group as in the whole series. PMID- 6581636 TI - Choroidal melanoma: the role of conservative therapy. AB - The indications for and the results of therapy with cobalt plaques and photocoagulation administered to patients with choroidal melanoma are reviewed in the light of present-day experience. 99 patients followed up for a minimum of five years are included in the study. The visual results and survival figures confirm that there is a definite place for these forms of conservative therapy of choroidal melanomata. PMID- 6581637 TI - The significance of glaucoma in the management of melanomas of the anterior segment. PMID- 6581638 TI - The treatment of ciliary body melanoma by beta radiation. PMID- 6581639 TI - Techniques and results of 106Ru/106Rh radiation of choroidal tumours. AB - After a survey of the literature on the therapy of choroidal melanomas the authors report on the technique and results of 106Ru/106Rh irradiation in 42 eyes with choroidal melanoma and 2 metastatic uveal tumours treated between 1980 and 1983. The technique is limited to tumours with a prominence of 5 to 6 mm and maximum extension of 18 mm. After an observation time of 12 to 36 months total tumour regression was found in 24 cases of melanoma and 2 metastatic tumours. Nine cases needed a second irradiation, 4 cases an additional photocoagulation. Because of multiple metastases 1 patient with an advanced tumour (11 mm of prominence, only eye) died 1 year after treatment. PMID- 6581640 TI - Chronic open angle glaucoma treated with Timolol. A four year study. AB - Many reported series of patients treated with topical Timolol for chronic open angle glaucoma have been changed from other medication after a 'wash-out' period. This four year study reports the ocular hypotensive effect of Timolol in 82 new patients with chronic open angle glaucoma followed for up to 4.5 years. The effects on intraocular pressure, visual acuity, visual field, pupil size, pulse rate, blood pressure and Schirmer's test were recorded and correlated. Corneal sensitivity was also followed in some patients, matched by a series of controls, using the method of Cochet and Bonnet. The results are discussed, and only slight reduction in blood pressure and pulse rate was found, and there was no significant effect on the pupil diameter or Schirmer's test. There was no significant effect on corneal sensitivity. There was only slight tachyphylaxis. Of the 82 patients, 20 patients required extra medical or surgical treatment. 16 patients dropped out through death or failure to attend, and of the remaining 66 patients, 69.7 per cent were controlled by Timolol alone. PMID- 6581641 TI - Clinico pathological correlation in eyes with failed fistulizing surgery. PMID- 6581642 TI - Monoclonal anti-Ia murine alloantibodies crossreactive with the Ia-homologues of other mammalian species including humans. AB - Two murine monoclonal anti-Ia alloantibodies (ISCR2 and ISCR3) crossreactive with lymphocytes of other mammalian species including humans have been established. These hybridomas were derived from A.TH mice immunized with A.TL lymphocytes, and they reacted with murine Ia antigens, as judged by complement-dependent cytotoxicity assays and chemical analysis. Genetic mapping analysis suggested that ISCR2 recognizes the allotypic determinants shared between the I-A and the I E molecules. On the other hand, the specificity of ISCR3 was shown to correspond to the serological specificity Ia.7 and directed to the I-E subregion gene product (E alpha). The genetic specificity of ISCR3 was also confirmed by sequential precipitation analysis performed on the internally labeled B10.BR spleen cell antigen. These antibodies showed interspecies crossreactions with non murine lymphocytes. ISCR2 showed reactivity on human and dog lymphocytes, but not with rat lymphocytes. ISCR3 reacted with human, dog, and rat lymphocytes but not with chicken or frog lymphocytes. Furthermore, ISCR3 was shown to be capable of eliminating a population of cells necessary for induction of human allogeneic killer cells in vitro. Treatment of stimulator cells with ISCR3 and complement drastically reduced the induction of the killer activity. PMID- 6581643 TI - [A construction kit for assemblies used in breathing circuits]. PMID- 6581645 TI - [Genetic polymorphism of alkaline phosphatase and the resistance to Marek's disease virus]. AB - Experiments were carried out with a total of 222 birds of the 5-A, 6-E, Ya-73, LL, and LS lines of the White Leghorn breed to find whether or not there existed any correlation between the alkaline phosphatase allels and the resistance to Marek's disease. The polymorphism of alkaline phosphatase was evaluated in the blood plasma of birds through horizontal electrophoresis in starch gel after G a hn e [3]. The resistance of the five egg laying lines of birds was found to be associated with the Akps allel, and their susceptibility - with the AkpF allel. No mortality with the homozygous gene type SS was established in the investigated lines except for a birds of the LL line. It was found that there existed full agreement of the results from the studies on broiler and laying lines concerning the exclusive resistance of birds of Akp SS gene type. This made it reasonable to believe that the indirect selection by resistance to the Marek's disease virus through the use of the Akps allel as a genetic marker was promising. PMID- 6581644 TI - Hematologic neoplasms with initial manifestations in lower urinary tract. AB - Hematologic tumors with initial clinical manifestations in the lower urinary tract are exceedingly rare. Six such cases are reported. Four of these were lymphomas, 2 involving the urinary bladder, 1 the urethra, and 1 the right ureter. The remaining 2 were an extramedullary plasmacytoma and a granulocytic sarcoma, both located in the urinary bladder. To our knowledge, this is the first case report of granulocytic sarcoma of the urinary bladder presenting with urologic symptoms. PMID- 6581646 TI - Limb preservation in extremity osteosarcoma. PMID- 6581647 TI - Statistical image modulation, detection and analysis of dynamic video digitizations of hepatic microvasculature. PMID- 6581648 TI - Study of estrogen-specific growth of male accessory sex organ smooth muscle using a novel anti-estrogen. PMID- 6581649 TI - Effects of ouabain, histamine and isoproterenol on electrophysiological parameters of control and supersensitive cells of the guinea pig sinoatrial node. PMID- 6581650 TI - Carbon tetrachloride (CCl4) toxicity in the guinea pig adrenal cortex. PMID- 6581651 TI - Drug use in the elderly. PMID- 6581652 TI - [Effect of ritodrine on prostaglandin production in vivo and in vitro]. AB - In 11 women between the 26th and 36th week of gestation the concentration of 13,14-dihydro-15-keto-prostaglandin F2 alpha (PGFM) was measured serially in the peripheral maternal plasma before and during treatment with ritodrine at a concentration of up to 350 mcg/min. On admission the mean plasma PGFM concentration was 268.0 +/- 43.3 pg/ml, which was significantly higher than the mean PGFM plasma level of the control group (156.0 +/- 21.8; n = 10). Treatment with ritodrine was successful in 7 women and led to a small, but statistically significant decrease in maternal plasma PGFM levels. In unsuccessful treated cases plasma PGFM levels also dropped initially, but increased again at 12 and 24 hours after initiation of therapy. The addition of ritodrine in concentrations of 10(-8) to 10(-6)M to the incubation medium led to a decrease in prostaglandin-(PG )synthesis in vitro in the decidua and amnion. These changes were, however, only significant for PGE at a concentration of 10(-6)M in decidua and for PGE and PGF in a concentration of 10(-7)M in amnion. In the myometrium no effect of ritodrine on prostaglandin production could be observed. The measurement of PGFM production in the incubation vials indicated that ritodrine has no influence on the conversion of PGF2 alpha to its metabolite in any of these tissues. The results of the present study allow the following conclusions. 1. PGF2 alpha seems to play a role in the mechanism of premature labor. 2. In premature labor patients successful treated with ritodrine a significant decrease in circulating plasma PGFM levels is observed. In vitro ritodrine led to a small, but significant decrease in PGE and PGF synthesis in decidua and amnion which may add to the uterus-relaxing effect of ritodrine. PMID- 6581654 TI - Gilles de la Tourette's syndrome--report on 24 Korean cases. PMID- 6581653 TI - HLA-DR antigens and HLA-B:DR haplotypes in Koreans. PMID- 6581655 TI - [Care and management of adolescents by the practice team]. PMID- 6581656 TI - [The future course in dental prosthetics]. PMID- 6581658 TI - [Possibilities for foreign study programs today]. PMID- 6581657 TI - [The amount of chemical waste in dental practice]. PMID- 6581659 TI - [Cost economics for caries preventive measures]. PMID- 6581660 TI - [Developmental prospects in biotechnology and the legal possibilities in acknowledging as inventions achievements in this field]. PMID- 6581661 TI - [Long-term results of the comprehensive therapy of osteosarcoma]. PMID- 6581662 TI - [Comprehensive therapy of osteosarcoma using high doses of methotrexate- experience 1980-1983]. PMID- 6581663 TI - Increased frequency of HLA-Cw4 in type 2 diabetes. AB - In order to investigate whether there is an association between the HLA system and type 2 diabetes, we have determined HLA-A, B- and C-antigens in 227 patients with onset of diabetes between the ages of 35 and 70 years and compared them with the HLA-antigen frequencies in Finnish blood donors. One hundred and sixty-eight patients (74%) were treated with diet or oral antidiabetic drugs (non-insulin dependent), whereas 59 patients (26%) were treated with insulin (insulin dependent). The HLA-antigen Cw4 was found in 38.7% of the non-insulin dependent patients (relative risk 2.67, p = 0.00005) and in 15.6% of the insulin dependent diabetics (relative risk 0.785 NS) compared with 19.1% in blood donors. In addition, there was an increase in the frequency of HLA-Bw35 antigen among the non-insulin dependent patients (relative risk 1.6, P = 0.007), which could be explained by the known positive linkage disequilibrium between HLA-Bw35 and HLA Cw4. In insulin-dependent patients there was a decrease in the frequency of HLA B7 (relative risk 0.226, P = 0.001) and an increase in the frequencies of HLA-B8 (relative risk 1.91, P = 0.031), B12 (relative risk 2.22, P = 0.01) and B15 (relative risk 2.04, P = 0.019) compared with blood donors. CONCLUSION: these data provide evidence that genes in the HLA region may have some influence in genetic susceptibility to type 2 diabetes. They further suggest that maturity onset (type 2) diabetes is a heterogeneous disease in terms of HLA antigens.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6581664 TI - Variability of a dental morphological trait. AB - A study of morphologic variability was made for maxillary incisor lingual fossa depth. The problem of variability is discussed, and new methods for the statistical treatment of variability are presented. Possibly, the best procedure to express biologic variability is to present SDs, CVs, Xs, ranges, RCs, and the logarithmic graphic method of the relationship between CV and X. No sex differences in variability could be demonstrated. Maxillary centrals and laterals in the Eskimo were found to have relatively equal variability. This is seen in connection with the great functional demand on Eskimo incisors, giving less reduction of the laterals, a possible simultaneous commencement of calcification for I1sup and I2sup, and possible genetic drift. Comparison of variability for six populations shows no racial differences in variability. Variability is not found to increase with inbreeding. Population comparisons do not confirm little reduction in the Eskimo to be associated with high variability. Genetic drift might be the explanation of the homogeneity of maxillary incisor lingual fossa depth in East Greenland Eskimos. PMID- 6581665 TI - Masticatory efficiency. A new method for determination of the breakdown of masticated test material. AB - One of the purposes of mastication is to break down the food and enlarge the area of food particles. A method is described by which the masticatory efficiency is estimated by calculating the area of a chewed test material, gelatin-hardened by formalin. When test pieces, after being chewed, are placed in a water-soluble dye, the dye will diffuse into the particles, and consequently the dye concentration in the surrounding solution will decrease. The concentration of the dye solution is read from a photometer. A close correlation was found between the gelatin particle area and the reduction of the dye solution concentration. The method will be applied in clinical studies. PMID- 6581666 TI - Influence of X-ray irradiation on the ultrastructure of rat submandibular gland striated-duct cells. AB - Previous investigations have indicated that striated-duct cells react to stimulation with an apocrine secretion, morphologically demonstrated by bleb-like projections of the apical cytoplasm. Since bleb formation as an ultrastructural feature also has been debated and sometimes interpreted as a fixation artifact, it was considered essential to extend the studies by exposing the submandibular gland to X rays to establish whether such treatment would have any influence on the formation of blebs. The material used in the present study consisted of rat submandibular glands exposed to X rays in the range of 200-1800 rad. The glands were examined by both SEM and TEM. The duct cells exposed to 200 rad appeared normal, with no sign of alteration in their ability to produce blebs, whereas duct cells exposed to 750 rad showed no sign of bleb formation. Some of the duct cells exposed to 1800 rad showed considerable morphological changes, consistent with oncotic transformation. The results support the conclusion that bleb formation is a normal morphological feature and not an artifact. This study also indicates that the functional activity of the cells is reduced after exposure to X rays. PMID- 6581667 TI - Evaluation of two methods of scoring denture plaque. AB - In a previously published study on the effect of an alcalase on development of denture plaque, two different methods were used to quantify plaque on the fitting surface of maxillary dentures. Both methods were based on scoring of photographs at X 10 magnification. In one of the methods the percentage area was estimated with 10% intervals from 0% to 100%. By the other method dentures were ranked according to cleanliness based on area and on degree of staining of plaque. The number of dentures in each of the 14 treatment periods was 14 or 15. The present study was conducted to determine the reliability of the two methods. Reliability of the two methods was determined by using Pearson's correlation coefficient and Kendall's tau. Both intra- and inter-examiner reliability was high. A high correlation between the two methods was also demonstrated. PMID- 6581668 TI - Effects of sympathetic nerve activity on acute mobility of the rabbit incisor tooth. AB - The contribution of local blood flow to the buffering properties of the periodontal ligament was examined in 15 anesthetized rabbits. The position of the tooth was recorded by an ultrasonic transit time technique, and local vascular pressures and volumes were altered by electrical stimulation of the cervical sympathetic nerves. The unloaded tooth was shifted into a slightly intruded position by nerve stimulation, and from this position, intrusion movements evoked by 5- to 10-g loads were found to be 10-15% smaller than before the stimulation. Tooth mobility was unaffected by 20-30 mm Hg reductions in mean arterial pressure, but similar decreases in mobility as evoked by nerve stimulation were observed when the pressure was brought down to 10-25 mm Hg. This procedure also produced about the same intrusive shift of the unloaded tooth. Most likely, the sympathetic nerve activity decreased tooth mobility by causing a fall in periodontal vascular pressures, thereby moving the tooth into a position where it was more resistant to further, load-induced intrusion. PMID- 6581669 TI - Temporomandibular joint involvement and dental occlusion in a group of adults with rheumatoid arthritis. AB - The temporomandibular joint (TMJ) and dental occlusion were investigated clinically and radiographically in 59 patients aged 23-83 (mean, 58) years with general joint disease. Forty-nine had rheumatoid arthritis (RA), mostly of long duration. The patients were divided into four groups by type of dentition. Radiographic TMJ abnormality was found in about 4 of 5 patients with RA, in both the dentate and the edentulous group. The abnormality was mainly destructive with productive signs, but in the edentulous group erosive and asymmetrical changes occurred more often. Almost complete restriction of the condylar translation and severely restricted mouth opening (less than or equal to 30 mm) rarely occurred, although the translatory motion was restricted in several patients. Many of these had a satisfactory mouth opening (greater than 40 mm). Occlusal changes-various degrees of anterior bite opening-were reported by about one fourth of both the dentate patients and the complete denture wearers. One patient had occlusal contact on the second molars only. Anterior bite opening occurred only in patients with radiographic TMJ abnormality, including 5 of the 6 patients with complete mandibular head destruction. PMID- 6581670 TI - The effect of a partial bite-raising splint on the inclination of upper and lower front teeth. AB - In a previous paper it was maintained that the effect of the permanent use of an anterior partial bite-raising splint was an intrusion of the front teeth and an eruption of the others. However, the effect might have been merely a change in the inclination of the front teeth. The present study comprised the same material as earlier. Linear and angular changes in the position of upper and lower incisors were measured on cephalometric radiographs. In the upper jaw a possible average proclination occurred, whereas in the lower jaw no or only a very small retroclination took place. The values were well within the method error, and it was concluded that the effect of the splint had been one of intrusion of the upper and lower front teeth and not merely a change in their inclination. PMID- 6581671 TI - Polishability of dental amalgam as influenced by condensation pressure and primary mercury content. AB - The polishability of some amalgam products was studied by determining the roughness (Rs) of metallographically polished specimens. The surface porosity of the specimens was also measured and was found to be closely correlated with the roughness. Two manipulative variables, condensation pressure and primary (precondensation) mercury content, were examined with respect to their effect on porosity and polishability. For the condensation pressures 14 and 20 MPa no differences could be observed in the effect on the surface properties studied. The primary mercury content was varied in three steps--the normal, recommended level and 5% more and less than this. For those products having a recommended precondensation mercury content of 50% or less, the 5% decrease in mercury resulted in a pronounced increase in porosity and Rs. The results indicate that polishability is for some products markedly improved by avoiding a dry mix. PMID- 6581672 TI - The blood capillaries in the subodontoblastic region of the human dental pulp, as demonstrated by freeze-fracturing. AB - The microvasculature of the subodontoblastic region in the human dental pulp was studied, using freeze-fracturing. This technique allows an analysis of the fine structure of the vascular endothelium with special reference to the membrane structure. The blood capillaries were noted to be of the non-fenestrated or continuous type, although a few fenestrated vessels were observed. The endothelial plasmalemma often exhibited bundles of fibrillar structures, presumably myofilaments. There was a relatively large number of micropinocytotic vesicles and the interendothelial spaces were closed juxtaluminally by tight junctions (zonulae occludentes). The junctions appeared mostly as two to four strands, seen as ridges or grooves on the cell membrane. Thin-walled, irregular, tissue channels lacking the typical, blood-vessel configuration were disclosed. These vessels were believed to represent lymphatics. PMID- 6581673 TI - Oral tardive dyskinesia in the rat. AB - Oral tardive dyskinesia may develop due to neuroleptic therapy as a drug-induced disorder of the dopaminergic system of the brain. Long-term treatment with a neuroleptic drug impairing dopaminergic neurotransmission in the rat brain augments oral dyskinetic responses to dopaminergic agonists like apomorphine. In the present experiments, rats were pretreated daily with haloperidol for 3 weeks to cause a 'chronic' blockade in the striatal dopamine receptors. After a withdrawal period of 3 and 6 days, oral sensory stimulation was applied. On the following day the same groups were given apomorphine, and the oral stimulation was repeated. The rats pretreated daily with haloperidol had significantly higher dyskinesia scores than the rats pretreated with saline. The main observation with these sensitized rats was an increase in the frequency and intensity of experimental bruxism caused by oral sensory stimulation alone. Sensory impulses are known to cause release of dopamine in the nigrostriatal system. The combination of oral sensory stimulation and central dopaminergic supersensitivity in the rat can be regarded as an animal model for oral symptoms in human dyskinesia. PMID- 6581674 TI - Physical properties of some zinc phosphate and polycarboxylate cements. AB - Several physical properties were measured for two zinc phosphate and three polycarboxylate cements. The specimens were tested in compression 24 h after they had been made. Two series of specimens were examined. In one series the cement powders were given a correct treatment, protected from atmospheric humidity. In the other series the powders were exposed for 1 week to ambient conditions with the temperature varying between 20 degrees and 24 degrees C and the relative humidity between 40% and 59%. The zinc phosphate cements were characterized by high values of modulus of elasticity and by plastic deformations less than 0.2%. The polycarboxylate cements were more flexible and also exhibited large plastic deformations. Compared with the zinc phosphate cements, therefore, the polycarboxylate cements had high values of resilience and toughness. The storing of cement powders exposed to atmospheric humidity for 1 week did not change the measured properties of the polycarboxylate cements. However, both strength and resilience were significantly reduced for one phosphate cement. PMID- 6581675 TI - Enamel structure in deciduous teeth from low-birth-weight infants. AB - Ground sections of deciduous teeth from 64 infants with birth weights below 2000 g and from 43 healthy full-term infants were examined in polarized light and by microradiography. The deciduous enamel displayed various changes, which were more frequent and pronounced in the low-birth-weight group. The main findings were diffuse areas of increased porosity and distinct subsurface lesions in the postnatal enamel. Five teeth with enamel hypoplasia from the low-birth-weight group were also examined. The hypoplasias were all located along the neonatal line. The postnatal enamel seemed to be more susceptible to disturbances in the mineralization than the prenatal enamel. The subsurface lesions showed an arrest in the very late stages of enamel maturation, which frequently occurred in the cervical deciduous enamel. Enamel hypoplasia is considered to be a result of severe neonatal hypocalcemia. PMID- 6581676 TI - Phase equilibrium in Ag-Pd-Cu dental alloys. AB - A dental alloy consisting of Ag-Pd-Cu-Au has been annealed at various temperatures and subsequently quenched to produce a solid solution before a hardening heat treatment. The phases present were studied by means of X-ray diffraction measurements. As in conventional Au-Ag-Cu alloys, an equilibrium of two FCC (face-centered cubic) phases existed up to the solid solution annealing temperature, which is considerably higher in the present alloy (900 degrees C). However, even a rapid quench from 900 degrees C caused a small amount of decomposition of the matrix. The X-ray diffractogram indicated that this new phase is CuPd with a CsCl(B2) superstructure. The greatest hardness after age hardening at 350 degrees C was achieved with a proper prerequisite solid-solution annealing. PMID- 6581678 TI - Appearance of finished and unfinished composite surfaces after toothbrushing. A scanning electron microscopy study. AB - The effect of toothbrushing, using tap water, pumice, or dentifrice, on five resins--two microfiller resins, one composite resin with both large and microfiller particles, one composite resin introduced as a filling material for posterior teeth, and one conventional composite resin--was studied by scanning electron microscopy. Brushing with water had almost no effect on the unfinished specimens. When the unfinished and finished specimens of the large filler containing materials were brushed with toothpaste or pumice, rough surface characteristics were obtained. After the finishing and toothbrushing procedures only one of the microfiller materials showed very smooth surface characteristics. The microfiller materials may be finished with successively finer devices to smooth surfaces that will stay smooth after toothbrushing, whereas finishing the large filler-containing resin materials does not lead to a lasting smooth surface. PMID- 6581677 TI - Responses of feline intradental sensory nerves to hyperosmotic stimulation of dentin. AB - The responses of intradental sensory nerves to hyperosmotic solutions of sucrose (4M) and calcium chloride (6M) applied in dentinal cavities were studied in anesthetized cats. Nerve impulse activity was recorded from canine teeth after application of the test solutions in shallow and deep cavities. In shallow cavities (thickness of remaining dentin, about 500 micron) sucrose and calcium chloride caused an immediate and transient excitation of the nerves in 3 out of 15 teeth and in 8 of 12 teeth, respectively. Treatment of such cavities with lactic acid (1M) increased the frequency of nerve responses to 100%. When applied in deep cavities (thickness of remaining dentin, 0-50 micron), sucrose induced a burst of impulses followed by continuous nerve activity, whereas calcium chloride decreased the nerve excitability. Our results support the hypothesis that solutions exerting an effective osmotic pressure excite the intradental nerves by an indirect mechanism when applied on the dentin and that they exert a direct effect on nerves when in contact with the pulp. In addition, it is suggested that acids produced in carious dentin may facilitate the induction of pain by hyperosmotic stimuli. PMID- 6581679 TI - Management of patients with soft-tissue tumors. Strategy developed at a regional oncology center. AB - Clinical and morphologic variables in soft-tissue sarcomas and lipomas were retrospectively analysed and compared in consecutive, unselected population-based series from southern Sweden 1964-1981. Among the sarcoma patients these variables and the treatment given were evaluated by multivariate analysis with regard to the clinical course. The results of aspiration cytology and its influence on the choice of surgical procedure were evaluated in two series of patients referred to the Orthopaedic Oncology Group (the Center) because of suspected malignant soft tissue tumors. Changes in the surgical treatment over time was determined. The annual incidence of sarcoma was 1.4/10(5) with a 30 per cent male preponderance. The mean age was 58 years. The most common histologic types were malignant fibrous histiocytoma, liposarcoma and leiomyosarcoma. Twenty-three per cent were histologically classified as low-grade malignant (Grades I and II), 33 per cent as Grade III and 44 per cent as Grade IV tumors. Slightly more than one half of the tumors were deep and these had a median size of 8 cm compared to 4 cm for the superficial tumors. One third of the tumors were located in the thigh. The annual clinical incidence of solitary subcutaneous lipoma was estimated to 1/10(3). Four fifths of the lipomas were smaller than 5 cm and they were most common in the trunk, shoulder and upper arm. By comparing clinical data for benign tumors and sarcomas it was found that a tumor 5 cm or larger or a deep tumor is relatively more likely to be a sarcoma. Patients with tumors of that size and depth should be referred before surgery. The probability of a benign cytodiagnosis being correct was 0.97 while that of a malignant one was 0.85. For a cytodiagnostic report of sarcoma the probability of correct diagnosis was 0.84. In a prospective evaluation the planned surgery was changed by subsequent cytodiagnosis in one third of the patients. Negative prognostic variables as regards survival in the order of decreasing relative risks were: Malignancy Grades IV and III, pain, male sex, increasing age and tumor size, marginal surgery and extracompartmental tumor site. Marginal excision, extracompartmental tumor site and age exerted their effect only via local recurrence which had a stronger negative influence on survival than any of the other variables. A linear survival function based on the prognostic variables was related to the probability of survival and the patients could be stratified into subsets with significantly different survival.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6581680 TI - Anthropometric studies in Norwegian children. AB - A mixed longitudinal study of 3,068 children and adolescents from Bergen was carried out in the years from 1971-74. Measurements of height, weight, four skinfolds, biacromial and biiliac diameters, head and arm circumferences, arm length and sitting height, were taken. Distance centile charts were constructed for all 12 variables. Annual height and weight increments were also studied. Children in Bergen were taller in 1971-74 than in 1956 and approached the 1970 values from Oslo. Bergen children were smaller than Dutch children but were taller than children from other Scandinavian countries and children from some other Western countries. Median age at peak height velocity was 13.6 years in boys and 12.2 years in girls. The weights of pubertal girls varied considerably with a tendency to weight loss in some subjects. Weight for height centiles of Bergen children 1971-74 were closer to the results from Bergen 1956 than to Oslo children in 1970. When weights and skinfolds of Bergen children were compared to materials from other countries, a more complicated pattern was found. A tendency to overweight seen in adolescents living in Western countries, was also observed in the present material. A set of weight for height curves based on the median curve and the median weights -10%, +10%, +20%, and +30%, respectively, was found to be more close to the normal situation. This set of curves should therefore be used in practical clinical work. Children from Bergen had head circumferences relatively close to Danish children and larger than the most widely used international standards. Bergen children had similar or higher median sitting height, biacromial and biiliac diameters than children from other countries. Arm circumferences of Bergen children were smaller than in Dutch children and relatively similar to children from other countries. The present growth study may be regarded as representative of normal Norwegian children in a period with a high standard of living and small differences between various subgroups of the population. PMID- 6581681 TI - Cystic fibrosis. In vitro and in vivo studies on the biochemical background to the pathogenesis. AB - Cystic fibrosis (CF) is the most common severe, autosomal recessive disease in Caucasians. The main clinical symptoms are all related to exocrine gland disturbances and include obstructive lung disease, pancreatic insufficiency and increased sweat electrolytes. In the present investigation fibroblasts from CF homozygotes were studied by X-ray microanalysis and were shown to have an increased calcium and a decreased sodium content, compared with fibroblasts from controls. The calcium increase was not specific for CF, since it was also found in fibroblasts from trisomy patients. The calcium abnormality could be corrected without any effect on the sodium level by treatment of CF cells with medium conditioned by normal cells. When normal cells were treated with medium conditioned by CF cells, the intracellular sodium level decreased without changes in the calcium level. Acid hydrolases were quantitatively increased in serum from CF patients but no qualitative differences, neither in thermal stability nor in isoelectric focusing patterns were found. Neither was any defect observed in the recognition marker of the hydrolases released from CF fibroblasts. CF homozygotes and heterozygotes had increased concentrations of lactate and electrolytes and increased activities of ribonuclease in their saliva and urine. The salivary concentration of protein was also elevated. When healthy controls were submitted to intensive maximal (anaerobic) exercise on a bicycle ergometer their salivary contents of lactate, ribonuclease, protein and electrolytes increased. Their saliva thus became more like that in CF patients. Indications of abnormal handling of a load dose of sucrose were found in both homozygotes and heterozygotes. Greater increases in the salivary concentrations of both glucose and lactate, but also a more rapid clearance of these metabolites were noted after the sucrose intake. Ingestion of sucrose also caused a normalization (decrease) of the salivary electrolyte content in homozygotes and heterozygotes. Evidence was thus produced to indicate a disturbance in the metabolism of carbohydrates and energy in cystic fibrosis, and it is speculated that such a disturbance might be of importance for the pathogenesis of this disease. PMID- 6581682 TI - Home environment of children in a new Stockholm suburb. A prospective longitudinal study. AB - Children who were born in the early 1980s in the Stockholm suburb that was studied had a home environment that may be described as follows. The material standards in the area were good, the dwellings were spacious and modern, the outdoor environment was pleasant for children and the municipal service facilities were well developed. The transport services to the city are frequent, comfortable and convenient. In a typical case, the parents are about 30 years old, they are of old Swedish stock and are living together, married or unmarried. They received a good education and usually also occupational training. Generally, both parents have a job outside the home. In quite a few such cases the mother has shift- or nightwork. Although both parents have jobs, the family surprisingly often has financial problems. Thus more than one family in five needed financial assistance from the authorities. The financial difficulties may be due to illness and addiction in the parents. About one in ten of the mothers has been hospitalised for a chronic somatic disease and about one in ten of the fathers is in the records for alcoholism. Criminality is also common, every sixth or seventh father having a police record. About every fourth child born in this suburb will grow up in a home where either the father or the mother is known for an addiction and/or criminality, and/or has been treated for mental illness. To conjure up and describe the atmosphere in a home in this suburb is not easy but in the present study information was obtained supporting the suspicion that many homes are characterised by insecurity, isolation and hopelessness and a serious unsatisfied need for help. Many of the mothers have grown up in rather special social conditions--for instance, in "broken homes", or with an alcoholic father or a mentally ill mother. As a result, nearly every tenth mother had been placed outside the home at an early age (in a foster-home or suchlike). In later years also, many of the mothers have had the burden of sick, malformed or mentally retarded children in their home, or have experienced the serious illness or death of some person close to them. Particularly in the period before their child's birth many women have had reason to feel anxious. About one woman in three has already had a miscarriage and/or abortion, and during pregnancy she may have suffered from serious nausea or depression. Quite a few also needed to take medicines during that time. In many families, it is reported, the man and woman have had trouble in living together, with resultant divorce situations, quarrels and assaults.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6581683 TI - Growth retardation in the early developing rat exposed to continuous hypobaric hypoxia. AB - Weanling male rats weighing 48.5 +/- 1.4 g were divided into two groups, hypoxic and normoxic. The former was placed into an altitude chamber and maintained at a pressure equivalent to 0.45 atm. (6 100 m) over a period of 23 days. The normoxic group was maintained at sea level conditions. Food intake, body weight, body length and tail length were recorded every day. Body weight gain in hypoxic rats was 35% of that seen in normoxic controls at the end of the experimental period. Body length gain was 55% and tail length gain was 59% of normal at the same time. The amount of food eaten by the hypoxic animals during the entire exposure period was 55% of that consumed by normoxic ones. The average daily caloric intake related to metabolic body weight (appetite quotient) of hypoxic rats was 60% of the normoxic control value. Efficiency of protein utilization was not significantly different between both groups of rats. These results indicate that exposure to hypobaric hypoxia induces growth retardation in the rat, which appears to be the result of a diminution in food intake because of a decreased appetite. PMID- 6581684 TI - The cardiovascular disease study in Norwegian counties. Results from first screening. PMID- 6581685 TI - Arterial hypertension in the elderly. Proceedings from the 8th scientific meeting of the Danish Society of Hypertension. Copenhagen, Denmark, September 10-11, 1982. PMID- 6581686 TI - Cerebral blood flow and antihypertensive drugs in the elderly. PMID- 6581687 TI - The significance of systolic hypertension in the 1897-population in Glostrup. AB - The predictive value of a high diastolic or systolic blood pressure for presence or development of cardiovascular disease diminishes with age. In the present 10 year prospective study of 70-year-olds a Cox regression analysis for competing risk markers for cardiovascular events in the eighth decade was carried out. This analysis showed that neither high diastolic nor high systolic blood pressure had individual predictive value for death from cardiovascular diseases. Concerning development of cardiovascular diseases, however, high systolic blood pressure had individual predictive value in both sexes. PMID- 6581688 TI - Antihypertensive treatment in elderly patients in general practice (preliminary results). PMID- 6581689 TI - The prognostic effect of antihypertensive treatment in the elderly. PMID- 6581690 TI - Hypertension and stroke in an elderly population. PMID- 6581691 TI - Arterial hypertension as a risk factor for cerebrovascular disease 15-years follow-up of the 1914-population in Glostrup. PMID- 6581692 TI - The accuracy of auscultatory blood pressure measurement in the elderly. PMID- 6581693 TI - Catecholamines and sympathetic nervous activity in the elderly. PMID- 6581694 TI - Haemodynamic changes in the elderly hypertensives. PMID- 6581695 TI - The natural history of arterial hypertension in the elderly. A fifty years follow up study. PMID- 6581696 TI - Head injury in man and experimental animals: clinical aspects. AB - Clinical studies have demonstrated that, with regard to death, the two worst types of head injury are subdural haematoma (SDH) and diffuse axonal injury (DAI). These two have different mechanisms of causation; SDH occurs much more commonly in non-vehicular injuries, especially falls, while DAI is caused, almost exclusively by vehicular mechanisms. The production of these two types of injury in non-impact acceleration models helps to explain these causal differences, but also shows that both injuries share a common mechanical cause, differing only in degree. SDH is due to vascular injury that is caused by relatively short duration angular acceleration loading at high rates of acceleration. These are the circumstances that occur in falls where the head rapidly decelerates because of impact to firm, unyielding surfaces. DAI is also due to angular acceleration of the head, but occurs most readily when the head moves coronally and it only occurs when the acceleration duration is longer and the rate of acceleration lower than conditions that produce SDH. These conditions are met in vehicle occupants where impact to deformable or padded surfaces lengthens the deceleration and decreases its rate. In DAI the principal mechanical damage is to the brain itself (mainly to axons) while in SDH the primary damage occurs to surface blood vessels. Now that models of the two most important types of head injury have been created in the laboratory, it is hoped that a better understanding of their pathophysiology will result in new strategies to affect protection from their occurrence and in improved treatment when they do occur. PMID- 6581697 TI - Midline rupture of the mesencephalon. AB - A midline rupture of the mesencephalon was found in 3 young males surviving closed head injury for 3-5 days. Other brain damage was relatively mild, but there was brain oedema with signs of herniation. In only one case were there symptoms of a hypothalamic lesion. The author suggests that a rupture is initiated by the compression of the brain stem against the clivus, whereby the pedunculi are displaced away from each other, and that the rupture naturally continues along the midline vessels to end in the aqueduct. PMID- 6581698 TI - Brain-stem injury and long survival--a forensic analysis. AB - Out of 1781 autopsies undertaken on fatal head in injuries over a period of 19 years (1960-1979) there were 387 cases with brain-stem lesions; 15 of these had survived more than one month. Detailed macroscopic and microscopical studies showed different types of damage, which could not be explained by secondary processes only. The cases are demonstrated and discussed from the forensic viewpoint. PMID- 6581699 TI - Head-in-motion contusions in young adults. AB - The pathogenesis of contusions was studied in a series of acute fatal closed head injuries. Important factors include: 1. whether the head was in motion or stationary; 2. the direction and magnitude of the force; 3. the presence of depressed fractures and lacerations; and 4. roughness of the overlying bone. In the young adult group, the frequent high velocity motor vehicle accidents create a dominant pattern of injury to the frontal and temporal lobes, usually sparing the occipital lobes and cerebellum. PMID- 6581700 TI - Axonal injury in head injury. AB - A histological analysis of 324 unselected fatal head injuries disclosed axonal injury in the form of retraction balls in 100 cases: this was severe in 64 and mild in 36. It is suggested that axonal injury exists as a spectrum without there necessarily being selective involvement of the corpus callosum or the rostral brain stem, and that cases with mild axonal injury may be unconscious for only a short time after their injury. PMID- 6581701 TI - Head injury unmasking other brain diseases. AB - Sixteen patients previously free of neurological complaints sustained minor head injuries and subsequently presented acutely with a wide range of unexpected, serious brain diseases. These included brain tumours, berry aneurysms, arteriovenous malformations and brain abscess. The possible, responsible mechanisms include direct mechanical trauma to the asymptomatic brain lesion, hydrocephalus and brain oedema. This unusual complication of head injury should be suspected when a florid neurological syndrome follows a minor head injury. CAT scanning usually identifies the responsible disease. Because of its therapeutic implications, this complication deserves recognition in the differential diagnosis and management of head injuries. PMID- 6581702 TI - Head injury in man and experimental animals: neuropathology. AB - All of the principal types of brain damage that occur in man as a result of a non missile head injury, viz. cerebral contusions, intracranial haematoma, raised intracranial pressure, diffuse axonal injury, diffuse hypoxic damage, and diffuse swelling have been produced in subhuman primates subjected to inertial, i.e. non impact, controlled angular acceleration of the head through 60 degrees in the sagittal, oblique and lateral planes. PMID- 6581703 TI - Deposition of scar tissue in the central nervous system. AB - Standard parasagittal lesions were placed stereotactically in the cerebral hemispheres of neonatal and adult rats in order to compare scarring in the immature and mature animal. Lesions were examined by light and electron microscopy and immunofluorescence to study the astrocyte reaction, collagen deposition, and the formation of the basement membrane of the glia limitans. Normal mature scarring characterized by the deposition of collagen, astrocyte end feet alignment over a glia limitans, and the permanent presence of mesodermal cells (fibroblasts and macrophages) in the core of the lesion, does not occur in wounds before 8-10 days post-partum (dpp). Instead there is no deposition of collagen, and only a transitory astrocyte response occurs with the formation of an interrupted glia limitans. These latter features disappear with time so that the wound is ultimately obliterated by the growth of axons and dendrites through the lesion. Mature scarring is attained over 8-12 dpp when increasing amounts of collagen are deposited and a continuous permanent glia limitans is formed. The acquisition of the mature response to injury from 8-12 dpp may be correlated with the presence of increasing titres of a fibroblast growth factor (FGF), derived from autolytic digestion of injured brain tissue. We have investigated FGF activity using a 3 T 3 fibroblast tissue culture assay to detect mitogenic activity in brain extracts from rats lesioned at different ages and from leukodystrophic mice which have no myelin. Our results show that high titres of FGF are present in the developing brain long before myelination commences, and that normal levels of FGF are found in the brains of leukodystrophic mice which have no myelin. Scarring in brain lesions in these mutants is quite normal. PMID- 6581704 TI - Formation of mossy fibre connections between hippocampal transplants and the brain of adult host rats. AB - Hippocampal primordia can survive transplantation into adult rat hippocampi. The transplants differentiate and form mossy fibre connections with host pyramidal cells, while mossy fibre projections from the host can innervate transplants. PMID- 6581705 TI - Comprehensive monitoring and computerized tomographic follow up in patients with acute severe head injury: coma-outcome correlations. AB - In 88 patients with acute severe head injury the Glasgow coma scale (GCS), computerized tomography and autonomic monitoring during the first 24 hours were used to characterize different types of post-traumatic brain dysfunction. A subgroup is defined--GCS 8.1--with signs of diffuse brain swelling and autonomic instability which included two cases with dorsal midbrain lesions. These preliminary results suggest that autonomic instability is a valid criterion for identifying patients suffering from diffuse axonal injury. PMID- 6581706 TI - The neuropathology of the vegetative state and severe disability after non missile head injury. AB - A full neuropathological examination was undertaken in 35 cases of head injury who survived at least one month and who were either vegetative or severely disabled. Diffuse axonal injury was found in 21 cases, extensive hypoxic damage in the neocortex in 16 and secondary damage to the brain stem in 10. PMID- 6581707 TI - Ponto-medullary avulsion associated with cervical hyperextension. AB - 19 cases of partial or complete ponto-medullary avulsion are reported. This type of damage seems to be produced by severe hyperextension of the head on the neck with or without an additional rotational component. PMID- 6581708 TI - Survival after ponto-medullary junction trauma. AB - Four cases with partial avulsions of the ponto-medullary junction resulting from a head injury with survival from 8 to 26 days are reported. Such lesions are not necessarily immediately fatal and they must be looked for specifically postmortem. PMID- 6581709 TI - Traumatic tears of the tela chorioidea: a hitherto unrecognized cause of post traumatic hydrocephalus. AB - A new and hitherto unrecognized phenomenon of rupture of the tela chorioidea in closed head injury of acceleration-deceleration type is described. It occurs very frequently, especially in association with blows in the centro-axial plane even if the acceleration forces are relatively mild. These tears are regularly followed by intraventricular bleeding which follows the flow of the CSF into the subarachnoid space producing a leptomeningeal reaction with impairment of absorption of CSF and consequent communicating hydrocephalus. PMID- 6581710 TI - Birth injury to the cervical spine and spinal cord. AB - Mechanical trauma to the cervical spine still occurs at birth. In 2 of 48 perinatal postmortems traumatic damage to the cervical spinal cord was found. Also in this series at least 12% of cases from one hospital showed some degree of trauma to the cervical spine but this was of a lesser degree in individual cases than 20 years ago. PMID- 6581711 TI - Neuroradiology of the sequelae of spinal cord trauma. AB - More than 850 patients with acute injuries to the spinal cord were explored by means of neuroradiological procedures (1954-1981). The sequelae of cord damage were assessed in 125 of these patients and the results of neuroradiological examinations correlated with the surgical or autopsy findings. Such opportunities to demonstrate the changes that follow the acute phase of a spinal cord injury are infrequent because of a lack of centralized team care and continuity of follow-up. Chronic post-traumatic changes, induced by mechanical kinetic or non mechanical energies, were demonstrated after a long period of time, occasionally after two to ten years. They were classified into six groups. Disturbances of arterial circulation are emphasized as a major source of aggravation of the post traumatic state of the spinal cord. PMID- 6581712 TI - A computerized data retrieval system for investigation of brain damage in non missile head injury. AB - An analysis of brain damage in head injury using a computerized data retrieval system has contributed to the presentation of the various types of brain damage objectively, and has shed light on contre coup contusions and diffuse axonal injury. PMID- 6581713 TI - Experimental penetrating head injury: some aspects of light microscopical and ultrastructural abnormalities. AB - A high velocity model of penetrating head injury has been developed in the rhesus monkey and a lower velocity model in the baboon. It is apparent that pathological changes are widespread and develop early although the pathogenesis of the diffuse vascular changes is unknown. The present study involved the sampling of grey and white matter from 20 monkeys with high velocity injury, and 10 baboons with low velocity injury together with similar material from a number of normal control animals. 30 minutes after a high velocity injury swelling of perivascular astrocytes was present, sometimes associated with an increase in extracellular fluid. Animals with lower velocity injuries survived for some hours. Astrocytic swelling and perivascular oedema associated with cellular necrosis was frequently found in this group. The pathogenesis of these lesions is discussed. PMID- 6581714 TI - Exogenous prostaglandin F2 alpha promotes uterine involution in the cow. PMID- 6581715 TI - Thromboxane B2, 6-keto-PGF1 alpha, PGE2, PGF2 alpha, and PGA1 plasma levels in arteriosclerosis obliterans: relationship to clinical manifestations, risk factors, and arterial pathoanatomy. AB - Current concepts of atherogenesis based on animal and human investigations indicate prostaglandins as a key factor in atherosclerotic lesions. The plasma profiles of thromboxane B2 (TXB2), 6-keto-PGF1 alpha, PGE2, PGF2 alpha, and PGA1 were investigated by means of a sensitive radioimmunoassay technique in 40 patients with arteriosclerosis obliterans and in 30 healthy control subjects. Abnormally high levels of TXB2 and PGE2 (222.97 +/- 320.86 pg/ml, mean +/- SD, vs 20 +/- 2.1 and 352.66 +/- 235.54 vs 24.4 +/- 3, p less than 0.01) were detected in arteriosclerosis obliterans patients. The ratio between TXB2 and 6-keto-PGF1 alpha was increased from 1.2 in control subjects to 6.0 in patients. In arteriosclerosis obliterans TXB2 increased in relation to clinical manifestations and to the extension of the vascular damage. In addition, TXB2 was positively related to serum triglyceride content (r = 0.562, p less than 0.05) and inversely related to platelet count (r = 0.727, p less than 0.001). The marked imbalance between the stable metabolites of thromboxane and prostacyclin in arteriosclerosis obliterans patients provides biologic evidence which fits well with the thrombogenic theory of atherosclerosis. These results further support the theory that prostaglandins may be heavily involved in atherosclerosis. PMID- 6581716 TI - Outcomes of older and younger malnourished and well-nourished patients one year after hospitalization. AB - The purpose of this study was to determine the relationship between malnutrition and later health status in old and young patients after hospitalization. Men were evaluated by nine criteria of malnutrition and classified as older (age 65 and older) and younger (younger than 65). About 32% of the younger and 45% of the older men were malnourished. At base-line, malnourished patients had more diagnoses (p less than 0.01) and depressed lymphocyte response to phytohemagglutinin (p less than 0.05). Older malnourished patients also had more depressed chemotaxis results (p less than 0.05). One year later, the malnourished patients still had more markers of malnutrition (p less than 0.001), more diagnostic problems (particularly infections) during the follow-up (p less than 0.01), and depressed lymphocyte response to phytohemagglutinin (p less than 0.05) and increased IgA levels (p less than 0.01). The only deaths (n = 4) occurred among the malnourished older men. Alcoholism in the malnourished young men may have contributed to their continued or recurrent status of protein energy malnutrition. The malnourished old patients could have had less recuperative powers and continued poorer diets. The study suggests malnourished hospitalized patients are at high risk for long-term health problems probably through continued or reoccurring episodes of malnutrition. PMID- 6581717 TI - The ultrastructural identification of Auer body precursors in a case of acute promyelocytic leukemia using high-angle specimen tilt. AB - Auer body (AB) precursors were identified in a case of poorly differentiated acute promyelocytic leukemia (APL). They consist of azurophilic granules containing membraneous lamellae. In most granules the lamellae were seen only after high-angle specimen tilting. In small but more mature ABs, the periodic tubular structure also was visualized best by specimen tilting. An intermediate granule having both lamellae and tubules is described and discussed in relation to the fusion of azurophilic granules to form ABs. The early diagnosis of APL, in the absence of ABs and intravascular coagulation, is assisted by specimen tilting to resolve the lamellae in the azurophilic granules. PMID- 6581718 TI - Epithelioid granulomas of the bone marrow in non-Hodgkin's lymphoproliferative malignancies. AB - Ten cases of epithelioid granulomas in the bone marrow of patients with various non-Hodgkin's lymphoproliferative malignancies have been encountered. These included six with non-Hodgkin's lymphoma (three histiocytic and three poorly differentiated lymphocytic types), three with multiple myeloma, and one with acute lymphoblastic leukemia. The bone marrow was not involved by the primary disease in two of the six patients with lymphoma, whereas three with lymphoma showed both granulomatous and lymphomatous lesions in the same marrow specimens, and in one, these lesions were seen in the marrow at different times. The three myeloma patients showed evidence of both myeloma and granulomas in their marrow. In the case of acute lymphoblastic leukemia, the bone marrow showed only granulomas, the leukemic process being in complete remission. Although small numbers of similar cases have been reported before, the authors were unable to find a previous report of acute lymphoblastic leukemia associated with bone marrow granulomas. Although the pathogenesis and the clinical significance of the granulomatous lesion of the bone marrow in non-Hodgkin's lymphoproliferative malignancies are unknown, this lesion should be differentiated from infectious or lipid granulomas as well as from involvement by the primary disease. PMID- 6581719 TI - Extemporaneous preparation of a dinoprostone gel for cervical ripening. PMID- 6581720 TI - Dysmyelopoietic syndrome. Current concepts. PMID- 6581722 TI - Eating disorders. The secret pattern of binge/purge. PMID- 6581721 TI - The inheritance of immunoglobulin E: genetic linkage analysis. AB - Linkage analyses between 21 genetic markers including HLA-A, B, and the postulated locus for determining total serum IgE levels were done to try to clarify the inheritance of total IgE levels and to map the locus. A total of 316 individuals from five Mormon kindreds were studied, and data from an additional 204 Amish individuals from 11 families were analyzed for possible HLA linkage. Segregation analyses of both data sets did not give clear definition of the mode of inheritance of total IgE levels, but purely environmental models were rejected. Linkage analyses gave significant evidence against HLA linkage with the codominant, recessive, or dominant model of inheritance for total IgE levels. No significant evidence for linkage with any of the genetic markers was obtained. Since total serum IgE levels are correlated with allergies, understanding the genetics of total IgE levels is important to understanding the genetics of allergic disease in man. PMID- 6581723 TI - Treatment of Class II deep bite by orthodontic and surgical means. AB - Conventional orthodontic correction of the Class II deep-bite deformity with a decreased lower anterior facial height tendency can be mechanically difficult, inefficient and, in many instances, impossible. Orthodontic treatment alone of either adults or adolescents with such deformities frequently can neither increase lower anterior facial height sufficiently to achieve ideal facial proportions nor achieve long-term occlusal stability. Despite the need for surgical intervention to achieve satisfactory occlusal and esthetic results, many patients with such deformities are still being treated in clinical practice by traditional orthodontic procedures, with less than ideal esthetic and/or occlusal results. The challenge to achieve efficient and stable treatment of this deformity has been met by the use of various surgical techniques in combination with orthodontic treatment. This combined surgical-orthodontic approach can provide increased treatment efficiency, long-term stability, and optimal esthetic results. The proper sequencing and correct selection of orthodontic mechanotherapy are essential to ensure the desired results. This article purposes to detail basic problems involved in diagnosis and treatment planning for the combined surgical-orthodontic approach to patients exhibiting Class II deep bite and decreased lower facial height. Orthodontic and surgical treatment objectives are explained, and representative case reports are presented and discussed to illustrate this method of treatment. Extraction patterns, control of the transverse dimension, arch wire selection, auxiliary wires, elastics, and extraoral appliance use are described. Surgically, the dentofacial disharmony associated with this deformity may defy treatment by surgical advancement of the mandible only. Genioplasty, Le Fort I osteotomy, symphyseal osteotomy, anterior or total mandibular subapical osteotomy, body osteotomy, submental lipectomy, and rhinoplasty are adjunctive procedures that are described and may be used in concert with mandibular advancement surgery. PMID- 6581724 TI - Investigation of chewing patterns in deep-bite malocclusions before and after orthodontic treatment. AB - A knowledge of chewing provides a better understanding of normal jaw movement and can help form a basis for assessing the effects of malocclusion on jaw function. This study was conducted to describe the effects of deep-bite malocclusion on masticatory function and to determine what changes may occur with orthodontic correction. Five subjects, each exhibiting deep overbite in the early permanent or adult dentition, were selected for this study. Two subjects had Class II, Division 1 malocclusions, and the other three had Class I malocclusions. By means of the "replicator system" jaw movements during border movements and unilateral chewing were recorded and analyzed by computer plots. The typical chewing pattern of all five subjects was characterized by midsagittal opening, wide lateral closing movements, tooth gliding, and a pause at the intercuspal position and during swallowing. Comparison of these findings with chewing data from normal children in previous studies indicated that the deep-bite malocclusion did not create a major disturbance in chewing. Some differences between the preoperative and postoperative condition were noted, however. Prior to treatment, three subjects showed a nearly vertical chewing cycle which avoided tooth contact at the border path. Following treatment, all subjects showed a greater coincidence between the closing chewing path and the lateral border movement. This indicated more gliding tooth contact after treatment. Following deep-bite correction, the border paths showed a refinement of the intercuspal position (IP) and an increased steepness in lateral tooth guidance near IP. The total vertical component of tooth guidance was reduced by treatment. PMID- 6581725 TI - Skeletal morphologic features of anterior open bite. AB - Lateral cephalograms of sixty patients with open bite and sixty untreated subjects who were determined clinically to have Class I normal occlusions were studied. The following six values were recorded: (1) ratio of posterior to anterior face height, (2) ratio of upper to lower face height, (3) Sn GoGn angle, (4) gonial angle, (5) SN-PP angle, and (6) PP-GoGn angle. Results were compared with previous studies. The constancy of the ratios and angles with age was tested and an attempt was made to separate the open-bite sample into skeletal and dentoalveolar groups. Results were generally consistent with those reported previously, except for the Sn PP angle, which was not significantly different from the normal group. In the open-bite sample the study showed a decrease in the ratio of PFH/AFH, a decrease in the ratio of UFH/LFH, and an increase in the other angles measured. Upon further division of the sample into mixed- and permanent-dentition groups, it was found that the angles and ratios remained relatively constant with age. An attempt to divide the open-bite sample into skeletal and dentoalveolar groups resulted in more extreme values for all the measurements made. The difficulty in differentiating between the two groups and the variability of dentoskeletal patterns in open bite is discussed. PMID- 6581726 TI - Effect of oral screen treatment on dentition, lip morphology, and function in children with incompetent lips. AB - The effect of treatment with an oral screen was studied in sixteen children with incompetent lips who were compared with a control group of sixteen children who also had incompetent lips. The period of observation was 1 year. The treatment brought about retroclination of proclined maxillary incisors with a resulting decrease in overjet, in the diastema between the incisors, and in arch length. The mandibular incisors proclined somewhat. No change in general intermaxillary relation or in arch width was observed with the treatment. Neither lip morphology nor the electromyographically recorded function of the lips was affected by the treatment. The maximum force that the lips could exert to resist an external force was increased substantially by the treatment. Whether this is of value for the stability of the orthodontic treatment result is not known. PMID- 6581727 TI - Dentofacial adaptations in adult patients following functional regulator therapy. AB - The purpose of this article is to describe three cases in which young adult patients were treated with the functional regulator of Frankel. Each patient had a Class II malocclusion with a degree of mandibular skeletal and dental retrusion. Each patient wore a functional regulator (FR-2), and treatment times varied from a minimum of 1 year to a maximum of 3 1/2 years. The length of the mandible did not increase significantly in any of the patients. In all cases, however, there were increases in vertical dimension. The analysis used in this study indicates that only minimal skeletal and dental adaptation occurred and that these adaptations were insufficient to completely resolve the patients' malocclusions. PMID- 6581728 TI - Surgical exposure, orthodontic movement, and final tooth position as factors in periodontal breakdown of treated palatally impacted canines. AB - Twenty-three patients who had completed orthodontic treatment for the resolution of unilateral palatal canine impactions were examined 2.3 years (mean) after all appliances were discarded. The patients were divided into two groups on the basis of whether the surgical exposure was "light" or "heavy." The whole group was also divided according to the type of orthodontic movement that was carried out- "light" for tipping, extrusive, and rotating movements and "heavy" for root movements. Final position of the teeth was classified as ideal or incomplete if rotations or spaces were present. The results showed marked deteriorative changes where the surgery had been more radical and where the tooth movement involved active alteration of root position. No change due to abnormal tooth position was seen. It is suggested that, in these cases, surgical procedures be limited in scope and that exposure of the cementoenamel junction be avoided. PMID- 6581729 TI - Periodontal status following the alignment of buccally ectopic maxillary canine teeth. AB - Twenty-nine patients who had completed orthodontic treatment to resolve buccal displacement of maxillary canine teeth were examined 2.9 years (mean) after all appliances had been discarded. Thirteen of these patients had unilateral displacement, and sixteen were bilaterally affected. In the unilateral cases only the width of attached gingiva was significantly less than in the controls. In the bilateral cases the same observation was made, but here the gingival index and pocket depth also showed statistically significant increases, although the expression of these values was found to have doubtful clinical significance. Posttreatment periodontal assessment is recommended for these cases. PMID- 6581730 TI - Maxillary arch dimensions in Saudi and Egyptian population sample. AB - Observations relating to maxillary arch dimensions were obtained from 243 randomly selected subjects. The group consisted of 146 Saudi subjects with an average age of 24 years and 97 Egyptian subjects with an average age of 27 years. The measurement distances from canine to canine (C-C), molar to molar (M-M), molar to canine (M-C), and molar to incisor (M-I) were based on Mack4 criteria. There was a highly significant difference by sex for Saudi and Egyptian samples, and the mean value of C-C, M-M, and M-I intercusp distances was significantly higher for Egyptians than for the Saudi sample. No significant difference was found in the M-C measurement. The results of this study demonstrate the median location of maxillary arch dimensions of Saudi and Egyptian groups combined as a sample Middle Eastern population when compared with Nigerian and British samples. Furthermore, this work can be used as a basis for future studies by anthropologists in all countries of the Middle East to define the possible changes that occur in the maxillary arch dimensions and the expected changes in the future. PMID- 6581731 TI - Reliability of an intraoral camera: utility for clinical dentistry and research. AB - Photographic images can be reliable and efficient sources of data in dentistry. Many variables can be investigated from single exposures. This study was undertaken to test the reliability of an intraoral graphic instrument--the Orthoscan camera. The utility of this instrument in clinical orthodontics has been described, but the research potential has yet to be investigated. Upper and lower dental arches of fifteen patients were photographed intraorally. Alginate impressions of the arches were taken immediately afterward. Identical intertooth distances were located (1) on the intraoral photographs, (2) on the photographs of the dental casts, and (3) on the dental casts themselves. Univariate and multivariate analyses were used to assess measurement error in these replicate measurements. The camera was found to be a highly reliable instrument. The images are flat and free of distortion, with a one-to-one size relationship. The camera is quite suitable for precise scientific investigations, and the data are acceptable for valid interobserver and interpopulation comparisons. PMID- 6581732 TI - A proposal for publication of manuscript critiques in the American Journal of Orthodontics. PMID- 6581733 TI - The "V" principle. PMID- 6581734 TI - Gastric and duodenal HCO3- transport in vivo: influence of prostaglandins. AB - Gastric and duodenal HCO3- transport was compared in the same mammalian species (cat) in vivo. The most appropriate technique for detecting HCO3- in the lumen of the stomach was measurement of pH and CO2 tension, whereas in the duodenum it was pH-stat titration. For experiments on gastric HCO3- transport, conscious cats prepared with vagally denervated fundic pouches were used; for those on duodenal transport anesthetized animals with in situ perfused segments were studied. When expressed in terms of gross surface area, basal HCO3- output was six times greater in the duodenum than in the stomach (approximately 1.5 cf. approximately 0.25 mumol X cm-2 X 15 min-1). topical application of 16,16-dimethyl prostaglandin E2 (dmPGE2) to duodenal mucosa caused a concentration-dependent increase in HCO3- output and transmucosal electrical potential difference (PD) over the range 0.01-1.0 microgram X ml-1. PGE2 was approximately 200 times less potent than dmPGE2 as a stimulant of duodenal HCO3- transport. Increases in the rate of luminal HCO3- output following application of dmPGE2 were considerably less in the stomach compared with the duodenum (approximately 50% cf. approximately 1,000% at 1 microgram X ml-1). Intravenous dmPGE2 (1 microgram X kg 1 X h-1) had no effect on either gastric or duodenal HCO3- outputs. Indomethacin (5 mg X kg-1 iv) inhibited duodenal HCO3- output by approximately 50% and reduced PD but did not influence gastric HCO3- output. We propose that in the cat duodenum in vivo local prostaglandins regulate HCO3- transport, but in the cat stomach in vivo they have a less important role. PMID- 6581735 TI - PGE2 does not act at carotid sinus to raise arterial pressure in conscious sheep. AB - Conscious chronically instrumented adult female sheep were used to determine whether direct action of prostaglandin E2 (PGE2) on the carotid sinus baroreceptors contributes to the pressor response observed during infusion of PGE2 into the common carotid artery (CCA). During infusion of PGE2 into the CCA caudal to an intact carotid sinus, into the CCA caudal to a denervated carotid sinus, and into the external carotid artery, mean arterial pressure (MAP) rose 17, 22, and 17 mmHg, respectively (P less than 0.01). Heart rate (HR) rose 6, 6, and 8 beats/min, respectively (P less than 0.05). Cardiac output (CO) was also measured by indicator dilution using indocyanine green. In these experiments with infusion of PGE2 into the external carotid artery, MAP rose 15 mmHg (P less than 0.01), HR increased 6 beats/min (P less than 0.05), CO did not change, and total peripheral resistance (TPR) increased 23% (P less than 0.01). With infusion of PGE2 past a denervated carotid sinus, MAP rose 20 mmHg (P less than 0.01), HR rose 4 beats/min (P less than 0.05), CO did not change, and TPR increased 29% (P less than 0.01). There were no statistically significant differences in MAP or HR responses when PGE2 was infused past an intact carotid sinus, past a denervated carotid sinus, or beyond the carotid sinus. There is no evidence that direct action of PGE2 on carotid sinus baroreceptors either augments or inhibits the observed pressor effect of intracarotid PGE2. Intracarotid PGE2 acts rostral to the carotid sinus to increase MAP, HR, and TPR in conscious sheep. PMID- 6581736 TI - Mania after surreptitious discontinuation of clonidine. PMID- 6581737 TI - Anorexia nervosa and bulimia among 300 suburban women shoppers. AB - Of 300 female shoppers who responded to a questionnaire on anorexia nervosa and bulimia, 0.7% reported a history of anorexia nervosa and 10.3% reported a history of bulimia. The data support the belief that these disorders may be increasing in prevalence. PMID- 6581738 TI - Progesterone-prostaglandin balance influences lymphocyte function in relation to pregnancy. AB - The effect of progesterone and prostaglandin F2 alpha on cytotoxic activity of lymphocytes was investigated. Thirty-three pregnant women with a clinical diagnosis of threatened premature labour were treated with the prostaglandin synthesis inhibitor acetylsalicylic acid (2.7 gm/day) for 1 week. Cytotoxic activity of the lymphocytes significantly decreased while their progesterone binding capacity increased by the end of the treatment. Ten healthy pregnant women received a single 15 mg dose of prostaglandin F2 alpha for pregnancy termination. One day after prostaglandin administration lymphocytes showed significantly higher cytotoxic activity and lower progesterone binding capacity than before. Lymphocytes of 44 healthy nonpregnant volunteers were preincubated with prostaglandin F2 alpha and/or progesterone. Prostaglandin F2 alpha (8 nmole) significantly decreased cytotoxic activity of 4 X 10(6) lymphocytes. In the presence of progesterone prostaglandin F2 alpha failed to stimulate lymphocytes. PMID- 6581739 TI - [Study on the deformation of impressions. Application of holographic interferometry]. PMID- 6581740 TI - [Cariogenicity of Streptococcus intermedius ATCC 27335]. PMID- 6581741 TI - [Distribution of oral staphylococci in wild insectivores]. PMID- 6581742 TI - [Factor analysis regarding the psychological status of mothers who have infants with cleft lips and palates (mothers' concepts of their infants, immediately after giving birth)]. PMID- 6581743 TI - [Longitudinal dental survey in Tonaki, a rural village of the Okinawa prefecture]. PMID- 6581744 TI - [A treated case of mandibular protrusion in a young adult]. PMID- 6581745 TI - [Periodontal disease and the width of the attached gingiva. I. The width of healthy attached gingiva in adults examined by the dental iodine glycerin method]. PMID- 6581746 TI - [Basic study on a new X-ray apparatus for temporomandibular joint radiography]. PMID- 6581747 TI - [Statistical study on clinical experience. 1st section of conservative dentistry]. PMID- 6581748 TI - [Nasopalatine cyst: report of 2 cases]. PMID- 6581749 TI - Estimation of ursodeoxycholic acid in human and bear biles using Clostridium absonum 7 beta-hydroxysteroid dehydrogenase. AB - Ursodeoxycholic acid was estimated in bile samples from humans and wild North American black bears using 7 beta-hydroxysteroid dehydrogenase purified from Clostridium absonum by Procion Red affinity chromatography. The percentage ursodeoxycholic acid was calculated by two methods: (a) 7 beta-hydroxyl groups were quantified using 7 beta-hydroxysteroid dehydrogenase and 3 alpha-hydroxyl groups (total bile acids) were quantified using 3 alpha-hydroxysteroid dehydrogenase. The percentage ursodeoxycholic acid was calculated on the basis of [7 beta-hydroxyl groups]/[3 alpha-hydroxyl groups] X 100. (b) Bile was hydrolyzed with sodium hydroxide and subjected to thin-layer chromatography. Bands corresponding to cholic acid, chenodeoxycholic acid plus deoxycholic acid, and ursodeoxycholic acid were identified by the use of standards and Komarowsky's spray reagent. Total bile acids and total ursodeoxycholic acid were measured by elution of silica gel in unsprayed areas corresponding to the bile acid standards and quantification of the total bile acid in each eluate. Direct comparison of these methods validated the use of 7 beta-hydroxysteroid dehydrogenase in the estimation of ursodeoxycholic acid in the biles of black bears and of patients fed ursodeoxycholic acid for cholesterol gallstone dissolution. Relative percentages of ursodeoxycholic acid were 8-24% in four bears and 22 and 27% in the patients ingesting 500 and 750 mg ursodeoxycholic acid per day for 3 months, respectively. Predictably lower values were obtained in two control subjects and one patient ingesting 750 mg chenodeoxycholic acid per day for 3 months. PMID- 6581750 TI - [Contamination of an oxygen delivery circuit by compressed air]. AB - Routine checking of the FIO2 of a mixture delivered by a ventilator revealed large discrepancies between the FIO2 assigned and that effectively delivered, the latter being low. Measurements of FIO2 at the wall outlets showed the O2 delivery pipeline to be contaminated by compressed air. By disconnecting all the ventilators supplied by this pipeline one after the other, one ventilator, or rather its blender, was found responsible. PMID- 6581751 TI - [Daunomycin and atrial fibrillation]. PMID- 6581752 TI - [Advances in the treatment of childhood leukemias. Current problems]. PMID- 6581753 TI - [Treatment of extramedullary localizations in acute lymphoblastic leukemia]. PMID- 6581754 TI - [Long-term toxicity of anti-leukemia therapy]. PMID- 6581755 TI - Imipenem versus moxalactam in the treatment of serious infections. AB - Imipenem (formerly imipemide, N-formimidoyl thienamycin, or MK0787) was compared to moxalactam in a randomized therapeutic trial involving 39 evaluable patients with serious bacterial infections. Of those treated with imipenem, 89% were cured or improved versus 60% for moxalactam (P = 0.06). Although mucocutaneous fungal infections occurred in both groups (25 and 10%, respectively), Streptococcus faecalis superinfection was seen in two patients in the moxalactam group only. Adverse drug reactions occurred with both drugs, although bleeding occurred in three patients treated with moxalactam. PMID- 6581756 TI - Seasonal affective disorder. A description of the syndrome and preliminary findings with light therapy. AB - Seasonal affective disorder (SAD) is a syndrome characterized by recurrent depressions that occur annually at the same time each year. We describe 29 patients with SAD; most of them had a bipolar affective disorder, especially bipolar II, and their depressions were generally characterized by hypersomnia, overeating, and carbohydrate craving and seemed to respond to changes in climate and latitude. Sleep recordings in nine depressed patients confirmed the presence of hypersomnia and showed increased sleep latency and reduced slow-wave (delta) sleep. Preliminary studies in 11 patients suggest that extending the photoperiod with bright artificial light has an antidepressant effect. PMID- 6581757 TI - Radiation induced osteosarcoma of the sacrum following radiation of an undiagnosed bone lesion. AB - Years ago a 20-year-old patient presented with low back pain. Radiologically a cystic lesion of the sacrum was found and interpreted as malignant tumor. Without biopsy and histological diagnosis the patient was given radiation therapy with 21 000 rad. One year later a similar lesion was radiated in the left femoral neck. A pathological fracture ensued recessitating several operations. Twenty years after initial radiation therapy the patient developed a rapidly growing tumor of the sacrum, metastasizing to the lungs. One year later he died. PMID- 6581758 TI - In-vitro biosynthesis of sulphatoglycosphingolipids by rat submandibular salivary glands. AB - A sulphotransferase activity, concentrated mainly in the microsomal fraction, which catalyses the transfer of sulphate group from 3'-phosphoadenosine-5' phosphosulphate to galactosylceramide and lactosylceramide was demonstrated in rat submandibular and sublingual glands. However, the sulphotransferase activity of this fraction in submandibular glands was about ten times higher than in sublingual glands. Optimum enzyme activity was obtained using the detergent Triton X-100, F-, and Mg2+ at a pH of 6.8. The enzyme did not catalyse the transfer of sulphate to glucosylceramide, trihexosylceramide and triglucosyl glyceroglucolipid. The sulphotransferase exhibited similar affinity for both galactosyl- and lactosylceramide. The apparent Km of the enzyme for galactosylceramide was 3.8 X 10(-5) M, and for lactosylceramide, 4.3 X 10(-5) M. The results of compositional analysis and periodate-oxidation studies of the 35S labelled products of the enzyme reactions established that in both [35S] sulphatoglycosphingolipids the sulphate-ester group is located at C-3 of the galactose residue. PMID- 6581759 TI - Electron-microscopic affiliations of oxytalan fibres, nerves and the microvascular bed in the mouse periodontal ligament. AB - Throughout the ligament, oxytalan fibres were contiguous to myelinated nerves, unmyelinated exposed axons and free nerve endings. In the cervical and apical regions, accumulations of vessel-related simple and complex mechanoreceptor units were associated with collagen fibrils and fibres of the oxytalan system. The various receptors and nerve endings penetrated to the abluminal surface of the endothelial wall in the different categories of vessels constituting the microvascular bed. Periodontal receptors with oxytalan fibres were also present in the septal wall of dividing vessels and related to endothelial protrusions into the lumen of microvessels. Similarities existed between periodontal mechanoreceptors and baroreceptors. Anatomically, the oxytalan-fibre meshwork provided coupling between the various mechanoreceptor units in the microvascular bed. This periodontal model has morphological characteristics which support the hypothesis that the oxytalan-fibre meshwork forms part of a proprioceptor system for the regulation of vascular flow. PMID- 6581760 TI - Relationship of masseter electromyographic activity to mandible position in the freely-moving rat. AB - Simultaneous records of masseter-EMG activity and position of the mandible were made on 4 Wistar rats eating four food types: standard food pellets (large pellets), 45 mg precision food pellets (small pellets), bread and pudding. Masseter activity was recorded with chronic bipolar silver EMG electrodes placed within the muscle and led subcutaneously to a pedestal on the head. The transducer indicating jaw position consisted of two tiny inductance coils, placed on the head and under the mandibular symphysis. The lower coil acted as a receiving aerial for the carrier signal supplied via the upper coil, so that distance between the coils, and thus relative jaw position, was traced on the oscilloscope screen. A silent period was found in the masseter-EMG bursts similar to that found in man, where the silent period represents tooth contact and the occlusal phase of chewing (time during which teeth are in the intercuspal position) is defined as the interval between the silent period and the termination of the EMG activity in the muscle. Applying this to the rat data, opening represented 70-75 per cent of the total cycle while the combined closing and occlusion phases comprized 25-30 per cent when either type of pellet was eaten. With bread, closing and occlusal phases represented 56 per cent of the total cycle. For all three food types, muscular force, as indicated by the jaw closing movement registered by the transducer, continued beyond the masseter EMG. Irregular jaw movements seen when the animals lapped pudding were not correlated directly with masseter activity. PMID- 6581761 TI - Factors influencing the excitatory-masseteric reflex evoked by gingival electrical stimulation in man. AB - An excitatory-masseteric reflex response was evoked by electrical gingival stimulation in five subjects; the reflex had an onset latency of 7.6 ms with a SD of 0.7 ms. The response occurred just prior to the silent or inhibitory period. There was consistent post-inhibitory synchronization of the EMG activity record in all subjects. Several methods were used to demonstrate this short-latency reflex. The first was to average non-rectified EMG activity. The second was to increase the number of receptors which are simultaneously activated by using multiple electrodes so that a greater area of gingiva could be stimulated. A third was to increase the level of excitability of the motoneurons in the masseteric pool by increasing voluntary bite force. Fourthly, the excitatory reflex was evoked during increased-excitatory drive to the pool, with the additional feature that the reflex appeared at a time when no ongoing EMG activity was present in the masseter muscle. Little doubt should now remain concerning the existence of a short latency excitatory reflex from intra-oral receptors to masseteric motoneurons in man. PMID- 6581762 TI - Reflex sensitivity of human jaw-closing muscles during the silent period following a jaw jerk. AB - Two successive force impulses were exerted upon the mandible in the opening direction with intervals of 20 to 120 ms. Electromyographic responses were recorded from the right temporal and masseter muscles and from the anterior belly of the right digastric muscle. Mandibular movement was recorded in the sagittal plane. The first-force impulse evoked a jaw jerk followed by a silent period. The jaw jerk following the second-force impulse was depressed when the interval between the force impulses was shorter than a certain value. The depression was total for at least 20 ms after the first jaw jerk. It is suggested that the silent period is the result of more than one inhibitory mechanism. From comparison of the resulting mandibular movement with movements resulting from single-force impulses, it is concluded that the jaw jerk may contribute to a small but significant extent to the stiffness of jaw-closing muscles. PMID- 6581763 TI - Relative effectiveness of various yeasts, Candida spp. and Torulopsis glabrata, for inducing palatal infection in the Wistar rat. AB - Candida albicans serotypes A and B, Candida tropicalis and Torulopsis glabrata were tested for their ability to produce palatal candidosis in the rat. C. albicans serotype A consistently produced palatal candidosis whereas serotype B did so in only two of five animals tested, indicating a difference in pathogenicity of the two serotypes. C. tropicalis and T. glabrata did not induce changes under the conditions tested and their colonization of palatal mucosa in commensal form was dependent on the presence of an acrylic plate. PMID- 6581764 TI - Dental microwear in adult and still-born guinea pigs (Cavia porcellus). AB - Scanning electron microscope analyses of dental microwear showed that (1) microscopic striations are not caused by tooth-tooth contact, and (2) the model of striation formation used by Ryan (1979a, J. dent. Res. 58, 525-530; 1979b, Am. J. phys. Anthrop. 50, 155-168) to make directional interpretations of jaw movement is incorrect. PMID- 6581765 TI - High-performance liquid chromatography of alpha-keto acids in human saliva. AB - alpha-Keto acids in human mixed saliva collected without stimulation were analysed by reversed-phase ion-pair high-performance liquid chromatography (HPLC). Several alpha-keto acids were found in saliva and their concentrations were: alpha-ketoglutaric acid (KGA), 221 +/- 142; pyruvic acid (PA), 7490 +/- 5600; alpha-ketoisovaleric acid (KIVA), 61 +/- 23; alpha-ketoisocaproic acid (KICA), 137 +/- 79; alpha-keto-beta-methylvaleric acid (KMVA), 41 +/- 19 nmol/dl (mean +/- SD, n = 40). Their levels proved to be lower than those in plasma, except that of PA. Their concentrations in saliva showed individual variation compared with those in blood. PMID- 6581766 TI - Changes in the protein components of rat incisor enamel during tooth development. AB - Enamel-matrix components from rat incisor enamel were extracted from tissue at different stages of development on single teeth. Separations of proteins using urea and SDS acrylamide gel electrophoresis were compared. The bulk of the matrix exhibited SDS mol. wt of 25-30,000 with smaller amounts at approximately 18,000 and about 10-12,000. Trace amounts of material at -50,000 and 70,000 were detected. These were presumably associated with the mineral phase as their yield increased after demineralization. The proportion of small molecular weight components increased with tissue age. Using urea, many more proteins were separated (up to 20) into fast, intermediate and slowly-migrating components. Disappearance of small bands of intermediate mobility at the end of matrix secretion suggested that they were early ameloblast products which were rapidly degraded after secretion. Both slowly- and rapidly-migrating components increased with tissue age indicating progressive degradation of parent molecules of intermediate mobility into highly charged and relatively uncharged molecules. PMID- 6581768 TI - Effects of pharmacologic reductions in salivary flow on taste thresholds in man. AB - The effects of short-term salivary flow reductions on human taste thresholds were measured. Recognition and detection thresholds were obtained from 65 subjects during periods of both normal and reduced salivary flow. Decreased salivary flow was achieved by oral administration of either Elavil, Benadryl or atropine. Thresholds were measured for NaCl, citric acid, quinine sulphate and sucrose with a traditional series of aqueous solutions as well as with a series of dry taste stimuli using a filter-paper base. Whole mouth resting flow and stimulated salivary flow were measured before and after taste testing. The pharmacologic agents produced depressions in salivary flow ranging between 30 and 75 per cent of normal levels. The large decreases in flow produced no measurable changes in taste thresholds with the exception that an increased sensitivity to aqueous and dry citric acid stimuli consistently was observed following atropine administration. Changes in salivary bicarbonate levels, produced by atropine, may have mediated the observed shifts in oral sensitivity to citric acid. PMID- 6581767 TI - Permeability of the rat oral mucosa to organic solutes measured in vivo. AB - The permeability of the oral mucosa to organic solutes of different molecular volumes, oil-to-water distribution coefficients, and pKa was studied in an in vivo system. The calculated permeability coefficients were independent of time of application and the concentration of the solutes, a finding consistent with transport by simple diffusion. The permeability of organic acids was pH dependent whereas permeability to compounds with a degree of ionization that did not change over the pH range was not affected by pH. Increasing the chain length from two to eight carbons in an organic acid series resulted in an increase of both the oil to-water distribution coefficient and the permeability coefficient; the permeability coefficient was decreased by the addition of oxygen in the form of hydroxyl groups. These results indicate that there is similarity in the way that lipid-soluble substances diffuse across oral mucosa and other lipid membranes. Results using compounds with oil-to-water distribution coefficients less than that of water suggest that these compounds traverse the oral mucosa by two additional routes. One, for compounds with molar volumes less than 80 cm3/ml, is via pores; whereas, the second, utilized by larger compounds, is probably by an intercellular route. PMID- 6581769 TI - Ca2+- and Mg2+-activated ATP hydrolysis in normal and carious human dentine. AB - Ca2+- and Mg2+-activated ATP hydrolysis was measured in various layers of hard and soft carious dentine of freeze-dried teeth. Developing, intact, fully-formed, carious and gangrenous teeth were studied. Ten milligramme samples of dentine were analysed for enzyme activity by applying a bioluminescence method for measurement of ATP. The highest ATP-hydrolysis in hard dentine was observed in the coronal circumpulpal areas of developing teeth (14.2 mumol/min X mg protein X 10(-5]. In fully-formed teeth, the corresponding values were lower (6.62 mumol/min X mg protein X 10(-5]. Ca2+-activated ATP hydrolysis gave higher values than Mg2+-activated ATP hydrolysis. In coronal circumpulpal areas, enzyme activity was higher than in apical circumpulpal areas. The highest rate of hydrolysis in soft carious dentine was 4.96 mumol/min X mg protein X 10(-5). PMID- 6581770 TI - Secretory responses to autonomic stimulation of rat salivary glands following reserpine treatment. AB - The response to stimulation of the parasympathetic innervation to parotid or submandibular glands of reserpinized rats was altered from that of untreated rats. Thus, acute reserpinization, like other types of sympathectomy, resulted in increase in volume of parasympathetically-evoked parotid or submandibular saliva when comparison was made with evoked saliva from untreated glands. As norepinephrine is depleted by reserpine, there was no response to stimulation of sympathetic nerves to these reserpinized glands. Adrenergic receptors were normally activated by administration of autonomic agonists. Thus a single high dose of reserpine can cause the same effects as those induced by chronic administration of low doses of reserpine, i.e. a 3-fold increase in calcium (Ca) concentration of submandibular gland but no change in Ca concentration of parotid gland. Although sympathetic stimulation caused no change in Ca concentration of submandibular or parotid glands of reserpine (acute)-treated rats, stimulation with isoproterenol (25 mg/kg, i.p., 60 min) produced a 32-35 per cent decrease in glandular Ca concentration from that of unstimulated reserpinized glands. Glands of untreated rats showed a 52 per cent depletion after 60 min of isoproterenol stimulation; however, Ca output in parotid saliva from reserpinized rat for 60 min of stimulation was not changed from that of untreated rats, but that of submandibular saliva was two times greater. Ca concentration of submandibular saliva was unchanged during 60 min-stimulation of reserpine-treated rats, but that of untreated rats decreased. PMID- 6581771 TI - The influence of clenching level on the post-stimulus EMG complex, including silent periods, of the masseter muscles in man. AB - Standardized mechanical taps were delivered on an upper central incisor, while the nine subjects investigated maintained constant clenching levels of 5, 10, 20, 40 and 60 per cent of their maximal EMG outputs. Using statistical criteria, a computer program enabled an objective determination of the interaction between the clenching level and the sequence of upward and downward going waves following the stimulus in full-wave rectified and superimposed EMG, called a post-stimulus EMG complex (PSEC). The morphology of the PSEC, including one or two silent periods, was subject-specific and reproducible over one year. The surfaces of the waves were greatly influenced by the clenching level. In general, their total surface decreased as a function of the clenching level. However, the individual waves decreased selectively. The results suggest that the sequence of waves results from overlapping of inhibitory and excitatory inputs. The inhibitory waves, constituting the silent periods, are largely cancelled by the excitatory reflexes of the PSEC. PMID- 6581772 TI - The effect on dentine permeability of time following cavity preparation in dogs. AB - Cavities were prepared into the dentine of mandibular first molars of anaesthetized dogs. Conical plastic chambers were cemented into the cavities to permit quantitation of dentine permeability using a fluid-filtration technique. There was a progressive fall in dentine permeability every hour for the 6 h of study, to about 20 per cent of zero time values. The fall in dentine permeability could be delayed but not prevented, by filtering fluid across the dentine into the pulp. Similar experiments on teeth from which the pulps had been removed showed no change or a slight increase in permeability with time. No change in dentine permeability was seen in dogs killed after the zero time measurement and followed for an extra 6 h. This decrease of dentine permeability in response to cavity preparations only occurs in teeth with intact pulps. PMID- 6581773 TI - A modified segregator for collection of human submandibular and sublingual saliva. AB - A saliva collection device is described that can be used in the presence of anatomical variations such as tilted teeth and lingual tori. The integrity of the seal can be tested by monitoring pH and flow rates and also by noting the viscosity of the secretions collected. PMID- 6581774 TI - Phasic and rhythmic responses of the oral musculature to mechanical stimulation of the rat palate. AB - Activity of the anterior and posterior digastric muscles, the intrinsic tongue muscles and the masseter muscles was recorded electromyographically. Muscle activity patterns depended on the site of stimulation, the strength of the stimulus and its duration. Five types of reflex patterns were distinguished: type A: on-response in the digastric muscles (latency about 7 ms) and in the intrinsic tongue muscles (latency about 15 ms); type B: on-off response in the digastric and intrinsic tongue muscles; type C: on-response followed by long-lasting low level activity in the digastric and intrinsic tongue muscles; type D: on-off response and long-lasting low-level activity in the digastric and tongue muscles; type E: rhythmic activity in all muscles under investigation preceded by one of the other reflex types. In the type-E response, the frequency of the bursts was about 4.3 Hz; the masseter bursts were not in phase with those of the digastric muscles; the intrinsic tongue muscles showed constant activity with superimposed rhythmic bursts. By increasing the stimulus strength or the stimulus duration, there was a gradual shift from simple, phasic, reflex responses to more complex reflex patterns. This holds for all palatal sites. However, rhythmic activity was most easily elicited in the region of the incisive papilla, less easily in the antemolar region; no rhythmic activity was found in the intermolar region. Thus stimulus duration is a crucial factor in eliciting rhythmic oral activity in the rat. PMID- 6581775 TI - Gingiva as a site for xenobiotic metabolism in rats. AB - NADPH-dependent N-demethylation of aminopyrine and tripelennamine and hydroxylation of aniline, phenytoin and tripelennamine occurred in rat gingival homogenates. The metabolic profile in gingiva appeared to be similar to that in liver, the major organ in the body for the metabolism of these xenobiotics. PMID- 6581777 TI - Characteristics of toothbrushes. PMID- 6581776 TI - Alteration in prostacyclin and prostaglandin E2 production. Correlation with changes in human aortic atherosclerotic disease. AB - Prostacyclin (PGI2) and prostaglandin E2 (PGE2) production was investigated in human aortas (five controls and 27 with atherosclerotic lesions). The specific activities of PGI2 and PGE2 synthetase were studied using radioimmunoassays of PGE2 and 6-keto-PGE1 alpha of aortic microsomes incubated in the presence of additional substrate and cofactors. The atherosclerotic lesions were examined under the light microscope and were classified as Stage 1 when the disease was restricted to the intima and as Stages 2 and 3 when there were moderate or advanced lesions. Prostaglandin production for the control group (n = 5), Stage 1 (n = 7), Stage 2 (n = 10), and Stage 3 (n = 10) were as follows: 454 +/- 15, 162 +/- 81, 92 +/- 90, and 65 +/- 61 pmol 6-K-PGF1 alpha/50 mg protein/10 minutes; and 15 +/- 12, 399 +/- 406, 227 +/- 174, and 366 +/- 362 pmol PGE2/50 mg protein/10 minutes (mean +/- SD) respectively. We conclude that: 1) In normal aortas, PGE2 production was low, while PGI2 synthesis activity was elevated. The reverse situation was observed in aortas with atherosclerosis lesions (p less than 0.05). 2) There was an inverse relationship between PGE2 and PGI1 production (p less than 0.05). 3) There was a direct histologic relationship between lower PGI2 production and atherosclerosis progression. A decided decline in 6-K-PGF1 alpha production was detected in aortas in the early stages (65% of control values). 4) By contrast, a progressive increase in PGE2 production was found in Stage 2 and Stage 3 groups (p less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6581778 TI - An aid for sharpening periodontal instruments. PMID- 6581779 TI - Some physicochemical phenomena affecting demineralization and remineralization: a review. PMID- 6581780 TI - Epidemiological aspects of oro-facial clefts in western Australia. PMID- 6581781 TI - Luting of vented and etched crowns. PMID- 6581782 TI - The effect of school dental care on caries, oral hygiene, gingivitis, and calculus in western Australian children. PMID- 6581783 TI - A photocured composite resin with an apparent infinite depth of cure. PMID- 6581784 TI - Hepatitis B vaccine. PMID- 6581786 TI - Occlusal splints. PMID- 6581785 TI - Day-stay oral surgery. PMID- 6581787 TI - Anesthesia in the dental surgery. PMID- 6581788 TI - Terminology. PMID- 6581789 TI - Predictors of initial and final work capacity in a chronic obstructive airways disease rehabilitation program. AB - A study was conducted to determine the predictors of initial and final work capacity in men with chronic obstructive airways disease attending an outpatient rehabilitation program in a veterans' hospital. Baseline psychological, ergometric and respiratory physiological data were collected on a sample of 27 patients and ergometric and physiological data were collected again after eight weeks. The study demonstrated that respiratory impairment as measured by vital capacity was predictive of initial work capacity and that knowledge of the patients' psychological state added little to this prediction. In addition, it demonstrated that work capacity could be improved considerably by such a rehabilitation program despite a lack of improvement in respiratory parameters. Such improvement in work capacity as did occur was greatest for those who were less affectively disturbed, had a more positive general psychological state, were less preoccupied with their symptoms and saw their problems as being more under their control. PMID- 6581790 TI - The racially different psychiatrist--implications for psychotherapy. AB - The race of the therapist can play a significant role in the manifestation of transference and counter-transference phenomena in inter-racial psychotherapy. References to the race of therapist may be the first sign of a developing transference relationship. Failure to appreciate the impact of racial difference can impede therapeutic progress while sensitive confrontation may be a valuable tool in the recognition and communication of emotionally charged feelings in therapy. Dream material is influenced by the race of the therapist who may be less easy to disguise in dreams, and the therapist may avoid certain dream interpretations because of unacknowledged discomfort about race. These observations have implications for the supervisory process in training and for the general issue of the influence of the person of the therapist on the process of psychotherapy. PMID- 6581791 TI - Psychiatric impairment, physical health and work values among unemployed and apprenticed young men. AB - A cross-sectional study was carried out to compare psychiatric impairment in young unemployed men and apprentices from Sydney's western suburbs. The unemployed men were found to have a psychiatric case rate (as defined by the GHQ) of 48% as against a rate of 28% for the apprentices. Comparisons of the unemployed men and apprentices on other measures indicated that they did not differ in physical health nor in the value they attached to work. The unemployed, however, were older on average, less well educated and had experienced a poorer quality of parental upbringing than the apprentices. A log-linear analysis revealed that the adverse effects of unemployment on mental health were not attributable to poor quality of upbringing. PMID- 6581792 TI - The utility of a multivariate normal model for studying familial patterns in medical and psychiatric data. AB - Quantitative traits (such as blood pressure, height or anxiety level) are usually more similar in related than in unrelated individuals. A positive correlation between two family members indicates that there are common factors (genetic and/or environmental) which predispose to the trait values in this pair of individuals. A negative correlation can indicate that there is (environmental) competition or some other cause for negative interaction between the pair of relatives. Using a flexible method for the analysis of quantitative data measured over pedigrees, it is possible to estimate the magnitude of the correlations between family members as a function of both their genetic relationship and their cohabitation history. This computer-based method can distinguish the effects of shared genes from some of the effects of shared family environment, and can identify negative interactions between family members which are likely to be of particular interest in studies of behavioural and psychiatric traits. The utility of this method is illustrated with pedigree data on blood lead levels, blood pressure levels and psychological traits. PMID- 6581793 TI - Effects of the introduction of the dexamethasone suppression test on diagnosis and treatment of depression by psychiatrists. AB - A review of case notes before and after the introduction of the DST into clinical psychiatric practice revealed considerable changes in diagnosis and management. Specifically there were increases in the diagnosis of biological depression and treatment with somatic antidepressant therapy. There was no association between DST results and particular management plans. There was a strong association between requesting the DST and management with antidepressants. It is suggested that the introduction of laboratory tests for psychiatric disorders may firm the belief of psychiatrists in the biological basis of some forms of depression and thus alter their diagnostic and treatment practice. PMID- 6581794 TI - Factor structure and norms for the Revised Behavior Problem Checklist in New Zealand children. AB - The Revised Behavior Problem Checklist (RBPC) is a recent expansion of the widely used Behavior Problem Checklist. This study attempted to replicate the factor structure of the RBPC, originally developed for U.S.A. children, and to establish norms for its use with New Zealand children. Two groups of children, aged five to 13 years, were rated on the scale by their parents. One was a clinic sample and comprised 266 patients attending two psychiatric clinics. The second was a random community sample of 267 children, from four census tracts in Auckland, selected to cover a range of socioeconomic strata representative of New Zealand. Factor analysis of the clinic data resulted in a factor structure similar to that found in American children. Only two of the six factors (Socialised Aggression and Psychotic Behaviour) differed to any degree. Using ratings from the community sample, norms were developed for screening and diagnostic purposes. PMID- 6581795 TI - Depression in general practice attenders. AB - The Zung Self-Rating Depression Scale was used to study depressive symptoms in 251 people routinely attending their general practitioners. Lower social class and female sex were weak predictors of higher Zung scores. Sociodemographic influences on responses to particular Zung scale items are reported. Using a cut off score of 40, 53 subjects (21%) were found to be significantly depressed (24% of females and 15% of males) with the point prevalence data for males and females being strikingly similar to data obtained in another Sydney general practice study using a differing methodology. Zung scale scores of our subjects were compared with those of 43 neurotic depressive patients assessed at initial psychiatric referral. While the total Zung scores of the two groups were very similar, depressives in the general practice sample scored as having a less marked mood disturbance, were less irritable, were less likely to cry and less likely to report weight loss. We suggest that either these symptoms may be less severe in general practice 'cases' than in 'cases' of depression referred to a psychiatrist, or that differences reflect demographic differences of the samples. PMID- 6581796 TI - Psychiatric research in Australia. PMID- 6581797 TI - An exploration of the gap between aspiration and success in psychiatric research funding. PMID- 6581798 TI - The service provider and research. PMID- 6581799 TI - Case conference: personality disorder. PMID- 6581800 TI - Encephalitis, catatonia and schizophreniform illness. PMID- 6581801 TI - A Malay cultural explanation for epilepsy. AB - The causal explanation given by a 24-year-old Malay woman from a low socioeconomic class for her epilepsy is described. This case illustrates how cultural explanations can protect an individual from the stigma of illness. The Malay concept of the supernatural and the causation of illness is discussed. PMID- 6581802 TI - Propranolol-induced depression: mechanism and management. PMID- 6581803 TI - Psychiatric hospital versus community treatment. PMID- 6581804 TI - Editorial comments. PMID- 6581805 TI - Research priorities. PMID- 6581806 TI - Development and characteristics of an oestrogen sulphotransferase in placenta and uterus of the pregnant mouse. Comparison between mouse and rat. AB - The mouse placenta possesses a soluble oestrogen sulphotransferase activity which increases markedly from at least 12 days of gestation until term. At about 16 days of gestation, a similar activity is found in the uterus. This activity also increases until term and disappears rapidly post partum. The uterine enzyme activity appears to require the presence of the foetal unit for its onset, since unoccupied horns, whether their endometrial stromal cells are differentiated to decidual cells or not, are essentially devoid of it. Uterine cytosols from non pregnant mice are also inactive in this respect. In late gestation, the uterine sulphotransferase is confined to the decidua basalis, the areas to which the placentas are attached. The sulphotransferase(s) of placenta and uterus has an absolute requirement for 3'-phosphoadenosine 5'-phosphosulphate, and possesses little activity in the absence of exogenous thiol groups. Stimulation is also seen in the presence of Mn2+, Mg2+ or Ca2+. Oestrone and oestradiol, and to a lesser degree oestriol, are substrates for the enzyme(s), whereas testosterone, cortisol and dehydroepiandrosterone are not. Oestrone and oestradiol at higher concentrations (1.0-1.5 microM) completely inhibit the enzyme(s). These enzymes could play a role in altering tissue concentrations of active oestrogens during gestation in the mouse. Oestrogen sulphotransferase activity is low or absent in reproductive tissues of the pregnant rat. PMID- 6581807 TI - 1 alpha,25-dihydroxyvitamin D3 induces differentiation of human promyelocytic leukemia cells (HL-60) into monocyte-macrophages, but not into granulocytes. AB - The differentiating action of 1 alpha,25-dihydroxyvitamin D3 [1 alpha, 25 (OH)2D3] in hematopoietic cells was examined in 3 tumor cell lines. 1 alpha,25 (OH)2D3 induced common differentiation-associated properties in macrophages and granulocytes similarly in mouse myeloblastic leukemia cells (M1), human promyelocytic leukemia cells (HL-60) and human histiocytic monoblast-like lymphoma cells (U937). 1 alpha,25(OH)2D3 markedly induced alpha-naphthyl acetate esterase activity, a typical marker of monocyte-macrophages, in M1 and HL-60 cells. In HL-60 and U937 cells, the vitamin also induced binding of the monoclonal antibody MAS 072, specific for monocyte-macrophages, but not of MAS 067, specific for granulocytes. These results clearly indicate that 1 alpha, 25(OH)2D3 induces differentiation of all cell lines examined preferentially along the monocyte-macrophage pathway. PMID- 6581808 TI - Effects on blood lipids and body weight in high risk men of a practical exercise program. AB - The effects of moderate exercise on serum total cholesterol (TC), high density (HDL-C), low density (LDL-C), and very low density (VLDL-C) lipoprotein cholesterol fractions, triglycerides (TG), body weight (BW) and skinfolds (SF) were studied during a 12-week period among 23 sedentary middle-aged men. The results show that regular exercise in men eating a fat-modified diet alters in a favorable direction body fat, weight and lipoprotein fractions. Weight loss with exercise significantly increased HDL-C (P = 0.01), although this increase in HDL C occurred after a latency period of at least 6 weeks and an average weight loss of at least 4 lbs. The amount of exercise effective in risk factor reduction is within the capacity of most middle-aged men. PMID- 6581809 TI - Effects of prostaglandin E2 on immunoglobulin synthesis. PMID- 6581810 TI - President's address to the General Dental Council. PMID- 6581811 TI - Toothbleaching hazards. PMID- 6581812 TI - Do dentists fill teeth unnecessarily? PMID- 6581813 TI - Sample of cleft palate patients. PMID- 6581814 TI - Eighteen years and then? PMID- 6581815 TI - Serial stereophotogrammetric measurements of the soft tissues of the face. A case of a girl with mild facial asymmetry from 3 weeks to 10 years of age. PMID- 6581817 TI - A simple conversion of the standard local anaesthetic syringe. PMID- 6581816 TI - Erythema migrans affecting the palate. PMID- 6581818 TI - Safety in dental practice. PMID- 6581819 TI - Action on alcohol abuse. PMID- 6581820 TI - Alcohol and food abuse: some comparisons. PMID- 6581821 TI - Alcoholism and the involvement of psychiatry, commentaries on BJA editorial. A view from India. PMID- 6581822 TI - Facing the common enemy. PMID- 6581823 TI - A review of the problem-prevention approach to drinking problems and an alternative programme which makes use of natural preventive resources within the community. PMID- 6581824 TI - Effect of economic changes on Scottish drinking habits 1978-82. PMID- 6581825 TI - Situations related to alcoholism relapse. PMID- 6581826 TI - An investigation of pre-admission referral activity to three residential units with a related commentary on the pattern and range of services for problem drinkers. PMID- 6581827 TI - Survival methods in the evaluation of the outcome of alcoholism treatment. PMID- 6581828 TI - A follow-up study of adolescent glue-sniffers in Japan. PMID- 6581829 TI - Testicular relapse in acute lymphoblastic leukaemia: studies with an experimental mouse model. AB - Neither testis nor epididymis was found to be invaded by L1210 leukaemic cells in spite of widespread dissemination through other organs and tissues. The same applied to animals in relapse after protracted remissions induced by cyclophosphamide. Prior damage to the gonadal vascular endothelium by Cd++ did enable leukaemic cells to enter the testicular interstitium, but not the depleted seminiferous tubules. Injection of cells into the lymphatic sinus system of the testis led to rapid peritubular proliferation and systemic dissemination but the seminiferous tubules were not penetrated. The histological appearance resembled that of human ALL. The results suggest that the L1210 system, using the intratesticular route for inoculation can be used to examine the susceptibility to drugs of leukaemic cells in this environment. The potential of drugs to damage the vascular endothelium of the gonad and perhaps contribute to the development of testicular relapse could be assessed following intramuscular inoculation of cells. PMID- 6581830 TI - Atypical eruptive histiocytosis--a marker of underlying malignancy? AB - An eruptive histiocytosis was the presenting feature in a patient who developed acute myelomonocytic leukaemia. The differential diagnosis of the skin lesions is discussed and in the light of a recent similar report we propose that the two disorders are associated. PMID- 6581831 TI - Inflammatory characteristics of platelet activating factor (PAF-acether) in human skin. AB - The phospholipid PAF-acether is released from a range of inflammatory cell types and, in experimental animals, has properties appropriate to a mediator of inflammation. We have studied the inflammatory characteristics of intradermally injected PAF-acether in human skin. An early weal and flare response was succeeded, in a proportion of subjects, by an area of late-onset erythema at the site of the resolved weal, reminiscent of the dual response to allergen in sensitized individuals. The time-course and dose-response relationship of the early response has been determined and a synergistic interaction between PAF acether and prostaglandin E2 established. PAF-acether should therefore be considered as a potential mediator of both acute and persisting inflammation in man. PMID- 6581832 TI - Prognostic significance of vacuoles in L1 lymphoblasts in childhood acute lymphoblastic leukaemia: a report from Children's Cancer Study Group. AB - From February 1975 to February 1977, 880 patients with acute lymphoblastic leukaemia were enrolled on Children's Cancer Study Group protocol 141 designed to evaluate prognostic factors and more intensive therapy for patients with poor prognosis. 765 diagnostic bone marrow aspirates from 23 institutions were available for classification using the French-American-British system. 60 of 615 patients with L1 morphology had vacuolated lymphoblasts. Patients with vacuolated lymphoblasts had a better disease-free survival (P = 0.14) and a significantly better survival (P = 0.03) but the presence of vacuoles was associated with a low initial WBC and an age range associated with improved prognosis for disease-free and over-all survival. PMID- 6581833 TI - The HLA-system in immune thrombocytopenic purpura: its relation to the outcome of therapy. AB - The distribution of HLA-A, -B, -C and -DR antigens was investigated in 154 patients with immune thrombocytopenia (99 adults and 55 children). An increased frequency of HLA-Bw56 (a split of HLA-Bw22) was found both in the adults (RR = 4.30) as well as in the children (RR = 7.91). Differences in HLA antigen distributions have also been analysed in patient subgroups with a good and a bad response to corticosteroids and splenectomy. The frequency of HLA-DR4 was low in those patients with a good response to prednisone as compared with those with a poor response. The opposite was found in splenectomized patients. In 22 patients who did not respond to splenectomy, LB4 (a local split of HLA-DR4) was completely absent. These results suggest that HLA-DR4 (LB4) may be a predictive marker for therapy in ITP patients, i.e. a bad response to corticosteroids and a favourable outcome of splenectomy. However, none of the differences were significant after correction was made for the number of antigens tested. PMID- 6581834 TI - The liquid barrier filter: total protection against particulate contaminants. AB - The design, construction, and operation of a new type of filter that eliminates particulate contaminants from a current of gas is described. It has a yield higher than that of any conventional filter or filtration system. It is believed that a liquid barrier filter provides the best possible protection in all cases where not even a small number of toxic particulates can be tolerated in an atmosphere. PMID- 6581835 TI - Vaginal prostaglandins and labour induction for patients previously delivered by caesarean section. AB - Labour was induced at term with vaginal instillation of prostaglandin E2 in 143 patients who had been delivered by caesarean section in a previous pregnancy. The method was simple, safe and effective with 76% achieving a vaginal delivery, and even when the cervix was very unfavourable at the time of prostaglandin treatment, 68% achieved vaginal delivery. The procedure reduces the need for repeat caesarean section with its potential morbidity, without evidence of undue risk of lower segment scar rupture. PMID- 6581836 TI - Location of an essential carboxyl group along the heavy chain of cardiac and skeletal myosin subfragments 1. AB - Cardiac and skeletal myosin subfragments 1 cleaved into three fragments were modified by 1-cyclohexyl-3-(2-morpholinoethyl)carbodiimide metho-p-toluene sulfonate in the presence of the nucleophile nitrotyrosine ethyl ester. The effects observed (first-order kinetics of ATPase inactivation, incorporation of 1 mol of nitrotyrosine/mol of subfragment 1) were similar to those previously observed for the nondigested subfragments 1 [Lacombe, G., Van Thiem, N., & Swynghedauw, B. (1981) Biochemistry 20, 3648-3653; Korner, M., Van Thiem, N., Lacombe, G., & Swynghedauw, B. (1982) Biochem. Biophys. Res. Commun. 105, 1198 1207]. For both native and digested subfragments 1, which were inactivated to the extent of about 70%, the location of the label nitrotyrosine was performed by immunological blotting with 125I-labeled anti-nitrotyrosine immunoglobulins. It was found that the modified residue was essentially located on the heavy chain for the native subfragments 1 and on the 50K peptide for the digested subfragments 1. PMID- 6581837 TI - Effect of the lyotropic series of anions on denaturation and renaturation of 20 beta-hydroxysteroid dehydrogenase. AB - The effect of the lyotropic series of anions on the stability and renaturation of tetrameric 20 beta-hydroxysteroid dehydrogenase (17,20 beta,21 trihydroxysteroid:NAD+ oxidoreductase, EC 1.1.1.53) was investigated. The variations in enzymatic activity were correlated with the changes in protein fluorescence, circular dichroism, reactivity of histidine residues and molecular weight. High concentrations of salting-out anions (phosphate, citrate, sulphate) were found to stabilize the enzyme markedly and increase the renaturation yield of the urea-denatured enzyme. Phosphate, for instance, induced the highest stabilization at about 1.2 M and the maximum reactivation (66%) at 0.5 M. At low anion concentration (0.01 M), the reactivation was only 7%. The renaturation property of salting-out anions seems to be due to their stabilizing effect on the end-product, i.e., the assembled tetramer. Salting-in anions (perchlorate, thiocyanate, iodide) inactivated the enzyme. At moderate anion concentrations (no greater than 0.25 M) the activation, which occurred slowly, without tetramer dissociation and with minor modifications of enzyme conformation, was fully reversed by concentrated phosphate or by saturating concentrations of NADH. In contrast, the inactivation induced by high anion concentrations (1-2 M) was rapid, irreversible and linked to considerable modifications of enzyme conformation. PMID- 6581838 TI - [Familial Alzheimer's disease: a study of HLA markers]. AB - We have studied HLA markers in family with 2 "Probable" and 2 "possible" cases of Alzheimer disease over 3 generations. Three of them (two brothers and the father) present A29 C-B12 DR2 haplotype. It seems that it exists an association between HLA system and Alzheimer disease but we cannot define the character of this genetic linkage; the study of many families and sporadic cases will allow to define it. PMID- 6581839 TI - Studies on pure red cell aplasia. XI. Results of immunosuppressive treatment of 37 patients. AB - Thirty-seven patients with pure red cell aplasia (PRCA) were seen between 1966 and 1982. Ten patients had accompanying diseases described in association with PRCA, while the remainder had primary PRCA. All but two patients were treated with some form of immune manipulation, including corticosteroids, cytotoxic drugs, antithymocyte globulin, splenectomy, thymectomy, and plasmapheresis. Twenty-three patients (66%) had a remission induced by immunosuppression. In addition, there were 5 spontaneous remissions (14%). Cytotoxic drugs administered in combination with corticosteroids were the most effective form of treatment, producing 18/32 remissions (56%). Twelve of these remissions were in patients resistant to corticosteroids or in patients who had relapsed while taking them. Thirteen of the 23 patients in whom remissions were induced and one-fifth of the patients with spontaneous remissions have relapsed to date. However, with additional treatment, a second remission was induced in 10/13. Fifty-four percent of the patients with induced remissions remained transfusion-free during most of the follow-up period. Median survival in patients with primary PRCA was greater than 10 yr, whereas in patients with secondary PRCA, it was 4 yr. Infection was a major cause of morbidity and mortality. This study demonstrates the value of a variety of immunosuppressive treatments of patients with PRCA. PMID- 6581840 TI - Ph1-positive acute lymphoblastic leukemia with a 14q+ chromosome abnormality. AB - A 13-yr-old Japanese female with acute lymphoblastic leukemia (ALL) that was associated with a Philadelphia chromosome (Ph1) as well as a 14q+ chromosome abnormality is reported. The cell surface phenotype of leukemic cells was determined to be non-T, non-B ALL on the basis of positive Ia-like antigen, terminal deoxynucleotidyl transferase activity, and lack of receptors for sheep erythrocytes, surface immunoglobulin, or intracytoplasmic mu-chain immunoglobulin. The combination of both a Ph1 and a 14q+ has not been reported previously in patients with ALL. PMID- 6581841 TI - Characterization of glucocorticoid receptors in animal lymphoblastic disease: correlation with response to single-agent glucocorticoid treatment. AB - The clinical significance of initial DEAE chromatography of glucocorticoid binders in lymphoblastic disease was evaluated in an animal model. Domestic cats and dogs with lymphoblastic disease were treated with prednisone, 2 mg/kg/day, for 14 days, and the outcome of therapy was correlated with DEAE chromatograms of glucocorticoid binders, using 3H-triamcinolone as ligand. Six of 30 animals had a single-peak low-salt binder species, similar to that seen in a subset of human leukemia, and none of these responded. Of the 29 animals with chromatograms identical to normal tissues, 6 had a complete response and another 11 a partial response. This distribution of responders is statistically significant (p = 0.02). Thus, the leukemia-associated single-peak DEAE species appears to be associated with glucocorticoid resistance, as defined by clinical responsiveness. In contrast, the two-peak normal pattern is a necessary, but insufficient, criterion for defining responsive disease. PMID- 6581842 TI - "Masked" Ph1 chromosome abnormalities in CML: a report of two unique cases. AB - Two patients with chronic myeloid leukemia (CML) showed previously undescribed variants of a "masked" Ph1 abnormality. The first patient had the karyotype 46,XY, + 21, -9, -22, +mar9,mar18 at presentation in the chronic phase. The dicentric marker 9 was interpreted as representing the usual translocation of 22q11 to 9q34, followed by translocation of the Ph1 chromosome (the deleted 22) to 9p and probable translocation of 9p to the distal long arm of the marker. The patient developed clones containing 2 and 3 copies of the "Ph1-containing" marker 9 concomitant with the metamorphosis of his disease to a more aggressive phase. The second case presented with the karyotype 46,XY,-9,-22,+two D-group markers. A complex rearrangement of chromosomes 9 and 22 is postulated, with interstitial insertion of either 9p or distal 9q into chromosome 22q11. This patient is still in the chronic phase of his disease 9 mo after presentation. The common denominator in these unusual "masked" cases is the 22q11 breakpoint. The paucity of published reports of duplication of 9q + without concurrent duplication of the Ph1 chromosome, supported by the findings in our first case, leads us to conclude that the amplification of genes on the Ph1 chromosome are more important for the evolution of the abnormal stem cell in CML than the chromosome 9 derivative. PMID- 6581843 TI - [3-dimensional structure and methods of insertion of gingival fibers at the surface of the cementum]. PMID- 6581844 TI - [Scanning electron microscopy study of the gingivo-dental attachment at the level of the epithelial junction]. PMID- 6581845 TI - An electromyographic study in patients with myofacial pain-dysfunction syndrome. PMID- 6581846 TI - [Study of canal instruments using a scanning microscope]. PMID- 6581847 TI - The ultrastructure of some interodontoblastic junctions of neighbouring cellular walls in human dental pulp. PMID- 6581848 TI - [Fluoride content in the enamel after topical application of zinc, aluminum and fluoride]. PMID- 6581850 TI - Expansion: the decision-making process. PMID- 6581849 TI - Amend your retirement plans in 1984. PMID- 6581852 TI - Multivariate analysis of factors associated with invasive fungal disease during remission induction therapy for acute myelogenous leukemia. AB - The clinical courses of 54 consecutive adult patients with acute myelogenous leukemia (AML) who underwent 67 courses of intensive remission induction therapy were analyzed to assess factors associated with development of serious fungal and bacterial infections. Fever developed in 65 of 67 remission induction attempts and was due to bacterial, bacterial-fungal, and fungal etiologies in 49%, 14%, and 9% of cases, respectively. No etiology of fever was found in 28% of cases. Bacteremia occurred in 54% of remission induction attempts. Invasive fungal disease (IFD) occurred in 22% of cases with an overall mortality of 60%, including 45% of the patients who died during treatment. Using multivariate logistic regression analysis, a mathematical model was constructed which correlated with the risk of IFD. Major factors associated with patients who ultimately develop IFD included the duration of chemotherapy, the number of sites colonized with fungi and the number of fungal species isolated on certain surveillance cultures, particularly Aspergillus species. These studies define characteristics of patients at high risk for development of IFD for whom early initiation of empiric antifungal therapy is strongly recommended. PMID- 6581851 TI - Uterine rupture associated with the use of vaginal prostaglandin E2 suppositories. AB - The authors present an obstetrical case of silent uterine rupture due to prostaglandin E2 vaginal suppositories. Although this complication has been reported in the obstetrical literature, lack of attention to it in the anaesthesia literature, causes us to call this problem to the attention of anaesthetists. PMID- 6581853 TI - Radiation-induced intracranial neoplasms. A report of three possible cases. AB - The pathologic findings are described in three patients who developed second intracranial neoplasms after irradiation for central nervous system malignancy. The second neoplasms were an astrocytoma, an ependymoma, and multiple meningiomas. All were histologically different from the first neoplasms and appeared in the field of irradiation between 3 and 15 years later. It is suggested that therapeutic irradiation was a causative factor in the development of these tumors. PMID- 6581854 TI - 8;21 Translocation in acute myeloid leukemia. An ultrastructural study. AB - An ultrastructural study was performed in four patients with acute myeloid leukemia (AML) and 8;21 translocation. The most prominent pathologic features of the leukemic cells were: (1) a high frequency of nuclear blebs, which have been associated with an aneuploid karyotype; (2) nucleocytoplasmic asynchrony in early myeloid precursors, mature polymorphonuclear leucocytes (PMN) and in megakaryocytes; (3) abnormal granule formation with the presence of Auer rods, giant granules (pseudoChediak-Higashy) containing small vesicles, primary granules, and rod-like structures; absence of secondary granules in the more mature myeloid cells and the presence of hypogranular forms; (4) the presence of "labyrinths" consisting of myeloperoxidase (MPO) negative circular tubuli, interwoven with MPO positive endoplasmic reticulum; (5) the lack of hiatus leukemicus. Although none of these features separately is pathognomonic for 8;21 AML, we can conclude that the combination of these ultrastructural findings characterizes the leukemic myeloid cells of patients with 8;21 translocation in AML. PMID- 6581855 TI - Relapse of acute myelogenous leukemia presenting as acute otitis externa. A case report. AB - The association of leukemia with auditory complications is an obscure, though an important one, especially from the therapeutic point of view. A case is presented of a relapse of acute myelogenous leukemia presenting as an acute otitis externa. The leukemic infiltrates in the external auditory canal are demonstrated by both light and electron microscopy. The otologic lesions in leukemias are reviewed and the importance of early diagnosis is emphasized, since the aural involvement may precede the clinical relapse of the leukemia, as in the current case. The value of computerized axial tomography of the ear and of tissue biopsy for diagnosis is stressed. The recognition of the presence of leukemic infiltrates in the ear causing otologic symptoms allows for the prompt institution of appropriate therapy. PMID- 6581857 TI - A case of pulmonary alveolar proteinosis complicating chronic myelogenous leukemia. A peculiar pathologic aspect of busulfan lung? AB - A 34-year-old woman with typical chronic myelogenous leukemia was treated with daily busulfan (total dose, 1600 mg approximately) from July 1978 to June 1981. In February 1981, she noticed a progressive deterioration of her clinical status, characterized by increasing dyspnea and productive cough. In July 1981, an open lung biopsy revealed pulmonary alveolar proteinosis. The patient died of progressive respiratory failure in August 1981. The association between chronic myelogenous leukemia and pulmonary alveolar proteinosis is briefly reviewed. The report discusses the possible etiologic role of busulfan therapy in the development of pulmonary alveolar proteinosis. PMID- 6581858 TI - Karyotypic evolution in patients with acute myeloid leukemia. AB - Karyotypic evolution was found in 13 of 42 (31%) patients who were examined serially; if only those patients who were examined during successive stages of active leukemia were included, karyotypic evolution was revealed in 13 of 21 (62%). A further 6 patients showed multiple cytogenetic clones when leukemia was diagnosed. We did not find nonrandom chromosome involvement in the karyotypic changes, reported by others, notably trisomy #8. Our data for all patients who showed cytogenetic clones at some stage of their disease suggested that clones occurred with a higher incidence and arose earlier in patients with myeloblastic leukemia than in patients with myelomonocytic and monocytic leukemia. Patients showing karyotypic evolution tended to have longer than average survivals and to have had an abnormal karyotype when leukemia was diagnosed. The mode of preparation of hematologic samples, whether direct or cultured, has a bearing on karyotypic findings and could influence studies of karyotypic evolution. PMID- 6581856 TI - Genetic predisposition to breast cancer. AB - Breast cancer risk factors are closely intertwined with the patient's cultural background, which may contribute to breast cancer aggregations within families. The difficult questions are: (1) does a truly hereditary breast cancer subset exist; (2) which familial aggregations are hereditary; and (3) is the hereditary form distinctive from its sporadic counterpart? These queries will be resolved once biomarkers are identified that show high sensitivity and specificity with genotype. The authors provide a review of this subject and will focus on their recent discovery of increased in vitro hyperdiploidy in cultured skin fibroblasts from patients with or at risk for hereditary breast cancer. The authors discuss findings from their study of family histories in 225 consecutively ascertained patients with verified breast cancer from the Creighton University School of Medicine Oncology Clinic. Findings consistent with an hereditary breast cancer syndrome were identified in 5% of the patients. Given the 112,000 new cases of breast cancer in the United States in 1982, the authors estimate that with a confidence coefficient of 0.95 between 2410 and 8790 of these individuals will manifest hereditary breast cancer. Specific surveillance/management programs should be geared to high-risk members of these families in which cancer yield will be predictable. PMID- 6581859 TI - Translocation (2;9;22) in chronic myelogenous leukemia (CML) PMID- 6581860 TI - Two cases of variant Philadelphia chromosome resulting from translocation (21;22) and (3;19;22). AB - Two further cases of variant Philadelphia chromosome are presented. The possible presence of a specific oncogene on the long arm of chromosome #22 is discussed. PMID- 6581861 TI - Loss of high-energy phosphate following hyperthermia demonstrated by in vivo 31P nuclear magnetic resonance spectroscopy. AB - We have used in vivo 31P-nuclear magnetic resonance spectroscopy to study the changes in high-energy phosphates following hyperthermia. Immediately after heating, there is a fall in adenosine triphosphate and apparent intracellular pH and an increase in inorganic phosphate. Following sublethal heating (40 degrees for 15 min), these changes were partial, and they resolved over the subsequent 45 hr. With tumors given severe hyperthermia (47 degrees for 15 min), there was complete disappearance of adenosine triphosphate, with no recovery by 24 hr posttreatment. Qualitatively similar effects were seen after heating of normal leg muscle. The degree of fall of the adenosine triphosphate/inorganic phosphate concentration ratio was directly proportional to the heat dose and to thermal cell kill. 31P-Nuclear magnetic resonance spectroscopy may be useful in thermal dosimetry and treatment evaluation following hyperthermia. PMID- 6581862 TI - Feeder cell requirements for leukemia cell colony formation in cultures supplemented with phytohemagglutinin. AB - The use of phytohemagglutinin-supplemented colony cultures has offered new opportunities recently for studying acute myeloid leukemia (AML) cell growth in vitro. The active stimulator cells for AML colony-forming cells have not been identified, although this could be important for optimal application of the technique and for elucidating differences in growth between normal and leukemic progenitor cells. In this study, feeder layers were prepared from subpopulations of normal peripheral blood leukocytes which were obtained by centrifugation through Ficoll-Isopaque, erythrocyte rosette sedimentation, and adherence separation. Underlayers containing lymphocytes (B, T, or B plus T) or adherent monocytes failed to stimulate AML colony formation. The colony stimulation capacity of total mononuclear cells was decreased significantly following depletion of T-lymphocytes. The highest AML colony numbers were obtained when adherent monocytes and T-lymphocytes in combination were added to phytohemagglutinin-containing cultures. Stimulation of AML colony formation depended on the quantitative interrelationship of monocytes and T-lymphocytes in the cultures. Thus, AML colony-forming cells, unlike normal marrow granulocyte monocyte colony-forming cells, do not respond to monocyte stimulation alone and require for their proliferation an inducing factor derived from phytohemagglutinin-exposed T-lymphocytes and monocytes. PMID- 6581863 TI - Estrone and dehydroepiandrosterone sulfatase activities and plasma estrone sulfate levels in human breast carcinoma. AB - The activity of the two membrane-bound sulfatases, estrone and dehydroepiandrosterone sulfatases, are reported in human breast carcinoma tissues. In 21 tested tumors (12 from post-menopausal women and 9 from nonmenopausal women), the two sulfatases were consistently present. The apparent Km values for estrone and dehydroepiandrosterone sulfatases were, respectively, 6.8 and 14.9 microM. In terms of maximal velocity, the sulfatase activities are not correlated to the estrogen or progesterone receptor status of the tumors or to the hormonal status of the donors. It may be concluded that these two activities are not hormone dependent. Estrone sulfate, the substrate of estrone sulfatase, has been measured in plasma of postmenopausal women. The mean levels (nmol/liter) of plasma estrone sulfate were compared in post-menopausal women with (n = 51) or without (n = 39) breast cancer. For the first age group (48 to 55 years old), no statistically significant difference in these levels was observed [1.91 +/- 1.06 versus 1.50 +/- 1.04 (mean +/- t0.95 (Formula: see text) S.E.)]. For the two other age groups (56 to 65 and 66 to 80 years of age), the differences were statistically significant [1.46 +/- 0.43 versus 0.77 +/- 0.21 (p less than 0.02) and 1.77 +/- 0.53 versus 0.81 +/- 0.22 (p less than 0.01)]. The usefulness of plasma estrone 3-sulfate levels as an indicator of the real estrogen status of postmenopausal women is discussed. PMID- 6581864 TI - Differential cytotoxic effect of gossypol on human melanoma, colon carcinoma, and other tissue culture cell lines. AB - Gossypol, a yellow pigment from the cotton plant (Gossypium) was found to have anti-tumor cell effects against several tumor cell lines grown in tissue culture. Most sensitive to the drug were melanoma and colon carcinoma cells. After 24 hr of treatment with 10 microM gossypol, over 90% of these cells were killed. A rough correlation existed between very rapidly growing cells and their sensitivity to the drug. For example, slow growing cells, such as normal embryonic lung fibroblasts and mammary adenocarcinoma, were least sensitive, requiring over 30 microM gossypol in order to kill 90% of cells after 48 hr of treatment. These results indicate that gossypol has differential cytotoxic effects against certain tumor cell types, such as melanoma and colon carcinoma, and suggest that it might be of potential therapeutic value. The drug appears to act as a metabolic poison rather than as an agent interfering with DNA synthesis at the concentrations used in the study. Cells sensitive to the drug contain the more cathodic forms of lactate dehydrogenase, lactate dehydrogenases I to III. PMID- 6581865 TI - Differentiation antigens of HL-60 promyelocytes during induced maturation. AB - The human promyelocytic leukemic cell line HL-60 can be induced to mature monocytes and macrophages in vitro by lymphocyte-conditioned medium. We are reporting sequential changes in surface antigenic expressions, which are sensitive markers of the characteristic events in the process of cell differentiation. The promyelocyte membrane antigen, detected by a monoclonal antibody produced using HL-60 cells as an immunogen, was shown to be associated with immature myeloid cells and was used to determine HL-60 cell development. The expression of this membrane antigen, determined to have a molecular weight of 85,000 was lost early in the differentiation period. In the following stage, in which the promyelocytes developed into monocytic cells, a steady increase of cells bearing the OKM1 normal monocyte antigen was observed. When macrophages became predominant in the final culture period, the expression of the OKM1 antigen decreased. The usefulness of these differentiation antigens in studying cellular development is discussed. PMID- 6581867 TI - Response of non-T, non-B acute lymphocytic leukemia cells to phorbol ester. AB - Non-T, Non-B acute lymphocytic leukemia cells were cultured in vitro with or without the tumor promoter 12-O-tetradecanoylphorbol-13-acetate (TPA), a potential modulator of differentiation. The eight cases studied were representative of non-T, non-B acute lymphocytic leukemia (ALL) cells and expressed amounts of la antigens varying from 0.9 X 10(5) to 7.1 X 10(5) molecules/cell; these levels were measured in a cellular radioimmunoassay with 21w4 monoclonal antibody directed at a monomorphic human la determinant. With all cases, TPA caused a significant increase in the level of la. Cultures with TPA expressed 4.3 times the amount of la found on fresh ALL cells, and a correlation was observed (r = 0.92) between the level of la following culture with TPA and that found on fresh ALL cells. A 25% increase in the modal volume of ALL cells was also caused by TPA. There was no detectable induction of surface or cytoplasmic immunoglobulin and no change in the expression of the common ALL antigen. Inhibition of [3H]thymidine incorporation and stimulation of 14C-labeled amino acid incorporation were observed in the presence of TPA, suggesting that the increase in la level occurs concurrently with an increase in protein synthesis induced by phorbol ester. Following culture with TPA, a substantial increase in the ability of the ALL cells to stimulate in a mixed-lymphocyte reaction was obtained. These results suggest that ALL cells, like other cell types, are susceptible to the effects of TPA and respond by changes in cell volume, surface antigen expression, and mixed-lymphocyte reaction stimulating capacity. PMID- 6581866 TI - Teniposide (VM26) disposition in children with leukemia. AB - The clinical pharmacokinetics of teniposide (VM-26, NSC 122819) has been studied in 21 children (median age, 4.7 years) with acute lymphocytic leukemia. Teniposide was administered at a dosage of 165 mg/sq m as a 30- to 60-min i.v. infusion. Patients were studied either on the first or second dosage of the drug. Plasma samples were assayed for teniposide and metabolites by high-performance liquid chromatography with electro-chemical detection. Both compartmental and noncompartmental pharmacokinetic analyses were performed. Systemic clearance and apparent volume of distribution of steady state averaged 13.82 +/- 6.0 ml/min/sq m (S.D.) and 7.9 +/- 4.0 liter/sq m, respectively. Univariate and multivariate stepwise regression analyses were used to construct mathematical models to describe the relationships between certain patient-specific demographic and laboratory values and the pharmacokinetic parameters, systemic clearance, elimination rate constant, and area under the concentration-time curve. A significant relationship between serum alkaline phosphatase and systemic clearance, elimination rate constant, and area under the concentration-time curve was found, suggesting that liver function influences the disposition of this anticancer drug in humans. PMID- 6581868 TI - Utilization of an immunostaining technique to demonstrate heterogeneity in the content of dihydrofolate reductase in peripheral blast cells from a patient with acute lymphocytic leukemia. AB - Cultured human KB cells which developed resistance to increasing concentrations of methotrexate showed increased levels of dihydrofolate reductase (DHFR) as demonstrated by an immunobridge staining technique. Peripheral blast cells from a leukemic patient were examined for DHFR content during several courses of methotrexate therapy. The number of cells which demonstrated high levels of DHFR increased at the end of treatment. The content in each individual cell was heterogeneous, based on varied intensity of staining in each cell. This immunostaining technique, which utilizes an antibody to DHFR, may have the potential to be a useful tool in the clinic for predicting a patient's possible response to methotrexate therapy. PMID- 6581869 TI - Mitoxantrone in acute lymphoblastic leukemia. PMID- 6581870 TI - Cytostatic and cytolytic activities of macrophages regulation by prostaglandins. AB - Murine peritoneal macrophages (M phi), activated in vivo or in vitro, remarkably inhibited the uptake of thymidine by a lens epithelial cell line, while resident M phi, or M phi induced by thioglycollate, exhibited much lower or no cytostatic capacity. The target cells were partially protected from the cytostatic activity by the anti-inflammatory agents indomethacin, aspirin, and dexamethasone, but not by lipoxygenase inhibitors. The protective activity of indomethacin and aspirin, but not of dexamethasone, was completely counteracted by prostaglandin E2 (PGE2). Yet, PGE2 alone has no effect on the uptake of [3H]thymidine by lens epithelial cells. PGE1 resembled PGE2 in its effect on this system, whereas PGA2, PGB2, or PGF2 alpha had no detectable activity. The counteracting effect of PGE2 was mimicked by dibutyryl cAMP or by cholera toxin, an agent which increases cAMP levels. These findings suggest that PGEs are not direct cytostatic agents, but rather, are essential mediators for the development of the cytostasis. Activated M phi did not lyse cells of the original lens epithelial cell line, but caused substantial cytolysis of cells of a subline derived from it. In contrast to its aforementioned effect on the cytostasis, PGE2 inhibited the cytolytic activity of M phi. Thus, this study provides a first demonstration in a single system of the opposite effects of PGEs on M phi activity on target cells, i.e., mediating the cytostasis and inhibiting the cytolysis. PMID- 6581871 TI - Sports dentistry - it's in the bag. PMID- 6581872 TI - Olympians will receive excellent dental care. PMID- 6581873 TI - PPOs: we must respond. PMID- 6581874 TI - A three-year study of a small particle light cured composite resin. PMID- 6581875 TI - [The effects of prostaglandins in colpocytology]. PMID- 6581876 TI - Establishing assertive behavior. PMID- 6581877 TI - Custom mouthguards. PMID- 6581878 TI - Assisting in soft tissue surgery. PMID- 6581879 TI - What's a 52-year-old male doing in a business like this? PMID- 6581881 TI - Ethics/professionalism go hand-in-hand. PMID- 6581880 TI - Sports festival...the Olympics and dentistry. PMID- 6581882 TI - Marketing: is it magic? PMID- 6581883 TI - Simple method for preparing and quantifying very-low-density lipoprotein. AB - A micromethod is described for isolating and quantifying human very-low-density lipoprotein (VLDL) from 0.1 mL of human serum, by which more than 100 samples can be processed in half a day with a standard ultracentrifuge. Replicate analysis of 10 normal and hyperlipemic samples gave median coefficients of variation of 11.7% for VLDL cholesterol, 5.1% for VLDL triglycerides. Results obtained by micro ultracentrifugation and enzymic cholesterol measurement agreed closely with those measured with an electrophoretic method (Pearson's r = 0.98). Compared with the established method, on the other hand, lower values were found for both VLDL cholesterol (r = 0.89) and triglycerides (r = 0.97). PMID- 6581884 TI - Solubility of a bone-inducing substance from a murine osteosarcoma. AB - A bone-inducing substance (osteogenic factor) from a murine osteosarcoma was found to be soluble in 1% sodium lauryl sulfate (SDS), 1% deoxycholate, 1% Triton X-100, and 1% Nonidet P-40. A precipitate formed on removal of the detergents by dialysis against phosphate buffer, and this precipitate induced ectopic bone formation when implanted into allogeneic mice. The insoluble residue left after extraction with SDS or deoxycholate did not evoke new bone formation, indicating that the substance was solubilized completely. The bone-inducing substance was also partially solubilized with weak acids (pH, 2.6-3.0) but not with acidic solutions of lower or higher pH. These findings indicate that the solubility of the substance depends on the hydrogen ion concentration of the solution. The substance was not solubilized with EDTA or 6 M urea. PMID- 6581885 TI - Glycine pools and turnover rates in leukaemia patients measured with [15N]glycine. AB - Turnover parameters for plasma glycine were measured by administration of a single dose of [15N]glycine to overnight fasted healthy volunteers, nine patients with chronic leukaemia, one patient with acute monocytic leukaemia and one patient with chronic myeloid leukaemia before and after chemotherapy. Gas chromatography-mass spectrometry was used to determine plasma [15N]glycine enrichment. Pool sizes and turnover rate constants were estimated from time-decay curves for isotope enrichment. Turnover rate constants and metabolic clearance rates of plasma glycine in leukaemia patients were elevated in comparison with data for healthy volunteers. The increased rates of glycine disappearance from the circulation were not accompanied by a depletion in glycine pool size. Turnover rate constants fell during chemotherapy and were within the normal range during remission. There was a significant positive correlation between glycine turnover rate constants and leucocyte counts. The increase in glycine turnover rate constants may be related to proliferation of the neoplastic cells. PMID- 6581886 TI - A passive sodium transport inhibitory factor (inhibitin) released from leukaemic promyelocytes in culture. AB - Previous studies have shown that myeloid leukaemic blast cells contain a heat stable factor which inhibits bidirectional sodium transport in normal erythrocytes. This study was undertaken to establish whether leukaemic promyelocytes in culture secrete this factor. Two cell-lines of leukaemic promyelocytes (HL-60 and JR) were grown and culture media from both reduced significantly the ouabain-insensitive sodium efflux rate constant, whereas conditioned culture medium (incubated like the cells in culture) had no inhibitory effect. Promyelocyte extract reduced significantly (P less than 0.01) the total sodium efflux rate constant from 0.393 +/- 0.030 (SD) to 0.311 +/- 0.060, and ouabain-insensitive efflux rate constant from 0.131 +/- 0.008 to 0.079 +/- 0.009 (P less than 0.001). The inhibitory factor was heat stable (80 degrees C for 30 min) and it inhibited sodium efflux through a pathway which was not inhibited by ouabain or frusemide. These studies suggest that leukaemic promyelocytes secrete the previously identified passive sodium transport inhibitory factor. PMID- 6581887 TI - Cryosurgery in osteogenic sarcoma: report of three cases. PMID- 6581888 TI - Anesthesia ventilators: special requirements. PMID- 6581889 TI - [Abnormalities of enamel structure and fluoride levels in the enamel, saliva and dental plaques in children exposed since birth to fluorides of industrial origin]. PMID- 6581890 TI - [Clinical evaluation of Duraphat and Fluor-Protector preparations in caries prevention]. PMID- 6581891 TI - [Foreign body in the orbit. Case report]. PMID- 6581892 TI - [The use of miniature plates in the surgical treatment of maxillofacial deformities]. PMID- 6581893 TI - [A case of odontogenic maxillary sinusitis caused by a retained upper wisdom tooth]. PMID- 6581894 TI - [Experimental and clinical studies on low temperature in the treatment of trigeminal neuralgia]. PMID- 6581895 TI - [A regulatory plate appliance with hinge action (our design)]. PMID- 6581896 TI - [Difficult problems in current fluoride prevention of caries. 4. Fluoride and food]. PMID- 6581897 TI - [Birth weight and the time of tooth eruption in children]. PMID- 6581898 TI - [Effect of the simultaneous action of fluoridated water and air contaminated with hydrogen fluoride on growth, body mass and enamel conditions in rats during development]. PMID- 6581899 TI - [Current studies on trace elements and their role in the dental caries process]. PMID- 6581900 TI - [Bacterial flora in dental intercoronal fissures based on a literature review]. PMID- 6581902 TI - [Pulse rate analysis of patients during treatment of carious defects]. PMID- 6581901 TI - [Extirpation of the pulp using anesthesia and immediate filling of the root canal with endomethasone paste]. PMID- 6581903 TI - [Primary mandibular tuberculosis]. PMID- 6581904 TI - [Basic application of fixed orthodontic appliances]. PMID- 6581905 TI - [Absence of tooth germs occurring in a single family]. PMID- 6581906 TI - [Difficult problems in current dental fluoride prevention. 5. Fluoride and the environment]. PMID- 6581907 TI - [Effect of the simultaneous action of fluoridated water and air contaminated with hydrogen fluoride on the development of the jaw bones and tooth buds in rats]. PMID- 6581908 TI - [Effect of 13 years of water fluoridation in Wroclaw on the status of permanent teeth in school children]. PMID- 6581909 TI - [Antibacterial properties of new materials for filling root canals]. PMID- 6581910 TI - [Results of orthodontic examinations of children from the Nowa Sol area in the province of Zielona Gora and the city of Warsaw]. PMID- 6581911 TI - [The anatomy of the maxillary sinus using acrylic casts]. PMID- 6581912 TI - [Levels of prostaglandin-like substances in the gingiva of subjects with healthy periodontium or in patients with inflammatory periodontal disease as determined by biological methods]. PMID- 6581914 TI - [The use of Calendula officinalis in the treatment of periodontopathies]. PMID- 6581913 TI - [The status of the oral mucosa in workers of the Konin aluminum plant]. PMID- 6581915 TI - [Multifungin in the treatment of oral candidiasis]. PMID- 6581917 TI - [The dental equation in the permanent teeth of 6-year-old children]. PMID- 6581916 TI - [Effect of the simultaneous action of fluorides in air and water on the contents in teeth, bones and urine of rats during development]. PMID- 6581918 TI - [Tooth extraction in the opinion of pregnant women and dentists]. PMID- 6581919 TI - [Maxillary chondrosarcoma]. PMID- 6581920 TI - [Results of a simplified treatment method for mesiocclusion and functional prognathism]. PMID- 6581921 TI - [Measurement of dental arch circumference with a catenometer]. PMID- 6581922 TI - [Anomalies of the maxillofacial complex in male hypogonadotrophic hypogonadism]. PMID- 6581923 TI - [Onset of the primary dentition in children in light of clinical studies]. PMID- 6581924 TI - [Use of the potentiometric method for determining fluoride traces in the assessment of the effectiveness of toothpastes containing fluorides]. PMID- 6581925 TI - [Functional efficiency of the sense of taste in patients after the excision of mouth and jaw neoplasms]. PMID- 6581926 TI - [ The Delaire mask - our design]. PMID- 6581928 TI - [The effectiveness of agents used to clean removable acrylic dentures]. PMID- 6581927 TI - [Effect of working conditions on the frequency and type of functional disturbances in workers in an industrial area]. PMID- 6581929 TI - [Epidemiological, clinical and mycological studies of patients wearing dental plate prostheses]. PMID- 6581930 TI - [Equilibration and complete dentures. A letter to the student]. PMID- 6581931 TI - [Industrial and pharmaceutical novelties. Ukapen]. PMID- 6581932 TI - [A not-so-common analgesic: dextropropoxyphene]. PMID- 6581933 TI - [Guidelines for the practitioner. 1983]. PMID- 6581934 TI - [An in vivo study of fluoride fixation from the use of dentifrices containing either 2 amine fluorides, or a combination of sodium fluoride and sodium monofluorophosphate]. PMID- 6581935 TI - [2 clusters of 4 premolars, or eumorphic hyperodontia]. PMID- 6581936 TI - [Simple oral surgery in children cared for by the general practitioner]. PMID- 6581937 TI - [Trophy: from radiology to dental mini-equipment. Interview by Chantal Baudin]. PMID- 6581938 TI - [Creation of a Department of Psychomatic Medicine at the School of Dental Surgery at the University of Paris]. PMID- 6581939 TI - [Identification using the maxillary sinus]. PMID- 6581941 TI - [Geriatrics + dentistry = geriatric dentistry. Interview by Chantal Baudin]. PMID- 6581940 TI - [A chain of continuous asepsis]. PMID- 6581942 TI - [Review of the signs of aging]. PMID- 6581943 TI - [Dietary problems in geriatrics]. PMID- 6581944 TI - [Principles for understanding the psychosomatic fact. Relation to dentistry]. PMID- 6581945 TI - [Atomic absorption spectrophotometry used in experimental dental research]. PMID- 6581946 TI - [Adrenaline and local anesthesia in conservative dentistry]. PMID- 6581947 TI - [Dental care and sickness insurance in Switzerland]. PMID- 6581948 TI - [The geriatric environment and its effect]. PMID- 6581949 TI - [Mental health, intellectual level and physical capacity of the aged patient]. PMID- 6581950 TI - [Aging at the level of the oral cavity]. PMID- 6581951 TI - [Root prosthetics and vitreous carbon]. PMID- 6581952 TI - [Psychosomatic consultation in dentistry]. PMID- 6581953 TI - [An experimental study of a 0.2% chlorhexidine digluconate gel]. PMID- 6581954 TI - [Loco-regional anesthesia in long-term and extended periodontal surgery]. PMID- 6581955 TI - [Body language between the dental surgeon and his patient]. PMID- 6581956 TI - [Lymphoid blast crisis in chronic myelogenous leukemia]. AB - A 70-year-old woman with PAS-positive acute lymphatic leukaemia was treated with vincristine, vindesine and prednisone. After three-month peripheral remission there developed mature-cell chronic myeloid leukaemia with positive Ph1 chromosome. After 12 days on busulphan (Myleran) treatment peripheral remission occurred for three months. After this there was again a lymphoid blast crisis with progressive development of a peripheral aplastic syndrome, of which the patient died 14 months after diagnosis of the first blast crisis. In retrospect, basophilia, spleen size and platelet count provided a pointer to the existence of a myeloproliferative syndrome even prior to the first blast crisis. Cytogenetic studies are recommended before treatment is started in every case of blast leukemia in order to assess any morphological change in the further course of the disease. PMID- 6581957 TI - [Crack formation in plastic-veneered restorations resulting from changes in temperature load]. PMID- 6581958 TI - [Relation between the properties of the materials and crack formation in plastic veneered restorations]. PMID- 6581959 TI - [Anomalies of permanent teeth after rubella embryopathy]. PMID- 6581960 TI - [Effect of a water jet apparatus on gingival volume pulse. 2]. PMID- 6581961 TI - [Does humidity affect the polymerization reaction of composites? 1]. PMID- 6581962 TI - [Assessment of the zygomatic arch in the orthopantomogram]. PMID- 6581963 TI - [Simplified gas chromatographic method for identifying and determining volatile saliva components]. PMID- 6581964 TI - [In vivo studies of the surface roughness of teeth in mixed dentition]. PMID- 6581965 TI - [Local differences in the roughness of the surfaces of extracted teeth]. PMID- 6581966 TI - [Quantitative determination of the strength properties and solubility behavior of hard dental tissue in the micro ranges]. PMID- 6581967 TI - [Quantitative studies of the effect of fluoridated drinking water on the mechanical properties of rat dental enamel]. PMID- 6581968 TI - [Metallographic structural analysis of dental alloys with the reflecting polarization microscope. I. Dental amalgams]. PMID- 6581969 TI - [Responsibility for documentation in practice and clinical work]. PMID- 6581970 TI - Decreasing researcher bias in scientific investigation. PMID- 6581971 TI - Peer review experience in a baccalaureate dental hygiene program. PMID- 6581972 TI - A look at baccalaureate degree programs for dental hygienists in the United States. PMID- 6581973 TI - Possible role for calmodulin in calcium paradox-induced heart failure. AB - Several phenothiazines were found to provide significant protection against loss of tissue creatine phosphokinase caused by the calcium paradox. The concentration of phenothiazine required for protection lies within the range generally attributable to their calmodulin inhibition properties. Moreover, the order of effectiveness in protecting the calcium overloaded myocardium is consistent with their potency as calmodulin inhibitors (trifluoperazine greater than chloropromazine greater than promethazine). The most potent calmodulin inhibitor was shown to dramatically reduce the amount of creatine phosphokinase loss from calcium depleted hearts exposed to buffer containing calcium under anoxic conditions. On the other hand, the drug failed to alter the oxygen-dependent component of the calcium paradox. It also failed to prevent the proteolytic conversion of xanthine dehydrogenase to xanthine oxidase. The possibility that calmodulin activation promotes cellular damage by activating either directly or indirectly specific membrane cellular phospholipases is discussed. Also discussed is the hypothesis that oxygen-dependent damage may be linked to the generation of superoxide anion by the enzyme xanthine oxidase. PMID- 6581974 TI - A phase II study of 4'-epi-doxorubicin plus cis-platinum in advanced solid tumors. AB - 4'-Epi-doxorubicin (4'-epi-DX) is a new doxorubicin derivative that in phase II human studies has been demonstrated to be less toxic than doxorubicin. Sixty-four patients with advanced solid tumors were treated with the drug combination of 4' epi-DX and cis-dichlorodiammineplatinum (CDDP) at the doses of 40-60 and 50 mg/m2, respectively, every 21-28 days. Out of 52 evaluable patients, complete remission (CR) was recorded in 5, partial remission (PR) in 12, minor remission (MR) in 7, no change (NC) in 16 and progression (P) in 12. The median duration of remission in patients who achieved a CR and PR was 9+ months. In particular, out of 19 patients with ovarian cancer, 2 CR (second look) and 7 PR have been documented. One CR and 3 PR also have been observed in 21 patients with lung carcinoma. Complete and partial responses also have been documented in breast cancer (1 CR/1), in bladder carcinoma (1 CR/2), in renal cancer (1 PR/5) and in testicular cancer (1 PR/1). Hematologic toxicity was generally mild to moderate (leukopenia less than or equal to 1500 cells/mm3 in 3% of the patients; thrombocytopenia less than or equal to 120,000 cells/mm3 in 2% of the patients). Vomiting was present in almost all patients while alopecia has been recorded in 63% of the patients. No case of cardiac toxicity had been observed up to now (median cumulative dose of 4'-epi-DX:240 mg/m2, range 40-650 mg/m2). The combination of 4'-epi-DX with CDDP appears to be an active and well-tolerated regimen in ovarian cancer and lung cancer. PMID- 6581975 TI - Induction of natural killer-like cytotoxicity in cultured human thymocytes. AB - Supernatants containing interleukin 2 (IL 2) induce strong proliferation and expression of natural killer (NK)-like activity in human thymocytes. Different supernatants were compared for: (a) IL 2 activity, (b) thymocyte proliferation capacity and (c) induction of NK-like cytotoxicity. All these activities were present in a partially purified IL2 preparation obtained by gel filtration chromatography (Mr 15 000-20 000). However, in supernatants from different sources and in the 15 000-20 000-Mr semipurified fractions, we observed that the NK-like cytotoxicity inducer effect did not correlate with either the mitogenicity or the IL2 activity. The presence in the supernatants of interleukin 1 (IL 1), interferon (IFN) or phytohemagglutinin (PHA) does not seem to be a prerequisite for the induction of NK-like cytotoxicity, since this activity was (a) fully present in supernatants devoid of IL 1, IFN and PHA, (b) absent in preparations of IL 1 and (c) not augmented after supplementation of the supernatants with IFN-gamma. We also investigated the cellular characteristics of the precursor thymocytes responsive to IL 2 supernatants. Removal of the T3+ cells at the initiation of the culture abrogated the proliferative response and eliminated the generation of NK-like cytotoxicity. Under the same conditions, removal of the HTA1+ population increased the proliferation and did not affect the NK-like activity. Our results suggest that: (a) either IL 2 is not responsible for the induction of NK-like cytotoxicity or its action is modulated by other molecules, and (b) the precursor-responder population is preferentially included in the mature T3+ subset. PMID- 6581976 TI - Mescaline elicits behavioral effects in cats by an action at both serotonin and dopamine receptors. AB - The characteristic behavioral effects of mescaline in cats were nearly completely blocked by pretreatment with low doses of either a specific serotonin antagonist (methysergide) or a dopamine specific antagonist (haloperidol). These blocking effects were not due to non-specific actions, since methysergide did not block the behavioral effects of apomorphine, and haloperidol did not block the behavioral effects of 5-methoxy-N,N-dimethyltryptamine. Thus, it appears that the behavioral effects of mescaline are dependent upon the simultaneous action of the drug at both serotonin and dopamine receptors. PMID- 6581977 TI - The excitatory non-cholinergic, non-adrenergic nervous system of the guinea-pig airways. AB - Guinea-pig airways, from the trachea to the hilus bronchi, were studied in vitro for the presence of excitatory nerves. Electrical field stimulation of the tissues demonstrated excitatory cholinergic nerves in the trachea and main bronchi; their effect was blocked by atropine. Field stimulation in the presence of atropine elicited contractions of the main and hilus bronchi. Tetrodotoxin blocked the field stimulation-induced contraction in all preparations; this indicated that nerves were stimulated. The contractions were, however, not blocked by any conventional receptor antagonists. These findings suggest that the non-adrenergic, non-cholinergic nerves are an important excitatory nervous system in the guinea-pig bronchi. PMID- 6581978 TI - Bronchial mucosal permeability in airways hyperreactivity. PMID- 6581979 TI - Airway hyperreactivity and microvascular permeability to large molecules. PMID- 6581980 TI - Some procedures used to assess clinical airway hyperreactivity. PMID- 6581981 TI - Airway hyperreactivity. Calculation of data. PMID- 6581982 TI - Non-specific bronchial reactivity and ultrastructure of the airway epithelium in patients with sarcoidosis and allergic alveolitis. AB - There are subgroups of subjects showing increased bronchial responsiveness to histamine among patients with sarcoidosis and with allergic alveolitis (farmer's lung). In these subjects the airway reactivity is comparable with that usually encountered in patients with asthma and in many cases of bronchitis. In many of our patients with hyperreactive sarcoidosis and alveolitis, the increased reactivity was transient, lasting for one to two months during the acute stage of the disease. By electron microscopy we have shown that some of these patients have extensive epithelial damage which could increase epithelial permeability and uncover superficial afferent nerve endings. Indeed, superficial epithelial afferent nerves were found, and it is possible that irritation of these nerve endings causes enhanced bronchoconstriction via the vagal reflex. The transient nature of the hyperreactivity observed in patients with sarcoidosis and alveolitis may indicate that the epithelial changes are readily reversible. The recovery of the epithelium could perhaps be demonstrated by taking serial bronchial biopsies during the course of the disease. Because the electron microscopic specimens represented only a small area of bronchial epithelium, it is difficult to draw any conclusions as to a quantitative relationship between the amount of total epithelial damage and the degree of bronchial reactivity. PMID- 6581983 TI - The concept of airway "sensitivity" and "reactivity". AB - Linear dose-response relationships can be obtained in vivo by measuring changes in airway conductance induced by graded doses of aerosolized bronchoconstrictor agents. Bronchial Sensitivity is defined as the dose causing the threshold response whereas Reactivity is the rate of response (slope of dose-response line). Determinants of bronchial response are complex and factors other than airway smooth muscle may play an important role (e.g. mucosal thickness). Examples are given of situations in which the concept of Reactivity and Sensitivity may be useful. Differences between in vitro and in vivo dose-response relationships are discussed. PMID- 6581984 TI - Hyperreactivity in clinical practice--induction by occupational factors. PMID- 6581986 TI - Airway hyperreactivity. Definition and short review. PMID- 6581985 TI - Hyperreactivity in children. PMID- 6581987 TI - Hyper-reactivity--its relationship to histamine receptors. PMID- 6581988 TI - Differentiation induction of murine erythroleukemia cells by butylated hydroxytoluene. AB - Butylated hydroxytoluene (BHT) which is widely used as an anti-oxidant in food has been found to induce the differentiation of murine erythroleukemia cells. BHT also amplifies the differentiation inducing activity of DMSO. PMID- 6581990 TI - [Facial asymmetry]. PMID- 6581989 TI - Structural homologies between the amino acid sequence of Clostridium pasteurianum MoFe protein and the DNA sequences of nifD and K genes of phylogenetically diverse bacteria. AB - The complete amino acid sequence of the larger (alpha-) subunit and about 70% of the total sequence of the smaller (beta-) subunit of the MoFe protein from Clostridium pasteurianum was determined by analyses of peptides derived from BrCN cleavage and by digestions with trypsin, staphylococcal protease and lysylendo peptidase of the separated subunits. The alpha-subunit has 529 amino acid residues, giving an Mr value of 58 774. This is the first complete sequence for the alpha-subunit of an isolated MoFe protein. In comparing the sequences of both subunits to those from other sources, 5 out of 9 cysteines in the alpha-subunit and 3 out of 6 in the beta-subunit are invariant, thus suggesting a function as ligands to FeS and MoFeS clusters in the MoFe protein. All of these cysteines are located in the amino terminal halves of both subunits. PMID- 6581991 TI - [Correlation between the length of the edentulous state and the size of the jaw surface]. PMID- 6581992 TI - [Adverse effect of early extraction of the lst molars on occlusion]. PMID- 6581993 TI - [Detection and quantitative determination of xylitol by high power liquid chromatography]. PMID- 6581994 TI - [Argyria caused by long-term silver nitrate therapy]. PMID- 6581995 TI - [Current state of cariology]. PMID- 6581997 TI - [Sagittal osteotomy of the mandibular corpus in the surgical correction of micrognathism associated with prognathism]. PMID- 6581996 TI - [The use of Dentobuff in measuring salivary buffer capacity]. PMID- 6581998 TI - [Experimental study of the rebound phenomenon after testosterone administration- changes in enzyme activities in testicular steroid biosynthesis]. AB - To examine the endocrinological and enzymatic aspects of the rebound phenomenon induced after cessation of testosterone (T) administration, adult male Wistar rats were treated with 0.3 mg of testosterone propionate daily for 39 days. Serum LH and T levels were both at the control level when the rebound phenomenon was recognized. Testicular T concentration, however, remained at a higher level. At the same time, the changes in 3 beta-hydroxysteroid dehydrogenase (3 beta-HSD), 17 alpha-hydroxylase, C17-C20 lyase and 17 beta-hydroxysteroid dehydrogenase (17 beta-HSD) activities were investigated using the whole homogenate of rat testis. 3 beta-HSD, 17 alpha-hydroxylase and C17-C20 lyase activities began to elevate at the time when serum LH began to elevate. 3 beta-HSD and C17-C20 lyase activities returned to the control level after about 30 and 50 days of cessation of T administration, respectively. 17 alpha-hydroxylase activity and testicular T level continued higher although serum LH concentration was at the control level. 17 beta-HSD activity was strongly suppressed and returned to the control level after about 30 days of cessation of T administration. It was assumed that the rebound phenomenon was induced by the higher level of testicular T which was produced by the elevated enzyme activity of 17 alpha-hydroxylase under the characteristic conditions in rat testis, perhaps where the sensitivity of 17 alpha-hydroxylase for LH was increased following cessation of T administration. PMID- 6581999 TI - Malpractice: your staff can land you in court. PMID- 6582000 TI - How dental franchises impact the future for private practice. PMID- 6582001 TI - Direct mail gets new patients. PMID- 6582002 TI - The phone call that gets dental dropouts back on your appointment book. PMID- 6582003 TI - How to keep the 'old' patients when you buy a new practice. PMID- 6582004 TI - Defined benefits: a safe shelter for retirement funds. PMID- 6582005 TI - Good communication: a way to prevent turnover. PMID- 6582007 TI - Blood pressure fluctuations during dental hygiene treatment. PMID- 6582006 TI - Blood pressure measurement. Referral of suspected hypertensive dental patients. PMID- 6582009 TI - You can't always read their minds! PMID- 6582010 TI - Those phony phone callers and other office bandits. PMID- 6582008 TI - Calcium hypophosphate as a root desensitizing agent. PMID- 6582011 TI - When and how to utilize a computer consultant. PMID- 6582012 TI - Scheduling to improve production. PMID- 6582014 TI - Locating your patients - present and potential. PMID- 6582013 TI - Recognizing the hot button can increase acceptance of treatment plans. PMID- 6582015 TI - Keep your research on target. PMID- 6582016 TI - Study shows long-term mercury exposure harmful to dentists, not patients. PMID- 6582017 TI - Evaluate your people skills. PMID- 6582018 TI - Action plan for effective insurance control. PMID- 6582019 TI - The hit parade of employee benefits. PMID- 6582020 TI - Continuing education can be a dentist's best investment. PMID- 6582021 TI - [The treatment of cancer by anthracyclines]. PMID- 6582022 TI - [Tics in children and their relation to Tourette's syndrome]. PMID- 6582024 TI - [The future of dental care]. PMID- 6582023 TI - [Effect of quinine on methamphetamine-induced anorexia]. AB - Two experiments were done to examine the effect of quinine (Q) on methamphetamine (MA)-induced anorexia in rats. They were fasted throughout (water allowed ad libitum) except for a period of 6 hr (10:00-16:00) every day when powder food was offered. In the first experiment, the drug-admixed food (DAF) method was used for testing the effect of MA in combination with Q and MA alone on food consumption and the growth curve. However, the possibility exists that MA plus Q-admixed food increases the aversive reaction. Considering this possibility, we used the injection method in the second experiment. Rats received Q orally by a stomach tube and MA by subcutaneous injection. The injection was made 30 min before the presentation of food. In the DAF method, food consumption and weight of the MA and MA plus Q groups were inhibited. The inhibitions of the MA plus Q group were more potent than that of the MA group. In the injection method, the inhibitions of food consumption and growth curve in the MA plus Q group were significantly different from that of the MA group and were dose-dependent on MA. Tolerance to MA, as index of MA- induced anorexia, developed rapidly in the injection method, while tolerance to MA in the DAF method did not develop during the experiment. These results indicate that Q can markedly potentiate MA- induced anorexia. PMID- 6582025 TI - [Communication in the dental office. Patients--team--dentist]. PMID- 6582026 TI - [The effect of nutrition on the oro-dental system]. PMID- 6582027 TI - Hospital ownership changes could necessitate resurvey. PMID- 6582028 TI - Steroid sulphatase in man: a non inactivated X-locus with partial gene dosage compensation. AB - Steroid sulphatase (STS) activity was measured with two different steroid substrates in leucocytes from normal human males and females, from females heterozygous for STS deficiency and recessive X-linked ichthyosis, and from individuals with numerical X chromosome aberrations. The results indicate non inactivation with a partial gene dosage compensation at the STS locus. It is estimated that STS loci on inactive X chromosomes express approximately 45% of the STS activity originating from STS loci on active X chromosomes. It is also demonstrated that 45,XO (Turner syndrome) and 47,XXY (Klinefelter syndrome) individuals have abnormal STS enzyme levels compared with normal women and men, respectively. PMID- 6582030 TI - Capitation in Illinois. Part IV--Reasons consumers choose. PMID- 6582029 TI - My Red Star adventure. PMID- 6582031 TI - Acute lymphoblastic leukemia with swellings of thyroid and hard palate. PMID- 6582032 TI - [Autotransplantation of the mandibular wisdom tooth into the place of the 6 year molar. Apropos of 2 extreme cases]. PMID- 6582033 TI - [Report from the School of Dental Surgery in Toulouse and the mid-Pyrenees region]. PMID- 6582034 TI - [The future of radiology]. PMID- 6582035 TI - [Orthodontic treatment and periodontal disease]. PMID- 6582036 TI - [Evaluation of the efficacy and tolerance of diflunisal in treatment of pain in dentistry]. PMID- 6582037 TI - [Effect of glycyrrhetinic acid on the status of gingival health. Clinical study]. PMID- 6582038 TI - [Use of the V.I.P. angulator technic. Significance in dental radiology]. PMID- 6582039 TI - [Role of highly polymerized DNA in the treatment of periodontal diseases. Evaluation of 108 randomized observations]. PMID- 6582040 TI - [A new analytical criterion in electromyography: the initial activity phase]. PMID- 6582041 TI - [Comparative study of the anti-inflammatory and analgesic action of sodium Naproxen and Indomethacin in the post-operative period of tooth extraction]. PMID- 6582042 TI - [Geriatric dentistry and prosthetics]. PMID- 6582043 TI - [What is your diagnosis?]. PMID- 6582045 TI - [Microcirculation of the pulp]. PMID- 6582044 TI - [The dental pulp: structure and function]. PMID- 6582046 TI - [Dental pulp: target organ for the carious process]. PMID- 6582047 TI - [The pulp in dentinogenesis imperfecta]. PMID- 6582048 TI - [A radiographic technic with endodontic obturating instruments in place using the VIP angulator]. PMID- 6582049 TI - Lysis of FLD-3 Friend erythroleukemia cells in vitro and in vivo: effect of 89Sr treatment and Friend virus infection. AB - The effector cells from non-immunized mice capable of lysing 51Cr-labelled FLD-3 BALB/c Friend virus-induced erythroleukemia cells in vitro and cells capable of clearing FLD-3 cells labelled with 5-iodo-2'-deoxyuridine-125I (125IdUrd) from the lungs in vivo were characterized and compared with natural killer (NK) cells reactive against YAC-I lymphoma cells. Unlike NK cells, the cells capable of lysing FLD-3 cells in vitro were insensitive to antibodies directed against NK 2.1 or Thy-1.2 antigens (plus complement) and to pretreatment of mice in vivo with silica particles, 89Sr or estradiol. Heat-killed C. parvum organism stimulated anti-FLD-3 effector cells without changing the slow rate (24 h) of lysis in vitro. The ability to clear FLD-3 and YAC-1 cells from the lung was normal and defective, respectively, in C57BL/6-bg/bg(beige) mice and in mice pretreated with 89Sr or estradiol. We conclude that natural cytotoxic (NC) cells lyse FLD-3 cells, Fv-2, which regulates resistance to leukemia induction by Friend virus, does not regulate NC(FLD-3) activity, and the virus does not affect NC(FLD-3) activity during the first several days of infection of normal genetically susceptible mice. However, infection of 89Sr-treated mice inhibits NC(FLD-3) function owing to the activation of suppressor cells. These data suggest (but do not prove) that effector cells similar or identical to NC(FLD-3) cells may function in vivo to resist the proliferation/survival of certain leukemia cells. PMID- 6582050 TI - Induction of plasma membrane alterations in AKR-2B mouse embryo fibroblasts by endogenous growth factors from malignant human cells. AB - AKR-2B mouse fibroblasts were treated with 50 micrograms/ml of crude transforming growth factor (TGF) of human origin. Cell surface proteins of treated cells were radioiodinated and compared to untreated cells at various times after the addition of TGF. Treated cells showed a severalfold increase (approximately 6 fold) in cell surface 125I incorporation relative to normal cells at 24 h. Electrophoretic comparison of treated and untreated cells showed large increases in the labelling of cell surface proteins of mol. wt. 50,000-90,000 from TGF exposed cells between 10 and 24 h post treatment. By 48 h post treatment, the electrophoretic profiles of TGF-exposed cells had returned to a pattern similar to that of untreated cells. However, even after a 48 h exposure to TGF, the cells retained a transformed morphology indicating that the electrophoretic alterations were not simply due to the morphological transformation induced by TGF. The electrophoretic pattern of TGF-treated cells at 24 h post treatment was similar to that of AKR-2B cells permanently transformed by treatment with methylcholanthrene, but was clearly distinct from that induced by treatment of normal AKR-2B cells with epidermal growth factor (EGF). EGF induced an increase in a protein of mol. wt. 60,000 in the electrophoretic profiles taken 24 h post treatment. As with TGF, the appearance of electrophoretic profiles of EGF-treated cells returned to "normal" by 48 h. Again, these alterations did not appear to be dependent upon morphological changes since EGF-treated cells showed a morphological transformation similar to that of cells treated with TGF, and this was maintained throughout the 48 h experimental period. PMID- 6582051 TI - Control of in vivo differentiation of myeloid leukemic cells. IV. Inhibition of leukemia development by myeloid differentiation-inducing protein. AB - It is shown that a 5-day schedule of two injections per day of the myeloid differentiation-inducing protein MGI-2 inhibited the in vivo development of leukemia in SL and SJL/J mice with different syngeneic MGI+D+ clones of myeloid leukemic cells. With this schedule of treatment high levels of MGI-2 were maintained in the serum for long periods. In contrast to these results with MGI 2, the same schedule of injections of the myeloid growth-inducing protein MGI-I did not affect the in vivo development of leukemia in mice with MGI+D+ myeloid leukemic cells, but stimulated normal myelopoiesis in the bone marrow. Different forms of MGI-I including MGI-IM and MGI-IG had different serum half-lives, and the form of MGI-I with the shortest serum half-life showed the smallest in vivo effect on normal myelopoiesis. MGI-2 injections did not inhibit the in vivo development of differentiation-defective WEHI-3B myelomonocytic leukemic cells or YAC lymphoma cells. The results indicate that the in vivo inhibitory effect of MGI-2 on the development of myeloid leukemia correlated with its differentiation inducing potential on the leukemic cells. It is concluded that this approach of inhibiting leukemia development by inducing differentiation should also be applied to human leukemic patients, whose cells have been shown to be inducible for differentiation in culture by human MGI-2 or by other differentiation inducing compounds. PMID- 6582052 TI - Tissue distribution of [67Ga]citrate and 111InCl3 in mouse with adenocarcinoma. PMID- 6582053 TI - Tumour localisation of 211At-labelled monoclonal antibody to a sub-cutaneous human heterograft in the nude mouse II. PMID- 6582054 TI - [153Sm]citrate for tumor and abscess localization. PMID- 6582055 TI - Effect of atenolol treatment on urinary prostaglandins E2 and F2 alpha in essential hypertension. AB - The urinary excretion of prostaglandins (PG) E2 and F2 alpha was measured by radioimmunoassay in 15 patients with essential hypertension, before and after 2 and 4 weeks of treatment with the selective beta 1-adrenergic blocker, atenolol. Systolic and diastolic blood pressure, pulse rate and plasma renin activity decreased significantly during the treatment. No change was observed in renal function and electrolyte balance. The 24-hour excretion of PGE2 and PGF2 alpha was also unaffected by the antihypertensive treatment. The above findings, in contrast with those previously observed with another beta-blocker, propranolol, suggest that tubular beta-receptors are not involved in the synthesis of PGs. The different hemodynamic effects of the two drugs are the most likely explanation for the different responses in prostaglandin excretion. PMID- 6582056 TI - Acute surgical abdomen caused by thrombocytopenia in patients with acute leukemia and multiple myeloma. AB - One patient with multiple myeloma and four patients with acute leukemia presented with severe abdominal pain. Pertinent findings included numerous petechiae in the skin and buccal cavity, and diffuse abdominal guarding and tenderness, suggesting peritoneal involvement. Severe thrombocytopenia was found in all patients. Laparotomy was performed in the patient with multiple myeloma, and revealed numerous petechiae throughout the peritoneum. All five patients responded to platelet transfusions with disappearance of the abdominal signs and symptoms. Severe thrombocytopenia should be considered among the causes of acute surgical abdomen in patients with malignant hematological disorders, and platelet transfusions should be administered before any surgical intervention. PMID- 6582057 TI - The treatment of pulmonary metastases in osteosarcoma. Preliminary observations on 30 cases. AB - Thirty cases of pulmonary metastases in osteosarcoma are analysed from the point of view of evaluating the indications for localised excision, and also to report the results obtained. This group is compared with 42 analogous cases in which the metastases were not treated surgically. The results of pulmonary surgery is shown to be effective in the multidisciplinary treatment of osteosarcoma with pulmonary metastases. PMID- 6582058 TI - Target device for regulating ventilation during voluntary hyperpnea. AB - A ventilatory target device is described enabling subjects to maintain specified levels of ventilation during voluntary hyperpnea. Inspired air passes through a linear resistor. The associated pressure drop is measured and displayed by a mechanical manometer with a very slow response. This time-mean pressure is proportional to time-mean inspiratory flow and thus to inspired minute ventilation. Construction and calibration are described. Inspiratory resistances range between 0.6 and 1.9 cmH2O X 1(-1)S for devices with capacities up to 240 and 80 l/min, respectively. The device is simple, cheap, stable, portable, rugged, unpowered, and accurate. Inexperienced subjects quickly learn to use it and can maintain ventilations within about 5% of specified values. PMID- 6582060 TI - Antidepressant treatment of bulimia: the relationship between bingeing and depressive symptomatology. AB - In a retrospective study, 22 patients with bulimia were treated with at least one therapeutic trial of antidepressants. Most patients (77%) were clinically depressed before the drug trial. Bingeing frequency decreased in 59% of all cases, and depression improved in 58% of depressed subjects after a 4-week trial of antidepressants, although only 27% of all patients showed both an antibinge and an antidepressant response. Furthermore, during a 3-month follow-up period, several patients relapsed despite continuing medication. At the end of the follow up period, 23% of subjects continued to show at least a 50% decrease in their bingeing. These data indicate that medication may have separate and possibly unrelated antibinge and antidepressant effects in this patient population. PMID- 6582061 TI - Bulimia in men: report of three cases with neuroendocrine findings. AB - Bulimia, like anorexia nervosa, primarily affects women. Although survey reports have shown that as many as 10%-13% of students meeting DSM-III criteria for bulimia are male, 1,2 detailed clinical descriptions of male bulimic patients are rare. The following case reports describe three men seen for evaluation of bulimia at the UCLA Eating Disorders Clinic. PMID- 6582059 TI - Molybdopterin in carbon monoxide oxidase from carboxydotrophic bacteria. AB - The carbon monoxide oxidases (COXs) purified from the carboxydotrophic bacteria Pseudomonas carboxydohydrogena and Pseudomonas carboxydoflava were found to be molybdenum hydroxylases, identical in cofactor composition and spectral properties to the recently characterized enzyme from Pseudomonas carboxydovorans (O. Meyer, J. Biol. Chem. 257:1333-1341, 1982). All three enzymes exhibited a cofactor composition of two flavin adenine dinucleotides, two molybdenums, eight irons and eight labile sulfides per dimeric molecule, typical for molybdenum containing iron-sulfur flavoproteins. The millimolar extinction coefficient of the COXs at 450 nm was 72 (per two flavin adenine dinucleotides), a value similar to that of milk xanthine oxidase and chicken liver xanthine dehydrogenase at 450 nm. That molybdopterin, the novel prosthetic group of the molybdenum cofactor of a variety of molybdoenzymes (J. Johnson and K. V. Rajagopalan, Proc. Natl. Acad. Sci. U.S.A. 79:6856-6860, 1982) is also a constituent of COXs from carboxydotrophic bacteria is indicated by the formation of identical fluorescent cofactor derivatives, by complementation of the nitrate reductase activity in extracts of Neurospora crassa nit-l, and by the presence of organic phosphate additional to flavin adenine dinucleotides. Molybdopterin is tightly but noncovalently bound to the protein. COX, sulfite oxidase, xanthine oxidase, and xanthine dehydrogenase each contains 2 mol of molybdopterin per mol of enzyme. The presence of a trichloroacetic acid-releasable, so-far-unidentified, phosphorous-containing moiety in COX is suggested by the results of phosphate analysis. PMID- 6582062 TI - Amino acid sequence of retinal transducin at the site ADP-ribosylated by cholera toxin. AB - Transducin was [32P]ADP-ribosylated by cholera toxin in bovine retinal rod outer segments and then partially purified on omega-amino octyl agarose to remove other ADP-ribosylated proteins. Trypsin digestion of the ADP-ribosylated transducin and further purification using boronate-polyacrylamide beads and high performance liquid chromatography yielded a single radiolabeled tetrapeptide, Ser-Arg-Val Lys. The ADP-ribose is linked to the guanidinium group of arginine. PMID- 6582063 TI - ADP-ribosylation of transducin by islet-activation protein. Identification of asparagine as the site of ADP-ribosylation. AB - Islet-activating protein catalyzes the ADP-ribosylation of transducin, a guanine nucleotide-binding regulatory protein that mediates activation of a retinal cyclic GMP-selective phosphodiesterase. Radiolabel from [adenylate-32P]NAD+ was incorporated specifically into the alpha subunit of purified transducin. Maximal levels of incorporation approximated 0.8 mol of ADP-ribose/mol of transducin. A peptide containing the ADP-ribosyl moiety was purified from a tryptic digest of radiolabeled transducin. This peptide was characterized by chemical and enzymatic procedures and by fast atom bombardment mass spectrometry. The primary structure of this peptide was Glu-Asn-Leu-Lys-Asn(ADP-ribose)-Gly-Leu-Phe. It is probable that the peptide originated from the carboxyl terminus of the alpha subunit and that the ADP-ribosyl moiety is attached by an N-glycosidic linkage to the asparagine residue. Transducin associated with retinal disc membranes is also ADP ribosylated by cholera toxin. Cholera toxin and islet-activating protein sequentially catalyze the incorporation of 1.9 mol of ADP-ribose/mol of transducin, indicating two distinct sites of ADP-ribosylation within transducin. PMID- 6582065 TI - Selection of mouse macrophage-like sublines that differ in leukemogenic potential and characterization. AB - The murine macrophage-like cell line (Mm-1), which is nonleukemogenic to syngeneic SL mice, was originally derived from spontaneously differentiated cells of a clonal line of mouse myeloid leukemia cells (M1). In the present experiment, variant cell lines with a high (Mm-A), moderate (Mm-P), and little or no (Mm-S1 and Mm-S2) leukemogenic potential were obtained from the Mm-1 cells. The mean survival times of syngeneic SL mice inoculated i.p. with 5 X 10(6) Mm-A and Mm-P cells were 17 and 33 days, respectively, whereas almost all the mice inoculated with Mm-S1 or Mm-S2 cells survived for more than 90 days. These variant cell lines did not lose their macrophage-like characteristics in vitro. These variant cell lines phagocytized latex beads and sensitized sheep erythrocytes, produced lysozyme, and adhered to culture dishes. The four variant cell lines showed no significant difference in proliferation rates in vitro in liquid medium containing 10% calf serum, but Mm-A cells could grow both in soft agar medium in the absence of ascitic fluid containing colony-stimulating factor (CSF) and in liquid medium containing 1% serum, whereas Mm-P cells could grow in the liquid medium but not in soft agar medium without ascitic fluid, and Mm-S1 and Mm-S2 cells could not grow in either medium. The ratio of the nuclear area to the cell area (NCR) of Mm-A cells was a high (51%) but those of Mm-S1 and Mm-S2 cells were low (40-41%), and that of Mm-P cells was intermediate (44%). The leukemogenicity of Mm-1 cell lines was roughly correlated with their NCR. The possibility that interactions between Mm-1 variant cells and host immune cells might be involved in the mechanisms of their different leukemogenicities was not supported by results on the in vitro susceptibilities of Mm-1 variant cells to the cytostatic actions by normal macrophages and spleen cells and on leukemogenicities of the Mm 1 variant cells in athymic nude mice. A possible method of control of the leukemogenicity of Mm-1 variant cells is discussed. PMID- 6582064 TI - Calcium-dependency of the pressor responses to selective 5-hydroxytryptamine receptor agonists in pithed rats. AB - The pressor responses to six selective 5-HT receptor agonists, quipazine, TMFPP, Org 10155, Ru 24969, 5-methoxytryptamine and 5-methoxy-N,N-dimethyltryptamine, were quantified and tested for calcium dependency following i.v. administration to pithed normotensive rats. The pressor responses induced by 5-methoxytryptamine and 5-methoxy-N,N-dimethyltryptamine were not influenced by calcium entry blockade by means of nifedipine. The piperazine derivatives quipazine, TMFPP and Org 10155 were full agonists, but the pressor responses to these agonists were sensitive to calcium entry blockade. 5-Methoxy-N,N-dimethyltryptamine and Ru 24969 were found to be partial agonists. It is submitted as a hypothesis that within the present series of 5-HT receptor agonists, a restricted side chain flexibility will enhance the dependency of their pressor responses to extracellular calcium. PMID- 6582066 TI - A highly sensitive determination of individual serum bile acids using high performance liquid chromatography with immobilized enzyme. AB - We have developed a highly sensitive method for the simultaneous determination of individual bile acids in serum using high-performance liquid chromatography (HPLC) combined with immobilized 3 alpha-hydroxysteroid dehydrogenase. Both the HPLC column and the immobilized-enzyme column are suitable for use with alkaline solutions necessary in working with this enzyme system. With this method we were able to determine simultaneously fifteen different serum bile acids. PMID- 6582067 TI - Surgical management of doxorubicin (Adriamycin) extravasation. AB - The advent of potent chemotherapeutic agents has been helpful in the medical management of a variety of malignancies. Unfortunately, the side effects and complications have been significant. Our recent experience with a patient who had the avoidable complication of extravasation with doxorubicin (Adriamycin) into the upper extremity is described. Frequently, the medical management of this problem has been observation alone followed by late surgical referral. This tissue fixation of the chemotherapeutic agent is such that it stays bound locally and causes an ever enlarging ulceration of tissue. This slough can occur not only in a circumferential fashion, but also in the superficial to deep manner, resulting in full-thickness lesions. Early surgical intervention is important to shorten the morbidity and to return the patients to their home environment. PMID- 6582069 TI - Coincident infantile autism and Tourette syndrome: a case report. AB - A 15-year-old boy who had been diagnosed as having infantile autism (IA) at two years of age was found to have Tourette Syndrome (TS) in adolescence. This case report represents the second coincident finding of IA and TS in an adolescent autistic boy. The implications of a co-occurrence of IA and TS are discussed in the light of our current understanding of abnormalities in neurotransmitter metabolism common to both conditions. PMID- 6582068 TI - Behavior-disordered and aggressive children: new advances in pharmacotherapy. AB - The status of children's psychopharmacology is reviewed in the context of differences from its adult counterpart. An overview is presented of recent psychopharmacological developments in the treatment of childhood behavioral disorders. The disorders are grouped according to the potential usefulness of medication. The focus is on clinical efficacy and safety of drug usage. The effect of psychoactive drugs on cognitive functions in the laboratory is referred to, as well as the value of determining drug levels in clinical practice. It is concluded that drug administration in isolation is not the treatment of choice. Drug therapy is a valuable adjunct, however, to psychosocial interventions. PMID- 6582070 TI - Routine bone marrow aspirations during maintenance treatment in acute lymphoblastic leukaemia do not improve survival. PMID- 6582071 TI - Middle zone of the root surface integument of human teeth affected by chronic periodontitis. AB - This study has confirmed the presence on the root surface of teeth affected by chronic periodontitis of a zoned organic integument analogous to that on enamel. Measurements showed a highly significant correlation between the levels of the bounding structures of this zone, that is, the apical plaque border and the coronal border of residual periodontal ligament, for both shallow and deep pockets. The middle zone between these two was on average 1 mm wide. PMID- 6582073 TI - Food increases the bioavailability of isotretinoin. AB - Twenty healthy male subjects received 80 mg (2 X 40 mg SEG capsules) oral isotretinoin separated by two-week washout periods in an open randomized crossover design. Isotretinoin was administered during a complete fast, 1 hour after a standard breakfast, with a standard breakfast, or 1 hour before a standard breakfast. Blood samples were obtained at specific times over a 72-hour period. Isotretinoin blood concentrations were determined by a specific HPLC method. The relative bioavailability (AUC) of isotretinoin was found to be approximately 1.5 to 2 times greater when the dose was administered 1 hour before, concomitantly with, or 1 hour after a meal than when it was given during a complete fast. In addition, because the Cmax value is lower when the dose is administered with food rather than 1 hour after a meal, coadministration of isotretinoin with food may be the best method of administration. PMID- 6582072 TI - New concepts of destructive periodontal disease. AB - The most common forms of destructive periodontal disease have been thought to slowly and continuously progress until treatment or tooth loss. Recently, data have become available which are inconsistent with this "continuous disease" hypothesis. Data from longitudinal monitoring of periodontal attachment levels and alveolar bone in humans and in animals suggest that periodontal disease progresses by recurrent acute episodes. In addition, rates of attachment loss have been measured in individual sites which are faster than those consistent with the continuous disease hypothesis or slower than those expected from estimates of prior loss rates. To account for these observations, a model of destructive periodontal disease is described in which bursts of activity occur for short periods of time in individual sites. These bursts appear to occur randomly at periodontal sites throughout the mouth. Some sites demonstrate a brief active burst of destructive periodontal disease (which could take a few days to a few months) before going into a period of remission. Other sites appear to be free of destructive periodontal disease throughout the individual's life. The sites which demonstrate destructive periodontal activity may show no further activity or could be subject to one or more bursts of activity at later time periods. Comparison of monitored loss rates for a year with mean loss rates prior to monitoring suggested that there may be relatively short periods in an individual's life in which many sites undergo periodontal destruction followed by periods of extended remission. An extension of the random disease model is also suggested in which bursts of destructive periodontal disease activity occur with higher frequency during certain periods of an individual's life. PMID- 6582074 TI - The effect of polyvalent metal ion mordanting on caries-like lesion progression in enamel. AB - The ability of metal ion mordanting followed by APF application to inhibit the progression of caries-like lesions was compared with APF treatment alone. The progression of the lesion was investigated in vitro using an acidified gel system, and the lesions were compared using polarized light microscopy. Both ferric and zirconyl pre-treatments, but not titanium, were shown to inhibit lesion progression to a greater extent than did APF. This inhibition was thought to be due to the presence of an amorphous-type coating similar to those produced on sound enamel by metal ion mordanting. PMID- 6582075 TI - Studies on chondrocytes from mandibular condylar cartilage, nasal septal cartilage, and spheno-occipital synchondrosis in culture. I. Morphology, growth, glycosaminoglycan synthesis, and responsiveness to bovine parathyroid hormone (1 34). AB - Methods for isolating chondrocytes from the craniofacial complex and culturing them in vitro were established. Chondrocytes which were isolated by collagenase digestion from mandibular condylar cartilage, nasal septal cartilage, and spheno occipital synchondrosis grew well in vitro. All three types of chondrocytes actively synthesized glycosaminoglycans, a differentiated phenotype of chondrocytes, and responded well to parathyroid hormone. However, some different characteristics were noted among the three types of chondrocytes in culture. PMID- 6582076 TI - The effects of fatty acids and their monoesters on the metabolic activity of dental plaque. AB - We examined the effects of the saturated series of fatty acids and their esters on plaque bacterial metabolism. Fatty acids with a chain length of 8-15 carbons inhibited Streptococcus mutans and dental plaque in vitro. The glycerol monoesters with a fatty acid chain of 10-14 carbons were inhibitory to a similar extent. The glycolipid (sucrose monolaurate) reduced plaque bacterial glycolysis and sucrose oxidation in a non-competitive manner but stimulated sucrose incorporation at low sucrose concentrations. The relationship between surface activity and inhibition is discussed, since this may help to explain the anti caries effects of these compounds. PMID- 6582077 TI - An incisor plaque model in rats. AB - An in vivo model for studying plaque accumulation in rats has been described. This model investigates plaque formation on the mandibular incisors in animals which have been found to be rapid plaque-formers during a pre-test period. The accessibility of these tooth surfaces permits the removal of plaque prior to initiation of tests, the use of test groups balanced on the basis of plaque forming potential, and interim assessments of plaque formation throughout the test period. In addition, baseline plaque scores of near zero can be attained, thereby permitting investigations of the impact of experimental measures on plaque formation. Moreover, the model permits intermittent plaque assessments throughout the test period. This model was found to have adequate sensitivity to distinguish effects between antimicrobial agents known to differ in their clinical activity and to detect differences between varying concentrations of the same agent. PMID- 6582078 TI - The effect of some metal ions on the intradental sensory nerves of the cat. AB - Intradental nerve activity from canine teeth of anesthetized cats was recorded during the application of different metal ion solutions in a dentinal cavity. The application of Ag2+, Ca2+, Cd2+, Cr3+, Hg2+, Mg2+, Mn2+, Ni2+, Pb2+, Sn2+, and Zn2+ reduced the nerve activity induced by NaCl 0.76 M and compound 48/80. The application of Cu2+ and Co2+ excited the intradental sensory nerves. PMID- 6582079 TI - The effect of an antibacterial solution on the microflora of human incipient fissure caries. AB - A technique for collecting various levels of plaque from incipient occlusal fissure caries was used to evaluate the antibacterial properties of a solution containing I2-KI, CuSO4, and ethanol. In comparison with control fissures (n = 6), the treated fissures (n = 9) showed a 98% difference in recoverable bacteria, with the killing of S. mutans, Actinomyces, and lactobacilli appearing to reflect the level of agent penetration. PMID- 6582080 TI - Streptococcus mutans levels and biotypes in Egyptian and Saudi Arabian students during the first months of residency in the United States. AB - Several studies indicated that serotype/biotype c strains are the most common on a global basis, but that regional differences may occur relative to other serotype/biotypes. Of particular interest is the observation that individuals residing in the Middle East have higher incidences of serotype e and d strains relative to their levels in American citizens. This could reflect exposure to different Streptococcus mutans serotypes during the period in which the teeth are colonized, or might reflect other factors local to the region, such as diet. The purpose of the present study was to observe Egyptian and Saudi Arabian students during the first four months after their arrival in the United States, in order to determine whether this change in habitat affected the levels and biotypes of S. mutans. The results of this study showed that biotype c strains were the most prevalent in saliva and plaque of these Egyptians and Saudi Arabian students, followed by biotype e and biotype d. There was a drop in the number of S. mutans in the saliva and the proportions of S. mutans in the plaque after two months of residence in the United States, followed by a significant increase after four months of residence. This increase was most noticeable in subjects who had a higher number of decayed surfaces. In these subjects, the percentage of S. mutans in pooled occlusal plaque increased significantly, from 6.1 to 13.2%. PMID- 6582081 TI - Streptococcus mutans and caries prevalence in Lisu and Karen of northern Thailand. AB - The prevalence of dental caries was studied in 139 Lisu and 167 Karen using the DMF-T index. Oral habits were recorded, including the chewing of betel nut. Samples of drinking water and betel constituents were collected and assayed for fluoride concentrations. Plaque material from 100 randomly selected individuals from each village was examined qualitatively for S. mutans. The DMF-T index scores for both tribal groups were low (0.00-1.00), and there was no significant difference in caries prevalence between betel chewers and non-chewers. Fluoride concentrations of the water samples were comparably low (0.02-0.29 ppm F). 30% of 200 plaque samples were positive for S. mutans, mostly of Biotype I. PMID- 6582083 TI - Crystallographic structure of enamel surfaces treated with topical fluoride agents: TEM and XRD considerations. AB - The crystallographic structure of surface coatings produced by three topical fluoride agents deposited by a single application on intact human enamel surfaces was investigated by light- and dark-field transmission electron microscopy, as well as by electron and x-ray diffraction. The agents studied were an acidic silane fluoride lacquer, a neutral NaF lacquer, and an APF gel. The smallest coherently diffracting particles were CaF2 microcrystallites 4-15 nm in diameter. Large apatite-like crystals, approximately 1 micron in length, were also observed in the outer surface coating produced by the silane fluoride lacquer. PMID- 6582082 TI - Distribution of enamel defects and the association with respiratory distress in very low birthweight infants. AB - Although dental defects have long been observed among surviving pre-term infants, only few systematic studies address this problem. In a clinic limited to recall of infants of very low birthweight (less than 1.5 kg), enamel hypoplasia of primary incisors was found in 14/67 (21%) children, and enamel opacities were found in an additional 31% of the children. In contrast, enamel hypoplasia and opacities were found in 4% and 22%, respectively, of a control group of 46 normal birthweight children. The difference was significant (p less than 0.05) for the hypoplasia but not for the opacities. Primary incisor enamel hypoplasia was more commonly noted in maxillary central incisors than in lateral incisors (X2 = 28.0, p less than 0.01). Furthermore, hypoplasia was more common in maxillary incisors than in mandibular incisors (X2 = 48.4, p less than 0.01). In infants with dental defects, there was no significant correlation with pregnancy risk factors, gestational age, birthweight, septicemia, first-week caloric intake, serum bilirubin, or calcium. Infants with enamel hypoplasia were more likely, however, to have severe respiratory distress syndrome (X2 = 7.2, p less than 0.01), than infants with unaltered enamel. Central incisor edge involvement may indicate post natal processes and/or a systemic disturbance extending back to the middle trimester of pregnancy. PMID- 6582084 TI - Sexual dimorphism in the emergence of the deciduous teeth. AB - Exact ages of emergence of the twenty deciduous teeth have been investigated on a longitudinal sample of 195 French-Canadian children (113 boys and 82 girls). A multivariate analysis of variance yielded a significant overall sex difference (p less than 0.0001). It has been found that the emergence of the deciduous dentition in boys is more precocious than that in girls by about one month; this difference is present at the emergence of the upper central incisor and is maintained henceforth. The only notable exception to this pattern is the emergence of the first molars. Results of the present study, combined with those of previous research, suggest that sexual dimorphism in the emergence of the deciduous teeth could be mediated through ethnic factors. PMID- 6582085 TI - Oral fluoride retention with thixotropic and APF gels and foam-lined and unlined trays. AB - Ten child volunteers each received four topical fluoride applications using different techniques. The amounts of fluoride applied, recovered from the mouth, and retained in the mouth were calculated for each treatment. The value of patient expectoration following topical F treatment was also evaluated. The tray system with an absorptive liner significantly reduced the amount of gross oral retained fluoride (p less than 0.01). Expectoration following topical treatment with either an APF or thixotropic gel was a significant adjunct in reducing the net oral-retained F dose (p less than 0.01). When expectoration is done following a topical F treatment, a thixotropic gel may be an added advantage in reducing oral F retention and ingestion. We recommend that suction devices be used during a topical F treatment, but most importantly that the patient be requested to expectorate thoroughly following topical treatment. PMID- 6582086 TI - The effect of dental amalgam restorations on blood mercury levels. AB - Mercury levels in blood and in mouth air before and after chewing were measured in 47 persons with and 14 persons without dental amalgam restorations. Questionnaires relating to exogenous sources of mercury exposure were administered to both groups. Differences in the mouth air mercury levels before and after chewing were statistically significant in the group with amalgams, but not in the group without amalgams. Analysis of the data from the questionnaires indicated that little or no exogenous exposure to mercury occurred among the two groups. Blood mercury concentrations were positively correlated with the number and surface area of amalgam restorations and were significantly lower in the group without dental amalgams. PMID- 6582087 TI - Dielectric properties of glass ionomer cements--further studies. AB - Two recent proprietary glass ionomer cements showed that in the early stages of set the changes in relative permittivity (dielectric constant) and resistivity were rapid. However, when set, measurements indicated that the cements were highly ionic and polar and behaved similarly to the glass ionomer cements previously reported. PMID- 6582088 TI - Auger chemical analysis of oxides on Ni-Cr alloys. AB - Oxides formed on four Ni-Cr dental casting alloys in three temperature domains and in two different atmospheres were chemically analyzed using the Scanning Auger Microprobe. Distributions of Ni and Cr in the oxide layers varied with the alloy; oxidation in air resulted in apparently thicker oxide layers than did oxidation in a reduced oxygen atmosphere. PMID- 6582089 TI - Microprobe and SEM analysis of surface coatings on caries-like lesions in enamel after metal ion mordanting and APF application. AB - The production of tenacious surface coatings on enamel after metal ion mordanting followed by APF has been reported to prevent caries-like lesion initiation in vitro. In this study, similar surface coatings, which may be responsible for the inhibition of lesion progression, were examined using SEM and microprobe analysis. Relatively thick, even surface coatings which were in intimate contact with the enamel surface of caries-like lesions were seen after zirconium and iron (ferric) pre-treatment, but a thinner and unevenly distributed coating was seen after titanium pre-treatment. This latter coating was similar to that seen after APF treatment alone. Fluoride concentrations on the surface and in the subsurface of caries-like lesions were similar for all treatment groups. The surface coatings after zirconium and iron mordanting may be responsible for the greater inhibition of lesion progression than that seen after both titanium pre-treatment and APF treatment alone. PMID- 6582090 TI - Neuraminidase activity: a biochemical marker to distinguish Streptococcus mitis from Streptococcus sanguis. AB - Selected reference and freshly isolated strains of Streptococcus mitis (mitior) and Streptococcus sanguis were assayed for cell-associated neuraminidase activity by their ability to hydrolyze [3H-] sialyllactitol. A cell-associated neuraminidase was detected with S. mitis and S. sanguis serotype II (reclassified as S. mitis) but not with S. sanguis serotypes I and III. Neuraminidase activity of S. mitis correlated with this organism's inability to hydrolyze arginine, aesculin, and few, if any, sugars. The findings indicate that the presence of cell-associated neuraminidase activity is useful for the taxonomic classification of S. mitis. PMID- 6582091 TI - Tissue repair after condylectomy in growing Macaca fascicularis. AB - In order to determine the nature of tissue repair after removal of condyles, bilateral condylectomies were performed in seven growing female Macaca fascicularis. Two animals underwent condylectomies only, and five animals were fitted with maxillary and mandibular splints before undergoing condylectomies. One condyle from each condylectomized animal was processed for histologic examination. Four animals, with intact condyles, were available as controls: Two had splints placed, while the other two did not undergo any treatment. Nine mo after surgery, the histology of 12 resection sites and 12 control condyles (seven removed at condylectomy and five at death) was compared. In the control condyles, hypertrophic cartilage was seen over the entire condylar surface. From the 12 resection sites, five showed hypertrophic cartilage, non-hypertrophic cartilage cells were present in three, and four demonstrated bone apposition and resorption. Cartilage was present only at the medial and central aspects of the surgical site, and in every specimen, bone was seen at the lateral pole. Two out of 12 fossae overlying surgical sites contained hypertrophic cartilage, while the five control glenoid fossae showed bone, an intermediate zone, and a fibrous capsule. Because of the variety in tissue response and the small number of animals in each group, the effect of the splints could not be determined. Based on the results of this study, the following was concluded: (1) Regeneration of organized hypertrophic cartilage with inherent growth potential can take place after condylectomy, albeit not in every instance and only in the medial aspect of the stump. In the lateral aspect, and also medially if hypertrophic cartilage does not reform, bone is predominant. The original height is not recovered. (2) The cartilage of the glenoid fossa is capable of adaptive changes similar to those seen in condylar cartilage. PMID- 6582092 TI - The anti-cariogenic potential of xylitol in comparison with sodium fluoride in rat caries experiments. AB - Previous rat caries experiments in our laboratory demonstrated an anti-cariogenic and most probably a remineralizing effect of xylitol. The purpose of the present study was to compare the caries-inhibiting property of xylitol and fluoride in drinking water. The study consisted of two experiments with Osborne-Mendel rats, superinfected with S. mutans. In the first experiment, the rats were fed ad libitum a cariogenic diet containing 20% sucrose and 5% glucose (diet SSP 20/5) and tap water containing 0%, 2%, or 4% xylitol. An additional control group was fed diet SSP 20/5 supplemented with 5% xylitol. In the second experiment, the rats were also fed diet SSP 20/5, but received tap water, demineralized water (both containing less than 0.1 ppm F-), or tap water containing 10 and 40 ppm fluoride. Some animals in the 4% xylitol drinking water group showed a mild osmotic diarrhea for the first four days and a retarded increase in body weight of limited duration. S. mutans colonized to a similar level in all groups of both experiments. Fluoride as well as xylitol in the drinking water reduced the fissure caries scores significantly. However, 10 and 40 ppm fluoride had a more pronounced inhibiting effect on the caries experience than did 4% xylitol in the drinking water or 5% xylitol in the diet. PMID- 6582093 TI - Induction of immunological tolerance by oral administration of nickel and chromium. AB - Oral administration of nickel-chromium to guinea pigs by way of a fixed occlusal splint, or the incorporation of metallic powder or salts into the pelleted food, did not induce hypersensitivity to these metals. In addition, a subsequent attempt to immunize the pre-treated guinea pigs failed in most animals, whereas non-pre-treated guinea pigs became clearly hypersensitive. These results show that oral administration of nickel and chromium induced a state of (partial) tolerance to both metals. PMID- 6582094 TI - Nitrous oxide analgesia: a psychophysical evaluation using verbal descriptor scaling. AB - The effect of 33% nitrous oxide/67% oxygen was compared with 100% oxygen and air on verbal reports of either sensory intensity or unpleasantness of sensations associated with painful electrical tooth pulp stimulation. Forty-eight subjects used words describing the sensory intensity (i.e., weak, mild, strong) or degree of unpleasantness (i.e., annoying, unpleasant, distressing) to assess the sensations produced by a broad range of tooth pulp stimuli. Within the experimental session, a given subject assessed the painful sensations under all three treatments delivered through a nasal inhaler in a double-blind manner. The incorporation of within-subject placebo (nasal inhaler + air) and active placebo (nasal inhaler + oxygen) controls allowed for rigorous assessment of the components of nitrous oxide analgesia. The results of this study suggest that 33% nitrous oxide analgesia reduces the intensity but not the unpleasantness of painful tooth pulp sensations. Further, 100% oxygen provides no analgesic effect. PMID- 6582095 TI - Enamel fluoride uptake and acid resistance in subjects with high and low experimental cariogenicity. AB - The response of bovine enamel to intra-oral cariogenic environments was studied in human volunteers. Enamel slabs were mounted in dentures and treated with either 10% sucrose or 10% sucrose plus 20 ppm fluoride mouthrinses for one minute five times daily. After one week, these enamel slabs were studied for change in surface hardness and for the degree of fluoride incorporation, or for their resistance to acid acquired by the intra-oral exposure. Among the eight subjects, those with the highest experimental cariogenicity exhibited the highest benefit of enamel from the fluoride in terms of fluoride incorporation and in their resistance to the subsequent acid test. The results suggest that cariogenic activity and fluoride will synergistically improve the tooth resistance to subsequent attack, apparently through mineral exchange that favors the formation of acid-resistant minerals with high fluoride content within enamel lesions. PMID- 6582096 TI - The structure of a commercial dental Ag-Pd-Cu-Au casting alloy. AB - The structure of a commercial dental Ag-Pd-Cu-Au casting alloy has been studied by microprobe and X-ray diffraction analyses after various heat treatments. The composition of phases in equilibrium was established. After being annealed at 400 degrees C, 500 degrees C, and 600 degrees C for seven wk, the alloy consisted of three phases: a Cu- and Pd-rich fee phase (alpha 1) with alpha = 0.372nm, a Ag rich matrix (alpha 2) with alpha = 0.399nm, and an ordered CsCl-type bcc PdCu phase with alpha = 0.296nm. The PdCu phase was not observed above 600 degrees C, and the proportion of the alpha 1 phase decreased sharply above 700 degrees C. After being annealed at 900 degrees C, the alloy matrix was partly decomposed at the Cu-enriched grain boundaries. The decomposed areas grew into the grain interior during subsequent precipitation hardening. No segregation of Au was detected after casting, and the element was evenly distributed throughout the alloy structure after all heat treatments. PMID- 6582097 TI - Tear strength of non-aqueous impression materials. AB - Examples from each of the four major groups of dental impression materials (polysulfides, polyethers, condensation polysiloxanes, and addition polysiloxanes) were subjected to a trouser-leg tear test. Tear energies were determined, and materials were ranked with respect to each other. Polysulfides displayed the highest tear energy, while condensation polysiloxanes were the lowest, with the addition polysiloxanes occupying an intermediate position. PMID- 6582098 TI - Long-term F release from glass ionomer cements. AB - Fluoride release from three commercial glass ionomer filling cements and three glass ionomer luting cements was measured in the laboratory over a 12-month period. Fluoride release from these glass ionomer cements was compared with that released from a silicate, silicophosphate, and a fluoride-containing polycarboxylate cement. The fluoride released from the glass ionomer cements throughout the one-year period was similar, both in quantity and pattern, to that released by the silicate cement. The silicophosphate cement tended to release fluoride in somewhat lesser amounts, while the amount of fluoride released by the polycarboxylate was negligible after the first few days. Analysis of these data indicates that these glass ionomer cements probably possess anticariogenic properties similar to those of silicate cement. PMID- 6582099 TI - Rat intestinal vitamin D-dependent calcium-binding protein: immunocytochemical localization in incisor ameloblasts. AB - Antiserum raised against the 10,000-Dalton vitamin D-dependent calcium-binding protein (CaBP10) from rat intestine was used to localize CaBP10 immunocytochemically in histological sections of rat mandible using an indirect immunoperoxidase method. Ameloblasts in the zone of maturation, along the continuously erupting incisor, contained CaBP10 throughout their cytoplasm. It was present in both smooth-ended ameloblasts and ruffle-ended ameloblasts. CaBP10 was not found in earlier developmental stages of ameloblasts or in other cells involved in tooth formation, i.e., odontoblasts, pulpal cells, cells of the stellate reticulum, papillary layer, and outer dental epithelium. The presence of CaBP10 in ameloblasts suggests that the vitamin D-endocrine system may have a direct effect on tooth formation in addition to the indirect effect of maintaining the required levels of serum calcium and phosphorus required for mineralization. PMID- 6582100 TI - Inhibition of seeded growth of enamel apatite crystals by amelogenin and enamelin proteins in vitro. AB - The effect of enamel matrix proteins on the seeded growth of enamel apatite crystals was studied in stable supersaturated solutions at pH 7.4 and 37 degrees C. Of the two major protein classes in the enamel matrix, the enamelins were considerably more effective than the amelogenins in retarding seeded growth. However, the amelogenin species that did show significant inhibitory activity are those known to be lost first from the enamel matrix during the rapid mineralization stage of enamel maturation. PMID- 6582101 TI - International Association for Dental Research. IADR abstracts 1984. PMID- 6582102 TI - Establishing a financial counseling and debt management program at Georgetown University School of Dentistry. AB - The financial counseling and debt management program described in this paper represents a model that, with modification, could be used in other dental schools. This model, developed specifically for Georgetown University dental students, is based on average economic profiles, average parental income and contribution, employment opportunities in the Washington area, and the average first-year starting salaries of recent graduates. Any dental school considering such a program should base its model on the profile of its students. It is essential that schools, students, and families begin to address the reality of indebtedness effectively. Creative measures can be taken to ensure that debt levels are manageable and that graduates can realize a return on their dental school investment. PMID- 6582103 TI - The use of affective assessment to plan and evaluate instructional changes. AB - Affective assessment has been used extensively in dental education to gain valuable information from student attitudes; however, it has rarely been used as an instrument for systematically evaluating courses in order to plan instructional changes. In this investigation, affective assessment was used to plan and subsequently evaluate instructional changes in a restorative dentistry laboratory course. Affective assessment was used initially to determine attitudes concerning the laboratory course as well as the effect of an experimental program conducted during the course. Based on that assessment, changes were made in the course and the experimental program. Affective assessment was again employed the following year to determine the effect of the instructional and methodological changes. This study serves as a model for dental educators who would like to employ a systematic and practical approach to planning and evaluating instructional change through affective assessment. PMID- 6582104 TI - Career development subsequent to general practice training. AB - Career development after graduation from the advanced program in general dentistry at the Eastman Dental Center was studied by means of a mail survey. The majority of those who graduated (63.2 percent) over a ten-year period (1971-1981) practiced general dentistry. Fewer graduates specialized in recent years. Performance criteria in dental school or in the advanced training program could not predict later specialization. Dental school performance also proved to be of minimal value in determining who pursued an advanced degree or became involved in teaching. However, those exhibiting better performance in the advanced program in general dentistry often pursued advanced degrees, research, or teaching. Approximately 55 percent of those who graduated from this advanced program during the ten-year period were involved in full- or part-time teaching, and 35 percent were involved in research. PMID- 6582105 TI - A comparison of rectangular and cylindrical collimation for intraoral radiographs. AB - This study was conducted to compare the type and frequency of cone-cuts that occur with rectangular and cylindrical collimation in dental radiography. Thirty eight hundred radiographs, half made with cylindrical cones and half made with rectangular cones, were examined for major and minor cone-cuts. A total of 156 cone-cuts was found. Thirty-three of these were of the major category, 86 percent of which occurred with rectangular collimation. Although cone-cuts appeared much more frequently when a rectangular cone was used, a significant reduction in useless radiation makes this type of collimation a worthwhile consideration. PMID- 6582106 TI - A method for training endodontic evaluators. PMID- 6582107 TI - Using principles of human development in teaching geriatric dentistry. PMID- 6582108 TI - First-year enrollment reductions: the applicant decline and revenue loss. PMID- 6582109 TI - 61st AADS (American Association of Dental Schools) annual session. March 11-14, 1984, Dallas, Texas. Abstracts of educational research and new programs presentations. PMID- 6582110 TI - Dentistry's blueprint for the future. A report on the strategic plan developed by the Association's Special Committee on the Future of Dentistry. PMID- 6582111 TI - Dr. Oliver: future report benefits dentistry. PMID- 6582112 TI - Historical antecedents of dental anxiety. AB - Our data are based on retrospective self-reported answers of college students. To what extent do these answers accurately reflect the feelings of an actual clinical sample of dental patients? Although there is little direct evidence, a number of observations suggest that in the area of dental anxiety, college populations closely approximate the self-reported answers of the general population. The average level of dental anxiety in an actual clinical sample also appears to be remarkably similar to the average level of dental anxiety among a sample of college students. Kleinknecht and Bernstein found that, on a 1 to 5 scale, dental patients reported a mean level of dental anxiety of 2.31, and that when the identical question was used in a college population, the average level of dental anxiety was 2.47. In our sample, the mean level of dental anxiety was a similar 2.4 on a 0 to 6 scale. Obviously, self-reported answers are subject to distortions. However, it is important that these perceptions can still have a powerful bearing on the behaviors and feelings of patients. A number of observations and hypotheses about the historical origins of dental anxiety were confirmed. Some of these findings have direct clinical implications for the prevention of dental anxiety by dentists or treatment by psychologists. For example, high dentally anxious subjects are more concerned with and feel more ashamed about telling their dentist that they are dentally anxious. It may be helpful for dentists to provide an open forum about the patient's concern.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6582113 TI - Acid and water solubility and strength of calcium hydroxide bases. AB - The solubility in water and 37% phosphoric acid, and compressive strength of four brands of hard-setting calcium hydroxide base materials were studied. Results were highly variable among brands and no correlations appeared to exist between properties studied. One product was significantly different from the others with regard to acid solubility and compressive strength. PMID- 6582114 TI - Factors affecting the marginal leakage of amalgam. AB - On the basis of reports of an increased incidence of postoperative sensitivity associated with the use of a particular spherical amalgam alloy, an investigation of in vitro marginal leakage was initiated. An air pressure test was applied to simulated Class I restorations made from this alloy and a control alloy. Factors such as mix plasticity, condensation force, and condensation technique also were examined. The results showed that the spherical alloy in question had a greater tendency for marginal leakage than the control alloy. For both alloys studied, the following factors are important in reducing marginal leakage: increased plasticity of the mix; increased condensation force; condensation of each increment directly along or against cavity walls in overlapping thrusts; and burnishing the amalgam after condensation. Although it is not known what percentage of postoperative sensitivity is caused by leakage of amalgam restorations, the results of this study indicate that leakage can be minimized by using optimum amalgam manipulative procedures and that a reduced incidence of postoperative sensitivity is likely to result. PMID- 6582115 TI - A current study of mottled enamel in Texas. AB - Enamel mottling is strongly associated with the water fluoride level of the community water supply. About 32% of the variation in the mottled enamel scores of subjects aged 7 to 12 was attributable to their community's water fluoride level. Objectionable mottling (moderate mottling) occurred at 2.3 times the currently accepted optimum water fluoride level. Subjects with incomes less than $10,000 have slightly more mottling (mostly moderate mottling) than subjects from higher income families. It should be emphasized that the effect of gender, ethnic group, or family income on enamel mottling is small compared with the effect of water fluoride level. Although many other personal and water supply characteristics were evaluated, virtually none of the remaining variation in mottled enamel scores could be attributed to any of these characteristics. PMID- 6582116 TI - Factor analysis of the dental fear survey with cross-validation. AB - Factor analysis of the Dental Fear Survey disclosed three stable and reliable factors. The first factor related to patterns of dental avoidance and anticipatory anxiety. The second factor related to fear associated with specific dental stimuli and procedures. Factor three concerned felt physiologic arousal during dental treatment. Cross validation showed these three factors to be consistent across four demographically and geographically diverse groups. PMID- 6582117 TI - Management of the questionable carious fissure: invasive vs noninvasive techniques. PMID- 6582118 TI - Changing specialty of oral and maxillofacial surgery. PMID- 6582119 TI - Oral microbial infection. PMID- 6582120 TI - Work loss among practicing dentists. AB - This report provides data on the amount of time lost and the reasons for time lost from dental practice for a group of 850 clinical practitioners. Results indicate that during 1981 dentists lost an average of 29 days: 2 for illness, 17 for vacation, 5 for professional meetings, and about 5 for other reasons. It was also shown that time off for illness, vacation, and professional meetings increases with the age of the dentist. Differences were noted between general practitioners and specialists, with general practitioners taking more time off for vacation, but less time off for professional meetings than specialists. In the younger and middle-age groups, general practitioners missed more time because of illness than specialists. However, the figures for both groups are much less than the average of five days lost because of medical illness reported for the average worker. A positive relationship between total mean number of days off for all reasons and perceived busyness was also reported. Days off for vacation and professional meetings were the most sensitive to increases in busyness. PMID- 6582121 TI - Dental fees charged by general practitioners and selected specialists in the United States, 1982. Bureau of Economic and Behavioral Research. PMID- 6582123 TI - [Electron microscopic observations of the matrix fibrils, especially Korff's fibrils, in early dentin formation]. PMID- 6582122 TI - Multiple papillary projections on the alveolar mucosa and palate. AB - A patient with inflammatory papillary hyperplasia of the palate and edentulous ridges was treated by electrosurgery. The clinical and microscopic appearance of inflammatory papillary hyperplasia is discussed as well as the causes, treatment, and prevention. PMID- 6582124 TI - [Effect on the masticatory rhythm during EMG of the placement of a primary crown]. PMID- 6582125 TI - [Statistical inference from the dental color analyzer. 1. An inferential correlation between upper and lower teeth]. PMID- 6582126 TI - [Color correspondence between upper anterior teeth and premolars based on data from the dental color analyzer]. PMID- 6582127 TI - [Effect of Myo-monitor pulsing on jaw opening in patients with trismus]. PMID- 6582128 TI - [The representation of interocclusal record materials to dentate patients. Critical study on dental casts]. PMID- 6582129 TI - [Clinical results of 100 teeth after apicoectomy]. PMID- 6582130 TI - [Relation between the hypothalamus and acupuncture suppression of the jaw opening reflex]. PMID- 6582132 TI - Case of the month. Swelling in the anterior region of the maxilla. PMID- 6582131 TI - [Tooth germ transplantation in the dog. Histopathological and physico-chemical observations]. PMID- 6582133 TI - Interpret your x-ray. Moderate pain in the lower left second molar. PMID- 6582134 TI - Dental caries preventive effect of sodium fluoride and acidulated fluoride phosphate. 1 1/2 years clinical trial. PMID- 6582135 TI - Cementum in periodontal disease. PMID- 6582136 TI - Microbiological evaluation of non-vital teeth. PMID- 6582137 TI - Comparison of silver amalgam, glass ionomer cement & gutta percha as retrofilling materials, an in vivo & an in vitro study. PMID- 6582138 TI - Case of the month. A papillary growth. PMID- 6582139 TI - Interpret your x-ray. A large swelling in the mandibular left posterior region. PMID- 6582140 TI - Evaluation of pulp vitality using thermistor thermometer and electric pulp tester. PMID- 6582141 TI - Microbial flora in dental caries. PMID- 6582142 TI - Determination of residual monomer in polymerised acrylic denture base resins. PMID- 6582143 TI - Removal of a broken hypodermic needle (a case report). PMID- 6582144 TI - Tuberculous osteomyelitis of the mandible. A case report. PMID- 6582145 TI - Case of the month. Generalized swelling of the gingiva. PMID- 6582146 TI - Interpret your x-rays. Lower anterior region 'mass'. PMID- 6582147 TI - Challenges of Alma Ata Declaration vis-a-vis Indian dentistry. PMID- 6582148 TI - Cephalometric appraisal of long face syndrome. PMID- 6582149 TI - Shovel-shaped permanent incisors among the people of Gulbarga, Karnataka. PMID- 6582150 TI - Study on role of serum calcium in periodontitis simplex. PMID- 6582151 TI - Congenital afibrinogenemia with osteomyelitis of mandible. PMID- 6582152 TI - Interpret your x-rays. A swelling on the palate. PMID- 6582154 TI - The calcifying odontogenic cyst. PMID- 6582153 TI - Quantitative assay of bradykinin from human normal and inflamed gingiva (a biochemical study). PMID- 6582155 TI - Mandibular fracture in a 4-week old infant (a case report). PMID- 6582156 TI - A completely inverted impacted mandibular second premolar (a case report). PMID- 6582157 TI - Significance of radiographic examination of soft tissues in lip injuries. PMID- 6582158 TI - Dens evaginatus. A case report. PMID- 6582159 TI - Transposition of canine with traumatic etiology. PMID- 6582160 TI - Recovery of silver and mercury from silver-tin amalgam discarded in dental clinics and its economics. PMID- 6582161 TI - Over-retention of multiple deciduous teeth due to functional adaptation (a case report). PMID- 6582162 TI - Case of the month. Gingival enlargement. PMID- 6582164 TI - Attritional occlusion and periodontal health. PMID- 6582163 TI - Interpret your x-rays. A dull ache in the lower left posterior region. PMID- 6582165 TI - Malignant chondroma. PMID- 6582166 TI - Orthodontic management of canine transposition. PMID- 6582167 TI - Neurilemmoma of the floor of the mouth. A case report. PMID- 6582168 TI - An unusual fusion of three teeth. A case report. PMID- 6582169 TI - ABC's periodontics. "C" is for clinical examination. PMID- 6582170 TI - Marginal leakage of composite resins as related to time of finishing: a laboratory study. PMID- 6582172 TI - [The 15th meeting of the Japan Dental Association/71st FDI (Federation Dentaire Internationale). International Dental Conference 14-20 November 1983, Tokyo Japan. Abstracts]. PMID- 6582171 TI - Thermochemotherapy for malignant melanoma: combination therapy of ACNU and hyperthermia in mice. AB - B16 melanoma (mouse melanoma) and C24 melanoma (human malignant melanoma) transplanted in mice were treated by a combined therapy of ACNU [1-(4-amino-2 methyl - 5 - pyrimidinyl) - methyl - 3 - (2 - chlorethyl) - 3 - nitrosourea hydrochloride] (10 mg/kg) and hyperthermia (43 degrees C, 30 min). In both types of melanoma, a marked synergistic effect of the combined therapy was noted. Particularly in C24 melanoma a reduction in the size of tumor was observed. Histopathologic findings revealed a strong degeneration such as destruction of the tumor structure and vacuolization of nuclei. PMID- 6582173 TI - [Histopathological study of gingival discoloration caused by silver alloy metal in rats]. PMID- 6582174 TI - [Glycylprolyl dipeptidylaminopeptidase in peritoneal exudates of guinea pig stimulated by Bacteroides gingivalis]. PMID- 6582175 TI - [Effects of toothbrushing on the composition of subgingival microbial flora]. PMID- 6582176 TI - [Access to subgingival plaque by direct drug delivery]. PMID- 6582177 TI - [Plaque-removing effect of small-headed toothbrushes]. PMID- 6582178 TI - [Wrapping of occlusal Prescale for occlusal examination]. PMID- 6582179 TI - [Epidemiological survey of periodontal disease (2)]. PMID- 6582181 TI - Proceedings of the Sixth British Academic Conference in Otolaryngology. Bristol, 24-29 July 1983. PMID- 6582180 TI - Laryngology applied to singers and actors. PMID- 6582182 TI - Conservative neck dissection. PMID- 6582183 TI - Radical neck dissection. Preservation of function of the shoulder. PMID- 6582184 TI - Septoplasty v SMR. PMID- 6582185 TI - Septoplasty v SMR. PMID- 6582186 TI - Epistaxis: some observations on conservative management. PMID- 6582187 TI - The role of arterial ligation in intractable epistaxis. PMID- 6582188 TI - Iatrogenic surgical trauma in otology. PMID- 6582189 TI - Reconstructive techniques following laryngectomy. Who needs reconstruction? PMID- 6582191 TI - Surgical measures in post-laryngectomy speech rehabilitation. PMID- 6582190 TI - Voice preservation and restoration in advanced laryngopharyngeal cancer--the northwestern experience. PMID- 6582192 TI - Otology quiz. PMID- 6582193 TI - Otology quiz. PMID- 6582195 TI - Quiet labyrinthine complications from otitis media. PMID- 6582194 TI - Significance of pneumatization in sequelae of otitis. PMID- 6582196 TI - Adhesive otitis media. PMID- 6582197 TI - Tympanosclerosis. PMID- 6582198 TI - Principles of management for sequelae of otitis. PMID- 6582199 TI - Conservative management of Bell's palsy. PMID- 6582200 TI - Small fenestra vs large fenestra. PMID- 6582201 TI - Otosclerosis: small hole technique. PMID- 6582202 TI - Cochlear otosclerosis. An intractable absurdity. PMID- 6582203 TI - Cochlear otosclerosis. PMID- 6582204 TI - Meniere's disease. PMID- 6582205 TI - Surgical treatment of Meniere's disease. PMID- 6582206 TI - The combined approach for tympanoplasty. PMID- 6582208 TI - Treatment of carcinoma of floor of mouth. PMID- 6582207 TI - The canal wall up or down debate. The case for the canal wall down. PMID- 6582210 TI - A clinico-pathologic presentation. PMID- 6582209 TI - Carcinoma of the floor of the mouth. PMID- 6582211 TI - Third party carrier's role in sealant use. PMID- 6582212 TI - Drug costs and dental practice. PMID- 6582213 TI - Blood dyscrasia evolving into acute lymphoblastic leukemia following ingestion of phenylbutazone, indomethacin, dexamethasone and prednisolone. PMID- 6582215 TI - Therapeutic alternatives and clinical outcomes in peritonsillitis. AB - A retrospective study was conducted on 32 patients with the discharge diagnosis of peritonsillar abscess or peritonsillar cellulitis. Three had pre-existing chronic conditions that may have contributed to the peritonsillitis. The average duration of symptoms prior to diagnosis was 7.4 days. Most patients responded to penicillin given parenterally until the patient were able to take medication orally. Pus was obtained in 88 percent of the patients who underwent drainage procedures. Eight patients were treated with parenteral antibiotics without drainage, including three from whom pus was aspirated. All eight recovered without complication. The most common organism cultured was beta-hemolytic streptococcus, group A (seen in 31 percent). There was no association between the dose or type of oral antibiotic used prior to diagnosis of peritonsillar cellulitis. The clinical outcome suggests that some patients with peritonsillitis may respond to parenteral antibiotics without drainage procedures or tonsillectomy. PMID- 6582216 TI - Prostaglandins and preovulatory follicular maturation in mice. AB - Experiments have been carried out in an effort to reverse the indomethacin induced inhibition of preovulatory follicular development in immature superovulated mice utilizing prostaglandins E2 and F2 alpha. All mice were primed with 5 IU pregnant mare's serum gonadotropin followed 40 h later by 80 IU luteinizing hormone (LH). Animals were sacrificed 10 1/2 or 11 1/2-12 h post-LH, at which time ovaries were fixed and prepared for microscopic observation. Control mice receiving both indomethacin and prostaglandin (PG) vehicles averaged 92% germinal vesicle breakdown, and 82% of maturing oocytes were surrounded by an expanded cumulus oophorus. Ovarian weight increased by 29% and the apical walls of preovulatory follicles demonstrated appreciable thinning following LH administration. In mice receiving indomethacin plus PG vehicle, follicular maturation was suppressed in a dose-dependent manner; in mice receiving 10 mg/kg, less than 50% of the oocytes resumed meiosis and, of these, only 9% were accompanied by cumulus expansion. Ovarian weight gain was also inhibited, and the apical follicle wall exhibited few signs of preovulatory thinning. PGE2 and PGF2 alpha both reversed the inhibition of cumulus and oocyte maturation induced by indomethacin, though PGE2 was more effective. Only PGF2 alpha promoted apical follicular thinning, and neither PG had a significant effect on ovarian weight. We conclude that, in mice, PGs may play an integral role during preovulatory maturation of the oocyte and cumulus, as well as thinning of the apical wall. PMID- 6582214 TI - Antibody producing human-human hybridomas. II. Derivation and characterization of an antibody specific for human leukemia cells. AB - Human-human hybridoma technology was used to immortalize human B lymphocytes from patients with acute myeloid leukemia (AML) to study the antigenic repertoire of the humoral immune response against the patients' own leukemia cells and against leukemic cells from other patients. Nine fusions were done with lymphocytes from seven AML patients, and all with the human RH-L4 B lymphoma line as malignant fusion partner. A total of 305 Ig-producing hybrids were obtained. 26 reacted with cell surface components on AML cells, but 21 were found not to be specific for leukemia cells, when screened for reactivity against a panel of normal and malignant cells of both human and murine origin. Five hybridomas secreted Ig with high specificity for human leukemia cells, but only one hybridoma culture, aml 18, was stable in respect to Ig-production and growth upon repeated clonings and expansion in liquid cultures. A method was developed to grow human hybridomas as ascites tumors in nude mice, but the ascites fluid did not contain increased amount of antibody. The reactivity of the aml-18 antibody (gamma, kappa) was analyzed against samples of mononuclear cells from peripheral blood of 63 patients with leukemia and with cytologically verified leukemia cells in the blood. 22 of 54 AML samples reacted with aml-18. The reactivity pattern was not correlated to any categories of the French-American-British (FAB) classification; two of four ALL were positive. Moreover, a pronounced intratumoral antigenic heterogeneity in regard to aml-18 reactivity was seen and indicates a high degree of diversity in the immunological phenotype within individual AML cell populations. The study demonstrates that some patients with AML generate an immune response against their autologous malignant cells, and that the antigenic determinant in the case of aml-18 is also expressed specifically on leukemic cells from other patients. PMID- 6582217 TI - Vectorcardiographic indicators of pulmonary hypertension in mitral regurgitation. PMID- 6582218 TI - An outbreak of hepatitis A in junior college students verified by IgM hepatitis A antibody testing. PMID- 6582219 TI - [Serum beta-glucuronidase activities in diabetic patients]. PMID- 6582220 TI - [Appraisal of the efficacy of hyposensitization in extrinsic asthmatics]. PMID- 6582221 TI - The location of the mandibular hinge axis in Chinese adults. PMID- 6582222 TI - [Computed tomographic classification and results of rehabilitation in spontaneous putaminal hemorrhage]. PMID- 6582223 TI - [Clinical experience of applying shortwave diathermy over the piriformis in sciatic patients]. PMID- 6582224 TI - Effects of cascade tower removal on resistance and humidification. PMID- 6582225 TI - Infantile digital fibromatosis--a case report: an electron microscope study. PMID- 6582226 TI - [Primary hyperlipoproteinemia type V complicated by acute pancreatitis]. PMID- 6582227 TI - A partial duplication of the short arm of chromosome 20. PMID- 6582228 TI - Hereditary spastic paraplegia: a clinical and genetic study of cases in the north east of England. AB - Patients in the north-east of England with hereditary spastic paraplegia and their immediate families were examined clinically and studied for evidence of linkage or association with polymorphic genetic systems. There were no observable clinical differences between patients with and without a positive family history. Family histories were compatible with autosomal dominant transmission, there was no evidence of linkage with any system, but there was a significant association with HLA-A1. PMID- 6582229 TI - 3 alpha-Hydroxysteroid oxidoreductase in rat brain. AB - We describe a simple procedure for the microassay of 3 alpha-hydroxysteroid oxidoreductase in homogenates of rat brain. This enzyme converts dihydrotestosterone to 3 alpha-androstandiol. We have mapped the distribution of the enzymatic activity in 14 regions of the rat brain. The highest activities were observed in homogenates of olfactory bulb (51/nmol/mg protein/h) and olfactory tubercle (29 nmol/mg protein/h). Substantially lower values were seen in the other brain regions, including thalamus, caudate nucleus, frontal cortex, hippocampus, hypothalamus, and preoptic area (6-20 nmol/mg protein/h). PMID- 6582230 TI - A clinical study of Gilles de la Tourette syndrome in the United Kingdom. AB - The clinical features of 53 British-born patients with Gilles de la Tourette syndrome are described. The mean age at onset of body tics was seven years and for vocalisations 11 years. Coprolalia was present in 39%, copropraxia in 21%, echolalia in 46% and echopraxia in 21%. Complicated antics and mannerisms were also common, often involving the compulsive touching of objects or self-injurious behaviour. Forty-six per cent of cases had a family history of tics in a single close relative and in two individuals a further member of the family had Gilles de la Tourette syndrome. Focal dystonia was present in four patients who had never received neuroleptics drugs and chorea was seen in two other untreated patients. In three patients acoustic startle consistently induced brief eye blink followed by a whole body jerk or jump. Rapid repetitive movements of the hands increased the frequency and severity of tics in 13 patients, but the performance of mental arithmetic under time pressure had a much more unpredictable effect. Electroencephalographic abnormalities occurred in eight (13%) but no definite CT brain scan abnormalities were detected. The incidence of left handedness did not differ from that in the general population and no evidence to suggest organic impairment was found on neuropsychological testing. This study provides no support for the notion that Gilles de la Tourette syndrome is a degenerative disorder of the central nervous system but provides some evidence for heterogeneity. PMID- 6582231 TI - Harrington rod stabilization for pathological fractures of the spine. AB - Nineteen patients with tumors involving the thoracolumbar spine were treated by Harrington rod stabilization following laminectomy. Sixteen patients had metastatic neoplasms, and three had primary tumors of the vertebral column. In five patients, extensive decompressive laminectomy and Harrington distraction rods to provide immediate stability were used as initial treatment; postoperative irradiation was then given. All five patients were ambulatory, and the four patients with preoperative pain all noted relief of pain following treatment. The remaining 14 patients had received radiation therapy to the spine prior to surgery; in these 14, indications for surgery included a combination of pain and weakness (10 patients), pain alone (two patients), or weakness alone (two patients). Of 12 patients with preoperative pain, after surgery pain relief was noted in nine patients, and eight were ambulatory. Major wound breakdowns occurred in two of the 14 patients who had received radiation prior to surgery. These results suggest that Harrington rod instrumentation is useful in providing postoperative stability and restoring alignment following laminectomy for tumors involving the spine, but carries an increased risk of wound-related complications if used in a previously irradiated region. PMID- 6582232 TI - Zinc deficiency affects neither platelet arachidonic acid metabolism nor platelet aggregation in rats. AB - The effects of zinc deficiency on arachidonic acid (AA) metabolism and platelet aggregation were studied in rats. Concentrations of AA metabolites synthesized by collagen-stimulated platelets were greater in rats fed a zinc-deficient diet (ZD group) than pair-fed control rats (PF group). This difference appeared to be due to increased platelet number in the ZD group. Preincubation of platelet-rich plasma of ZD group with various concentrations of zinc sulfate, prior to the aggregation induced by collagen suspension, Affected neither concentrations of AA metabolites nor the degree of platelet aggregation. Contrary to a report by other investigators, ADP-induced platelet aggregation was not impaired in rats fed the zinc-deficient diet for 1 week or 5 days as compared to the pair-fed controls. Secondary phase aggregation was not observed during ADP-induced platelet aggregation regardless of concentrations of ADP, types and concentrations of anticoagulants used, routes of blood collection or types of dietary protein in this study. These results indicated that zinc deficiency does not seem to affect arachidonic acid metabolism or platelet aggregation in rats in relatively short term studies. PMID- 6582234 TI - Perturbation of cobalt 60 radiation doses by metal objects implanted during oral and maxillofacial surgery. AB - The influence on cobalt 60 dose distributions of typical metal parts used in oral and maxillofacial surgery was studied. Relative doses were determined by exposing x-ray films in a polystyrene phantom set-up containing samples of Vitallium, titanium, and stainless steel. Optical densities were converted to doses with the aid of sensitometric curves. The results show that for normal incidence there is a 25% to 40% increase in dose at the entrance side of the metal and a 20% to 25% decrease in dose at the exit side. The enhancement effect falls off rapidly and becomes negligible at about 1 mm from the interface. The reduction effect decreases more gradually and is still evident at distances of a few centimeters. These dose perturbations should be taken into account in the planning of radiation therapy for patients in whom metal objects have been implanted. PMID- 6582233 TI - Complications after mandibular sagittal split osteotomy. AB - Sagittal split osteotomy has been performed routinely for correction of mandibular prognathism, retrognathia, mild open bite, and asymmetry. Intraoperative and early or late postoperative complications were evaluated in 258 patients operated on by this technique. With meticulous performance of the operation and long-term maxillomandibular fixation, complications can be negligible, and relapse, the most problematic postoperative issue, can be significantly reduced. PMID- 6582236 TI - Reevaluation of the lingual split-bone technique for removal of impacted mandibular third molars. PMID- 6582235 TI - The effects of alcohol and cetylpyridinium chloride on the buccal mucosa of the hamster. AB - The effects of alcohol and cetylpyridinium chloride on normal and abraded hamster buccal pouches were studied in 23 study and 23 control animals over 21 consecutive days. No significant differences were found between the control and study animals, both groups having normal cheek pouch mucosa at the end of the study period. PMID- 6582237 TI - Clinicopathologic conference. Case 48, part II: Aneurysmal bone cyst of the mandible. PMID- 6582238 TI - Intraosseous lipogranuloma presenting with mental nerve paresthesia. PMID- 6582239 TI - Simultaneous occurrence of an ameloblastoma and a squamous cell carcinoma of the mandible. PMID- 6582240 TI - Extracorporeal traction for fractures of the middle third of the face. PMID- 6582241 TI - A convenient system for irrigating contaminated wounds of the maxillofacial region. PMID- 6582243 TI - The other side of the coin. PMID- 6582242 TI - Prevention of dry socket. PMID- 6582244 TI - Evaluation of etidocaine hydrochloride for local anesthesia and postoperative pain control in oral surgery. AB - Etidocaine hydrochloride, an amide-type local anesthetic with prolonged duration of action, was evaluated and compared with a standard local anesthetic, lidocaine, to determine its efficacy as a local anesthetic and its effect on postoperative pain following removal of impacted third molars. The findings indicate that 1.5% etidocaine hydrochloride with 1:200,000 epinephrine, in comparison with 2% lidocaine hydrochloride with 1:100,000 epinephrine, suppresses the magnitude of postoperative pain, and results in anesthesia comparable with that obtained by lidocaine, but results in greater blood loss during surgery. PMID- 6582245 TI - Chronic factitious illness: recognition and management of deception. AB - Factitious disease is often manifested in the head and neck region. It is only when the oral and maxillofacial surgeon is aware of the existence of this syndrome and has been unable to correlate a patient's history and signs and symptoms with known diseases that factitious illness may be suspected as the diagnosis. Three case histories that help to demonstrate the variety of ruses used by patients to feign illness are presented. The expertise of a psychiatrist will often help to substantiate the diagnosis, but in many instances the main aspects of treatment will remain in the hands of the original clinician. It is important for clinicians to realize that patients with chronic factitious illness are extremely manipulative and unwilling to admit to their fabrications. PMID- 6582246 TI - Evaluation of growth hormone release and human growth hormone treatment in children with cranial irradiation-associated short stature. AB - We studied nine children who had received cranial irradiation for various malignancies and subsequently experienced decreased growth velocity. Their response to standard growth hormone stimulation and release tests were compared with that in seven children with classic GH deficiency and in 24 short normal control subjects. With arginine and L-dopa stimulation, six of nine patients who received radiation had a normal GH response (greater than 7 ng/ml), whereas by design none of the GH deficient and all of the normal children had a positive response. Only two of nine patients had a normal response to insulin hypoglycemia, with no significant differences in the mean maximal response of the radiation and the GH-deficient groups. Pulsatile secretion was not significantly different in the radiation and GH-deficient groups, but was different in the radiation and normal groups. All subjects in the GH-deficient and radiation groups were given human growth hormone for 1 year. Growth velocity increased in all, with no significant difference in the response of the two groups when comparing the z scores for growth velocity of each subject's bone age. We recommend a 6-month trial of hGH in children who have had cranial radiation and are in prolonged remission with a decreased growth velocity, as there is no completely reliable combination of GH stimulation or release tests to determine their response. PMID- 6582247 TI - Reduced pulsatile growth hormone secretion in children after therapy for acute lymphoblastic leukemia. AB - Basal growth hormone levels were measured every 20 minutes over 24 hours in eight long-term survivors of acute lymphoblastic leukemia and in 13 age- and pubertal stage-matched normal children. Among the patients, the median total basal growth hormone output (AUC) was 43 units, compared with 341 units in the normal control group (P less than 0.001). In the patients, mean pulse amplitude (6.9 ng/ml) and frequency (4.6) over 24 hours also were reduced, compared with the control values (32 ng/ml and 8.5, P less than 0.001 and P less than 0.05, respectively). In addition, normal children secreted more GH at night (median AUC 280) than during the day (113, P less than 0.001). However, this diurnal pattern was absent in three of the patients studied. These data suggest that perturbations of spontaneous pulsatile GH secretion are common after standard therapy for ALL and may be a sensitive means of detecting therapy-related neuroendocrine damage. Blunting of spontaneous pulsatile GH secretion may contribute to the abnormalities in growth seen in children with ALL. PMID- 6582248 TI - Hypothesis revisited: cystic fibrosis: a disturbance of water and electrolyte movement in exocrine secretory tissue associated with altered prostaglandin (PGE2) metabolism? AB - An earlier hypothesis based on the results of pancreatic studies in cystic fibrosis (CF) patients without steatorrhoea suggesting that the basic defect was related to an abnormality in control of electrolyte movement, particularly the bicarbonate ion, and water in exocrine secretory tissue is reviewed in light of recent advances in knowledge of secretory mechanisms. Evidence for defective bicarbonate-chloride exchange in a variety of CF exocrine tissues other than the pancreas is cited. Recent recognition of the close relationship between bicarbonate and mucus secretion and their stimulation by prostaglandin E2 is discussed. Consideration is given to the possibility of altered metabolism of PGE2 because of abnormal handling of essential fatty acids in CF, and an attempt is made to relate such a defect to the recent confirmation of oligosaccharide side chain differences such as an increased fucose-sialic acid ratio in CF gastrointestinal mucus and other glycoproteins. It is suggested that membrane permeability to chloride, bicarbonate-chloride exchange, and movement of water through extra- and intracellular exocrine tissues depends on modifications of the carbohydrate structure of glycoproteins during secretion and that these changes are stimulated by coordination of cell messengers PGE2, calcium, and cyclic AMP. Disturbed PGE2 metabolism in CF could inhibit these changes rendering resulting secretions dry, concentrated, and readily able to block ducts or tubes. PMID- 6582249 TI - Glycogen storage disease: effects of glucose infusions on [15N]glycine kinetics and nitrogen metabolism. AB - The effects of intragastric glucose infusions on [15N]glycine kinetics and whole body protein turnover were investigated in four children with type I and two children with type III glycogen storage disease. Either fasting or the administration of insufficient glucose was associated with a diminution in the glycine pool size relative to values observed when patients received adequate glucose. The cause of the smaller pool size was an increased fractional glycine turnover. Simultaneous determination of whole body protein turnover, using a stochastic model based on [15N]urea excretion, showed higher rates of protein synthesis, nitrogen flux, net tissue protein retention, and reutilization of amino acid nitrogen derived from protein catabolism, in patients receiving sufficient exogenous glucose. Depletion of amino acid pools, presumably because of intensive utilization of these gluconeogenic precursors when inadequate glucose is administered, was associated with a lower rate of whole body protein synthesis. PMID- 6582251 TI - Functional orthodontic therapy with the Frankel appliance. PMID- 6582250 TI - Limb salvage procedures for children with osteosarcoma: an alternative to amputation. AB - Amputation remains the standard surgical management for patients with osteosarcoma. However, in carefully selected patients, eradication of the primary tumor can be achieved by En-Bloc resection of the affected bone preserving both anatomical and functional status. Our criteria for limb salvage procedures are that patients must: (1) be age 12 years or older, (2) have no angiographic or clinical evidence of neurovascular involvement, (3) have low-grade osteosarcoma and/or good response to preoperative chemotherapy, and (4) be compliant. Between November 1980 and October 1982, 32 patients with osteosarcoma of an extremity were seen. Eight patients ranging in age from 13 to 21 years underwent limb salvage procedures. Five of these had Tikhoff-Linberg procedures for upper extremity lesions, two had En-Bloc resections for distal femur lesions, and one patient had a segmental arthrodesis for a distal tibial lesion. Of these eight patients, two had low-grade parosteal osteosarcoma. Follow-up ranged from 10 to 28 months (median 16 months). The two patients with parosteal osteosarcoma received no further therapy, while the other six patients received multiple agent chemotherapy. One patient died at 18 months with bilateral pulmonary disease. None have had local recurrences. Two of the eight patients had minor skin necrosis, requiring revision subsequently. Three patients have had transient nerve palsy. All have had good functional results. With careful selection of patients by rigid criteria, limb salvage procedures can be a viable alternative to amputation. PMID- 6582252 TI - Familial aggregation of dental health habits in Finland. PMID- 6582253 TI - Evaluation of practitioner-developed criteria for assessing the quality of stainless steel crown restorations. PMID- 6582254 TI - Vascular architecture of monkey primary dental pulps. PMID- 6582255 TI - Familial caries distribution in human permanent teeth: buccal and lingual pits of first molars. PMID- 6582256 TI - Effect of fluoride mouth rinses on the extent of caries in animals. PMID- 6582257 TI - A debate over the role of sugars in the etiology of dental caries. PMID- 6582258 TI - Eruption of mandibular second premolar. PMID- 6582259 TI - In vitro wear of several one-visit veneering techniques. PMID- 6582260 TI - Phenytoin-induced gingival overgrowth resulting in delayed eruption of the primary dentition. A case report. AB - A case of delayed eruption of the primary dentition secondary to phenytoin therapy in a 4-year-old child is reported. The patient had been on phenytoin therapy since the first months of life. Radiographs revealed that alveolar but not gingival emergence had occurred. Surgical excision of the excess gingival tissue was accomplished under general anesthesia. Oral hygiene procedures were stressed and parental cooperation solicited. Three- and nine-month postoperative visits revealed no regrowth of gingival tissue and continued eruption of the primary dentition. PMID- 6582261 TI - Relationships between bitewing and periapical radiographs in assessing crestal alveolar bone levels. AB - Bitewing (BW) and periapical (PA) radiographic techniques are used in clinical and epidemiologic studies to assess crestal alveolar bone levels. Since there appeared to be no basis for choosing one technique over the other, the present study investigated relationships between these techniques by assessing alveolar crest location at the same site. BW and PA radiographs were available from posterior quadrants of 210 subjects. Individual radiographs were projected at a magnification x 5.9 using a Leitz Prado-Universal projector. The distance from the cemento-enamel junction to the alveolar crest (CEJ-CR) was measured for each proximal surface from the distal of the cuspid to the distal of the second molar. Data were arranged according to the proximal surface examined, and BW and PA measurements were compared using paired t tests. In addition, the degree of congruence of the two sets (BW/PA) of CEJ-CR measurements was evaluated through computation of the Pearson Correlation. The data showed significant differences between mean BW and PA measurements for 50% of the tooth surfaces, and this trend was consistent through maxillary and mandibular quadrants, and mesial and distal surfaces. In situations of a significant difference, the BW measurement was greater than the PA 94% of the time. The correlations between the two types of measurements showed low reliability. It was concluded that BW and PA techniques provided significantly different values in assessing crestal alveolar bone levels, and data generated by these techniques should not be used interchangeably on an individual or group basis. PMID- 6582262 TI - Long-term effect of orthodontic treatment on crestal alveolar bone levels. AB - It was the purpose of the present study to evaluate crestal alveolar bone levels in individuals (Study group, n = 104) who had completed orthodontic treatment at least 10 years previously and compare the findings with adults who had untreated malocclusions (Control group, n = 76). Crestal alveolar bone levels were determined on both bitewing and periapical radiographs by direct measurement from the cemento-enamel junction to the alveolar crest. Data from the individual tooth surface measurements were subjected to analyses of variance partitioned on group (Study vs Control), radiographic method, tooth type, dental arch and surface location. There was no significant difference between crestal alveolar bone levels between the study and control group. A Group/Tooth/Surface interaction occurred for the distal surface of molars. The alveolar crest level was significantly less in the orthodontically treated group. Examination of the numerical data suggested that the measured dimension was low relative to normal values, and this effect may have been related to tooth intrusion during orthodontic treatment. It was concluded that orthodontic treatment during adolescence had no detrimental long-term effect upon crestal alveolar bone levels. PMID- 6582263 TI - Bilateral symmetrical lymphangiomas of the gingiva. A case report. AB - This is a report of a patient with bilateral symmetrical lymphangiomas of the mandibular gingiva which presented clinically as chronic localized gingivitis. The lesions were removed by conventional gingivectomy and have not recurred after 2 years. Both lesions were of the cavernous type and apparently confined to the gingiva. Their distribution indicates them to be developmental anomalies rather than tumors. For this reason it is felt that local excision is adequate even if the mass is incompletely removed. Anomalies should not recur in the same fashion as a tumor. PMID- 6582264 TI - Salivary immunoglobulins in patients with juvenile periodontitis and their healthy siblings. AB - The concentrations of the salivary immunoglobulins IgA, IgG and IgM were determined with a solid phase radioimmunoassay in the unstimulated whole saliva of 21 patients with juvenile periodontitis (JP), their 27 healthy siblings and 17 healthy age-matched controls. In the JP group the concentrations of IgA were increased, averaging 188 +/- 32.5 (SE) mg/L as compared with the mean of 139 +/- 21.2 mg/L in their healthy siblings and 130 +/- 24.5 mg/L in the controls. An elevation was found in the amount of IgG in the JP patients 45.6 +/- 12.5 mg/L as compared with 18.1 +/- 5.9 mg/L in the siblings and 21.0 +/- 5.6 mg/L in the controls. The mean IgM was 22.5 +/- 5.4 mg/L in the JP group, 13.3 +/- 2.9 mg/L in the siblings and 8.7 +/- 1.6 mg/L in the controls, indicating an increase of IgM in the JP group and the siblings. A significant difference was found in the mean IgM values in the juvenile periodontitis group when compared to the control group. (0.02 greater than P greater than 0.01). PMID- 6582265 TI - Enhanced rectal absorption of cefmetazole and cefoxitin in the presence of epinephrine metabolites in rats and a high-performance liquid chromatographic assay for cephamycin antibiotics. AB - 4-Hydroxy-3-methoxymandelic acid and 3,4-dihydroxymandelic acid were found to be potent adjuvants for the rectal absorption of water-soluble compounds in rats. Both adjuvants enhanced the absorption of two cephamycin antibiotics, cefmetazole and cefoxitin. Maximum plasma levels of the antibiotics were obtained within 30 min after rectal administration. The bioavailability of both antibiotics appeared to depend on the concentration of the adjuvant in the microenema, the dosage form used in these experiments. Instead of a microbial assay, a new chemical method involving high-performance liquid chromatography with an ion-pairing technique was developed for analyzing the cephamycin antibiotic plasma levels. PMID- 6582266 TI - SK&F 88046: a unique pharmacologic antagonist of bronchoconstriction induced by leukotriene D4, thromboxane and prostaglandins F2 alpha and D2 in vitro. AB - SK&F 88046, an imidodisulfamide initially reported as an end organ leukotriene (LT)D4 antagonist on guinea-pig lung parenchyma (Gleason et al., 1982), was studied further in order to elucidate its mechanism of action. The LTD4-induced contraction of the guinea-pig lung parenchyma, which occurs via both a direct action and an indirect, thromboxane (Tx)-dependent pathway (Weichman et al., 1982), was antagonized by SK&F 88046 and FPL 55712. SK&F 88046 was not acting on the lung parenchyma as a result of antagonism of cyclooxygenase or Tx synthetase, as SK&F 88046 did not block the LTD4-induced generation of TxB2 from the parenchyma. In contrast, the LTD4-induced contraction of the guinea-pig trachea, which is only directly mediated, was antagonized by FPL 55712 but not by SK&F 88046. However, SK&F 88046 did antagonize the contractions elicited by carbocyclic TxA2, a stable Tx analog, as well as those elicited by prostaglandins F2 alpha and D2, but not those elicited by histamine, carbachol or KCI. FPL 55712 weakly antagonized the actions of carbocyclic TxA2, but not the contractions induced by the other agonists. These results demonstrate that SK&F 88046 is an antagonist of the indirect, Tx-dependent component of LTD4 action in the guinea pig, presumably via antagonism of Tx on the end organ. These results provide additional evidence that LTD4 can exert its bronchoconstrictive actions via two mechanisms, a direct pathway and an indirect, Tx-dependent pathway. PMID- 6582267 TI - Fibromyalgia syndrome: a need for uniform classification. PMID- 6582268 TI - Prevalence of primary and secondary fibrositis. AB - Of 1,473 consecutive new patients seen in an outpatient rheumatology clinic, 3.7% met criteria for "primary fibrositis." Secondary fibrositis was diagnosed in 12.2% of patients with rheumatoid arthritis (RA), 15.7% of patients with primary neck and back pain syndromes and 6.7% of patients with osteoarthritis (OA). When conditions presumed to be associated with secondary fibrositis were excluded, primary fibrositis was identified in 55 of 405 patients or 13.6%. Two hundred fifteen or 14.6% of all patients had either primary or secondary fibrositis. Fibrositis may be the most common disorder seen in rheumatic disease practice after OA and RA. PMID- 6582269 TI - Low prevalence of rheumatoid arthritis in Chinese. Prevalence survey in a rural community. AB - A prevalence survey for arthritis among the general adult population of a rural island off the coast of China revealed a prevalence of rheumatoid arthritis (RA) of no more than 0.3% compared with 1.0% among Americans in the National Health Examination Survey (NHES). The frequency of clinical ankylosing spondylitis (AS) (0.2%) appears to be higher than expected, although limited data are available for comparison. No clinically unusual features of these diseases were recognized. PMID- 6582270 TI - Osteoarthritis in some developing countries. AB - Only a few studies on osteoarthritis (OA) have been performed in developing countries. They all concern African populations. OA occurs less frequently in developing populations. Whether this is due to genetic or environmental factors or to selective forces like an excessive mortality at younger ages, is difficult to decide. Development of criteria for clinical degenerative joint disease is recommended. Furthermore studies are proposed on the geographical distribution of specific joint OA, the concept of generalized OA, the pattern of joint involvement, the natural history of degenerative joint disease, and the role of occupation, sports, and environmental factors. PMID- 6582271 TI - Observations on rheumatic disease in Polynesia and the Philippines. AB - Two different types of study of rheumatic disease in the southwest Pacific are outlined. The Philippines study of a rural developing population is primarily oriented to intervention rather than causation, but before intervention can be effectively planned, information on the frequency and causes of rheumatic complaints is necessary. The Tokelauan investigation is a comprehensive prospective study of the total population with full medical examination of each subject allowing hypotheses to be tested concerning genetic and environmental variables. PMID- 6582272 TI - A World Health Organization perspective. PMID- 6582273 TI - Epidemiology of rheumatoid arthritis in developed countries. AB - The epidemiology of rheumatoid arthritis (RA) has been the subject of 4 international conferences during the past 25 years and the current concepts have recently been renewed in detail elsewhere. This paper will focus on the prevalence and incidence of RA in various geographic areas and ethnic groups, temporal trends in incidence rates, and the role of host, and environmental and genetic factors in disease etiology. PMID- 6582274 TI - Study constraints in African and other epidemiological surveys. AB - Studies on rheumatoid arthritis (RA) in developing countries have suffered from numerous constraints in the application of historical, clinical, radiological, and serological criteria for disease. The Manchester grading for clinical RA turned out to be the best set of criteria in Africa. Erosions on radiographs and a positive rheumatoid factor are of little help as the prevalence of both is high in most African populations. Living at high altitude and hence being void of most tropical parasitic infections apparently increases prevalence figures for RA. More studies are needed from developing countries to determine the magnitude and the determinants of disabling rheumatic conditions. PMID- 6582275 TI - Epidemiologic methodology as used in China. AB - Seven epidemiological methods commonly used in China are discussed. A communicable disease reporting system is in place but this does not include rheumatic diseases. Death registers include cause of death only in selected pilot study points. Field studies using either mobile clinics or nation-wide treatment and prevention programs are useful for infectious diseases. Disease specific surveys of mortality and prevalence are available for hypertension and tuberculosis. Some case control and efficacy studies are also undertaken. Thirty longterm disease surveillance points have been established throughout China. PMID- 6582276 TI - Problems in examination surveys of the rheumatic diseases. AB - Examination surveys to document the frequency and distribution of the rheumatic diseases in populations were largely pioneered by the efforts of Kellgren and Lawrence in England starting in the 1950s. The purpose of these surveys was primarily to gain insight into the extent and types of rheumatic diseases and their associated morbidity in representative population samples. From such studies the relative frequency of the common rheumatic diseases was defined and their occurrence in relation to their age and sex distribution within the population described. The methodologies devised for this purpose contained detailed historical, clinical, radiological, and serological components which were then applied by a number of investigators in different countries. The results of these surveys raised questions concerning diagnostic criteria, and led to the realization that diagnostic categorization in the population at large was often more difficult than in the rheumatology clinic. PMID- 6582277 TI - Accreditation issues. PMID- 6582278 TI - The dentist views serum calcium levels. PMID- 6582279 TI - Large single crystals of spinach 1,5-bisphosphate carboxylase/oxygenase suitable for X-ray studies. AB - Large single crystals of a quaternary complex of spinach ribulose bisphosphate carboxylase, Mg2+, CO2 and the transition state analogue 2-C-carboxy-D-arabinitol 1,5-bisphosphate have been obtained from ammonium sulfate solutions. These crystals belong to space group C222 with cell dimensions a = 157.2 A, b = 157.2 A and c = 201.3 A. The crystals are pseudo F-centered with a pseudo 4-fold axis parallel to c. The space group of local symmetry F422 contains one large and one small subunit in the asymmetric unit. The crystals diffract beyond 2 A resolution. PMID- 6582280 TI - Induced transcription of the mouse beta-globin transcription unit in erythroleukemia cells. Time-course of induction and of changes in chromatin structure. AB - The transcription of the beta-globin genes in mouse erythroleukemia cells has been examined by hybridizing labeled RNA obtained from isolated nuclei after chain elongation in the presence of [alpha-32P]UTP. There is induction of at least 30-fold of beta maj globin transcription after cells are treated with either dimethylsulfoxide or hexamethylene bisacetamide. The induction requires 36 to 48 hours to be maximal, during which time the cells double about three to four times. During this time, a site in the beta maj DNA region becomes hypersensitive to DNase. The development of this hypersensitive site is co-ordinate with the transcriptional increase. The induced transcripts in the beta-globin region are alpha-amanitin-sensitive (and therefore are RNA polymerase II products). An examination of weak transcriptional signals to DNA fragments upstream of the beta maj globin gene in uninduced mouse erythroleukemia cells and in cells that do not make globin is also reported. The low level of hybridization to the upstream regions in uninduced erythroleukemia cells, in L cells (a fibroblast) and in a strain of erythroleukemia cells that no longer make globin are not equally sensitive to alpha-amanitin as in the induced signal. These experiments help define the inducible transcription unit for beta maj globin mRNA production. PMID- 6582281 TI - Perspectives on contact lenses: contact lenses in Scandinavia. PMID- 6582283 TI - General anesthesia and conscious sedation in dentistry: current concepts, educational requirements and safety. PMID- 6582282 TI - The professional person. PMID- 6582284 TI - What . . . another injection technique? PMID- 6582285 TI - Midtrimester abortion. Intra-amniotic instillation of hyperosmolar urea and prostaglandin F2 alpha v dilatation and evacuation. AB - Although dilatation and evacuation (D&E) is currently the most common method of midtrimester abortion in the United States, the intra-amniotic instillation of hyperosmolar urea and prostaglandin F2 alpha combined (U-P) has been proposed as a safer technique. To evaluate the comparative safety of U-P and D&E, we analyzed 2,805 U-P and 9,572 D&E abortions at 13 to 24 menstrual weeks' gestation. The U-P procedure resulted in significantly more serious complications than D&E (1.03 v 0.49 per 100 abortions). After adjusting for patient age, race, parity, follow-up information, and preexisting conditions, the relative risk of serious complications associated with U-P was 1.9 (95% confidence interval, 1.2 to 3.1). This advantage for D&E stems from its applicability to the 13- to 16-week interval. Although D&E appears to be safer overall in the midtrimester, for women obtaining abortion after 16 weeks, the rates of serious complications were comparable, with a relative risk of 1.0 (95% confidence interval, 0.4 to 2.5). PMID- 6582286 TI - The physician and the rights of mankind. PMID- 6582287 TI - Consensus conference: Treatment of hypertriglyceridemia. PMID- 6582288 TI - Lung cancer: leading cause of cancer deaths in Louisiana white females. PMID- 6582289 TI - Cancer mortality among patients with Hansen's disease. AB - For the evaluation of cancer risks associated with immunodeficiencies experienced by patients with Hansen's disease (leprosy) and for the assessment of possible adverse effects of dapsone therapy, a follow-up study was conducted of 1,678 patients admitted to the National Hansen's Disease Center in Carville, La., between 1939 and 1977. Overall, no substantial cancer mortality was observed (standardized mortality ratio = 1.3), nor was there any excess among patients exhibiting defects in cellular immunity by virtue of lepromatous forms of the disease. Notable was the absence of any significant excess of lymphoma (5 observed vs. 2.3 expected), despite the predominance of this tumor in certain other immunodeficiency states. Several cancer sites (oral, bladder, and kidney) occurred excessively, but reasons for the elevations were obscure. Although dapsone has been implicated as a carcinogen in laboratory animals, the use of sulfones, including dapsone, did not appear to affect significantly the risk of any cancers in this population. PMID- 6582290 TI - Dietary fat influences on murine melanoma growth and lymphocyte-mediated cytotoxicity. AB - The effects of fat concentration and saturation on the growth of a B16 melanoma and lymphocyte-mediated cytotoxicity against the cells were studied with the use of inbred C57BL/6J and C3H/HeJ mice subjected to dietary manipulation before and after tumor transplantation. The tumor latency for mice initially given injections of 5 X 10(6) syngeneic B16 melanoma cells was significantly less for those mice fed at 20% fat concentration than those fed only the essential fatty acid (EFA) diet. When mice were given injections of 10(6) melanoma cells, the initiation time required for visible tumor growth in mice receiving the polyunsaturated fat (PUF) diet was significantly less than that in mice receiving the saturated fat (SF) diet. Cytolysis mediated by lymphocytes from diet manipulated mice toward allogeneic B16 melanoma cells was greater for those mice receiving the EFA diet only and 8% SF diets than for those mice fed a diet without fat. The cytolytic response decreased immediately with the additional PUF in the diet, whereas additional SF decreased cytolytic responses only when dietary SF concentration was greater than 8%. Thus dietary fat, particularly PUF, has a significant influence on the growth and lymphocyte-mediated cytotoxicity of a murine melanoma. This effect cannot be attributed to differences in the energy content between high-fat and low-fat diets. PMID- 6582291 TI - Glutathione S-transferase activity in rat pancreas. AB - The biotransformation capability of pancreatic tissue was studied. Michaelis Menten kinetics were determined for glutathione S-transferase in pancreatic tissue supernatants from control, phenobarbital (PB), and 3-methylcholanthrene (3MCA)-pretreated Sprague-Dawley male rats. The enzyme activity was measured spectrophotometrically with use of 1-chloro-2,4-dinitrobenzene as substrate. Pancreatic activity was about half the hepatic activity, and, further, the activity was not affected by pretreatment with PB or 3MCA as was the liver. PMID- 6582292 TI - Amiloride potentiation of differentiation of human promyelocytic cell line HL-60. AB - Cells of the human acute promyelocytic cell line HL-60 undergo differentiation when exposed to dimethyl sulfoxide (DMSO); in this report, amiloride, an inhibitor of passive intracellular Na+ flux, potentiated the DMSO-induced differentiation of HL-60 cells. This effect was seen at several concentrations of DMSO. Amiloride alone did not affect HL-60 differentiation. Various analogues of amiloride were tested for their ability to potentiate differentiation of HL-60 cells. The synergistic induction of myeloid differentiation by a membrane solvent (DMSO) and an Na+ transport inhibitor (amiloride) suggested membrane cation flux as being important in initiating differentiation. PMID- 6582293 TI - Enhanced host resistance to transplantable murine lymphosarcoma in Swiss mice by combined immunostimulation with BCG and polyinosinic-polycytidylic acid. AB - Combined immunostimulation with BCG and double-stranded polyinosinic polycytidylic acid (poly I . poly C) was more effective than single-modality immunostimulation in suppressing tumor growth in inbred Swiss mice. BCG sensitization followed by administration of poly I . poly C on the day of tumor cell injection significantly prolonged the survival period against parental lymphosarcoma (LS) and its ascites variant (LS-A). BCG and poly I . poly C given together on the day of tumor cell injection suppressed only LS-A and not LS. BCG or poly I . poly C given alone did not result in tumor cures. Silica injection given 2 days before poly I . poly C injection completely abrogated the antitumor effect of sequential treatment with BCG and poly I . poly C. Silica treatment given on and beyond the day of poly I . poly C injection did not abrogate the antitumor effect. This observation indicated that intact macrophage effector function was essential at the time of tumor cell inoculation to obtain an effective antitumor action. PMID- 6582294 TI - Abnormal response of tumor vasculature to vasoactive drugs. AB - The effects of the vasoconstrictor phenylephrine and the vasodilator hydralazine on blood flow to tumor were studied and compared to those on blood flow to normal tissues in vivo. Regional blood flow and cardiac output were measured with the use of radioactive microspheres in 150- to 250-g inbred Harlan F344 rats bearing subcutaneous nodules of two types of transplantable carcinoma ("hard" and "soft") with microscopically different vascular patterns. Three groups of rats were treated with hydralazine, saline, or phenylephrine, and regional blood flow was determined at the time of maximum blood pressure response. Results were correlated with quantitative morphometric analysis of arteriolar and capillary wall thickness in tumor and normal tissue. Phenylephrine decreased and hydralazine increased normal tissue perfusion as indicated by cardiac output. Tumor blood flow remained low and was not significantly influenced by drug treatment, except for the phenylephrine effect on hard tumors. Histologic study of tumor vessel walls revealed an absence of smooth muscle capable of responding to the vasoactive drugs by constriction or dilation. Evidently, by their selective action on normal vessels, vasoactive drugs can change the ratio of tumor:normal tissue perfusion. In particular, the increase of normal tissue: tumor blood flow by vasodilator drugs may enhance the selectivity of local heat therapy. PMID- 6582295 TI - A morphologic classification of brain tumors found in several strains of mice. AB - Brain tumors were found in 42 mice from a total study population of 77,410 mice, which included several strains (BALB/c, C3H, C57BL/6, and hybrids of these strains). The brain tumors were classified on the basis of the new World Health Organization classification of human brain tumors. Tumors originated from neuroepithelial and meningeal tissues, blood vessels, and germ cells. The youngest animal with a tumor was 111 days of age. The tumor incidence was low, being 0.054% of the total study population, with 0.067% in controls and 0.052% in treated mice. Lipomas were the most common type of tumor diagnosed, and they were considered to represent hamartomas rather than true neoplasms. There were 27 brain tumors other than lipomas, the majority (16) of which occurred in BALB/c mice, whereas meningeal tumors (6) were confined to C3H and hybrid strains of mice. The morphologic characteristics of each tumor type are presented. PMID- 6582296 TI - B16 murine melanoma and aging: slower growth and longer survival in old mice. AB - The growth characteristics and colonization potential of a transplantable melanoma administered to young (3 mo) and old (24 mo) C57BL/6 mice were investigated. After sc injection of B16-F10 melanoma cells, tumor growth was slower, and final tumor volume was less in the older mice. Furthermore, after iv injection of B16-F1 melanoma cells, the number of pulmonary colonies was also less, and the survival was greater in the older mice. These findings indicate an age advantage in this experimental tumor model that may be attributed to either physical or immunologic factors. PMID- 6582297 TI - Persistence of precursor cells of squamous metaplasia in preneoplastic mammary outgrowth lines from mice. AB - The preneoplastic state is without apparent effect on the induction or prevention of epidermidalization in transplanted mammary outgrowth lines. Development of squamous metaplasia and differentiation (keratinization) were induced in organ cultures of three hyperplastic alveolar and ductular mammary outgrowth lines (D1, MH5, and MH9) that had been extensively passaged in gland-free mammary fat pads of BALB/c virgin mice. The induction was elicited by the mixture of dibutyryl cyclic AMP (0.1 mM), prostaglandins E1, E2, and B1 (each 5 micrograms/ml), and papaverine (1 microM) or by a tenfold higher concentration of dibutyryl cyclic AMP (1 mM) alone for 9 days. The retinoid 2-retinylidene-5,5-dimethyl-1,3 cyclohexanedione at 1 microM and the phorbol ester phorbol 12,13-didecanoate at 10 microM each blocked the induction process. The parameters of the induction and its prevention were analogous in many ways to those previously found with cultures of normal mammary glands of mice and humans, as well as of mouse prostate glands and chick embryo skin. The metaplastic squamous cells that developed in the cultured mammary outgrowths did not proliferate in gland-free mammary fat pads, possibly because the cells were terminally committed or because of insufficient inducers. In contrast, the alveolar and ductular epithelia in the same outgrowths have a transplantable pool of generative cells with the ability to undergo continual proliferation and development. The finding of precursor cells with the potential for epidermoid development and differentiation in the preneoplastic alveolar and ductular outgrowths, despite their extensive serial transplantations, is supportive of the existence of a common or closely associated pool of cells with the ability to develop either into squamous or alveolar mammary epithelium. PMID- 6582298 TI - Methionine dependence in skin fibroblasts of humans affected with familial colon cancer or Gardner's syndrome. AB - Reduced growth in methionine-deficient, homocysteine-, folic acid-, and vitamin B12-supplemented medium, a characteristic of tumor and transformed cell lines, was investigated in skin fibroblasts of patients affected with hereditary colon neoplasms. The presence or absence of this phenotype was studied in 37 cell lines from either low-risk subjects or members of families with Gardner's syndrome (GS) or familial colon cancer (FCC). Growth constants of skin fibroblasts of the low risk group were not significantly different in the presence of methionine (Kme) or absence of methionine (Kho) (0.106 +/- 0.011 and 0.098 +/- 0.011, respectively). However, growth constants of skin fibroblasts of both GS and FCC were significantly reduced in the absence of methionine. In GS, Kho = 0.086 +/- 0.006 and Kme = 0.120 +/- 0.006 (P less than .01). In FCC, Kho = 0.048 +/- 0.007 and Kme = 0.084 +/- 0.009 (P less than .01). Thus the growth of skin fibroblasts from both GS and FCC was methionine dependent. This phenotype was expressed in skin fibroblasts of an individual several years before any clinical manifestation of GS. In all populations studied the phenotype was independent of the age or sex of the individuals, aging of the cell lines, low serum concentration, and acute carcinogen treatment. In addition, there is a significant correlation (r = -0.85, P less than .001) between the disorganization of actin cables of the skin fibroblasts and the ratio of the growth constants. These data constitute the first report demonstrating methionine dependence in cell lines that are not derived from transformed cells, tumor cells, or fetal cells but are derived from skin fibroblasts of patients with hereditary colonic neoplasms. Inasmuch as these cells are not target cells related to colon cancer, the phenotype appears to be the expression of an inherited autosomal dominant genotype related to the oncogenic transformation. PMID- 6582299 TI - Modification of pancreatic carcinogenesis in the hamster model. XI. Inhibitory effect of pilocarpine hydrochloride. AB - Pilocarpine hydrochloride (PH) was administered as a single sc injection (15 mg/kg body wt) to outbred Syrian golden hamsters either prior to, simultaneously with, or after a single 20-mg/kg body weight dose of the pancreatic carcinogen N nitrosobis(2-oxopropyl)amine (BOP). An additional group was treated with PH, once before and once simultaneously with BOP; another group received PH daily for life after BOP and controls were given BOP only. Surviving hamsters were killed 46 weeks after BOP treatment. PH significantly inhibited pancreatic ductal-ductular cancer induction, whether it was given once before, simultaneously with, or after BOP. A more pronounced inhibitory effect was seen when PH was administered once before and once simultaneously with BOP. However, daily injection of PH did not alter the carcinoma incidence over the BOP control value. The possible mechanisms are discussed. PMID- 6582300 TI - Differential susceptibility of inbred mouse strains forecast by acute colonic proliferative response to methylazoxymethanol. AB - The proliferative response of colonic epithelial cells to methylazoxymethanol (MAM) was followed in 1,2-dimethylhydrazine (DMH)-sensitive SWR/J, moderately resistant C57BL/6J, and resistant AKR/J strains. Untreated AKR mice had a significantly lower labeling index (L1) a shorter proliferative compartment (PC), and a smaller percentage of DNA synthesizing cells in the middle third of the crypts than did the SWR strain. SWR had the highest Ll, the widest PC, and the largest percentage of DNA synthesizing cells in the middle third of the crypts. C57BL/6 mice had characteristics that lay between the sensitive and resistant strains. Pooled data from 1 week after the fifth and sixth injections and 12 weeks after the first MAM injection revealed that extension of the PC had occurred in all strains, but it was only the DMH-sensitive SWR strain that showed extension of the PC to the upper third of the crypt, the greatest shift of proliferating cells to the middle and upper third of crypts, and the greatest increase in Ll. The AKR strain demonstrated these proliferative alterations least, and the C57BL/6 strain fell between them. This differential response to MAM among the strains mimicked that previously reported by us when DMH was investigated. The similarity in response of the colonic epithelial cells of each strain to either a direct-acting (MAM) or indirect-acting carcinogen (DMH) would support the concept that susceptability to this family of carcinogens is directly related to the genetically controlled indigenous proliferative characteristics of the colon. PMID- 6582301 TI - A rapid assay for cytotoxicity of unstimulated human monocytes. AB - Human peripheral blood mononuclear cells were used as effectors against the Wehi 164 mouse fibrosarcoma cell line grown in suspension culture. In a standard 7 hour 51Cr release assay, specific release usually was below 10%. In contrast, pretreatment of Wehi 164 for 3 hours with dactinomycin (Act D), while leaving the tumor cells intact and viable, resulted in a drastic increase in its susceptibility to lysis, which reached 60% specific release. In terms of lytic units, this reflects up to a fiftyfold enhancement. Cell-separation experiments revealed that the effector cells were plastic-adherent and iron-phagocytic. Adherent cell fractions with 85-98% naphthol AS acetate-esterase (NAS)-positive cells were enriched in cytotoxicity, while nonadherent cells with less than 4% NAS-positive cells were almost devoid of activity. Depletion of phagocytic cells with iron and magnet resulted in a strong reduction of cytotoxicity by 82-95% compared to the cytotoxicity seen in control treated effector cells. In both kinds of analyses, natural killer cell activity showed a reciprocal behavior. The evidence indicates that the cytotoxic effector cells directed against Act D treated Wehi 164 cells belong to the monocyte lineage. The system described should be useful in analyzing the cytotoxic function of unstimulated monocytes in a short-term assay without prior purification of the effector cells. PMID- 6582302 TI - Estimation of human tumor growth rate from distribution of tumor size at detection. AB - Methods are presented for estimating the growth curve of a tumor (up to an unknown scale factor of time) from the distribution of volumes at detection on the basis of two assumptions: 1) the existence of a common growth curve and 2) the assumption that the probability of detecting a tumor in a period of time is proportional to the tumor volume. These methods can accommodate variation between individuals in speed of traversal of the growth curve. The methods are applied to volumes of tumor at detection of a large series of breast cancers. The simplest, adequate description is exponential growth with great individual-to-individual variation in tumor doubling time. The data are consistent with bounded growth (Gompertzian or logistic form) as well as exponential growth. However, there is no evidence that the bound on growth is within the range of the data. The shape of the distribution of volumes does not yield an effective lower limit on such a bound. PMID- 6582303 TI - Tumor cytotoxicity of human macrophages after incubation with synthetic analogues of 2-lysophosphatidylcholine. AB - Human alveolar macrophages as well as macrophages derived from Teflon culture of blood-borne monocytes were incubated with synthetic analogues of 2 lysophosphatidylcholine and then tested for their cytotoxic capacity against an allogeneic lymphoma cell line. Metabolic, rather stable analogues enhanced macrophage cytotoxicity significantly. This phenomenon was shown both in a growth inhibition assay as well as in the 51Cr release assay. Macrophage activation was dose- and time-dependent and was potentiated at temperatures above 37 degrees C. Incubation of the macrophages with the active compounds induced characteristic changes in cell morphology as revealed by scanning electron microscopy. PMID- 6582304 TI - Studies of a melanoma tumor-associated antigen detected in the spent culture medium of a human melanoma cell line by allogeneic antibody. I. Purification and development of a radioimmunoassay. AB - A tumor-associated antigen (TAA) was isolated from spent culture medium (chemically defined serum-free medium) of human melanoma cell line UCLA-SO-M14 (M14). The isolation procedures included concentration, ultrafiltration, gel filtration chromatography, and chloroform:methanol (C:M) extraction. The melanoma TAA activity recovered from the organic phase of the C:M extract was subsequently fractionated by gel filtration and radiolabeled with Na125I. The radioiodinated antigen was further purified by Sephacryl S-200 gel filtration and allogeneic antibody affinity chromatography. With the use of previously characterized anti TAA allogeneic sera from melanoma patients and 125I-labeled TAA, a radioimmunoassay (RIA) was developed. Protein A-bearing Staphylococcus aureus was used to separate bound and unbound 125I-labeled TAA. The coefficient of variation between experiments and within experiments with unlabeled melanoma TAA as the competitor in the competitive RIA ranged from 8.9 to 20.4%. These variations were consistently lower (8.9-13.6%) at high levels (6 micrograms melanoma TAA/ml) of the competitor than they were (17.3-20.5%) at low levels (0.5 microgram melanoma TAA/ml), suggesting reasonable reproducibility of the assay. A logit versus log plot of the competitive RIA data and analysis by linear regression yielded a straight line. This line represented a 5- to 1,000-ng detection range for melanoma TAA. Analysis of C:M-extracted and Sephacryl S-200-purified melanoma TAA by the competitive RIA revealed a 695-fold purification of the antigen that represented a 37.5% recovery from the spent culture medium. The greatest enrichment of the melanoma TAA was achieved by the C:M extraction step. This step separated the melanoma TAA from other antigens, e.g., fetal antigen and human leukocyte antigens. PMID- 6582305 TI - Studies of a melanoma tumor-associated antigen detected in the spent culture medium of a human melanoma cell line by allogeneic antibody. II. Immunobiologic characterization. AB - A tumor-associated antigen (TAA) was isolated from spent culture medium of human melanoma cell line UCLA-SO-M14 (M14). After radioiodination and further purification, it was used in a radioimmunoassay (RIA). When tested in RIA for anti-TAA activity, 56% (111/200) of sera from melanoma patients, 21% (21/100) of sera from sarcoma patients, and 19% (19/100) of sera from carcinoma patients, as well as 12% (6/50) sera from pregnant women and 10% (10/100) apparently normal sera, were positive. The variations (0.25-3.8 micrograms/mg total protein) in specific TAA activity in 20 different batches of spent media collected for 18 months exhibited patterns of gradual increases and decreases, suggesting a cell growth cycle-related phenomenon. Binding between the allogeneic antibody and 125I labeled TAA was inhibited by 70% (32/47) of melanoma spent media and cells (from culture or biopsy). Conversely, only 7% (3/33) spent medium or membrane extracts of other tumor cells and 0% (1/69) of human normal, fetal, or placental cells were positive in competitive RIA. The TAA was immunologically different from normal tissue antigens, blood-group antigens, human leukocyte antigens, and microbial antigens. These immunobiologic properties of the TAA isolated from M14 spent culture medium and used in the RIA suggested that such TAA was melanoma associated. PMID- 6582306 TI - Studies of a melanoma tumor-associated antigen detected in the spent culture medium of a human melanoma cell line by allogeneic antibody. III. Physicochemical properties. AB - A melanoma tumor-associated antigen (TAA), isolated from spent culture medium of human melanoma cell line UCLA-SO-M14, was purified to mean homogeneity to determine its physical and biochemical nature. Gel filtration and native polyacrylamide gel electrophoretic analyses of the 125I-labeled melanoma TAA revealed that the antigen had a molecular weight in the range of 180,000-190,000. However, ultracentrifugation of melanoma 125I-labeled TAA in a 5-20% sucrose density gradient revealed a sedimentation coefficient to be 4.96 +/- 0.24. Melanoma 125I-labeled TAA focused at a pH of 6.5 by isoelectric focusing. No carbohydrates were detectable by various colorometric methods in the highly purified melanoma TAA fraction, and melanoma TAA failed to bind with several lectins. Its antigenic activity was destroyed by the proteolytic enzymes but was not affected by the glycosidic enzymes or phospholipase A2. The results suggested that the melanoma TAA was most likely a lipoprotein that had a molecular weight of 180,000-190,000, a sedimentation coefficient of approximately 5, and a pl value of 6.5. The protein portion apparently formed the antibody binding site(s). PMID- 6582308 TI - Preventive oncology: an opportunity for clinical cancer centers. PMID- 6582307 TI - A model of human cancer metastasis: extensive spontaneous and artificial metastasis of a human pigmented melanoma and derived variant sublines in nude mice. AB - The extensive metastatic capacities in nude mice of variants of a human melanoma line, MeWo, were studied. BALB/c nude mice received subcutaneous implants of lung cubes impregnated in vitro with small numbers (less than 1,000) of MeWo cells as a result of previous in vitro coincubation. Such implants always resulted in lethal tumors, despite the fact that injection of dispersed 3 X 10(5) MeWo cells was normally required to obtain a tumor take. A BALB/c nude mouse that had received a MeWo lung cube implant was found to have numerous, large lung nodules 6 months after implantation. Transfer of the metastatic lung nodules to new recipients also led to the appearance of lung metastases. Cell lines established from such metastases, or from primary tumors that arose in nude mice implanted with MeWo-infiltrated cubes, showed a remarkable ability to colonize the lungs after iv injection, in contrast to the parent MeWo cells: Lungs were found to be engorged with hundreds of nodules, many, but not all, being melanotic. Widespread extrapulmonary metastases were also observed, but only after iv injection of MeWo sublines established from metastases. Karyotype analysis revealed that lung colonies established by iv cell injection had a near diploid (i.e., wild type) number of human chromosomes (mode: 44), whereas cell lines from spontaneous metastases possessed a near tetraploid number, a possible consequence of either selection or tumor progression in vivo. The results indicate that human tumor variants with unusually aggressive metastatic capabilities can be obtained in adult nude mice, similar in nature to some highly metastatic variants derived from mouse tumors (e.g., the B16 melanoma). The availability of such variants should be a valuable aid to study aspects of tumor cell heterogeneity, progression, and metastasis from a human cancer cell perspective. PMID- 6582309 TI - Modulation by retinoic acid of cellular, surface-exposed, and secreted glycoconjugates in cultured human sarcoma cells. AB - The effect of beta-all-trans-retinoic acid (RA) on the synthesis of cellular, cell surface, and secreted glycoconjugates by human Hs705 chondrosarcoma and Hs791 osteosarcoma cells was investigated in vitro. Untreated and RA-treated cells were labeled either metabolically with radioactive precursors or by oxidation of externally exposed cell membrane glycoprotein(s) (GP) by treatment with NalO4 or neuraminidase and galactose oxidase followed by reduction with NaB[3H]4. The cells were solubilized and analyzed by polyacrylamide gel electrophoresis followed by fluorography. RA enhanced the labeling of sialic acid and galactose residues on the GP of relative molecular weight(s) (Mr) in the range 95,000-300,000 on the surfaces of both cell types. [3H]glycosamine incorporation into GP with Mr of 100,000, 150,000, and 190,000 in both cell lines was also stimulated. In the Hs705 cells there was also an increase in the labeling of a 290,000-Mr GP. In contrast, [3H]glucosamine incorporation into glycoconjugates greater than 400,000 Mr in both the cells and the conditioned medium of Hs705 cells decreased. The latter glycoconjugates were susceptible to hyaluronidase and chondroitinases. [3H]glucosamine incorporation into a secreted 230,000-Mr GP, identified as fibronectin, was also reduced. Analyses of conditioned media of cells labeled with [35S]methionine or [14C]proline demonstrated that RA decreased the secretion of procollagen chains and fibronectin. Immunofluorescence revealed that RA alters the distribution of cell associated fibronectin. These results demonstrated that RA increases the glycosylation of specific cellular and cell surface GP and decreases the production of secreted GP and glycosaminoglycans by the sarcoma cells. PMID- 6582310 TI - Enzyme activities in normal, dysplastic, and cancerous human breast tissues. AB - The activities of six different enzymes were compared in 29 normal, 34 dysplastic, and 80 cancerous (both primary and metastatic) human breast tissues; in MCF-7 cells; and in primary rat mammary tumors. Benign lesions generally showed enzyme activities similar to those of normal breast tissues. Malignant tumors had significantly increased activities of lactate dehydrogenase (LDH), malate dehydrogenase (MDH), fructose-bisphosphate aldolase, hexokinase (HK), pyruvate kinase (PK), and creatine kinase. Enzyme activity in the malignant tumor was always higher than that in apparently normal or fibrocystic tissue from the same patient. Enzyme activities did not correlate with the levels of estrogen and progesterone receptors. LDH, MDH, and HK were elevated to a similar extent in all the tissues examined. Conversely, PK was elevated to a much greater extent in cancerous tissues, particularly in MCF-7 cells. The elevated activities of these enzymes may have diagnostic potential, especially when tumor tissue and apparently normal tissue from the same patient are compared. PMID- 6582311 TI - Rate of disease progression in breast cancer: a clinical estimate of prognosis within nodal and anatomic stages. AB - From data obtained in the patient's history, the clinical rate of progression of disease in breast cancer patients can be estimated as slow, intermediate, or rapid. The strata defined by these rates had previously been shown to create prognostic gradients within groups of patients similar in anatomic stage or nodal status. In a second, validating cohort of 465 women with primary breast cancer, the strata delineating rate of disease progression were shown to have a cogent prognostic impact when the proportional hazards model was used to control simultaneously for nodal and anatomic status. In addition, the distinctions persisted when different types of treatment were taken into account. These findings from a multivariate analysis employing the Cox method confirmed the importance of clinical rate of disease progression in estimating prognosis of breast cancer. PMID- 6582313 TI - Farming and mortality from multiple myeloma: a case-control study with the use of death certificates. AB - A case-control study of multiple myeloma among males was conducted with the use of digitized mortality listings for 1968-76 from the State of Wisconsin. Age, year of death, race, county of usual residence, marital status, and usual occupation were available for the 411 male deaths due to multiple myeloma and for a matched series of deaths due to other causes. Farmers were at an elevated risk compared to nonfarmers [odds ratio (OR) = 1.4], with decedents 65 years of age or older having a stronger association (OR = 1.5) than younger farmers (OR = 1.1). County levels of selected agricultural characteristics were used as surrogate measures of exposure. Significantly elevated OR were observed for farmers residing in counties high in chicken inventory (OR = 1.6), fertilizer use (OR = 1.7), and acres treated with insecticides (OR = 1.9). Further investigation of multiple myeloma among farmers is warranted. PMID- 6582312 TI - Measurement of a monoclonal antibody-defined, melanoma-associated antigen in human sera: correlation of circulating antigen levels with tumor burden. AB - Quantities of a 100,000-mol wt human melanoma-associated antigen (MAA), defined by both monoclonal and polyclonal xenoantibodies, were measured in sera of 32 patients with malignant melanoma and 15 carefully documented healthy volunteers by use of an amplified sandwich enzyme-linked immunoabsorbent assay. Detectable levels of MAA were found in all normal adult sera. Five of 10 patients with stage III and 9 of 16 patients with stage IV disease had antigen levels that exceeded. the 95th percentile of serum levels in the normal donors (P less than .001). Elevated levels of the 100K MAA were associated with evidence of residual tumor (P less than .008): Only 3 of 13 patients with no evidence of tumor had abnormal values, whereas 9 of 16 patients with evident tumor had increased serum levels. Levels of the 100K MAA were unrelated to the levels of soluble immune complexes as detected by the fluid-phase C1q binding test. Molecular evaluation of the 100K MAA in serum indicated that the molecule associated with albumin in a strong, noncovalent manner. When the complex was dissociated by treatment with sodium dodecyl sulfate, the 100K MAA in serum comigrated with the molecule from spent culture medium of human melanoma cells. Antigen levels in sera were measured under these dissociating conditions. These studies suggest that measurement of the 100K MAA may be useful in monitoring tumor burden in patients with malignant melanoma. PMID- 6582314 TI - Pigmentary traits, ethnic origin, benign nevi, and family history as risk factors for cutaneous malignant melanoma. AB - The roles of constitutional factors and benign nevi in causation of malignant melanoma were examined in a case-control study of 511 patients and 511 matched controls in Western Australia. The strongest risk factor was the number of palpable benign nevi on a subject's arms. Compared to the risk of melanomas for persons having no palpable nevi on the arms, the relative risk of melanoma was 2.0 for persons with 1-4 nevi, 4.0 for persons with 5-9 nevi, and 11.3 for persons with 10 or more nevi (P less than .0001). Of the several pigmentary traits known to have associations with melanoma, inability to tan was the most important. Susceptibility to sunburn and hair color also had significant effects that were independent of tanning ability; however, after these traits were controlled, measured skin color and eye color had no additional effects. A reduced risk of melanoma was observed in persons having two or more Southern European grandparents [odds ratio (OR) = 0.39; P = .025]. Persons of Celtic origin did not have a significantly increased risk (OR = 1.18). Possession of one or more affected blood relatives was related to an increased risk of melanoma (OR = 2.69; P less than .0001). The effects of pigmentary traits, benign nevi, ethnic origin, and family history as risk factors were largely independent of one another. PMID- 6582315 TI - A population--based case--control study of renal cell carcinoma. AB - A population-based case-control study of renal cell carcinoma (495 cases and 697 controls) in the Minneapolis-St. Paul seven-county metropolitan area implicated cigarette smoking as a risk factor with an odds ratio (OR) among men of 1.6 (95% confidence intervals: 1.1-2.4) and among women of 1.9 (1.3-3.0). A statistically significant dose response was observed in both sexes for pack-years of cigarette use. On the basis of calculations of attributable risk, it was estimated that 30% of renal cell cancers among men and 24% among women were due to smoking. High relative adult weight as measured by the body mass index (BMI) was found to be a major risk factor among women but not among men, with those in the highest 5% of the BMI having an OR of 5.9 (1.8-20.4) in comparison to the lowest quartile. This association with excess weight was not seen at age 20, but it became more pronounced with increasing age, suggesting that the primary influence of weight gain is during the late stages of renal carcinogenesis. Excess risks were also related to ethnic background (particularly, German), which may account in part for the elevated incidence of renal cancer in the North Central area of the United States. In addition, positive associations were observed for long-term use of phenacetin-containing analgesics, heavy meat consumption, and heavy tea drinking (females only). An occupational clue was provided by an increased risk for exposure to petroleum, tar, and pitch products. Excesses of certain urologic and cardiovascular diseases were also observed among the cases compared to controls. PMID- 6582316 TI - Oral contraceptive use and fibrocystic breast disease of different histologic classifications. AB - The relationship between oral contraceptive (OC) use and occurrence of fibrocystic breast disease (FBD) of different histologic classifications was evaluated with data from a cohort study. Biopsy specimens from 232 women with FBD were classified into different atypia categories. In 96 matched pairs of OC users and nonusers, atypia scores were lower in users than in nonusers. Women without breast diseases (500 OC users and 500 nonusers) were sampled from the original cohort to form a two-stage "anamorphic" study with the 232 cases of FBD. The previously shown inverse association between OC use and FBD occurrence was present and increased with increased length of OC use. However, the "protective effect" of OC use did not vary for different histologic classifications of FBD. The findings from both paired and anamorphic analyses of the data are not consistent with the hypothesis that the use of OC is associated with decreased frequency only of FBD with minimal epithelial atypia. PMID- 6582317 TI - A factor from plasma-derived human serum that inhibits the growth of the mammary cell line MCF-7: characterization and purification. AB - A protein that inhibits the replication of a malignant human mammary cell line, MCF-7, was purified to apparent homogeneity from human plasma-derived serum (PDS). Serum fractionation was accomplished by molecular sieve chromatography on Sephadex G-100 and Sephadex G-100 superfine columns. Further purification was accomplished by ion-exchange chromatography, with the use of DEAE-Sephacel followed by preparative polyacrylamide gel electrophoresis (PAGE) under nondenaturing conditions. Active fractions analyzed by sodium dodecyl sulfate (SDS)-PAGE showed one band with an apparent molecular weight of 53,000. Assays for the stability of those PDS fractions with the greatest growth-inhibitory activity and specificity for MCF-7 cells revealed that activity was retained during incubation at pH 2-10. Exposure to 6 M urea also had no effect on inhibitory activity. The activity was significantly reduced by incubation at 70 degrees C for 1 hour, exposure to 0.1% SDS, and treatment with chymotrypsin. Isoelectrofocusing showed two isoelectric points, 5.1 and 6.8. PMID- 6582318 TI - A limited epizootic of neuroblastoma in coho salmon reared in chlorinated dechlorinated water. AB - During the 1976-77 brood year, approximately 12 cases of neuroblastoma were observed in a captive group of 100,000 fingerling coho salmon (Oncorhynchus kisutch) reared in a commercial hatchery. The tumors were large, occurring in the skeletal muscle near the dorsal fin causing conspicuous bulging of the overlying integument. Tumors examined from 3 fish each consisted of neuroblasts in trabecular patterns interspersed by glial fibrillar material and linear cavities resembling central neural canals lined by ependyma-like cells. Ganglion-like cells also were apparent morphologically and by special stain. Cancer of the tumor was characterized by an abundance of mitotic figures with occasional abnormal divisions, local invasion of normal tissues, and potentially metastatic tumor cell aggregates in organ vasculature. The etiology of this tumor may have been related to mutagenic-carcinogenic halogenated compounds possibly formed in the hatchery water supply during continuous chlorination of incoming river water. PMID- 6582319 TI - Depressed natural killer and lectin-induced cell-mediated cytotoxicity in cholesterol-fed guinea pigs. AB - Dunkin-Hartley and Hartley guinea pigs were fed a diet containing 1% cholesterol (C+) or a control diet (C-). The C+-fed guinea pigs showed a decrease in antitumor effector cell levels as measured by an in vitro 18-hour 51Cr release assay. Natural killer (NK) activity fell rapidly after initiation of cholesterol feeding, decreasing to 25.6% of control levels by 2 weeks. While the interferon inducer polyinosinic-polycytidylic acid increased NK activity as much as 3.6-fold in controls, the NK levels in C+-fed animals were not increased. NK activity was lower in both spleen and peripheral blood of C+-fed animals and against K562, MOLT-3, HL-60, and Raji target cells. Lectin-dependent cell-mediated cytotoxicity was increased in the C+-fed group over, the first 1-2 weeks on the diet, but it dropped to low levels by 6 weeks. Lipoprotein preparations from plasmas of both C+- and C--fed animals inhibited NK cell activity, but suppression was not due to lipoprotein cholesterol content. On the basis of lipoprotein protein, lipoproteins from C--fed animals were more suppressive. The results suggest that the decrease in cytotoxicity induced by dietary cholesterol is due to more than the high levels of plasma and lipoprotein cholesterol. PMID- 6582320 TI - Tumor selection in vivo for reduced sensitivity to natural resistance and natural antibodies. AB - The contribution of natural antibodies (NAb) to the selective elimination of tumor variants in vivo was studied to further support the hypothesis that NAb participate in host-mediated natural resistance (NR) against neoplasia. Tumors obtained after the sc, ip, or iv inoculation of the natural killer cell resistant, natural antibody-sensitive L5178Y-F9 tumor clone into syngeneic DBA/2 mice were tested for their sensitivity to NR in the [131I]5-iodo-2'-deoxyuridine elimination assay and to serum NAb in the presence of complement. Cells removed from the ip or sc sites of tumor inoculation exhibited a reduced susceptibility to syngeneic NR and to syngeneic but not to allogeneic NAb. Tumors recovered from the spleen, brain, and lungs after iv inoculation also expressed a decreased sensitivity to both syngeneic NR and NAb. These data suggest that NR against tumors is widely disseminated and support the hypothesis that NAb participate in this antitumor defense, including the control of metastatic spread of disease. Tumors previously selected in vivo also exhibited reduced sensitivity to complement-mediated lysis by NAb acquired in the peritoneum. The correlation observed between this sensitivity to complement and the recovery of tumor cells after the ip injection of L5178Y-F9 contribute to the evidence that NAb acts in vivo. PMID- 6582321 TI - Specific chromosome translocation in pristane-induced plasmacytomas of NZB mice. AB - The karyotypes of 3 pristane (2,6,10,14-tetramethyl-pentadecane)-induced NZB mouse plasmacytomas producing IgA (plasmacytoma TEPC-3660), IgG3K (plasmacytoma TEPC-6583), and IgG2aK plus IgG3K (plasmacytoma TEPC-6906) were studied in early transplantation generations by the combined Hoechst 33258-quinacrine mustard banding method. The two IgG producers (TEPC-6583 and TEPC-6906) showed diploid chromosome number, whereas the IgA producer (TEPC-3660) showed hypotetraploid chromosome number. Banding analysis revealed that these 3 plasmacytomas consistently had the t(12;15) translocation with the specific breakpoints at 12F2 and 15D2. Taken together with the previous observation of t(12;15) in plasmacytomas of BALB/c and C3H mice, these results suggest that the t(12;15) is specific for murine plasmacytomas and that the putative gene(s) on the t(12;15) may participate in the genesis of murine plasmacytomas. PMID- 6582322 TI - Morphologic characteristics of thymic lymphomas induced by N-nitroso-N-propylurea in F344 rats. AB - Eighty-two thymic tumors induced by N-nitroso-N-propylurea in inbred F344/DuCrj rats were examined by light and electron microscopy. These tumors were diagnosed as malignant lymphomas and classified according to light microscopic features into three types: 1) lymphoblastic (57%), 2) large cell (32%), and 3) pleomorphic (11%). Electron microscopy revealed no epithelial cells in all 82 malignant lymphomas, except for 2, in which one sheet of epithelial cells was found under the capsule. This finding confirmed that all of these thymic tumors were malignant lymphomas, not thymomas. The tumors of the lymphoblastic and large cell types consisted of lymphoid cells with a few macrophages. Lymphoid cells of the lymphoblastic type were medium sized and contained a moderate amount of polyribosomes and a few clustered dense bodies; cells of the large cell type were much larger than those of the lymphoblastic type and contained many more polyribosomes and larger nucleoli. The tumors of the pleomorphic type consisted of lymphoid cells with severely infolded nuclei and interdigitating reticulum cells that were thought to be nonneoplastic in nature. No viral particle was found in these cells among the three types of thymic lymphomas. PMID- 6582323 TI - Adaptive changes in spontaneously transformed Balb/3T3 cells during tumor formation and subsequent cultivation. AB - Cells from a clone of Balb/3T3 cells, which underwent spontaneous morphologic transformation and consistently had a high colony-forming efficiency when suspended in agar [colony-forming efficiency in agar (CFEag)], also formed primitive, pleomorphic sarcomas when inoculated into N:NIH(S)II-nu/nu mice. Cells cultured from 1 of the tumors had only 10% of the CFEag of those used to initiate the tumor but drifted back to the original high level during the first 2 months in culture. Twelve clones of the tumor cells differed widely from one another in CFEag in each of seven successive assays over a 10-week period, although the difference was most pronounced in the first assay. The CFEag for some of the clones fluctuated greatly in successive assays. Two of the clones usually scored lower than the others, and their average CFEag for the seven assays was significantly lower than that of the others. The ability of cells from a second tumor to form colonies in agar also increased with successive passaging. All clones from the second tumor increased in CFEag to a similar extent as the parental population in the same time period, suggesting the increase was the result of adaptation rather than selection of preexisting variants. A tumor produced from a different subpopulation of transformed cells yielded cells with the same CFEag as the input cells. Thus some populations of transformed cells change some of their characteristics when passaged in animals and again when passaged in culture. PMID- 6582324 TI - Effects of mechlorethamine (HN2, nitrogen mustard) on UV-induced carcinogenesis in hairless mouse skin. AB - The influence of mechlorethamine (HN2, nitrogen mustard) on UV-induced carcinogenesis was examined in the hairless mouse skin in vivo. Noncarcinogenic amounts of topically applied HN2 and carcinogenic levels of UVB energy were used in the study. The HN2 applications significantly accelerated the appearance and growth of cutaneous tumors in this study. Thus HN2 acted as either a promoter or cocarcinogen for UV-induced cancer formation. Although the mechanism of this effect was not established, combinations of UVB radiation and HN2 topical therapy pointed to an increased incidence of cutaneous tumors in human skin. PMID- 6582325 TI - Fusion of plasmacytoma and host cells in vivo: selection of proliferating and nonproliferating cultures. AB - The double-mutant cell line 4T00.1 is derived from a plasmacytoma of a BALB/c mouse and is resistant to 6-thioguanine and ouabain. These cells were inoculated into (BALB/c X C57BL)F1 mice by different routes--sc, ip, intrasplenically, and intrathymically. The degree of tumorigenicity and pattern of tumor development were site-dependent. Intrasplenic inoculation of 10(3)-10(4) 4T00.1 cells resulted in development of large omental tumors accompanied by marked ascites. Tenfold to a thousandfold more 4T00.1 cells were required to obtain tumors by other routes. From all solid tumors and ascites and from various organs of tumor bearing mice, which were explanted into culture in double selective medium containing hypoxanthine, aminopterin, and thymidine plus ouabain (in which only hybrids between 4T00.1 and normal cells can survive), proliferating and nonproliferating cultures were obtained. Of the 14 proliferating cultures, 9 proved to be hybrids by chromosome and H-2 isoantigen analyses and were tumorigenic when 10(6) cells were inoculated sc into syngeneic F1 mice. PMID- 6582326 TI - Murine L5178Y cells resulting in altered drug sensitivities from fractionated radiation exposure in vitro. AB - Exposure of murine L5178Y cells in vitro to fractionated X-irradiation (DXR) produced a subline that exhibited significantly altered responses to the cytotoxic effects of a range of antitumor drugs. A DXR schedule of 2 Gy per fraction for 10 fractions (total dose, 20 Gy) was used. Characterization of this subline revealed no marked differences when compared with the parent line in terms of growth rate, cloning efficiency, cell volume, chromosome number, macromolecular content, cell cycle distribution, or response to acute DXR exposure. Drug sensitivities were assessed following 24-hour exposures by colony formation in soft agar. Three distinct patterns of response were found: increased sensitivity of DXR-pretreated cells to bleomycin, cis-diamminedichloroplatinum (II), or dibromodulcitol; comparable responses in both lines to doxorubicin, 5 fluorouracil, or hydroxyurea; and decreased sensitivity of DXR-pretreated cells to vincristine or VP 16213. PMID- 6582327 TI - Zinc deficiency and the development of esophageal and forestomach tumors in Sprague-Dawley rats fed precursors of N-nitroso-N-benzylmethylamine. AB - Nine-week-old zinc-sufficient (100 mg zinc/kg feed) and zinc-deficient (7 mg zinc/kg feed) noninbred male Sprague-Dawley rats were given free access 5 days a week to deionized drinking water containing low (0.05%) or high (0.25%) quantities of benzylmethylamine (BMA) and concurrently 0.5% NaNO2. In contrast to the action of the preformed carcinogen N-nitroso-N-benzylmethylamine, which almost invariably produced esophageal tumors, oral administration of its precursors, BMA and NaNO2, resulted in forestomach tumors as well. In both the high- and low-BMA groups given precursors for 16 weeks, the incidence of papillomas in both the esophagus and forestomach was significantly higher in the zinc-deficient than in the zinc-sufficient rats, but zinc deficiency did not significantly increase the yield of forestomach carcinomas. However, when combined high BMA and NaNO2 administration was prolonged to 37 weeks, the yield of forestomach carcinomas was significantly greater in the zinc-deficient than in the zinc-sufficient animals. Because endogenous synthesis of N-nitrosamines from ingested precursors is an important source of human exposure to these carcinogenic compounds and because dietary zinc deficiency might be operating in some areas with a high incidence of esophageal cancer, our data are of more than routine significance. PMID- 6582328 TI - Potentiation of cytotoxicity of anticancer agents by several different polyene antibiotics. AB - The ability of several different polyenes to potentiate the cytotoxicity of carmustine, lomustine (LOM), and doxorubicin (DX) against AKR mouse leukemia was quantitated. All polyenes could potentiate the cytotoxicity of the anticancer agents; however, the methyl ester derivatives of the heptaenes amphotericin B and candicidin and the triene trienine were most effective with potentiations in the order of ten thousandfold for DX and LOM. A steep dose-response relationship for the polyenes was also noted. Neither the toxicity of the polyenes nor their level of potentiation could be correlated with structure or class. PMID- 6582329 TI - 4,4'-Diaminodiphenylmethane: promoting effect on the development of thyroid tumors in rats treated with N-bis(2-hydroxypropyl)nitrosamine. AB - 4,4'-Diaminodiphenylmethane (4,4'-methylenedianiline) (DDPM) promoted the development of thyroid tumors in rats treated with a subeffective dose of N-bis(2 hydroxypropyl)nitrosamine (2,2'-dihydroxy-N-nitrosodipropylamine) (DHPN) for thyroid tumorigenesis. Male inbred W rats were given a single ip injection of 280 mg DHPN/100 g body weight and fed diets with or without 1,000 ppm DDPM. Thyroid tumor incidences at the end of week 20 of the experiment were 90% (19/21) in rats given DHPN and then DDPM and 28% (6/21) in rats given DHPN alone. The incidence of thyroid cancers was 9.5% (2/21) in rats first given DHPN and then DDPM. Untreated rats and rats given DDPM alone had no thyroid tumors after 20 weeks. Incidences of kidney tumors were 38% (8/21) in rats given DHPN and then DDPM and 28% (6/21) in rats given DHPN alone. No tumors were found in the kidneys and lungs of rats given DDPM alone and in those of control rats. Treatment with DDPM alone slightly but not significantly decreased the serum concentrations of thyroxine and triiodothyronine; treatment with DHPN plus DDPM had no such effect. PMID- 6582330 TI - Promotion of 2-(ethylnitrosamino)ethanol-induced renal carcinogenesis in rats by nephrotoxic compounds: positive responses with folic acid, basic lead acetate, and N-(3,5-dichlorophenyl)succinimide but not with 2,3-dibromo-1-propanol phosphate. AB - The promoting effects of nephrotoxic chemicals, folic acid (FA), N-(3,5 dichlorophenyl)succinimide (NDPS), 2,3-dibromo-1-propanol phosphate (Tris-BP), and basic lead acetate (LAB), on 2-(ethylnitrosamino)ethanol (EHEN)-induced renal carcinogenesis were examined in F344 rats. The rats were treated with 0.1% EHEN in their drinking water for 1 week and then given one of the nephrotoxic chemicals for 35 weeks. FA was injected sc once a week at a dose of 300 mg/kg for the first 8 weeks and thereafter at 100 mg/kg. NDPS, Tris-BP, and LAB were mixed in the diet at concentrations of 0.5, 0.01, and 0.1%, respectively. At week 3 the right kidney was removed to enhance renal neoplasia. Renal cell tumor incidence was significantly increased by both FA and LAB and was slightly increased by NDPS, whereas Tris-BP had no effect. The data show that FA, LAB, and NDPS are promoters of EHEN-induced renal carcinogenesis. PMID- 6582331 TI - Trisodium nitrilotriacetate monohydrate: promoting effects on the development of renal tubular cell tumors in rats treated with N-ethyl-N-hydroxyethylnitrosamine. AB - The effect of trisodium nitrilotriacetate monohydrate [N,N bis(carboxymethyl)glycine trisodium salt] (Na3NTA X H2O) on development of renal tubular cell tumors induced with N-ethyl-N-hydroxyethylnitrosamine [CAS:13147-25 6; 2-(ethylnitrosamino)-ethanol] (EHEN) was studied. Six-week-old male inbred W rats were given a diet containing 1,000 ppm of EHEN for 2 weeks and then a diet containing a high (10,000 ppm) or low (500 ppm) concentration of Na3NTA X H2O for 30 weeks. The rats were killed during week 32. The higher concentration of Na3NTA X H2O enhanced the development of renal tubular cell tumors and increased the number and size of tumors in rats treated with EHEN, but the lower concentration of Na3NTA X H2O did not. The incidence of renal tubular cell tumors in week 32 was 33% in rats treated with 1,000 ppm EHEN for 2 weeks, 100% in rats treated with 1,000 ppm EHEN for 2 weeks plus high Na3NTA X H2O diet for 30 weeks, and 39% in rats treated with 1,000 ppm EHEN for 2 weeks and then given low Na3NTA X H2O diet for 30 weeks. Numbers of atypical cell foci per kidney area (No./cm2) were 17.0 +/- 7.6 in rats treated with EHEN and high Na3NTA X H2O, 7.3 +/- 2.2 in rats treated with EHEN and low Na3NTA X H2O, 3.7 +/- 1.4 in rats treated with EHEN alone, and 1.0 +/- 2.4 in rats treated with high Na3NTA X H2O diet alone. Atypical cell foci retained a tubular pattern and consisted of basophilic cells with a large nucleus or clear cells with a small nucleus. PMID- 6582332 TI - Stimulation of normal erythropoiesis in vitro by macrophages from erythroleukemic mice. AB - The erythroleukemia induced in mice by the Friend virus complex is caused to regress by macrophages. To determine whether the effect of macrophages on leukemia is due to their role in the regulation of erythropoiesis, investigators examined the influence of macrophages from normal and leukemic mice on in vitro colony formation by erythroid progenitor cells [colony-forming units of erythroid progenitor cells (CFU-E)]. Plasma clot cultures of CFU-E were grown over monolayers of macrophages separated from the CFU-E cultures by a layer of agar. Macrophages from progressors (those leukemic mice that will not undergo leukemia regression) significantly stimulated CFU-E, whereas macrophages from regressors (those that will undergo leukemia regression) had no effect on colony formation. Monolayers of normal resident macrophages did not affect in vitro erythropoiesis, while less mature macrophages (peripheral blood mononuclear cells) or nonspecifically activated macrophages (exudate induced) in monolayer stimulated CFU-E. Stimulation by macrophages from leukemic mice was dependent on the presence of virus-producing cells. CFU-E from erythroleukemic mice were resistant to stimulation by leukemic macrophages. These results demonstrated that macrophages from progressively leukemic mice influenced normal colony formation of CFU-E in vitro and that these effects could be related to the ability of macrophages to cause leukemia regression. PMID- 6582333 TI - [Osteogenic sarcoma of the rib with lesions in the respiratory tract]. PMID- 6582334 TI - Dislocation of the manubrium from the body of the sternum. PMID- 6582335 TI - Moped accidents in South Carolina. PMID- 6582336 TI - Characterization of rabies consultations in South Carolina, 1979-1981. PMID- 6582337 TI - Psychiatric hospitalization of emotionally disturbed children and adolescents. PMID- 6582338 TI - How to treat sensitive dentin. PMID- 6582339 TI - Class III and Class V modified cavity preparations for composite resins. PMID- 6582340 TI - ALL masquerading as AUL. AB - Of 597 cases of acute leukaemia in adults (greater than 16 years) seen at St. Bartholomew's Hospital, London, between May 1973 and January 1982, 412 were diagnosed as AML, 103 as ALL and 58 as Philadelphia chromosome positive blast crisis of CML (13 presenting as acute leukaemia and 45 having a prior chronic phase). The remaining 24 cases were considered to be acute undifferentiated leukaemia. Twenty-one of the latter were investigated using a panel of immunological markers at diagnosis and/or retrospectively using frozen cell suspensions. Eighteen out of 21 were shown to have a predominantly 'lymphoid' phenotype which comprised 12 cases of common ALL (two of whom were Ph1 positive), three cases of null-ALL, one case with a probable early thymic phenotype, and two cases with a monoclonal B lymphoblast phenotype. One 'common ALL' and one 'null ALL' had a significant proportion of pre-B (cytoplasmic mu chain+) cells. One other case reacted with anti-myeloid sera. Leukaemic blasts from two patients were unreactive with all markers tested. No cases of glycophorin positive erythroleukaemia or anti-platelet (glycoprotein I) positive leukaemia were detected. These observations suggest that the overwhelming majority of acute leukaemias have an identifiable affiliation to the lymphoid or myeloid lineages and that patients diagnosed haematologically as 'AUL' might benefit by therapy appropriate for their leukaemic cell type. PMID- 6582341 TI - Response of recurrent acute lymphoblastic leukemia to glucocorticoids: serial studies of receptor content, in vivo cytokinetic changes and clinical responses. AB - The sensitivity of relapsed acute lymphoblastic leukemia (ALL) to treatment with steroids was assessed by measuring bone marrow blast, whole-cell glucocorticoid receptor (GR) levels and serial cytokinetic and clinical responses to steroids, both as single agents and in combination reinduction chemotherapy. GR levels ranged widely, from 1800 to 47,800 sites/cell (median 16,000), and did not differ significantly from levels measured in newly diagnosed patients (p = 0.50). Nineteen of the 48 children studied had GR levels measured both at diagnosis and relapse, and in 14 the values at relapse were either decreased or increased by more than 25%. For nine children, the sensitivity to a three-day oral course of dexamethasone alone (6 mg/m2 per day) was estimated from daily leukocyte counts and serial bone marrow cytokinetic studies. A clinical oncolytic effect of dexamethasone was associated with a reduction in the marrow cell proliferating compartment, as judged from labeling indices, mitotic indices and percent S + G2 + M in five patients. We found, however, that GR levels either alone or combined with clinical or cytokinetic responses to dexamethasone as a single agent did not reliably identify patients who were likely to respond favorably to reinduction with steroid-containing combination chemotherapy. The 35 children who successfully attained subsequent remissions had GR levels similar to those who failed (p = 0.35). While not statistically significant, two observations suggest an association between lower receptor content and drug resistance. Receptor levels from patients with ALL who relapsed while on chemotherapy were appreciably lower (median 15,700, n = 31) than GR levels from patients who relapsed off therapy (median 20,300, n = 17) (p = 0.08). Moreover, three of seven patients with serial studies, whose GR levels at relapse were lower than at diagnosis, failed reinduction--compared to only one of twelve whose levels were either increased or remained unchanged (p = 0.11). Although not having any obvious clinical utility, studies of GR at diagnosis and at relapse may aid in clarifying mechanisms of drug resistance in leukemic blasts. PMID- 6582342 TI - A case of erythroleukaemia with homogeneously staining regions on chromosomes. AB - A case of erythroleukaemia with homogeneously staining regions on chromosomes is described. The number of chromosomes in bone marrow cells varied from 41 to 46 with a mode of 43. A variety of structural and numerical chromosomal abnormalities was observed. Two marker chromosomes with homogeneously staining regions were found in all aneuploid cells examined. Intensive chemotherapy failed to induce a remission and the patient died 3.9 months after diagnosis. The relation of the homogeneously staining regions on chromosomes to the two courses of chemotherapy prior to cytogenetic study is discussed. PMID- 6582343 TI - Kinetics of colony-forming cells (CFU-c) in adult acute leukemia and their prognostic relevance. AB - The in vitro growth pattern of bone marrow and peripheral blood in soft-agar cultures was studied in 50 previously untreated patients with adult acute leukemia. Patients were followed from time of first diagnosis, during induction treatment, in remission at various time intervals, at relapse and during subsequent re-induction therapy. The distribution of granulopoietic progenitor cells was analysed to determine their prognostic significance for remission incidence, remission duration and survival. All patients revealed an abnormal growth. ANLL patients showing a decreased clone number in the marrow but an increased number of clones in the peripheral blood, had a significant higher probability to enter remission and a significant longer remission than those having clones within normal range at first presentation. On the contrary, ALL patients responding to induction treatment, had a better colony and cluster growth in the bone marrow than those failing to respond. No significant correlation was found between in vitro growth and survival. It is concluded that colony-forming cells of both bone marrow and peripheral blood seems to be of some value in predicting the response rate and length of remission in ANLL and ALL, and in possibly selecting patients with a high chance to respond to current cytostatic regimens. PMID- 6582344 TI - Acidic isoferritins do not suppress differentiation of mouse myeloid leukemic M1 cells. AB - The differentiation of mouse myeloid leukemia line cells (M1) into macrophages or granulocytes has been reported. Resistant M1 cells which did not differentiate even with a high concentration of inducer of differentiation were isolated from M1 cells. The conditioned medium of the resistant M1 cells (RCM) inhibited the induction of differentiation of M1 cells and the formation of macrophage and granulocyte colonies of normal mouse bone marrow cells. Acidic isoferritins known as negative regulators of normal bone marrow cells (CFU-GM) failed to inhibit the induction of differentiation and growth of M1 cells. The RCM treated with anti acidic isoferritin serum could inhibit the induction of differentiation of M1 cells as did the untreated RCM. The activities, in RCM, inhibiting growth and differentiation of the normal bone marrow cells were partly neutralized by treatment with the antiserum but most of the activities remained. These results suggest that growth and differentiation of the mouse myeloid leukemia M1 cells are not regulated by acidic isoferritins and other inhibitory activities affecting normal bone marrow colony formation, in addition to acidic isoferritins, are released from M1 cells. PMID- 6582345 TI - Chronic myeloid leukaemia and the Philadelphia translocation: do the c-sis oncogene and platelet-derived growth factor provide the link? AB - The study of cellular oncogenes and of chromosomal abnormalities in human tumours has, in several instances, suggested a link between a specific oncogene translocation and oncogenesis. It was recently suggested that the translocation of the c-abl gene (the human cellular homologue of the transforming sequence of Abelson murine leukaemia virus) from chromosome 9 to 22 in Philadelphia translocation, might have a role in the generation of chronic myeloid leukaemia (CML). We propose an alternative hypothesis and suggest that the translocation of another gene, c-sis, may be more important. PMID- 6582346 TI - Osteosarcoma and chondrosarcoma of the head and neck. AB - Osteosarcomas and chondrosarcomas are rare malignant neoplasms in the head and neck. Eighteen cases seen at the UCLA Center for the Health Sciences are reviewed. Osteosarcomas of the maxilla tended to occur a decade later than those of the mandible or cranial bones. Several followed prior irradiation for retinoblastoma. Complete excision offers the only realistic chance for cure. Adjuvant therapy has little to offer these patients at this time. PMID- 6582347 TI - The effect of diabetic control on very low-density lipoprotein--triglyceride metabolism in patients with type II diabetes mellitus and marked hypertriglyceridemia. AB - We examined the effect of diabetic control on very low-density lipoprotein triglyceride (VLDL-TG) metabolism in six patients with type II (noninsulin dependent) diabetes mellitus and marked hypertriglyceridemia. VLDL-TG transport was determined using 3H-glycerol as an endogenous precursor of VLDL-TG, and the resultant kinetic data were evaluated by multicompartmental analysis. Studies were performed in the hypertriglyceridemic diabetic subjects during poor diabetic control and again after 3 months of diabetic treatment, and the results were compared to studies in nondiabetic normolipidemic subjects and nondiabetic subjects with familial forms of hypertriglyceridemia. In the poorly controlled diabetics, mean VLDL-TG synthesis was threefold higher than in the normolipidemic subjects, and the mean fractional catabolic rate (FCR) of VLDL-TG was only one third of the normals. With diabetic treatment, plasma triglyceride levels fell by more than 50%, but remained fourfold higher than the normals. This was associated with a decrease in mean VLDL-TG synthesis to a level similar to that observed in the genetic hyperlipidemic subjects, but still 2.6-fold higher than the normals. In addition, the mean FCR rose after diabetic control to a level slightly above that of the genetic hyperlipidemic subjects, but remained less than one-half of the normal value. However, the response of VLDL-TG kinetics to diabetic treatment was not uniform. In four subjects, control of hyperglycemia ameliorated the hypertriglyceridemia primarily by decreasing VLDL-TG overproduction. In the other two subjects, diabetic treatment had a greater effect on the FCR than an overproduction of VLDL-TG. Thus, in this select group of diabetic, hypertriglyceridemic subjects, poor diabetic control contributed to both VLDL-TG overproduction and low FCRs. Failure of diabetic treatment to restore VLDL-TG kinetic parameters to normal suggests that the hypertriglyceridemia was due not only to diabetes mellitus but also to an additional abnormality affecting lipoprotein metabolism.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6582348 TI - UV non-mutable mutant from V-79 Chinese hamster cells. AB - To get an idea about the response of a living system, exposed to gradually increasing doses of a mutagen for several generations, a population of V-79 Chinese hamster cells was exposed repeatedly to gradually increasing doses of UV radiation. Each dose was followed by a variable period of growth for at least ten generations. After treatment the cells were not mutable by UV radiation, though MNNG was capable of producing mutations with the same efficiency as in the untreated cells. In terms of viability, the treated cells behaved exactly as the untreated ones for both UV and MNNG. The observed behaviour of the treated cells was found to be stable for during the 50 passages studied. PMID- 6582350 TI - Chromosome 16 rearrangements in acute myelomonocytic leukemia with abnormal eosinophils. PMID- 6582349 TI - [Orodental changes in the aged and their consequences (III). Apropos of a transverse epidemiological study in a long-term stay facility]. PMID- 6582351 TI - Alteration of case reports in "running--an analogue of anorexia?". PMID- 6582353 TI - Activation of N-ras gene in bone marrow cells from a patient with acute myeloblastic leukaemia. AB - Human tumour cell lines of various histological origin contain genes that can transform NIH 3T3 cells in culture. Most frequently the gene is an activated K ras gene, more rarely an activated H-ras gene, and sometimes the recently discovered N-ras. Other transforming genes, distinct from ras, have been found in B- and T-cell leukaemias. Since most of the transforming genes have been identified in cell lines, it is still unclear at what stage the genes become activated. We have therefore initiated a study to determine if the presence of a transforming gene correlates with the clinical course of a malignant disease. Here we demonstrate the presence of a transforming N-ras gene in bone marrow cells from a patient with acute myeloblastic leukaemia at the outbreak of the acute disease phase. Fibroblast DNA from the same patient was not transforming. In contrast to HL-60 cells, no alteration of the myc gene was detected. PMID- 6582352 TI - Activation of extra copies of genes coding for nitrogenase in Rhodopseudomonas capsulata. AB - Biological nitrogen fixation requires the nitrogenase enzyme complex, ATP, and a strong reductant. Klebsiella pneumoniae contains 15 linked nitrogen fixation (nif) genes, three of which, nifH, nifD and nifK have been sufficiently conserved in evolution that cloned K. pneumoniae nifHDK DNA will hybridize to DNA sequences from every nitrogen-fixing bacterium examined to date, including the purple, non sulphur bacterium Rhodopseudomonas capsulata, in which one complete nifHDK operon has been mapped. Using cloned K. pneumoniae nifHDK DNA we report here that R. capsulata contains multiple copies of the genes for nitrogenase components. Two regions containing sequences homologous to all three nif structural genes have been identified, and mutations in one region produced a Nif- phenotype. Nif+ pseudorevertants were derived from these mutants, some of which retained the original mutation suggesting that some of the extra nif gene sequences can be functionally activated. PMID- 6582354 TI - Giardiasis at North Carolina Memorial Hospital. PMID- 6582355 TI - The question of a cancer epidemic: a case study of Cherokee County, North Carolina. PMID- 6582356 TI - How much does aphasia contribute to the localization of language? PMID- 6582357 TI - Determination of "code status" in North Carolina: still a delicate process. PMID- 6582358 TI - The case for otolaryngic allergy. PMID- 6582359 TI - How parents and professionals can help the stuttering child. PMID- 6582360 TI - Freckles, moles, and melanomas. PMID- 6582361 TI - Death, the ultimate cure for insomnia--Placidyl overdose. PMID- 6582362 TI - Muscle pains like you have never seen! PMID- 6582364 TI - Cigarette smoking and its promotion: editorials are not enough. PMID- 6582363 TI - [Clinical and experimental studies on the role of Ca++ in etiology of cerebral vasospasm]. AB - Total Ca and Ca++ in cerebrospinal fluid were measured from the patient with subarachnoidal hemorrhage due to ruptured cerebral aneurysm. Relationship was studied between the values of total Ca and Ca++ and grades of cerebral vasospasm on cerebral angiograms. Additionally, experimental studies were performed on helical strip of dogs' basilar arteries with constrictable substances such as serotonin (5-HT), prostaglandin F2 alpha (PGF2 alpha), KC1 and oxy-hemoglobin (Oxy-Hb). Findings were as follows: There was a gradual increasing of vasospasm in the patients whose cerebrospinal fluid contained high values of total Ca at one or two days after rupture of aneurysm. In all samples of bloody cerebrospinal fluid, values of Ca++ were almost the same or lower than that of control group. The time course of Ca++ concentrations was remarkably decreased in the groups with increased vasospasm. In the experimental study, continuous constriction of helical strips were induced with high concentration of KC1 and physiological values of Oxy-Hb, but 5-HT and PGF2 alpha constricted only in a short time. The effects of KC1 and Oxy-Hb were remarkably inhibited when Ca++-antagonist was added to the artificial cerebrospinal fluid or Ca++ was freed from the fluid. With these results, it was thought that Oxy-Hb might be the most important substance for cerebral vasospasm and it may affect cerebral vessels with Ca++ in cerebrospinal fluid. It was, however, an unreasonable result that time course of Ca++ decreased on the patients with severe vasospasm when vasospasm increased. Then, high concentration of total Ca at acute stage after subarachnoidal hemorrhage was considered as it may trigger the incidence of cerebral vasospasm. PMID- 6582365 TI - Policy over politics. The first statement on smoking and health by the Surgeon General of the United States Public Health Service. PMID- 6582366 TI - Ending the cigarette pandemic. PMID- 6582367 TI - A dialogue with Surgeon General Koop: confronting America's most costly health problem. Interview by Alan Blum. PMID- 6582368 TI - The systemic and coronary hemodynamic response to cigarette smoking. PMID- 6582369 TI - "Less hazardous" cigarettes: fact or fiction? PMID- 6582370 TI - The economics of smoking: dollars and sense. PMID- 6582371 TI - The politics of tobacco: curse and cure. PMID- 6582372 TI - The research smokescreen. Moving from academic debate to action on smoking. PMID- 6582373 TI - Culpable negligence: a case for the courts? PMID- 6582374 TI - Cigarette advertising and The New York Times: an ethical issue that's unfit to print? PMID- 6582375 TI - "Precious baby". PMID- 6582377 TI - Are physicians to blame if patients smoke? PMID- 6582376 TI - Doctors who smoke. PMID- 6582378 TI - Cigarettes and fire deaths. PMID- 6582379 TI - The New York Cigarette Fire Safety Act. PMID- 6582380 TI - The Minnesota Clean Indoor Air Act. A model for New York and other states. PMID- 6582381 TI - A physician-led referendum for cleaner air in Florida. PMID- 6582382 TI - Clean indoor-air legislation: the Illinois experience. PMID- 6582383 TI - Preventing tomorrow's epidemic. The control of smoking and tobacco production in developing countries. PMID- 6582384 TI - The environmental impact of tobacco production in developing countries. PMID- 6582385 TI - Aspects of smoking in developing countries in Africa. PMID- 6582386 TI - Smoking or health: the Brazilian option. PMID- 6582387 TI - Smoking in Malaysia. Promotion and control. PMID- 6582388 TI - India's shame. A war on smallpox but a welcome for cigarettes. PMID- 6582389 TI - The transnational tobacco and alcohol conglomerates. A world oligopoly. PMID- 6582390 TI - The business of smoking. PMID- 6582391 TI - BUGA-UP (Billboard Utilizing Graffitists Against Unhealthy Promotions). An Australian movement to end cigarette advertising. PMID- 6582392 TI - Community-based strategies to fight smoking. Experiences from the North Karelia project in Finland. PMID- 6582393 TI - When "more doctors smoked Camels": cigarette advertising in the Journal. PMID- 6582394 TI - Helping patients withdraw from smoking. PMID- 6582395 TI - Myths and realities of smoking cessation. PMID- 6582396 TI - A positive health strategy for the office waiting room. PMID- 6582397 TI - Fluoridation on trial. PMID- 6582398 TI - Presidential address. Towards the future. PMID- 6582399 TI - Some characteristics of in vitro caries lesions induced in enamel by fluoride containing organic acid buffers. PMID- 6582400 TI - Impregnation of caries-like lesions with dental resins. PMID- 6582401 TI - Risks with intravenous diazepam. PMID- 6582402 TI - Mortality and social class in New Zealand. III: male mortality by ethnic group. AB - Social class differences in male mortality in New Zealand were investigated separately for Maori, Pacific Island and other New Zealand males aged 15-64. All three groups displayed strong social class mortality gradients but, for each class, the Maori mortality rates were approximately 50% higher than the rates for the "other" category, while the Pacific Islander rates generally occupied an intermediate position. The Maori mortality rates were particularly high for the disease groupings of respiratory diseases, infectious diseases, genito-urinary diseases, endocrine, nutritional and metabolic disorders and diseases of the circulatory system other than coronary heart disease and cerebrovascular disease- even when the data were adjusted for age and social class factors. The Pacific Islander rates were high for the same disease groupings except for endocrine, nutritional and metabolic disorders. Overall, there were substantial social class differences and ethnic differences in mortality and these were largely independent so that only about one-fifth of the Maori mortality excess was attributable to social class factors. Four-fifths of the Maori excess was not attributable to such factors indicating that interventions aimed specifically at lower socio-economic groups will not eliminate the current mortality differences between Maoris and non-Maoris. PMID- 6582403 TI - Vitamin A revisited--the synthetic retinoids. PMID- 6582404 TI - How many children are fully immunised? AB - An attempt was made to find the number of confirmed immunisations received by a group of Whangarei four-year-olds. The claims made for the immunisation benefit by each child's general practitioner were compared with questionnaire responses given by the parents of the children. Of 135 parents, 91.1% claimed that their child had received all four early childhood immunisations. Corresponding claims for the immunisation benefit by the child's general practitioner for all four immunisations were found in only 34.9% of cases. There was 79.7% agreement between parental reports and general practitioners' claims for the three-month immunisation. Corresponding figures were 72.3%, 67.2% and 66.4% for the five-, twelve- and eighteen-month immunisations respectively. These findings suggest that many children miss one or two immunisations rather than a few missing most. Present methods of monitoring may therefore tend to over-estimate the level of full immunisation. Computerisation of immunisation data is proposed as an alternative. PMID- 6582405 TI - Knowledge and practice of New Zealand mothers in the treatment of infantile diarrhoea. AB - One hundred and ninety-four mothers in the Christchurch area were questioned concerning their knowledge and treatment of diarrhoea in infants. Results showed that although traditional ideas have changed and there is some awareness of the need to use fluid replacement, there is a lack of appreciation of the importance of solutes in oral rehydration, suggesting that New Zealand is as much in need of health education as developing countries in this particular facet, as well as in other related matters. PMID- 6582406 TI - Tracheo-oesophageal fistula in Christchurch: a review. AB - The management of tracheo-oesophageal fistulae at Christchurch from 1968-1982 has been reviewed. Thirty-one cases have been diagnosed with 26 undergoing surgery. There has been an overall mortality of 48% but there was a trend towards improved survival figures. Other congenital anomalies were present in 56%. Oesophageal stenosis occurred in four of the operative cases and led to major problems in management. PMID- 6582407 TI - Practice nurse home visits survey: Otumoetai Health Centre 1981-82. PMID- 6582408 TI - Kaposi's sarcoma and the acquired immunodeficiency syndrome. PMID- 6582409 TI - Gilles de la Tourette syndrome. PMID- 6582410 TI - Hepatitis B virus. PMID- 6582411 TI - Pneumococcal serotype distribution and vaccine relevance. PMID- 6582412 TI - Behcets syndrome in New Zealand. PMID- 6582413 TI - The School of Dental and Oral Surgery, Columbia University. PMID- 6582414 TI - The case for New York University College of Dentistry. PMID- 6582415 TI - State University of New York at Buffalo School of Dentistry. PMID- 6582416 TI - School of Dental Medicine State University of New York at Stony Brook. PMID- 6582417 TI - DSSNY launches marketing workshops as new membership benefit. PMID- 6582418 TI - Roentgen oddities. PMID- 6582419 TI - Role of prostaglandin-induced cervical changes in labor induction. AB - The role of the cervix in labor induction has been studied in a previous report. Cervical preparation by mechanical methods did not alter the course of induced labor. The same hypothesis is further elucidated in the present study using prostaglandin E2 vaginal suppositories for cervical preparation. Forty-seven pregnant women near term with Bishop scores of 4 or less were divided into three study groups: control subjects, oxytocin-treated patients, and prostaglandin group. A 12-hour preparation phase procedure was carried out to produce cervical and/or myometrial changes. All women had continuous measurement of uterine activity by an extraovular catheter. At the end of the preparation phase, the Bishop score was reevaluated, amniotomy carried out in all patients, and oxytocin infusion either started or continued. Although prostaglandin and oxytocin both significantly changed the cervix, oxytocin had the shortest induction-to-delivery interval, though the prostaglandin-treated group required lower concentrations of oxytocin. The authors conclude that with rigid control of Bishop score and timing of amniotomy and oxytocin infusion rates, prostaglandin-induced cervical changes alone did not uniquely benefit labor induction in the doses used, or within the time frame of the study. PMID- 6582420 TI - Effects of solution depletion on films developed in the Peri-Pro automatic processor. AB - The changes in image quality and archival quality of dental films processed successively at room temperature in a Peri-Pro automatic processor without replenishment were measured. The changes in base-plus-fog density, film density and image contrast were measured for each of four processing solutions. All films to be developed in a solution were processed within 4 1/2 hours. The results cannot be generalized to solutions left overnight in the Peri-Pro processor or to solutions used in other automatic processors at different time-temperature cycles. If about 500 films are to be processed in a single day, the Peri-Pro solution, regular X-Omat, and RP X-Omat without part C are the solutions of choice. If about 1,000 films are to be processed in a single day, the Peri-Pro solution and RP X-Omat solution without part C are the solutions of choice. Only the Peri-Pro solution produced films (the first 600 films) of acceptable archival storage quality. PMID- 6582421 TI - Midfacial fractures in dental panoramic radiography. AB - The purpose of the present study was to evaluate the ability of panoramic radiographs to demonstrate facial fractures. Radiographs of eighty-two patients were analyzed retrospectively in cases in which both panoramic and conventional skull radiographs were available. One hundred thirty fractures within the middle third of the facial skeleton were identified, excluding nasal and mandibular fractures. In 64 per cent of the cases structural alterations suggesting fracture were detectable on panoramic radiographs; however, the interpretation of fractures on panoramic radiographs was much less certain than on conventional skull radiographs. The use of panoramic radiographs alone was often inadequate for diagnosis of many fractures outside the mandible. PMID- 6582422 TI - Osteoma of the coronoid process. PMID- 6582423 TI - Stellate central incisors. PMID- 6582424 TI - A study of a sample of oral cancer in Israel. AB - A review of data on oral cancer in Israel revealed a lower incidence and a later onset age than in other countries. These data are reviewed and consideration is given to the high prevalence of smoking and the low incidence of alcoholism in Israel. PMID- 6582425 TI - Mandibular advancement procedures: predictable stability and relapse. PMID- 6582426 TI - Internal derangement related to osteoarthrosis in temporomandibular joint autopsy specimens. AB - In 127 temporomandibular joint autopsy specimens the position (superior 44%, partially anterior 22%, completely anterior 34%) and configuration of the disk (biconcave 56%, biconvex 10%, others 34%) were related to osteoarthrosis. All biconvex disks were positioned anteriorly and associated with osteoarthrosis. Biconcave disks were mostly positioned superiorly and associated with normal surfaces. PMID- 6582427 TI - Histologic evaluation of carbon-coated subperiosteal dental implants in dogs. PMID- 6582428 TI - Contralateral facial palsy following coronoidectomy. Report of a case. AB - Contralateral facial palsy has been described as an unusual complication following coronoidectomy. The differential diagnosis of facial palsy is reviewed. An idiopathic Bell's palsy, coincident with the surgical procedure, is the most likely diagnosis in the absence of dislocation or acute fracture involving the ipsilateral condyle. PMID- 6582429 TI - Hemorrhagic (traumatic) cyst of the mandible associated with a retained root apex. PMID- 6582430 TI - Formaldehyde emitted by chemical vapor sterilizers. AB - Formaldehyde has been identified as a potential occupational carcinogen and is a component of chemical solutions used in chemical vapor sterilizers. This study evaluated room air for formaldehyde in rooms where chemical vapor sterilizers were in use. PMID- 6582431 TI - Serum zinc and copper in oral/oropharyngeal carcinoma. A study of seventy-five patients. AB - Seventy-five patients with oral/oropharyngeal carcinoma were studied to assess the relationship between serum zinc and copper levels, radiation-induced taste loss, and tumor status. There were no significant differences between pretreatment and posttreatment serum mineral levels in cancer patients and in 21 healthy persons who served as controls. Of 30 patients who did not experience spontaneous postradiation taste recovery and were supplemented with zinc sulfate daily for at least 1 month, 11 reported improvement in taste. Serum zinc levels rose markedly in the patients with taste improvement. PMID- 6582432 TI - Oral Candida in children. AB - One hundred forty healthy children, 3 to 12 years of age, were examined for the presence of oral Candida. Forty-five percent of the 3 to 5 1/2-year olds and 65% of the 6- to 12-year olds were found to be Candida "carriers" (p less than 0.05). No significant sex difference was found in the incidence of Candida "carriers." The salivary IgA concentration did not differ significantly in Candida "carriers" and noncarriers. A significantly higher IgA concentration was found in children 6 to 12 years old (0.02 less than p less than 0.05). The concentration of salivary electrolytes was similar in Candida-positive and Candida-negative children. PMID- 6582433 TI - Oral discoid lupus erythematosus. I. The validity of previous histopathologic diagnostic criteria. AB - The histopathologic criteria set down by Lever for skin lesions of discoid lupus erythematosus (DLE) and the criteria for oral DLE suggested by the World Health Organization (WHO) have been tested on 136 biopsy specimens from oral lesions comprising 42 cases of clinically typical DLE, 24 cases of atypical DLE, 25 cases of lichen planus (LP), 25 cases of leukoplakia, 13 cases of indefinite diagnosis termed DLE? LP? and seven electrogalvanically- induced white lesions. Following studies of inter- and intraexaminer variation, the final recording was done in random order without the investigators knowing the clinical diagnosis in each case. The results showed that Lever's criteria had a high specificity for oral DLE as compared to LP and leukoplakia, but the sensitivity for clinically atypical oral DLE was rather low. The criteria established by the WHO showed no specificity for oral DLE as compared to LP. Neither the criteria by Lever nor the criteria of the WHO were specific for oral DLE as compared to electrogalvanically induced white lesions. Both sets contained criteria showing rather high inter- and intraexaminer variation. Therefore, there is a need to establish a set of histopathologic criteria showing high sensitivity and specificity for both clinically typical and atypical DLE, based on criteria showing a low inter- and intraexaminer variation. PMID- 6582434 TI - Intraoral spindle cell lipoma: case report with correlated light and electron microscopy. AB - A nontender submucosal nodule in the anterior floor of the mouth of a 33-year-old woman was removed surgically. Light and electron microscopic studies revealed features of a spindle cell lipoma, i.e., a well-circumscribed, unencapsulated mass composed of a mixture of univacuolated lipocytes and fibroblast-like spindle cells within a mucinous and collagenous stroma. To our knowledge this is the first reported case of a spindle cell lipoma in the oral cavity. PMID- 6582435 TI - Intraneural epithelial islands associated with a periapical cyst. AB - Epithelial islands associated with nerve bundles have been reported in the mandible and maxilla. An example of such intraneural rests is reported in association with a radicular cyst. The differential diagnosis of intraneural epithelial islands must include benign odontogenic rests, remnants of nasopalatine duct in the anterior maxilla, the organ of Chievitz, and neural invasion by a carcinoma. PMID- 6582436 TI - Chronic ulceration of the hard palate: first clinical sign of undiagnosed pulmonary tuberculosis. PMID- 6582437 TI - A microscopic focus of traumatic neuroma with intralesional glandular structures: an incidental finding. AB - A 50-year-old man received radiation therapy and chemotherapy for squamous cell carcinoma of the right floor of the mouth. Histologic examinations of surgical materials revealed the presence of benign ductal epithelial structures containing mucinous material within a small traumatic neuroma of the mandibular alveolar mucosa. Presumably, the residual salivary ducts of the sublingual glands may become incorporated during the development of a traumatic neuroma secondary to the destruction of tissue. Our search of the literature has failed to reveal a similar recorded occurrence. PMID- 6582439 TI - Necrotizing sialometaplasia: frequency of histologic misdiagnosis. AB - Necrotizing sialometaplasia is said to mimic carcinoma, both clinically and histologically. A review of approximately 10,000 oral biopsy specimens revealed only three cases of necrotizing sialometaplasia, all of which had been misdiagnosed as other benign entities. While this suggests that necrotizing sialometaplasia represents only 0.03 percent of biopsied oral lesions, it does not deal with the frequency of cases of this condition which heal spontaneously without being biopsied. PMID- 6582438 TI - Hypomobility after maxillary and mandibular osteotomies. AB - A retrospective recall study of forty patients was made to examine mandibular function after orthognathic surgery. Maximum maxillomandibular opening, protrusion, and lateral excursions were measured and compared with similar mandibular movements in a control group of patients of comparable age. Six months to 42 months after maxillary and mandibular osteotomies, the majority of patients demonstrated decreased maxillomandibular opening compared to the control group 54.8 mm (SD 4.7). The decrease was most dramatic in patients previously treated with sagittal split ramus osteotomies. The mean maxillomandibular opening after Le Fort I osteotomy to reposition the maxilla superiorly was 48.7 mm (SD 5.7); after bilateral intraoral vertical ramus osteotomies to retract the mandible it was 48.6 mm (SD 5.7); and after bilateral sagittal split ramus osteotomies to advance the mandible it was 35.1 mm (SD 6.7). The presence of mandibular hypomobility after orthognathic surgery and maxillomandibular immobilization may be due to pre-existing or surgically induced muscle or temporomandibular joint dysfunction. Our findings indicate the need for routine clinical assessment of mandibular function preoperatively and for a systematic regimen of muscular and occlusal rehabilitation postsurgically to normalize muscle function, condylar movement, and range of mandibular motion. PMID- 6582440 TI - Lipoma of the soft palate. PMID- 6582441 TI - Definitions of unsharpness and layer thickness in rotational panoramic radiography. AB - The use of the modulation-transfer function in defining the layer thickness in rotational panoramic radiography is discussed. This method is compared with other methods and is shown to be a more accurate means for describing the layer. PMID- 6582442 TI - [Infectious complications in children during treatment of neoplasms of the hematopoietic system]. PMID- 6582443 TI - [Neurological status of children with lymphoblastic leukemia during complex treatment]. PMID- 6582444 TI - Developmental perspective of the Gilles de la Tourette syndrome. AB - This paper concerned developmental perspectives of the Gilles de la Tourette Syndrome. Topics addressed included birth, developmental and family histories, and symptom picture. The neglected area of academic achievement was examined. Results of the first systematic investigation of neuro-psychological functioning of Tourette children undertaken in the United States was presented. Subjects were 13 diagnosed male Tourette patients between 10 and 13 yr. of age. Parents completed the Developmental History and Tourette Syndrome Questionnaires while subjects were administered the WISC-R, Wide Range Achievement Test, Bender Gestalt, and Halstead Neuropsychological Test Battery for Children. There was no supporting evidence that pre-/postnatal trauma was significant in the etiology of the disorder. Again, evidence suggested a genetic component. Finally, academic difficulties appear related to the visuographic dysfunction noted on neuropsychological assessment. PMID- 6582445 TI - Splenic rupture due to aspergillosis. PMID- 6582447 TI - [Myelodysplastic syndromes]. PMID- 6582446 TI - [Cholesterol in serum lipoprotein fractions in patients with hyperthyroidism treated with propranolol]. PMID- 6582448 TI - [Various remarks on oro-dental health in Zaire. Apropos of 287 cases received at the University Clinic of Kinshasa]. PMID- 6582449 TI - [Various dental anomalies in the black population of Lubumbashi (Zaire)]. PMID- 6582450 TI - Distribution of malocclusions in African and Asian children in some Nairobi schools. PMID- 6582451 TI - [Relation of the amount of fluoride in the drinking water of Somalia and in dental enamel]. PMID- 6582452 TI - In vitro evaluation of Saudi Arabian toothbrush tree (Salvadora persica). PMID- 6582453 TI - Dental caries, oral hygiene, periodontal disease and dental fluorosis among school children in northern Tanzania. Oral health surveys. PMID- 6582454 TI - Fluoride supplements in Kenya: a viewpoint. PMID- 6582455 TI - [Guided extraction in traditional Moorish communities]. PMID- 6582456 TI - The DAT project in Kenya. PMID- 6582457 TI - [Changes in the alveolar ridge following the extraction of teeth]. PMID- 6582458 TI - [The Konus telescopic crown with horizontal pins for a patient following partial maxillo-mandibulectomy]. PMID- 6582459 TI - [Occlusal functions in cases with partially edentulous jaws]. PMID- 6582460 TI - [Curing occlusal imbalance in partial dentures]. PMID- 6582461 TI - [Maintenance of denture bases]. PMID- 6582462 TI - [Plaque control in the partially edentulous jaw]. PMID- 6582463 TI - [Complete dentures and the partially edentulous jaw]. PMID- 6582464 TI - [Communication with patients with partially edentulous jaws]. PMID- 6582465 TI - [Examination and treatment schedule in patients with partially edentulous jaws]. PMID- 6582466 TI - [Overlay denture will bar attachment for the remaining mandibular left and right quadrant canine teeth]. PMID- 6582467 TI - [The Konus telescopic crown for the remaining lower right quadrant canine tooth]. PMID- 6582468 TI - [Eating disorders in children and adolescents]. PMID- 6582470 TI - The hydrophobic moment detects periodicity in protein hydrophobicity. AB - Periodicities in the polar/apolar character of the amino acid sequence of a protein can be examined by assigning to each residue a numerical hydrophobicity and searching for periodicity in the resulting one-dimensional function. The strength of each periodic component is the quantity that has been termed the hydrophobic moment. When proteins of known three-dimensional structure are examined, it is found that sequences that form alpha helices tend to have, on average, a strong periodicity in the hydrophobicity of 3.6 residues, the period of the alpha helix. Similarly, many sequences that form strands of beta sheets tend to have a periodicity in their hydrophobicity of about 2.3 residues, the period typical of beta structure. Also, the few sequences known to form 3(10) helices display a periodicity of about 2.5 residues, not far from the period of 3 for an ideal 3(10) helix. This means that many protein sequences tend to form the periodic structure that maximizes their amphiphilicity. This observation suggests that the periodicity of the hydrophobicity of the protein primary structure is a factor in the formation of secondary structures. Moreover, the observation that many protein sequences tend to form segments of maximum amphiphilicity suggests that segments of secondary structure fold at a hydrophobic surface, probably formed from other parts of the folding protein. PMID- 6582469 TI - Modification of DNA by reducing sugars: a possible mechanism for nucleic acid aging and age-related dysfunction in gene expression. AB - Reducing sugars react nonenzymatically with protein amino groups to initiate a process called nonenzymatic browning. Long-lived proteins, such as collagen and the lens crystallins, accumulate sufficient modification in vivo that they acquire many of the chemical properties characteristic of aged proteins. We have obtained evidence that nucleic acids also can undergo nonenzymatic modification by sugars. Incubation of DNA or nucleotides with glucose 6-phosphate (Glc-6-P) produces spectral changes similar to those described for nonenzymatic browning proteins. The occurrence of chemical modification was verified by measuring the transfection efficiency of viral DNA after incubation with glucose and Glc-6-P. A loss of transfection potential occurred that was first order with respect to time and sugar concentration. The rate of inactivation by Glc-6-P was 25 times that of glucose; 8 days of incubation with 150 mM Glc-6-P decreased transfection by 4 orders of magnitude. Glc-6-P also produced strand scission in a time- and concentration-dependent manner. We conclude that glucose, Glc-6-P, and possibly other sugars can react with DNA to produce significant structural and biological alterations. Since nucleic acids are long-lived molecules in the resting cell, the accumulation of these addition products might be a mechanism for the decreased genetic viability characteristic of the aged organism. PMID- 6582471 TI - Calculation of the polarized fluorescence from a labeled muscle fiber. AB - Equations are derived that explicitly relate fluorescence polarization observables on a labeled muscle fiber to attitude of the cross-bridges and to attitude of the labels within the cross-bridges. PMID- 6582472 TI - Radiation inactivation of oligomeric enzyme systems: theoretical considerations. AB - Radiation inactivation has been used as a tool to explore the size, structure, and function of soluble and membrane-bound enzymes. Enzyme systems consisting of a single functional unit yield a single exponential dependence of enzyme activity on radiation dose. Complex, nonexponential, inactivation curves suggest the presence of a multiunit enzyme system. A concave-upward inactivation curve suggests the presence of multiple independent functional units of distinct size and activity that do not interact with each other. An oligomeric enzyme, consisting of n identical subunits in equilibrium with monomers, can give simple exponential decay curves or more complex inactivation curves with various degrees of upward or downward concavity, depending upon the extent of oligomer-monomer equilibration among subunits after radiation, oligomer-to-monomer size and activity ratios, and multihit requirements for oligomer inactivation. For each of these possibilities, equations for the inactivation curves are derived, calculated numerically, and discussed in qualitative terms. A systematic approach to the evaluation of complex radiation inactivation curves is proposed and limitations of the radiation inactivation method are reviewed. PMID- 6582473 TI - Perpendicular orientation and directional migration of amphibian neural crest cells in dc electrical fields. AB - The behavior of cultured neural crest cells of Ambystoma mexicanum and Xenopus laevis in dc electrical fields was studied. In fields of 1-5 V/cm, isolated or confluent cells retract both their anode- and cathode-facing margins. Subsequently, the cells elongate, with protrusive activity confined to their narrow ends. In larger fields (greater than or equal to 5 V/cm), protrusions form on the cathode-facing sides of the perpendicularly oriented cells. The cells then begin migrating laterally, perpendicular to their long axes, towards the cathode. We suggest that the perpendicular alignment and cathode-directed migrations result from cytoskeletal changes mediated by modified ion fluxes through the anode-facing (hyperpolarized) and cathode-facing (depolarized) cell membranes. The breaking of cellular confluence in response to dc electric fields is also discussed. PMID- 6582474 TI - Regulation of receptor capping in mouse lymphoma T cells by Ca2+-activated myosin light chain kinase. AB - Several characteristics of receptor capping in lymphocyte membranes suggest similarities with mechanisms underlying control of contraction in smooth muscle fibers. Both capping and contraction are Ca2+ dependent and require metabolic energy. Contractile proteins such as actin and myosin are associated with the cap, as is calmodulin, which mediates the Ca2+ dependence of smooth muscle contraction. Recent studies have shown that myosin light chain kinase (MLCK), which plays a central role in regulation of smooth muscle contraction, is also present in isolated lymphocyte membrane-cytoskeleton complexes. We have explored this analogy further, using mouse lymphoma T cells whose membranes were rendered permeable to small proteins by using a low-Ca2+ EGTA solution similar to that used to chemically skin smooth muscle cells. Permeabilized lymphocytes were then exposed to solutions containing various combinations of high or low Ca2+, ATP, or other nucleotides (5'-adenylyl imidodiphosphate, adenosine 5'-[gamma thio]triphosphate, guanosine 5'-[gamma-thio]triphosphate, CTP, ITP, UTP, and GTP), calmodulin, Ca2+-insensitive MLCK (MLCK subunit that has been stripped of the Ca2+ binding site), and the catalytic subunit of cAMP-dependent protein kinase that phosphorylates (and thereby inactivates) MLCK. Capping of concanavalin A-labeled receptors in these various test solutions was scored. In all solutions the capping observed in permeable lymphoma cells correlated well with contraction previously observed in similarly treated skinned smooth muscle fibers, providing strong evidence for the involvement of myosin light chain phosphorylation in the regulation of receptor capping. PMID- 6582475 TI - Method for quantitating the molecular content of a subcellular organelle: hormone and neurophysin content of newly formed and aged neurosecretory granules. AB - A method is described for the quantitative determination of the content of subcellular organelles such as secretory granules. Purified subcellular fractions of the organelle are prepared and aliquots are assayed for hormones, for example. To determine the number of organelles per fraction, known numbers of latex particles of a size similar to the organelle are added to other aliquots of the subcellular fractions. Latex particles and organelles are then pelleted together by centrifugation. The ratio between latex particles and organelles can be determined by morphometric analysis of ultrathin sections taken through the full thickness of the pellet. The number of organelles and hence their content of the substance assayed can then be calculated. We have applied this technique to posterior pituitary neurosecretory granules, the content of which has already been estimated by a different method. Newly formed neurosecretory granules from oxen and rats were found to have a content of approximately equal to 85,000 molecules of hormone and neurophysin. Aged neurosecretory granules from the same neural lobes appeared to contain less hormone and neurophysin, but this was shown to be the result of loss of material from the granules during isolation in media of 360 mosM. Such loss could be prevented by isolation in hypertonic (660 mosM) media. PMID- 6582476 TI - A molecular approach to leukemogenesis: mouse lymphomas contain an activated c ras oncogene. AB - By inducing mouse thymomas with carcinogens and gamma-radiation, we have studied the potential of tumor DNA to induce foci in rodent fibroblasts. A high percentage of the tumors used transformed the cultured cells, and the oncogenic phenotype segregated with extra copies of the c-ras gene family. There appears to be selectivity in the activated gene because so far all analyzed tumors induced by carcinogen have activated the N-ras gene, and those induced by radiation have activated the K-ras gene. The K-ras gene is the cellular counterpart of the viral ras oncogene in Kirsten murine sarcoma virus, but the N-ras has not yet been found in a retrovirus. The transformed cells have a marked increase in expression of the oncogene at the RNA and protein level. This model system might be a powerful tool in the study of leukemogenesis. PMID- 6582477 TI - Human anti-idiotype antibodies in cancer patients: Is the modulation of the immune response beneficial for the patient? AB - Inoculation of human subjects with mouse monoclonal antibody results in the production of anti-idiotype antibody that reacts with the binding site of the monoclonal antibody. This reaction is hapten-inhibited, suggesting that an internal image of the antigen is produced by the anti-idiotype response. The anti idiotype antibody isolated from sera of three patients showed significant crossreactivity. Patients who developed the anti-idiotype antibody improved clinically and had long remission from their disease. The possible presence of the internal image of cancer antigen on the human immunoglobulin molecule may change the conditions under which the immune system reacts to the tumor antigen and may open new approaches to the control of tumor growth. PMID- 6582478 TI - Simple finite-element model accounts for wide range of cardiac dysrhythmias. AB - A simple finite-element model of ventricular conduction processes that explicitly incorporates spatial dispersion of refractoriness was developed. This model revealed that spatial dispersion of refractoriness is a sufficient condition to produce self-sustained reentry even in the absence of unidirectional block, inhomogeneity in local conduction velocities, or the presence of ectopic pacemakers. The model displayed a wide variety of rhythm disturbances qualitatively similar to clinically familiar cardiac dysrhythmias. Electrical stability of the model was determined as a function of the model parameters including ventricular stimulation rate, conduction velocity, and mean refractory period as well as standard deviation of refractory periods. We conclude that spatial dispersion of refractoriness is a sufficient condition to initiate reentrant dysrhythmias but that other physiologic variables such as ventricular rate and conduction velocity strongly influence the dysrhythmogenic effect of spatial dispersion of refractoriness. PMID- 6582479 TI - Inhibition of malignant transformation in vitro by inhibitors of poly(ADP-ribose) synthesis. AB - Malignant transformation in vitro of hamster embryo cells and mouse C3H 10T 1/2 cells by x-rays, ultraviolet light, and chemical carcinogens was inhibited by benzamide and by 3-aminobenzamide at concentrations that are specific for inhibition of poly(ADP-ribose) formation. These compounds slow the ligation stage of repair of x-ray and alkylation damage but not of ultraviolet light damage. At high concentrations they also inhibited de novo synthesis of DNA purines and DNA methylation by S-adenosylmethionine. The suppression of transformation by the benzamides is in striking contrast to their reported effectiveness in enhancing sister chromatid exchange, mutagenesis, and killing in cells exposed to alkylating agents. Our results suggest that mechanisms regulating malignant transformation are different from those regulating DNA repair, sister chromatid exchange, and mutagenesis and may be associated with changes in gene regulation and expression caused by alterations in poly(ADP-ribosyl)ation. PMID- 6582480 TI - Molecular abnormality of an inactive aldehyde dehydrogenase variant commonly found in Orientals. AB - Usual human livers contain two major aldehyde dehydrogenase [(ALDH) aldehyde:NAD+ oxidoreductase] isozymes--i.e., a cytosolic ALDH1 component and a mitochondrial ALDH2 component--whereas approximately equal to 50% of Orientals are "atypical" and have only the ALDH1 isozyme and are missing the ALDH2 isozyme. We previously demonstrated that atypical livers contain an enzymatically inactive but immunologically crossreactive material (CRM) corresponding to the ALDH2 component. The enzymatically active ALDH2 obtained from a usual liver and the CRM obtained from an atypical liver were reduced, S-carboxymethylated, and digested by trypsin. Separation of their digests by high-performance reverse-phase chromatography and by two-dimensional paper chromatography and electrophoresis revealed that ALDH2 contained a peptide sequence of -Glu-Leu-Gly-Glu-Ala-Gly-Leu Gln-Ala-Asn-Val-Gln-Val-Lys- and that the glutamine adjacent to lysine was substituted by lysine in CRM. All other tryptic peptides, including eight peptides containing S-carboxymethylcysteine, were common in ALDH2 and CRM. It is concluded that a point mutation in the human ALDH2 locus produced the glutamine leads to lysine substitution and enzyme inactivation. PMID- 6582482 TI - Structural analysis of fibronectin and its collagen-binding fragment from several cell lines. AB - Tryptic peptide mapping of fibronectin from various species indicates that (i) there exists a remarkable similarity between methionine-labeled tryptic peptides of fibronectins isolated from cells of widely separated species such as human, chicken, mouse, hamster, and rat; (ii) fibronectins from normal and transformed or tumor cells of the same species are very similar, if not identical; and (iii) collagen-binding regions of fibronectin from different species share identical major peptides. PMID- 6582481 TI - Reconstitution of a functional synaptosomal membrane possessing the protein constituents involved in acetylcholine translocation. AB - Reconstitution of a functional presynaptic membrane possessing calcium-dependent acetylcholine release properties has been achieved. The proteoliposomal membrane obtained gains its acetylcholine-releasing capabilities from presynaptic membrane proteins. At the peak of acetylcholine release, intramembrane particles became more numerous in one of the proteoliposomal membrane faces. This phenomenon resembles the intramembrane particle rearrangements found in stimulated synaptosomes. No visible structures capable of releasing acetylcholine as a result of the calcium influx were found inside the proteoliposomes. This supports the view that the release of free cytosolic acetylcholine from stimulated nerve terminals can be directly attributed to presynaptic membrane proteins. These proteins were extracted in a functional form from the synaptosomal membrane. PMID- 6582483 TI - Streptococcal L-forms isolated from Drosophila paulistorum semispecies cause sterility in male progeny. AB - The Drosophila paulistorum complex contains six semispecies that do not normally interbreed. In the laboratory, crosses between semispecies produce fertile daughters and sterile sons. Microbial endosymbionts have been observed in all D. paulistorum flies that display this male sterility. Streptococcal L-forms have been isolated from the Andean-Brazilian (Mesitas) and Transitional (Santa Marta) semispecies and cultured in artificial medium. Transfer of these L-forms from their native hosts into reciprocal semispecies resulted in sterile male progeny. When L-forms were inoculated into the semispecies from which they had been isolated, most of the male progeny were fertile. Control streptococcal L-forms did not show this sterility pattern. PMID- 6582484 TI - Labile nature of the visual recovery promoted by reverse occlusion in monocularly deprived kittens. AB - Kittens were monocularly deprived by closing one eye at the time of natural eye opening for periods that ranged from 4 to 14 weeks. This eye was then opened, and the other eye was closed for an approximately equal period of time. During this period of reverse occlusion, the vision of the initially deprived eye improved from apparent blindness to a level of good visual acuity. Surprisingly, however, this recovery was largely eliminated in only 2 weeks once the initially nondeprived eye was opened to restore visual input to both eyes. This finding has important implications for the nature of the mechanism(s) responsible for the dramatic physiological effects of monocular occlusion on the visual cortex. It may also help to elucidate recent observations on patching therapy in human amblyopia. PMID- 6582485 TI - Nucleotide sequence of the feline retroviral oncogene v-fms shows unexpected homology with oncogenes encoding tyrosine-specific protein kinases. AB - The nucleotide sequence encoding the transforming polyprotein of the McDonough strain of feline sarcoma virus was determined. This sequence includes 231 nucleotides specifying a leader peptide, 1,377 nucleotides encoding most of the feline leukemia virus-derived gag gene, and 2,969 nucleotides representing the viral transforming gene v-fms. A single open reading frame was predicted to encode a fusion polyprotein of 160,000 daltons (P160gag-fms). Fourteen potential sites for glycosylation were predicted within the v-fms-encoded portion of the protein, consistent with previous observations that the primary translation product is rapidly glycosylated. The presence of hydrophobic signal peptides within the amino-terminal leader sequence and in the middle of the v-fms-encoded moiety suggests that the transforming glycoprotein becomes oriented with its amino terminus within the lumen of the rough endoplasmic reticulum and its carboxyl terminus protruding across the membrane of the rough endoplasmic reticulum into the cytoplasm. The latter portion of the protein shows unexpected homology to tyrosine-specific protein kinases encoded by several of the known retroviral oncogenes. PMID- 6582486 TI - Antithrombin III Toyama: replacement of arginine-47 by cysteine in hereditary abnormal antithrombin III that lacks heparin-binding ability. AB - Structural analyses of a hereditary abnormal antithrombin III, antithrombin III Toyama, which has normal progressive antithrombin activity but no heparin cofactor activity, have been carried out to elucidate the molecular abnormality causing recurrent thrombophlebitis of a patient and to identify an amino acid residue essential for the binding with heparin. Abnormal antithrombin III was reduced, S-pyridylethylated, and treated with cyanogen bromide. Eleven fragments were isolated by the combination of Sephadex G-50 gel filtration and reversed phase HPLC and compared with those from normal antithrombin III. One large fragment (CN-III) that appeared to have a different amino acid composition from that of the corresponding fragment from normal antithrombin III was digested with trypsin, and the digests were separated by HPLC. The abnormal peptide was identified by comparing the peptide map with that from normal antithrombin III. Amino acid sequence analysis of the abnormal peptide indicated that the arginine 47 of normal antithrombin III had been replaced by cysteine in antithrombin III Toyama. One base mutation, C leads to T, in the 5' terminal position of the arginine-47 genetic codon (CGT) is probably responsible for this substitution. These results also suggest that arginine-47 is an essential amino acid residue for the binding with heparin. PMID- 6582487 TI - Frequent generation of nonrescuable reorganized Moloney murine sarcoma viral genomes. AB - Nonproducer transformants infected with wild-type Moloney murine sarcoma virus were screened for the generation of variants with reorganized genomes. Seven of 20 lines contained such viral genomes, 5 of which were found to be nonrescuable. Blotting analysis indicated that viral RNA molecules transcribed from these variant genomes could not be encapsidated into virions. The nonrescuable genomes were molecularly cloned and all were found to have suffered deletions or deletions/inversions involving the 5' long terminal repeat as well as some adjacent sequences. Nucleotide sequence analysis suggested that the long terminal repeat or the tetranucleotides G-G-T-C and G-A-C-C (or both) were involved in the generation of these mutants. Transfection studies showed that the cloned DNAs of the 5 mutants transformed NIH/3T3 monolayers. Removal of the 3' long terminal repeat from the genomes that lacked the 5' long terminal repeat or carried it in an inverted orientation abolished or considerably reduced the transforming activity. PMID- 6582488 TI - Nuclear matrix DNA from chicken erythrocytes contains beta-globin gene sequences. AB - Nuclear matrices containing residual DNA were isolated from chicken erythrocytes after extraction of purified nuclei with buffered 2 M NaCl. After further purification of this residual DNA, it was found to contain high concentrations of beta-globin gene sequences as assayed by dot hybridization with 32P-labeled nick translated pHB1001. Electron microscopy of a random sample of this residual DNA fraction shows the DNA to be intimately associated with protein at various intervals. A hypothesis for enrichment of active genes in residual DNA from purified chromatin or in nuclear matrix DNA is also discussed. PMID- 6582490 TI - Ionizing radiation and tritium transmutation both cause formation of 5 hydroxymethyl-2'-deoxyuridine in cellular DNA. AB - HeLa cells grown in the presence of [methyl-3H]thymidine contained large amounts of 5-hydroxymethyl-2'-deoxyuridine (HMdU) in their DNA. When the cells were grown in [6-3H]thymidine and their DNA was labeled to the same specific activity, no HMdU was present. When such [6-3H]thymidine-labeled cells were exposed to increasing amounts of gamma-radiation, small but increasing amounts of HMdU were formed in their DNA. This indicates that HMdU can be formed in DNA by two distinct mechanisms. The first is the result of the transmutation of 3H to 3He (beta decay) in the methyl group of thymidine, leading to formation of a carbocation. This short-lived ion reacts with hydroxide ions of water, yielding the hydroxymethyl group. HMdU that is formed by this mechanism is formed at the rate of beta decay of 3H. It appears only in [methyl-3H]thymidine residues and is present in the DNA of both nonirradiated and gamma-irradiated cells. The second mechanism is the result of the radiolysis of water caused by ionizing radiation. The resultant radical species, particularly hydroxyl radicals, may react with many sites on DNA. When the methyl group of thymine is attacked by hydroxyl radicals, the hydroxymethyl group is formed. The formation of HMdU by this mechanism was detected only when [6-3H]thymidine-labeled cells were used, since transmutation of 3H in position 6 of thymine cannot yield HMdU. PMID- 6582489 TI - Cloning of a cDNA encoding rat intestinal fatty acid binding protein. AB - Intestinal fatty acid binding protein mRNA is one of the most abundant mRNA species in the rat small intestinal epithelium. RNA transfer blot analyses disclosed that the mRNA encoding intestinal fatty acid binding protein is approximately equal to 900 nucleotides long and not represented in liver RNA. We have identified 564 nucleotides of this mRNA, including 12 nucleotides of the 5' nontranslated region, the coding portion, and 155 nucleotides of the 3' nontranslated domain. The primary translation product encoded by this mRNA contains 132 amino acids and has a Mr of 15,062. The derived protein sequence was verified by automated sequential Edman degradation of the intact polypeptide isolated from a wheat germ cell-free system. The in vitro product is NH2 terminally acetylated, a finding that is consistent with its ultimate cytoplasmic destination. Comparison of the amino acid sequence of this protein with liver fatty acid binding protein, a polypeptide specified by the most abundant small intestinal epithelial mRNA, revealed significant homology and similarity in the predicted secondary structures of their NH2-terminal domains. PMID- 6582491 TI - Trifluoperazine inhibits insulin action on glucose metabolism in fat cells without affecting inhibition of lipolysis. AB - One of the specific inhibitors of calmodulin action, trifluoperazine, blocked the stimulating action of insulin on 2-deoxyglucose uptake and glucose metabolism. The inhibitory effect of insulin on lipolysis was not altered by the drug. The active (insulin-stimulated) state and the basal state of lipogenesis were inhibited half-maximally at 80 and 550 microM trifluoperazine, respectively. 2 Deoxyglucose uptake was inhibited half-maximally at a trifluoperazine concentration of 70 microM. Other less potent calmodulin inhibitors also inhibited glucose metabolism in fat cells but in a nonspecific manner. The inhibition was noncompetitive and was not altered in Ca2+- free medium. The stimulating activity of wheat germ agglutinin and of sodium vanadate were also inhibited by trifluoperazine. The dose-dependent inhibitions were indistinguishable whether the active (stimulated) state was produced by insulin, wheat germ agglutinin, or vanadate. The data indicate that a late event in the sequence that ultimately leads to enhanced glucose transport activity in fat cells is specifically inhibited by trifluoperazine. The possible involvement of calmodulin or another related Ca2+-dependent regulatory protein in the exocytic (fusion) reaction that recruits glucose-transport activity from storage sites to the plasma membranes is discussed. PMID- 6582492 TI - The possibility that the spectrum of intermediate two, seen in the course of reaction of flavoenzyme phenol hydroxylases, may be attributable to iminol isomers of a flavin-derived 6-arylamino-5-oxo(3H,5H)uracil. AB - A commonly held view of the mechanism of flavin mixed-function oxidases is that enzyme-bound 4a-hydroperoxyflavin (4a-FIHOOH) undergoes ring opening to provide a carbonyl oxide (IV), which, after transferring an oxene equivalent to substrate, yields a 6-arylamino-5-oxo(3H,5H)-uracil (I). The latter is then thought to undergo ring closure to form a 4a-hydroxyflavin (4a-FIHOH), which by loss of water yields flavin (scheme I). A close structural analogue of I (i.e., III) has been synthesized. Comparison of the spectra of III (and II), taken in solvents of widely differing dielectric constants and in a strongly basic medium, with those of the intermediate(s) observed to be formed in time between 4a-FlHOOH and 4a FlHOH has shown that the enzyme-bound intermediate(s) does not resemble spectrally I nor its iminol tautomers. PMID- 6582493 TI - Purification and characterization of acidic fibroblast growth factor from bovine brain. AB - Acidic brain fibroblast growth factor has been purified a minimum of 35,000-fold to apparent homogeneity by a combination of differential salt precipitation, ion exchange chromatography, gel filtration, isoelectric focusing, and hydrophobic chromatography on a C4 reversed-phase HPLC column. Two microheterogeneous forms of the molecule are obtained with apparent molecular masses of 16,600 and 16,800 daltons. The mitogen is highly active with half-maximal stimulation of BALB/c 3T3 fibroblasts at about 40 pg/ml in an assay using incorporation of [methyl 3H]thymidine into DNA. PMID- 6582494 TI - Xenopsin: the neurotensin-like octapeptide from Xenopus skin at the carboxyl terminus of its precursor. AB - We have synthesized two oligodeoxyribonucleotide mixtures that contain sequences complementary to different parts of the hypothetical mRNA sequence of xenopsin, a biologically active octapeptide found in skin extracts from Xenopus laevis. The two primer pools were independently used to initiate reverse transcription on skin poly(A)+ RNA and the resulting cDNAs were then used to screen in parallel a cDNA library prepared from skin poly(A)+ RNA. One of the clones that hybridized with both probes was subjected to sequence analysis. It contains a nearly full length DNA copy of a mRNA of approximately equal to 490 nucleotides that encodes a xenopsin precursor protein. The deduced precursor is 80 amino acids long, exhibits a putative signal sequence at the NH2 terminus, and contains the biologically active peptide at the COOH terminus. The region corresponding to the NH2-terminal portion of the xenopsin precursor shows a striking nucleotide and amino acid sequence homology with the precursor of PYLa, another recently described peptide from Xenopus skin. PMID- 6582495 TI - Glycosylated ovine prolactin. AB - A modification of prolactin, in which the asparagine at position 31 carries a carbohydrate unit, was isolated from ovine pituitary glands. Sequence and amino acid analyses identified the point of linkage of the carbohydrate. Glucosamine was found in acid hydrolysates, an indication that the carbohydrate is attached through N-acetylglucosamine. The glycosylated prolactin binds to concanavalin A and lentil lectin and is eluted with methyl alpha-D-mannopyranoside. During gel electrophoresis in sodium dodecyl sulfate, the glycosylated hormone migrates as a Mr 25,000 protein; prolactin has a Mr of 23,000. The modified prolactin had a potency of 20 international units/mg, approximately equal to 60% the potency of a reference prolactin preparation when measured by the pigeon crop sac assay. In a radioimmunoassay, the glycosylated form had only 34% the immunoreactivity of ovine prolactin. PMID- 6582496 TI - Single-chain structure of human ceruloplasmin: the complete amino acid sequence of the whole molecule. AB - We have determined the amino acid sequence of the amino-terminal 67,000-dalton (67-kDa) fragment of human ceruloplasmin and have established overlapping sequences between the 67-kDa and 50-kDa fragments and between the 50-kDa and 19 kDa fragments. The 67-kDa fragment contains 480 amino acid residues and three glucosamine oligosaccharides. These results together with our previous sequence data for the 50-kDa and 19-kDa fragments complete the amino acid sequence of human ceruloplasmin. The polypeptide chain has a total of 1,046 amino acid residues (Mr 120,085) and has attachment sites for four glucosamine oligosaccharides; together these account for the total molecular mass of human ceruloplasmin (132 kDa). The sequence analysis of the peptides overlapping the fragments showed that one additional amino acid, arginine, is present between the 67-kDa and 50-kDa fragments, and another, lysine, is between the 50-kDa and 19 kDa fragments. Only two apparent sites of amino acid interchange have been identified in the polypeptide chain. Both involve a single-point interchange of glycine and lysine that would result in a difference in charge. The results of the complete sequence analysis verified that human ceruloplasmin is composed of a single polypeptide chain and that the subunit-like fragments are produced by proteolytic cleavage during purification (and possibly also in vivo). PMID- 6582497 TI - Microinjected pBR322 stimulates cellular DNA synthesis in Swiss 3T3 cells. AB - When pBR322 is manually microinjected into the nuclei of quiescent Swiss 3T3 cells it stimulates the incorporation of [3H]thymidine into DNA. The evidence clearly shows that this increased incorporation that is detected by in situ autoradiography in microinjected cells represents cellular DNA synthesis and not DNA repair or plasmid replication. The effect is due to pBR322 and not due to impurities, mechanical perturbances due to the microinjection technique, or aspecific effects. This stimulation is striking in Swiss 3T3 cells. Some NIH 3T3 cells show a slight stimulation, but hamster cells, derived from baby hamster kidney (BHK) cells, are not stimulated when microinjected with pBR322. The preliminary evidence seems to indicate that the integrity of the pBR322 genome is important for the stimulation of cellular DNA synthesis in quiescent Swiss 3T3 cells. These results, although of a preliminary nature, are of interest because they indicate that a prokaryotic genome may alter the cell cycle of mammalian cells. From a practical point of view the stimulatory effect of microinjected pBR322 on cellular DNA synthesis has a more immediate interest, because pBR322 is the vector most commonly used for molecular cloning and 3T3 cells are very frequently used for gene transfer experiments. PMID- 6582498 TI - Preferential binding of estrogen-receptor complex to a region containing the estrogen-dependent hypomethylation site preceding the chicken vitellogenin II gene. AB - DNA-cellulose competition binding assays were used to measure the ability of cloned DNA fragments of the chicken vitellogenin II gene to displace the estrogen receptor complex from total chicken DNA coupled to cellulose. The DNA fragment that gave the highest competition is situated in the upstream region of the gene between nucleotides -458 and -725. This DNA fragment has four small clusters of A + T-rich sequences and contains the estrogen-dependent hypomethylation site. In vitro methylation of the Msp I site does not change the capacity of the DNA fragment to compete for estrogen-receptor complex, whereas cleavage of the C-C-G G (Msp I site) results in a complete loss of competition of this fragment for estrogen-receptor complex. These results, combined with deoxyribonuclease I protection experiments, suggest that the most probable binding site for estrogen receptor complex is . . .G-C-G-T-G-A-C-C-G-G-A-G-C-T-G-A-A-A-G-A-A-C-A-C. . . . This sequence has 73% homology with the core enhancer sequence of simian virus 40, . . .G-G-T-G-T-G-G-A-A-A-G. . . (identical bases italicized). PMID- 6582500 TI - Dynamics of enzymatic reactions. AB - The detailed molecular dynamics of an actual bond-breaking event in a fluctuating enzyme substrate complex is simulated. The method developed allows one to explore what type of fluctuations are involved in enzymatic reactions and to evaluate entropic contributions to enzyme catalysis. The fluctuations of the enzyme electrostatic potential are found to be a key dynamical factor in reactions that involve a large change in the polarity of the reacting bonds. PMID- 6582499 TI - Cell cycle regulation of human histone H1 mRNA. AB - A cloned genomic DNA fragment containing a human histone H1 gene has been used to analyze histone H1 gene expression in two human cell lines (HeLa S3 and WI-38). The cellular abundance of histone H1 mRNA was compared with that of core (H2A, H2B, H3, and H4) histone mRNAs as a function of the cell cycle: core and H1 histone mRNA levels are related both to each other and to the apparent rate of DNA synthesis and are rapidly destabilized after DNA synthesis inhibition. The use of three synchronization protocols, and of transformed and normal diploid cells in culture, suggests that the detected core and H1 histone mRNA levels are regulated by similar mechanisms in continuously dividing human cell lines and nondividing cells stimulated to proliferate. PMID- 6582502 TI - Long-term cultivation and differentiation of human erythroleukemia cells in a protein-free chemically defined medium. AB - To examine whether a human erythroleukemia cell line, K-562, can proliferate and differentiate without protein supplements, long-term cultivation of the cells was carried out in a protein-free chemically defined medium. By the use of stepwise decreases in the fetal bovine serum concentration, continuous growth of K-562 cells was established in a protein-free F-10 medium. The cells have been propagated in this medium for 3 years. The population-doubling time of the cells is about 30 hr. Growth was not stimulated by the addition of insulin, epidermal growth factor, fibroblast growth factor, multiplication-stimulating activity, transferrin, platelet-derived growth factor, or dexamethasone. Addition of serum stimulated the cell growth slightly and increased the saturation density. The saturation density of the cells could be increased to that seen with serum supplemented cultures by changing the serum-free medium daily. The cells synthesized significant amounts of hemoglobin in the presence of hemin without serum supplementation. The results suggest that the human erythroleukemia cells grown in a protein-free medium do not require serum components for their growth or hemin-induced hemoglobin synthesis and provide an excellent model for better understanding of the growth and differentiation of human leukemia cells. PMID- 6582501 TI - Plasma membrane reorganization induced by tumor promoters in an epithelial cell line. AB - The effects of phorbol ester tumor promoters on the lateral diffusion in plasma membrane lipid environments were examined by the technique of fluorescence recovery after photobleaching. To this end, the probe collarein, a fluorescent lipid analog that has the property of exclusive localization in the plasma membrane, was synthesized. Measured decreases in three parameters [percentage of fluorescence bleached (30%), percentage of recovery (52%), and half-time for recovery (52%)] connoted the appearance of an immobile fraction upon exposure to tumor promoters. These data are consistent with lipid reorganization in response to a reorganization of the intra- and perimembranous macromolecular scaffolding upon the interaction of cells with tumor promoters. The idea of induced reorganization is supported by experiments in which cell shape change, brought about by either exposure to cytochalasin B or growth on matrices of collagen, fibronectin, or laminin, resulted in values in the fluorescence recovery after photobleaching technique similar to those with active phorbol esters. PMID- 6582503 TI - Asymmetric acetylcholinesterase is assembled in the Golgi apparatus. AB - The synthesis, assembly, and processing of the multiple molecular forms of acetylcholinesterase (AcChoEase; acetylcholine acetylhydrolase, EC 3.1.1.7) in quail muscle cultures was studied by using lectins to distinguish enzyme molecules residing in different subcellular compartments. Special emphasis was given to the assembly of asymmetric AcChoEase molecules because these appear to be the predominant, if not unique, forms of AcChoEase at the vertebrate neuromuscular junction. All cell surface and secreted AcChoEase forms bind to immobilized wheat germ agglutinin, ricin, and concanavalin A, indicating that they have complex oligosaccharides. After treatment of muscle cells with a membrane-permeable irreversible AcChoEase inhibitor, there is a rapid reappearance of the globular monomeric, dimeric, and tetrameric AcChoEase forms. However, the collagen-tailed asymmetric form does not appear until about 90 min after treatment. Analysis of the AcChoEase oligosaccharides with lectins indicates maturation to complex forms over a 90-min period. A large fraction of the intracellular globular AcChoEase molecules bind only to concanavalin A, indicating that they are assembled in the rough endoplasmic reticulum. In contrast, all intracellular asymmetric AcChoEase binds to wheat germ agglutinin, and a significant fraction binds to ricin, indicating that this unique AcChoEase form is assembled from subunits that have previously acquired complex sugars. I conclude that assembly of asymmetric AcChoEase, hence acquisition of information specifying basal lamina localization, occurs in the Golgi apparatus. PMID- 6582504 TI - On the mechanism of nucleolar dominance in mouse-human somatic cell hybrids. AB - The mechanism of nucleolar dominance was studied in two lines of mouse-human somatic hybrids. Both lines had preferentially lost human chromosomes but had retained significant amounts of both mouse and human ribosomal genes (genes coding for the 18S, 5.8S, and 28S RNAs of ribosomes). However, the human ribosomal genes were repressed, and only mouse ribosomal genes were expressed. Soluble transcription extracts from the hybrids were able to initiate RNA synthesis accurately on a cloned mouse ribosomal gene but were unable to initiate accurately on a human ribosomal gene. This suggests that nucleolar dominance in these hybrids is due to the loss or inactivation of the gene for a specificity factor required to recognize the human ribosomal gene promoter. PMID- 6582505 TI - Amounts, synthesis, and some properties of intracisternal A particle-related RNA in early mouse embryos. AB - Early mouse embryos express two morphological subtypes of intracisternal A-type particles, one resembling those occurring in mouse tumors (referred to as IAP) and the other apparently specific for early embryos [referred to as IAP(epsilon)]. Using cloned fragments of IAP genes as labeled probes in dot hybridization experiments, we detected IAP-related RNA sequences in mouse oocytes and preimplantation embryos. IAP RNA is relatively abundant in ovarian oocytes, is reduced in amount to approximately equal to 1/10th in the ovulated egg, and increases approximately equal to 100 times (from approximately equal to 1.3 X 10(3) to approximately equal to 1.5 X 10(5) molecules per embryo) between the one cell stage and late blastocyst stage. Most of the IAP RNA consists of a single size class of about 5.4 kilobases, and a major fraction of this RNA is polyadenylylated. Quantitative considerations suggest that only a few percent of the IAP RNA in embryos are associated with particles. In two-cell embryos, the number of IAP RNA molecules is less than 1/10th the number of IAP(epsilon) particles, suggesting that IAP(epsilon) is genetically distinct from IAP and presumably represents a family of as yet unidentified retrovirus-like elements. PMID- 6582506 TI - Structural intermediates of deletion mutagenesis: a role for palindromic DNA. AB - A model is presented for deletion mutations whose formation is mediated by palindromic and quasipalindromic DNA sequences. It proposes that the self complementarity of palindromes allows the formation of DNA secondary structures that serve as deletion intermediates. The structures juxtapose the end points of the deletion and thus direct deletion specificity. While misaligned DNA intermediates that explain deletion termini occurring in repeated DNA sequences have been described, no explanations have been offered for deletion termini occurring in other sequences. The DNA secondary structures whose formation is mediated by palindromic sequences appear to explain many of these. In this paper, secondary-structure intermediates are described for a series of spontaneous deletions of known sequence in the lacl gene of Escherichia coli. The model is supported by its failure to predict structures that can juxtapose simulated deletion termini in the lacl gene. We have found a strong association between palindromic sequences and repeated sequences at lacl deletion termini that suggests the joint participation of repeated and palindromic DNA sequences in the formation of some deletions. Sequences of deletions in other organisms also suggest the participation of palindromic DNA sequences in the formation of deletions. PMID- 6582507 TI - Assignment of the genes for the alpha and beta subunits of thyrotropin to different mouse chromosomes. AB - A series of mouse-hamster somatic cell hybrids, containing reduced numbers of mouse chromosomes and a complete set of hamster chromosomes, was used to determine the chromosomal locations of the genes for the alpha and beta subunits of mouse thyrotropin. Cloned cDNA probes for each subunit, in conjunction with Southern blot analysis of DNA treated with the restriction enzyme BamHI, allowed for assignment of the alpha-subunit gene to mouse chromosome 4 and of the beta subunit gene to chromosome 3. Mouse alpha-subunit gene sequences always segregated with chromosome 4 (concordant in 14 hybrids) and the enzyme markers phosphoglucomutase 2 and 6-phosphogluconate dehydrogenase. Mouse beta-subunit gene sequences always segregated with chromosome 3 (concordant in 15 hybrids). Thus, the genes for at least one of the glycoprotein hormones, thyrotropin, are on different chromosomes. PMID- 6582508 TI - Molecular hybridization under conditions of high stringency permits cloned DNA segments containing reiterated DNA sequences to be assigned to specific chromosomal locations. AB - Identifying the specific DNA sequences involved in the chromosomal abnormalities in developmental and neoplastic diseases may be essential to understanding the molecular biology of these disorders. The use of recombinant DNA techniques in conjunction with rodent-human hybrid cells makes it possible to assign chromosomal locations to specific DNA sequences. However, the ubiquitous presence of reiterated DNA species often complicates the application of straightforward molecular hybridization. To accelerate the mapping of cloned sequences to specific chromosomal locations, we investigated the possibility that cloned sequences containing reiterated DNA might be used without isolating unique sequences. By varying conditions of hybridization (specifically temperature) and using restricted DNA samples from human genomic DNA, Chinese hamster ovary-human chromosome 11 hybrids, and non-chromosome 11 hybrids, we have been able to assign cloned DNA sequences containing reiterated sequences to their chromosome of origin. By hybridization under the high-stringency condition of 55 degrees C, specific banding was produced with both human genomic DNA and the human chromosome-containing hybrid from which the probe was prepared. Furthermore, using a panel of chromosome 11 deletion mutants, we have been able to assign a cloned sequence to a specific chromosomal location. We believe that this approach will accelerate gene mapping procedures and facilitate identification of DNA sequences involved in chromosomal abnormalities. PMID- 6582510 TI - Neutron-capture therapy of human cancer: in vivo results on tumor localization of boron-10-labeled antibodies to carcinoembryonic antigen in the GW-39 tumor model system. AB - Antibody against carcinoembryonic antigen (CEA) was conjugated with p-[1,2 dicarba-closo-[1-3H]do-decaboran(12)-2-yl] benzenediazonium ion by an azo coupling reaction, resulting in 30 boron atoms per IgG molecule with no loss of antibody protein. Antibody immunoreactivity was not appreciably affected by this conjugation and was stable after incubation in vitro in hamster plasma for 24 hr. The efficacy of the boron-conjugated anti-CEA IgG for localizing selectively in CEA-containing human colonic carcinomas propagated in the hind leg musculature of hamsters was evaluated by labeling the antibodies with 131I and determining distribution of the radioactivity in vivo. The results show that the boron conjugated antibodies retain selective localization in the tumors, thus indicating their suitability for transporting boron-10 to tumors for use in neutron-capture therapy of cancer. PMID- 6582509 TI - Molecular cloning and expression of the mouse ornithine decarboxylase gene. AB - We used mRNA from a mutant S49 mouse lymphoma cell line that produces ornithine decarboxylase (OrnDCase) as its major protein product to synthesize and clone cDNA. Plasmids containing OrnDCase cDNA were identified by hybrid selection of OrnDCase mRNA and in vitro translation. The two of these with the largest inserts together span 2.05 kilobases of cDNA. Southern blot analysis of DNA from wild type or mutant S49 cells, cleaved with EcoRI or with BamHI, revealed multiple bands homologous to OrnD-Case cDNA, only one of which was amplified in the mutant cells. RNA transfer blot analysis showed that the major OrnD-Case mRNA in the mouse lymphoma cells is 2.0 kilobases long. A similar size mRNA was found in mouse kidney and was more abundant in the kidneys of mice treated with testosterone, an inducer of OrnDCase activity in that tissue. PMID- 6582511 TI - Hepatitis B surface antigen and polymerized albumin binding activity in sheep serum. AB - Sera from sheep and other domestic animals contain a substance that gives a strongly positive test for antibody to hepatitis B virus surface antigen by the accepted radioimmunoassay procedure. We have purified this substance from sheep serum to near homogeneity by ion-exchange, affinity, and molecular exclusion chromatography and have identified it to be an IgM. We present evidence that this sheep IgM is an antibody to polymerized sheep albumin. This antibody may arise due to infection by hepatitis B virus, hepatitis B virus-like viruses, or other pathological agents and may react with hepatitis B virus surface antigen by combining with polymerized albumin bound to the hepatitis B virus receptor for this polymer. PMID- 6582512 TI - Cell surface antigens of human ovarian and endometrial carcinoma defined by mouse monoclonal antibodies. AB - Mouse monoclonal antibodies to several cell surface antigens of human ovarian and endometrial carcinomas have been produced. The distribution of the antigens was determined by mixed hemagglutination assays on 153 normal and malignant cell cultures of various types and by immuno-peroxidase staining of frozen sections of 27 normal adult and 24 fetal tissues. Five distinct antigens were characterized. MD144 antigen was detected on only a single ovarian carcinoma cell line and has the biochemical properties of a lipid. MH55 antigen is weakly expressed on ovarian and uterine cancer cell lines but not on other cells and tissues tested. MF61 antigen was detected on an ovarian carcinoma and some renal carcinoma cell lines but not on other cell lines tested. It was also detected by immunoperoxidase staining in the noncellular follicles of the thyroid and in uterine glandular epithelial cells. This antigen also has the properties of a lipid. MF116 antigen was detected on a proportion of ovarian, uterine, renal, and bladder carcinoma and neuroblastoma cell lines and on normal kidney epithelial cell cultures but not on other cell lines tested. It was not detected in sections of any normal tissue tested using the immunoperoxidase method. MF116 was readily detected in the spent culture medium but not in detergent-solubilized extracts of metabolically radiolabeled cells. This shed antigen is a glycoprotein of Mr 105,000 and isoelectric point lower than pH 4.0. MH94 antigen was detected on a proportion of ovarian, uterine, colon, breast, lung, cervical, and pancreatic carcinoma cell lines. In tissue sections it was detected in many but not all epithelia, predominantly in secretory epithelial cells. Antibody MH94 did not immunoprecipitate a detectable antigen. PMID- 6582513 TI - A bombesin immunoreactive peptide in milk. AB - Immunoreactivity to the amphibian peptide bombesin was found in instant nonfat dry milk (ca. 0.7 ng/ml) and in the whey of whole or skim bovine milk (ca. 1.2 ng/ml) even after ultracentrifugation. The soluble immunoreactivity was associated with a peptide exhibiting the following characteristics: (i) parallel displacement in an immunoassay using an antiserum recognizing bombesin amino acid residues 5-8; (ii) separation from both gastrin-releasing peptide and amphibian bombesin by gel filtration--the approximate Mr was 3,200; (iii) denaturation in urea, reduction by dithiothreitol, and acetylation by iodoacetamide had no effect on its elution profile by gel-filtration chromatography and the aggregation of added bombesin to milk proteins or peptides was not observed; (iv) reversed-phase HPLC separated milk immunoreactivity from gastrin-releasing peptide and bombesin; (v) digestion by trypsin yielded a smaller immunoreactive peptide fragment, whereas nearly all immunoreactivity was lost by treatment with alpha chymotrypsin; and (vi) the level of immunoreactivity was unaffected by boiling. These data show that milk is an exogenous source of bombesin-like immunoreactivity, which may account for the increase of gastric acid and gastrointestinal hormone levels after the consumption of milk. PMID- 6582515 TI - Regression of myelocytic leukemia in rats after hypophysectomy. AB - A standard series of five intravenous injections of N-nitroso-N-methylurea (NMU) elicited selective patterns of neoplasms in male rats of the Sprague-Dawley strain; the neoplastic pattern was related to the age of the recipients. When the injections of NMU were started in weanling male rats, a specific triad of neoplasms developed that consisted of mammary carcinoma, primary myelocytic leukemia, and ear duct cancer. When the injections of NMU were started in males at age 100 days, a specific dyad of neoplastic growths was evoked that consisted of primary myelocytic leukemia and ear duct cancer, whereas mammary cancer and other neoplasms were not evident. Secondary myelocytic leukemia and myelocytic sarcoma were produced when blood from the foregoing rats with advanced primary myelocytic leukemia was injected in a subcutaneous site in newborn allogeneic rats. In a proportion of animals, primary and secondary myelocytic leukemia and myelocytic sarcoma underwent dramatic and continued regression after hypophysectomy. PMID- 6582514 TI - Accelerated age-related browning of human collagen in diabetes mellitus. AB - The nonenzymatic glycosylation reaction that is accelerated in diabetes is the first step of the Maillard or nonenzymatic browning reaction that occurs in stored food. The glucose-protein adduct rearranges and dehydrates to form brown and fluorescent pigments, which can act as crosslinks, resulting in decreased protein solubility and altered mechanical properties. Evidence suggesting that this process occurs in vivo has been found in lens crystallins. The observation that nonenzymatic glycosylation and insolubility increases in collagen with age and diabetes led us to investigate the possible browning of human collagen. Insoluble human dura mater collagen was digested with collagenase. Absorbance at 350 nm and fluorescence at 440 nm (excitation at 370 nm) of the solubilized material was measured. A linear increase in the amounts of yellow and fluorescent material was observed with age. Samples obtained at autopsy from three type I diabetics and a young type II diabetic showed increased fluorescence and had absorbance values that corresponded to the amount of chromophore found in nondiabetics twice their age (P less than 0.025). The collagen adducts from aged and diabetic individuals had absorption and fluorescence spectra identical to those of collagen samples that underwent nonenzymatic browning with glucose in vitro. The structure of these collagen adducts is unknown. However, their likely occurrence throughout the body could explain the correlation between arterial stiffening, decreased joint mobility, and the severity of microvascular complications in type I diabetics. PMID- 6582516 TI - Neuropeptide-induced contraction and relaxation of the mouse anococcygeus muscle. AB - Isometric tension responses to neuropeptides were recorded from anococcygeus muscles isolated from male mice. This smooth muscle tissue is innervated by inhibitory nonadrenergic, noncholinergic nerves that resemble, ultrastructurally, the peptidergic neurons of the gastrointestinal tract; the physiological function of the anococcygeus is not known. Slow sustained contractions were produced by oxytocin (0.2-20 nM), [Arg8]vasopressin (0.4-200 nM), and [Arg]-vasotocin (0.4 100 nM); the mouse anococcygeus is, therefore, one of the few examples of nonvascular smooth muscle from male mammals to respond to low concentrations of oxytocin and related peptides. Substance P (0.5-8 microM) caused distinctive, biphasic increases in muscle tone of some, but not all, preparations. Other neuropeptides producing contractions were neurotensin (2-100 microM) and thyrotropin-releasing hormone (2-100 microM); the responses were of similar time course and displayed selective cross-desensitization, suggesting that these two peptides act through a common distinct mechanism. Tetradecapeptide somatostatin (10-80 microM) and its analog urotensin II (0.1-5 microM), a dodecapeptide from the urophysis of the teleost fish Gillichthys mirabilis, produced similar slowly developing relaxations of carbachol-induced tone. Piscine urotensin II, of which there are no reported effects on nonvascular mammalian systems, was 20-50 times more potent than somatostatin, a well-established mammalian hormone. Of the peptides studied, only vasoactive intestinal polypeptide (0.05-1 microM) caused rapid powerful relaxations in low concentrations; this is consistent with its proposed involvement in nonadrenergic, noncholinergic neurotransmission in the mouse anococcygeus. PMID- 6582517 TI - Changes in local cerebral glucose utilization during rewarding brain stimulation. AB - The quantitative 2-deoxy[14C]glucose method was used to determine local cerebral glucose utilization in unrestrained rats responding (lever-press) for rewarding electrical stimulation to area A10 (ventral tegmental area) and in similarly implanted inactive controls. Self-stimulation was associated with significant increases in metabolic activity, highly circumscribed in the ventral tegmental area, that continued rostrally within a rather compact zone of activity through the medial forebrain bundle, extending via the diagonal band of Broca to the level of the preoptic area. In the forebrain terminal areas bilateral increases in local cerebral glucose utilization were noted in the nucleus accumbens, lateral septum, hippocampus, and the mediodorsal nucleus of the thalamus. Ipsilateral (i.e., side of stimulation) increases in glucose utilization were noted in the bed nucleus of the stria terminalis, the basolateral and central amygdaloid nuclei, and the medial prefrontal cortex. Caudal to the stimulation site, increases in glucose utilization were found in the midline dorsal raphe, the ipsilateral pontine gray, medial parabrachial nucleus, and the locus coeruleus. Significant bilateral increases were noted in various sensory and motor areas. These results indicate that rather than a diffuse pattern of activity, rewarding brain stimulation is associated with discrete activation of specific neuronal projection fibers and selective terminal sites. PMID- 6582518 TI - Regulation of globin gene expression during induced erythroid cell differentiation. AB - We can provide increasing insight, albeit still incomplete, into the changes in MELC that accompany induced globin gene expression. It is suggested that these transformed CFU-E-like erythroid precursor cells exhibit in their uninduced state a DNA methylation pattern and globin gene chromatin configuration (DNase I sensitivity) that is compatible with actual or potential gene transcription. Such features may reflect alterations in chromatin configuration that occurred earlier, during the differentiation of erythroid precursor cells, which is associated with the restriction in developmental potential that is characteristic of progression to the CFU-E (or MELC) stage of erythropoiesis. Uninduced MELC display a low level of globin gene transcription, producing globin mRNA or mRNA precursors whose processing or stabilization is the site of action of hemin. The major increase in MELC globin gene transcription that is initiated by HMBA or butyric acid is accompanied by an increase in DNase I hypersensitivity in the regions 5' to the active globin genes. This suggests that reorganization of chromatin structure in the globin gene domains is associated with accelerated globin gene transcription and may be characteristic of a developmental stage transition during terminal differentiation in the erythroid cell lineage. PMID- 6582519 TI - Cellular lineages in normal and leukemic hemopoiesis. AB - Certain human hemopoietic disorders (the clonal hemopathies) originate in pluripotent stem cells. These include acute myeloblastic leukemia (AML), chronic myelocytic leukemia (CML), polycythemia vera (P vera), and idiopathic myelofibrosis. In each affected individual a single abnormal clone becomes dominant, occupying all hematologic spaces. An understanding of the cellular basis of normal hemopoiesis and these diseases requires consideration of stem cell properties, clonal expansion, and the differentiation programs of various myelopoietic lineages. The blast cells of AML provide a test of hypotheses about normal and leukemic hemopoiesis. The suggestion is advanced that these blasts do not develop because normal programs are blocked or aborted, but rather follow novel programs, assembled abnormally from normal components. The finding of individual blast cells expressing markers of more than one lineage simultaneously is advanced as support for this model. PMID- 6582520 TI - Regulated expression of cloned globin genes introduced into mouse erythroleukemia cells. PMID- 6582521 TI - Multiple differentiation programs in K562 erythroleukemia cells and their regulation. AB - The chronic myeloid leukemia-derived cell line K562 expresses, in its uninduced state, notable erythroid features. However, in addition to the presence of well characterized "erythroid-specific" molecules, such as hemoglobin and glycophorin A, there is increasing evidence of both granulopoietic and megakaryocytic differentiation in this cell line. In this chapter we have further characterized erythroid and nonerythroid features in order to investigate the range of differentiation programs expressed by uninduced K562 cells. Also we have extended these observations by attempting to manipulate the expression of the different lineage-specific components of the phenotype of the K562 cell line in induction experiments. The aim of these studies was to attempt to determine the extent and significance of multipotentiality in K562. The relationship of our findings on the phenotype of K562 to the nature of multipotent hemopoietic stem cells and their differentiated progeny in normal and malignant hemopoiesis is discussed. PMID- 6582522 TI - Genetic restriction of cellular interactions that modulate in vitro erythropoiesis. AB - Immature erythroid precursors, assayed in vitro as BFU-E, express HLA-DR antigens that are distinct from the DR antigens expressed on lymphocytes. The growth of BFU-E in vitro is modulated by ill-defined factors elaborated by cooperating monocytes and T cells. Data from mouse studies suggest that factor elaboration is restricted genetically by Ia, and our data support this concept. In addition, we have shown that monocyte-dependent T cell-stimulating activity is limited by the presence of HLA-DR+ T cells. Whether the DR+ T cells suppress factor elaboration or alter BFU-E responsiveness to factor remains unknown. Nevertheless, the data suggest that HLA-DR antigens may play a role during in vitro hematopoiesis by restricting cell collaborations required to stimulate or inhibit growth. PMID- 6582523 TI - Regulated expression of human globin genes and flanking DNA in mouse erythroleukemia--human cell hybrids. AB - The expression of human globin genes and intergenic DNA is being investigated in MEL-human hybrids containing intact human chromosomes derived from nonerythroid cells. The studies indicate that a factor(s) present in MEL cells can cause activation of both beta- and gamma-globin genes that can be further stimulated by treatment with DMSO, an inducer of MEL cell differentiation. MEL-lymphoblast and MEL-fibroblast hybrids express an adult-like program in which much larger amounts of beta-globin mRNA than gamma-globin mRNA are produced; human beta-globin is at least as efficient as mouse beta-globin gene expression. The expression of both beta- and gamma-globin genes appears to be normal, as their mRNAs were found in polyribosomes and human beta-globin chains were readily detected. These results suggest that the MEL cells may be exploited as recipients of human globin genes for studies of molecular mechanisms controlling their expression. Comparison of intergenic DNA transcription patterns in hybrids and other cells not expressing human beta-globin has led to the identification of two regions flanking the delta beta-globin locus whose transcription is correlated with beta-globin. One region 3' to the beta gene may define the site where its transcription terminates. Transcription of the other region, which is 5' to the delta gene, may be involved in some unknown way in hemoglobin switching. PMID- 6582524 TI - Serial dexamethasone suppression test results during antidepressant therapy: relationship to diagnosis and clinical change. AB - Thirty-two outpatients with major depression of mild to moderate severity were given a 1 mg dexamethasone test (DST) after 1 week of placebo. Those who failed to show a response to placebo began a 6-week course of desipramine treatment. Severity ratings and the DST were repeated during biweekly visits. DST results robustly validated Winokur's familial subtyping and the primary/secondary distinction only when multiple results were considered. The use of multiple DSTs doubled the sensitivity of this test to primary depression and to familal pure depressive disorder without affecting specificity. Based on these data, a single abnormal DST result is considerably more meaningful than a single normal one. This finding may have particular importance to outpatients. PMID- 6582525 TI - Depressive symptoms associated with dexamethasone resistance. AB - Using split sample discriminant function analysis on a series of 63 consecutive depressed outpatients, the authors identified several items on the Hamilton Depression Rating Scale that were associated with dexamethasone resistance (late and middle insomnia, retardation, somatic and psychic anxiety, and obsessive compulsive symptoms), and several items that were associated with dexamethasone suppression (genital symptoms, somatic-general symptoms, hypochondriasis, early insomnia, and depersonalization). The accuracy of the classification function was 100% for the index split sample, 84% for the overall sample, and 72% for the other split sample. The implications of these findings are discussed. PMID- 6582526 TI - Nighttime plasma cortisol secretion and EEG sleep--are they associated? AB - Since the initial rise in plasma cortisol during sleep usually occurs near the second period of rapid eye movement (REM) sleep, a more precise association between the initial cortisol rise and electroencephalographic (EEG) sleep was examined in 22 normal control subjects. Our results indicate that the length of the total non-REM sleep period between the first and second REM period including awake time was significantly correlated to the cortisol rise time. However, the timing of the initial cortisol rise was not significantly related to the overall plasma cortisol levels during the night. But the second non-REM sleep period (minus awake time) is inversely related to overall cortisol levels during the night. PMID- 6582527 TI - Pain sensitivity, evoked potentials, and the dexamethasone suppression test in depressed patients. AB - Nonsuppression of cortisol following dexamethasone may identify a biologically homogeneous subgroup of psychiatric patients. This article reports two studies examining pain sensitivity and sensory inhibition measured by evoked potential augmenting/reducing in dexamethasone test (DST) suppressors and nonsuppressors. Since nonsuppression may be related to elevated levels of adrenocorticotropic hormone (ACTH) and, perhaps, endogenous opiates, pain sensitivity and augmenting/reducing may differ between suppressors and nonsuppressors. Results indicate that nonsuppressors lack sensory inhibition and that evoked potential augmenting/reducing is correlated strongly with pain sensitivity only in nonsuppressors. These results are consistent with the hypothesis that the DST identifies biologically different subgroups of depression. PMID- 6582528 TI - Inferential statistical methods for strengthening the interpretation of laboratory test results. AB - Laboratory test results for the diagnosis of psychiatric illness usually are reported descriptively despite the ready availability of appropriate inferential statistics. A test's sensitivity, specificity, and diagnostic confidence are conditional probabilities. Confidence intervals may be calculated for these probabilities in any given study. Statistical tests for comparing the results of several studies use techniques for planned and posterior comparisons applied to contingency tables. These established statistical methods aid in the interpretation of laboratory test findings. PMID- 6582529 TI - The general adult inpatient psychiatric assessment scale (GAIPAS). AB - The General Adult Inpatient Psychiatric Assessment Scale (GAIPAS) is a "here and now" testing instrument based on the general mental status examination. The unique features of the GAIPAS include high interrater reliability with minimal training, "forced choice" format, a scoring method for hostile patients, brief administration time, and a format that lends itself to direct key punch of data. The GAIPAS may be used to follow a symptom, a set of symptoms, or collapsed into a single number comparable to the Global Assessment Scale. Interrater reliability of GAIPAS by interviewer/observer design is given in detail. The GAIPAS is compared to the Brief Psychiatric Rating Scale (BPRS) and Global Assessment Scale (GAS) in the same population for interrater reliability. PMID- 6582530 TI - Variation of radiation sensitivity of Friend erythroleukemia cells cultured in the presence of the differentiation inducer DMSO. AB - Differentiation of Friend erythroleukemia cells (FELC) was induced with 1.5% dimethyl sulfoxide (DMSO) in the culture medium. Cell growth, erythroid differentiation, and radiosensitivity of the proliferative capacity of the cells were measured and compared to a noninduced control culture of identical age. Induced cells first appeared on Day 2 after DMSO addition, and increased to a maximum of 80 to 90% of the cell population on Day 5, whereas in the control culture, induction was less than 2% of the cells. Radiosensitivity of the cells in the induced culture, relative to that of cells in the control culture, showed an age-dependent variation. On Days 1 and 2 after DMSO addition, the cells in the induced culture were more radiosensitive than those in the control culture. At later times this relationship was reversed, and between Days 3 and 5 the clonable cells in the induced culture were less radiosensitive than those in the control culture. These results suggest that the metabolic events associated with commitment of FELC to differentiate affect their ability to cope with the radiation-induced lesions underlying the loss of division capacity. PMID- 6582531 TI - Variable differentiative response of 6-thioguanine-resistant HL60 sublines: possible relationship to double-minute chromosomes. PMID- 6582532 TI - Development of a transplantable mouse myeloid leukemia model system: a preliminary report. PMID- 6582533 TI - Neuropeptides and thirst. AB - A number of neuropeptides have been found to affect fluid intake when injected directly into the brain of various vertebrate species. These include: angiotensin II and its peptide precursors; the tachykinins Substance P, eledoisin and physalaemin; the opioid peptides met- and leu-enkephalin and beta-endorphin; bombesin; neurotensin; and vasopressin. Some of these stimulate drinking, some inhibit water intake, and the tachykinins have opposite effects on thirst depending on the species tested. Very little is known about the site or mechamism of action of most of these peptides or if their effects on thirst are physiological. The exception is angiotensin II, a peptide hormone that is synthesized in the blood in response to hypovalaemia or hypotension and is involved in many aspects of the regulation of blood volume and pressure. Angiotensin II injected intravenously or intracranially stimulates drinking in all reptiles, birds and mammals tested. In addition to its role as a hormone, angiotensin II may also function as a neurotransmitter or neuromodulator, since all of the enzymes and precursors necessary for its synthesis have been found in the central nervous system. PMID- 6582534 TI - [Findings after systematic after-care in patients with removable cast partial dentures]. PMID- 6582535 TI - [Information on the wearing of removable cast partial dentures]. PMID- 6582537 TI - Response to the "Report on the social and ethical issues of genetic engineering with human beings.". PMID- 6582536 TI - [Late results on periodontal and esthetic conditions after anterior tooth loss and orthodontic closure of the gap with and without subsequent prosthetic treatment]. PMID- 6582538 TI - Safety aspects of genetically-engineered microbial pesticides. PMID- 6582539 TI - Proposals involving field testing of recombinant DNA containing organisms. PMID- 6582540 TI - Patenting biotechnology. PMID- 6582541 TI - Eating and its disorders. PMID- 6582542 TI - Embryonic hemoglobins in mouse erythroleukemic cells. AB - Multiple hemoglobins are synthesized in the T3C12 murine erythroleukemic cells after induction with butyric acid and hemin. The pI values determined by IEF and globin composition of these hemoglobins suggests that A, E2, and E3 hemoglobins are synthesized in T3C12 cells. The embryonic mouse globins x, y, z and alpha from the yolk sac cells could be separated by acid urea triton x-100 electrophoresis. The mobility of the globins are the following alpha greater than z greater than y greater than x. PMID- 6582543 TI - [Mandatory minute volume]. PMID- 6582544 TI - [Acute anuric renal failure caused by hyperphosphoremia in acute lymphoblastic leukemia. 3 cases]. AB - Nephrocalcinosis due to hyperphosphataemia with hypocalcaemia is a rare cause of ARF during chemotherapy of ALL. Three cases are reported, one with renal anatomopathological studies and microanalysis of the intratubular calculi. All possible preventive measures should be taken against this complication which is related to acute tumoral lysis, especially in the hyperleukocytic and/or tumoral forms of ALL. PMID- 6582545 TI - [Bacteriology of the periapex, focal consequences and principles of present-day antiseptics]. PMID- 6582546 TI - [Periapical infections in teeth with root canal obstructions (instrument fragments)]. PMID- 6582547 TI - [Hybrid pulpitis in deciduous teeth. Etiopathogenesis and therapy]. PMID- 6582548 TI - [Treatment of pulp inflammation in deciduous teeth]. PMID- 6582549 TI - [Round table. Electrosurgery in daily practice]. PMID- 6582550 TI - [Clinical profile of a new bioprecursor]. PMID- 6582552 TI - Choledochoscopy. PMID- 6582553 TI - Microsurgical removal of ruptured lumbar disks. PMID- 6582551 TI - [HLA-Dr in cases of rheumatoid arthritis. Introduction of a new marker of clinical aggressivity]. PMID- 6582554 TI - Blood usage: physicians' order practices for four elective surgical procedures. PMID- 6582555 TI - [Operative dentistry for clinical dentists]. PMID- 6582556 TI - [A new photographic and teleradiographic method in orthodontics]. PMID- 6582557 TI - [Scintigraphy of the bones in clinical practice]. PMID- 6582558 TI - [Case of an impacted canine... excluded by a diagnostic radiologic study]. PMID- 6582559 TI - [Objectives for orodental health for the year 2000]. PMID- 6582560 TI - [Analysis of the determining factors in the selection of reconstructive technics in teeth treated endodontically]. PMID- 6582561 TI - [Long-term effects of the administration of small quantities of fluoride in the food and drinking water of caries-susceptible rats]. PMID- 6582562 TI - [Relation between the diet and the development of basal bone in the rat: a pilot study]. PMID- 6582563 TI - [Marta C., or the secondary advantages of nervousness in dentistry]. PMID- 6582565 TI - [Clinical problems in Class III malocclusion]. PMID- 6582564 TI - [Comparative study of the microstructural characteristics and behavior of corrosion of a palladium amalgam]. PMID- 6582566 TI - [New possibilities for treatment of mandibular fractures in children under 3 years of age]. PMID- 6582567 TI - [Treatment of fractures of the mandibular condyle in patients after the growth period]. PMID- 6582568 TI - [Occlusion in conservative dentistry: occlusal problems due to excessively carved amalgam in Class I and II cavities]. PMID- 6582569 TI - [Eosinophilic granuloma]. PMID- 6582570 TI - [Control mechanism of masticatory muscle activity]. PMID- 6582571 TI - [Oral manifestations in lead poisoning]. PMID- 6582572 TI - [Effect of chronic inanition and frequency of eating on experimental dental caries in the rat]. PMID- 6582573 TI - [Cysts of the jaw bone: origin, development, classification and surgical technic]. PMID- 6582574 TI - The relationship zinc--alkaline phosphatase activity in normal and pathologic granulocytes. AB - To study the relationship granulocyte alkaline phosphatase (AP)--zinc (Zn) in mixed leukocyte suspensions, the enzyme from 51 mixed leukocyte suspensions was separated and purified. In the pure extract, determinations were carried out for enzymatic activity--using the autoanalyzer LKB 8600--and for Zn content--using atomic absorption spectrophotometry. From the data obtained it resulted that, in agreement with the results in the literature Zn concentration in the mixed leukocyte suspensions from chronic myeloid leukemia, (CML) patients is about half that in the normal controls (0.65 +/- 0.15 as compared with 1.24 +/- 0.15 micrograms/mg total nitrogen). Granulocyte AP separated from normal leukocyte suspensions was found to bind about 95% of the total Zn content, i.e., 1.21 +/- 0.15 micrograms/mg total nitrogen and its enzymatic activity was about 16 U/g total nitrogen. In CML patients the enzyme bound a mean Zn concentration of 0.55 +/- 0.15 micrograms/mg total nitrogen and its mean activity was 2.25 U/g total nitrogen, i.e., about 86% of the normal values found in the controls. The enzymatic activity decreased to zero after only 20 min dialysis with 8 hydroxyquinoleine-5-sulfonic acid (8HC5S) as compared with the 60-80 min in the controls. It can be concluded that the leukemic leukocyte is unable to form the metal-enzyme complex owing to the deficit of the Zn involved in the enzymatic activity. PMID- 6582575 TI - [Eosinophilic articular effusions. Apropos of a case]. PMID- 6582576 TI - Sclerosing cholangitis. PMID- 6582577 TI - Therapy of ulcerative colitis--a critical evaluation. PMID- 6582578 TI - Alternative operations for ulcerative colitis. PMID- 6582580 TI - The role of cancer surveillance in long term prognosis of ulcerative colitis. AB - The cancer risk in patients with extensive colitis has increased. It seems to be of a moderate degree in the long-term perspective when looking at it in epidemiological terms and studies. All methods of selecting patients for cancer prophylactic surgery have their merits and disadvantages. The decision could be made only on the duration and extent of the disease. Then there is a risk of an unnecessary surgery including post-operative mortality and morbidity. By including histological and endoscopical findings in the decision one increases the precision of selection but one runs the risk of missing carcinoma which may develop in occasional patients. Hopefully in the future additional methods will increase our means of selection as an important part of the long-term management for these patients. PMID- 6582579 TI - Dysplasia in ulcerative colitis. PMID- 6582581 TI - Dysplasia and ulcerative colitis--a colonoscopic study. AB - Cancer will be found on colonoscopic biopsy in 11% of patients with chronic ulcerative colitis for over eight years' duration. Sixteen percent of patients with dysplasia will subsequently be found to have carcinoma of the colon. A total of 3% of patients in the high-risk group will have cancer of the colon. Endoscopic biopsies should be separated into those performed for diagnostic or surveillance purposes, so that meaningful and reproducible results will be obtained. Annual total colonoscopy and biopsies are recommended for surveillance purposes. PMID- 6582582 TI - The clinical outcome of ulcerative colitis depends on how much of the colonic mucosa is involved. PMID- 6582583 TI - Epidemiology of ulcerative colitis. PMID- 6582584 TI - Interferon-alpha treatment of a patient with acute lymphoblastic leukaemia and Down's syndrome. Effects on natural killer cell activity and mitogen responsiveness. AB - A 32-year-old female with Down's syndrome and common ALL was treated with human leucocyte interferon-alpha (IFN-alpha) at a dose of 3 X 10(6) units i.m. daily. Side-effects consisted of slight tenderness and localized haematomas at the sites of injection. During treatment the number of leukaemic cells decreased in the peripheral blood. The proportion of blast cells in the bone marrow decreased only slightly, but a large fraction of them became vacuolized. After the initial response the disease progressed and IFN was withdrawn after treatment for 67 d. Prior to initiation of IFN treatment the natural killer activity of the patient's lymphocytes, as well as the response of these cells to mitogenic stimuli, was low. During IFN therapy these functions increased. Following the withdrawal of IFN therapy the patient received vincristine/prednisone treatment and a complete remission was achieved after 5 weeks. She is still in remission and on maintenance therapy 24 months after initiation of treatment. PMID- 6582585 TI - Combined granulocyte and platelet transfusions: inter-relationship between granulocyte and platelet recoveries in the presence and absence of complicating factors. AB - 191 combined collections of granulocytes (PMN) and platelets (PLT) obtained by discontinuous cytapheresis were given to 23 patients with acute myeloid leukaemia (AML). The circulation in recipients of the concomitantly transfused cells was compared by measuring the % recovery of PMN at 1 h, and of PLT at 1 and 20 h. The recovery of both cells was greatly reduced in transfusions accompanied by a transfusion reaction. Fever in recipients had no effect on the recovery of either cell, but PMN recovery was significantly higher in patients receiving oral prednisolone. Alloimmunization to PLT, defined as recovery levels less than 15% at 1 h and/or less than 10% at 20 h, was recorded in 42 transfusions, and PMN recovery was significantly reduced in this group. In transfusions where PMN recovery was 'low' (less than 5%); the recovery of the coincidentally transfused PLT was significantly reduced only in transfusions accompanied by a reaction. These results emphasize the deleterious effects of transfusion reactions and suggest that donor PMN frequently circulate less well in recipients alloimmunized to PLT from the same donor. PMID- 6582586 TI - Treatment of advanced bone marrow neoplasms with ifosfamide combinations. AB - Ifosfamide, in combination with other cytostatics, was given to 15 patients with advanced neoplasia derived from bone marrow cells. A response to therapy was obtained in 8 patients. It is suggested that ifosfamide, in combination with other drugs, deserves larger trials in the treatment of advanced bone marrow neoplasia. PMID- 6582587 TI - Physiology and ecology of the vagina. AB - The human vagina is lined by stratified squamous epithelium which has no glands. Major components of the vaginal secretions are transudate through the vaginal walls, desquamating epithelial cells, cervical mucus, fluids from the upper genital tract, and leukocytes. Estrogens and sexual stimulation are examples of factors which increase vaginal fluid. Major organic constituents of the vaginal fluid are proteins, carbohydrates, and fatty acids. Organic acids arise as metabolic byproducts of vaginal bacterial flora, cause the vaginal odor, and show cyclic changes except in oral contraceptive users. Qualitative and quantitative studies in humans as well as animal model studies have confirmed that the vaginal flora is a dynamic and closely interrelated system. Lactobacilli are most prevalent, but many other facultative and anaerobic organisms are present. An inverse relationship exists between the concentration of lactobacilli and other bacteria such as anaerobes. Aerobic bacteria decrease premenstrually whereas anaerobes, in general, remain at constant levels. During menarche, pregnancy, postpartum period, menopause, and postoperative trauma, dramatic changes occur in the microbial flora. The role of an IUD in causing changes in the microbial flora is under great scrutiny at the present time. Overall, disturbances in the vaginal ecosystem may have a potential impact on many diseases, and thus deserve careful studies. PMID- 6582588 TI - In vitro interactions between lactobacilli and other microorganisms occurring in the vaginal flora. AB - The present study shows that certain species of lactobacilli isolated from the human vagina can, on artificial culture media, inhibit growth of other bacterial species recovered from the same site. The antibiosis seems to be mediated by one or more extracellular compounds produced by the lactobacilli acting, over a wide pH-range, on both Gram-positive and Gram-negative aerobic and facultatively anaerobic bacteria as well as yeast fungi. Likewise, certain bacteria suppressed growth of lactobacilli under similar test conditions. In some instances a stimulatory effect of the growth of the lactobacilli was noted. The antibacterial and antifungal principles demonstrated in the present study can not be classified, to the best of our knowledge, as any previously known antibiotic principle of lactobacilli. PMID- 6582589 TI - Definitions of infectious and infectious-like conditions in the lower genital tract of the female. AB - A large number of factors regulate the composition and dynamics of the microbial ecosystems in the lower female genito-urinary tract. Metabolic activities of certain species of e.g. the vaginal microbial community might give rise to symptomatic infectious-like conditions without activation of the host's defense mechanisms. On the other hand, "true" infections might pass without any obvious symptoms. Similar to other mucosal surfaces, the microbial ecosystems on the periurethral, introital, vaginal and urethral mucosa is dominated by anaerobic bacteria. Some of the infectious-like conditions in the lower female genito urinary tract involve predominantly anaerobic bacteria of the endogenous flora. A "dynamic" thinking including considerations of microbial and host/parasite interactions is currently replacing the concept of "one microorganism-one disease". The traditionally used clinical terminology has not kept pace with the modern ecological views. We have emphasize the need for unequivocal and strictly defined criteria for the clinical definitions of infectious and infectious-like conditions in the lower female genito-urinary tract. PMID- 6582590 TI - Antimicrobial susceptibility of comma-shaped bacteria isolated from the vagina. AB - Comma-shaped bacteria isolated from the posterior vaginal fornix of women with foul-smelling discharge were tested for their antimicrobial susceptibility. The 20 strains studied were tested anaerobically, using agar dilution tests. They were highly susceptible to beta lactam antibiotics, clindamycin, doxycycline, erythromycin, gentamicin and thiamphenicol. On the other hand, the bacteria were relatively resistant to sulfamethoxazole, nalidixic acid and nitroimidazoles. A difference in susceptibility to nitroimidazoles between long and short variants of the comma-shaped bacteria was found; the former being more susceptible than the latter. PMID- 6582591 TI - Diagnosis and therapy of nonspecific vaginitis. Correlation between KOH-test, clue cells and microbiology. AB - A clinical and quantitative microbiological study was performed on 32 women with fishy odour of the vaginal fluid. This odour could be intensified by the addition of one drop of 10% potassium hydroxide. Clue cells were found to be present in all cases. Gardnerella vaginalis was isolated from the vaginal fluid in 97%, and large quantities of mixed anaerobes in 100% of the patients. The therapy with metronidazole, 400 mg twice daily for 5 days, was successful in 22 out of 24 patients. After therapy the fishy odour and the clue cells were no longer detectable. G. vaginalis and anaerobes could only be isolated sporadically and in small quantities. The isolation rate of Lactobacillus species increased from 3% to 86% within one week. PMID- 6582592 TI - Proceedings of the 14th congress of the Scandinavian Association of Urology. Malmo, September 15-17, 1983. PMID- 6582593 TI - [Silicosis. Current problems. Evaluation of dust in the occupational environment]. AB - The evaluation of airborne dust in the occupational environment is one of the most important tasks of the industrial hygienist. The topic is reviewed in three parts. First, the main properties of the hazard to be evaluated (in this case airborne particulates) are outlined, a knowledge of these being a basic prerequisite. A few aspects of this wide field are described. The second part deals with the sampling problem, which is extremely tricky due to the difficulty of sampling airborne particulates without altering their initial state in some way (size distribution, chemical composition etc.). The problem of sampling representativity is illustrated by a few examples. Thirdly, actual evaluation (including methods of detection and analysis, and interpretation of results) is dealt with in the same way, i.e. by demonstrating its complexity with the aid of a few examples. In conclusion, assessment of exposure to airborne solid or liquid contaminants, to determine, for example, whether a health hazard exists, can only be carried out by a specialist with the necessary knowledge and experience. PMID- 6582594 TI - [Defense mechanisms of the respiratory system]. AB - The air we breathe contains certain gases and particles, some of which may be a threat to man. The respiratory tract is their first target because it comes into direct contact with them, and to protect the body itself it mobilizes defense mechanisms of high complexity. To understand these it is necessary to analyze the toxic modalities of these air contaminants: composition, deposition and transit through the respiratory tract. As far as the particles are concerned, the aerodynamic diameter is an important factor in determining the manner of deposition. Also of importance are shape, density, degree of humidity and radioactivity. Some particles are infectious, some are antigenic, and some are toxic due to their physical structure or chemical composition. Emphasis is placed on the role of aerosols, particularly tobacco smoke, as pollution factors or co factors with other pollutants. The characteristics of the exposed subject capable of defining a risk profile varying from person to person are dwelt on. This approach presupposes a separation, within the cleaning and defense mechanisms, of the mechanical means which bring physical phenomena into play on the basis of fixed structures in the respiratory tract (cilium, mucous cells, surfactant). This is followed by study of the immunologic means of defense essentially involving cellular elements residing temporarily in the lung (T or B lymphocytes, plurinuclears, alveolar histiocytes in particular). Many enzyme systems are also involved in this pulmonary defense and in keeping homeostasis working. Particular attention is focused on some of them, such as the antiproteases and cytochrome P450.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6582595 TI - [Treatment possibilities and treatment results in pneumoconioses]. AB - Some types of pneumoconiosis, such as asbestosis, are characterized by marked restrictive functional patterns. Treatment is begun when definite arterial hypoxemia appears, since the inhalation of oxygen clearly lowers pulmonary artery pressure. It is also important that the onset of concomitant airway obstruction is recognized promptly. From the sociomedical standpoint the most significant pneumoconiosis continues to be the miner's anthracosilicosis. The functional pattern of this pneumoconiosis is clearly airway obstruction, and such anthracosilicotic airway obstruction responds like all other forms of airway obstruction to antiobstructive therapy. The fundamentals of this therapy, which is based on the use of bronchodilators, adrenal cortical hormones and antibiotics, are described. PMID- 6582597 TI - Statistical correlation between oral hygiene and dental caries tested in Haitian and Hamburg children. PMID- 6582596 TI - [Intra-mandibular inclusions of salivary tissue]. PMID- 6582598 TI - Advanced investigative method for the study of natural mastication--a methodological report. PMID- 6582599 TI - Practical aspects of salt fluoridation. PMID- 6582600 TI - [Effect of autonomic drugs on sialic acid biosynthesis in the rat submandibular gland]. PMID- 6582602 TI - [A newly designed brushing machine for use in the roll technic]. PMID- 6582601 TI - [Changes in mandibular movement before and after treatment of malocclusion. Standardized analysis of the lateral x-ray cephalogram in orthodontic and surgical treatment cases]. PMID- 6582603 TI - [Genetic study of deciduous dentition among American white children, American black children and Japanese children (2)]. PMID- 6582604 TI - [Hereditary susceptibility and malignant hemopathies. Incidence of congenital renal anomalies in children with malignant lymphoproliferative diseases]. PMID- 6582605 TI - HLA antigens in White and Black South African diabetics. AB - The HLA A and B specificities in 72 Whites with type 1 or juvenile-onset diabetes mellitus (JOD), 53 Blacks with type 1 diabetes or JOD and 52 Blacks with type II or maturity-onset diabetes (MOD) were determined and compared with those in 278 Whites and 311 Blacks who were not diabetic. In Whites with JOD, frequencies of HLA A1 and B8 antigens were significantly increased, whereas those of the A3 and B17 antigens were reduced. Blacks with JOD had an increased frequency of HLA B8. By contrast, in Blacks with MOD the antigen frequencies were not significantly altered. The D-locus antigens Dw3 (DRw3) and Dw4 (DRw4), which bear the strongest associations with JOD in Whites, need to be examined in Black South African diabetics. PMID- 6582606 TI - The effect of gamma-linolenic acid on the growth of human osteogenic sarcoma and oesophageal carcinoma cells in culture. AB - A statistically highly significant growth-suppressive effect of the prostaglandin precursor gamma-linolenic acid (GLA) on MG63 human osteogenic sarcoma and oesophageal carcinoma cells in culture was found. In view of the results reported on the growth-suppressive effect of GLA on cancer cells in culture, on transplanted mammary tumours in rats and in primary liver cancer patients, it would appear that further investigation of the effects of this fatty acid on cancer cell growth both in vitro and in vivo is warranted. PMID- 6582607 TI - [Alveolar bone resorption and periodontal diseases. I]. PMID- 6582609 TI - [Periodontal tissue and esthetic restoration. 2. Provisional restoration]. PMID- 6582608 TI - [Use of prostaglandins in orthodontic tooth movement--experimental and clinical studies]. PMID- 6582611 TI - [Prevention of dental caries by laser irradiation (1)]. PMID- 6582610 TI - [Medical use of thermography and its future. 1]. PMID- 6582613 TI - [How to prevent and deal with malpractice]. PMID- 6582612 TI - [Oral candidiasis and a simple liquid medium for genus Candida]. PMID- 6582614 TI - [Oral check-up of the 3-years-old]. PMID- 6582615 TI - [Legal status of dentists in Japan (2). Their rights, duties and scope of the dental profession]. PMID- 6582616 TI - [Composite resins as restoration material]. PMID- 6582617 TI - [Adhesive resins to hard tissues]. PMID- 6582619 TI - [Clinical reflections on the dynamics of attrition]. PMID- 6582618 TI - [Guaiazulene in orodental surgery]. PMID- 6582620 TI - [Attrition of deciduous teeth]. PMID- 6582621 TI - [Jaw function and attrition of the occlusal surface]. PMID- 6582622 TI - [Attrition and masticatory efficiency]. PMID- 6582623 TI - [Alveolar bone resorption and periodontal diseases. II. Etiological studies of periodontal diseases, mechanisms of alveolar bone resorption and a new restoration method]. PMID- 6582624 TI - [Characteristics, TNM classifications, histopathological types of oral neoplasms and the relationship between smoking and oral neoplasms]. PMID- 6582625 TI - [Furcation involvement and its management in dental clinics. 3]. PMID- 6582626 TI - [Medical use of thermography and its future. 2]. PMID- 6582627 TI - [Periodontal tissue and esthetic restoration. 3. Periodontal surgery and esthetic prosthesis]. PMID- 6582628 TI - [Prevention of dental caries by laser irradiation. 2. Choice of instruments and problems of the irradiated enamel surface]. PMID- 6582630 TI - [Should casting Ni-Cr alloys be covered by dental insurance?]. PMID- 6582629 TI - [Dental check-up of the 3-years-old]. PMID- 6582631 TI - [Legal status of dentists in Japan (3). Their rights, duties and scope of the dental profession]. PMID- 6582632 TI - [Public dentistry--dental care for the very young]. PMID- 6582633 TI - [Analgesic effect of Feldene (piroxicam) on pain following minor oral surgery]. PMID- 6582634 TI - [Essence of clinical dentistry: invasion and defense]. PMID- 6582635 TI - [Dental education--loosening up from overloaded education]. PMID- 6582636 TI - [Health education and dental health: rationale and schedule]. PMID- 6582637 TI - [Functions of the temporomandibular joint]. PMID- 6582638 TI - [Pathogenicity of dental plaque]. PMID- 6582639 TI - [Dental science and biomaterials]. PMID- 6582640 TI - [Oral immunology--present status and future prospects]. PMID- 6582641 TI - [Initial diagnosis in clinical dentistry]. PMID- 6582642 TI - [Changes and progress in the concept of gnathology]. PMID- 6582643 TI - [Intracapsular biopsy of TMJ syndrome]. PMID- 6582645 TI - [National medical costs and dental health care... a point of compromise]. PMID- 6582644 TI - [Psychological aspects in clinical dentistry]. PMID- 6582646 TI - [Ecological relation between diet and oral health]. PMID- 6582647 TI - [Various thoughts on the quality of dentists]. PMID- 6582648 TI - [Role of oral health examinations]. PMID- 6582649 TI - [How to deal with aging society]. PMID- 6582651 TI - [Dental health education for the 3-year-old]. PMID- 6582650 TI - [Pathology of dental hard tissues]. PMID- 6582652 TI - [Possibility of curing acute leukemias in adults: report of 22 cases of discontinued chemotherapy. When hope can become reality]. PMID- 6582653 TI - [Role of surgery in the treatment of pulmonary mucormycosis in leukemic patients]. PMID- 6582654 TI - [Electromyographic activities of the masticatory muscles during mastication in normal occlusion]. PMID- 6582655 TI - Finnish immigrants and dental care in Stockholm county. AB - In recent decades Sweden has become an immigrant country. The proportion of persons of foreign origin in the population has risen from 0.5% in the 1940s to slightly more than 10% in the early 1980s. Migration to Sweden is a part of the extensive international migration of labour that has occurred in Europe since the Second World War. Almost half of the immigrants in Sweden come from Finland. The common Nordic Labour market since 1954 allows free migration of nordic citizens. No comprehensive dental health studies have been performed on immigrants in Sweden. The aim of this study was to assess and analyse the dental situation and utilization of dental services by Finnish immigrants to Stockholm county. Three different methods were used to gather dental epidemiological data. A clinical examination of an age-stratified random sample consisting of 170 adult Finnish citizens living at Huddinge, a suburb of Stockholm, provided data on the oral health during 1977. A questionnaire survey of a random sample of 1332, 20-59 yr old Finnish citizens in the same community in 1981 provided information on utilization of dental services, dental visiting behaviour and factors which determined this and also on perceived treatment needs in this population group. Finally, a comparison of use of dental services by and treatment provided to all Finnish citizens aged between 17-64 yr, born on the 20th of any month and living in the County of Stockholm, and to a matched comparison group of Swedes, was based on data from 1975. National health statistics, available since the introduction of the Dental Insurance scheme in Sweden, were used. A longitudinal follow-up survey of utilization of dental services and secular changes in dental attendance in 1976-1980 by 1152 settled Finnish immigrants, selected in the afore mentioned way, and a Swedish comparison group was also done using the same information source. The results of the investigations can be summarized as follows: The clinical and questionnaire studies revealed poorer oral health i.e., number of teeth and more untreated caries in the group studied than has been shown in epidemiological surveys on Swedish populations. The questionnaire study showed that about 23% of the respondents had not visited a dentist in Sweden. These were often recently immigrated and had poor knowledge of Swedish. About 23% of the respondents had sometimes used the Finnish dental services and 5.5% did so regularly while living in Sweden. PMID- 6582656 TI - Inflammatory involvement of the temporomandibular joint. Diagnostic and therapeutic aspects and a study of individuals with ankylosing spondylitis. AB - The aims of this thesis were firstly to investigate the relationship between pain and tenderness to palpation of the temporomandibular joint (TMJ), radiographic changes of the joint and signs of inflammation in the synovial fluid and to compare the effects of intra-articular injections of a corticosteroid into the TMJ with occlusal treatment in patients with tenderness to palpation of the TMJ, secondly to study subjective, clinical and radiographic features in the stomatognathic system of individuals with ankylosing spondylitis (AS) in comparison with individuals without general joint symptoms or disease, and thirdly to study the observer variability of some variables used in the clinical examination of the stomatognathic system. Radiographic, cellular and biochemical signs of inflammation were frequently found in the TMJs of patients with longstanding pain and tenderness in this joint. Absence of radiographic changes of the TMJ did not, however, exclude the possibility of organic TMJ disease. Both intra-articular injections of corticosteroid combined with local anaesthetic and occlusal treatment showed a long-term palliative effect on subjective symptoms and clinical signs from the stomatognathic system. The clinical signs, however, showed a significantly better long-term response to the intra-articular injections than to the occlusal treatment. The prognosis for the intra-articular steroid injections was most favourable in patients without radiographic signs of TMJ remodelling or general joint symptoms. The ankylosing spondylitis study showed that subjective and clinical symptoms in the stomatognathic system and radiographic changes of the TMJ are more frequent in the individuals with AS compared to the other individuals. Most signs and symptoms in the stomatognathic system of the individuals with AS were correlated to the extension and severity of this disease. There was also a correlation between clinical and radiographic signs of inflammatory involvement of the TMJ and subjective and clinical symptoms from the stomatognathic system in the individuals with AS which was not found in the other individuals. Occlusal factors seemed to play a minor etiological role in the development of signs and symptoms from the stomatognathic system in both the individuals with AS and the other individuals. The methodological study showed that the intra-observer variability was generally lower than the interobserver variability. Maximal mouth opening capacity had the lowest observer variability in the clinical examination. PMID- 6582657 TI - HLA associations in sarcoidosis: a study of two ethnic groups. AB - We report results of HLA-A, B, C, and DR typing in groups of white Caucasians of English descent and black West Indians of African descent with sarcoidosis. In the English patients we found a significantly increased frequency of Cw7, which was not found in the West Indian patients. Our results also suggest that DR3 and, in particular, inheritance of the B8/Cw7/DR3 haplotype is associated with good prognosis in English patients with sarcoidosis. There was no association between any HLA antigen and prognosis in the West Indian patients in this study. PMID- 6582658 TI - 3 beta-Hydroxysteroid dehydrogenase/delta 5-4 isomerase activity in the rhesus monkey placenta and fetal adrenal, testis and ovary during late gestation. AB - 3 beta-Hydroxysteroid dehydrogenase/delta 5-4 isomerase (3 beta-HSDH) was measured in the rhesus monkey (Macaca mulatta) placenta, fetal adrenal (whole organ minus medulla), testis and ovary during late gestation (Days 145-162). Activities were evaluated from the conversion of [3H]-pregnenolone to [3H]progesterone. The maximum enzyme velocity (Vm) in adrenal microsomes (100,000 g pellet) was significantly higher (146 nmoles progesterone/h X mg-1 protein) than in microsomes from the other tissues. Testicular Vm was greater than either ovarian or placental Vm which were not different from one another (11.5 versus 1.9, 1.2 nmoles progesterone/h X mg-1 protein, respectively). Apparent Michaelis Menten constants in the adrenal, placenta, testis and ovary averaged 1.8, 2.5, 0.27 and 0.16 microM, respectively. In some cases, substrate inhibition was noted. Estimated dissociation constants for pregnenolone were 2.3 microM (adrenal), 2.1 microM (placenta), 0.74 microM (testis) and 0.13 microM (ovary). 3 beta-HSDH was less active in a crude mitochondrial preparation from the fetal adrenal (10,000 g pellet) than in microsomes, whereas activity in the placenta and testis appeared to be equally distributed between mitochondria and microsomes. Rate measurements were consistent with the apparent potentials of these organs to synthesize their characteristic hormones. Thus, 3 beta-HSDH activity may be an important rate determining step in hormone synthesis. The importance of substrate inhibition in progesterone formation remains to be assessed. PMID- 6582660 TI - [Experimental studies on the hardness and abrasion resistance of stone die materials after contact with elastomers]. PMID- 6582659 TI - Patterns of 3 beta-hydroxysteroid dehydrogenase/delta 5-4isomerase activity in the rhesus monkey placenta and fetal adrenal. AB - 3 beta-Hydroxysteroid dehydrogenase/delta 5-4isomerase activity (3 beta-HSDH) was examined in the rhesus monkey (Macaca mulatta) placenta and fetal adrenal at 135 and 155-162 days of gestation. Activity was evaluated in microsomes by the conversion of [3H]pregnenolone to [3H]progesterone. There was a 7-fold increase in enzyme activity in the whole adrenal (minus medulla) between the two stages of development. Combining data from both periods, enzyme activity was greater in the outer than in the inner region of the adrenal. No stage-dependent change in placental activity was evident. The temporal patterns in 3 beta-HSDH activity are consistent with corticoid and progesterone patterns in the circulation. Thus, the level of 3 beta-HSDH activity may be rate limiting in both the fetal adrenal and placenta. Enzyme activity was assessed in incubations which included unextracted, heat-treated, 100,000 g tissue supernatants. In both placental and adrenal incubations, competitive inhibition was noted. Ethyl ether extracts of 100,000 g tissue supernatants also inhibited 3 beta-HSDH in the respective tissues. GLC analysis of these extracts revealed the presence of putative dehydroepiandrosterone. Hormone levels and the nature of the inhibition that were observed are compatible with the conclusion that dehydroepiandrosterone can inhibit the conversion of pregnenolone to progesterone in vivo. The physiological importance of this remains to be determined. PMID- 6582661 TI - [Abrasion resistance of amalgams with increasing copper content]. PMID- 6582662 TI - [Assessment of acute cytotoxicity of sintered bio-vitreoceramics]. PMID- 6582663 TI - [Early detection of tumors in the oral cavity]. PMID- 6582664 TI - Current concepts in the management of complex retinal detachments. AB - Vitrectomy techniques and the use of liquid silicone oil provide important new possibilities in the management of complex retinal detachments including (1) Rhegmatogeneous detachments complicated by vitreous haemorrhages, cataract or an inadequate pupillary opening (2) Traction retinal detachment (3) Combined rhegmatogeneous-traction detachment (4) Proliferative vitreoretinopathy (PVR) (5) Giant tears, especially when the posterior flap is folded over (6) Retinal detachments with posterior retinal breaks. The current concepts in the management of the above retinal detachments are discussed and the specific techniques employed are described. PMID- 6582665 TI - Options in the treatment of congenital-infantile esotropia. AB - When selecting options for treatment of congenital esotropia it is difficult to be 'wrong' if the ophthalmologist exercises the proper care beforehand. A well thought out course can be appropriately redirected if need be. The dogged adherence to a scheme in the absence of critical evaluation and appropriate revision should be avoided. It may be better to start out all wrong and be willing to change than to start out half right and be inflexible. PMID- 6582666 TI - Early experience with nuclear magnetic resonance (NMR) imaging in the investigation of ocular proptosis. AB - The differential diagnosis of lesions causing ocular proptosis is frequently difficult making decisions on management correspondingly difficult. Computerized axial tomography (CAT) scanning has been of great benefit in showing the location and size of such lesions. Nuclear Magnetic Resonance (NMR) imaging, a non ionising technique, offers, in addition, the prospect of soft tissue differentiation giving an indication to the actual nature of lesions in the posterior orbit. Eleven cases of orbital proptosis have been imaged by NMR and the images of six of these are demonstrated and compared with the corresponding CAT scans. In the small area of the orbit spatial resolution is slightly less on NMR, at this early stage in its development, compared to the more fully developed CAT scans, but some degree of tissue differentiation is already possible. The safety and future potential of the technique are outlined. PMID- 6582667 TI - Preliminary observations regarding the use of iodine-125 in the management of choroidal melanoma. AB - When compared with Cobalt-60, the physical properties of Iodine-125 make it an attractive alternative therapy for consideration in the management of selected choroidal melanomas. The low-energy gamma emission can be nearly completely shielded by a thin sheet of gold 0.4 mm thick. Iodine-125 contained in a gold backed episcleral plaque may reduce radiation exposure to non-target tissues of the eye including the optic nerve and macula. Iodine-125 is readily available, is adaptable to specific tumour locations and size, and offers very little radiation hazard to handlers. The physical characteristics of Iodine-125 are suitable for treatment of relatively large ocular tumours. Preliminary experience at the Mayo Clinic with Iodine-125 in the management of 12 patients with malignant melanoma to the choroid who have been followed between six months and two and a quarter years, indicate the effectiveness of Iodine-125 in promoting tumour shrinkage. In 11 of the 12 treated eyes, there is evidence of decreased tumour thickness as judged by ultrasonography and photography. PMID- 6582668 TI - Aphakic retinal detachment. Prophylaxis in the second eye. AB - One hundred and sixty-three cases of aphakic retinal detachment were reviewed and found to be divided equally between eyes which prior to cataract surgery had been myopic, highly myopic or in a low myope group. Only 30 per cent of the non-myopic eyes had not suffered some form of complication and these eyes constituted only 10 per cent of the whole study. It is concluded that non myopic eyes do not require prophylaxis but that most of the myopes do. Consideration should be given to extra-capsular cataract surgery in addition to prophylactic cryotherapy in the high risk groups. PMID- 6582669 TI - Life on implants. AB - Seven Ridley Mark I anterior chamber lenses were removed from patients at St Thomas's Hospital. The lenses had been in place for an average of 15 years. The indication for removal was corneal endothelial decompensation with painful bullous keratopathy. Examination of the lenses under the scanning electron microscope showed remarkably similar morphology in each case. A well organised fibrin membrane covered the implants to which iris pigment epithelial cells were adherent. Red blood cells, scattered fibroblasts and pigment granules were also found. Giant cells were not identified while macrophages and lymphocytes were rare. These findings suggest that corneal endothelial decompensation was not due to chronic inflammation but was probably caused by movement of the implants within the eyes. PMID- 6582670 TI - Retinal membrane in the vitrectomized eye: an animal model. AB - A fibroblast induced model of retinal membrane has been developed in the vitrectomized rabbit eye. Localization of the membrane on the retinal surface requires a two stage procedure. An initial lensectomy and vitrectomy results in partial posterior vitreous detachment; the vitreous remains attached to the vascular retina (medullary rays) and vitreous base. At a subsequent procedure the detached posterior hyaloid face is excised; a fluid/SF6-air exchange is performed and fibroblasts are injected. Despite the use of only 25,000 cells, retinal membrane and subsequent traction retinal detachment develop. In contrast to cell injection in the nonvitrectomized eye, in which vitreous membranes predominate, this model stresses epiretinal membrane and surface retinal traction. PMID- 6582671 TI - Why I do intracapsular extraction and use the Choyce Mk IX AC implant. PMID- 6582672 TI - The long-term reliability of intracapsular extraction with Binkhorst 4-loop implant. AB - I continue to do intracapsular cataract surgery under general anaesthesia and use a standardized surgical plan evolved over a period of 12 years with a 4-loop Rayner-Binkhorst lens, because: Results do not justify change. The incidence of ECD, CMO and RD is low. Re-operation is seldom needed. No alternative choice seems valid. Modifications are too frequent. Results are claimed on very short experience. Intracapsular surgery gives a higher proportion of 6/5 visual acuity. I mistrust commercial pressures. PMID- 6582673 TI - Why I have reservations about intraocular lens implants. PMID- 6582674 TI - Glioma of the optic chiasm and its management. AB - The clinical features, radiological investigation and pathology of 9 cases of glioma of the optic chiasm are described and the place of radiotherapy in their management considered. PMID- 6582675 TI - Optic chiasmal radionecrosis. AB - Four patients (3 acromegalics, 1 chromophobe adenoma) out of a total of 87 patients with pituitary tumors treated with irradiation are presumed to have developed optic chiasmal radionecrosis. It would appear very difficult, if not impossible, to predict those patients at greatest risk of this complication due to individual variations in sensitivity to radiation. PMID- 6582676 TI - Recovery of vision following treatment of pituitary tumours: application of a new system of visual assessment. AB - The lack of a standard, quantitative method of assessing the degree of visual deficit hinders comparison of the results of the different methods available for treating visual failure due to pituitary tumour. This report describes a simple, semi-quantitative and precise approach and illustrates its use in 34 patients treated by transsphenoidal hypophysectomy and radiotherapy. Visual improvement occurred in 85 per cent of cases and no patient sustained deterioration of vision. The degree of pre-operative visual loss was scored at a mean of 51.4 per cent which reduced to a mean of 27.4 per cent at a minimum of twelve months' follow up. The factor that had the greatest influence on visual recovery was the degree of visual loss on presentation. It is therefore essential to be able to compare this variable before attempting to assess if outcome is different in a series treated by alternative methods. PMID- 6582677 TI - Optic nerve changes in hydrocephalus. AB - Although there is little evidence in the literature, it is widely believed that congenital hydrocephalus is only very rarely associated with papilloedema. This study, conducted on 200 consecutive cases (including 35 of secondary hydrocephalus), is probably the first report in the literature of optic nerve changes in a large series, and papilloedema in congenital hydrocephalus does not seem to be so uncommon after all. The importance of its early diagnosis, almost entirely dependent in children on objective features, cannot be over-emphasized in the management of hydrocephalus. Analysis of a few ophthalmoscopic signs in these eyes with papilloedema showed that presence or absence of the spontaneous or induced venous pulsations per se does not decide the diagnosis. The presence of venous engorgement seems to be a more definite and reliable indicator of early papilloedema. PMID- 6582678 TI - Therapeutic activity of 4-demethoxydauno-rubicin (idarubicin) in adult acute leukemia. AB - Twenty-six patients affected by acute leukemia were treated with 4 demethoxydaunorubicin (idarubicin), a new anthracycline compound which in experimental leukemias showed an antitumoral activity superior to daunorubicin (DNR) and doxorubicin (DX), with a higher ratio of active to cardiotoxic doses. A group of 16 patients in relapse received idarubicin at a dosage of 5-6 mg/m2/day for 3 consecutive days; a second group of 6 relapsing and 4 previously untreated cases was treated with a sequential combination of idarubicin and arabinosyl cytosine. In all patients, a significant fall of bone marrow and peripheral blast cells was obtained. These preliminary results suggest that idarubicin has a therapeutic activity against human acute leukemias usually responsive to DNR or DX. The duration of myelosuppression varied from 7 to 50 days, leading in some cases to a high risk of infections. As regards other toxic effects (gastrointestinal, hepatic and acute cardiac toxicity, alopecia), idarubicin appears to be, in our experience, a well-tolerated drug; however, it is too early to comment on delayed cardiac effects. PMID- 6582679 TI - Characterization and treatment of the non-lymphoblastic crisis of chronic myelogenous leukemia. AB - Fifty-six consecutive patients affected by the non-lymphoblastic-like crisis of chronic myelogenous leukemia were the subjects of this study. The cytologic and cytochemical features, together with the extension of clinical involvement, were investigated in all the patients. The most frequent cytologic variant was the "myeloid" one (60% of the patients). All the patients received a standard treatment (hydroxyurea, 6-mercaptopurine +/- prednisone). The overall median survival was 5.1 months; however, 22% of the patients survived for one year or more. The length of survival was independent of the cytologic variety and clinical conditions (previous splenectomy, organomegalies, etc.). There was no correlation between drug dosage and length of survival, whereas the disappearance of blast cells from the peripheral blood appeared to be directly correlated with a longer survival. The treatment was well tolerated (slight hematologic and hepatic toxicity) and allowed a reasonably good quality of life: most of the patients were treated on an out-patient basis. PMID- 6582680 TI - [Generalized vessel contraction following intra-amnion administration of prostaglandin F2alpha]. PMID- 6582681 TI - [Osteosarcoma of the breast]. PMID- 6582682 TI - [Clinical aspects and therapy of anaphrodisia in cows]. AB - Clinical investigations were carried out of a total of 1675 cows to elucidate the reason for anaphrodisia. The functional activity of the ovaries was determined by the use of cytovaginal smears stained after Chamov. Animals with anaphrodisia on the base of ovarian hypofunction were treated with hormonal preparations of gonadotropic action, while those with persisting periodic corpora lutea--with prostanglandin or the yellow bodies were manually removed. it was found that anaphrodisia in cows was more largely due to ovarian hypofunction (78.5 per cent), and to a lower extent--to persisting yellow bodies (21.5 per cent). In the case of ovarian hypofunction very good results were obtained with the use of gravohormone and prolan, and in the case of persisting corpora lutea--with the use of prostaglandine F2 alpha. The manual removal was associated with low conception rate and higher index of insemination. The cytovaginal smears could be used as an adjunct for the indirect determination of the functional activity of the ovaries. PMID- 6582683 TI - [Use of prolonged intravenous infusions of cisplatin in patients with malignant neoplasms]. AB - 11 patients with generalized forms of cancer received 14 courses of 120-hr non stop intravenous infusions of 20-30 mg/m2/24 hrs of cis-diamminedichloroplatinum supplied by portable pumps (total dose--80-150 mg/m2). Apparent nausea and vomiting were observed only in 4 out of 14 treatment courses 28%. There was no nephrotoxic effect. Therapeutic effect was established in 6 cases of testicular teratocarcinoma. Complete response was obtained in 1 case and partial remission- in 1 case. The rate of 25 mg/m2/24 hrs (for 120 hrs) should be used in further studies of the effectiveness of intravenous infusions of cis diamminedichloroplatinum. PMID- 6582684 TI - [From the psychoreactive crisis to pre-suicidal development, to the problem of judging the risk for suicide]. AB - Psychoreactive crises can lead to a presuicidal evolution under certain conditions. This is dependent on the susceptibility for crises of the individual but also on the cause of the crises. Certain groups of people are specially at risk for suicide. We also know certain events that very frequently lead to serious crises. The individual crisis susceptibility is very much determined by the previous history of the involved person. The course of the crisis is very much determined by the reaction of the environment. The evolutions of suicide show corresponding courses. These are presented in detail. Furthermore the question of judging suicidality and the risk for suicide are presented in detail. PMID- 6582685 TI - [Organization of outpatient crisis intervention ]. AB - The organization of outpatient crisis intervention is organized differently in various countries. Important is the speedy accessibility, the multidisciplinary cooperation for coverage of the total social environment and teams as mobile as possible. The team-members have to be specially trained and knowledgeable about the course of the crisis. All possibilities of psycho-social treatment have to be made use of. Besides the professional help, laywork and self-help groups should be available. The Crisis-Intervention Center in Linz and its work are presented in detail. PMID- 6582686 TI - [Phenomenology and causative constellations of psychoactively triggered crises and their therapy]. AB - The question, whether the term neuroses and the term psychoreactive crisis are quantitatively or qualitatively different is not yet unanimously agreed upon. Phenomenologically identical disturbances are presented. Some differences in the course of development are presented. Furthermore the concept of "crisis" is depicted . Definitions, course, social situation and the technique of crisis intervention are covered briefly. Great importance have special short-term psychotherapy techniques and also the organization of self-help groups and the mobilization of the natural network which all are for an optimal management of the crisis. PMID- 6582687 TI - [Social environment of the psychic crisis situation]. AB - The social environment in a psychic crisis situation is of great importance for the mode of action chosen to cope with the crises. Using suicide and the different characteristics of persons, who successfully attempted or completed suicide, as an example, different strategies are presented. Three questions of special importance are mentioned: 1. the question, as to what triggered the crisis; 2. the question of the social network and the quality of relationship and 3. the question, when the affected person and his social network were confronted with the problems. PMID- 6582688 TI - [Current stage of leukemia treatment in children]. PMID- 6582689 TI - Improved treatment of acute nonlymphocytic leukemia in a community hospital--The Marshfield Clinic/St Joseph's Hospital; experience 1974-1981. PMID- 6582690 TI - Case report of use of a vacuum formed splint during replantation of avulsed canine. PMID- 6582691 TI - Glossodynia: diagnosis and treatment. PMID- 6582692 TI - NMRDC: headquarters for research and development. PMID- 6582693 TI - [Acute myelogenous leukemias]. PMID- 6582694 TI - [Clinical course of acute leukemia]. PMID- 6582695 TI - [Cytoskeletal structures in acute lymphoblastic and chronic lymphatic leukemia]. PMID- 6582696 TI - [The presence and role of lysosomes in the dental pulp]. PMID- 6582697 TI - [Stimulation of anesthetic release from hydrogels]. PMID- 6582698 TI - [Testing of dental materials using the acoustic emission method]. PMID- 6582699 TI - [Treatment of mandibular angle fractures with an angular compression plate]. PMID- 6582701 TI - [Efficacy of modern oral irrigation devices]. PMID- 6582700 TI - [A dental-philatelic exhibit]. PMID- 6582702 TI - [Amine fluoride as an alternative to systemic fluoride use]. PMID- 6582703 TI - [Hand cleaning and hand care in dentistry]. PMID- 6582704 TI - [Prevention programs for dental practice]. PMID- 6582705 TI - [Special periodontal prevention]. PMID- 6582706 TI - [Role of after care in removable partial and complete dentures]. PMID- 6582707 TI - [Trepanation - a special drill]. PMID- 6582708 TI - [Theories of focal infection: criteria and standard design]. PMID- 6582709 TI - [Combined use of local anesthetics and analgesics]. PMID- 6582710 TI - [The office computer is no "golden donkey"]. PMID- 6582711 TI - [Unbiased opinions of implantology]. PMID- 6582712 TI - [The Flying Doctor Service in the western Australian bush]. PMID- 6582713 TI - [The false canal problem]. PMID- 6582714 TI - [Polyostotic form of fibrous dysplasia with maxillofacial implications]. PMID- 6582715 TI - [Objective representation of oral hygiene status and occlusal findings]. PMID- 6582717 TI - [Long-term orthodontic treatment]. PMID- 6582716 TI - [Durability of telescopic crowns of various alloys in a time test]. PMID- 6582718 TI - [Differential diagnosis of central bone tumors in the jaw]. PMID- 6582719 TI - [Mandibular position and masticatory muscle function]. PMID- 6582720 TI - [Mathematical methods for the comparative evaluation of controlled cut tooth stumps]. PMID- 6582721 TI - [Differential diagnosis of tumors and inflammation in the maxillofacial region]. PMID- 6582722 TI - [Need for caries preventive measures in children with clefts]. PMID- 6582723 TI - [General anesthesia in dental and gnathologic surgery]. PMID- 6582724 TI - [Transdental fixation - progress report]. PMID- 6582725 TI - [Office hygiene - yesterday, today, tomorrow]. PMID- 6582726 TI - [Diflunisal in dental surgery]. PMID- 6582727 TI - [Equilibration using bite registration]. PMID- 6582728 TI - [Local anesthesia and Para group allergy]. PMID- 6582729 TI - [Primary closure of cleft lip and cleft palate]. PMID- 6582730 TI - [TCP-system of dental re-integration]. PMID- 6582731 TI - [Color matching of anterior composite restorations]. PMID- 6582732 TI - [Precision of oral cytodiagnosis]. PMID- 6582733 TI - [Responsibility of the dentist in oral implantology]. PMID- 6582734 TI - [Caries on the labial surface - a criterion for an occupational disease of bakers?]. PMID- 6582735 TI - [Automatic blood pressure determination in dental treatment]. PMID- 6582736 TI - Cytologic evidence of extensive keratotic reaction in women exposed to diethylstilbestrol in utero. AB - Squamous mucous membranes and squamous metaplastic epithelium sometimes undergo hypermaturation with the production of a keratin layer. Anucleated keratotic squamous plaques in smears are generally recognized as cytologic evidence of this altered maturation. This keratotic reaction was quantified in cytologic smears from 191 women exposed in utero to diethylstilbestrol (DES). Keratotic reaction was observed in the vaginal smear in 40% of the cases, in the cervical smear in 26% and in the endocervical smear in 19%; overall, a keratotic reaction was observed in at least one specimen from 48% of the women. These frequencies are higher than those reported in other studies. The observed frequency was age related. The significance of the hyperkeratosis, including its possible relationship to a lower dysplasia rate among DES-exposed women, is unclear. No conclusions can be drawn until more is known about behavioral factors in DES exposed women. PMID- 6582737 TI - The diagnostic challenge of tumors manifested initially by the shedding of cells into cerebrospinal fluid. AB - Patients in whom the first indication of a neoplasm is the shedding of its cells into cerebrospinal fluid (CSF) present a challenging problem in differential diagnosis. The purposes of this study were to review the frequency and differential cytopathologic diagnosis of this event and to compare the distribution of neoplasms in these presentations with the overall distribution of CSF malignancy. From 1971 to 1980, 12,026 CSF specimens were examined at Duke University Medical Center, and malignant cells were seen in 318 specimens from 232 patients. No follow-up was available for seven patients, and review of hospital records disclosed five cases of false-positive diagnoses. In 25 of the remaining 220 patients, cytologic examination of CSF provided the first documentation of a neoplasm. The distribution of the 25 initial CSF presentations was as follows: 2 of 108 leukemia/lymphoma patients, 8 of 44 lung carcinoma patients, 1 of 12 melanoma patients, 0 of 18 breast carcinoma patients, 0 of 14 patients with miscellaneous primaries, 2 of 3 patients with adenocarcinoma of the stomach, 5 of 7 patients with unknown primary tumors and 7 of 14 patients with primary brain tumors. PMID- 6582738 TI - Malignancy-associated serosanguinous pleural effusions. AB - Cytologic preparations of 786 pleural effusions from 495 patients were reviewed, including 312 specimens from 172 cancer patients. Approximately 50% of the paraneoplastic effusions were sanguinous. Thoracic cancer was histologically confirmed in 145 patients, 64% of whom had cytologically positive pleural effusions; 71% of these specimens were also macroscopically bloody. Regardless of any histologic evidence of neoplastic invasion of the pleura, the presence of blood in the majority of the effusions was related most often to acute inflammatory reactions with vascular dilatation and proliferation within serosal tissues or the underlying pulmonary parenchyma. PMID- 6582739 TI - Curschmann's spirals in cervicovaginal smears. Prevalence, morphology, significance and origin. AB - A retrospective examination of 172,119 cervical and vaginal smears was undertaken to study the prevalence, morphology, significance and origin of Curschmann's spirals in such specimens. Spirals morphologically identical to those seen in sputum were found in 101 specimens from 100 patients, for a prevalence of 1 in 1,704 smears. Spirals were found only in patients who had not had their cervices removed. The presence of the spirals could not be correlated with any particular gynecologic or nongynecologic abnormality. Most of the patients had no gynecologic abnormality. The literature contains suggestions that Curschmann's spirals in cervicovaginal smears are a manifestation of orogenital sexual contact or are formed in endocervical mucus, particularly in cigarette smokers. To investigate whether such spirals have an extraneous origin, we examined the smears for dust-containing histiocytes, vegetable cells, skeletal muscle fibers and other extraneous material, none of which was found. We found no correlation between the presence of spirals and cigarette smoking. Moreover, histologic sections of the uterine cervices from some of the patients who had spirals in their smears showed evidence of spiral formation in endocervical mucus. We conclude that Curschmann's spirals in cervicovaginal smears are an uncommon finding with no clinical significance, that they are formed from endocervical mucus and that their presence has nothing to do with orogenital sexual contact or cigarette smoking. PMID- 6582740 TI - Mycosis fungoides with pulmonary involvement. Cytopathologic findings. AB - In order to define the cytologic features of pulmonary involvement by mycosis fungoides, 15 respiratory cytology specimens from four patients with biopsy proven pulmonary mycosis fungoides were reviewed. The presence in sputum smears of occasional small or large cerebriform mononucleated cells against a background of numerous atypical lymphocytic cells permitted an antemortem cytologic diagnosis of probable or definite dissemination of mycosis fungoides with pulmonary involvement. Similar cells were seen in aspiration smears. The lymphocytic infiltrates were similar to those in corresponding skin biopsies in each case. The distinctive cytologic findings in these cases may therefore help to determine the underlying etiology of pulmonary lesions and may contribute to the antemortem diagnosis of visceral dissemination of mycosis fungoides. PMID- 6582741 TI - Fine needle aspiration diagnosis of aspiration pneumonia (phytopneumonitis). AB - Aspiration pneumonia is defined as pulmonary infiltration caused by inhaled material, either solid or liquid, that is inherently toxic or that initiates a toxic response. We present the case of a solitary lung mass of unknown etiology in which cytology of a fine needle aspiration provided a definitive diagnosis of this disorder. PMID- 6582742 TI - Fine needle aspiration cytology of extraskeletal chondrosarcoma. AB - The cytologic presentation of a case of extraskeletal chondrosarcoma diagnosed by fine needle aspiration in a 57-year-old asymptomatic female is described. A mass detected on routine chest X ray and defined by CAT scan was subjected to a preoperative percutaneous fine needle aspiration under fluoroscopic guidance; a core biopsy was also obtained. Cytologic findings included pleomorphic malignant cells, with occasional spindle-shaped forms and binucleated and multinucleated cells having various degrees of nuclear atypia. The sarcomatous nature of this neoplasm was readily recognized in the cytologic material, although histologic and ultrastructural studies, which are also illustrated, were necessary to establish its specific histologic type. The biopsy was interpreted as a probable chondrosarcoma, and an exploratory laparotomy revealed a soft tissue tumor arising in the retroperitoneum. A diagnosis of soft tissue chondrosarcoma was rendered. In retrospect, the distinctive cytologic findings in the aspirated material suggest that extraskeletal chondrosarcoma should be considered in the differential diagnosis of soft tissue tumors. PMID- 6582743 TI - Nippling of endocervical cell nuclei. PMID- 6582744 TI - Chlamydia, repair and intraepithelial neoplasia. PMID- 6582745 TI - Further comments on bronchoalveolar lavage. PMID- 6582747 TI - Cytologic detection of tuberculosis of the urinary bladder. PMID- 6582746 TI - Use of the esophageal balloon in the diagnosis of carcinomas of the head, neck and upper gastrointestinal tract. AB - A study was undertaken to demonstrate the safety, efficacy and value of esophageal balloon cytology in the diagnosis of esophageal lesions and as a tool in screening a high-risk patient population. The sampling was performed 110 times on 96 patients, 11 with known obstructive carcinoma of the esophagus and 85 thought to be at risk for esophageal cancer: 74 with treated or untreated cancer of the head and neck area and 11 with dysphagia or other findings requiring clarification. The method was well tolerated by the patients, and the cytologic smears were of excellent quality. Malignant or suspicious cells were found in smears from 7 to 11 patients with documented esophageal cancer and in 7 of 85 patients believed to be at risk. In the latter group there were three unsuspected recurrent cancers of the oropharyngeal region and one unsuspected carcinoma in situ of the esophagus. There were no false-suspicious or false-positive results. This noninvasive technique of esophageal cytology obviously deserves additional trials as an adjunct in the diagnosis of carcinoma of the head and neck and upper gastrointestinal tract, especially in high-risk patients. PMID- 6582748 TI - Problems in the interpretation of bone tumors with fine needle aspiration. PMID- 6582749 TI - Egg of Ascaris lumbricoides in cervicovaginal smear. PMID- 6582750 TI - [Ph1-positive chronic myelogenous leukemia with simultaneous erythroblastic and monoblastic transformation]. PMID- 6582751 TI - [Clinical studies of BH-AC-DMP in adult acute nonlymphocytic leukemia]. PMID- 6582752 TI - [Immunotherapy for acute myelogenous leukemia with Nocardia rubra cell-wall skeleton. A randomized controlled study]. PMID- 6582753 TI - A kinematical analysis of the tarsal joints. An X-ray photogrammetric study. PMID- 6582754 TI - Functional treatment of congenital dislocation of the hip. AB - A prerequisite for the development of congenital dislocation of the hip is ligamentous laxity of the hip-joint, which is demonstrable shortly after birth when the hip can be easily dislocated and reduced. This situation is described as dislocatable hip. Ligamentous laxity naturally tends to disappear, and 90% of all dislocatable hips in fact stabilize spontaneously. No dislocation develops unless an exogenous factor is involved. In infants born in breech presentation the hyperextension of the knees with the resulting increased tension in the hamstrings plays a role. During or shortly after birth, the deflexion of the hip joint causes an increased tension in the relatively shortened iliopsoas muscle, as a result of which the hip can be dislocated in postero-superior direction. By the time the infant is two months old secondary changes (more specifically restricted abduction) become more pronounced. It may therefore be stated that contracture of the iliopsoas muscle is one of the causes, and restricted abduction a consequence of congenital dislocation of the hip. The degree of dislocation is determined by a balance between the degree of ligamentous laxity and the influence of exogenous factors. When the infant starts to stand and walk, its body weight also begins to function as a deforming exogenous factor. When dislocatable hips are not treated immediately after birth, the frequency of congenital dislocation of the hip at the age of three months amounts to 1-2 per 1000 neonates. The male:female ratio is 1:4. The secondary changes in the osseous structures of the hip-joint should always be studied three-dimensionally. Apart from conventional antero-posterior pelvic roentgenograms, CT-scans can enhance spatial insight. The secondary changes manifest themselves in an enlarged neck shaft angle, increased femoral anteversion, an increased inclination of the acetabulum and possibly also in diminished acetabular anteversion. In view of the high radiation load involved, examination by CT-scan is not yet a routine procedure in congenital hip dislocation. Radiological examination is usually confined to an antero-posterior pelvic roentgenogram on which the acetabular angle, the neck-shaft angle and the CE-angle can be measured. These are all values projected in a frontal plane. To determine the real values the degree of acetabular and femoral torsion has to be known. With the aid of the CT-scan the torsion of the acetabulum and of the femoral neck as well as their summation - the instability index - can be measured without difficulty.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6582755 TI - Evaluation of tonsillectomy as a treatment for pustulosis palmaris et plantaris. AB - One hundred and twenty-four cases of pustulosis palmaris et plantaris (PPP) were studied by questionnaire survey to evaluate the effectiveness of tonsillectomy as treatment. We found that tonsillectomy as a method of treatment for PPP showed a significantly high rate of cure, against which other methods of treatment, e.g. corticosteroid therapy, PUVA therapy and so on, were compared. The examination, by means of Kaplan-Meier's method, showed a 59.2% cure rate for patients one year after tonsillectomy and 71.8% 2 years after the operation. When patients are older than 60 years, the prognosis is good, regardless of the method of treatment. PMID- 6582756 TI - Pustulosis palmaris et plantaris due to tonsillar focal infections. From the analysis of long-term observed cases. AB - We studied the effects of tonsillectomy in patients with pustulosis palmaris et plantaris (PPP) and suspected of having focal tonsillar infections which could still be observed more than one year after tonsillectomy. The rate of healing with tonsillectomy, including 6 cases with remarkable effect, was 76%. The clinical findings from which we expect an effect of tonsillectomy are (a) late onset PPP and early tonsillectomy, (b) tonsils with grade I hypertrophy, oozing of pus, and localized dark-redness on the anterior palatine arches, (c) anamnestic tonsillitis, and (d) positive results both at tonsillar provocation and negation tests. From the analyses of pre- and postoperative clinical examinations we found that the preoperative values of serum complement (C3), and neutrophils, lymphocytes and eosinophils in peripheral blood were significantly depressed in the effectively treated group, compared with the 'ineffective' group or the control group. PMID- 6582757 TI - Conceptual understanding of pustulosis palmaris et plantaris as an immune complex disease due to focal tonsillar infections. AB - The relationship between pustulosis palmaris et plantaris (PPP) and immune complexes was studied in 17 patients who underwent tonsillectomy. By means of the Clq-binding test, immune complexes were detected in a considerable number of sera from these patients. Patients with a high serum level of immune complexes which decreased following tonsillectomy were found to benefit by a remarkable improvement in their skin lesions. There was a close association between the degree of improvement in skin lesions following tonsillectomy, and the changes in circulating immune complex levels after tonsillectomy. Immunofluorescence showed that all 6 patients with PPP tested had deposits of IgG, IgM, IgA or C3 in their skin lesions. These results suggest that PPP may be an immune complex disease, and that it may be closely associated with the tonsil as a focus for the release of antigens or immune complexes. PMID- 6582758 TI - Tonsil and pustulosis palmaris et plantaris. Mainly in respect of complement. AB - Since the tonsil is one of the immunological organs, a concept whereby the relation between the tonsil and pustulosis palmaris et plantaris (hereafter abbreviated PPP) can be explained by a specific immunological mechanism, has been favoured. It must be pointed out, however, that there have been a considerable number of clinical findings which are irreconcilable with this concept. The present authors have therefore observed the relationship between the tonsil and PPP, from the point of view of non-specific in vivo factors, such as complements and endotoxins. This theory of the authors was motivated by the clinical fact that the serum complement titres of some patients with PPP were changed by performing the tonsillar provocation test, and that in such cases their skin rashes were aggravated after provocation. Thereafter, the distribution of the complemental components in the tonsillar tissue was examined with the immunofluorescence technique and it was found that they were localized mainly in the epithelium of the tonsillar crypt. In other words, the region where the complement system in the tonsillar tissue is active is the crypt. It was further found that the lacunar debris in the tonsillar crypt possesses a strong complement-activating activity. In particular, it was discovered that the action is stronger in bacteria and endotoxins within the lacunar debris. In recent years, the activation of complements associated with the surface layer of the skin has been emphatically considered to be the mechanism causing the onset of aseptic pustules in patients with PPP.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6582759 TI - Studies on experimental exanthema in rabbits by means of recurrent systemic sensitization. AB - To explore the relationship between the tonsils and pustulosis palmaris et plantaris, the author performed several experiments. Since, in the pustulosis palmaris et plantaris abscess, many pleomorphic leukocytes are seen histologically, in order to provoke this condition, sensitized lymphocytes isolated from sensitized rabbits were transferred intravenously. To localize the site of immunological reaction on the skin, extracts were used from cutaneous abscesses elicited by intracutaneous injection of BCE, CA, and PPD, emulsified with FCA. The results were as follows: (1) exanthema was demonstrated in 4 out of 28 rabbits; (2) the antigens that caused exanthema were BCE and CA; (3) the sites on which exanthema appeared were the footpads of both fore- and hindlimbs, in one rabbit only, and in the others, the footpads of hindlimbs; (4) as the predominant cause of the exanthema, the relationship between immune complex and sensitized lymphocytes was suspected. PMID- 6582760 TI - The tonsils and pustulosis palmaris et plantaris as viewed against the genetic background. AB - In spite of considerable research so far made on the etiology of pustulosis palmaris et plantaris (PPP), several points remain obscure. However, since tonsillectomy has been found to improve the symptoms and cure the disease, some researchers have suspected PPP to be a tonsillar focal infection. Another well known fact is that Streptococci too are associated with tonsillar focal infection, and that even in patients with PPP, high antibody titres against Streptococci have been observed. The authors have obtained results suggesting the existence of a genetic origin in patients with chronic tonsillitis in terms of the production of antibody against Streptococci. Proceeding from these results, we have tried HL-A typing by the microcytotoxicity (NIH) method, using HL-AA and HL-AB for determination. HL-A typing was performed on 43 PPP patients, but no results were obtained which would indicate a close correlation between PPP and HL A antigens. PMID- 6582761 TI - Pustulosis palmaris et plantaris. A review of clinical features and aggravating factors. AB - A review of the clinical and histological features of pustulosis palmaris et plantaris (PPP) was undertaken. The morphologic development of PPP is biphasic: the first phase consists of an eczematous reaction, and the second phase is the pustulation of eczematous vesicles. PPP may be aggravated by infections or non infectious inflammatory processes elsewhere in the body. An abnormal glucose tolerance test was found in 55 (66.3%) of 83 patients with PPP. The deranged carbohydrate metabolism may be partly responsible for the increased susceptibility to focal infections in patients with PPP. PMID- 6582762 TI - Multinucleated giant cells in the palatine tonsil of three patients with pustulosis palmaris et plantaris. AB - In a histopathological analysis of the palatine tonsils resected in 70 patients (28 adults and 42 children) with persistent angina, several Langhans'-type giant cells without epithelioid granuloma were detected in the serial specimens of all tonsils from 3 adult patients with pustulosis palmaris et plantaris. By contrast, in the tonsils of the other 67 patients, without pustulosis palmaris et plantaris, only a few atypical multinucleated giant cells including those of foreign body type were found, in the serial specimen of 4 cases. On the basis of these results, the appearance of Langhans'-type giant cells in the tonsil should be noted in persistent angina with pustulosis palmaris et plantaris. PMID- 6582763 TI - Cochlear morphology in relation to loss of behavioural, electrophysiological, and middle ear reflex thresholds after exposure to noise. AB - Loss of auditory function was correlated with different pathological findings in the inner ear of the rabbit after 15 or 30 min exposure to high level broad band (2-7 kHz) noise. The ears from animals with post-exposure times ranging from 1 to 23 months were analysed by scanning electron microscopy (SEM). Complete cochleograms with quantification of loss of hair cells and damage to stereocilia were produced. Loss of function was defined by determining behavioural threshold, threshold of auditory brainstem response (ABR) to narrow-band stimuli and threshold of the middle ear muscle reflex (MER). A small scattered loss of OHCs and slight disarray of stereocilia were found in non-exposed ears of young animals, but fusion of IHC cilia was not observed. Normal auditory function was not found in any noise exposed animal with abnormal morphology. A loss of threshold sensitivity of up to about 30-40 dB was noted without loss of hair cells in the corresponding region of the cochlea. The mildest structural damage that correlated to a functional alteration consisted of damage to stereocilia of IHC. This correlated well to the MER threshold shift. In two animals a shift of MER threshold of about 20 dB was the only functional abnormality. In ears with more extensive IHC damage loss of OHCs was also found and these animals had primarily an increase in auditory threshold shift with only a small additional change in MER threshold. It is concluded that in the rabbit and with the methods used the IHC stereocilia are the structures most susceptible to damage by the noise used and that the degree of injury can be fairly well assessed by functional tests of a type that is used also routinely in the audiological clinic. PMID- 6582764 TI - The stride cycle of the cat: the modelling of locomotion by computerized analysis of automatic recordings. AB - The present study gives a general description of the locomotor patterns of the intact cat. Overground and treadmill locomotion were studied by means of automatic recordings of limb movements, ground reaction forces and electromyograms. The data processing and automatic recording techniques which were used are described; one recording technique is based on a television system, another on the Selspot I system. The data were processed and analysed interactively with a computer, which allows a statistical analysis of many strides in a fast and accurate way. The amplitudes and time course of movements in different joints and different limbs were studied at different velocities of locomotion and correlated to each other and to parameters such as the onset and termination of electromyographic activity in different muscles. No element of the stride cycle was found to be constant: The amplitudes of joint angles and limb excursions as well as the durations of the different phases of the stride cycle can be adapted to maintain an appropriate coordination between the limbs. The durations of all phases of the stride cycle decrease with increasing speed of locomotion. The durations of the support and extension phases change proportionally more than of the swing and flexion phases and they all appear to be linearly related to the stride cycle duration. The relations of the flexion duration with the stride cycle duration for the different joints are usually different from each other and after a disturbance of the movements of a forelimb the duration of knee and ankle flexion of the homolateral limb can increase and the first extension phase of knee and ankle decrease, whereas they usually increase or decrease together. This further supports the hypothesis that every joint is controlled by a flexion and extension unit pattern generator. The amplitude of the joint angle excursions during the different phases of the stride cycle are better controlled than the absolute joint angles at the onset and termination of these phases. The position of the toe at touch-down was studied at different velocities of locomotion and was found to remain comparatively constant. There is a correlation between hip, knee and ankle joint angles at touch-down, which was found to be of importance for the precise positioning of the foot.(ABSTRACT TRUNCATED AT 400 WORDS) PMID- 6582765 TI - A comparison of cerebral atrophy in CT scan findings among alcoholic groups. AB - Seventy-five alcoholic patients and 94 control subjects were examined by CT scans and measured by 11 measurement items on CT. The alcoholics were classified and compared. Enlargement of ventricles was recognized in the alcoholics. The degree of enlargement of ventricles was extremely striking in alcoholic dementia. The increasing tendencies toward cerebral atrophy in a given age stratum were almost parallel in the controls and the alcoholics, with a difference in the degree of atrophy. It was suggested that the enlargement of the ventricular system in the alcoholics might be induced in the initial stage of alcohol dependence, and that physiological atrophy due to aging might progress thereafter. The results of multivariate canonical analysis of these CT items suggested that the CT indicators effective for evaluating alcoholic cerebral atrophy were the transverse diameter of the third ventricle, Ventricle index and Evans' index. PMID- 6582766 TI - The ICD-10 and depression. PMID- 6582767 TI - The DSM-III classification of affective disorders. PMID- 6582768 TI - Assessment scales for depression: the next 20 years. PMID- 6582769 TI - The ICD--9 and the SADD--criteria for depression. PMID- 6582770 TI - The Newcastle rating scales. PMID- 6582771 TI - Depressive syndromes and scales in the AMDP-system. AB - The Association for Methodology and Documentation in Psychiatry was founded in 1965 by a group of psychiatrists from Germany, Switzerland and Austria. It developed a uniform and comprehensive system for the documentation of psychopathological, somatic, and anamnestic findings, the AMP-System. In 1979 a revised system was introduced, the AMDP-System. In the AMP-System there are 5 suggestions as to syndrome scale construction based on analyses of data of psychiatric clinics in Munich (2 samples), in Zurich (1 sample), and in Berlin (2 samples). The corresponding syndromes of the different solutions are highly intercorrelated. In the AMDP-System final syndrome scales were constructed on the basis of combined samples of the psychiatric clinics of the universities in Munich and in Berlin. The AMDP syndrome scales show a high similarity with the AMP syndrome scales, whereby a good comparability is ensured between older studies using the AMP- and present studies using the AMDP-System. All syndrome scale solutions include, besides 6 or 7 other syndromes, like a paranoid hallucinatory and a manic syndrome, two syndromes especially pertinent to the assessment of depressive states: the depressive and the apathy syndromes. The syndromes are described and it is shown how they and other syndromes discriminate different depressive diseases (defined by ICD-diagnoses). There is a considerable overlap in psychology between the diagnostic groups - in spite of a remarkable good discrimination of these groups by psychopathological syndromes - therefore the patients were classified de novo by cluster analysis in more homogenous groups regarding psychopathology. The results are illustrated by some "depressive" clusters in comparison to depressive diagnostic groups. PMID- 6582772 TI - Multi-axial classification of depression: MULTI-CLAD-2 case record system. PMID- 6582773 TI - [A case of long-standing limitation in opening the mouth associated with collagenosis with muscular components]. PMID- 6582774 TI - [Covering gingival recessions]. PMID- 6582775 TI - [Frontal open bite: incidence, etiology and cephalometric characteristics; a literature review]. PMID- 6582776 TI - Primary malignant hemangiopericytoma of the gingiva. Report of a case. PMID- 6582777 TI - [Problems in the treatment of frontal open bite]. PMID- 6582778 TI - [Subacute cervical adenitis in children. Focus on adenitis due to atypical Mycobacteria]. PMID- 6582779 TI - A heparin-like anticoagulant in an 8-month-old boy with acute monoblastic leukemia. AB - An 8-month-old male with acute monoblastic leukemia died during induction chemotherapy of severe bleeding refractory to repeated infusions of platelets and clotting factors. A heparin effect was suggested by prothrombin time (PT) of 26 seconds, partial thromboplastin time (PTT) of 94 seconds, thrombin time 240 seconds, and reptilase time 18.4 seconds, with a fibrinogen of 88 mg/dl. Both plasma mixed with the patient's urine and the patient's plasma had their thrombin times corrected toward normal by both PF4 and protamine. Synergism of the anticoagulant with antithrombin III was demonstrated not only by enhanced inhibition of thrombin but also by an increased rate of formation of thrombin- antithrombin III complexes in the presence of the anticoagulant, which was eliminated by preincubation with heparinase. Since the anticoagulant activity was not found in the blasts themselves, it is presumed that the anticoagulant is heparin/heparan liberated from the endothelial lining by products of the cell destruction secondary to chemotherapy. PMID- 6582780 TI - Juvenile features in adult-type chronic granulocytic leukemia. AB - Philadelphia chromosome (Ph1) positive, or "adult-type," chronic granulocytic leukemia (CGL) differs in many clinical and laboratory aspects from PH1-negative, or "juvenile," CGL. Because of these differences, the disorders have been considered two distinct disease entities. We present a child with Ph1-positive CGL whose disease has several features more characteristic of the Ph1-negative syndrome. This case demonstrates that the chromosomal anomaly in CGL is not always predictive of phenotypic expression in this disease. PMID- 6582781 TI - Tumor lysis syndrome following VP-16-213 in chronic myeloid leukemia in blast crisis. AB - Several recent reports have emphasized the potentially serious and often fatal acute metabolic complications following cytotoxic chemotherapy in both solid tumors and leukemias. We present here a case of chronic myeloid leukemia in blast crisis who developed an acute tumor lysis syndrome following a single dose of VP 16-213 (Etoposide). PMID- 6582782 TI - Segregation and linkage analyses of von Hippel Lindau disease among 220 descendants from one kindred. AB - Von Hippel Lindau disease (vHL), an autosomal dominant precancerous condition, had segregated in a large kindred. Fourteen relatives were known to have been affected; record reviews disclosed features of vHL in 15 previously undiagnosed relatives; presymptomatic evaluations detected vHL in 13 additional members of this kindred. Altogether, among 220 descendants of an ancestral couple, 41 had vHL. We screened for HLA haplotypes and for polymorphic gene markers at 31 loci in 102 direct descendants and 16 spouses from this kindred, including 23 with vHL. Linkage analyses failed to reveal a significant lod score with any locus tested, or any HLA linkage disequilibrium. Expression of vHL among the affected relatives was compared with 384 other reported cases of vHL. The age of onset, tissue involvement, and life expectancy in this family were similar to the other reported cases. The sigmoid age-of-onset distribution for vHL most closely matched a square-foot transformation (mean = 26.2(-2) years; variance = 1.224). PMID- 6582784 TI - Bends in human mitotic metaphase chromosomes, including a bend marking the X inactivation center. AB - Bends in mitotic metaphase chromosomes are not distributed randomly throughout the karyotype. The frequency of bends at centromeres is positively correlated with the relative length of the chromosomes and negatively correlated with the centromere index (more bends in metacentrics, fewer in acrocentrics). The frequency of bends in the noncentromeric regions (except at Xq13-Xq21) is positively correlated with the relative length of chromosome arms. A bend at Xq13.3 to Xq21.1 was more frequent than a bend in any other region of the karyotype, centromeric or noncentromeric. It was observed in one member of the X chromosome pair in 63% of 46,XX cells. In contrast, it was observed in only 2% of 46,XY cells. RBG-staining showed that this specific bend is confined to the lyonized X chromosome. These observations in cells from normal subjects were confirmed using G-banding and RBG-staining on cells from nine subjects with different X-chromosome abnormalities and on metaphases from amniotic fluid cell and lymphocyte cultures. The "center for Barr body condensation" has been localized to the region between Xq11.2 and Xq21.1. The functional and structural relationship is unclear, but we believe this highly specific bend may represent a visible manifestation of the condensation process; it could represent the first folded (and last unfolded) position, upon or around which the rest of the chromosome condenses. The late replication of this region may also be a factor. The smallest region of overlap (SRO) for the X-chromosome inactivation center and the specific chromosome bend is Xq13.3 to Xq21.1. PMID- 6582783 TI - The use of association data to identify family members at high risk for marker linked diseases. AB - The study of genetic markers linked and associated with disease has provided important evidence of a genetic contribution to numerous diseases and has helped to establish their modes of inheritance. However, this information has not been fully utilized in counseling individuals at risk for these disorders. In the case of recessive, marker-linked diseases, such as idiopathic hemochromatosis linked to HLA in family studies and associated with specific HLA alleles in population surveys, the only current clinical application has been to identify siblings who share both HLA-marker haplotypes with the affected proband. They are considered to be presymptomatically affected, and more definitive invasive investigations are considered appropriate. All other relatives, including parents, offspring, and other siblings, who share only one marker with the proband, have been counseled only that their risk is equivalent to the gene frequency of the disease allele, for example, 3%-6% for hemochromatosis. We have developed a generally applicable method to utilize population association data to derive more specific and accurate risk figures for these other relatives of patients with marker linked and associated diseases. We have applied this method to idiopathic hemochromatosis. If the offspring of a patient with hemochromatosis lacks A3, B7, and B14, the risk to that offspring for developing hemochromatosis is less than 2%. On the other hand, if they receive HLA A3 from their unaffected parent, their risk climbs to 9%-10%; if they receive an A3-B14 haplotype, their risk increases to virtually 100%. As demonstrated by our example, the application of association data to family members already at a basal increased risk for marker-linked disease can significantly refine the disease risk estimates given to those relatives. This information can be utilized to select individuals in whom invasive diagnostic testing or preventative intervention is indicated. PMID- 6582785 TI - Accidental disconnections from breathing systems, what FDA found--and what you can do about it. PMID- 6582786 TI - Progesterone production by human fetal membranes: an in vitro incubation system for studying hormone production and metabolism. AB - We have established an in vitro tissue explant incubation system to study endocrine functions of human amnion, chorion, and decidua. By means of this technique, tissues remain histologically similar for at least 72 hours, actively use glucose for at least 48 hours, and demonstrate no evidence of release of lactate dehydrogenase into the medium by 24 hours. All three tissues produced progesterone, measured by specific radioimmunoassay, in a dose-dependent fashion from added pregnenolone. However, chorion was many times more active in this respect than were the other tissues. These results were corroborated by demonstrating conversion of 3H-pregnenolone to radiochemically pure 3H progesterone. This activity was inhibited by a 3 beta-hydroxysteroid dehydrogenase (3 beta HSD) enzyme inhibitor, trilostane. Histochemical staining identified the site of 3 beta HSD activity as being located predominantly in the trophoblast layer of the chorion. We conclude that: (1) this in vitro system is a simple and reliable method by means of which to study endocrine function of amnion, chorion, and decidua; and (2) human fetal membranes, particularly the trophoblast layer of the chorion, can produce progesterone, and hence may be an important regulator of local progesterone levels, which subsequently may affect myometrial contractility. PMID- 6582788 TI - Nude mice as models for human leukemia studies. AB - Human leukemic promyelocytes of the HL-60 line were grown as tumors in nude mice and studied. A single nonmetastatic granulocytic sarcoma developed after subcutaneous inoculation with HL-60 cells. Some exceeded 5 cm in size. Almost all mice developed tumors after initial priming with cyclophosphamide. Older sarcomas showed viable tumor islands in necrotic and fibrotic tissue. Some tumors appeared greenish. Histologic and electron-microscopic analysis demonstrated large, vaguely outlined cells in poorly vascularized sheets. The cells displayed high nucleocytoplasmic ratios, basophilic granular cytoplasms lacking Auer rods, and enzymes characteristic of cultured HL-60 promyelocytes. Some tumor cells also demonstrated monocyte/macrophage enzymes, such as butyrate esterase. Induced HL 60 tumors also corresponded morphologically to a human subcutaneous promyelocytic tumor specimen. Comparative cytologic studies of induced HL-60 tumors in nude mice and cultured HL-60 cells revealed virtual identity, suggesting the nude mouse tumor as a useful model for in vivo studies of human leukemic cells. PMID- 6582787 TI - Macrophage function in the Schistosoma mansoni egg-induced pulmonary granuloma. Role of arachidonic acid metabolites in macrophage Ia antigen expression. AB - The ability of arachidonic acid (AA) metabolites to regulate I-region-associated (Ia) antigen expression on macrophages from schistosome-egg-induced pulmonary granulomas was examined. The prostaglandin (PG) analog 15-S-15-CH3-PGE1 (M-PGE1) and PGF2 alpha were found to modulate the kinetics of Ia expression when administered in vivo. Methyl-PGE1 significantly suppressed Ia antigen expression by hypersensitivity granuloma macrophages, while PGF2 alpha appeared to potentiate the expression. Lymphokine-induced Ia antigen expression by cultured granuloma macrophages was likewise dramatically inhibited by M-PGE1. Further analysis using systemically administered inhibitors of AA metabolism demonstrated that the cyclooxygenase inhibitor indomethacin caused augmentation of Ia expression. In contrast, lipoxygenase inhibitors significantly reduced both Ia expression and granuloma size. The role of AA metabolites in modulating chronic inflammation is discussed. PMID- 6582789 TI - Intracortical osteosarcoma. AB - A case of osteosarcoma arising in the tibia of a 15-year-old boy is reported. Of particular interest was the benign roentgenographic appearance and the confinement of the tumor within the cortex of the bone, an extremely rare phenomenon consistent with origin within the primitive mesenchyme of the Haversian canals. PMID- 6582790 TI - [Age-related changes in the diameter of collagen fibrils of the rat gingiva]. PMID- 6582791 TI - [Langerhans cells in the rat gingival epithelium-- an electron microscopic study]. PMID- 6582793 TI - [An experimental study on root canal filling in deciduous teeth. I. Radiographic observations of root resorption in deciduous teeth after root canal filling in dogs]. PMID- 6582792 TI - [The solubility of nickel and chromium in dental casting Ni-Cr alloys]. PMID- 6582794 TI - [An experimental study on the root canal filling in deciduous teeth. II. Histopathological observations of root resorption in deciduous teeth after root canal filling in dogs]. PMID- 6582795 TI - Possible hazard from the inserts of condenser humidifiers. PMID- 6582796 TI - [Immediate cardiac toxicity of rubidazone. A case reversible by isoproterenol]. AB - It is reported the first observation of cardiogenic shock without delay, in a leukemic patient during a first injection of Rubidazone (22050 RP) which is recognized so far, as one of the least cardiotoxic anthracyclines. It has been concluded: --anthracyclines, beside the risk of a progressive cardiomyopathy which is related to the dose and very well known, can induce immediate cardiac injuries, which cannot be predicted yet; --the perfect myocardial protector is still to be discovered; --in this case, beta-adrenergic stimulators appeared to be able to control the cardiotoxic effect of Rubidazone; --the last fact could be considered in the decision to maintain the treatment when such an injury occurs during a chemotherapy or when it seems absolutely necessary to use such a drug. PMID- 6582797 TI - Adjuvant chemotherapy in bone tumours. PMID- 6582798 TI - [Treatment results in osteogenic sarcoma in children and adolescents with the use of karminomycin]. AB - Carminomycin, a new antibiotic made in the USSR, was used in the treatment of 21 patients aged 5 to 15 years with extended osteogenic sarcoma. As a result of the treatment the number of the patients with lifetime prolonged for 1-2 years increased from 7.6 to 46 per cent. It was shown that the drug might be used for the prophylaxis of the localized forms of the disease in children. PMID- 6582799 TI - Effects of an overfeeding regimen--the affective component of the sweet sensation. AB - In some isolated parts of North Africa, there persists an ancient Berber custom of imposing an overfeeding regimen on young girls before marriage, to achieve an obesity which is regarded as aesthetically pleasing. We have studied the effect of such a regimen, lasting 12--16 weeks, on blood lipids and on the affective reactions to sweet tastes in nine subjects. It is known that the pleasantness of alimentary cues i.e., the feeding behaviour, depends on the subject's nutritional state. Only three subjects gained weight (by 3,5 and 8 kg), in spite of the strong pressure to overeat. No change in plasma lipid concentrations were observed. Nevertheless, at the end of the regimen every subject showed a highly significant decrease in the rated pleasantness of sweet stimuli when they were tested fasting. However, the reduction in sweet pleasantness induced by ingestion of a 200 ml load of 1.4 M glucose solution was not changed by the overfeeding. Thus, pressure to overfeed can reduce hunger, as seen in the attractiveness of sweet foods in fasted subjects, without modifying glucose-induced satiety. PMID- 6582800 TI - Biotransformation of linoleic acid and bile acids by Eubacterium lentum. AB - Eubacterium lentum is a gram-positive, nonsporeforming, nonmotile, asaccharolytic anaerobe. In the present investigations, 3 E. lentum strains (group E) isolated from rat feces were compared with 30 E. lentum strains (groups A, B, C, and D) previously studied by Macdonald et al. (I. A. Macdonald, J. F. Jellet, D. E. Mahony, and L. V. Holdeman, Appl. Environ. Microbiol. 37:992-1000, 1979). All strains alkalized (pH 8 to 8.5) arginine-containing (2 to 15 mg/ml) culture media, and growth of the majority of the strains was stimulated by arginine. All strains converted linoleic acid into transvaccenic acid by shifting the 12,13-cis double bond of linoleic acid into an 11,12-trans(?) double bond followed by biohydrogenation of the 9,10-cis double bond. Hence, biohydrogenation of linoleic acid is a new general characteristic of E. lentum. The 33 strains were also studied for bile acid deconjugase and hydroxysteroid dehydrogenase (HSDH) activities. The 6 strains in group D were steroid inactive; the 27 strains in groups A, B, C, and E were steroid active. The steroid-active group contained bile acid deconjugase-producing strains (groups C and E, plus strain 116 in group A) and nondeconjugating strains. All nondeconjugating strains of groups A and B developed 7 alpha- and 12 alpha-HSDH activities and contained 3 alpha-HSDH positive strains and 3 alpha-HSDH-negative strains. Deconjugating strains varied in HSDH activities. PMID- 6582801 TI - Cooperative effect of 1 alpha,25-dihydroxyvitamin D3 and dexamethasone in inducing differentiation of mouse myeloid leukemia cells. AB - Murine myeloid leukemia cells (MI) are induced to differentiate into macrophages by the metabolically active form of vitamin D3,1 alpha,25-dihydroxyvitamin D3[1 alpha,25(OH)2D3] (E. Abe et al., (1981) Proc. Natl. Acad. Sci. USA 78, 4990 4994). At 0.12-120 nM, 1 alpha,25(OH)2D3 suppressed cell growth in a dose dependent manner and markedly induced phagocytic activity, lysozyme activity, and C3-receptor formation. The potency of 1 alpha,25(OH)2D3, at 0.12-120 nM, in inducing differentiation was nearly equivalent to that of 10-10,000 nM of dexamethasone, one of the most potent stimulators of Ml cells. Simultaneous treatment with low physiological plasma concentrations of 1 alpha,25(OH)2D3 (0.12 nM) and dexamethasone (10 nM) induced differentiation of Ml cells equivalent to the responses obtained only by using much higher concentrations of the respective steroids when used separately. In addition, two variant clones of Ml cells resistant to either 1 alpha,25(OH)2D3 or dexamethasone were isolated. One was resistant to 120 nM of 1 alpha,25(OH)2D3 but sensitive to 10-1000 nM of dexamethasone. The other was resistant to 1000 nM of dexamethasone but sensitive to 12 nM of 1 alpha,25(OH)2D3. This suggests that the mechanism of action of 1 alpha,25(OH)2D3 in inducing differentiation of Ml cells is different at least in part from that of dexamethasone, and that combination therapy by both steroids may be useful in reducing leukemogenicity of Ml cells in vivo. PMID- 6582802 TI - Species variation in kinetic properties of ribulose 1,5-bisphosphate carboxylase/oxygenase. AB - Several kinetic parameters of ribulose-1,5-bisphosphate (RuBP) carboxylase/oxygenase from different species were measured and compared. The CO2/O2 specificity (VcKo/VoKc) was found to be about 80 in the enzymes from several C3 species and two C4 species. Specificity values of 58 and 70, respectively, were found in enzymes from the C4 plants Setaria italica and Sorghum bicolor. Two enzymes from cyanobacteria had values of about 50. Substitution of Mn2+ for Mg2+ reduced the CO2/O2 specificity by a factor of about 20 for all enzymes except that of Rhodospirillum rubrum, which was reduced by a factor of 10. Values for KMg2+(apparent) measured at 102 microM CO2 were found to vary by a factor of 8 between different RuBP carboxylase/oxygenase enzymes. Enzymes with high KMg2+(apparent) values generally had high Michaelis constants for CO2. The rate of CO2/Mg2+ activation was inhibited by RuBP in all enzymes, although the concentration of RuBP required to inhibit activation in the enzyme from the cyanobacterium Aphanizomenon flos-aquae was increased by an order of magnitude compared to other higher plant structural-type enzymes. The wide variation found in the kinetic properties of RuBP carboxylase/oxygenase isolated from diverse species appears to be determined in part by past evolutionary pressures and the present physicochemical environment in which the enzyme functions. PMID- 6582803 TI - Glucocorticoids inhibit the coordinated translation of alpha- and beta-globin mRNAs in Friend erythroleukemia cells. AB - The dimethylsulfoxide (Me2SO)-mediated induction of hemoglobin synthesis in Friend erythroleukemia cells is inhibited by the glucocorticoids hydrocortisone, dexamethasone, and fluocinolone acetonide; hydrocortisone, at concentrations of 10(-5) to 10(-8) M inhibits by 90-30% and fluocinolone acetonide at concentrations of 10(-8) to 10(-11) M shows a greater than 90% inhibition. At these concentrations the hormones have no effect on cell growth or viability. In this study it has been shown that there is a group of proteins, including the alpha- and beta-globins, whose regulation is associated with the induction of Friend erythroleukemia cell differentiation, and that the expression of some of these, in addition to alpha- and beta-globin, is affected by glucocorticoids. The levels of alpha- and beta-globin mRNAs are very close to fully induced levels and preclude transcription as a major site for glucocorticoid control. In addition, it has been shown that glucocorticoids inhibit the translation of alpha- and beta globin mRNAs, that the level of this inhibition is concentration dependent, and that the translation of beta-globin mRNA is slightly more sensitive to inhibition than the translation of alpha-globin mRNA. It is concluded that, although the translation of alpha- and beta-globin mRNA is a major site of inhibition by glucocorticoids, there is a detectable amount of alpha- and beta-globin synthesized. Thus, part of this mechanism may involve a differential sensitivity of alpha- and beta-globin mRNA translation which results in unequal amounts of globin synthesis and an overall more potent inhibition of hemoglobin formation. PMID- 6582804 TI - [Interferons--its method of administration and adverse effect related to pharmacokinetics ]. AB - The potential role of interferons in the treatment of malignant diseases is currently being evaluated. This paper reviews experimental and clinical findings regarding pharmacokinetics, method of administration, and side reactions of interferons. Interferon in the blood is rapidly cleared from the circulation. Intramuscular injection of alpha-interferon causes low but stable interferon levels in the blood. However, in the case of beta-interferon, interferon is never detected consistently in the blood after intramuscular or subcutaneous administration. The studies with animal models suggest that doses higher than those given in current clinical trials will be necessary to obtain clearly beneficial effects in human. The maximum safely tolerated daily dose is appreciably higher than that used in most previous studies, although even at this level, considerable toxicity may be encountered. Adequate method of administration, route, dose and interval are not yet established at all. Exact mechanism of anticancer activity is not yet well defined. The most frequent side reaction is fever. However, the exact mechanism to cause these side reactions is also not yet clarified. Dose limiting central nervous system toxicities, hypotension, hypocalcaemia etc. are occasionally encountered in some instances. Antibody to interferon is demonstrated in some cases. Purification of interferon does not always causes reduction of side reactions. The treatment of cancer cases with interferon has just started and there are many problems to be solved. However, therapeutic beneficial may be achieved in the treatment of malignant tumors by appropriate combinations of interferon with conventional treatment. More laboratory studies as well as carefully controlled clinical observations are warranted. PMID- 6582805 TI - [Evaluation of severe side effects of high-dose methotrexate in osteosarcoma]. AB - Severe toxicity associated with high-dose methotrexate (HD-MTX) combined with citrovorum factor rescue (CR-Rescue) was evaluated in the 365 courses in 54 patients with osteosarcoma. Anaphylactoid reaction developed in 8 patients (14.8%), 8 courses (2.2%). The mean age was 14 years old. The total dose given was 85770mg in mean and 1840 mg per body weight (kg). The occurrence was proportional to the dose and the number of the course. Plasma MTX concentration remained under 10(-7) mol/l during the episode. Delayed clearance of MTX from plasma was treated with massive CF-Rescue in 10 patients (19%) (the mean age of 13.6), in 12 courses (3.3%), which was observed on an average at the 7th course when the total dose reached to 59530 mg, or 1390 mg per body weight (kg). Neurotoxicity was observed in only one patient (1.9%), one course (0.3%). Severe toxicity associated with HD-MTX therapy tended to occur according to dose escalation and the number of administration. To overcome severe toxicity careful observation of clinical symptoms and signs as well as adequate treatment of side effects without delay are of importance. PMID- 6582807 TI - Aggressive pulmonary resection for metastatic osteogenic and soft tissue sarcomas. AB - From July, 1974, to July, 1979, 36 patients with osteogenic sarcoma and 25 patients with soft tissue sarcoma underwent a total of 95 thoracotomies for resection of isolated pulmonary metastases. In only 6 patients could all palpable disease not be resected, although it was certain that microscopic disease remained in some patients. Twenty-six patients underwent more than 1 thoracotomy. The pulmonary lesions were found not to be metastases in 4 patients with osteogenic sarcoma and 4 with soft tissue sarcoma. The four-year survival for patients with nonsynchronous metastases from osteogenic sarcoma was 44%, not significantly different from a survival of 35% for patients with soft tissue sarcoma. The 6 patients with synchronous osteogenic sarcoma metastases all died within 16 months. Survival following thoracotomy did not correlate statistically with time from primary tumor resection to lung recurrence, unilateral versus bilateral disease, or number of nodules. For the 33 patients in whom tumor doubling time could be calculated, survival with either type of sarcoma was significantly better in patients with a tumor doubling time greater than 40 days versus a tumor doubling time less than or equal to 40 days. Any patient with metastatic osteogenic sarcoma or soft tissue sarcoma confined to the lungs should be considered for resection in conjunction with chemotherapy. PMID- 6582806 TI - [Case of metastatic malignant melanoma responded to combination chemotherapy with DTIC]. AB - A 60-year old woman with metastatic malignant melanoma who was well responded to a combination chemotherapy including DTIC was reported. She was noted a lentigo in the left first toe and histological examination revealed malignant melanoma in October 1978. Amputation of the left lower leg and dissection of the left inguinal lymph nodes had been done. OK-432 was injected as postoperative immunotherapy. She was readmitted to our hospital with the symptoms of pain and numbness of the left arm. Physical examination revealed a palpable mass in the left supraclavicular region. Incisional biopsy of the supraclavicular mass revealed metastatic malignant melanoma. She received a combination of 100mg DTIC i.v. for 5 days, 100 mg ACNU i.v. for one day and 1 mg VCR i.v. for one day (DAV chemotherapy) postoperatively. Subcutaneous injection of OK-432 with the dose of 5 KE per week was continued. Major side effects of DAV chemotherapy were nausea and transient leukocytopenia. No serious side effects were observed. On completion of the first course of DAV chemotherapy, abnormal shadow of the left apex was completely disappeared and on completion of the third course of DAV chemotherapy, high density area was markedly decreased in the cervical CT. She gained symptomatic reliefs and was discharged in August 1983. The combination chemotherapy including DTIC appeared to be effective in the treatment of metastatic malignant melanoma. PMID- 6582808 TI - PGE2 and 6-keto-PGF1 alpha excretion in Brattleboro rats with hereditary hypothalamic diabetes insipidus. AB - Brattleboro rats, a strain with hereditary hypothalamic diabetes insipidus, were found to excrete significantly higher amounts of both renal (PGE2) and vascular (6-keto-PGF1 alpha) prostaglandins than control Long-Evans rats. The increased prostaglandin synthesis was reversed by vasopressin treatment. These results suggest that in the intact organism prostaglandin synthesis in the kidneys and in the endothelial cells of blood vessels may be under tonic inhibitory control by vasopressin. The findings further support the view that prostaglandins play an important role in the regulation of water excretion and in the pathogenesis of polyuric conditions. PMID- 6582810 TI - Fluphenazine and multifocal tic disorders. AB - In a five-year study, 21 patients with multiple tic disorder intolerant of haloperidol therapy were treated with fluphenazine hydrochloride. Sixteen of these patients had fewer side effects with fluphenazine and had either equivalent (five patients) or better (11 patients) tic control. Fluphenazine can be an effective treatment for multiple tics in patients with dose-limiting side effects related to haloperidol. PMID- 6582809 TI - [Acute neurological deficit in treated malignant hemopathies]. AB - Neurological complications are frequent in the course of malignant hematological diseases. Five cases occurring in children are reported here: 4 presented with acute lymphoblastic leukemia and 1 with lymphoma. The clinical pattern was remarkably acute, with fever, seizures and a neurological deficit. Brain CT scan showed a limited hypodensity sometimes with a contrast uptake in the involved area in the first days or weeks. Seroconversion for measles virus occurred in 3 cases, associated with the presence of helix-like bodies in the cerebrospinal fluid and/or cerebral tissue. These case reports are discussed with respect to the neurological complications already reported in patients with hematologic malignancies. The hypothesis of measles-virus related encephalitis seems likely. PMID- 6582811 TI - Enzyme activity in Tourette's syndrome. AB - Activity levels of platelet monoamine oxidase (MAO), plasma amine oxidase (PAO), erythrocyte catechol-o-methyltransferase, and dopamine-beta-hydroxylase were measured in 24 drug-free patients with Tourette's syndrome (TS) and in 24 normal control subjects matched for age and sex. Only MAO and PAO activity levels were significantly higher in patients than in controls. Activity of the four enzymes was uncorrelated with age, sex, age of onset of illness, severity of illness, family history of tics and Ts, and ethnic-religious background. The hypothesis that probands with heavily loaded pedigrees or with Ashkenazi ethnic-religious background would be more biochemically deviant was not supported. PMID- 6582812 TI - Complex visual hallucinations and cyclosporine. AB - Insidious loss of visual acuity and simultaneous onset of complex visual hallucinations were observed in a patient with acute lymphoblastic leukemia who had recently received bone marrow transplantation and was being treated with prednisone and cyclosporine to suppress graft-v-host disease. Problems with visual acuity and visual hallucinations spontaneously ameliorated with reduction and termination of cyclosporine treatment. The complex visual hallucinations caused considerable psychological distress for the patient. These hallucinatory phenomena were placed within the framework of loss of control and decreased competence, often experienced by children with chronic illness. Recommendations for prompt therapeutic intervention were made. PMID- 6582813 TI - Interactions between thyroxine, hydrocortisone and cyclophosphamide in their effects on the eruption of the rat mandibular incisor. AB - The effects on the unimpeded eruption rates of the rat mandibular incisor of daily doses of thyroxine (0.5 mg/kg) and hydrocortisone (12.5 mg/kg) and of a single injection of cyclophosphamide (40 mg/kg), either alone or in combination, were studied over approximately 15 days. Both the thyroxine and hydrocortisone alone produced increases in eruption, whereas a decrease was recorded with cyclophosphamide alone. When thyroxine was combined with hydrocortisone, the increase in eruption rate was greater than that with thyroxine or hydrocortisone alone. When cyclophosphamide was combined with hydrocortisone, there was no difference compared with cyclophosphamide alone. These results obtained with drug combinations are consistent with eruption having a multifactorial basis. PMID- 6582814 TI - Salivary secretion induced from isolated, perfused rat submandibular glands by sympathomimetic agents. AB - Saliva secretion was elicited from the isolated preparations by isoproterenol and phenylephrine, at concentrations from 10(-8) to 10(-5) M. The volumes of saliva secreted during a 60-min period, the rates of flow and the electrolyte composition of saliva secreted in response to each secretagogue were similar to those in vivo. Replacement of perfusate Na+ inhibited the secretion of fluid induced by isoproterenol (75 per cent) and by phenylephrine (99 per cent). It also reduced the Na+ and K+ concentrations of saliva elicited by the two secretagogues and inhibited isoproterenol-induced protein secretion (81 per cent). Omission of Ca2+ from the perfusate also inhibited fluid secretion (isoproterenol-stimulated, 84 per cent; phenylephrine-stimulated, 99 per cent) and isoproterenol-induced protein secretion (69 per cent). The absence of the divalent cation in the perfusate resulted in increased Na+ and decreased K+ concentrations in isoproterenol-stimulated saliva and in reduced K+ concentrations in phenylephrine-stimulated saliva. Administration of 10(-5) M phentolamine did not modify the volume of saliva secreted in response to isoproterenol, but reduced the response to phenylephrine by 90 per cent. The antagonist caused some reduction in the Na+ and K+ concentrations of isoproterenol-stimulated saliva, but did not modify those of phenylephrine-evoked secretion. Little recovery in fluid secretion was observed when the isolated gland was perfused with complete perfusate in the presence of phenylephrine after perfusion with Na+- or Ca2+-free solutions. Thus perfused rat submandibular glands are fully functional preparations, which respond to sympathomimetic agents of the alpha and beta types.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6582815 TI - Cortisol inhibition of development of various lysosomal enzymes in cultured palatal shelves from mouse embryos. AB - The lysosomal enzymes, non-specific esterases, beta-glucuronidase, N-acetyl-beta glucosaminidase and aryl sulphatases A and B, were examined histochemically in medial-edge epithelia (MEE) of single palatal shelves in vitro. Activities of most enzymes increased gradually in MEE with a peak at 24-26 h of culture. Aryl sulphatase B activities were lower than the others and aryl sulphatase A activities could not be detected in the palatal cells during the entire culture period. By 48 h, MEE cells degenerated and were lost. Cortisol suppressed increased activities of these hydrolytic enzymes and prevented programmed breakdown of the palatal epithelium. PMID- 6582816 TI - The determination of amino-acid enantiomers in human saliva with Chirasil-Val. AB - The use of polysiloxanes as stationary phase in glass-capillary gas chromatography carrying chiral groups enables the separation and quantitation of most amino-acid enantiomers and a variety of other compounds in a much shorter time than previously. This phase exhibits low volatility and high thermal stability and may be used in routine analysis with open tubular columns at temperatures of at least 175 degrees C. Most protein amino acids are separated in a temperature programme between 90 and 175 degrees C, thus obviating the need for multiple injections. Resolution factors are lower than those of other diamide phases containing the L-valine-t. butyl-amide group, but are sufficient for resolution of almost all protein amino-acid enantiomers. Incomplete recovery from the sample, incomplete derivatization, hydrolysis and thermal decomposition of the derivative and shifting response factors can be compensated for by adding the unnatural enantiomer. The accuracy of amino-acid analysis by enantiomer labelling is equal or superior to that of known methods and permits complete analysis of peptides with respect to both amino-acid composition and the optical purity of each amino acid. The application of this method to human saliva provided information concerning enzymic and bacterial process in the mouth. PMID- 6582817 TI - A scanning electron microscope study of dentinal tubules from un-erupted human teeth. AB - Twelve fully-formed human third molars were obtained immediately after extraction, the roots removed, the crowns split into buccal and lingual portions fixed in Karnovsky solution and either left in the mineralized state or demineralized in a formic/citric acid solution. Specimens were dehydrated, critical point dried and examined by SEM. Demineralization of the teeth resulted in the loss of peritubular dentine and the appearance within each tubule of a sheet-like structure which extended from the predentine-dentine junction to the dentine-enamel junction. This sheet-like structure, here termed the lamina limitans, may play a role in the control of peritubular dentine formation. PMID- 6582818 TI - The effect of fluoride on the electrophoretic patterns of developing rat molar enamel. AB - Rat pups were given 4 micrograms F/g X day from 3-7 days of age by intraperitoneal injection of NaF. Demineralized enamel matrix from 8- to 15-day old rats was subjected to SDS-polyacrylamide gel electrophoresis. The results showed that there was a decrease in the relative proportion of high molecular weight proteins with maturation. Enamel formed in the presence of F showed more abundant low molecular-weight proteins in the secretory stage and a delay in the decrease of high molecular-weight proteins with maturation. These observations indicate that F may influence the assembly or dis-assembly of early enamel proteins. PMID- 6582819 TI - Concentrations of arachidonic-acid metabolites in human mixed saliva are independent of flow rate. AB - Three prostaglandins, PGE2, PGF2 alpha and PGI2 (measured as 6-keto-PGF1 alpha), serologically active 6-sulphidopeptide-containing leukotrienes and hydroxyeicosatetraenoic acids were determined by radioimmunoassay of mixed saliva obtained at several flow rates from 8 healthy volunteers. Flow rates ranged from 0.26 +/- 0.02 ml/min when saliva production was unstimulated to 1.18 +/- 0.14 ml/min (values mean +/- SEM) when maximally stimulated. Concentrations of all compounds tested remained independent of changes in mixed-saliva flow rate. PMID- 6582820 TI - An electrophysiological study of the reinnervation of reimplanted and autotransplanted teeth in the cat. AB - There is evidence to suggest that some reimplanted and autotransplanted teeth are reinnervated, but the time-course of reinnervation and the properties and source of the reinnervating axons are not known. This reinnervation has been investigated using electrophysiological techniques in 6 adult cats. In each cat, one lower canine and three incisor teeth were extracted and immediately reimplanted. Three other lower incisor teeth were transplanted into an edentulous area. The teeth were splinted in position for 6 weeks. Bipolar electrical stimulation of 22 of the 38 successfully reimplanted or autotransplanted teeth evoked a jaw-opening reflex within 9-24 weeks of the surgery. The reflex had a raised threshold and increased latency. Twenty-four weeks after reimplantation or autotransplantation, 32 of the 38 teeth contained nerve fibres travelling in the ipsilateral inferior alveolar nerve but, compared with normal, the fibres had decreased conduction velocities and produced small amplitude compound action potentials in the teeth when stimulated. Seven of the reimplanted teeth contained nerve fibres travelling in the contralateral inferior alveolar nerve. These results suggest that reimplanted and autotransplanted teeth may be reinnervated but the axons are small in diameter, and either few in number or mainly located near to the apices of the teeth. Reimplanted teeth may be reinnervated by axons from the nerve which supplied them originally or by sprouting and ingrowth of axons from nerves supplying adjacent tissues. PMID- 6582821 TI - The effects of continuous axially-directed intrusive loads on the erupting rabbit mandibular incisor. AB - A cantilever beam strain-gauge transducer was used to apply continuous light intrusive loads (0.2-0.4 and 2.5 g) to unimpeded mandibular incisors. Tooth position was continuously monitored using a variable capacitance displacement transducer. After 4 days of unimpeded eruption, the animals were divided into three experimental groups: no axial loading (6 rabbits); 0.2-0.4 g of axial loading (3 rabbits); 2.5 g of axial loading (3 rabbits). During a 4-h period, light forces (0.2-0.4 g) slowed eruption to a stop, whereas a heavier force (2.5 g) intruded the teeth. The data support Burn-Murdoch's (1981) (Archs oral Biol. 26, 939-943) contention that the eruptive force of unimpeded continuously erupting incisors is significantly less than previously thought. PMID- 6582822 TI - Respirator retina. AB - Retinas from 14 comatose patients, who had been sustained with a respirator for one or more days before death, had selective characteristic alterations (ie, autophagy, cell swelling, and coagulation necrosis) of inner nuclear layer in a patchy pattern in posterior fundus. Bipolar cells were most often affected, but amacrine and horizontal cells also were substantially damaged. Cells of Muller and vascular cells were largely spared. These lesions are ascribed to oligemia (ischemia) since the inner nuclear layer is a microscopic vascular watershed (boundary zone) between the choroidal and retinal circulations. PMID- 6582823 TI - Proper treatment of peritonsillar abscess. An exercise in cost containment. PMID- 6582824 TI - Binding sites for prostaglandin F2 alpha in human corpora lutea. PMID- 6582825 TI - Dental health of children in Australia 1977-1982. PMID- 6582826 TI - Dental observations at Australian Antarctic stations. PMID- 6582827 TI - Outpatient oral surgery. PMID- 6582828 TI - An exploratory study of the dental status of secondary school students according to history of enrolment with the School Dental Service of Victoria. PMID- 6582829 TI - Cure of resin based restorative materials. II. White light photopolymerized resins. PMID- 6582830 TI - Oral cancer in South Australia--incidence and case survival. PMID- 6582831 TI - A case of incorrect orthodontic treatment with submerging elastics. PMID- 6582833 TI - Anaesthesia in dental surgeries. PMID- 6582832 TI - Future of oral surgery. PMID- 6582834 TI - Alternative carotid lesions. PMID- 6582835 TI - Endoscopic examination of the cardio-oesophageal junction. PMID- 6582836 TI - A philosophical background to scientific method. PMID- 6582837 TI - Algorithms in the management of cerebrovascular disease. AB - We present a diagnostic approach to the various clinical presentations of patients with cerebrovascular disease. It involves grouping the patients into five categories: (1) asymptomatic, (2) transient neurologic episodes, (3) unstable neurologic deficits, (4) prolonged neurologic deficits and (5) completed stroke. An algorithm is given for each category and an approach to management is outlined. The algorithms are clinically validated by reviewing the results of 185 reconstructive operations performed on patients with manifestations of cerebrovascular disease who were managed following the algorithms. PMID- 6582838 TI - Aneurysms of the carotid arteries. AB - Twenty-one patients with 22 carotid aneurysms have been managed between 1960 and 1982. The aneurysms were congenital (3), atherosclerotic (8), false aneurysms after previous carotid operation (10) and mycotic (1). Carotid ligation was performed on four patients, one of whom suffered a stroke and died. Carotid reconstruction was undertaken in 15 patients without operative mortality but with postoperative strokes in two. Autogenous repairs of the carotid are recommended. PMID- 6582839 TI - Fibromuscular dysplasia of the carotid artery. AB - A series of 101 patients with carotid fibromuscular disease have been treated and followed for at least one year. Transient ischaemic attacks and amaurosis fugax were the most common presentation, while 22% of patients had had a completed stroke prior to surgery. Graduated dilatation was the most commonly used surgical method. In 150 operations, there were no deaths and three operative strokes. The operative repair has proven to be very durable and associated with a low incidence of neurologic events. PMID- 6582840 TI - Spontaneous dissection of the carotid artery. AB - Twenty-seven patients with spontaneous dissection have been managed between 1966 and 1982. Most presented with focal neurologic symptoms and 33% had had a completed stroke. Because of early failures of attempted operative repair, expectant management was adopted in 17 patients, none of whom had further neurologic events. The artery had re-expanded to a new normal caliber in 9 of 10 patients evaluated by angiography. PMID- 6582841 TI - Carotid body tumours. AB - Twenty-one patients with 22 carotid body tumours have been managed between 1963 and 1982. All presented with a neck mass and, if the tumour was extensive, pain. The diagnosis was made clinically, by ultrasound (2) and by angiography (16) and confirmed by biopsy in 19 patients. Eighteen resections were performed, without mortality but with a stroke rate of 16% and an overall complication rate of 36%. Four patients required reconstruction of the internal carotid artery. PMID- 6582842 TI - Diagnostic accuracy of flexible endoscopic biopsy in carcinoma of the oesophagus and cardia. AB - The endoscopic diagnoses of 51 patients with carcinoma of the oesophagus and cardia were studied. Tissue for histology and cytology was obtained through either the flexible (28) or rigid (23) endoscope and the results compared. Squamous cell carcinoma was diagnosed accurately (100%) by either method. Adenocarcinoma was poorly diagnosed by flexible endoscopy (five out of 13 with one false positive) while rigid endoscopy remained accurate (six out of six). Misdiagnosis with the flexible endoscope has been shown to occur in the presence of inflammation of the mucosa or tumour infiltration of the submucosa of the lower oesophagus. This has been attributed to the inadequacy of the specimen size for accurate diagnosis in these circumstances. PMID- 6582843 TI - Proctocolectomy without ileostomy: ileo-anal anastomosis with an ileal reservoir. AB - Six patients with polyposis coli and five with chronic ulcerative colitis underwent total colectomy and mucosal proctectomy with preservation of the anal sphincter and levator ani muscle. An ileal reservoir, constructed from the terminal ileum, is brought out through the anal sphincter for anastomosis to to the anus at the dentate line. Two patients in the series had a three-limb reservoir with anastomosis of a short efferent ileal limb to the anus (Parks technique). Nine patients had a two-limb J-shaped reservoir with the apex of the reservoir anastomosed to the anus (Utsunomiya technique). All patients had a temporary defunctioning ileostomy. There were no deaths. Two patients suffered from severe infection within the rectal muscle cuff. One resolved completely with spontaneous drainage into the reservoir; the other had continuing sepsis and eventually required excision of the anus and conversion to a continent ileostomy. All patients remain in good general condition with no disturbance of urinary or sexual function. Continence is satisfactory in all patients but two wear a pad at night. All evacuate their reservoirs spontaneously: none requires the use of a catheter. For most patients stool frequency varies from four to eight times daily but two patients have more frequent bowel motions. Colitis patients have more frequent bowel activity than those with polyposis. Three patients take Imodium tablets to lessen bowel frequency. The operation should be reserved for specialized centres and is still under trial; however, it appears likely to become the operation of choice for all patients with polyposis coli and for many patients with chronic ulcerative colitis. PMID- 6582844 TI - A new approach to total colonic aganglionosis. AB - Two babies with total colonic aganglionosis treated by a modified Martin-Duhamel procedure are described. Ileostomy, long side-to-side ileocolic anastomosis and Duhamel's pull-through were the sequence of steps in this staged management. Neonatal ileostomy followed by ileocoloplasty proximal to the ileostomy facilitates home management of the new born patient who then produces well formed stools. This approach avoids neonatal pull-through and obviates the need for parenteral alimentation. PMID- 6582845 TI - Radical radiotherapy for carcinoma of the prostate: localized and extended field treatment. AB - From 1972 to 1981, 50 patients who received radical radiotherapy for clinically localized adenocarcinoma of the prostate have been reviewed. Of these 50 patients, 70% showed some degree of reaction to the radiotherapy in the form of minor, transient urinary or bowel symptoms. Significant complications occurred in 20%, the most common of which was proctitis. There was no apparent relation of complication rate to the extent of the radiation field. The overall corrected 5 year survival was 74%. PMID- 6582846 TI - Bilateral eye injuries from motor vehicle trauma. AB - Three patients admitted after motor vehicle accident trauma are presented. Each had bilateral eye injuries with significant but variable visual loss. Common features to each were alcohol intoxication and lack of use of seatbelts, and each was young and male. New microsurgical ophthalmological techniques as well as a multidisciplinary surgical approach to these types of injuries are emphasized. PMID- 6582847 TI - Flexor tendon repair in congenital adactyly: a case report. AB - Delayed tendon grafting of the single flexor tendon to the little finger in a childs adactylic hand is described. Sufficient function has been restored for everyday use. PMID- 6582848 TI - Calcific enterolith perforation: an unusual complication of small bowel anastomosis. AB - A 61 year old man presented with peritonitis which at laparotomy was found to be due to an enterolith perforation of a blind end of a previous side-to-side ileal anastomosis. PMID- 6582849 TI - Actinomycosis of the gall bladder. AB - This report describes the sixth case of actinomycosis of the gall bladder and discusses the salient features of the diagnosis and management of this rare disease. PMID- 6582850 TI - Changes in tissue concentration of prostaglandins during endochondral bone differentiation. AB - Prostaglandins are known to be involved in bone metabolism as evidenced by the ability of PGE2 to induce bone resorption. It was, therefore, of interest to determine if there was an association of specific prostaglandin metabolites with the various stages of developing bone by utilizing the matrix-induced endochondral bone formation system. During mesenchymal cell proliferation a peak of endogenous thromboxane B2 was detected. In the subsequent stages of chondrogenesis and chondrolysis PGF2 alpha was in high concentration, whereas during bone formation PGE2, 6-Keto-PGF1 alpha and thromboxane B2 were elevated. These changes in the peak levels of the various prostaglandin metabolites may reflect differences in the cell populations and function associated with various stages of endochondral bone formation. PMID- 6582852 TI - Cerebral ischemia. PMID- 6582851 TI - Characterization of insulin binding to the erythroleukemia cell line K 562. AB - The K 562 is a transformed human erythroid stemcell and is used as a target cell for NK-T-cells. In this study the presence of insulin receptors in K 562 is established. The best binding and negative cooperativity was found in the two Hepes containing buffers whereas no cooperativity was obtained in the Krebs Ringer buffer. The calculated affinity constants and receptor number per cell varied according to the buffer. Preincubation with insulin caused a down regulation of the insulin binding capacity. 10 ng/ml caused a lowering of the affinity, with an unchanged number of receptors. 100 ng/ml caused a decrease in receptor number with unchanged affinity. These results were found in both Hepes and Krebs-Ringer phosphate buffer. IGF-I shows cross-reactivity with the insulin receptor, with a potency of 12 and 100 times less than insulin in Krebs-Ringer phosphate buffer and G-buffer respectively. However, no specific IGF-I receptors were found. The presence of receptors on K 562 cells suggests a biological role for insulin. The different results in the different buffers, indicate that a buffer containing Hepes and/or Tris, is required to expose negative cooperativity and make the receptors more accessible to insulin. PMID- 6582853 TI - Urgent cardiac valve replacement due to infective bacterial endocarditis in non drug users. PMID- 6582854 TI - The Puerto Rico Sickle Cell Disease Clinic and its transition into a genetic disease program. PMID- 6582855 TI - Surgical treatment of cerebral ischemia. PMID- 6582856 TI - Hypothermia in the tropics. PMID- 6582857 TI - C.T. diagnosis: aneurysm of the right posterior communicating artery. PMID- 6582858 TI - [Transplants in present society]. PMID- 6582859 TI - Renal oncocytoma: case report. PMID- 6582860 TI - [Etiology of diabetes mellitus]. PMID- 6582861 TI - [Pathology Review. Cardiac myxoma]. PMID- 6582862 TI - Persistent trigeminal artery: report of seven cases. PMID- 6582863 TI - [Release of prostaglandins by spleen cells in the mouse after incubation with thymosin]. AB - The effects of i.p. administration in mice of a rabbit antiserum specific for thymic epithelial cells on T-dependent cellular immune response has been studied. As measure of T-dependent cellular immune response were taken: 1) a delayed type hypersensitivity test based on the swelling of footpad following SRBC injection in immunized mice; 2) a graft-versus-host assay valuated by splenomegaly induced in newborn mice after donors mice spleen cells i.p. injection. Both assays showed a significant reduction of cellular T-dependent immune response. The cinetic of this effect is in accord with ultrastructural changes in mice thymus, following the same treatment, previously observed. PMID- 6582864 TI - [Antiluteolytic activity of embryos in various animal species]. AB - In mare, sheep and bitch the action of PGF2 alpha have been studied in the early pregnancy. Prostin F2 alpha (Upjohn) and Gabbrostim (Vetem ) are commercial names of PGF2 alpha used at doses which are luteolytic in the non pregnant female. Seric progesterone showed a temporaneous decrease but after four or five days the initial values were restored and none of the experimental females aborted. In the opinion of authors, embryo per se and/or with its adnexa might have interacted blocking the mechanism of luteolysis induced by the administration of PGF2 alpha. PMID- 6582866 TI - Modified bonded amalgam technique. PMID- 6582865 TI - A single-visit treatment of septic root canals using periapically extruded endomethasone. PMID- 6582867 TI - The aetiology and psychology of dental fear. PMID- 6582868 TI - Disorders of the masticatory apparatus. PMID- 6582869 TI - Comparison of the structure and properties of conventional and siliconised alginates. PMID- 6582870 TI - Unusual initial manifestation of acute leukaemia in a child. PMID- 6582871 TI - Cervical lymphadenopathy associated with toxoplasmosis. PMID- 6582872 TI - Dilaceration--a surgical/orthodontic solution. PMID- 6582873 TI - Spontaneous fracture of the mandible following third molar removal. PMID- 6582874 TI - Multiple endocrine adenomatosis type IIb. PMID- 6582875 TI - Reasons for choice of dentistry as a career in applicants to a British dental school. PMID- 6582876 TI - Specialisation in dentistry. PMID- 6582877 TI - 'A new biological dressing for areas denuded of mucous membrane'. PMID- 6582878 TI - 'Children's dental health 1983'. PMID- 6582879 TI - Manpower imbalance in oral surgery. PMID- 6582880 TI - 'Attitudes towards dental care among young people in Scotland. PMID- 6582881 TI - 'The role of fixed appliances in general dental practice'. PMID- 6582882 TI - Orthodontic teaching. PMID- 6582884 TI - Guidelines for root canal treatment. PMID- 6582883 TI - A simple zygomatic splint. PMID- 6582885 TI - A personal view. The anatomy of unacceptable behaviour. PMID- 6582886 TI - Fluoridation and dental caries experience in 5-year-old children in Newcastle and Northumberland in 1981. PMID- 6582887 TI - Merger of the Royal and Guy's. PMID- 6582888 TI - 'Natural Nashers' dental health education programme. The results of a field trial in Scotland. PMID- 6582889 TI - The endogrip. A device to improve the efficiency of root canal preparation. PMID- 6582890 TI - Erythema migrans affecting the palate. PMID- 6582891 TI - Treatment of patients with glandular fever with ampicillin or amoxycillin. PMID- 6582892 TI - Surveyplus. A review of a computer program. PMID- 6582893 TI - The relationship between social class and dental health in 5-year-old children in the north and south of England. PMID- 6582894 TI - Jaw opening forces in human subjects. PMID- 6582895 TI - An investigation of marking materials used in occlusal adjustment. PMID- 6582896 TI - Comparison of CA 19-9 and carcinoembryonic antigen (CEA) levels in the serum of patients with colorectal diseases. AB - The serum levels of CA 19-9 and carcinoembryonic antigen (CEA) were determined in 37 patients with benign colorectal diseases and in 111 patients with newly discovered colorectal carcinomas or clinically verified relapses. In cancer patients, the CA 19-9 level ranged from normal (0-37 U ml-1) to 77,500 U ml-1 whereas all samples but one from patients with benign colorectal diseases had a normal value. CA 19-9 was increased in 46% and 45% of patients with an advanced (Dukes C or D) carcinoma or a verified recidive, respectively. Only one out of 26 patients (4%) with a localized (Dukes A or B) carcinoma displayed an elevated CA 19-9 level (greater than 37 U ml-1). No clear correlation was found between the CA 19-9 and CEA levels. The sensitivity of the CA 19-9 test (36%) was poorer than that of the CEA assay (69%), but the new test was markedly more specific (97% vs 70%) than the CEA assay. PMID- 6582897 TI - Cellular repair of radiation damage: mechanisms and modifying agents. Proceedings of the 11th L.H. Gray conference. Glasgow, 18-22 July 1983. PMID- 6582898 TI - Concepts, problems and the role of modifying agents in the relationship between recovery of cells' survival ability and mechanisms of repair of radiation lesions. AB - The two strands of the problem are the shapes and changes with time of cell survival curves on the one hand and the responses of cell constituents to radiation on the other. Evidence of correlations between results of studies of these two types of phenomena under the influence of a wide range of modifying agents is required to establish mechanisms. Recovery may be defined as referring to the whole cell, while repair should be regarded as a process carried out by one substance on another. The degrees of usefulness and possible deficiencies of a multi-hit/target model and a repair model for explaining cell survival curves and cell recovery are compared in a range of circumstances. A fully satisfactory model is not yet available. PMID- 6582899 TI - X-ray and UV mutagenesis in two L5178Y cell strains differing in tumorigenicity, radiosensitivity, and DNA repair. AB - L5178Y-R (LY-R) and L5178Y-S (LY-S) cells are inversely cross sensitive to X-rays and UV (254 nm) radiation (Dox = 0.94 and 0.69 Gy, Dqx = 0.32 and 0.010 Gy; Douv = 0.07 and 5.5 J m-2, Dquv = 3.8 and 1.6 J m-2, for LY-R and LY-S cells, respectively). Mutagenicity of the two cell strains at the hypoxanthine-guanine phosphoribosyl transferase (HGPRT) locus was examined using 6-thioguanine resistance as a marker. LY-S cells showed remarkably low mutability; the spontaneous mutation frequency of LY-S cells was at least two orders of magnitude lower than that for LY-R cells (less than or equal to 0.005 vs. approximately 2.5 mutants per 10(5) survivors). The induced mutation rates for X-rays were 0.95 +/- 0.14 and 0.35 +/- 0.09 mutants per Gy per 10(5) survivors, and for UV radiation, 21.5 +/- 8.2 and 0.04 +/- 0.02 mutants per J m-2 per 10(5) survivors, for LY-R and LY-S cells, respectively. The results suggest that LY-S cells are efficient in the repair of UV-induced damage but not of lesions produced by ionizing radiation. The reverse appears to be true for LY-R cells. In addition, the low mutability of LY-S cells suggests that the processing of pre-mutational lesions may lead to lethality in this strain. PMID- 6582900 TI - The influence of PLD repair on the induction frequency of 6-thioguanine resistant mutants in Ehrlich ascites tumour cells after exposure to X-rays and ultraviolet light. AB - We have studied the influence of conditions promoting repair or expression of potentially lethal damage (PLD) on the induction of 6-thioguanine resistant mutants in plateau phase Ehrlich ascites tumour cells after exposure to either X rays or ultraviolet light (UV). The cells were assayed either immediately after irradiation, or after a 6-8 h incubation under plateau phase conditions (in the case of exposure to X-rays) or 24 h incubation in balanced salt solution (in the case of exposure to UV light) to allow repair of PLD. For expression of PLD the cells were incubated for 4 h with 120 microM beta-araA, a treatment known to result in an exponential survival curve. For selection of the induced mutants the cells were incubated with 1.5 micrograms ml-1 6-thioguanine after a growth period of 6-12 days in fresh medium to allow expression. The results indicated a decrease in the number of mutants induced per 10(5) cells, with both radiations, when these were allowed to repair PLD, as compared with that of cells processed immediately after irradiation. An increase in the number of mutants induced was observed after postirradiation treatment of X-irradiated cells with beta-araA, but a decrease after exposure to UV light and subsequent treatment with beta araA. We suggest therefore that potentially lethal lesions resulting in the formation of the shoulder of the survival curve are not identical with the lesions causing the induction of mutants after exposure to X-rays, although both kinds of lesions could be subgroups of the same kind of initially induced lesions.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6582901 TI - Induction and repair of X-ray damage in mammalian cell cultures treated with membrane-active drugs. AB - Cultures of Ehrlich ascites tumour cells (EATC) were treated before and after X irradiation with the membrane active drugs chlorpromazine (CPZ) and procaine. Under hypoxic conditions of irradiation CPZ sensitized cells and was most effective at about 50 microM, whereas at higher drug concentrations the extent of sensitization was less. Sensitization was however not observed in cultures supplemented with vitamin E. Likewise, CPZ inhibited repair of potentially lethal damage (RPLD) measured by delayed plating of stationary cell cultures either using the colony forming ability or micronucleus formation as endpoints. Procaine, on the other hand, was found to sensitize cells only slightly under hypoxia and protected slightly under oxic conditions in the concentration range from 10-100 mM. Both drugs induced an increase in ATP content at these concentrations. Since it has also been observed that these drugs cause depletion of intracellular sulfhydryl groups which may serve for protection of membrane sites, it is assumed that the radiobiological effects observed arise mainly from an influence on cellular and nuclear membranes where lipid bilayer fluidity and conformational status of membrane-bound enzymes may be changed. The possible role of heterochromatin anchored or near to the nuclear membrane as a radiation sensitive compartment of the cell is discussed. PMID- 6582902 TI - Differences in repair in heterogeneous cell populations in vivo and in vitro following high LET irradiation (neutrons). AB - The shape of cell survival curves following X-irradiation when the X-rays were given immediately after neutron irradiation has been examined in two cell lines in vitro (Ehrlich ascites and V79) and in the stem cells of the mouse jejunum. The changes in the shape of the X-ray survival curve following neutron irradiation are different in all the cell systems examined. Some of the changes observed may be associated with a change in the cell profile following neutron irradiation due to the more even cell age killing pattern of neutrons through the cell cycle compared with X-rays. It is unlikely that this can account for all changes in shape observed and it is postulated that some cells following neutron irradiation are more sensitive to X-rays than the unirradiated population or than X-irradiated cells at the same level of survival. This increased sensitivity may be associated with a non-reversible sublethal damage or a saturation of the repair potential caused largely by the alpha or heavy recoil (HR) particles produced by the neutrons in the cell nucleus. The damage is observed when the probability of alpha or HR particles being produced within the cell nucleus, without killing the cell, is high. PMID- 6582903 TI - Further evidence that the survival of irradiated mammalian cells is controlled by temporal processes. AB - Theories of mammalian cellular radiosensitivity that exclude metabolic modification of radiation damage are untenable (Nagasawa et al., 1980). Evidence supporting that conclusion has been obtained from experiments with a radiosensitive, proliferating cell, the S/S variant of the L5178Y murine leukaemic lymphoblast, and a radioresistant, nondividing cell, the retinal photoreceptor (rod) of the rabbit. When S/S cells (mid-) G1 + 8 h in the cycle, at the peak of radioresistance, were X-irradiated at 37 degrees C and then treated hyperthermically (12 h, 38.7-40.3 degrees C), the survival curve, which has a shoulder at 37 degrees C, changed progressively to the simple exponential obtained for G1 cells. Under conditions where Ne ions (LET = 35 keV microns-1) have a relative biological effectiveness (RBE) of approximately 2 for normally radioresistant cells in vitro and in situ, the RBE for G1 S/S cells was approximately 1. Neon ions (1-50 Gy) caused similar amounts of DNA damage in S/S cells and photoreceptors, but the cellular responses were very different. After 5 Gy, the surviving fraction of asynchronous S/S cells was 10(-5), DNA structures were not restored and by 8 h post-irradiation extensive DNA degradation was evident; in the retina, however, the photoreceptor complement was unchanged for greater than 1 year, DNA structures appeared to be restored and remained so (many months) until late DNA degradation began. These phenomena can be explained satisfactorily only if temporal processes play a significant role in cellular radiosensitivity. PMID- 6582904 TI - Response of sensitive human ataxia and resistant T-1 cell lines to accelerated heavy ions. AB - We have studied the radiation dose responses of two human fibroblast lines: cells from a patient with Ataxia telangiectasia (AT-2SF) and an established line of human T-1 cells. Aerobic and hypoxic 225 kVp X-ray survival curves were used as controls to the heavy ion exposures. Nearly monoenergetic accelerated neon and argon ions were used at the Berkeley Bevalac with various residual range values. The LET of the particles varied from 30 keV microns-1 to over 1,000 keV microns 1. All Ataxia survival curves were exponential functions of the dose. Their radiosensitivity reached peak values at 100-200 keV microns-1. Human T-1 cells have effective sublethal damage repair as has been evidenced by split dose experiments, and they are much more resistant to low LET than to high LET radiation. At high LET their radiosensitivity approached that of the Ataxia cells. The repair-misrepair model has been used to interpret these results. According to this model, the molecular repair processes culminate either in eurepair or in misrepair. We have obtained mathematical expressions that describe the cross sections and inactivation coefficients for both human cell lines as a function of the LET and the type of particle used. We assume that the lesions induced in T-1 and Ataxia cells are qualitatively similar and that each cell line attempts to repair these lesions. The result in most irradiated Ataxia cells, however, is either lethal misrepair or incomplete repair leading to cell death. T 1 cells have efficient repair mechanisms at low LET, and the repair-misrepair model suggests that at high LET the T-1 cells can still efficiently repair individual lesions, but that as the lesions become closely spaced along the tracks, the probability of misrepair increases. PMID- 6582905 TI - The influence of in situ repair systems on survival of several irradiated parenchymal cell types. AB - Radiation survival curves are presented for several normal parenchymal cell types irradiated in situ or in vitro. The data presented indicate that the in situ survival parameters for a specific cell type cannot be simply extrapolated from the results of either in vitro assays or rapid in vivo clonal transplantation assays. The data suggest that the D0 and terminal slope of in vitro survival curves can reflect those parameters for cells left in situ, but the shoulder width and the n value cannot. This appears to be due to the inability of the in vitro environment to support two major forms of repair that occur in situ, i.e. the "contact effect" and in situ repair (ISR). ISR is a form of potentially lethal damage repair (PLDR) that occurs when certain cells are allowed to remain in situ following irradiation. ISR is characterized by an increased shoulder in the survival curve without a change in slope and it has been observed in rat mammary, thyroid and liver epithelia. PMID- 6582906 TI - Repair during multifraction exposures: spheroids versus monolayers. AB - Many types of mammalian cells, when grown in culture as multicell spheroids, display an increased ability to accumulate and repair sublethal radiation damage which has been called the "contact effect". Since this effect has the potential to markedly modify the multifraction radiation response of cells in V79 spheroids relative to cells in monolayer cultures, we investigated regimens ranging from 1 to 100 fractions. Effective dose rates were chosen near 1 Gy h-1 to inhibit cell progression and thus simplify analysis of the results. As expected, larger doses per fraction produced more net cell killing in both systems than lower doses per fraction. Additionally, less killing of spheroid cells was observed in all regimens, in accord with their greater potential for repair. However, when the data were expressed as isoeffect curves, the spheroid and monolayer curves converged as the number of fractions increased. Thus, quite similar inherent sensitivity and repair capabilities would be predicted for ultra-low doses per fraction. High precision techniques for defining survival after doses of radiation from 0.2 to 1 Gy were, however, still able to demonstrate a survival advantage for cells grown as spheroids. PMID- 6582907 TI - In vitro sublethal damage repair in tumour subpopulations from a heterogeneous human colon tumour. AB - The repair of sublethal radiation damage in two asynchronously growing tumour cell subpopulations (clones A and D) obtained from a single human adenocarcinoma biopsy specimen has been studied. The survival data found after generation of complete survival curves from split dose experiments in which exposures were separated by 3, 6, 12, or 24 h were examined. It was found that the method of performing irradiations (e.g., suspension cultures versus monolayer cultures) affected the shape of the single dose response curves, and as a result the interpretation of the amount of sublethal damage repair occurring after split dose irradiation. PMID- 6582908 TI - Split-dose recovery explained quantitatively by repair of potentially lethal lesions. AB - It is known from experimental and theoretical considerations that the shoulder in the usual dose-survival curve for mammalian cells is due to repair of potentially lethal lesions (PLL). As a consequence, reappearance of the shoulder in a split dose experiment should also be related to repair of PLL. A procedure for calculation of cell survival curves for split-dose irradiation is described which takes into consideration repair of PLL only. The reproduction of the shoulder with increasing time interval between the two dose fractions can be seen to take place with a time constant closely related to that of repair of PLL. Other quantitative parameters such as the dose dependence of this recovery time constant can be predicted quantitatively from the calculation. PMID- 6582909 TI - Changes in the repair ability of continuously irradiated lymphosarcoma LS/BL cells. AB - The radiosensitivity and repair ability of LS/BL lymphosarcoma cells were studied by means of a serial dilution method using host survival-time as the end point and by means of liver colony assay. The survival curves of LS/BL cells originally showed an exponential dose-response relationship without any shoulder. During the years of cultivation in vivo and progressive adaptation to ascites growth the survival curves of LS/BL cells became less steep and the D0 values increased from 1.0 to 1.5 Gy. The continuous irradiation in vivo of LS/BL cells at the exposure rate of 4.7 cGy h-1 did not lead to any remarkable change of the D0 values, but from the 150th week of irradiation the initial shoulder appeared on the survival curve and its width enlarged with the time of irradiation. The extrapolation number (n) equalled 1.0 at the onset of continuous irradiation and increased to 8.4 after 350 weeks of exposure. The results of experiments in which the split dose technique was used proved the reappearance of the initial shoulder. PMID- 6582910 TI - Lack of recovery from radiation-induced sublethal damage in human haematopoietic cells. AB - The effect of ionizing radiation on the growth of bone marrow cells from haematologically normal controls or from patients with acute nonlymphocytic leukaemia was studied using colony formation as an endpoint. A modified agar culture method which incorporated daily feeding with new medium was utilized to allow the growth of leukaemic cell colonies. Analysis of radiation-dose survival curves revealed that normal bone marrow cell populations exhibited a relatively steep slope, with values of D0 averaging 0.88 Gy, and essentially no shoulder to the survival curves. The leukaemic cells tested also displayed survival curves with negligible shoulders and steep slopes (average value of D0 = 0.66 Gy). The average values of D0 for normal and leukaemic cells were significantly different (P less than 0.001). The ability of hematopoietic progenitor cells to recover from the accumulation of sublethal damage was also investigated by allowing a fractionation interval between doses. As expected from the lack of significant shoulder on the survival curve, there was no evidence of recovery from sublethal damage. These results provide a rationale for the use of fractionated radiation therapy for whole-body irradiation prior to bone marrow transplant. PMID- 6582911 TI - Modification by anisotonic treatment of repair and fixation of radiation damage in cell killing and transformation. AB - Anisotonic treatment of V79 cells after irradiation resulted in extensive fixation of potentially lethal damage (PLD). Fixation of PLD occurred more rapidly when treated with 1.5 mol l-1 NaCl than with 0.05 mol l-1 NaCl. These effects were further enhanced when cells were held at 0 degree C instead of 37 degrees C during irradiation. When the X-ray (10.0 Gy) and salt treatments were separated by incubation at 37 degrees C, survival increased rapidly by a factor of 2000, while repair of PLD in cells held in a plateau phase after X-rays (10.0 Gy) caused survival to increase four-fold. The data indicate that these mammalian cells sustain and repair a much larger amount of PLD than is measured by the conventional method of holding cells in a non-progressing state after irradiation. Radiation sensitivity in cells was modified by BrdUrd incorporation into cellular DNA or exposure to DMSO during irradiation. For these cells, fixation of damage by post-irradiation anisotonic treatment proceeded at the same rate for BrdUrd-treated cells, and at a diminished rate for DMSO-treated cells, compared with cells irradiated in the absence of these compounds. In C3H-10T 1/2 cells, post-irradiation anisotonic treatment (with 0.05 or 1.5 mol l-1 NaCl) also resulted in fixation of PLD and a rapid recovery when the X-ray and salt treatments were separated by incubation at 37 degrees C. Treatment with 0.05 or 1.5 mol l-1 NaCl solutions immediately after irradiation also resulted in elevated transformation frequencies, which increased with exposure time to anisotonic solutions.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6582912 TI - Kinetics of cell survival as predicted by the repair/interaction model. AB - A functional relationship determining the survival curve for reproductive cell death caused by low-LET radiation is derived on the basis of Lea's repair/interaction model. Radiation-induced primary lesions are assumed to interact pair-wise to form long-lived lethal lesions, simultaneously with the repair of the primary lesions. The formula derived for a short single irradiation gives a typical shouldered survival curve. At doses below the shoulder the interaction entirely occurs at low levels of primary lesion concentration, resulting in the parabolic shape of the logarithmic survival curve. At higher doses the interaction initially proceeds at high levels of primary lesion concentration, a state whose duration is determined by the dose and the finite speed of the first-order reaction of repair; this initial phase of the interaction results in the exponential tail of the survival curve. Survival after fractionated and protracted irradiation are also obtained. The dependence of cell survival on the irradiation conditions can be interpreted in terms of the basic parameters of the model. PMID- 6582913 TI - Repair studies utilizing a fly-pupariation model of postmitotic cell response. AB - Delay in pupariation of irradiated fly (and other insect) larvae results from a neuroendocrine disturbance and represents a dose-dependent response of differentiated postmitotic tissue. Many experimental manipulations (e.g. heating) may themselves upset timing, limiting usefulness of this phenomenon as a model of postmitotic tissue response. Doses greater than 20 Gy inhibit retraction of specific muscles at time of pupariation, leading to formation of elongate puparia. Degree of elongation (ratio of length: breadth) was also a function of dose. Peak sensitivity for elongation occurs later than that for delay, but both endpoints exhibit rapid kinetics for sparing effect of dose fractionations (sdf). With degree of elongation as endpoint, we demonstrated synergism between heat and radiation, and heat markedly inhibited sdf. Maintenance of irradiated larvae under wet conditions greatly prolonged the larval stage, and degree of elongation was reduced. This recovery, analogous to repair of potentially-lethal damage (PLD) in plateau-phase cell cultures, proceeds much more slowly than sdf. PMID- 6582914 TI - Can cell survival parameters be deduced from non clonogenic assays of radiation damage to normal tissues? AB - Though dose-response curves for large scale radiation injury to tissues are undoubtedly related to survival curves for clonogenic cells, the relationship between the two sets of curves is not necessarily simple. Sterilization of clonogenic cells occurs near-instantaneously by comparison with the protracted lag period for gross injury to tissues. Moreover, with some types of macroscopic damage, the shapes of the dose-response curves may depend on time of assay. Changes in the area or volume of irradiated tissue may also influence the shapes of these curves. The temporal pattern of expression of large scale injury also varies between tissues, and two distinct groups can be recognized. In rapidly proliferating tissues, the lag period is almost independent of dose, whilst in slowly proliferating tissues, it is inversely proportional to dose. This might be explained by invoking differences in corresponding proliferative structures of the tissues (Three compartmental Type H versus One compartmental Type F proliferative organization). For the second group of tissues, in particular, mathematical modelling suggests a systematic dissociation of the dose-response curves for clonogenic cell survival and for large scale injury. This dissociation, which arises even in the case of single doses, may be even more important when radiation is fractionated. In particular, it may be difficult to disentangle the contributions made to inter-fraction sparing by cellular repair processes and by proliferation-related factors. PMID- 6582916 TI - Response to continuous irradiation (CI) in relation to the initial slope of the cell survival curve for tumours and bone marrow. AB - In vivo ultra low dose rate continuous irradiation (CI, 15 cGy h-1) was used in an attempt to accurately quantify low dose radiation response (less than 2 Gy) of both tumour and normal tissue, a parameter which is clinically relevant but difficult to assess using conventional acute radiation survival curves. Dorsally placed tumours were irradiated by housing tumour bearing mice for up to three weeks in a dedicated 137Cs unit taking care to shield the lower body. Response to CI was monitored by an excision cell survival assay. For bone marrow treatment whole body irradiation was used and BM-CFUc were assessed. In all 4 tissues studied (Lewis lung carcinoma, B16 melanoma, carcinoma MT and C57B1/6 bone marrow) cell survival decreased exponentially with dose; the three tumours had similar D0 (approximately 6 Gy), bone marrow was more sensitive (D0 1.5 Gy). Acute in vitro radiation survival curves were analysed using both the multi target plus single hit and the linear quadratic models of radiation cell kill. Comparison of CI results with acute radiation survival curve parameters derived from each model suggest that CI offers a useful means of assessing the low dose radiosensitivity of tumours and may therefore be useful in the prediction of tumour response to clinically relevant fractionated treatments. PMID- 6582915 TI - Tissue repair capacity and repair kinetics deduced from multifractionated or continuous irradiation regimens with incomplete repair. AB - A model is proposed to account for cell survival after multiple doses, when the interfraction interval is insufficient for complete Elkind repair. In the limit of ever-increasing numbers of ever-smaller fractional doses, the model transforms into the accumulation model (Roesch, 1978) of survival after continuous irradiation. When it is adapted to describe tissue responses to isoeffective multifractionated regimens, wherein repair is incomplete, a generalization of the usually linear plot of reciprocal total dose versus dose per fraction is obtained, in which downward curvature is evident. There is some advantage in studying tissue responses to multifractionated regimens with incomplete repair in the interfraction intervals, or continuous exposures at various dose rates since in addition to determination of repair capacity (defined by beta/alpha) there is an estimate of repair kinetics (defined by the halftime T1/2 for repair of sublethal injury). There is a saving in overall treatment time with either method, thereby reducing the influence of regeneration on the interpretation of the results. The results of analyses of previously published data are presented to illustrate the use of the models. Estimated from the response of three acutely responding normal tissues in the mouse (jejunum, colon and bone marrow), repair halftimes ranged from 0.3-0.9 h and values of beta/alpha were approximately 0.1 Gy-1. From the response of mouse lung (LD50 for pneumonitis) to multifractionated regimens with incomplete repair, the repair halftime was estimated at 1.5 h and beta/alpha was 0.27 Gy-1. In the rat spinal cord beta/alpha was 0.7 Gy-1 and T 1/2 was 1.5 h.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6582917 TI - The role of glutathione and DNA strand break repair in determining the shoulder of the radiation survival curve. AB - The nonprotein thiol glutathione (GSH) and the rate and extent of repair of DNA strand breaks were investigated as two possible determinants of the size of the shoulder of the X-ray survival curve in Chinese Hamster Ovary (CHO) cells. Both cell survival and DNA single strand break repair were measured at comparable radiation doses (using clonogenic and alkaline elution assays respectively) following treatment of CHO cells with agents which deplete GSH levels and/or reduce the shoulder of the radiation survival curve. CHO cells were treated with diethylmaleate (DEM) at doses which reduce GSH levels from 10% to less than 1% of control values. GSH depletion produced dose-modifying radiosensitization of hypoxic but not aerobic cells, reducing the oxygen enhancement ratio (OER) from 2.6 to 1.7, with no change in the survival curve shoulder, nor in the rate of repair of DNA strand breaks. Since mitotic CHO cells exhibited a reduced shoulder compared to asynchronous cells with no difference in the Do of the survival curve, they provided an opportunity to test the possible association of the shoulder size with the repair rate of DNA breaks. Both mitotic and asynchronous cells had the same initial number of strand breaks for a given radiation dose, but mitotic cells had a half-life for repair of those breaks which was significantly longer.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6582918 TI - Effects of ara A and fresh medium on chromosome damage and DNA double-strand break repair in X-irradiated stationary cells. AB - Evidence supports the view that double-strand breaks (dsb) in the DNA of X irradiated mammalian cells are the lesions leading to chromosome aberrations and eventual cell death. The detailed kinetics of repair of dsb in Ehrlich ascites tumour cells over long repair intervals have therefore been studied and compared under conditions simulating procedures known to cause large changes in cell survival. These conditions are: holding cells in stationary phase for 7 h after X irradiation, transference of cells to fresh growth medium immediately after X irradiation, and treatment with the DNA synthesis inhibitor 9-beta-D arabinofuranosyladenine (ara A) for 30 min before, during and for 7 h after X irradiation. These conditions have also been investigated for their effects on the frequencies of chromosome abnormalities (anaphase bridges and fragments). It is shown that conditions leading to both an inhibition of dsb repair (in the presence of ara A) as well as an acceleration of dsb repair (by fresh growth medium) lead to higher frequencies of chromosome abnormalities as compared to those for cells under stationary conditions for 7 h after irradiation. Holding dsb open for long periods with ara A may maximize the probability of formation of aberrations, however the data for fresh medium treatment show that it is not merely the rate at which dsb repair which determines the aberration frequency, and indicate the presence of other biochemical mechanisms in the cell which determine the frequency of conversion of dsb into chromosome aberrations. PMID- 6582919 TI - Subcellular lesions: the current position. AB - There continues to be an oversimplification of the approach to correlate cellular lesions with radiation induced cell death. Both in the prokaryotic and eukaryotic cell the relationship between vital macromolecules such as DNA, RNA, membrane and proteins is not yet fully understood either in a structural or functional sense. These macromolecules are often closely associated and interdependent. In spite of these recognised relationships much work is still devoted to measuring relatively early changes induced only in the DNA molecule. However, at the present time the quaternary structure of DNA and its closely neighbouring macromolecules is becoming better defined, and disturbances in these vital interrelationships may prove to be the most important radiation lesions. In the attempts to relate identifiable radiation damage to cell malfunction several criteria must be applied. For instance, the measured lesions must exhibit sensitization, protection and shoulder changes in response to the variety of agents and conditions which produce these phenomena at cellular level. In addition the radiation doses employed to produce measurable change must be within the same dose range as those used to study cellular and tissue effects. In much of the published work these criteria have not been applied. PMID- 6582920 TI - Mechanisms of recovery from sublethal damage and potentially lethal damage induced by BrdUrd/313 nm light treatment: alkali-labile lesions. AB - BrdUrd pulse labelling of synchronous Chinese hamster cell cultures was used to correlate repair of sublethal damage with removal of alkali-labile lesions. Both processes were modified in a quantitatively similar manner by cysteamine. In addition, the age responses for repair of sublethal damage and for cysteamine reduction of repair agreed. Through the use of thymidine as an S-phase-blocking agent it was further demonstrated that progression past the S-phase of the cell cycle was required for the loss of resistance to UVB light in BrdUrd-substituted cells. Similarly, a thymidine block administered before synthesis upon the BrdUrd substituted template prevented the cell from acquiring the sensitivity to UVB light normally associated with synthesis on a lesioned template. The UVB-light sensitive mutant V79-UC was shown to have reduced capacities both for the accumulation of sublethal injury and for the removal of alkali-labile lesions. These data support the notion that alkali-labile lesions are responsible for sublethal damage in BrdUrd pulse-labelled Chinese hamster cells. PMID- 6582921 TI - The DNA damage-repair hypothesis in radiation biology: comparison with classical hit theory. AB - In classical theories of radiobiological action, cell killing is viewed as an inevitable consequence of the accumulation of some given number of physical "hits" in sensitive, intracellular targets. Shoulders on survival curves are attributed to the need for more than one hit to produce the observed effect, and to the random distribution of these hits among the cells in an irradiated population. Such curves start with zero slope at very low doses, and, at high doses, they approach, asymptotically, exponential slopes that are inversely proportional to the dose required for one hit, or to inactivate a single target. Unfortunately, these simple ideas provide no credible explanation for the dramatic changes in apparent final slope, and the total abolition of shoulders, that are observed in many radiation-sensitive mutants. The damage-repair hypothesis asserts that the surviving fraction of cells in a mutagen-treated population is proportional to the number of potentially lethal lesions that are not removed by any repair process. Evidence indicates that these repairable lesions are located in DNA; however, this fact is irrelevant to the mathematical development of dose-response equations under the damage-repair hypothesis. The survival curves for repair-proficient cells generally exhibit a shoulder which reflects a decline in the efficiency of repair with increasing dose. Introduction of the concepts of "error-prone" and "recombinagenic" repair allows the extension of these ideas to data on induced mutation and mitotic recombination. PMID- 6582922 TI - Repair of neoplastic transformation damage following protracted exposures to 60Co gamma-rays. AB - The incidences of neoplastic transformation induced by 60Co gamma-rays in exponentially growing mouse embryo 10T1/2 cells were measured following acute and protracted exposures. Delivery of 60Co gamma-rays at a low dose rate (0.1, 0.5, 2.5 cGy min-1) compared with a high dose rate (100 cGy min-1) results in appreciable, dose rate dependent reductions in cell killing and, independent of the effect on cell survival, reduces significantly the incidence of neoplastic transformation. Exposure of exponentially growing 10T 1/2 cells to a dose of gamma-rays in 5 equal daily fractions also significantly reduces transformation frequency, compared with delivery in a single dose, throughout the dose range examined (25-300 cGy). The initial parts of the induction curves are fitted quite well by a linear dose dependence. The slopes of the regression lines for multifractionation delivery or irradiation at 0.1 cGy min-1, are one-third and one-half, respectively, of those for single exposures at a high dose rate. Increasing the inter-fraction interval up to 48 h, or reduction of the dose per fraction further reduce incidence of neoplastic transformation. We conclude that protracted exposures of low LET radiation result in a net "error-free" repair of subtransformation damage. PMID- 6582923 TI - Possible error-prone repair of neoplastic transformation induced by fission spectrum neutrons. AB - We have examined the effect of fission-spectrum neutrons from the JANUS reactor at Argonne National Laboratory, delivered either as acute or protracted irradiation, on the incidence of neoplastic transformation in the C3H 10T1/2 mouse embryo cell line. Acute exposures were delivered at 10-38 cGy min-1, protracted exposures at 0.086 or 0.43 cGy min-1. The total doses for both ranged from 2.4 to 350 cGy. In the low dose region (2.4-80 cGy), there was a large enhancement in transformation frequency when the neutrons were delivered at the low dose rates compared with the high dose rates, but the survival of the cells was not significantly different between the two exposures conditions. Analysis of the initial parts of the curves shows that the regression line for protracted doses is about 9 times steeper than that for single acute exposures. Finally, the possibility is discussed that an "error-prone" repair process may be causing the enhanced transformation frequency by protracted neutron exposures. PMID- 6582924 TI - Acute myeloid leukaemia: is 'consolidation' therapy necessary? PMID- 6582926 TI - Chromosome analysis of isolated colony erythroblasts in chronic myelogenous leukaemia. AB - To isolate and karyotype the progeny of erythroid progenitors, we applied colony erythroblasts derived from plasma clot marrow cultures from two healthy adults and two patients with newly diagnosed Ph1+ chronic myelogenous leukaemia (CML) to discontinuous Stractan density gradients. Erythroid colony proliferation by patient cells was increased relative to that of normal donor cells (P less than 0.01). 'Endogenous' colonies appeared in patient but not in normal donor marrow cultures. Greater than 95% of nucleated cells equilibrating at rho greater than or equal to 1.071 were basophilic proerythroblasts. While analysis of chromosome spreads of normal donor cells in this fraction showed normal karyotypes, cells from patient marrow cultures were Ph1+, whether cultured in the presence or absence of added erythropoietin. These findings suggest that chromosome abnormalities of erythroid progenitors may be expressed by their progeny in tissue culture, and that Stractan may be a useful supporting medium for separating colony erythroblasts for chromosome analysis. PMID- 6582925 TI - Relationship between the per cent of marrow cells in S phase and the outcome of remission-induction therapy for acute nonlymphocytic leukaemia. AB - The relationship between the pretherapy cell cycle characteristics of leukaemic marrow cells and the outcome of remission-induction therapy for acute nonlymphocytic leukaemia was studied in newly diagnosed and relapsed patients who were then treated with either combination chemotherapy consisting of cytosine arabinoside/anthracycline antibiotic +/- 6 thioguanine or with single agent high dose cytosine arabinoside therapy. The outcome of high-dose cytosine arabinoside therapy was highly dependent upon the per cent of pretherapy cells in S phase with no remissions occurring in patients in whom the 3H-TdR labelling index was less than 6%. In contrast, the outcome of cytosine arabinoside/anthracycline antibiotic therapy was independent of the pretherapy cell cycle characteristics of the leukaemic cells. PMID- 6582927 TI - Temporomandibular joint dysfunction: a theory based upon electromyographic studies of the lateral pterygoid muscle. AB - Electromyographic investigations into the function of the two individual heads of the lateral pterygoid muscle in normal persons are compared with patients suffering the pain of temporomandibular joint dysfunction and those with painless clicks. The results indicate that the lower head of the lateral pterygoid muscle, normally active only when depressing, protruding and deviating the mandible, becomes active on closing and clenching in patients suffering pain. Patients with painless clicks behave as normals. These results are discussed and a theory is presented which suggests that temporomandibular joint dysfunction has a simple pathological basis. PMID- 6582928 TI - Morbidity associated with the use of antral packs and external pins in the treatment of the unstable fracture of the zygomatic complex. AB - One hundred and forty-seven patients with unstable fractures of the zygoma are discussed. Complications encountered during the treatment of such patients with antral packs and external pins are compared. These results are evaluated. PMID- 6582929 TI - Prognostic indicators for oral squamous cell carcinoma: a comparison between the TNM and STNMP systems. AB - One hundred and eighteen patients with oral squamous cell carcinoma were staged according to the TNM and STNMP systems. Although both staging systems separated patients into those with a good prognosis and those with a poorer prognosis the more sophisticated system (STNMP) did not provide any additional information. A possible explanation for this anomaly lies in the weighting used in the STNMP system. PMID- 6582930 TI - 'Turret exostosis' of the coronoid process. AB - A case is reported of Turret Exostosis of the Coronoid Process. This lesion is believed to bear a close relationship to the osteo-cartilagenous exostosis. The presentation and case management are described. PMID- 6582931 TI - A new immediate temporary lightweight obturator for maxillectomy cavities. AB - A method of producing a soft, comfortable, lightweight immediate obturator is described. This can be changed in an out-patient environment. PMID- 6582932 TI - An articulator modification for the planning of maxillary osteotomies. AB - A device to facilitate accurate laboratory planning of maxillary osteotomies is described. The modification of a standard Dentatus articulator can easily be fashioned by a maxillofacial technician. PMID- 6582933 TI - Oral submucous fibrosis: two cases of malignant transformation in Asian immigrants to the United Kingdom. AB - Three cases of oral submucous fibrosis are reported, two of which were associated with oral carcinoma. The disease is described and aspects of its clinical presentation, aetiology and treatment are discussed. It is argued that the condition is not as rare amongst Asian immigrants as the small number of reported cases might suggest and that early detection and follow up are important because of the risk of neoplasia. PMID- 6582934 TI - The influence of closure or dressing of third molar sockets on post-operative swelling and pain. AB - This study compares the influence of complete closure as opposed to partial closure and dressing of lower third molar sockets on post-operative pain and swelling, and on healing. These closure techniques were used on opposite sides of the mouths of each of 70 patients undergoing bilateral third molar surgery. The comparison of the two techniques within each individual patient showed that complete closure resulted in more pain and swelling post-operatively in a significant number of patients, but that the use of a dressing delayed satisfactory healing in a few patients. PMID- 6582935 TI - Anterior dislocation of the temporomandibular disc. AB - The suspected finding of partial or complete anterior dislocation of the temporo mandibular disc in many cases of long-standing temporo-mandibular joint dysfunction has been verified at operation. In a series of 33 patients involving 45 joints, a simple operation is described in which the lateral border of the disc is anchored to the lateral margin of the glenoid fossa. PMID- 6582937 TI - Activities of fatty acid desaturases and fatty acid composition of liver microsomes in rats fed beta-carotene and 13-cis-retinoic acid. AB - The fatty acid composition of microsomal lipids and the activities of delta 9- and delta 6-desaturases in liver microsomes of rats fed diets supplemented with beta-carotene and two levels of 13-cis-retinoic acid were studied. Four groups of male, weanling rats were fed semipurified diets containing 0 or 100 mg beta carotene per kg diet, and 20 or 100 mg 13-cis-retinoic acid per kg diet. After 11 weeks of feeding, the rats were killed, liver microsomes were prepared and assayed for delta 9-desaturase and delta 6-desaturase activities. The activity of delta 9-desaturase was lower in liver microsomes of rats fed beta-carotene supplemented diet or the diet supplemented with the higher level of 13-cis retinoic acid. Microsomal delta 6-desaturase activity was, however, higher in liver of rats fed 13-cis retinoic acid; there was no effect of beta-carotene on delta 6-desaturase activity. The fatty acid compositional data on total lipids of liver microsomes were consistent with the diet-induced changes in fatty acid desaturases. Phospholipid composition of liver microsomes was also altered as a result of feeding beta-carotene or 13-cis-retinoic acid-containing diets. The proportions of phosphatidylethanolamine were generally higher, whereas those of phosphatidylcholine were lower in the experimental groups as compared with the control. PMID- 6582936 TI - The use of fluorescamine as a permeant probe to localize phosphatidylethanolamine in intact friend erythroleukaemic cells. AB - Intact Friend erythroleukaemic cells (Friend cells) were incubated at 0-4 degrees C with increasing amounts of fluorescamine. Phospholipids were extracted and the amounts of phosphatidylethanolamine and of its fluorescamine derivative were determined. (1). The plasma membrane of intact Friend cells appeared to be permeable to fluorescamine in a concentration-dependent way. (2). Three pools of phosphatidylethanolamine could be detected as the fluorescamine concentration was raised. The two first pools were ascribed to the outer monolayer (16-17% of the total cellular phosphatidylethanolamine) and inner (17-18%) monolayer of the plasma membrane, respectively, indicating an essentially symmetrical distribution of this phospholipid. The third pool of phosphatidylethanolamine (66%) corresponds to the contribution of intracellular membranes. (3). These data were used in turn, to calculate the relative amount of each phospholipid class present in the plasma membrane. The results are in perfect agreement with those obtained by an independent method involving the use of sphingomyelinase C (Rawyler, A., Roelofsen, B., Op den Kamp, J.A.F. and Van Deenen, L.L.M. (1983) Biochim. Biophys. Acta 730, 130-138). The present method is discussed in terms of its applicability for the localization of phosphatidylethanolamine in eukaryotic cells. PMID- 6582938 TI - Mapping of the c-sis oncogene on human chromosome 22 with respect to the breakpoint associated with chronic myeloid leukaemia. AB - Chronic myeloid leukaemia (CML) cells are often characterized by the presence of a small chromosome 22, in which most of the q arm has been translocated to chromosome 9. Using cell hybrids containing different parts of chromosome 22 I have mapped the c-sis oncogene, which is known to be situated on chromosome 22, to a region distal to the CML breakpoint (22q112) and proximal to 22q13. This demonstrates that c-sis is translocated to chromosome 9 in CML cells. PMID- 6582939 TI - Chronic myelomonocytic leukemia according to FAB classification: analysis of 35 cases. AB - Thirty-five patients who fulfilled the FAB diagnosis criteria of chronic myelomonocytic leukemia (CMML), i.e., myelodysplastic features, monocytosis over 10(9)/liter, bone marrow monocyte infiltration, blast cells less than 5% in the peripheral blood and less than 30% in the bone marrow, are analyzed. CMML appears as an entity distinct from myelodysplastic and myeloproliferative disorders. Splenomegaly, anemia, thrombocytopenia, leukocytosis with monocytes and granulocytic cells in all stages of development, increased blood and urine lysozyme levels without renal failure, and polyclonal hyperimmunoglobulinemia are its main clinical and biologic features. With conventional cytotoxic drugs (6 mercaptopurine, hydroxyurea), the prognosis of CMML appears poor (median survival 475 days). None of the clinical hematologic or biologic parameters tested had a significant effect on prognosis. As other chemotherapy trials seemed necessary, we recently administered small doses of cytosine-arabinoside (ARA-C) to six patients over several consecutive days and obtained a complete remission in four. These preliminary results must be confirmed by larger series using the diagnostic criteria proposed by the FAB cooperative group. PMID- 6582940 TI - On the maturation order of AML cells: a distinction on the basis of self-renewal properties and immunologic phenotypes. AB - To investigate the heterogeneous cellular structure of human acute myeloid leukemia (AML), subpopulations of cells were distinguished by two combined criteria: proliferation and differentiation. Purified blast cells were fractionated from blood or bone marrow of patients with newly diagnosed AML and colonies and clusters grown in phytohemagglutinin (PHA)-leukocyte feeder cultures. Large colonies, small colonies, macroclusters, and microclusters were recloned separately to assess the replicative capacities as a function of clone size. Large colonies showed higher proliferative capacities than did small ones, etc. Anti-Ia and an antigranulocyte (B4.3) monoclonal antibody (MoAb) were then employed to evaluate the stage of differentiation of AML cells in two patients before and following colony culture. Alterations of the immunologic phenotypes appeared during colony formation. This suggested differentiation of cells to more mature B4.3 granulocyte antigen-positive stages. MoAb-dependent cell lysis with the two antibodies was subsequently performed to assess the phenotypes of the precursors of the colonies and clusters. Leukemic colony-forming cells were Ia positive and B4.3-negative and different from cluster-forming cells, which were largely Ia-negative and B4.3-negative. These data suggest that the cell organization of AML fits a maturation scheme containing immature cells with relatively high proliferative capacities, intermediate cells with low proliferative capacities, and end cells that are nonreplicative, and each with specific phenotypes. PMID- 6582941 TI - [Use of vindesine in lymphangitic-type cutaneous recurrence of breast cancer]. PMID- 6582943 TI - [Telecraniographic study of the maturation rhythm of the upper 2d molar]. PMID- 6582942 TI - Patho-morphological studies on pin-pointed depression on the glabrous enamel of human tooth. PMID- 6582944 TI - [Pterygoclival area: the structure of stable superposition during growth]. PMID- 6582946 TI - [Proceedings of the meeting of the International Group for Research in Stomatology and Dentistry at Nantes, 1983. Abstracts]. PMID- 6582945 TI - The effects of calcium and vitamin D deficiencies on the pig mandibular bone. PMID- 6582947 TI - The central dark line in developing enamel crystallite: an electron microscopic study. PMID- 6582948 TI - [A case of nasoalveolar cyst]. PMID- 6582949 TI - [A case of skeletal Class III malocclusion with underdevelopment of the middle part of the face and prominence of the mandible - with special regard to the effect of O.M.A]. PMID- 6582950 TI - [Glycolysis of ascites Tawa sarcoma cells. Inhibitory effect of alanine on pyruvate kinase activity]. PMID- 6582951 TI - [NADPH-specific dihydropteridine reductase from Macaca fascicularis liver. I. Purification and properties]. PMID- 6582952 TI - [Immunological responsiveness of mouse lymphocytes to PPD]. PMID- 6582953 TI - [Topical anesthetic effects of ethylaminobenzoate on the blink reflex of the cornea of male guinea pigs and on human gingiva]. PMID- 6582955 TI - [Moire topography of children's palates]. PMID- 6582954 TI - [The mechanism of action of an anti-inflammatory steroid on changes in vascular permeability: use of carrageenin-induced paw edema in mice as a model of inflammation]. PMID- 6582956 TI - [An analysis of fluoride in rice]. PMID- 6582957 TI - [Effect of ouabain and ethacrynic acid administration on saliva secretion in the rat submandibular gland]. PMID- 6582958 TI - [Coupling state at the gamma point of SnO2 single crystals]. PMID- 6582959 TI - [On the oral health habits and dental caries prevalence of junior high school pupils. I. The tendencies of pupils taught oral health education in kindergarten]. PMID- 6582960 TI - Women with eating problems: a community survey. AB - A survey was conducted of the eating habits and attitudes of a sample of young adult women. Each woman was asked whether she considered herself to have an eating problem. The sample comprised 369 attenders at a family planning clinic. Self-report assessment procedures were used, including the Eating Attitudes Test (EAT) and the General Health Questionnaire (GHQ). Eating problems were reported by 20.6 per cent of the sample. Factors which strongly discriminated between those with an eating problem and the remainder were binge eating and a high score on the EAT. Other important factors were laxative use and high levels of psychological morbidity. Self-induced vomiting was only weakly associated with reporting an eating problem, and past and present weight were unrelated to such reports. PMID- 6582961 TI - Physiological basis for the use of potassium iodide as a thyroid blocking agent logistic issues in its distribution. PMID- 6582962 TI - Recommendations on the use of potassium iodide as a thyroid-blocking agent in radiation accidents: an FDA update. PMID- 6582963 TI - Risks in mass distribution of potassium iodide. PMID- 6582964 TI - Indications for using potassium iodide to protect the thyroid from low level internal irradiation. PMID- 6582965 TI - The second nuclear era. PMID- 6582966 TI - Psychological implications of nuclear accidents: the case of Three Mile Island. PMID- 6582967 TI - Symposium on the health aspects of nuclear power plant incidents. Public information and public relations needs. PMID- 6582968 TI - Public information during a nuclear power plant accident: lessons learned from Three Mile Island. PMID- 6582969 TI - Symposium on the health aspects of nuclear power plant incidents. Regional organization of medical care. PMID- 6582970 TI - Transport of irradiated or radioactively contaminated patients to the hospital. PMID- 6582971 TI - Symposium on the health aspects of nuclear power plant incidents. Decontamination procedures and risks to health care personnel. PMID- 6582972 TI - Diagnosis and therapy of radiation injuries. PMID- 6582973 TI - Symposium on the health aspects of nuclear power plant incidents. The Subcommittee on Environmental Health, Committee on Public Health of the New York Academy of Medicine. PMID- 6582974 TI - Symposium on the health aspects of nuclear power plant incidents. Introduction. PMID- 6582975 TI - Nuclear power plants: structure and function. PMID- 6582977 TI - Comments on potential nuclear accidents. PMID- 6582976 TI - Nuclear power plant malfunctions: potential types of exposure and severity. PMID- 6582978 TI - Whatever happened to reactor safety? PMID- 6582979 TI - The effects of high vs. low-level radiation exposure. PMID- 6582980 TI - The role of federal and state agencies in radiation accidents: a brief overview. PMID- 6582981 TI - The scope of Nuclear Regulatory Commission requirements for arrangements for medical services for contaminated injured individuals. PMID- 6582982 TI - Symposium on the health aspects of nuclear power plant incidents. Planning for protection and treatment: the State role. PMID- 6582984 TI - Health aspects of nuclear power plant incidents: role of the health department. PMID- 6582983 TI - Some aspects of emergency planning for nuclear reactor accidents by New York City. PMID- 6582985 TI - Health care lessons learned from the Three Mile Island incident. PMID- 6582986 TI - Antagonism of Ca2+ and other actions of verapamil in guinea-pig isolated trachealis. AB - In trachealis bathed by a K+-rich, Ca2+-free physiological salt solution, calcium chloride (CaCl2) at 0.01 to 10 mmol l-1 evoked concentration-dependent spasm. Verapamil (0.1 to 10 mumol l-1) was an effective antagonist of CaCl2. Spasm evoked by acetylcholine, histamine, potassium chloride (KCl) and tetraethylammonium (TEA) was studied in trachealis bathed by normal Krebs solution. Verapamil (0.1 to 10 mumol l-1) markedly suppressed spasm evoked by KCl and TEA. In contrast the actions of acetylcholine and histamine were much less affected by verapamil. Spasm evoked by prostaglandin E2 was studied in trachealis bathed by Krebs solution containing indomethacin (2.8 mumol l-1). Verapamil (0.1 to 10 mumol l-1) had little or no effect against prostaglandin E2-induced spasm. Verapamil (0.1 to 10 mumol l-1) had relatively little effect on the tone of trachealis bathed by normal Krebs solution. In contrast bathing in Krebs solution lacking CaCl2 caused almost complete tone loss. Extracellular electrophysiological recording showed that verapamil (10 mumol l-1) suppressed not only TEA-evoked spasm but also TEA-evoked slow waves and spike potentials. Verapamil also abolished the transient period of slow wave activity associated with the spasm evoked by KCl. Intracellular electrophysiological recording showed that TEA-induced spike activity was resistant to tetrodotoxin (3 mumol l-1). However, verapamil (10 mumol l-1) abolished the tetrodotoxin-resistant spikes without increasing the resting membrane potential. It is concluded that verapamil suppresses TEA- or KCl-induced spasm, slow waves or spikes by inhibition of Ca2+ influx. Spasm evoked by acetylcholine, histamine and prostaglandin E2 depends on mechanisms for increasing the cytoplasmic concentration of free Ca2+ which are resistant to verapamil. The failure of verapamil markedly to depress tissue tone is consistent with the proposal that tone results from the activity of endogenous prostaglandins. PMID- 6582987 TI - Pineal methoxyindoles depress calcium uptake by rat brain synaptosomes. AB - The effect of several pineal methoxyindoles on 45Ca2+-uptake was examined in a crude synaptosome preparation from adult rat brains. 5-Methoxytryptol, 5 methoxytryptamine, melatonin and 6-chloromelatonin (10(-8)-10(-6) M) depressed significantly the K+-stimulated increase in Ca2+-uptake, without affecting the basal, unstimulated Ca2+-uptake by synaptosomes. At 10(-6) M concentration the following order of potency was found: 6-chloromelatonin greater than or equal to 5-methoxytryptamine greater than 5-methoxytryptophol greater than or equal to melatonin. Serotonin did not affect significantly either basal or stimulated Ca2+ uptake. PMID- 6582989 TI - [Dental cements for fillings and cementation. A comparative study of their mechanical characteristics using compression, shear and hardness tests]. PMID- 6582988 TI - Survival in childhood acute lymphocytic leukemia: effect of protocol and place of treatment. AB - The objective of this study was to determine the effect of place and type of initial treatment on survival from acute lymphocytic leukemia (ALL). Every one of the 327 children under 15 years of age diagnosed with ALL from 1970 to 1975 in a 31-county area designated the Greater Delaware Valley, were studied. Treatment according to protocol was associated with improved survival, yielding a 4 year survival of 60% vs 19% for nonprotocol treated patients (p less than 0.001). There was also a significantly improved survival rate among patients treated in a cancer center, especially for those with a low white blood count (WBC) at diagnosis. The prognostic importance of WBC, age, and sex was confirmed. PMID- 6582990 TI - [Occlusal relations in removable partial dentures]. PMID- 6582991 TI - The scope and potential of biotechnology. PMID- 6582992 TI - Disseminated intravascular coagulation in acute monoblastic leukemia: response to heparin therapy. AB - A 27-year-old man with acute monoblastic leukemia had clinical and laboratory evidence of disseminated intravascular coagulation (DIC), which was exacerbated by induction chemotherapy. Heparin therapy, adjusted according to the patient's clinical status and the results of coagulation studies, rapidly controlled the manifestations of DIC. PMID- 6582993 TI - Human histocompatibility antigens and survival in acute myelocytic leukemia. AB - Several previous reports have suggested an association between human histocompatibility antigens (HLA) and survival in acute myelocytic leukemia (AML). The authors have retrospectively analyzed the records of 104 consecutive newly diagnosed patients with AML treated on the Leukemia Service of the Johns Hopkins Oncology Center from March 1978 through May 1982 who had HLA typing performed to further evaluate this point. The authors have been unable to demonstrate a statistically significant association of HLA phenotype with the ability to achieve a complete response (CR), length of CR, survival of the total group of treated patients, or survival of only those patients achieving a CR (P less than 0.05). The available evidence does not strongly support a significant influence of HLA on survival in AML. PMID- 6582994 TI - Prognostic value of cytologic parameters in acute myelogenous leukemia. AB - The prognostic value of some current cytologic characteristics was assessed in 174 adult patients with acute myelogenous leukemia (AML) treated according to the AML-5 protocol of the EORTC Leukemia and Hematosarcomas Group. A significantly higher rate of complete remission (CR) was observed in patients with low bone marrow (BM) cellularity, with BM blasts less than 80%, and with Auer rod positive cells more than 2.5% of the total blast cell population. A leukocyte count of less than 50 X 10(9)/1 in the peripheral blood was also associated with a higher CR rate. No significant difference was found between the various French-American British (FAB) subtypes, in spite of a trend towards a lower CR rate in patients with an M1, myeloblastic, poorly differentiated, subtype. The leukocyte count and the percentage of Auer rod positive cells were the only significant parameters for duration of survival from the beginning of maintenance treatment. However these features had no prognostic value for the duration of remission. It seems therefore that patients with a higher percentage of Auer-rod-positive cells and lower peripheral leukocyte counts can enter remission more easily, and can also more readily achieve subsequent remissions following relapse. The prognostic value of these routine cytologic features is probably related to their relationship with proliferative activity and tumor burden: the percentage of Auer rod-positive cells correlates inversely with the leukocyte count, whereas leukocyte count, BM cellularity, and percentage of BM blasts are linked together. PMID- 6582995 TI - Urinary pteridines on patients suffering from cancer. A comment on the method and results of Rao and associates and of Trehan and associates. AB - A diagnostic test for detecting malignancies has been reported by Rao and associates. This test has been extended by Trehan and associates as an index of disease status in acute myeloblastic leukemic patients on antileukemic drugs. The authors were able to demonstrate that by using the described assay various pteridines are measured and not exclusively 6-hydroxymethylpterin as reported by the above-mentioned authors. Furthermore, the urinary component which correlates to the status of malignant disease has to be interpreted as being neopterin. This conclusion can be drawn from previous studies conducted by the authors' laboratory. PMID- 6582996 TI - Treatment of acute myeloid leukemia with a combination of intensive induction chemotherapy, early consolidation, splenectomy and long-term maintenance chemotherapy. AB - The authors developed a therapeutic regimen in which 33 patients aged 11 to 61 years (mean +/- SE, 35.9 +/- 2.3 years) with acute myeloid leukemia (AML) were given intensive induction chemotherapy with Adriamycin (doxorubicin) (ADM), vincristine (VCR) and cytosine arabinoside (ARA-C). Twenty-nine of these patients (88%) attained a complete remission (CR) after 1, 2, or 3 courses and were then subjected to an early consolidation course of chemotherapy, identical to that for induction. After consolidation, all patients in CR received a long-term continuous maintenance therapy in which 6-mercaptopurine (6-MP) and methotrexate (MTX) were alternated, associated with periodic reinforcements with daunorubicin (DNR) and VCR. Twenty-five of the 29 patients who achieved a CR were splenectomized soon after the consolidation course. Histologic sections of the spleens, liver biopsy specimens, and lymph nodes, stained routinely and with the naphthol AS-D chloroacetate esterase (NCA) method, showed mature granulocytes and a few NCA positive mononuclear cells, but no proved leukemic infiltrates. For the 25 splenectomized patients, the probability of remaining in CR at 36 and 54 months was 75% and 66%, respectively; the probability of survival at 36 and 54 months was 85% and 75%, respectively. Age older than 40 years and evidence of extramedullary involvement at presentation appeared to carry a bad prognosis for disease-free survival. PMID- 6582998 TI - Granulocytic sarcoma treated as an acute leukemia. Report of a case. AB - A young man presented with intestinal obstruction. Laparotomy revealed a large mass encircling the cecum and terminal ileum which histologically proved to be a granulocytic sarcoma. No evidence of leukemia was present in peripheral blood or bone marrow. Initial therapy consisted of abdominal irradiation. Two months following completion of irradiation, widespread systemic involvement without leukemia was evident. Systemic chemotherapy with doxorubicin, cytosine arabinoside, vincristine, and prednisone was initiated. Chemotherapy was continued for 18 months. The patient has remained without evidence of disease for 49 months following discontinuation of treatment, and 67 months after initial diagnosis. Systemic therapy for granulocytic sarcoma presenting without evidence of leukemia is reviewed. PMID- 6582997 TI - Acute anthracycline cardiotoxicity. Comparative morphologic study of three analogues. AB - Chemotherapeutic use of anthracycline antibiotics is limited by their cardiotoxic effects. A potential solution to this problem is the development of anthracycline analogues retaining antitumor efficacy but without cardiac toxicity. An isolated perfused rabbit heart model was used to compare the nature and extent of early ultrastructural effects on the myocyte of three anthracycline analogues purported to have lesser cardiotoxicity than Adriamycin (doxorubicin). Seventeen rabbit hearts were perfused with oxygenated Krebs-Ringer bicarbonate buffer at 39 degrees C containing either Adriamycin (4 mg/L), daunomycin (10.6 mg/L), aclacinomycin (8 mg/L), or rubidazone (17.6 mg/L). For comparison, three hearts each were exposed to phosphoramide mustard (14.7 mg or 25 mg/L) or 4-hydroperoxy cyclophosphamide (24 mg or 17 mg/L), two active congeners of cyclophosphamide, an agent interacting with DNA differently than the anthracyclines and which is known to be cardiotoxic in high dose. Two hearts were exposed to dactinomycin (0.1 mg or 0.2 mg/L) which intercalates with DNA in a manner similar to the anthracyclines but which is not cardiotoxic. Ten control hearts were perfused with oxygenated buffer solution only. Light microscopic study disclosed no differences between treated and control hearts. Electron microscopic examination showed a striking and distinctive clumping of nuclear chromatin with clearing of chromatin from the nuclear membrane in all anthracycline treated hearts but in no hearts treated with 4-hydroperoxy cyclophosphamide, phosphoramide Mustard, dactinomycin, or control hearts. The nuclear effects of the four anthracycline analogues were indistinguishable. Thus, all anthracycline analogues studied produced acute nuclear alterations which were distinctive from the changes produced by other DNA interactive chemotherapeutic agents. The relationship of the distinctive anthracycline nuclear changes to the late cardiomyopathy requires further definition. PMID- 6582999 TI - Retinoid binding lipoprotein in neoplastic cells. AB - A lipid-protein aggregate (LPA), binding both retinol and retinoic acid, was detected in the cytosols of several human and murine tumor cells by gel filtration after incubation of cell extracts with labelled retinoids. In addition to this high Mr lipoprotein (Mr 2 X 10(6)) the cytosols also contained low Mr retinoid binding proteins (Mr 14,500). The amounts of retinoids bound to these 2 distinct components were similar and both bound some 40-200-fold more retinol than retinoic acid. Retinyl palmitate hydrolase, copper and zinc were found in association with LPA. The LPA may be involved in subcellular compartmentalization, transport and function of retinoids. PMID- 6583000 TI - The expression of the myc proto-oncogene in a dimethylsulfoxide resistant HL-60 cell line. AB - A cell line partially resistant to dimethylsulfoxide (DMSO) was derived from the HL-60 cell line. Cycloleucine, theophylline, sodium butyrate and elevated levels of DMSO were found to induce myeloid differentiation in this cell line while TPA induced monocytic differentiation. The levels of myc RNA and the genomic structure of the c-myc proto-oncogene were found to be the same in HL-60 and the resistant cell line. Differentiation of the DMSO resistant line was accompanied by a reduction in myc RNA levels. PMID- 6583001 TI - Combination chemotherapy in relapsed childhood acute lymphoblastic leukemia. AB - Chemotherapy for children with acute lymphoblastic leukemia who relapse during the course of initial treatment has been generally effective in inducing second complete remissions, but the duration of remissions has been very short. We used a combination of drugs, featuring weekly doses of L-asparaginase and cyclic boluses of dactinomycin, to maintain second complete remissions. Eight of ten patients who had had hematologic relapses subsequently entered a second complete remission, the median duration of which was 11.5 months. We conclude that this program resulted in a longer median duration of complete remission than most of the previously reported regimens for the treatment of relapsed childhood acute lymphoblastic leukemia. However, all patients eventually relapsed. PMID- 6583002 TI - Therapeutic modifications to the mineral ion composition of dental plaque. PMID- 6583003 TI - Alterations by Mg and F of the fermentative dissolution of F-varnished enamel by a streptococcal layer measured by a microhardness tester and a proton probe microanalysis. PMID- 6583004 TI - Sugar content, acidity and effect on plaque pH of fruit juices, fruit drinks, carbonated beverages and sport drinks. PMID- 6583005 TI - Effect of the length and number of intervals between meals on caries in rats. PMID- 6583006 TI - Effect of topical application of copper in combination with fluoride in drinking water on experimental caries in rats. PMID- 6583007 TI - Radiographic diagnosis of mineral loss in approximal enamel. PMID- 6583008 TI - Correlations of dietary intakes of calcium, phosphorus and Ca/P ratio with caries data in children. PMID- 6583010 TI - The general practitioner and the periodontist: competition or cooperation? PMID- 6583011 TI - The walking bleach technique for endodontically treated teeth. PMID- 6583009 TI - Analysis of X-ray-induced cell-cycle perturbations in mouse osteosarcoma cells: a two-signal cell-cycle model. AB - The effects of X-irradiation on mouse osteosarcoma cells have been studied by time-lapse cinematography and the resulting pedigrees have been analysed statistically. It is shown that the irradiation treatment causes three types of cell kinetic lesions: cell death (disintegration), cell sterilization (failure to divide) and proliferation delay. The first two lesions are the most important with regard to survival of the irradiated cell in a clonal assay. Of these two lesions, sterilization appears to be highly correlated for sister cells, while this is not true for cell disintegration. This indicates that cell survival in a clonal assay may be a function of the ratio of the incidences of these two types of lesions. The X-ray-induced proliferation delay was studied in terms of intermitotic time distributions, mother-daughter correlation and sibling correlation in relation to the current cell-cycle phase at the time of treatment. This analysis shows that the effects of irradiation on these cell-cycle characteristics is highly cell-cycle-dependent. A qualitative model to account for the observations is presented. PMID- 6583012 TI - Monoclonal antibody against K562 cell line accelerates killing of the target cells by large granular lymphocytes. AB - A monoclonal antibody (MoAb 11-4) was raised against K562, a human erythroleukemia cell line sensitive to natural killer cell-mediated cytotoxicity (NK-CMC). Immunological analysis revealed MoAb to be IgG2b. Alone, the MoAb was not cytotoxic for K562 and did not bind to the effector cells, but the addition of this antibody to macrophage-depleted human peripheral blood lymphocytes increased killing of K562 in a 4-hr NK-CMC assay. The maximum increase in NK-CMC was observed when MoAb 11-4 was added to target cells prior to the formation of effector/target cell conjugates. This effect was dose dependent, was specific for K562, and, contrary to conventional antisera, occurred at very low concentrations of MoAb. When MoAb was added either to Percoll-purified large granular lymphocytes (LGL) or to LGL-depleted lymphocytes, only the latter demonstrated a significant increase in the killing of K562 in a 4-hr chromium release assay. Kinetics studies revealed that although the overall LGL-mediated lysis was only slightly increased at 4 hr, the maximum lytic activity was reached within 2 hr. These studies suggest that (1) human LGL and LGL-depleted cell populations bear Fc receptors for mouse IgG2b and (2) although the cytotoxic activities of both cell populations are increased by treatment with MoAb 11-4, the kinetics of this increase are different. PMID- 6583013 TI - Geriatric dentistry: developing a new philosophy of care. PMID- 6583014 TI - Drug prescribing for the elderly patient. PMID- 6583015 TI - Portable dental equipment for treating the confined elderly patient. PMID- 6583016 TI - Medical considerations of geriatric dentistry. PMID- 6583017 TI - Dental health is marketing. PMID- 6583019 TI - Occupational hazards in dentistry. PMID- 6583018 TI - A rational policy on the use of dental amalgam. PMID- 6583020 TI - Mercury spills and their subsequent sequelae. PMID- 6583021 TI - Pennsylvania study warns of possible mercury risks. PMID- 6583022 TI - "Mercury breath" ... how much is too much? PMID- 6583023 TI - Dental office computers not toys. PMID- 6583024 TI - Simple checklist can help ensure safe mercury usage. PMID- 6583025 TI - Changes in actin-related gelation of crude cell extracts during differentiation of myeloid leukemia cells. AB - Gelation of extracts of a myeloid leukemia cell line (Ml) was compared before and after differentiation induced with conditioned medium (CM) from rat embryo cells. Although an extract of Mml cells, a macrophage line derived from Ml line, gelled when warmed in the presence of 2 mM MgCl2, undifferentiated Ml cells gelled only after dialysis and a supplement of exogenous actin. After differentiation had been induced, an addition of exogenous actin, but not dialysis, was needed for gelation. Small amounts of KCl always inhibited the gelation of the control Ml cell extracts, but they promoted gelation of the CM-treated Ml and Mml cell extracts. Thus, the dialysis required for gelation of the control Ml cell extract appears to be necessary for the exclusion of endogenous KCl. Several possible mechanisms for the KCl control of gelation, as well as different requirements of exogenous actin needed for gelation are discussed based on the results of our experiments. PMID- 6583026 TI - Human tissue distribution of 4'-(9-acridinylamino)-methanesulfon-m-anisidide (NSC 141549, AMSA). AB - Concentrations of AMSA were determined by HPLC in autopsy tissue samples from five patients who had received the drug antemortem. Relative organ concentrations of AMSA varied from patient to patient; however, concentrations were generally highest in gallbladder, liver, and kidney, while low levels were generally but not invariably found in lung, testicle, muscle, fat, spleen, bladder, pancreas, colon, prostate, and brain. One patient with ventricular fibrillation and seizures had high tissue AMSA concentrations in myocardium, but low concentrations in brain. Another patient with seizures during treatment had high brain concentrations of AMSA. Relative organ concentrations were similar to those found in mice, except that mice have high AMSA concentration in their spleens whereas our patients did not, even when the spleen was infiltrated with leukemic cells. High tissue concentrations of AMSA were still present 2 weeks after treatment. AMSA concentration was lower in a renal oncocytoma (1.1 micrograms/g) than in surrounding kidney (2.4 micrograms/g). PMID- 6583027 TI - Modification of oral methotrexate absorption in children with leukemia. AB - The effect of administering oral methotrexate in different formulations to children with acute lymphoblastic leukemia was evaluated. Methotrexate tablets alone achieved higher mean plasma levels and larger area under the absorption curve than either methotrexate liquid alone or methotrexate tablets taken concurrently with metoclopramide. PMID- 6583028 TI - A bioluminescence assay for total 3 alpha-hydroxy bile acids in serum using immobilized enzymes. AB - A bioluminescence assay for bile acids was developed using a co-immobilized 3 alpha-hydroxysteroid dehydrogenase, diaphorase, and bacterial luciferase. The assay was specific for bile acids containing a free 3 alpha-hydroxyl group, as well as androsterone. Light output was linear over a bile acid concentration range of 1-20 000 pmol. Intra-assay precision was 6.2-8.2% and the recovery of added standards was 92-110%. Comparison of results using the bioluminescence assay with those using gas liquid chromatography revealed an excellent correlation (r = 0.99, n = 31). Since the bioluminescence assay is rapid, sensitive, specific, and uses inexpensive reagents, it appears to be an ideal method for the measurement of total bile acids in serum. PMID- 6583029 TI - Veiled cells in chronic idiopathic inflammatory bowel disease. AB - The mononuclear cell system in the human gut wall of patients with Crohn's disease (CD), ulcerative colitis (UC) and normal controls was studied, with special reference to the so called antigen presenting veiled cells. These cells have already extensively been studied in the skin and are known as Langerhans' cells in the epidermis and dermis, veiled cells in the skin lymph and interdigitating cells in lymph nodes. Recently they were also found in gut associated lymphoid tissue, i.e. Peyer's patches of the rat. Here we describe the presence of similar cells in chronic idiopathic inflammatory bowel disease (CIBD). They resemble veiled cells in moving pattern, strong Ia positivity, no or only weak acid phosphatase activity, and ultrastructure. However, many of the described cells combine these characteristics with those of phagocytic macrophages. In the gut wall of controls veiled cells were virtually absent and phagocytic macrophages were almost exclusively recognized. These findings suggest that more intensive antigen handling takes place in the gut wall of CIBD patients than in normal gut. Clear cut associations with sex, age, duration or activity of disease were not observed in this limited study, and the exact significance of the presence of such cells needs further clarification. PMID- 6583030 TI - Elimination of an anaerobic mycoplasma from a human erythroleukemic cell line, K562. AB - A human erythroleukemic cell line, K562, contaminated with an anaerobic mycoplasma, was freed of the mycoplasma by passage through nu/nu mice. The mycoplasma-free K562 retains its ability to satisfactorily act as a target cell in the natural cytotoxicity assay. PMID- 6583031 TI - Deficient DR antigen expression on human cord blood monocytes: reversal with lymphokines. AB - Expression of DR antigen on cord blood (neonatal) human monocytes using complement-mediated cytotoxicity with anti-DR alloantisera and fluorescent activated cell sorting (FACS) utilizing a battery of anti-DR mouse monoclonal antibodies was assessed. Forty preparations of neonatal cord blood monocytes were purified by adherence and elution from plastic petri dishes: lymphocyte contamination was less than 5% as indicated by esterase and peroxidase stains and cell sizing. By cytotoxicity tests 22 +/- 5.5% (SD) of neonatal monocytes expressed DR compared to its expression on 78.6 +/- 3.1% of adult monocytes. By FACS analysis, the frequency of DR expression on neonatal monocytes was 19-33% compared to 71-82% for adult monocytes. Incubation of neonatal monocytes with concanavalin A (Con A) or phytohemagglutinin (PHA)-stimulated human peripheral blood mononuclear cell culture supernatants (lymphokine) or recombinant interferon-alpha (IFN-alpha) increased the expression of DR antigens in a dose- and time-dependent manner. A Con A-supplemented culture supernatant of unstimulated peripheral blood mononuclear cells had no effect on DR expression. Neonatal monocytes that were pretreated with anti-DR and complement in order to remove DR-positive cells were induced to express DR antigen after 2 days in culture with lymphokine. Thus DR-negative neonatal monocytes can be induced to express DR antigen. These results suggest a correctable maturational deficiency of neonatal monocytes. The inducibility of DR antigen expression by lymphokines and recombinant IFN-alpha suggests that they play an important role in the regulation of immune responses. PMID- 6583032 TI - Quantification of P-32 removed during leukapheresis by bremsstrahlung counting. AB - The activity of P-32 removed during leukapheresis of a patient previously administered P-32 for therapy of chronic myelogenous leukemia (CML) was determined. The bremsstrahlung produced by P-32 beta rays in the pheresis bags allowed the quantitation of radioactivity by well counting in a sodium iodide detector and by a gamma camera. Bremsstrahlung counting demonstrated that leukapheresis removes such a small amount of radioactivity that the therapeutic effect of a previously administered P-32 dose was still valid. Bremsstrahlung counting offers advantages to a Nuclear Medicine Department over the conventional use of a liquid scintillation counter to detect P-32 beta rays in that it is simpler and more readily available. PMID- 6583034 TI - Prognostic significance of the revised French-American-British classification for acute lymphocytic leukaemia. AB - The French-American-British (FAB) classification of acute lymphocytic leukaemia (ALL) has recently been modified to improve its reproducibility. We therefore thought it beneficial to test the utility of this modified classification in the prognosis of children with ALL. Eighty-eight patients of less than 18 years of age with ALL were subtyped according to the modified FAB classification by two independent observers. The initial concordance was 86%. Seventy per cent of the patients were subtyped as L1, 27% as L2 and 3% as L3. Patients with L3 subtype were not analysed further. No significant differences were observed between L1 and L2 subtypes when the distribution of other prognostic factors were examined. No differences were observed between L1 and L2 subtypes in the achievement of complete remission. Patients with L1 morphology demonstrated no significant increased duration of first remission or survival when compared to patients with L2 morphology. We conclude that the morphology of lymphoblasts may not be an independent prognostic variable in patients with ALL. PMID- 6583035 TI - Anaphylactic transfusion reaction associated with a possible anti-A2m(1). AB - A 42-year-old leukaemic black male developed shortness of breath, itching, hot flushes, substernal pain, marked hypotension, and cardiorespiratory arrest after the infusion of 50 ml of pooled platelet concentrates. The patient had had one previous and uneventful red blood cell transfusion. Serologic studies of this patient's post-transfusion serum showed the presence of an antibody against one denatured IgA2 protein with the phenotype A2m(1 + 2-). All of the platelet donors were A2m(1) positive. The patient was successfully transfused with platelets from donors with the phenotype A2m(1 - 2+). Although 35.8% of Blacks and 30.0% of Chinese are A2m(1) negative, this is the first reported transfusion reaction associated solely with the occurrence of a possible anti-A2m(1) in an individual of the type A2m(1 - 2+). PMID- 6583033 TI - Effect of uninephrectomy on urinary prostaglandin E2, F2 alpha, and 6 ketoprostaglandin F1 alpha excretion in rats. AB - Male Wistar rats were used to examine whether renal prostaglandins (PG) contribute to functional compensatory changes in the remaining kidney after uninephrectomy. Total urinary excretion of PGE2, PGF2 alpha and 6-keto-PGF1 alpha, a metabolite of PGI2, was measured before and during 11 days after surgery in uninephrectomized (UNX, n = 8) and sham-operated control (S, n = 9) rats. Urine volume was increased for the UNX rats on days 2-8 after surgery, but not thereafter, and urine osmolality for UNX was decreased on post-surgery days 1-9; total urinary sodium excretion did not differ between the two groups. Urinary PGE2 excretion was decreased in the UNX rats to 50% of S rat values, except on post-surgery days 2 and 3, when values for the two groups were not significantly different. Urinary PGF2 alpha excretion by the UNX rats was reduced to 50% of S rat values throughout the post-surgery period. In contrast, the urinary excretion of 6-keto-PGF1 alpha by the UNX rats did not differ significantly from that by the S rats, except on a single day. Chronic renal functional adaptation to renal mass reduction does not depend on increased renal prostaglandin systems activity; however, increased intrarenal PGE2 activity in the remaining kidney might be a factor in compensatory adjustments during the first days after surgery. PMID- 6583036 TI - Time trends in exposure to optimally fluoridated water supplies among Australian adolescents. AB - The aim of the present study was to examine yearly increments in exposure, cumulative exposure, and mean proportion of lifetime exposure to optimally fluoridated water supplies of Australian adolescents over the period 1960 to 1978 and to conditionally predict trends in those exposure measures from 1979 to 1990. The basis of the study was the history of the introduction of water fluoridation. Yearly increments were found to have been most varied, but cumulative exposure has continued to increase from a negligible level in 1960 to approximately two thirds of adolescents being exposed in 1978. Proportion of lifetime exposure was represented by a smooth sigmoidal curve with time-lagging of successive curves for higher ages between 12 and 17-yr-old. Proportion of lifetime exposure was predicted to increase through to 1990 and 1996 for 12- and 17-yr-olds, respectively. This prediction showed little sensitivity to yearly increment conditions from 1979 to 1990. PMID- 6583037 TI - Risk factors for various levels of periodontal disease and treatment needs in Iowa. AB - A cross-sectional study of the non-institutionalized population of the State of Iowa was completed in 1980. Persons were interviewed by telephone and a follow-up dental examination was conducted in the home. Periodontal treatment needs were measured using the WHO-621 Index of Periodontal Treatment Needs which has been modified and is now known as the Community Periodontal Index of Treatment Needs. Findings were consistent with other recent studies, which have shown a relatively high proportion of gingival bleeding and calculus. Although moderate pocket formation (3-6 mm) occurs in approximately 30% of the adult population, complex treatment needs (pockets 6 mm or greater) occurred in only 1.3% of the population. While sex did not significantly affect the distribution of periodontal needs; age, recency of visit to the dentist and income are possible risk factors for serious periodontal disease. PMID- 6583038 TI - Dental health in a group of drug addicts attending an addiction-clinic. AB - The present study was undertaken to investigate the dental health of a group of parenteral drug addicts. The study population comprised 134 persons with a mean age of 25 yr (min. 18, max. 37) examined in 1977-81. Mean DMFT was 18.3 and mean DMFS was 50.2, approximately twice as much as found in comparable age groups in Denmark. Even free smooth surfaces were often involved. The oral hygiene was measured by the use of the Visible Plaque Index (VPI) and the Bleeding Index (BI). Both indices were high, mean VPI = 77.4 and mean BI = 71.3. 12-40% of the teeth selected had a loss of periodontal attachment of more than 4 mm. It is suggested that not only drug abuse, but also factors like low social status, low education and different barriers towards receiving dental treatment should be considered in a multifactorial cause-effect relationship. The effect of offering a free dental care system for this high-risk group will be dealt with in another paper. PMID- 6583039 TI - Five-year evaluation of a dental care delivery system for drug addicts in Denmark. AB - The present study describes the experiences and results of the first 5-year period of a municipal dental clinic offering free dental care to drug addicts. One of the many problems was the instability of this socially deprived group whose erratic life style made it impossible to maintain regular dental care. The DMFS level of the drug addicts was 50.2 and mean caries increment per yr was 2.5 (1.3 new surfaces and 1.2 surfaces with recurrent decay). The caries increments among the present drug abusers and the individuals on methadone maintenance were higher than among the previous drug addicts, 3.1 and 1.3 surfaces per yr respectively, but this difference was not statistically significant. Only slight improvement in oral hygiene (VPI) could be demonstrated whereas gingivitis (BI) remained unaltered. Traumatic injuries of the orofacial region were frequent. The mean time expenditure concerning dental treatment was 5 hr per individual in the initial treatment phase but decreased to 1-2 h per individual per yr. Broken appointments and last minute cancellations were as a rule related to drug/alcohol abuse. The mean number of fillings was 8.2 per individual in the initial treatment phase and 1.7 per yr for individuals in a maintenance phase. The poor dental health of the drug addicts seems closely related to their life style habits and the clue to an improvement would probably follow the cure of the drug abuse and a concurrent resocialization. PMID- 6583040 TI - Costs of school-based mouthrinsing in 14 demonstration programs in USA. AB - The purpose of this study was to determine the economic costs of school-based mouthrinsing in the demonstration programs. Costs for two complete years were expressed in 1978 dollars, and divided into explicit and implicit categories. Costs per participant were found to vary among programs (ranges of average total costs - period I: $2.35-$8.05, period II: $1.46-$7.94), and a tendency for some average costs to increase with size was identified. That costs were higher than the conventionally reported $0.50-$1.00 reflects 1) the organization of these federally funded programs and, 2) the use of an accounting method which describes the real economic costs of public programs. PMID- 6583041 TI - Measurement of dental caries experience--modification of the DMFT index. AB - The DMFT index is one of the simplest and most commonly used indices in epidemiologic surveys of dental caries. It quantifies dental health status based on the number of carious, missing and filled teeth. The index, however, does not provide an accurate description of previous dental care. Nor does it provide information regarding the severity of the carious attack or the indicated treatment. Thus, a revision of the DMFT index was developed. This involved a division of the "D" component into four separate categories. With the addition of these categories, the index remains simple, and yet provides a description of one's previous dental experience. It further shows the extent of dental services needed by the population, which can be interpreted in terms of treatment hours and costs. This modified index has been successfully utilized in a dental epidemiologic survey of 1672 schoolchildren, 14-16 yr of age. It was apparent that the additional components provided significant data for treatment planning as well as dental health status. PMID- 6583043 TI - Relationship between fluoridation and socioeconomic status on dental caries experience in 5-year-old New Zealand children. AB - This article examines the relationship between fluoridation and socioeconomic status on caries experience, as measured by the dmf index, in 5-yr-old New Zealand children in the city of Dunedin (fluoridated in 1967) and in adjacent non fluoride communities. The children were subdivided into six socioeconomic status groups (SES 1, professional and managerial-SES 6, unskilled workers), but then for simplicity they were combined to form three groups. A two-way analysis of variance demonstrated that interaction between fluoride history and socioeconomic status was not significant. In all three SES groups, dmf was higher in non fluoride communities, but the difference was significant only in SES group (5&6) (P less than 0.01). Caries experience increased with decreasing socioeconomic status in both fluoride and non-fluoride communities, but this effect was only significant between SES groups (1&2) and (3&4) in the fluoridated community (P less than 0.05), and between SES groups (3&4) and (5&6) in non-fluoride communities (P less than 0.01). These results are compared with those of similar studies, and it is concluded that so far, the relationship between fluoridation and socioeconomic status on caries experience remains equivocal. A note of caution is sounded regarding the interpretation of such results, and the difficulties faced when comparing studies is discussed. PMID- 6583042 TI - Epidemiologic study of the association between alcohol habits and oral leukoplakia. AB - In a house-to-house survey in Ernakulam district, Kerala State, 10914 individuals were interviewed for their tobacco and alcohol habits and examined for the presence of oral leukoplakia. Very few females (1.6%) were found to be alcohol users and they were excluded from further analysis. Among 7604 males, 30.4% used alcohol regularly, 25.4% occasionally and 44.2% were non-users. The prevalence of leukoplakia was significantly higher among regular (5.7%) and occasional (3.9%) users than among non-users (2.9%) of alcohol. Alcohol usage was found to be related to age as well as tobacco habits. The prevalence of leukoplakia was higher among alcohol users in each age-group as well as in each tobacco habit category. After age-adjustment the difference between alcohol users and non users, although reduced, remained significant. For most tobacco habit categories the trend remained similar after age-adjustment except for the mixed habits group, for which there was a reversal of the trend. The alcohol habit may, perhaps, produce discernible effects only in association with other 'weak' etiological risk factors, such as a single tobacco habit of smoking or chewing rather than a 'strong' etiologic factor such as the mixed habits of chewing and smoking. PMID- 6583044 TI - Prevalence of dental caries in a group of adult Vietnamese refugees in Norway. AB - About 3500 Vietnamese refugees have settled in Norway since 1975. The purpose of this survey was to investigate the dental health of 200 Vietnamese refugees, 142 males and 58 females above the age of 12 years. The clinical examinations were done 3 weeks after arrival in Norway and included decayed, extracted and filled surfaces and teeth (DMFS and DMFT). The sample was divided into four age groups, 12-19, 20-29, 30-39 and 40+. Only 9% of the sample was cariesfree. Mean DMFT ranged from 8.7 in the youngest age group to 11.5 in the oldest. DMFS scores consisted primarily of decayed surfaces and mean DS did not vary much in the different age groups. The examinations revealed a higher prevalence of caries in the permanent second molars than in the permanent first molars in all age groups. The present study seems to support previous reports on the caries situation of the Vietnamese which have indicated a dramatic rise in the caries prevalence. In this study the average DMFT was similar to other Asian populations, but less than Norwegians of comparable age. The results suggest a high treatment need in the Vietnamese refugees. PMID- 6583045 TI - Restoration of Class IV lesions and fractures with acid-etch composite. PMID- 6583046 TI - Case report: a patient with severe periodontitis in conjunction with adult-onset diabetes. PMID- 6583047 TI - Oral cryotherapy. PMID- 6583048 TI - The effects of thumbsucking on orofacial structures and speech: a review. PMID- 6583050 TI - Alternate delivery systems - boon or blight? PMID- 6583049 TI - Upgrading dental care in a Third-World nation. PMID- 6583051 TI - Graft-versus-host disease in a patient with acute lymphoblastic lymphoma. AB - A young man with acute lymphoblastic lymphoma on chemotherapy developed acute graft-versus-host disease following nonirradiated blood transfusions during a period of pancytopenia. The importance of the cutaneous manifestations, in particular the histopathologic changes, in facilitating an early diagnosis of the disease are stressed. The question of irradiating blood transfusions for immunosuppressed patients with malignancies is discussed. PMID- 6583052 TI - Breathing and feeding. Can you have one without the other? PMID- 6583053 TI - A follow-up study of the development of Rauscher erythroleukemia. AB - Expression of cell membrane antigens recognized by antiserum raised against purified Friend murine leukemia virus (Fr-MuLV) envelope glycoprotein (gp71) and by xenotropic MuLV-coded cell surface antigen (XenCSA) specific antibodies was studied in the course of the development of Rauscher erythroleukemia in the spleen of Balb/c mice. DNA content vs immunofluorescence or light scattering of cells were simultaneously analyzed. At early stages of the disease (4-5 days after infection) the gp71 and XenCSA-related antigen expression is enhanced mainly on S-G2/M-phase cells as compared to the majority of G1-phase cells or to the endogenous background of uninfected cells. Later (around 10 days after infection) an approximately ten-fold increased gp71-related antigen density is reached in every phase of the cell cycle. These data show that the virus-induced transition from resting to proliferating state is coupled to enhanced expression of both helper and defective viral env-gene products in the cell membrane of mitotic and G1-phase cells as well. PMID- 6583054 TI - Reduction in prostaglandin-induced gastric cytoprotection following laparotomy. PMID- 6583055 TI - [Leukemic retinal infiltrate in acute myeloid leukemia in remission]. PMID- 6583056 TI - DNA-binding protein that induces cell differentiation. AB - Macrophage and granulocyte-inducing (MGI) proteins regulate the growth and differentiation of myeloid hematopoietic cells. One class of these proteins (MGI 1) induces cell growth and another class (MGI-2) induces cell differentiation. Results obtained with DNA-cellulose column chromatography have shown that the differentiation-inducing protein MGI-2 can bind to double-stranded cellular DNA, but that there was no such binding under the same conditions by the growth inducing protein MGI-1. DNA binding may thus be used to separate MGI-2 from MGI 1. The MGI-2 from mouse bound to DNA from mouse and calf. There were different elution peaks of the MGI-2 bound to DNA suggesting a heterogeneity of MGI-2 molecules, and the last peak eluted from the DNA cellulose column was enriched for one of the molecular forms of MGI-2. After one further step of purification by polyacrylamide gel electrophoresis, this molecular form of MGI-2 was active at a concentration of 6.5 X 10(-11) M. In normal development MGI-1 induces MGI-2. This induction of a DNA-binding differentiation-inducing protein by a growth inducing protein is an efficient mechanism for the normal coupling of growth and differentiation. It is suggested that this may also be a mechanism for the normal coupling of growth and differentiation in other types of cells. PMID- 6583057 TI - Purification and characterization of 3'-phosphoadenylylsulfate: N-desulfoheparan sulfate sulfotransferase from arterial tissue. AB - A 3'-phosphoadenylsulfate: N-desulfoheparan sulfate sulfotransferase (EC 2.8.2.12) was purified 450-fold from the microsomal fraction of calf arterial tissue and separated from 3'-phosphoadenylylsulfate:chondroitin sulfotransferase (EC 2.8.2.5) activity. The enzyme has optimal activity at neutral pH, requires divalent cations (Mn2+, Mg2+, Ca2+) for maximal activity and exhibits specificity towards N-desulfoheparan sulfate, N,O-desulfoheparan sulfate and oligosaccharides derived therefrom. N,O-desulfoheparan sulfate tetrasaccharides serve as acceptor substrates only if the nonreducing terminus is occupied by glucuronic acid (not iduronic acid). The N,O-desulfoheparan sulfate sulfotransferase transfers [35S]sulfate from 3'-phosphoadenylyl[35S]sulfate to the 2-amino groups and to the 6-hydroxy groups of glucosamine units of the acceptor substrates. The ratio of N/O-sulfation ranged between 3:1 and 2:1. O-[35S]Sulfated unsaturated disaccharides were obtained from enzymatically labelled [35S]N-desulfoheparan sulfate by heparitinase degradation and subsequent deamination. Evidence for the O-sulfation at C-6 of the glucosamine units was provided by isolation of anhydromannose [35S]monosulfate, which was formed from uronosylanhydromannose [35S]monosulfate by beta-glucuronidase treatment. An N-desulfo-N-[1 14C]lacetylheparan sulfate deacetylase activity was copurified with the N desulfoheparan sulfate sulfotransferase. PMID- 6583058 TI - Effects of several anti-inflammatory drugs on the various parameters involved in the inflammatory response in rat carrageenin-induced pleurisy. AB - In rat carrageenin pleurisy, both steroidal and non-steroidal anti-inflammatory drugs (SAID and NSAID respectively) produced a dose-related reduction of exudate volume and of prostaglandin (PG)E2 contents in the exudate at 3 h after carrageenin. However, with the exception of ketoprofen, administration of all the NSAID in low doses resulted in a significant reduction of PGE2 contents with no significant reduction in exudate volume. NSAID reduced leucocyte number and total activities of lysosomal enzymes in the exudate at 3 h after carrageenin only at the higher doses, while SAID did so in a dose-related manner. Both SAID and NSAID reduced the arylsulfatase activity released into the exudate (free activity) dose relatedly but not the free activity of beta-glucuronidase at 3 h after carrageenin. However, some drug treatments resulted in a lower reduction in free arylsulfatase activity than in exudate volume. These results suggest that the reduction of PGE2 contents may be the main contribution to the anti-exudative activities of anti-inflammatory drugs in rat carrageenin pleurisy and that this effect may be complemented by the reduction of free activity of lysosomal enzymes such as arylsulfatase. PMID- 6583059 TI - Pharmacological characterisation of a novel tachykinin isolated from mammalian spinal cord. PMID- 6583060 TI - Comparison of craniofacial growth in an Australian aboriginal and Danes, illustrated by longitudinal cephalometric analyses. PMID- 6583061 TI - Effect of increased posterior displacement of the glenoid fossa on mandibular growth: a methodological study on the rabbit. PMID- 6583062 TI - The effect of early interceptive treatment in children with posterior cross-bite. PMID- 6583063 TI - A histomorphometric study of orthodontically induced root resorption. PMID- 6583064 TI - An investigation into the initial discomfort caused by placement of an archwire. PMID- 6583065 TI - Dental development assessed by tooth counts and its correlation to somatic development during puberty. PMID- 6583066 TI - Early treatment of unilateral posterior crossbite in children with bilaterally contracted maxillae. PMID- 6583067 TI - The photography of orthodontic study models. PMID- 6583068 TI - Evidence for a heterogeneous response to erythropoietin in the CFUE pool of human bone marrow. AB - To determine whether the CFUE pool within human bone marrow is heterogeneous with respect to erythropoietin (Epo) requirements, we studied CFUE growth in vitro as a function of Epo exposure time. We controlled the Epo exposure time by overlaying plasma clot cultures containing 0.5 U/ml Epo with an antibody prepared against human Epo. All cultures were grown for seven days. Benzidine-positive colonies containing eight or more cells were counted as CFUE. Colonies containing eight cells required at least 24-50 h of Epo exposure, and those containing 16 cells required at least 70-90 h of Epo exposure. After 50 h, the number of CFUE progressively increased until it reached a maximum at seven days of Epo exposure. These results suggest that the CFUE pool within human bone marrow is heterogeneous with respect to Epo requirements. PMID- 6583070 TI - Sex preselection. PMID- 6583069 TI - Myeloid differentiation in liquid cultures of cells from patients with chronic myeloid leukemia: effects of retinoic acid and indomethacin. AB - To study the effects of retinoic acid (RA) and indomethacin on myeloid differentiation, normal and chronic myeloid leukemic (CML) bone marrow cells lighter than 1.065 g/ml were incubated in liquid cultures and grown in agar. Retinoic acid (RA) (10(-8) M and 10(-6) M) increased the number of clusters (3-40 cells) formed in agar and also increased the neutrophil production in liquid cultures. Indomethacin (10(-6) M) did not change the cell growth in agar. In liquid culture, however, more macrophages and fewer neutrophils were produced in the presence of indomethacin. The results suggest that RA enhances neutrophil production by stimulating the proliferation and maturation of a cluster-forming cell within the myeloblast-promyelocyte compartment. The stimulatory effect of indomethacin on macrophage production is probably secondary to its inhibition of prostaglandin synthesis, which inhibits the proliferation of monocyte precursor cells. No major differences were noted between CML and normal cells in their responses to RA or indomethacin. PMID- 6583071 TI - [Periodontal status in childhood diabetes]. PMID- 6583072 TI - [Sedation analgesia in dentistry and oral surgery]. PMID- 6583073 TI - [Structure and composition of salivary calculi]. PMID- 6583074 TI - Scanning electron microscopy in clinical dental research. Methodology for clinical & laboratory studies. PMID- 6583075 TI - Surgical uncovering & luxation of impacted teeth as an alternative to extraction. PMID- 6583077 TI - The status of community water fluoridation in Florida. PMID- 6583076 TI - Tooth damage linked to public pool by Center for Disease Control. PMID- 6583078 TI - Alternative isolation techniques in conjunction with rubber dam application. PMID- 6583079 TI - Health care costs are sickening! PMID- 6583080 TI - Stress can cause decay, too. PMID- 6583082 TI - Beating the clock: time management strategies for the dental office. PMID- 6583081 TI - Financial philosophy for the dentist. PMID- 6583083 TI - [Retrograde obturation of 2 lateral canals: solution in a clinical case]. PMID- 6583084 TI - [Light polymerization using the Fotofil device for different composite materials]. PMID- 6583085 TI - [Indications for periodontal and conservative therapy in wrongly treated Class V caries]. PMID- 6583086 TI - [Mandibular fractures: apropos of a personal case study of 87 cases]. PMID- 6583088 TI - [Food consistency as an etiopathogenetic element in malocclusion]. PMID- 6583087 TI - [Apicoectomy with retrograde obturation in the posterior teeth]. PMID- 6583090 TI - [The Lucie Frey or auriculo-temporal syndrome]. PMID- 6583089 TI - [Plates for occlusal clearance]. PMID- 6583091 TI - [Reliability of parapulp support in the coronal reconstruction of silver amalgam in posterior teeth]. PMID- 6583092 TI - [Evaluation of dento-dental discrepancies in patients with prognathic syndrome]. PMID- 6583094 TI - [Oral hemangioma: a clinical case]. PMID- 6583093 TI - [Finish of the margins of casts of nickel-chromium alloys]. PMID- 6583095 TI - [Correlation between facial height and body height during the prepubertal period]. PMID- 6583096 TI - [Clinical pharmacology of non-steroidal anti-inflammatory agents in pain following oral surgery]. PMID- 6583098 TI - [The role of the orthodontist]. PMID- 6583097 TI - [Concentration of antibiotics in various jaw tissues: concentration of spiramycin. IV]. PMID- 6583100 TI - [Mounting of functiographs in the articulator]. PMID- 6583099 TI - [Non-hardening silicon materials for facial prosthesis preparation]. PMID- 6583101 TI - [Thermal expansion of dental alloys and dental ceramics]. PMID- 6583102 TI - [The admissions test for the master's degree program 1983: 36 dental technicians endure a difficult test]. PMID- 6583104 TI - [Training the dental technician. Bending of wires. 11]. PMID- 6583103 TI - [Use of metal alloys in dentistry]. PMID- 6583105 TI - [Causes and effects of distortion in materials]. PMID- 6583106 TI - In Oklahoma, denturism is not a controversy, its a no-holds-barred brawl. Interview by Joe Neel. PMID- 6583107 TI - Elevating standards is of critical concern to dental laboratory study clubs. Interview by Carl M. Caplan. PMID- 6583108 TI - Is your letterhead giving you away? PMID- 6583109 TI - Technicians' salaries keep pace with inflation. PMID- 6583110 TI - Talk your problems away. PMID- 6583111 TI - Raise pride and productivity with a computer. PMID- 6583112 TI - If the price is right, buy the business. PMID- 6583113 TI - Associating with a good egg. PMID- 6583114 TI - Entering private practice via associateship route. Part I. PMID- 6583115 TI - Mortgaged futures? PMID- 6583116 TI - Hispanic dentist serves as role model. PMID- 6583117 TI - Afraid to use nitrous? PMID- 6583119 TI - The decorator made me do it. PMID- 6583118 TI - Minimizing the hazards of radiation exposure. PMID- 6583120 TI - Buy-in agreement important aspect of associateship. Part III. PMID- 6583121 TI - Hepatitis vaccine pluses outweigh threat of AIDS. PMID- 6583122 TI - Adequacy of projected dental school enrollment. PMID- 6583123 TI - Mouth protectors, trauma care top sports dentistry agenda. PMID- 6583125 TI - Dental community's role in the Olympic movement. PMID- 6583124 TI - Incorporating sports into private practice. PMID- 6583126 TI - Finding a suitable associate position. Part IV. PMID- 6583127 TI - Coping with patients of various species. PMID- 6583128 TI - Study skills essential for dental school success. PMID- 6583129 TI - Dental advertising: boon or bane? PMID- 6583130 TI - Complete dental charting a medicolegal obligation. PMID- 6583131 TI - [Thermodisinfection. An alternative or supplement to instrument maintenance?]. PMID- 6583132 TI - Application of 31P n.m.r. to inborn errors of muscle metabolism. PMID- 6583133 TI - Plasma prostaglandin activities in some immuno-inflammatory diseases. AB - In the present study the relationship between plasma prostaglandins (PGs) level and the immuno-inflammatory reactions, known to accompany bronchial asthma and/or schistosomiasis infection, was investigated. It was found that plasma PGF2 alpha increased significantly above the control values in 30 asthmatics, 30 schistosomal and 30 asthmatic schistosomal patients. Plasma PGE increased also together with that of PGF2 alpha which is considered to be useful for the protection of the patient against the injurious effects of the infection, due to the known opposing actions of PGE to those of PGF2 alpha. PMID- 6583134 TI - [Genetic polymorphism of transferrins in Bovinae]. AB - Variability of transferrins in Bovinae is controlled by two loci: Tf (the locus of structural transferrin gene) and T (the locus of a gene responsible for protein modification). Originally, the ancestors of Bovinae, like the other ruminants, had the R type of transferrin (T-/T- genotype, inactive T gene). Later on, the T gene activation occurred and the B type appeared (T+/T-, T+/T+ genotypes). The subsequent evolution of Bovinae was accompanied by almost complete fixation of T+ allele. In one of the Bovinae representatives (Bos taurus L.) the frequency of T- allele remained at the level of approx 0.1. A hypothesis is proposed which explains the change of the transferrin type in Bovinae by imitation of multiple allelic forms of this protein present in Tf heterozygotes, by supplementary modificatory multiple transferrin forms arising on activation of the minor gene (T+). This process is assumed to involve the reduction of Tf locus variability. Since this hypothesis proceeds from the assumption of TF heterozygote advantage, the question is considered, whether this assumption is compatible with high polymorphism of Tf locus which significantly exceeds that for other loci. PMID- 6583135 TI - The Cincinnati Lipid Research Clinic family study. Bivariate path analyses of lipoprotein concentrations. PMID- 6583136 TI - Cytochemical study of the ovary cells in the chick embryo. AB - In the present work, cytochemical studies of mucosubstances, 3-beta hydroxysteroid dehydrogenase and lipids in the different cellular types of chick embryo female gonads were performed, at 7, 11, 15, and 19 days of embryonal development. Oocytes from the cortical zone of the left ovary were characterized by the presence of a juxtanuclear cytoplasmic cap, which was basophilic, PAS positive, alcianophilic and acidophilic and was related to Balbiani's vitelline body. These staining characteristics either decreased or disappeared from 15 days in oocytes of the normal left ovary medulla as well as in oocytes of the atrophic right ovary. PMID- 6583137 TI - [Orofacial development under difficult conditions]. PMID- 6583138 TI - [The effect of a vestibular screen on impaired basal breathing]. PMID- 6583139 TI - [Torque characteristics of steel and nitinol wires]. PMID- 6583140 TI - [Tongue pressure or inherited susceptibility as a primary cause of infraclusion or impaction of deciduous molars?]. PMID- 6583142 TI - [The profile from the orthodontic viewpoint]. PMID- 6583141 TI - [Progressive, post-traumatic deciduous tooth reinclusion]. PMID- 6583143 TI - [The profile from the artistic viewpoint]. PMID- 6583144 TI - [The enhancement of profile and skull radiographic images using the logetronic contrast adjustment method]. PMID- 6583145 TI - [Computer-assisted cephalometry using the Bergen technic]. PMID- 6583146 TI - [Cephalometry using computers and new appliances in orthodontics]. PMID- 6583147 TI - [Comparative measurements of radiation dosages in orthodontic practice using 3 panoramic tomographic units]. PMID- 6583148 TI - [Root length of upper canines and orthodontic therapy]. PMID- 6583149 TI - [Indications for 3 treatment systems in orthodontics]. PMID- 6583150 TI - [Indications for removable activator appliances]. PMID- 6583151 TI - [Indications for functional orthodontic appliances]. PMID- 6583152 TI - [Indications for fixed orthodontic appliances]. PMID- 6583153 TI - [Effects of scoliosis on the facial bones]. PMID- 6583154 TI - [Treatment- and growth-related changes in the profile of cleft patients]. PMID- 6583155 TI - Renal ketone body metabolism. Distribution of 3-oxoacid CoA-transferase and 3 hydroxybutyrate dehydrogenase along the mouse nephron. AB - Two enzymes of ketone body metabolism, 3-oxoacid CoA-transferase and 3 hydroxybutyrate dehydrogenase were measured with ultramicromethods to map their activities along single, dissected segments of mouse nephron. 3-Oxoacid CoA transferase activity was assayed with a radiochemical procedure by separating [14C]succinyl-CoA, formed in the presence of acetoacetyl-CoA from [1,4 14C]succinate. This procedure, when compared to the spectrophotometric method, resulted in similar activities in mouse organ homogenates. 3-Hydroxybutyrate dehydrogenase activity was determined with sufficient sensitivity by using NADH dependent luciferase. The dehydrogenase exhibited only 5% of the activity of the 3-oxoacid CoA-transferase when measured in mouse kidney cortex homogenates. Both enzymes were found to be present in all nephron structures studies. The specific activity related to tubular protein, which was determined in parallel in all segments dissected, exhibited a typical distribution pattern along the nephron. Both enzymes roughly paralleled each other along the structures of the distal nephron. They exhibited high activities in the thick ascending limb of Henle's loop and the distal convoluted tubule, but decreased to nearly 20% in the segments of the collecting tubule. In the proximal convoluted and straight tubule 3-oxoacid CoA-transferase activity was almost equal. In contrast, 3 hydroxybutyrate dehydrogenase increased by a factor of 5 from the convoluted to the straight portion. This heterogeneity along the proximal tubule remained when pure D-hydroxybutyrate was used as substrate, but was not found when rat or rabbit nephron segments were analysed. Lowest activities of enzymes were recovered from glomeruli and thin descending limbs of Henle's loop. The results obtained allow for the conclusion that 3-hydroxybutyrate and acetoacetate can be metabolized in all structures of the mouse nephron with different capacities in various segments. With the exception of the relatively low activity of 3 hydroxybutyrate dehydrogenase in the proximal convoluted tubule, the distribution pattern mirrors the distribution of mitochondria along the rat nephron. The results point to the possible role of ketone bodies as energy fuels for nephron segments performing active transport processes. PMID- 6583156 TI - The pathologist's role in the diagnosis and treatment of osteosarcoma in children. AB - Tumor specimens from 24 children under 15 years of age were studied. The children had osteosarcoma and received intra-arterial infusions of cis-platinum before resection or amputation. There were 13 boys and 11 girls, and the median age was 12 years. Fifteen lesions were located in the femur, four in the humerus, three in the tibia, one in the pubis, and one in the radius. Sixteen patients underwent diagnostic needle biopsies and the remainder, open biopsies. Eleven patients had excellent tumor response, with over 90 per cent tumor destruction in six and 65 to 75 per cent in five. One patient had 50 per cent tumor destruction, and in nine patients the response was insignificant. Two patients had good clinical responses to treatment and refused limb amputation; one additional patient died of the disease without amputation or resection. The systematic study of pathology specimens is being undertaken to determine the utility of such a study as a guide to the selection of adjuvant chemotherapy. Patients in whom no responses are obtained should receive alternative treatment, and those in whom responses are optimal should retain the original agent in their adjuvant chemotherapy regimen. PMID- 6583157 TI - Assignment of the gene for cystathionine beta-synthase to human chromosome 21 in somatic cell hybrids. AB - Among several established mouse, rat, and Chinese hamster cell lines that were screened for cystathionine beta-synthase (CBS) activity, mouse 3T3 and Chinese hamster Don fibroblasts were found to contain no detectable activity. Somatic cell hybrids between human fibroblasts KG-7 with normal CBS activity and Don/a23TK- cells (series XXI) were examined for CBS activity and for human chromosome content. Only chromosome 21 cosegregated with CBS activity. Because the activities measured could represent either Chinese hamster or human gene products, we have prepared a new series of hybrids between Don/a23TK- cells and mutant human fibroblasts from a patient with homocystinuria due to deficiency of functional CBS mRNA. None of these (series XXV) hybrids contained detectable CBS activity, although collectively all human chromosomes were represented. Our results suggest that the human gene for CBS, called CBS, and thus for the most common form of homocystinuria, is located on chromosome 21. PMID- 6583158 TI - Isochromosome 6p, a unique chromosomal abnormality in retinoblastoma: verification by standard staining techniques, new densitometric methods, and somatic cell hybridization. AB - Study of chromosome rearrangements in retinoblastoma tumors revealed that all tumors contained either an unusual isochromosome and/or extra copies of chromosome 1q. Extra copies of chromosome 1q occur in many malignancies. The pattern of G-bands suggested that the isochromosome was derived from either the short arm of chromosome 6, i(6p), or the long arm of chromosome 17, i(17q). Standard staining techniques using G-, C-, Q-, and R-banding; high resolution G banding; and density profile analysis were consistent with the characteristic isochromosome of retinoblastoma being i(6p), rather than i(17q). This conclusion was substantiated by the analysis of segregants derived from retinoblastoma X mouse hybrid cells which had been grown in bromodeoxyuridine to select for loss of chromosome 17. The unique isochromosome was not lost under these conditions confirming that it is an i(6p) rather than an i(17q). The i(6p) abnormality has not been observed frequently in other tumors, but occurs in 60% of retinoblastoma tumors. Thus, although the mutation predisposing to retinoblastoma is known to map at 13q14, somatic amplification of genes on 1q and 6p may play a role in the pathogenesis of this tumor. PMID- 6583159 TI - Monoclonal antibodies to mouse MHC antigens. I. Serologic characterization of ten anti-H-2 and anti-Ia reagents. PMID- 6583160 TI - [Hunter's glossitis]. PMID- 6583161 TI - [Cephalometric study of the problem of relapse after sagittal splitting of ramus for correction of skeletal open bite]. PMID- 6583162 TI - [Secondary effects of a removable passive lingual arch wire]. PMID- 6583163 TI - The treatment of vital pulps. 1. Diagnosis and aetiology. PMID- 6583164 TI - The treatment of vital pulps. 2. Treatment to maintain pulp vitality. PMID- 6583165 TI - Ultraviolet light as an aid to endodontic diagnosis. PMID- 6583166 TI - The quenching of ultraviolet fluorescence in human dentine following the use of dental materials containing eugenol. PMID- 6583167 TI - Facial emphysema during endodontic treatment--two case reports. PMID- 6583168 TI - Physical properties of root canal sealers: measurement of flow, working time, and compressive strength. PMID- 6583169 TI - [A review of immunopathology of importance to dentistry (IV). Oral manifestations present in systemic diseases]. PMID- 6583170 TI - [Influence of restorative treatment on the periodontium]. PMID- 6583171 TI - [Epidemiologic study on dental caries in a school-age population in Ferrara: considerations on the cost of treatment and prevention of caries]. PMID- 6583172 TI - [Lipoma of the parotid. Description of a case and review of the literature]. PMID- 6583173 TI - [The median cephalometric value of the relation between the maxillary and mandibular basal architecture, using a modified arch method in a sample of the adult female Italian population]. PMID- 6583174 TI - [The sagittal relation of the craniofacial skeletal base as analysed by 3 cephalometric methods based respectively on angle, line and arch value]. PMID- 6583175 TI - [Contribution of light and scanning electron microscopy to the study of hypercementosis]. PMID- 6583176 TI - [A rare case of complete bone impaction of a primary molar. Therapeutic considerations]. PMID- 6583177 TI - [Autogenous transplantation of the upper impacted canines]. PMID- 6583178 TI - [Neuromuscular system in the physiology and physiopathology of occlusion]. PMID- 6583179 TI - [Fractures of the temporo-mandibular joint in clinical practice]. PMID- 6583180 TI - [Comparative study on the healing of intra-oral surgical wounds and on the formation of post-operative edema]. PMID- 6583181 TI - [Introduction to the use of free autogenous grafts of keratinized fibromucosa of the mouth]. PMID- 6583182 TI - [Clinical indications for the use of free autogenous grafts of keratinized fibromucosa of the mouth. I: Periodontal indications]. PMID- 6583183 TI - [Clinical indications for the use of free autogenous grafts of keratinized fibromucosa of the mouth. II: Non-periodontal indications]. PMID- 6583184 TI - [Corrosion of dental amalgam]. PMID- 6583185 TI - [Current topics in the epidemiology of partially and completely edentulous patients]. PMID- 6583186 TI - [Partially edentulous patients: etiology and functional changes]. PMID- 6583187 TI - [The masticatory system: function]. PMID- 6583188 TI - [The masticatory system: mandibular dysfunction]. PMID- 6583189 TI - [The masticatory system: parafunction]. PMID- 6583190 TI - [Ellis-van Creveld syndrome or chondroectodermal dysplasia. (Description of a clinical case)]. PMID- 6583192 TI - [Lesions due to occlusal trauma in the periodontium and dental pulp]. PMID- 6583191 TI - [Eagle's syndrome: a case report]. PMID- 6583193 TI - [Concordant monocytic leukemia in twin infants]. AB - Acute monocytic leukemia was diagnosed almost simultaneously in 6-month-old male identical twins. Inspite of chemotherapy one twin died of disseminated intravascular coagulation with pulmonary haemorrhage; the other one, however, went into long-term remission. Conception of the twins had taken place inspite of intrauterine device (copper T). PMID- 6583194 TI - Pharmacokinetics of imipenem in healthy volunteers. AB - The pharmacokinetics of imipenem were evaluated in four studies involving 49 healthy men, several of whom participated in more than one study. Within a dose range of 150 to 1000 mg, imipenem was found to give high plasma concentrations, proportional to the size of the dose. The half life in the beta-phase was about 1 h in 48 subjects with normal renal function and about 80 min in one subject with a glomerular filtration rate (GFR) of about 50 ml/min/1 X 73 m2. The volume of distribution in the central compartment was about 101. Co-administration of imipenem with probenecid resulted in a slight but significant increase of the plasma half life and a corresponding increase of the area under the plasma concentration curve (AUC). The renal excretion of imipenem was characterized by low urinary recovery (UR) of imipenem. That was in agreement with findings by others that in animals, imipenem undergoes renal metabolism by a dipeptidase, dehydropeptidase I, located to the brush border of the proximal tubular cells. There was a very high degree of between-subject variability of the UR with values varying from about 5% to more than 40% of the dose. Comparing the results obtained after several administrations of imipenem to the same subjects, a small within-subject variability was found. Co-administration of imipenem with inhibitors of the dehydropeptidase MK0789 or MK0791 (cilastatin), resulted in a uniform increase of the imipenem UR to about 70% of the dose irrespective of the degree of metabolism when imipenem was given alone. The effects of the inhibitors on the plasma kinetics of imipenem were an increase of the AUC by about 20% and a proportional decrease of the plasma clearance (VClp) while the plasma half life remained unaffected. Testing various ratios of imipenem and the inhibitors and using incremental data, it could be demonstrated that an increase of the imipenem/cilastatin ratio resulted in a prolonged inhibition of the renal metabolism. Optimal inhibition seemed to be achieved at a ratio of 1:1 between imipenem and cilastatin. A practical consequence of the inhibition of renal metabolism by cilastatin was that high urine concentrations were maintained for longer periods when the combination was given than when imipenem was administered alone. In all subjects, imipenem and the inhibitors were well tolerated and the only adverse reaction observed was nausea during infusion, observed in one subject. PMID- 6583196 TI - Clinical perspectives on imipenem. PMID- 6583195 TI - Safety and tolerance comparison of imipenem-cilastatin to cephalothin and cefazolin. AB - Imipenem-cilastatin was compared, in two multicentre clinical trials, with cefazolin or cephalothin, in their efficacy, safety, and tolerance. Safety and tolerance for imipenem-cilastatin was similar to that of these two cephalosporins. There were more transient liver function test changes in the imipenem-cilastatin group, but the frequency was similar to that for beta-lactams in general. There were similar numbers of cases of transient neutropenia in each group. Clinical side effects were few for the treatment groups and all drugs were well tolerated. PMID- 6583197 TI - Susceptibility of anaerobic bacteria to imipenem. AB - The in vitro susceptibility of 157 anaerobic bacteria to imipenem was compared with that to cefoxitin, latamoxef (moxalactam) and clindamycin. The isolates were cultured from clinical specimens submitted to Tufts Anaerobic Laboratory between January 1981 and March 1983. Two strains of Bacteroides fragilis only, were highly resistant to imipenem. The incidence of cefoxitin resistance in the Bact. fragilis group has increased at Tufts-New England Medical Center. The data indicate that imipenem is the most active beta-lactam drug against anaerobic bacteria, including Bact. fragilis group of organisms. The only difference, since our original studies with thienamycin, is the recognition of two imipenem resistant strains of Bact. fragilis. PMID- 6583198 TI - Comparative imipenem treatment of Staphylococcus aureus endocarditis in the rat. AB - The efficacy of imipenem alone or in association with gentamicin against Staphylococcus aureus experimental endocarditis was compared to the efficacy of cloxacillin alone or in association with gentamicin. Parenteral treatment was started 24 h after intravenous bacterial challenge of rats with catheter-induced aortic valve vegetations. The cloxacillin MIC and MBC for Staph. aureus were 0.125 and 32 mg/l and the imipenem MIC and MBC 0.008 and 8 mg/l, respectively. In vitro killing curves showed a synergistic effect between cloxacillin and gentamicin, and an additive effect between imipenem and gentamicin. Only large doses of cloxacillin (400 mg/kg tid) (producing serum levels above those obtained after intravenous injection of 2 g in man) achieved results comparable to those of imipenem 80 mg/kg tid (producing serum levels similar to those obtained after an intravenous dose of 750 mg in man) in reducing the bacterial numbers in vegetations after 3 and 5 days of treatment. There was a significantly greater reduction of bacterial numbers in vegetations after treatment with the association of cloxacillin and gentamicin than with cloxacillin alone. In contrast, the addition of gentamicin to imipenem did not improve significantly the results of treatment with imipenem alone, but imipenem alone was as good as the combination cloxacillin and gentamicin after 5 days of treatment. We conclude that imipenem is a highly bactericidal drug in this animal model, worth considering for clinical trials in the treatment of Staph. aureus infections. PMID- 6583199 TI - Imipenem therapy of Pseudomonas aeruginosa bacteraemia in neutropenic rats. AB - Rats were made neutropenic by intraperitoneal (ip) injection of cyclophosphamide. Those neutropenic (mean white blood cell count of 470/mm3) rats were challenged intraperitoneally with Pseudomonas aeruginosa to assess the efficacy of single agent therapy with either imipenem, latamoxef (moxalactam) or amikacin, or combination therapy with imipenem-amikacin or latamoxef (moxalactam)--amikacin. Pharmacokinetic studies were performed in rats to assure that therapy was equivalent during therapeutic trials. Three levels of bacterial challenge (4 LD50, 13 LD50 and 250 LD50) were examined. At all challenge levels, single agent therapy with latamoxef (moxalactam) failed to significantly protect rats from fatal bacteraemia. Single-agent therapy with amikacin did significantly protect rats from fatal bacteraemia at the lower challenge levels, but not at the 250 LD50 challenge. Single agent therapy with imipenem significantly protected rats at all challenge. Single agent therapy with imipenem significantly protected rats at all challenge levels. In-vitro studies established a synergistic effect when combination antibiotics were used. This correlated with in-vivo findings that combination therapy resulted in improved rat survival and recovery of fewer Ps. aeruginosa isolates. The latamoxef (moxalactam)-amikacin combination was more effective than either agent alone, but was not more effective than imipenem alone. The imipenem-amikacin combination was the most effective therapeutic regimen tested. These results suggest that imipenem alone, and particularly when combined with an aminoglycoside, is effective in treating serious Ps. aeruginosa infections in neutropenic rats. Clinical studies in infected immunocompromised patients may be warranted. PMID- 6583200 TI - Chromosomal mapping of Bacillus thuringiensis by transduction. AB - Three groups of linked markers were mapped in Bacillus thuringiensis 4042B by using two-, three-, and four-factor crosses mediated by the temperate bacteriophages TP-13 and TP-18. The order of markers was (trp-11, trp-2)-(leu-1, leu-2)-his-1-(lys-1, lys-2)-cys-1 in the first group; met-1-(argCl, argOl)-met-2 (pyr-1, pyrA2) in the second group; and met-3-pur-1-(nal-1, nal-2)-str-1-(pur-2, pur-4)-pur-3 in the third group. Electron microscopic measurements of head sizes suggested that the volume of the TP-13 phage head is seven times greater than that of the TP-18 phage head. The TP-18 genome was shown by DNA restriction analysis to have a molecular mass of 36 megadaltons. TP-13 was useful for scanning large segments of the B. thuringiensis chromosome, and TP-18 was effective for ordering markers too closely linked for simple resolution with TP 13. PMID- 6583201 TI - Dinucleotide priming of transcription mediated by RNA polymerase II. AB - Mammalian RNA polymerase II was shown to utilize dinucleoside monophosphates for priming of promoter specific RNAs. In a reconstituted system containing purified polymerase and HeLa cell fractions, dinucleotides were incorporated by complementarity with template sequences at the in vivo cap sites of the adenovirus major late and adenovirus early region IV promoters. Incorporation was shown by label transfer experiments and by determining the size of 5'-terminal RNase T1-resistant oligonucleotides. All 16 dinucleotides were tested for priming of RNA chains at the major late promoter. RNA polymerase II initiated with various primers over a contiguous region of 9 bases, centered around the in vivo initiation site. We suggest that the polymerase drifts or oscillates over this region. Using a dinucleotide challenge protocol, the rate of initiation at the major late promoter was measured following preincubation of the template DNA with RNA polymerase II and factors. Initiation with ATP was 90% complete within the 1st min after addition of nucleotide triphosphates. Stimulation of transcription by dinucleotides was not observed, due to this rapid initiation. The 5'-hydroxyl terminus of dinucleotide-primed RNAs remained unmodified. Although transcripts initiated with ATP were rapidly capped in whole cell extracts, ATP-primed RNA synthesized in the reconstituted system retained free 5'-terminal phosphates. Thus, capping was not essential for synthesis of long runoff RNAs. PMID- 6583202 TI - Rapid phosphorylation-dephosphorylation of specific proteins induced by phorbol ester in HL-60 cells. Further characterization of the phosphorylation of 17 kilodalton and 27-kilodalton proteins in myeloid leukemic cells and human monocytes. AB - Treatment of the promyelocytic leukemic cells, HL-60, with phorbol-12-myristate 13-acetate (PMA) results in arrest of growth and terminal differentiation of the cells into macrophages. We have reported that within minutes following exposure of these cells to PMA there is an increase of severalfold in phosphorylation of two cytosol proteins: 17-20 kDa (pp17, pI approximately 5.5) and 27 kDa (pp27, pI approximately 5.5) as detected in the intact cells by two-dimensional gel electrophoresis. In this report, by analyzing the chase kinetics of 32Pi in cellular proteins, we show that PMA treatment induces a rapid and specific loss of 32Pi from pp17 and pp27. Comparison with kinetics of [3H]leucine loss from these proteins indicates that this effect is due to induction by PMA of rapid turnover of phosphate in pp17 and pp27. This activity persisted in HL-60 for at least 24 h and was also seen in two other cell types studied (U937 leukemia and normal monocytes). The Ca2+ channel blocker, nifedipine, had no effect on PMA induced 32Pi turnover in pp17, while trifluoroperazine, which is known to inhibit protein kinase C, blocked these events and also inhibited other cellular effects of PMA (adherence and growth arrest). Thus, induction of rapid 32Pi turnover in pp17 and pp27 may be an essential early signal in initiating and maintaining cellular effects of PMA. Myosin light chain (20 kDa), another phosphorylated protein, was shown to be not identical with pp17, although of similar Mr. PMID- 6583203 TI - Regulation of casein kinase II by 2,3-bisphosphoglycerate in erythroid cells. AB - The hemoglobin regulator, 2,3-bisphosphoglycerate (glycerate-2,3-P2) has been shown to modulate the activity of casein kinase II from rabbit reticulocytes. Kinetic results were obtained with the exogenous substrate, beta-casein and the endogenous substrates, initiation factors (eIF-) 2 and 3. Experiments carried out to determine the interaction between glycerate-2,3-P2, Mg2+, substrate, and casein kinase II led to the following conclusions: 1) glycerate-2,3-P2 inhibition was competitive with respect to the protein substrate and noncompetitive with respect to ATP; 2) inhibition was not caused by depletion of ATP-Mg2+ as a consequence of Mg2+ complexation with glycerate-2,3-P2; 3) the response curve for glycerate-2,3-P2 was cooperative, but the cooperativity decreased as salt concentration increased; 4) glycerate-2,3-P2 inhibition was dependent on Mg2+ concentration up to about 5 mM MgCl2 but did not parallel glycerate-2,3-P2 X Mg2+ complex formation indicating that the Mg2+ dependence was not due to the formation of a glycerate-2,3-P2 X Mg2+ complex; 5) experiments with analogs of glycerate-2,3-P2 showed that the binary phosphate grouping was important in determining inhibition by glycerate-2,3-P2 while the presence of the carboxylate phosphate pair was much less important; 6) low levels of glycerate-2,3-P2 stimulated phosphorylation of beta-casein, eIF-2, and eIF-3; the extent of stimulation was dependent on the affinity for casein kinase II and the level of the substrate. These effects were observed in the range of glycerate-2,3-P2 concentrations predicted for intracellular fluctuations in this metabolite. Therefore, it was concluded that glycerate-2,3-P2 could function both as an activator and an inhibitor of casein kinase II in the erythroid cell by binding at the substrate binding site. PMID- 6583204 TI - Migration, genetic markers and race admixture in Curitiba, Brazil. PMID- 6583205 TI - 4'-Epi-Doxorubicin -- a clinical phase-II trial in solid tumors. AB - 4'-Epi-doxorubicin is a new anthracycline analog with reduced cardiac toxicity in animal studies. A phase-II study was performed in 17 patients predominantly with non-small-cell lung cancer. All suffered from recurrent or advanced tumors and 7 of 16 evaluable patients had been pretreated with an alternative chemotherapy. 4' Epi-doxorubicin was applied at a dose of 75 mg/m2 every 3-4 weeks. The median total dose was 280 mg (range: 130-250 mg). Only one patient with epidermoid lung cancer (overall response rate: 6%) showed a minor response and stable disease was observed in six other patients with bronchogenic carcinoma. Myelosuppression was rare and moderate: leukocytopenia of less than 2,000/mm3 occurred in 25% of patients and thrombocytopenia of less than 100,000/mm3 in 8% of patients. The frequency of alopecia and gastrointestinal side effects was 88% and 80%, respectively. Persistent electrocardiographic alterations were recorded in 2 of 14 (14%) patients. One of four patients revealed a marked reduction of left ventricular ejection fraction in radionuclide cardiography. It is concluded that 4'-epi-doxorubicin is not superior to adriamycin in this low-prospect treatment area, but studies with increased doses appear necessary in adriamycin-sensitive tumors because of recent reports from phase-III trials showing reduced cardiac and gastrointestinal toxicity with 4'-epi-doxorubicin in comparison with adriamycin. PMID- 6583206 TI - Dependence of HL-60 myeloid cell differentiation on continuous and split retinoic acid exposures: precommitment memory associated with altered nuclear structure. AB - The cell differentiation of HL-60 human leukemic promyelocytes along the myeloid pathway due to various continuous and distributed exposures to retinoic acid was studied. HL-60 myeloid differentiation was a continuously driven process; significant terminal cell differentiation occurred only after a minimum exposure to inducer of two division cycles. Cells so committed to differentiation retained a heritable, finite memory of differentiation commitment over a further division cycle. Prior to becoming committed, cells acquired precommitment memory of exposure to inducer. Precommitment memory abbreviated the subsequent exposure to inducer needed for commitment to differentiation. Precommitment memory was semistable. It was heritable, but was lost after four division cycles. The acquisition and loss of precommitment memory correlated with alterations in nuclear architecture detected by narrow angle light scatter using flow cytometry. The altered nuclear architecture first occurred before any overt cell differentiation or growth arrest. It was thus an early event in the induced program of terminal cell differentiation. Alterations in relative abundances of cytoplasmic proteins also occurred prior to overt cell differentiation or growth arrest. One of these was a 17 kdalton, anionic, probably Ca2+ binding, protein. Retinoic acid thus induced early cellular changes, including cytoplasmic and nuclear alterations, within one cell cycle when cell differentiation was not yet apparent. PMID- 6583207 TI - Determination of a new antibacterial agent (AT-2266) and its metabolites in plasma and urine by high-performance liquid chromatography. AB - A high-performance liquid chromatographic method has been developed which enables accurate determination of a new synthetic antibacterial agent, AT-2266, and its metabolite, M-2, in plasma, and AT-2266 and its five metabolites, M-1, M-2, M-3, M-4 and M-5, in urine. AT-2266 is extracted as ethyl carbamate with chloroform containing 1% ethyl chloroformate and assayed on a liquid chromatograph equipped with an ultraviolet detector at 340 nm. Accurate determinations are possible over a concentration range of 0.1-10 micrograms/ml AT-2266 in plasma, and 1-500 micrograms/ml AT-2266 in urine. The coefficient of variation at the 2 micrograms/ml level of AT-2266 is 1.9% (n = 6). The minimum detectable concentrations of AT-2266 in plasma and urine are 0.01 micrograms/ml and 0.1 micrograms/ml, respectively, and those of other metabolites are similar to those of AT-2266. Plasma levels and urinary excretion of AT-2266 in a man following single oral administration (400 mg) have also been determined. PMID- 6583209 TI - Prevalence of bone loss in a group of Brazilian teenagers assessed on bite-wing radiographs. AB - Bite-wing radiographs were used to assess periodontal disease in 304 Brazilian 15 year-old schoolchildren from a population with a low socioeconomic status. The criterion for destructive periodontitis was a distance from the cementoenamel junction to the alveolar crest greater than 2 mm. 90 subjects were excluded, mainly due to missing first molars. Bone loss was diagnosed in 28% of the subjects. More males than females were affected. 50% of all lesions were observed adjacent to first molars. The juvenile periodontitis type of lesion was found in 8 subjects. It was concluded that in young populations bite-wing X-rays seem to be valuable in screening for individuals with incipient bone loss as well as for identification of subjects with juvenile periodontitis. In community programs regular use of this kind of roentgen examination is therefore recommended. PMID- 6583208 TI - Colorimetric enzymatic measurement of serum total 3 alpha-hydroxy bile acid concentrations without extraction. AB - A new method for the simpler colorimetric assay of serum total 3 alpha-hydroxy bile acid concentrations without prior extraction has been investigated. The lowest concentration that could be reliably measured was 3 mumol/l and the results obtained were in agreement with those obtained using extraction and the spectrofluorimetric enzymatic assay (y = 1.007x - 1.86, r = 0.99, n = 36). Results for 20 normal sera collected after an overnight fast were 6.2 +/- 5.1 mumol/l (mean +/- SD) and in 20 normal plasma randomly collected were 4.9 +/- 4.2 mumol/l. This new assay is comparable in specificity and sensitivity to the older spectrofluorimetric enzymatic assays and convenient for routine use. PMID- 6583210 TI - Effect of nonsurgical periodontal therapy. III. Single versus repeated instrumentation. AB - Healing events following nonsurgical periodontal therapy were studied, comparing the effect of a single initial instrumentation to the effect of 3 instrumentations, each separated by 3 months. Incisors, cuspids and premolars with periodontal pockets up to 11 mm deep in 13 patients were treated by plaque control and supra- and subgingival debridement using ultrasonic instruments. A split mouth approach was used to compare the 2 frequencies of instrumentation. The results were evaluated by recording of plaque scores, bleeding on probing, probing pocket depths and probing attachment levels. A gradual and marked improvement of the periodontal conditions took place during the initial 9 months following start of therapy. During the remaining 15 months of the 24-month experimental period no further changes of the recorded parameters were noted. No differences in results could be observed when comparing the effects of a single versus repeated instrumentation. Thus, it appears that deep periodontal pockets in incisors, cuspids and premolars may be successfully treated by plaque control and 1 episode of instrumentation. The results also suggest that recurrence of disease due to subgingival recolonization by microorganisms during the healing phase may not be a major clinical problem. PMID- 6583211 TI - Periodontal bone loss in 15-year-old Norwegians. AB - The prevalence of marginal bone loss was determined on bite-wing radiographs in 2,409 15-year-old schoolchildren living in the country of Buskerud, Norway. Radiographs were collected from all dentists in the area participating in the Public Dental Service. A distance exceeding 2 mm from the cementoenamel junction to the alveolar crest was recorded as bone loss. Bone loss around one or more teeth was found in 11.3% of the subjects. More males than females were affected, with prevalences of 13.7 and 9.0%, respectively. Most of the lesions were observed adjacent to the maxillary first molars. Overt infrabony pockets were found in only a very few cases (0.5%). A clinical examination of 31 of the subjects could not distinguish those with and those without bone loss. The present study has demonstrated that alveolar bone loss is a common finding in 15 year-old school children. It is concluded that bite-wing roentgenograms may be useful in the detection of early bone lesions in young individuals. PMID- 6583212 TI - Gingival IgE and histamine concentrations in patients with asthma and in patients with periodontitis. AB - In the present study the concentrations of IgE and histamine were determined in gingival tissue of patients with asthma (N = 15), patients with periodontitis (N = 21) and healthy controls (N = 18). Gingival IgE concentrations in the asthma group were markedly elevated confirming the results obtained in previous studies on salivary IgE concentrations. An increase of IgE was also observed in the periodontitis group. Histamine concentrations in the asthma group did not differ from the healthy controls, while in the periodontitis group a significant decrease in gingival histamine concentrations was found. PMID- 6583213 TI - Comparison of statistical methods of analysis of data from clinical periodontal trials. PMID- 6583214 TI - Influence of Class II amalgam fillings on attachment loss. AB - 176 extracted teeth restored with Class II amalgam fillings, having identical distribution regarding tooth type, jaw and proximal surface localization, were investigated. The loss of attachment was measured on stained teeth under a stereomicroscope fitted with an ocular micrometer. The cervical margins of restorations were examined with a probe. Defective cervical margins were found in 85.8% of the 176 restorations. The mean loss of attachment on the restored surfaces (1.4 mm) was significantly higher (P less than 0.001) than on the sound unrestored surfaces of the same teeth (0.9 mm). Little difference was found between mesial and distal surfaces. The restored surfaces of the lower molars showed less loss of attachment, when compared to similar surfaces of upper molars and lower premolars (P less than 0.05). PMID- 6583215 TI - Prenatal fluoride tablet supplementation and improved molar occlusal morphology: part V. AB - This article is a report of an in vivo clinical study in which the relationship of sodium fluoride supplementation during pregnancy to the improved occlusal morphology of molar teeth seen in an animal model was determined. Two hundred randomly selected children composed the study population. The mothers of 100 of them had been on the prenatal supplementation (PNF) regimen and 100 whose mothers were not were found to have statistically significant differences in their occlusal molar morphology. Ninety-eight percent of the PNF children have a smooth, naturally sealed appearance to the occlusal surfaces of their primary molars and permanent first molars. The authors conclude that pitted and fissured molars are produced as a result of fluoride deficiency during the secretory phase of crown formation. PMID- 6583216 TI - Micromorphology of zinc fluoride-induced reaction products on ground human enamel. AB - Zinc in combination with hexetidine has been shown to be an effective chemical antiplaque agent clinically and in the laboratory. The effects of zinc fluoride on ground human enamel were studied by SEM and the sizes and numbers of the resulting globular structures measured from photomicrographs. Prepared enamel specimens were immersed in zinc fluoride solutions containing 250 and 750 ppm F- at pH 6 and 4 for 4 min. The specimens were examined as such or after washing in water for 5 min, 60 min or 24 h and the globuli categorized as larger or smaller than 0.5 um. The sizes and numbers of the globuli on the enamel were pH and concentration dependent. At pH 6, the two solutions tested produced few small globuli on enamel which were removed after 5 min (250 ppm F-) and after 60 min (750 ppm F-) in water. At pH 4, markedly more globuli were present, particularly with the 750 ppm F- solution. Large and small globuli were present after the 250 ppm F- treatment with most being removed between 5 and 60 min in water. After the 750 ppm F- treatment only small globuli were found on enamel and were removed between 60 min and 24 h of water washing. Zinc fluoride-induced globuli were generally smaller than those induced by sodium fluoride at the same pH values and fluoride concentrations. PMID- 6583217 TI - The use of pit and fissure sealants in private dental practices. AB - Ninety percent of a stratified sample of 240 general dentists and thirty-two pedodontists in fulltime private practice in Iowa responded to a questionnaire about the use of sealants, attitudes and knowledge about sealants, and reasons for not using sealants. Approximately a third of the generalists and a half of the pedodontists use sealants regularly. Many negative attitudes about sealants were found, as well as a large degree of misinformation about them. Most dentists not using sealants thought that they did not last long or that amalgam restorations were more economical. PMID- 6583218 TI - A comparison of two calcium hydroxide agents in direct pulp capping of primary teeth. AB - Twenty-two pairs of bilateral primary canines, indicated for extraction due to excessive crowding, were chosen to study pulpal response to direct pulp capping with two calcium hydroxide medicaments (Life and Dycal). Following mechanical exposure of the pulp and direct pulp capping with calcium hydroxide, the teeth were extracted after either seven or sixty-three days to determine both the immediate and long-term pulpal response to the medicaments. The results indicate no statistical difference between the two materials in terms of biological response. Favorable results as to degree of pulpal inflammation and matrix formation indicate direct pulp capping using calcium hydroxide in primary teeth with no pulpal inflammation may be a viable procedure. PMID- 6583219 TI - Dental anomalies in children: a clinical and radiographic survey. PMID- 6583220 TI - Extraoral management for electrical burns of the mouth. PMID- 6583221 TI - Overcoming uncooperative behavior with the dentist. AB - Many mentally retarded individuals, like many others in our society, exhibit fear of going to the dentist and having dental work completed. This article reports results of treatment of overcoming fear in a mentally handicapped (IQ 45) girl, age twelve. The difficulty of finding a dentist to cooperate in the treatment procedures is documented. Three behavior shaping techniques were used- desensitization to a dental operatory and dental equipment, a peer model to demonstrate appropriate patient behavior, and tangible and social reinforcers for appropriate behavior by the subject. The procedures resulted in the completion of necessary dental work. In addition, the child was having successful dental visits one year after the termination of treatment. PMID- 6583222 TI - Bilateral transposition of maxillary canines and lateral incisors: a rare condition. PMID- 6583223 TI - The status of fluoride in oral health education in Head Start programs. AB - Due to the potential impact fluoride has on the prevention of dental caries and the lack of research on health education programs in Head Start, a status study was conducted to identify what is being taught to pre-school children and their parents about fluoride. The content of the oral health education program was adequate in terms of toothbrushing, nutrition, and functions of and visits to the dentist. The most significant problem was the lack of education about the significance of fluoride. Parents' and teachers' knowledge of oral health was quite high. The parents' lowest level of knowledge was in the area of fluoride. Inconsistencies between oral health knowledge and behavior were noted for parents and teachers. Health professionals should be aware of the lack of emphasis on fluoride education and direct their efforts toward educating children and their parents through clinical and preschool educational situations. PMID- 6583224 TI - Dealing with the preschool-age patient. PMID- 6583225 TI - A review of the properties of some orthodontic base polymers. PMID- 6583226 TI - The use of Entonox as a sedation agent for children who have refused operative dentistry. PMID- 6583227 TI - The prevalence of oral carriers of Candida in patients with tongue abnormalities. PMID- 6583228 TI - A microbiological study of one-day supragingival dental plaque. PMID- 6583229 TI - The mandibular pain dysfunction syndrome: an assessment of its treatment. PMID- 6583230 TI - An analysis of temporomandibular joint sounds. PMID- 6583231 TI - Giant-cell arteritis presenting to the dentist: a need for urgent diagnosis. PMID- 6583232 TI - Breast feeding could be a cause of the type of dental caries. PMID- 6583233 TI - [Geriatric dentistry]. PMID- 6583234 TI - [How to communicate with the hearing-impaired about health care]. PMID- 6583235 TI - [Current dental practice in Quebec: dentists' perceptions]. PMID- 6583236 TI - [Examination of certain scientific aspects of fluoridation]. PMID- 6583237 TI - [Verification of the operation of radiologic equipment in dental offices]. PMID- 6583238 TI - Science and technology - dreams and reality. PMID- 6583239 TI - Microbiological and immunological aspects of oral diseases. Proceedings of the Ninth International Conference on Oral Biology. July 28-30, 1983, Sydney, Australia. PMID- 6583240 TI - Adherent interactions which may affect microbial ecology in the mouth. AB - Bacteria attach to teeth and oral mucosal surfaces in a surprisingly selective manner, and attachment appears to be the first step in the colonization process. Attachment is thought to involve lectin-like and/or hydrophobic ligands, called adhesins, often present in bacterial surface appendages which interact with receptors on oral tissues. A variety of factors can influence bacterial attachment, and therefore have the potential to affect host-parasite interactions in the mouth. Factors discussed include salivary components, dietary lectins, and sublethal concentrations of antibiotics. PMID- 6583241 TI - A conceptual model for the co-existence of Streptococcus spp. and Actinomyces spp. in dental plaque. AB - One of the most important questions in ecology is how to explain the co-existence of the variety of physiologically related organisms in the same habitat. A model is presented for the co-existence of Streptococcus species and Actinomyces species in dental plaque. The hypothesis is that these organisms co-exist because they simultaneously utilize several carbon and energy substrates. The hypothesis follows from the observation that the growth yield of oral streptococci and actinomyces in saliva is limited by carbohydrate. Preliminary experiments were undertaken to test the hypothesis using mixed chemostat cultures and gnotobiotic rats. Competition between S. mutans K1R and A. viscosus Ut2 in mixed chemostat cultures on glucose and asparagine was hampered by the early appearance of high glucose-affinity variants of A. viscosus. From the physiological characteristics of S. sanguis and S. milleri, it might be predicted that simultaneous utilization of carbohydrate and arginine would enable these organisms to co-exist with S. mutans in an ecosystem. To test this mechanism under natural conditions, germ free rats were inoculated with a combination of S. mutans K1R and S. sanguis P4A7 or the combination S. mutans K1R and S. milleri B448. The rats were fed on three different diets: (1) 58% cornstarch; (2) 48% cornstarch and 10% sucrose; and (3) 53% cornstarch and 5% arginine. The results of this experiment demonstrated that dietary arginine caused a significant decrease of the ratios K1R/P4A7 and K1R/B448 in dental plaque.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6583242 TI - Relationship of bioenergetic processes to the pathogenic properties of oral bacteria. AB - The energized membrane has been shown to affect properties (sugar transport, acid production, intracellular polysaccharide formation, and glycosyltransferase secretion) related to the pathogenicity of oral bacteria. The activity of the energized membrane was susceptible to modulation by environmental conditions likely to be encountered by bacteria in dental plaque. PMID- 6583243 TI - Black-pigmented Bacteroides species, Capnocytophaga species, and Actinobacillus actinomycetemcomitans in human periodontal disease: virulence factors in colonization, survival, and tissue destruction. PMID- 6583244 TI - Colonization of the subgingival area by Bacteroides gingivalis. AB - The initial event in colonization of the subgingival area by B. gingivalis is its attachment to host cells and Gram-positive bacteria in pre-formed plaque. The level of B. gingivalis is partly governed by products of other plaque bacteria, especially by sanguicin. Once B. gingivalis resides in its nidus and starts to proliferate, expulsion of pre-existing residents may occur, especially of attached Gram-positive bacteria, through the inhibitory action of the B. gingivalis product, hematin. The bacteriocin produced by black-pigmented Bacteroides also seems to play an important role in their establishment. Melaninogenicus possessed strong inhibitory activity against Actinomyces species. This was not completely confirmed with fresh isolates of B. gingivalis from advanced periodontitis patients. Various factors other than inhibitory substances produced by B. gingivalis and related bacteria can also affect the colonization of this species. Since the crevice area is influenced by gingival fluid, the nature of specific antibody and the other affecting components should be considered collectively with the interaction between new predominant colonizers and other pre-existing residents. PMID- 6583245 TI - Neutrophil receptor modulation in the pathogenesis of periodontal diseases. AB - The role of the neutrophil as a primary protective cell in the pathogenesis of periodontal disease has been well established. In this paper, the role of receptor modulation on the neutrophil surface is discussed as a possible mechanism for neutrophil functional abnormalities. Using localized juvenile periodontitis (LJP) as a model, the direct inhibition of neutrophils by bacterial products is discussed as a possible mechanism for local neutrophil dysfunction. In both disease processes, neutrophil receptor modulation plays a central role. PMID- 6583246 TI - Workshop report: oral mucosal diseases. PMID- 6583248 TI - Workshop report: biologically active components of oral bacteria, particularly in relation to oral disease. PMID- 6583247 TI - Workshop report: characteristics of cariogenic bacteria. PMID- 6583249 TI - Workshop report: the effectiveness of caries control measures. PMID- 6583250 TI - Workshop report: the periodontium as a watershed between mucosal and systemic immunology. PMID- 6583251 TI - Microbiological and immunological aspects of oral diseases. PMID- 6583252 TI - Criteria for selection of a practice location among senior dental students at the University of Mississippi. PMID- 6583253 TI - Facilitating patient and student satisfaction: the role of patient care coordinators. PMID- 6583254 TI - Curricular guidelines in fixed prosthodontics. PMID- 6583255 TI - Curricular guidelines in microbiology. PMID- 6583256 TI - Dental school faculty attrition during academic years 1982/83 to 1983/84. PMID- 6583257 TI - Faculty approaches to combating professional burnout. AB - The peculiar stresses of the dental educator make him or her a prime candidate for burnout and at the same time offer rather special protection against this phenomenon. The dental teacher, especially the clinical teacher, is required to spend virtually all of his time in intimate contact with students, whom he instructs, and with patients in the clinic, for whom he has responsibility. In addition, this same dental educator will probably have some kind of private practice. He will also be required, if he expects to advance in academic rank, to do research, to be cognizant of the latest developments in his field, to publish, to give presentations to his peers and to the community. This adds up to a lot that is expected of one person. Many people have expectations of him, many people crowd in on him with their demands. The situation sounds ideal for burnout. Yet, I believe that if the dental educator does what is expected, if he laces this diet of teaching and patient contact with research and library work, if he sets aside time (you may ask where he is to find it) for contemplation, for good works in the community, for hobbies, for reading, for cultural activities, then in fact the chance of burnout seems lower. And finally, if the dental educator pursues the possibilities that exist for leaves, for time away, for refreshment of his career by new contacts, new ideas, new ways of doing things, and new commitments, he will push away and hold at bay the dangers of burnout. PMID- 6583258 TI - What does professional burnout mean to the dental educator? PMID- 6583259 TI - Dealing with burnout at the administrative level in dental education. PMID- 6583261 TI - The appropriateness of comparing sealants with restorations. PMID- 6583260 TI - Professional burnout and the operative dentist. PMID- 6583262 TI - National Institutes of Health Consensus Development conference Statement. Dental sealants in the prevention of tooth decay. PMID- 6583263 TI - Safety considerations, oral and systemic. PMID- 6583264 TI - Sealant effect on incipient caries, enamel maturation, and future caries susceptibility. PMID- 6583265 TI - Indications for sealant use in a community-based preventive dentistry program. AB - Dental caries is a disease that recently has undergone, and may still be undergoing, dramatic changes in distribution of incidence and prevalence. The most recent epidemiologic data available have been reviewed in this paper to illustrate that caries is becoming a disease primarily of pits and fissures, with less differentiation than previously acknowledged between fluoridated and fluoride-deficient areas. The present distribution of caries suggests that prevention may be accomplished more effectively through targeted sealant programs than through currently popular mass preventive programs. Existing information can be used to identify logical target groups for sealant programs, and age specific tooth eruption and caries attack information can be used to design delivery methods. Although the adoption of targeted sealant programs represents a departure from the traditional mass approach to prevention in dental programs, the present-day caries distribution requires that the initiation of such programs be given serious consideration. At the very least program administrators are encouraged to invoke the planning-implementation-evaluation process. Current programs should be evaluated carefully in view of today's disease patterns and the clinical significance of the results achieved. The content, design, and timing of future community-based programs should reflect individualized community diagnosis and the application of new epidemiologic data as well as a careful evaluation of the results achieved by current preventive procedures. PMID- 6583266 TI - Sealants: training and educational needs for dental students and dental auxiliary students. AB - A program of instruction in pit and fissure sealants has been described that includes didactic, preclinical, and clinical components (Table 4). The entire program requires the equivalent of three curriculum days. However, reinforcement of the principles of the technic should continue during the students' entire clinical training period. There are 203 accredited dental hygiene programs and 285 accredited dental assistant programs in the United States. Enrollment in these programs during the 1982-83 academic year was 10,051 hygiene students and 7,977 assisting students. Since 29 states currently allow dental hygienists to apply sealants and 11 states allow dental assistants, there is a compelling reason for sealants to be included in the curriculum of dental auxiliary programs. Unfortunately, other than Dr. Terkla's brief survey, there is no reliable information on the number of auxiliary programs that teach sealants, nor are there curriculum guidelines on sealant instruction for these programs. Nevertheless, the same training outlined in this article for dental students applies equally for dental hygiene and assisting students. A controversial question is whether clinical training in sealant application should be part of the curriculum of dental auxiliary programs in states that only allow dentists to apply them. This is not a question that can be resolved in this article, but must be considered at the individual schools involved. In these situations, a careful balance must be achieved between the academic freedom to teach current practices in dentistry and the dental practice acts of the state. The first commercially available pit and fissure sealant was marketed in 1970.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6583267 TI - Training and educational needs in pit and fissure sealant application for graduate dental personnel: continuing education and certification courses. AB - The purpose of this paper was to address the continuing education needs of dentists and dental auxiliaries and certification needs of and available courses for graduate dental hygienists and assistants. Background information was presented on the professional and economic concerns of practitioners, as well as research findings and the extent to which students and practitioners are being educated and trained in the application of sealants. The role of manpower training and utilization was addressed along with the role of auxiliaries in accelerating and promoting sealant use. A model pit and fissure sealant course was discussed in the hope that those educators contemplating the modification of curricula to include the topic of sealants or the offering of a continuing education course will have "food for thought." A survey was conducted to determine the extent to which continuing education courses are being offered to graduate or practicing auxiliaries who did not receive formal sealant instruction in school. The survey did reveal that only approximately 17 percent of the institutions responding provided continuing education courses in pit and fissure sealant application. PMID- 6583268 TI - Personnel and equipment considerations for a community-based sealant program. PMID- 6583269 TI - Use of sealants: societal and professional factors. AB - At present, sealant use continues at a low level in private practice by dentists and hygienists, and is moderate in community programs although there is high interest in their use in public health settings. Widespread delegation of sealant application to hygienists has not occurred even though the majority of state dental practice acts allow it, and even though practicing hygienists are highly interested in applying sealants. Use in federally sponsored programs is minimal or nonexistent. Information about sealants and adequate clinical experience in their application appear minimal in dental training institutions, and few opportunities have existed for continuing education. Generally, knowledge about sealants among dentists is low; many hold doubtful opinions. Insurance carriers, including commercial, provider, and governmental programs, appear reluctant to reimburse for sealants without purchaser demand and organized dentistry's blessings. Although society emphasizes patient rights to informed consent, few opportunities exist for the public, including group insurance purchasers and union negotiators, to learn about sealant use in conjunction with appropriate fluoride use. Public educational materials are sparse. Manufacturer marketing efforts at present, aimed at providers alone, are at best minimal, with a few exceptions; those targeting the public are nonexistent. Organized dentistry's Council statements may have contributed to a constriction, to date, in the flow of public information about sealants from industry. Lack of communication, or miscommunication, between practitioners and dental scientists has resulted in much misinformation and confusion about the value of sealants and their use. And, the contemporary status of dental manpower and the economy of dental practice in the private sector appear to have provided an infertile environment for acceptance of sealants as a primary preventive technology. In the public sector, interest in sealants is high but two primary constraints are inadequate manpower and lack of financial resources. Clearly there has been a time-lag in the adoption of new sealant products, and it is apparent that no one factor can explain this lag; rather, many complex factors must be taken into account simultaneously. Extent of need does not appear to have influenced use, to date. Often, social change is slow, and all things considered, the lag observed for sealants may not be totally unreasonable.(ABSTRACT TRUNCATED AT 250 WORDS) PMID- 6583271 TI - Dental health consumerism. PMID- 6583270 TI - Is there a need for dental sealants? Epidemiological indications in the 1980s. AB - This paper has attempted to review dental caries epidemiology as it may relate to the subject of dental sealants. As such, the major emphasis has been on the epidemiology of permanent tooth caries among children and adolescents. The review touched four major areas. First, the current distribution of dental caries and its relationship to various epidemiological factors was discussed as it pertains to North America. Second, the evidence for declining caries experience was reviewed from a North American, European, and Australia/New Zealand perspective. Third, a superficial discussion of dental caries epidemiology in selected developing countries was offered and certain contrasts to caries patterns in developed countries were illustrated. Fourth, a brief attempt was made to evaluate the relative significance of pit and fissure caries in children. PMID- 6583272 TI - Oral health concerns. PMID- 6583273 TI - Advances in dental research. PMID- 6583274 TI - Dietary management of Type I glycogen storage disease. AB - The most commonly recognized type of glycogen storage disease (von Gierke's disease) results from deficient glucose-6-phosphatase activity. This enzyme is the last step in the release of free glucose from the liver into the circulation. Thus, the most prominent and life-threatening complication in the illness is severe and often prolonged hypoglycemia, which occurs after the dietary glucose is normally removed from the circulation. With an optimal dietary intake spaced at 2 1/2- to 3 1/2-hour intervals, the blood glucose can be maintained in the normal range during the daytime, but hypoglycemia may occur during overnight fasting. Recent advances in the understanding of the pathophysiology of the illness have led to the use of frequent high-starch feedings during the day and nocturnal intragastric infusions of liquid formulas containing glucose polymers. The liquid formula is infused through either a nasogastric or a gastrostomy tube continuously at night while the patient sleeps. The success of this treatment not only has improved the survival rate but also has corrected the abnormal blood chemistries and generated a more normal rate of growth and development. Because patients with this disease are reaching adulthood in greater numbers, it is necessary for dietitians caring for adults as well as for children to become familiar with the prescribed methods of treatment. PMID- 6583275 TI - Radionuclide evaluation of complications after metatarsal osteotomy and implant arthroplasty of the foot. AB - This paper discusses radionuclide imaging as it applies to bone and implant foot surgery. Where necessary, studies and information from published literature have been extrapolated in an attempt to apply them in differentiating between normal and abnormal healing osteotomies and implant prosthetics. PMID- 6583277 TI - Is the redesign of your dental office necessary? PMID- 6583276 TI - Inflammatory bowel disease and leukemia. AB - Five patients with inflammatory bowel disease developed leukemia. In the literature, only a single report was found in which five patients developed acute myelogenous leukemia during the course of ulcerative colitis. Four of our patients had myelogenous and one lymphocytic leukemia. Three patients had Crohn's disease involving primarily the small bowel; and the other two cases involved ulcerative colitis. PMID- 6583278 TI - Helpful hints - oral surgery. PMID- 6583280 TI - Avoiding dental malpractice lawsuits. Part II. PMID- 6583279 TI - The closed mouth intraoral technique of achieving mandibular anesthesia. PMID- 6583281 TI - TMJ surgery--a three year retrospective study. PMID- 6583282 TI - The antibody specific to type 1 chain blood group A determinant. AB - Two monoclonal antibodies directed to the blood group A determinant have been established. One hybridoma antibody (AH16), obtained on immunization with human gastric cancer cell MKN45, was directed to the blood group A determinant carried by both type 1 and type 2 chains. The other antibody (AH21) was prepared by immunization with a purified type 1-chain A glycolipid, followed by selection of the hybridoma by positive reaction with the type 1, but negative reaction with the type 2-chain A glycolipid. Thus, the antibody specifically reacts to the A determinant carried by the type 1 chain, but not to the A determinant carried by the type 2 chain; an A determinant carried by type 1 chain differs significantly from that carried by type 2 chain in its conformational structure. The antibody AH16 agglutinates both A1 and A2 human erythrocytes, but AH21 agglutinates neither A1 nor A2 erythrocytes, which supports the results of methylation analysis that blood group A and H determinants in human erythrocytes are exclusively made of the type 2 chain and that A1 and A2 phenotypes are not related to the difference between type 1 and type 2 chains. PMID- 6583284 TI - Severe and similar suppression of the dentitions of identical twins. PMID- 6583283 TI - Pluripotent hemopoietic progenitors (CFU-GEMM) in chronic myelogenous leukemia. AB - Human hemopoietic pluripotent progenitors form multilineage colonies when cultured in methylcellulose with medium conditioned by leukocytes in the presence of phytohemagglutinin (PHA-LCM) and erythropoietin (EPO). We have examined their frequency, culture requirements and proliferative activity in 20 peripheral blood and 29 bone marrow specimens from patients with CML in chronic phase. Multilineage colonies developed under regular culture conditions in approximately 50% of all samples. The frequency ranged from 1-36 per 2 X 10(5) mononuclear cells of density less than 1.077 gm/ml. The requirements for PHA-LCM and EPO varied for patients with CML when compared to normal individuals; i.e., cells from some patients gave rise to mixed colonies with substantial erythroid components in the absence of PHA-LCM or without addition of the usually required EPO concentrations. The proliferative activity of CFU-GEMM was assessed using a short-term exposure to tritiated thymidine (3HTdR) prior to plating. The plating efficiency in all bone marrow and peripheral blood samples was reduced to 40-70% of the unexposed controls. In contrast, the plating efficiency after exposure to 3HTdR in normal individuals usually ranged from 70-90% of controls for bone marrow samples and from 85-100% of controls for peripheral blood samples. Thus, an increased proliferative rate of pluripotent hemopoietic progenitors is a consistent feature of CML patients. In addition, at least in some patients, different requirements for erythropoietin or PHA-LCM were observed when compared to normal culture conditions. PMID- 6583285 TI - Selected physical and chemical properties of Sedanol cavity lining material. PMID- 6583287 TI - [Clinical studies of ovarian enlargement]. PMID- 6583286 TI - [20 alpha-Dihydropregnenolone-sulfate and 20 alpha-dihydroprogesterone biosynthesis and metabolism in feto-placental unit]. AB - To study the biosynthesis of 20 alpha-dihydropregnenolone-sulfate (20P5-S) and 20 alpha-dihydroprogesterone (20P4) in the feto-placental unit, human fetal liver and placenta were incubated with various radioactive precursors which included 14C-pregnenolone (P5), 14C-progesterone (P4), 14C-20 alpha-dihydropregnenolone (20P5) and 14C-20P5-S. In fetal liver, it was found that sulfokinase and 20 alpha hydroxysteroid dehydrogenase (20HSD) activities were localized in 105,000xg supernatant obtained by a conventional differential centrifugation method. As cofactors, sulfokinase and 20HSD require ATP and NADPH, respectively. When P5 was incubated for varying periods with 105,000xg supernatant of liver homogenate, the precursor decreased with incubation time, whereas labeled 20P5-S increased steadily. A rapid increase in the 20P5 followed by declining amounts with further incubation occurred, suggesting a possible role of 20P5 as intermediates in 20P5 S formation from P5. When 20P-S was used as a precursor in the incubation with placental homogenate for different periods of time, rapid conversion to P4 was observed with a bell-shaped curve depicting 20P5 and 20P4 whereas the recovery of P5 remained low throughout the incubation period. These in vitro results indicate that the placental P4 and 20P4 might be synthesized, in part, from 20P5-S which is derived from fetal liver during pregnancy. PMID- 6583288 TI - Laryngeal obstruction--a rare presentation of leukaemia. PMID- 6583289 TI - Oculo-motor disorders in craniofacial malformations. AB - Based on 77 observations including telorbitism, craniofacial stenosis (C.F.S.), and plagiocephalies, oculo-motor disorders involving horizontal and vertical imbalance occur very frequently. Abnormalities in the transverse plane (telorbitisms, craniofacial stenoses) give orbital divergence and exotropia. Orbital extorsion with a significant antimongoloid palpebral fissure, may be the cause of rectus muscle extorsion. Abnormalities in the vertical plane (plagiocephalies) induce hypertropia. Abnormalities in the sagittal plane (C.F.S.) lead to exotropia with exorbitism, the V syndrome with double up-shoot. These oculo-motor disorders seem to be the consequence of these orbital structure abnormalities, sometimes combined with sensory factors. PMID- 6583290 TI - Incidence of malformations of the urinary tract in association with clefts of lip, alveolus, and palate. AB - Malformation syndromes accompanied by cleft development in the lip-alveolus palate (LAP) region are sometimes associated with anomalies of the efferent urinary tract. In the present clinical study, 68 children with an LAP-cleft were routinely subjected to radiological examination of the efferent urinary tract. These revealed pathological alterations, in varying degrees, in 26 children. The relationships between cleft type and urinary-tract malformation are analysed. The results show the significance of early interdisciplinary investigations. PMID- 6583291 TI - Duplication of structures around the stomatodeum. AB - In this case report a patient with multiple duplications in the cervical spine, skull-base and oral cavity is described and a discussion on the possible origin of the duplications is presented. PMID- 6583292 TI - Relation between cleavage lines and scar tissues. AB - As viewed in relation to cleavage lines, the histological structure of scar tissues, whether old or new, closely simulates the structure of a cable. Bundles of collagen fibres, the main component of scar tissue, that run at right angles to the direction of the cleavage lines, may be likened to a cable core while fibres that surround the main structure of the scar tissue, parallel with the direction of the cleavage lines, may be likened to the coating material of a cable. PMID- 6583293 TI - On the improvement of nasal breathing following mid-face osteotomies, and possible reasons for the phenomenon. AB - In the great majority of patients with hypoplasia of the middle third of the face, the surgical advancement or displacement of the maxilla results in a subjective improvement in nasal breathing, which can also be verified. This is due to an increase in the volume of the nasal skeleton and/or in the nasolabial angle, which improves nasal ventilation. These operations have virtually no effect on endonasal obstructions to flow, which, in order further to improve nasal breathing, should be dealt with separately. PMID- 6583294 TI - Position of anterior teeth following surgical correction of prognathism. AB - 20 patients who had all undergone surgical correction of progenia by sagittal split operation in the ascending ramus were chosen for a follow-up investigation 5 years after the operation. The patients could be divided into two groups showing either horizontal or vertical facial growth pattern. A cephalometric analysis was made of all the patients and the results of both groups were compared with one another. In particular the changes in the position of the anterior teeth and the amount of sagittal and vertical relapse were noted. It was noticed, that the type of measurable postoperative relapse was different in the two groups. Postoperative mandibular relapse is partially compensated by the position of the anterior teeth. Therefore the postoperative changes in the position of the anterior teeth are different in the two groups. PMID- 6583295 TI - Neglected fractures of the facial bones. AB - Early treatment of fractures of the facial skeleton is mandatory, whenever possible. However, a number of factors, such as the general condition of the patient, the availability of proper facilities at the hospital, where he is transferred, the distance he has to travel to reach proper facilities, the awareness of the hospital staff of the maxillofacial problems and others often delay the correct treatment. We report our experience in the field, where many of the above factors often play a role resulting in neglected fractures of the facial skeleton. PMID- 6583296 TI - Effect of physical training on exercise hemodynamics in patients with stable coronary artery disease. The use of impedance cardiography. AB - Seventeen consecutive patients with stable coronary artery disease with a previous history of myocardial infarction were studied for evaluation of the effect of physical training on exercise hemodynamics. The patients were divided into two groups: Group A (n = 10), the control group and Group B (n = 7), the rehabilitated group. Patients in Group B had physical training for five months. The mean exercise time in Group B (trained group) was significantly greater than in Group A (17.0 +/- 3.3 vs 11.6 +/- 3.2, p less than 0.01). Cardiac output was measured by impedance cardiography. The resting hemodynamic parameters were not statistically different between the two groups. At sub-maximal levels of exercise, the blood pressure X heart rate product was the same in both groups. At maximal workload, the heart rate X blood pressure product was the same in both groups, while the cardiac output was significantly greater in Group B compared to Group A (16.0 +/- 5.7 vs 12.1 +/- 3.2 1/min, p less than 0.001). These results suggest that physical training may improve cardiac function during exercise. PMID- 6583297 TI - Hemodynamics in acute myocardial infarction the use of impedance cardiography. AB - Thirty-two consecutive patients with acute myocardial infarction (AMI) were studied during the first seven days following AMI. The stroke volume was measured by impedance cardiography. The patients were divided into two groups: Group A (n = 22), with clinically uncomplicated myocardial infarction and Group B (n = 10) with evidence of congestive failure, but not of pulmonary edema. Patients in Group B had predominantly anterior wall myocardial infarction compared to Group A (p less than 0.05). The heart rate was significantly greater in Group B compared to Group A (p = 0.0002). The systolic blood pressure, the mean blood pressure, stroke volume index, and left ventricular stroke work index were significantly lower (p less than 0.05) in Group B than Group A. Impedance cardiography can be easily applied to follow the course of the patients during the acute phase of myocardial infarction. PMID- 6583298 TI - Diagnostic use of cerebrospinal fluid lactic acid levels in meningitis. AB - Analysis of cerebrospinal fluid lactic acid levels in 62 patients suspected of having meningitis was performed. Lactic acid was measured enzymatically using lactic acid dehydrogenase with the liberation of NADH. In a control (no meningitis) group, 46 children had a mean cerebrospinal fluid lactic acid level of 14.7 +/- 2.2 mg/dl; 3 with febrile seizure had a mean lactic acid level of 33.5 +/- 0.98 mg/dl. In 9 cases of bacterial meningitis, the mean lactic acid level was 54.8 +/- 16.8 mg/dl. In 3 patients of aseptic meningitis, the mean lactic acid level was 34.5 +/- 1.0 mg/dl. Serial lactate determination was done in three patients and they were well correlated with the clinical response and other cerebrospinal fluid findings. These data suggest that the determination of cerebrospinal fluid lactic acid may be of diagnostic value in differentiating between bacterial and aseptic meningitis. PMID- 6583300 TI - A small molecular weight growth inhibitory factor in tissue culture supernatants. AB - A small molecule in tissue culture supernatants has growth inhibitory effects on the parent and other cells. Supernatants from stationary phase cultures of a human normal lymphoid cell line (No. 802) inhibited the growth of the parent cells even when the latter were in optimal concentrations. The inhibitory activity was associated with small molecular weight fractions prepared by filtration. Fractions with materials smaller than 5000 daltons were the most active. Growth inhibition was observed also with fractions smaller than 2000 and 1000 daltons. Similar growth inhibition of parent cells was observed with the small molecular weight fractions of supernatants from the human acute lymphoblastic leukemia cell line CCRF-SB, the human lung Ca cell line A-549 and from a mouse leukemia L1210 line. The latter were inhibited only in the absence of serum. The fractions from all 3 human cell lines inhibited the cells from all human lines indicating a lack of tissue specificity. The fractions from the human 802 line and the mouse L1210 line did not inhibit the cell growth of each other. Species specificity, however, cannot as yet be considered established. PMID- 6583299 TI - Metabolic and morphologic changes induced by serotonin in skeletal muscle of rats after abdominal aorta ligation. AB - Myopatic changes observed in muscle of rats after abdominal aorta ligation and/or serotonin injection have been regarded as a suitable model to explore the possibility that vasoactive treatments induce muscular damage similar to human myopathies. In the present study, we investigated the effect of serotonin administration to normal and aorta-ligated rats on cAMP-dependent protein-kinase (PK) and hydrolytic enzymes in skeletal muscle. PMID- 6583301 TI - Antitumor studies of 2-amino-2-thiazoline and other tumor-modifying agents. AB - 2--amino-2-thiazoline (AT) and 1-thiazolidine-4-carboxylate (TC, thioproline), which have been previously proposed as agents of reverse transformation, have been examined as antitumor agents in several rodent tumor systems. AT administration reduced tumor incidence in sym-dimethylhydrazine treated outbred ICR Swiss female mice and doubled the survival of DBA/2Ha female mice infected with polycythemic Friend leukemia virus. Indomethacin, pentoxyphylline, RA233 and diethyldithiocarbamate (DTC), with potential for altering host or tumor prostaglandin levels, platelet aggregation and host immunity, respectively, ranged from marginally effective to ineffective against Friend virus infection. AT was, however, ineffective against 4 other induced and transplanted mouse tumors and did not notably increase differentiation or decrease transformation in any of several tumor cell systems. No in vitro or in vivo tumor system was found to be more than marginally affected by TC. Thus, AT alone was of significant antitumor activity in inhibiting late stages of viral- or carcinogen induced tumor progression, but could not be demonstrated as an agent of reverse transformation. PMID- 6583302 TI - Binge eating, vomiting, and weight fear in a female high school population. PMID- 6583303 TI - Erythrocyte acid phosphatase in human hair root sheaths. AB - Erythrocyte acid phosphatase (EAP) was observed in human hair root sheaths where hair sheaths and blood samples were collected from 150 donors. In each case, the hairs were typed first for EAP and then confirmed by typing the blood from the same donors. Of the 150 donors checked, EAP activity was found in 135 of the samples; the other 15 samples showed no activity because they contained no sheath cells. Of the 135 samples showing activity, 108 of those were typed accurately in EAP. The remaining 27 samples had EAP activity but with inconclusive findings. In this study, all six common phenotypes were encountered. PMID- 6583304 TI - Extrapyramidal disorders. PMID- 6583305 TI - Pharmacological basis of akinesia in Parkinson's disease. AB - Akinesia, the core symptom of the parkinsonism, which is the term having been used routinely in daily practice of neurology in describing the specific motor disturbance in parkinsonian patients, is not well defined in sense of its generating mechanism. The author tried to analyze this concept from physiological and pharmacological standpoint and classified into three subgroups, i.e. slowness of movement, poverty of movement and difficulty in initiating repetitive movement. These three groups are interpreted as due to deficiency either of DA or of NE, the former being related to the slowness of movement and the poverty of movement and the latter to the freezing symptoms in the later stage of illness. Parkinson's disease now should better be understood as the result of deficiency of several catecholamine metabolites due to chains of enzymic error, and not only of DA. PMID- 6583307 TI - Quantitative assessments of gait and mobility in Parkinson's disease. AB - Gait and mobility of 50 Parkinsonian patients were studied using an instrumented walkway and by analysis of video tape. Whilst walking velocities did not differ from those of subjects with other conditions affecting gait, worsening of the patients' clinical condition was related to deterioration of scores in these objective tests. PMID- 6583306 TI - Symptoms and side effects in the course of Parkinson's disease. AB - From our investigations, we are tempted to assume that all types of akinesia, including "freezing", off-phases, Yo-Yoing and akinetic crises, are primarily symptoms of PD, while hyperkinesia, stretch spasms and pharmacotoxic psychosis are "side-effects". Therefore side-effects can be triggered by antiparkinsonian therapy while they will disappear after withdrawal of the drugs inducing them. Antiparkinson drugs alleviate major symptoms like akinesia and rigidity but sometimes and especially as reflection of advanced parkinsonism, might amplify minor symptoms (freezing, off-phases, Yo-Yoing), which then predominantly at high drug doses occur earlier and more intensively. Therefore, minor symptoms can be observed more frequently in the advanced stages of PD. Depressed phases belong to the symptom complex as is bradyphrenia and dizziness. Bradyphrenia is the psychic correlate to akinesia. Dementia, if at all is a symptom, but more likely this disease occurs occasionally in combination with parkinsonism. PMID- 6583308 TI - Premorbid personality of Parkinson patients. AB - In a preliminary study 28 patients with idiopathic Parkinson's disease (14 males, 14 females; mean age 67 years, mean disease duration 9 years) were tested with the GIESSEN-TEST (GT) personality inventory in an attempt to define distinctive premorbid personality features of Parkinson's disease. Patients and close relatives were asked to fill out the test questionnaires with a retrospective judgement of healthy times; at the same time patients and relatives were interviewed for premorbid habits and personality traits of the patients. The results obtained suggest that parkinsonian patients are of an introverted and anancastic premorbid personality type. In the GIESSEN-TEST (GT) marked trends toward "overcontrol"; "depressiveness", "positive social resonance", and "social impotency" were observed. The results are discussed and related to findings of distinctive premorbid smoking and drinking habits of parkinsonian patients. PMID- 6583309 TI - Normal pressure hydrocephalus and Parkinson's disease. AB - Three patients with normal pressure hydrocephalus and Parkinson's disease are reported. The recognition of this association is important because these two entities require specific therapeutic approaches. The presence of Parkinson's disease does not preclude an excellent response of the hydrocephalus to a shunting procedure. Although several reports of cases with the characteristic clinical manifestations of normal pressure hydrocephalus--progressive dementia, gait difficulty and urinary incontinence--have been published earlier, it was Adams and Hakim who emphasized the clinical triad and the effect of shunting the cerebrospinal fluid as a means of treatment. Messert and Baker stressed that the gait disturbance had a close resemblance to the freezing gait of parkinsonism. We are reporting three patients who had both conditions. Recognition of the existence of both disorders in the same patients is important since appropriate treatment of each of them led to marked improvement of their symptoms. PMID- 6583310 TI - Oculomotor characteristics of parkinsonism in comparison with those of cerebellar ataxia. AB - Oculomotor characteristics of patients with Parkinsonism have been analyzed. 1. The Parkinsonian patients showed relatively high frequency, but mild degree of abnormalities in various oculomotor functions such as pursuit eye movements, saccade and optokinetic nystagmus and frequently had positional and positioning nystagmus, although all of them might not relate to the pathology of parkinsonism. 2. When a visual target was presented laterally to a subject and head was free to move, the Parkinsonian patients showed relatively good eye-head coordination for gaze shift, resulting in accurate and stable gaze. However, the reaction times of head and eyes were prolonged and overt head movement was observed. 3. Ocular dyskinesias, characterized by smooth, slow, to-and-fro deviations with large amplitude and prominent in darkness were observed in 8 patients out of 10 with bodily dyskinesia while taking levodopa. 4. Oculogyric crises, paralysis of downward gaze, prolonged reaction time of saccade and poor optokinetic nystagmus were seen in a patient with juvenile Parkinsonism, whose neuropathological examination revealed the most striking changes in the substantia nigra, central grey and midline portion, and ventral and caudal to the central grey. PMID- 6583311 TI - Parkinsonism treated with levodopa: progression and mortality. AB - Patients with Parkinson's disease treated with levodopa over the past 15 years were compared, by parallel statistical methods, to a group of similar patients followed for 15 years before the levodopa era. The duration of illness at each Stage of disease was longer in the treated group, and, at each duration of illness, there was less disability and death. The prevalence of peak-dose dyskinesias increased with increased duration of treatment, but seldom out weighed the benefits of treatment. Although extreme fluctuations of therapeutic response were not seen during the first 2 years of treatment, their prevalence was otherwise uninfluenced either by the duration of treatment or by postponing treatment. There is, however, some evidence that the postponement of treatment is accompanied by an increased proportion of patients who become "unresponsive" to levodopa. The age at death was 4.5 years older than in the untreated group, and the mortality rate equal to that of the general population. There is ample evidence that treatment with levodopa improves the quality and length of life, and no real evidence that delaying therapy confers benefits in the future. PMID- 6583312 TI - Dystonia--L-dopa responsive or juvenile parkinsonism? AB - Four cases of dystonia occurring in two families are reported. The first symptoms consisting of dystonia and rigidity appeared early in childhood, in the first months in one family and of ages two and five years respectively in the other. In two cases, transient tremor was noted. These four children have been treated with L-dopa with prompt spectacular results, in cases 1 and 2, with more gradual less complete results in the others. L-dopa treatment was continued twelve, eleven, six, and five years, respectively, without any developmental problems. Motor function remains satisfactory and school work is normal. The only secondary effect observed was the occurrence of dyskinesia. The relation between L-dopa responsive dystonia and Parkinson's disease is discussed. PMID- 6583314 TI - Eye movements in amyotrophic lateral sclerosis. AB - It has generally been assumed that the oculomotor system is not involved in amyotrophic lateral sclerosis (ALS). However, reports from the literature and recent experience with patients indicate that there are oculomotor abnormalities in some ALS patients. These appear to fall into two main categories. One group of patients has signs that reflect damage or degeneration in cortico-oculomotor pathways. These patients have problems in generating voluntary saccades, convergence and pursuit eye movements. It should be possible to corroborate deficits in ocular pursuit in these patients with deficits in visual suppression of the vestibulo-ocular reflex (VOR) and in optokinetic nystagmus (OKN). A second group of patients, much less common than the first, has a more global type of ophthalmoplegia, probably reflecting a loss of neurons in and around the ocular motor nuclei. There are probably also patients with mixed types of involvement. Testing the vestibulo-ocular reflex (VOR) in conjunction with other tests of visual-oculomotor function should help in identifying the deficits. The relative incidence of the various types of deficits is not known and is a subject for study. It would also be of interest to correlate the changes that are present in the oculomotor system of patients with ALS with deficits in other parts of the somatic motor system. PMID- 6583313 TI - Benign familial myoclonus-like movements, partly of early onset. AB - A family with benign, myoclonus-like involuntary movements of early onset has previously been described by us (Refsum and Sjaastad, 1972, 1973; Sjaastad, 1981). In the present communication electrographical investigations carried out in the proband and his sister will be reported. Additional information will also be reported regarding onset of the abnormal movements. PMID- 6583315 TI - The viral hypothesis in parkinsonism. AB - The most crucial unanswered question in Parkinson's disease is its fundamental cause. Since Carlsson's original suggestion that dopamine may be a transmitter in the central nervous system involved in the control of motor function and that it may be involved in the Parkinsonian syndrome (Carlsson, 1959), and the now classic paper by Ehringer and Hornykiewicz (1960) which definitively showed the significant reduction of dopamine concentration in the neostriatum of cases of idiopathic Parkinson and postencephalitic parkinsonism, the vast amount of work on the subject has focused on the biochemical and pharmacologic correlates of this dopaminergic system failure involving particularly the nigrostriatal pathways. The concept of a specific neurotransmitter deficiency associated with a specific neurological syndrome potentially amenable to replacement therapy, has appropriately generated a considerable degree of clinical and research interest for over 20 years, but, with few exceptions, there has been hardly any focused or concerted research effort on looking at direct causal factors or primary initiating events in this disease process. As in Alzheimer's disease, another of the degenerative diseases of the brain of unknown origin with a specific biochemical substrate, any etiologic hypothesis for Parkinson's disease--whether a virus, an age-related immune system dysfunction, a genetic factor, a "trophic" substance, or a toxin--would have to explain the selective involvement of specific transmitter-defined neuronal pathways, the non-specificity of the brain lesions that define the disease, and the clinical involvement of a sizeable segment of the aging population. Of the several plausible hypotheses mentioned earlier, which are not necessarily mutually exclusive, we would like to critically consider the possibility of a viral cause. PMID- 6583316 TI - Marrow cytogenetic and cell-culture analyses of the myelodysplastic syndromes: insights to pathophysiology and prognosis. AB - Marrow cytogenetic and granulocyte-macrophage colony formation (CFU-GM) studies were performed on 34 previously untreated patients with documented myelodysplastic syndromes seen between January 1978 and June 1982. All patients were managed without chemotherapy until progression to acute leukemia was observed. All 10 patients with exclusively abnormal marrow metaphases developed acute leukemia (100%) while only one (7%) of 14 patients with solely normal marrow metaphases subsequently developed leukemia (p less than 0.001). Three (42%) of the seven patients with both normal and abnormal marrow metaphases developed acute leukemia. Fifteen (86%) of the 19 patients with either large cluster or no growth patterns developed acute leukemia while only two (13%) of 15 patients with either small cluster or colony forming growth patterns developed acute leukemia (p less than 0.001). Abnormal marrow cytogenetic status correlated with abnormal marrow CFU-GM growth pattern (p less than 0.05). Analysis of CFU-GM sensitivity to inhibition by prostaglandin E was performed in 12 patients. Nine patients showed CFU-GM refractoriness to inhibition by prostaglandin E. Seven of these patients eventually developed leukemia. Three patients had CFU-GMs which were initially sensitive to prostaglandin E inhibition. In these three patients, a loss of CFU-GM sensitivity to prostaglandin E was observed prior to their progression to morphologically identifiable acute leukemia. PMID- 6583317 TI - Circulating immune complexes in childhood malignancies: a Pediatric Oncology Group study. AB - Pretreatment serum samples obtained at diagnosis from 89 children with various pediatric malignancies were examined for circulating immune complexes (CIC) using the [125I]Clq binding assay. The study population consisted of 35 children with acute lymphocytic leukemia (ALL), 22 children with acute non-lymphocytic leukemia (ALL), 24 with neuroblastoma (NB), and eight with osteosarcoma (OS). Concomitant quantitation of immunoglobulins was performed in 55 patients, revealing normal values for age. Increased levels of CIC at diagnosis were found in 9%, 22%, 42%, and 50% of children with ALL, AML, NB, and OS, respectively. Except for a higher proportion of CIC-positive patients observed in stage IV NB (nine of 17) compared to stage I-III NB (one of seven), no correlation was observed between initial CIC level and presenting clinical features, response to treatment, prognosis, or presence of infection. Longitudinal sampling of six NB and two OS patients did not reveal a clear relationship between disease activity and quantity of CIC. For the pediatric malignancies studied, these data demonstrate minimal value in quantitating CIC as a means of assessing disease activity or predicting response to treatment and are in contrast to the apparently adverse effect of elevated pretreatment CIC on response to therapy and survival observed in adults with ALL, AML, and OS. PMID- 6583318 TI - High-dose methotrexate as part of remission maintenance therapy for childhood acute lymphocytic leukemia: a Pediatric Oncology Group pilot study. AB - Seventeen children with acute lymphocytic leukemia (ALL) in remission were treated with parenteral high-dose methotrexate (HDM) pulses every eight weeks during standard 6-mercaptopurine and methotrexate (MTX) oral maintenance therapy. MTX (1,000 mg/m2) was infused over one hour followed by one hour of intravenous hydration for the purpose of achieving plasma and cerebrospinal fluid (CSF) levels greater than 10(-6) M for a period of 24 hours. Leucovorin (15 mg/m2) was administered orally six, 12, and 18 hours after completion of the HDM. Plasma and CSF concentrations of MTX were evaluated serially in the first 48 hours. During the first 24 hours, the plasma MTX level was maintained at greater than 10(-6) M. The patients receiving intrathecal MTX at a dose of 15 mg/m2 had an adequate, sustained MTX level in the CSF, but when no intrathecal MTX was administered, the CSF levels were less than 10(-6) M. For that reason, intrathecal MTX in a low dose (6 mg/m2) was injected intrathecally one hour after the HDM infusion, allowing the MTX level in CSF to approximate 10(-6) M over the 24 hours. The toxicity of this therapy was minimal. Due to the facts that the plasma and CSF MTX levels could be sustained above the desired concentrations and this regimen could be given in the outpatient clinic, this program has been incorporated into an ongoing study in an effort to prolong complete remissions. PMID- 6583319 TI - Osteogenic sarcoma: alterations in the pattern of pulmonary metastases with adjuvant chemotherapy. AB - The number and time to appearance of pulmonary metastases were evaluated in 15 patients with osteogenic sarcoma receiving adjuvant chemotherapy with high-dose methotrexate and doxorubicin (adjuvant group). The results were compared to 33 age- and sex-matched controls (control group). The adjuvant group demonstrated a reduction in the number and a delay in the appearance of the metastases. The median time to development of metastases was 17 mo in the adjuvant group and 7 mo in the control group, and the median number of metastases was 2 and 12, respectively. PMID- 6583320 TI - Sequential changes in platelet function and coagulation in leukemic children treated with L-asparaginase, prednisone, and vincristine. AB - Coagulation and platelet function in 13 children with acute lymphoblastic leukemia were studied sequentially during a remission induction with L asparaginase, prednisone, and vincristine. In the first weeks of therapy, which included four doses of L-asparaginase coagulation was characterized by significant decreases in plasma concentrations of plasminogen, antithrombin III alpha 2-macroglobulin, and fibrinogen. All measures gradually returned to normal after complication of L-asparaginase therapy. In the latter part of induction treatment, clotting times, especially partial Thromboplastin time, decreased significantly, while levels of factors V and VIII increased with recovery of platelet counts. At this time, 6 patients had an increased in vitro platelet aggregation response to adenosine diphosphate, and their partial thromboplastin times were significantly shorter than those of patients without increased aggregation. Concurrent abnormalities in coagulation and platelet function may account for the thrombotic complications that develop in some children receiving induction therapy with these agents. PMID- 6583323 TI - Patients with secondary acute myelocytic leukemia (AML) receiving "timed" sequential chemotherapy. PMID- 6583321 TI - Treatment of acute lymphoblastic leukemia in adults: results of the L-10 and L 10M protocols. AB - Two successive protocols (L-10 and L-10M) employing multidrug induction therapy with vincristine, prednisone, and doxorubicin (Adriamycin) plus an intensive consolidation phase and maintenance program have led to a significant improvement in the prognosis of adult acute lymphoblastic leukemia (ALL). The complete remission (CR) rates for the 34 patients entered on the L-10 protocol and the 38 patients entered on the L-10M protocol were 85% and 84%, respectively. The median duration of remission has not yet been reached for either the L-10 (median follow up, 5.5 years; range, 3.5-7.5 years) or the L-10M protocol (median follow-up, 2.5 years; range, 1-3.5 years). The median survival time has not yet been reached for the L-10M protocol. Central nervous system prophylaxis with intrathecal methotrexate alone was effective in preventing central nervous system relapse. An analysis of possible prognostic factors indicated that patients less than 25 years of age had a higher CR rate than older patients (p = 0.02). Patients with an initial leukocyte count below 15,000/microL experienced longer remissions than patients with a leukocyte count above 15,000/microL (p = 0.008), and patients who achieved CR within the first month of therapy were in remission longer than those requiring a longer time to achieve CR (p = 0.04). Patients with T cell ALL did not have a poorer prognosis than other patients treated on these protocols. The L 10 and L-10M protocols were well tolerated with minimal morbidity. PMID- 6583322 TI - Second central nervous system prophylaxis in children with acute lymphoblastic leukemia who relapse after elective cessation of therapy. AB - A treatment plan to achieve better disease control in patients with acute lymphoblastic leukemia (ALL) who relapse after elective cessation of therapy was assessed. The principal modifications were (1) a second preventive treatment of the central nervous system (CNS) at relapse and every six weeks throughout therapy, using intrathecal methotrexate with cytosine arabinoside, and (2) a four week course of systemic chemotherapy given immediately before therapy was stopped a second time. Twenty-four patients were studied. There have been no meningeal relapses, in contrast to seven among 16 similar patients who were retreated without CNS prophylaxis. Although the median length of second hematologic remission was not significantly different from the outcome in the comparison group, a much higher proportion of patients (eight of 24 versus zero of 17) remain in prolonged reinduced complete remission (48-79 months). Children whose first relapse occurred later than six months after cessation of therapy had significantly longer subsequent remissions. These end results establish the value of intrathecal CNS prophylaxis in relapsed ALL and suggest that a late intensive phase of therapy will extend remissions in a substantial proportion of patients. PMID- 6583324 TI - Cranial nerve involvement in children with leukemia and lymphoma. AB - Between 1965 and 1982, 52 children with acute lymphoblastic leukemia or non Hodgkin's lymphoma were found to have central nervous system involvement of their disease. Of this group, 20 developed clinically apparent cranial nerve paresis or palsy. The cranial nerve most frequently affected was No. VII. With therapy, 16 of the patients had objective control of their central nervous system disease. Among these 16 patients, cranial nerve palsies resolved completely in 14, and only two children were left with residual cranial nerve dysfunction. Seven patients received intrathecal chemotherapy before radiation therapy was instituted in an attempt to control their cranial nerve palsies. Cranial nerve palsy resolved in only two of these seven patients. However, the addition of whole-brain irradiation in the remaining five patients reversed cranial nerve dysfunction in four of them. The combination of intrathecal chemotherapy and central nervous system irradiation was successful in reversing cranial nerve dysfunction in 11 of 13 patients in whom central nervous system disease was ultimately controlled. As cranial nerve dysfunction is associated with distressing signs and symptoms, the combination of central nervous system irradiation and intrathecal chemotherapy is important palliative therapy to initiate promptly. Intrathecal therapy alone appears to be inadequate therapy for prompt and durable reversal of symptoms in this group of patients. PMID- 6583325 TI - Effect of dose and schedule on pharmacokinetics of high-dose cytosine arabinoside in plasma and cerebrospinal fluid. AB - The pharmacokinetics of high-dose cytosine arabinoside (ara-C) were studied in 18 patients with acute leukemia and high-grade non-Hodgkin's lymphoma. The plasma concentrations of ara-C increased in proportion to the dose over a range of 1-3 g/m2. The initial and terminal half-lives were not influenced by the dose or schedule of administration and no accumulation of ara-C occurred with repeated dosage in the same patients. These data suggest that cytidine deaminase is not saturated within this dose range. The cerebrospinal fluid (CSF) concentrations of ara-C also rose linearly with the increase in dose and varied from 347 ng/mL (1 g/m2) to 1,070 ng/mL (3 g/m2). The mean CSF concentrations of ara-C following high-dose infusions over three hours were 6%-22% of simultaneous plasma concentrations. Three hours after completion of the intravenous infusion the CSF concentrations were greater than the corresponding plasma concentrations owing to the long half-life of ara-C in CSF compared to that in plasma. These data demonstrate that therapy with intravenous high-dose ara-C given twice daily provides continuous levels in the CSF at concentrations that are likely to be of value in the treatment of central nervous system leukemia. PMID- 6583326 TI - Resistance to methotrexate due to gene amplification in a patient with acute leukemia. AB - A patient is described with acute myelocytic leukemia refractory to conventional therapy, who also became highly resistant to methotrexate (MTX) after repeated courses of this drug. Leukemia cells from this patient were found to contain an elevated level of dihydrofolate reductase (DHFR) activity, with no change in the affinity of the enzyme for MTX. A sensitive "dot blot" assay revealed a fourfold increase in the gene copy number of DHFR. Southern blot analysis with a human DHFR cDNA probe confirmed this increase in the gene copy number, and demonstrated a similar restriction pattern with Eco R1, Hind III, and Pst 1 as seen with a highly amplified human leukemia cell line, K562. Additional DHFR fragments were detected, not seen in the K562 blot, suggesting the presence of pseudogenes, or a result of gene rearrangements occurring as part of the amplification process. Resistance to MTX in this patient was therefore ascribed to gene amplification and overproduction of DHFR. PMID- 6583327 TI - Gene amplification in a leukemic patient treated with methotrexate. AB - Resistance to methotrexate (MTX) has been shown in mouse, hamster, and human cell lines grown in sequentially increased MTX concentrations to be due to increased dihydrofolate reductase (DHFR) synthesis and a proportional increase in DHFR gene copy number. Leukemia cells of a patient were studied to assess change in DHFR gene copy number after MTX treatment. The patient presented with chronic myeloid leukemia which rapidly evolved into blast crisis; 90% of peripheral white cells were lymphoblasts. Treatment included intrathecal and intravenous MTX; the lymphoblasts were reduced to undetectable levels. Three months later a second blast crisis occurred; 90% of peripheral white cells were lymphoblasts. Cells from each blast crisis were obtained by leukapheresis and stored for study. Quantification of DHFR gene copy number in DNA from lymphoblasts before and after MTX treatment was done: a radiolabeled cloned cDNA constituting the mouse DHFR coding sequence was used to probe high molecular weight pretreatment and posttreatment DNA bound to nitrocellulose filters. Posttreatment DNA contained two- to three-fold more DHFR gene sequences than pretreatment DNA. Quantitative Southern blotting of EcoRI-digested pretreatment and posttreatment DNA confirmed amplification of the DHFR gene. Karyotype analysis showed no double minute chromosomes or homogeneously staining regions. This is the first study demonstrating DHFR gene amplification in leukemia cells sampled in vivo from a patient treated with MTX. PMID- 6583328 TI - Prediction of complete remission in patients with refractory acute leukemia treated with AMSA. AB - The relation between characteristics known at start of therapy and response in 102 adults with refractory acute leukemia who received 4'-(9 acridinylamino) methane-sulfon-m-anisidide (AMSA) was examined. Twenty-three (23%) of these patients attained complete remission (CR). Univariate analysis showed that the following characteristics were associated with CR: a fewer number of prior induction and maintenance regimens, a shorter time between latest relapse and AMSA therapy, the presence of Auer rods, a circulating blast cell count of less than 25,000/mm3, a marrow cellularity less than 90%, a ratio of marrow blasts and promyelocytes to more mature myeloid cells (differentiation ratio) less than 15, and a first-course AMSA dose of greater than or equal to 375 mg/m2. Some of these factors were interrelated. Multivariate analysis using logistic regression techniques was carried out to determine which of the above factors added independent prognostic information. This analysis produced a statistical model that related probability of response to the following in order of selection: Auer rod status, first-course dose, differentiation ratio, and absolute circulating blast cell count. Such a model could be useful in identifying patients with high, intermediate, or low probability of response to AMSA. AMSA could then be prescribed only for patients likely to respond while affording other patients alternate salvage programs at an earlier time. PMID- 6583329 TI - Adjuvant chemotherapy in osteogenic sarcoma: the triumph that isn't? PMID- 6583330 TI - A study of dental porcelain solubility--dissolving of component elements and resultant surface roughness and abrasion. PMID- 6583331 TI - Surface analysis of cements after having been immersed in water--surface state and elementary analysis of zinc phosphate cement and carboxylate cement. PMID- 6583333 TI - Labor, legislation and litigation in New Jersey: a ten year history. PMID- 6583332 TI - Journal interview: NJDPAC and legislation. The who, when, where, why and what of the New Jersey Dental Political Action Committee and its impact on legislation. PMID- 6583334 TI - One visit endodontics: not only could you but should you? PMID- 6583335 TI - Mini-residency in prescribing controlled dangerous substances. PMID- 6583336 TI - To incorporate or not: a dilemma for the professional. PMID- 6583337 TI - Anti-plaque chlorhexidine should be prescription only. PMID- 6583338 TI - Gallium-67 scanning in Sjogren's syndrome: concise communication. AB - We performed gallium-67 scans in 12 patients with primary or secondary Sjogren's syndrome (SS). Salivary-gland uptake of gallium-67 was noted in four of five patients with primary SS. Pulmonary uptake was observed in ten of 12 patients. Chest radiographs were essentially normal in all patients, although 60% complained of significant dyspnea with exertion. The gallium-67 scan may prove to be a sensitive noninvasive diagnostic test for lung and mediastinal involvement by either primary or secondary SS, and for salivary-gland involvement in primary SS. PMID- 6583339 TI - The use of gallium-67 liver imaging for the early diagnosis of Budd-Chiari syndrome. AB - A gallium-67 study, performed in a rare case of Budd-Chiari syndrome (BCS) in a 6 yr-old child, showed marked concentration of the tracer in the left and caudate lobes of the liver. Ten days later, a less specific and clear-cut appearance of left- and caudate-lobe concentration of Tc-99m phytate was obtained. The possible use of Ga-67 citrate imaging to diagnose BCS in its earliest stage is suggested, although no firm conclusion can be made from this single case. PMID- 6583340 TI - Report of the Acting Administrator, State Board for Nursing the State Education Department. PMID- 6583341 TI - Executive behavior in complex systems: management of divergence. PMID- 6583342 TI - Management of divergence: a nursing service administrator's views. PMID- 6583343 TI - Management of divergence: an educator's view. PMID- 6583344 TI - Nurses knowledge about and attitudes toward professional nursing organizations. PMID- 6583345 TI - What constitutes nursing research? PMID- 6583346 TI - Presidential Address. PMID- 6583347 TI - The status of water fluoridation in the state of Oklahoma. PMID- 6583348 TI - A study in the differential diagnosis of white lesions of the buccal mucosa. PMID- 6583349 TI - Primary melanotic alterations in the oral cavity. PMID- 6583350 TI - Primary malignant melanoma of the oral cavity. A case report. PMID- 6583351 TI - Unusual chronic recurrent aphthous stomatitis treated with levamisole: report of a case. PMID- 6583352 TI - Subcutaneous emphysema during operative dentistry: report of a case with a thirty month follow-up. PMID- 6583353 TI - Oral pemphigus vulgaris. Clinico-pathological follow-up of 34 cases. PMID- 6583354 TI - Phosphorus necrosis of the maxilla. PMID- 6583355 TI - Carcinoma and the mandibular staple. PMID- 6583356 TI - Concerns and conflicts over disc surgery. PMID- 6583357 TI - Perforations of the temporomandibular joint meniscus: arthrographic, surgical, and clinical findings. AB - Arthrographic examination of the temporomandibular joint for perforations of the meniscus was found to be a reliable diagnostic test in a retrospective review of 45 surgical cases. Clinically palpable crepitus was also found to be an accurate indicator of the existence of perforations in patients who could open beyond 26 mm. The combination of palpable crepitus and a positive arthrogram was found to be complementary in diagnosing perforations and was confirmed by surgical observations. PMID- 6583358 TI - Clinicopathologic conference. Case 48, part I: Radiolucent lesion of the mandible. PMID- 6583359 TI - Seromucous cystadenoma of the oral cavity. PMID- 6583360 TI - Treatment of osteoradionecrosis. PMID- 6583361 TI - A pathologist's approach to the treatment of ameloblastoma. AB - There are three clinical types of ameloblastoma: the solid or multicystic type; the unicystic type; and the rare peripheral type. Important considerations in planning treatment include the clinical type as well as the anatomic location of the tumor and the availability of the patient for follow-up examinations. The various histologic patterns exhibited by this tumor have no bearing on its biologic behavior. In this article the treatment of the three types of ameloblastoma is discussed, with emphasis on their biologic behavior and anatomic considerations. PMID- 6583362 TI - Clinicopathologic conferences. Case 49, part I: Tumor of the palate. PMID- 6583363 TI - Liposarcoma of the cheek in an infant. AB - A case of liposarcoma of the cheek in a 6-month-old infant has been presented. This tumor, one of the most common malignant tumors of soft tissue in the body generally, is exceedingly rare in the head and neck regions, having been reported in this location on only a few occasions. A review of the literature reveals that this patient was one of the youngest so affected. The postoperative course was uneventful, and after three years no evidence of recurrence or metastasis has been observed. PMID- 6583364 TI - Papillary cystadenoma-like hyperplasia of the lip. PMID- 6583365 TI - Nasolabial cyst: presentation of a case with a review of the literature. AB - This report presents the clinical and histologic features and treatment of a classic nasolabial (nasoalveolar) cyst. Review of the literature confirms the fact that this lesion is a benign developmental cyst that may arise from epithelium of the nasolacrimal duct. The lesion is usually unilateral, but may be bilateral, is located beneath the ala of the nose, and occurs more frequently in females. Histologically, it is most frequently lined by a pseudostratified columnar epithelium, although both stratified squamous and cuboidal epithelium and goblet cells may be found. The cyst responds well to conservative enucleation. PMID- 6583366 TI - Surgical management of a facial deformity secondary to craniofacial fibrous dysplasia. PMID- 6583367 TI - Conservative management of electric burns to the lips of children. AB - Crucial to the proper care of a child sustaining electric trauma to the oral cavity are both a complete understanding of the possible systemic sequelae of this injury and knowledge of the management of the particular lesion. The physical properties of electricity, the systemic and regional effects of electric injuries, and the associated complications are reviewed. The methods of treatment are discussed and the benefit of delaying surgical intervention is emphasized. PMID- 6583368 TI - A modified external pin appliance for resections that include the mandibular condyle. PMID- 6583369 TI - A standardized programme for studying the occlusal force pattern during chewing and biting in prosthetically restored dentitions. AB - A recently described method for studying occlusal forces in prosthetically restored dentitions (Lundgren & Laurell, 1984) was applied in a standardized programme to elucidate the occlusal force pattern and the functional capability of a dentition during chewing and biting. The method is based on the use of strain gauge transducers mounted into preformed matrices evenly distributed over the tooth-arch. The programme was tested in a subject prosthetically restored with a fixed bridge of cross-arch design in the upper jaw, and with unsplinted teeth in the lower jaw. It involved chewing of (a) peanuts, (b) roast beef with potato salad, biting with maximal strength in habitual occlusion and biting over one limited contact area at a time. The magnitude of the occlusal forces developed during chewing and swallowing was well below all biting forces. The magnitude of the total force acting over the entire dentition when biting at maximal strength in habitual occlusion did not seem to be limited by reactions from the teeth or the periodontal tissues but, seemingly, by the capability of the jaw-closing muscles themselves. The magnitude of the local bite force over one limited contact area at a time was much smaller than that which the jaw closing muscles were able to develop. This indicated that feedback mechanisms in the periodontal tissues and/or the temporo-mandibular joints were limiting factors for these forces. The programme will be applied to studies of dentitions supplied with prosthetic constructions of various design and with different distribution of periodontal support. PMID- 6583370 TI - Serum creatine kinase studies in mandibular pain dysfunction. AB - A biochemical test for muscle damage (serum creatine kinase estimation) was used to investigate twenty-six normal subjects, nine normal subjects following experimental bruxism and twenty-seven patients suffering from mandibular pain dysfunction. No significant differences in serum creatine kinase levels were detected between any of the groups. PMID- 6583371 TI - Antiplaque properties of sustained release SnF2: pilot studies. AB - Pilot studies examining the physical and clinical properties of an intracoronal sustained release fluoride delivery system were performed. After testing various percentages of SnF2 incorporated into polycarboxylate, zinc phosphate, and zinc oxide cements, 70% SnF2 polycarboxylate cement was found to have adequate compressive strength while releasing the greatest amount of fluoride in vitro. A 30-day in vivo trial, in which this fluoride cement was used as a temporary intracoronal restoration, produced elevated salivary fluoride levels with only transient elevation in urinary fluoride levels. Plaque scores decreased during the experimental period, suggesting that the released SnF2 affected bacterial growth or attachment. The SnF2-polycarboxylate cement was an adequate temporary restorative material without significant side effects. PMID- 6583372 TI - Fluoride enhancement of chlorhexidine uptake by hydroxyapatite and enamel powders. AB - The purpose of the present study was to examine the in vitro adsorption of chlorhexidine and fluoride to hydroxyapatite and tooth enamel powders. Samples of hydroxyapatite or enamel powder were suspended in aqueous solutions of chlorhexidine gluconate 2.0; chlorhexidine acetate 1.5%; sodium fluoride of various concentrations (0.2%, 1%, 2%) and mixtures of sodium fluoride and chlorhexidine. The data obtained in the study show that chlorhexidine and fluoride adsorb to hydroxyapatite and tooth enamel in vitro. Furthermore, the amount of fluoride adsorbed to hydroxyapatite is reduced in the presence of chlorhexidine in the solution. A probable explanation for this effect may be that there is a competitive adsorption of fluoride and chlorhexidine on to the same binding sites on the hydroxyapatite. Additionally, the presence of fluoride dramatically increases the affinity of chlorhexidine for hydroxyapatite. The fact that fluoride strongly enhanced the adsorption of chlorhexidine to hydroxyapatite and enamel, indicates that fluoride may be of clinical interest beyond the prevention of caries. PMID- 6583373 TI - Three year follow-up TMJ patients: success rates and silent periods. AB - A telephone survey to assess treatment success was conducted 2-3 years after treatment of patients suffering from TMJ syndrome. Pre-treatment silent period durations were compared among groups of patients determined by their response to the telephone survey. The short-term (immediately post-treatment) improvement rate was 81%. Some 35% of patients were completely cured. There was no statistically significant difference in mean silent period duration among the groups of patients that achieved complete, partial or no relief of symptoms. The long-term (2-3 years after treatment) persistence of improvement rate was 72%. There was also no statistical difference in the mean silent period duration between those patients who had experienced persistence of success and those who reported either no relief or relapse of symptoms. PMID- 6583374 TI - Mastication after surgical reconstruction of the mandibular residual ridge. AB - A group of thirty-one female denture patients who underwent surgical reconstruction of their deficient residual ridges with ridge extension and skin graft or ridge augmentation with bone graft were evaluated with regard to their masticatory function before surgery, then at 8 months and 12 months post operative with their new dentures. Two objectives tests of masticatory efficiency were used. The masticatory efficiency index (MEI), based on the size of chewed almond particles, determined the potential capacity of patients to masticate while the masticatory performance (MP) based on the time required to masticate food before swallowing assessed the individual ability of each patient to chew food. A subjective index of difficulty (SD) provided information on the patient's own assessment of chewing difficulty of certain foods selected for their hard texture. The evolution of each index and their interrelationship were statistically evaluated. It was shown that the masticatory performance (MP) and the subjective index of difficulty (SD) both improved significantly during the rehabilitation period and even more rapidly than the masticatory efficiency index (MEI). The discrepancy between the objective and the subjective tests and the overestimation from the patients indicate that the real benefit of the rehabilitation is not limited to improved chewing, but also to an acquired self confidence in mastication. PMID- 6583375 TI - A statistical quirk? Reply to Kellerman, Moss, and Siegel. PMID- 6583376 TI - Wishing doesn't make it so: a close look at Stehbens' "refutation". PMID- 6583377 TI - Nude mouse xenograft study for treatment of neuroblastoma: effects of chemotherapeutic agents and surgery on tumor growth and cell kinetics. AB - Four human neuroblastomas transplanted into nude mice were used for experimental chemotherapy and surgery, and the following results were obtained. Cyclophosphamide was the most effective for human neuroblastoma, cis-platinum being the second, among several chemotherapeutic drugs examined. Aclacinomycin A is more effective than Adriamycin. VM26 should be administered 48 to 72 hours after injection of cis-platinum, according to flow cytometric analysis. Flow cytometric analysis also disclosed that residual tumor grows most rapidly seven days after subtotal excision. However, chemotherapy is more effective in the postoperative period than it is in the preoperative period. PMID- 6583378 TI - p-Nitrophenol sulfation in rat liver cytosol: multiple forms and substrate inhibition of aryl sulfotransferase. AB - The p-nitrophenol (PNP) sulfate conjugation rate in rat liver cytosol at pH 7.4 under 10-30 microM 3'-phosphoadenosine-5'-phosphosulfate (PAPS) was decreased at 10-200 microM PNP and increased again at more than 200 microM PNP. The higher the PAPS concentration, the more remarkable such substrate inhibition. These results indicate that the substrate inhibition was due to the direct interaction of PNP with the aryl sulfotransferase (phenol sulfotransferase, PST). The PST reaction was thermolabile at less than 20 microM PNP but thermostable at more than 200 microM PNP. The Km values for PAPS obtained in the PST reactions where the inhibition was not observed was about 23 microM at 2.5-5 microM PNP and 11-14 microM at more than 200 microM PNP. And the Km values for PNP at more than 500 microM PNP was 2.2-2.6 mM. On the other hand, the inhibition in the PST reaction at pH 5.6 was observed at much higher PNP concentration, approximately 200 microM, than that at pH 7.4. Based on these characteristic results, the correspondence of the PST catalyzing the PNP sulfate conjugation (pH 7.4) at the low and high concentrations of PNP in the liver cytosol with the multiplicity obtained in the purified preparation of the liver previously reported by another researchers was compared and discussed. Finally the selection of an endogeneous substrate for estimating such complexed sulfate conjugation in advance in each individual man was also proposed. PMID- 6583379 TI - Participation of cytochrome b5 electron transport system coupled with delta 5-3 beta-hydroxysteroid dehydrogenase on cytochrome P-450 monooxygenase reactions of guinea pig adrenal microsomes. AB - Not only cytochrome P-450 and cytochrome P-450 reductase, but considerable amount of cytochrome b5 and cytochrome b5 reductase were also contained in the adrenal microsomes of guinea pig. Addition of nicotinamide adenine dinucleotide (NADH) stimulates the activities of cytochrome P-450 monooxygenases such as 21 hydroxylase, 17 alpha-hydroxylase and C17,20 lyase supported with nicotinamide adenine dinucleotide phosphate (NADPH) as a cofactor. In addition, substrate for delta 5-3 beta-hydroxysteroid dehydrogenase plus NAD+ also stimulate the same cytochrome P-450 monooxygenase activities. These observations were suggesting the participation of cytochrome b5 electron transport system on cytochrome P-450 monooxygenase (21-hydroxylase, 17 alpha-hydroxylase and C17,20 lyase) reactions associated with the biosynthesis of corticoids and adrenal androgens. Furthermore, it is also suggesting that cytochrome b5 electron transport system involves the reaction of delta 5-3 beta-hydroxysteroid dehydrogenase. PMID- 6583380 TI - Alleviation of myofascial pain with ultrasonic therapy. AB - In recent years ultrasound has been used extensively in physical medicine with considerable success. Its use has not been advocated extensively, however, for MPDS. This article summarized the basic concepts of ultrasound and evaluated its effectiveness in the treatment of 28 patients with MPDS. In conclusion, it appears that therapeutic ultrasound can be used effectively to alleviate discomfort of MPDS that does not respond to occlusal splint therapy. Ultrasound is most successful in alleviating muscle symptoms and least effective in reducing symptoms associated with the disk. Age was not a significant factor in the efficacy of ultrasound. PMID- 6583381 TI - Current concepts for relining complete dentures: a survey. AB - Reline procedures for complete dentures have received scant attention in the literature. Fifty-seven dental colleges responded to an 11-item survey on reline procedures. According to the tabulated data, most dental schools recommended the following (not necessarily our recommendations). Leave the denture(s) out of the mouth for at least 24 hours prior to fabrication of the reline impressions. Use tissue-conditioning material only on selected patients. Use Coe Comfort as the tissue-conditioning material of choice. Place either none or one relief hole in the maxillary denture, and place no relief holes in the mandibular denture prior to the impression(s). Place relief holes along the palatal midline of the maxillary denture. No specific size is recommended for the palatal relief holes. Place 1 mm of basal surface relief and 1 to 2 mm of border relief before the reline impression is made. Use a polysulfide rubber base material as the material of choice for reline impressions. Use a closed mouth impression technique. Remove the palate from the maxillary denture prior to processing. Use heat-cured resin (Lucitone) for processing. Use pressure-indicator paste prior to delivery of the denture(s). Remount the complete denture(s) on an articulator after processing for making occlusal corrections. PMID- 6583382 TI - The effect of carbon fiber orientation on the fatigue resistance and bending properties of two denture resins. AB - The following conclusions were made concerning the effects of carbon fiber orientation on the flexural fatigue resistance and bending properties of two denture base acrylic resins. Hi-I resin, regardless of fiber presence or orientation, was more resistant to flexural fatigue than Lucitone resin. Carbon fibers placed perpendicular to the direction of applied stress produced the most favorable combination of increased resistance to bending and to flexural fatigue. Production of properly oriented fibers that are well centered within the resin is technically difficult and yields less predictable property improvements than result from randomly dispersed fibers. PMID- 6583384 TI - Temporary cementation of fixed prosthesis. PMID- 6583383 TI - The declining complete denture patient pool in dental schools. PMID- 6583385 TI - Ultrasonic hardening of annealed copper bands. PMID- 6583386 TI - The edentulous milieu. PMID- 6583387 TI - Incidence of mandibular dysfunction symptoms in individuals who remove their complete dentures during sleep. PMID- 6583388 TI - Some esthetic factors in a smile. AB - A survey of the characteristics of an open smile was conducted with 454 full-face photographs of randomly selected dental and dental hygiene students. Findings show that an average smile exhibits approximately the full length of the maxillary anterior teeth, has the incisal curve of the teeth parallel to the inner curvature of the lower lip, has the incisal curve of the maxillary anterior teeth touching slightly or missing slightly the lower lip, and displays the six upper anterior teeth and premolars. Consideration of the characteristics may be useful in improving the esthetics of restorations. PMID- 6583389 TI - Microleakage of direct gold restorations: an in vitro study. PMID- 6583390 TI - An alternative treatment of proximal marginal caries in crowned teeth. PMID- 6583391 TI - An intraoral-extraoral radiation carrier for tumors of the lip. AB - The alternatives for treatment of lip tumors have been discussed. The fabrication and use of an intraoral-extraoral radiation carrier for iridium 192 have been described. PMID- 6583392 TI - In vivo forces on endosteal implants: a measurement system and biomechanical considerations. PMID- 6583393 TI - An approach to the management of temporomandibular joint pain-dysfunction syndrome. PMID- 6583394 TI - Centric relation change during therapy with corrective occlusion prostheses. PMID- 6583395 TI - The nutritional intake of geriatric patients with varied dentitions. PMID- 6583396 TI - Visible light-cured composite resins: an alternative for anterior provisional restorations. AB - An alternative technique for making custom anterior provisional crowns has been presented. This approach, using a microfilled composite resin, should produce time-saving, long-lasting, and esthetic provisional restorations. PMID- 6583397 TI - Evaluation of the third point of reference for mounting maxillary casts on the Hanau articulator. PMID- 6583398 TI - Microleakage of composite resin restorations. PMID- 6583399 TI - Surface mercury content and roughness after delayed burnishing of amalgam. PMID- 6583400 TI - Influence of gauging water composition on dental stone expansion and setting time. PMID- 6583401 TI - Comparison of two methods for measurement of immediate Bennett shift. AB - IBS was measured by an intraoral interocclusal record and an extraoral method. The extraoral method gave significantly greater values statistically. Although more time consuming, the extraoral method provided a means of verification that is not obtainable by interocclusal records. PMID- 6583402 TI - The hinge axis transfer procedure: a three-dimensional error analysis. PMID- 6583403 TI - A preliminary study of biomechanical changes produced by orthognathic surgery. PMID- 6583404 TI - The future of prosthodontics. PMID- 6583405 TI - Discrepancies in dental education: is general practice influenced by design or default? PMID- 6583407 TI - Prerestoration centric occlusal contacts. PMID- 6583406 TI - Physiologic occlusal contacts: premarked for prevention. PMID- 6583408 TI - Effect of exogenous ovine placental lactogen on luteolysis induced by prostaglandin F-2 alpha in sheep. AB - The ability of ovine placental lactogen (oPL) to stimulate progesterone secretion by the ovary as well as its ability to protect the corpus luteum against the luteolytic action of PGF-2 alpha was investigated. When oPL was infused alone into the ovary for 2 h on Day 12 of an induced cycle at rates of 0.6, 6.0, 30.0 or 60.0 micrograms/h there was no significant increase in progesterone secretion by the autotransplanted ovary in 7 sheep. An extension of the infusion of oPL did not prevent luteal regression during the administration of PGF-2 alpha given either continuously (10 micrograms/h for 6 h, 5 sheep) or as 5 pulses each lasting 1 h and of increasing concentration in 25 h (2 sheep). We conclude that oPL does not (a) stimulate progesterone secretion when infused directly into the arterial supply of the ovary or (b) have any direct protective effect against the luteolytic action of PGF-2 alpha on the ovine CL. PMID- 6583410 TI - Target tissue models: the proteoglycans and degeneration of the human intervertebral disc. AB - Seventy-five intervertebral discs from 15 spines were analyzed after morphologic grading. With degeneration, the water and proteoglycan (PG) contents decreased and the collagen content increased. The PG was isolated from 20 discs by single stage dissociative density gradient ultracentrifugation. Neither the chondroitin 6-sulphate nor the protein contents of the PG changed with degeneration although the keratan sulphate fell slightly. PMID- 6583409 TI - Effects of age and steroid treatment on prostaglandin production by the rat uterus in relation to implantation. AB - Prostaglandin (PG) production by the uterus of ovariectomized virgin rats, with and without replacement steroid therapy, was compared in animals aged 4-5 and 13 14 months. The synthesizing capacities of the uterus for PGE-2, PGF-2 alpha. 6 keto-PGF-1 alpha and thromboxane (TX) B-2 (expressed as the amounts synthesized per mg protein by the homogenized tissue during a 90-min incubation) were significantly lower in the ageing uteri than in young uteri. The PG and TX synthesizing capacities of the young uteri, but not of the ageing uteri, were stimulated by sequential treatment with oestradiol and progesterone implants. Tissue concentrations in and release from the uteri of PGE-2, but not of PGF-2 alpha, were significantly lower in ageing rats than in younger rats, and occurred irrespective of the hormonal status. Treatment with steroids did not stimulate the tissue concentrations in or release from the uterus of PGE-2 or PGF-2 alpha in young or ageing rats. Since PGs, particularly PGE-2, produced by the rat uterus have been implicated as mediators of the implantation process, reduced production of PGE-2 by the ageing uterus may explain the lower implantation rate and the consequent reduction in fertility of ageing rats. PMID- 6583411 TI - Target tissue models: cartilage changes in experimental osteoarthritis in the dog. AB - Transection of the anterior cruciate ligament in the dog knee leads to a reproducible defined osteoarthritis (OA) with erosive cartilage loss, subchrondral sclerosis, and osteophyte formation, enabling studies of cartilage biochemistry before morphological changes are apparent. As early as 1 week after operation, menisci showed increased water content , 20% loss of galactosamine, and 40% loss of glucosamine. There was increased synthesis of larger proteoglycans (PG) at 3, 6, and 12 weeks, and the synthesis was greater in the menisci than the articular cartilage. there was no apparent impairment of the PG ability to aggregate with hyaluronate. PMID- 6583412 TI - Histopathology of the subchondral bone lesion in rheumatoid arthritis. AB - Lesions observed in the subchondral marrow of metatarsal and metacarpal heads in advanced rheumatoid arthritis are characterized by proliferation of fibroblasts, deposition of collagen, formation of thin-walled vascular channels, infiltrates of macrophages, lymphocytes and plasma cells, and new bone formation. The overlying hyaline articular cartilage is often necrotic; pannus formation is absent. Although the tissue reaction is basically reparative in nature, aggregates of lymphocytes and plasma cells are also observed around small blood vessels in deeper regions of the bone marrow and may point to a primary bone lesion in this disease. PMID- 6583413 TI - Cellular mechanisms of bone damage and repair in the arthritic joint. AB - Trabeculae and subchondral bone have been studied by scanning electron microscopy (EM) and fluorescence microscopy from joints removed surgically in patients with rheumatoid arthritis (RA), osteoarthritis (OA), and "normals" who had leg amputations with no primary arthritis. In the arthritic specimens, inflammation, bone damage and repair varied in different areas of the same joint. Osteoclasts and mononuclear cells were associated with areas of resorption--together and separately. Scanning EM showed trabeculae in RA to be thinner, narrower, fewer, and with spindle forms compared with thicker trabeculae in OA. Attempts at repair were more successful in OA despite the higher bone turnover which occurred locally at the rheumatoid joint. PMID- 6583414 TI - The role of catabolin in the control of cartilage matrix integrity. AB - Living articular cartilage may be stimulated to degrade its matrix totally by the influence of catabolic messengers. One such messenger which has been isolated and purified from synovial tissue and blood leukocytes is catabolin. This is a 20,000 molecular weight pI 4.5 protein, which acts on living chondrocytes in subnanogram concentrations. Studies on its synthesis, translocation, and secretion from synovial tissue are reported. Its secretion, but not its principal function, is inhibited by cortisol. Its mode of action appears to be in invoking catabolic responses from effector cells. It may also inhibit the synthesis of matrix components. The possible role of catabolin and other messengers in arthritis will be considered. PMID- 6583415 TI - Biosynthesis and turnover of proteoglycans in organ culture of bovine articular cartilage. AB - The biosynthesis and turnover of proteoglycans (PG) in organ cultures of bovine metacarpalphalangeal cartilage are described. After a few days in the presence of fetal calf serum, the amount of PG in the tissue is maintained at a constant level and the rate of PG biosynthesis is maintained at a high rate. Under these "steady state" conditions PG biosynthesis and turnover must be in balance. Exposure of tissue to lipopolysaccharides reduces the rate of synthesis while increasing the rate of turnover, thereby yielding net loss of PG from the matrix. After an initial mild trypsin digestion to remove PG from the matrix, turnover of PG is reduced in the cultures and a net increase of PG occurs with time. It is suggested that viable chondrocytes can regulate local concentrations of PG in their surrounding matrix by altering both biosynthetic and turnover parameters. PMID- 6583416 TI - Mechanisms of connective tissue destruction and repair in articular tissues. 1st Edward Dunlop Scientific Symposium. Kingston, Ontario, Canada, October 8 and 9, 1982. PMID- 6583417 TI - Factors controlling growth and differentiation in the repair of articular cartilage. AB - Two avenues of repair of joint cartilage are permissible biologically: 1) replication of chondrocytes, and 2) callus-like metaplasia of articular mesenchyme. The bulk of cartilage present in advanced osteoarthritis (OA) is formed by the latter means. The osteophytes, eburnation, and myxoid proliferation in the pseudocysts of OA should be regarded as reparative phenomena. OA represents more an aberration than an inability of the joint surface to repair. PMID- 6583418 TI - Control of glycosaminoglycan synthesis and connective tissue differentiation in culture by solubilized bone matrix fractions. AB - Implantation of decalcified bone matrix in rodents induces the formation of new cartilage and bone by responding cells. Extraction of the bone matrix with high ionic strength solutions, followed by solubilization of part of the extract in isotonic salt solution, yielded material which stimulated glycosaminoglycan (GAG) synthesis by monolayers of fibroblastic cells. Bone is greatly enriched in this stimulatory activity compared to other connective tissues. However, fibroblastic cells from different sources respond to the stimulatory effect of low concentrations of the solubilized material. Kinetic studies of the GAG synthesized and secreted by the cultured cells revealed that a major stimulation of GAG secretion occurred at the cell surface as an early event following stimulation with the bone matrix extract. GAG accumulation in the culture medium occurs at a greater rate in cultures that have been stimulated with the bone matrix extract than in controls. PMID- 6583419 TI - Extracellular bone matrix dependent local induction of cartilage and bone. AB - Implantation of demineralized bone matrix in extraskeletal sites results in induction of new cartilage and bone formation locally. The sequence of events during this induction is reminiscent of embryonic development. Although the precise molecular mechanisms are unknown, several biochemical features of the bone induction are described. The extracellular bone matrix has components with chemotactic, mitogenic, and differentiative activities. It is likely that a matrix-dependent sequential cascade regulates bone induction. PMID- 6583421 TI - Osteosarcoma in a young Great Dane dog. AB - A 10-month-old Great Dane dog was presented showing lameness in the left foreleg. Radiographic examination revealed a severe bony reaction of the left distal radius and ulna. The reaction together with associated soft tissue swelling increased dramatically over a 6 week period. A diagnosis of osteogenic sarcoma was confirmed histologically and the dog was euthanased. Metastases were found post mortem in the left prescapular lymph node and left lung. PMID- 6583420 TI - Complexity of proteoglycan organization in articular cartilage: recent observations. AB - Antibodies to aggregating high buoyant density cartilage proteoglycans (PG) and to link proteins have been used to study the distribution of these molecules in adult bovine and human articular cartilages. The work on bovine cartilages has been described in detail elsewhere. In human articular cartilage there was a striking deficiency of PG in the interterritorial region of the deep zone and of link protein in territorial sites in this and the mid zone. Thus aggregated PG stabilized in their interaction with link protein, are probably mainly present in the interterritorial matrix of the mid zones of human cartilage and in the deep zone of bovine cartilage. This apparent deficiency of PG in the interterritorial matrix of the deep zone in adult human cartilage may produce greater weaknesses in this older cartilage. PMID- 6583422 TI - Professional liability commentary. Court decisions. PMID- 6583423 TI - AMA House of Delegates' actions. PMID- 6583424 TI - AMA principles of medical ethics. PMID- 6583425 TI - The area health education center program. PMID- 6583426 TI - Infantile embryonal carcinoma in children. PMID- 6583427 TI - Acute radiation pneumonitis. PMID- 6583429 TI - Accreditation issues: new medical staff standards. PMID- 6583428 TI - Monitoring. PMID- 6583430 TI - Perspective on contact lenses. Interview by Phyllis L. Rakow. PMID- 6583431 TI - Malignant mesenchymoma of the spermatic cord. AB - Sarcomas of the spermatic cord are rare, with only approximately 200 such tumors reported in the literature. Of those cases only 3 fit the definition of malignant mesenchymoma: a mesenchymal tumor with 2 or more malignant elements other than fibrosarcoma. We report the fourth such case treated by local excision alone. The patient was free of disease 6 years after treatment. PMID- 6583432 TI - Centrally induced vasopressor and sympathetic nerve responses to carbachol in rats. AB - Blood pressure rose when carbachol was injected into the cerebral ventricles in conscious rats, but the heart rate fell. When rats were later anesthetized with urethane to allow recording of abdominal sympathetic nerve activity, carbachol injected similarly produced the following biphasic responses: initial vasodepression followed by a sustained pressor phase accompanied by corresponding changes in peripheral sympathetic nerve activity. The heart rate was transiently suppressed following the injection. Spinal section abolished the initial hypotensive phase and accompanying bradycardia and made the response purely pressor. By contrast, intravenous injections elicited purely vasodepressor responses. Thus, carbachol administered centrally caused vasopressor responses possibly via both activation of sympathetic vasomotor centers and a release of pituitary hormones. Since anesthesia attenuated the pressor responses and made them biphasic, these results indicate that central cholinergic mechanisms are inhibited during anesthesia and that a sympatho-inhibitory mechanism of cholinergic receptors exists behind the pressor responses, as disclosed during anesthesia. PMID- 6583433 TI - [Nursing care of the patient with acute myelogenous leukemia under chemotherapy]. PMID- 6583434 TI - Effect of prostaglandins on mucosal blood flow and aspirin-induced damage in the canine stomach. AB - This study deals with the action in anesthetized dogs of prostaglandin E2 and F2 alpha given into the celiac artery and the femoral vein on gastric mucosal blood flow and on gastric mucosal damage induced by aspirin. In the non-stimulated stomach, infusion of prostaglandin E2 or F2 alpha into the celiac artery resulted in a marked increase in mucosal blood flow and a sustained decrease, respectively. In contrast, an infusion of prostaglandin E2 into the femoral vein produced a decrease in mucosal blood flow, whereas prostaglandin F2 alpha produced a biphasic response: a transient increase followed by a decrease. It was observed that intravenously infused prostaglandin E2, while reducing mucosal blood flow, significantly diminished mucosal lesions, altered transmucosal potential differences and H+ back-diffusion induced by a topical application of aspirin. The findings indicate that the action of prostaglandins on gastric mucosal blood flow alters depending on the route of administration and that prostaglandins seem to exert gastric cytoprotection through mechanisms other than an increase in mucosal blood flow. PMID- 6583435 TI - Cancer mortality among farmers. PMID- 6583436 TI - Sensitivity of human carcinoma cell lines to lysis by blood natural killer cells correlating with surface expression of carcinoembryonic antigen. AB - The HCT-8R clone of the HCT-8 human colon tumor line, which expresses increased quantities of carcinoembryonic antigen (CEA) on its surface, was discovered to have an enhanced susceptibility to lysis by natural killer (NK) cells in human peripheral blood. This increase in susceptibility to lysis by peripheral blood mononuclear cells was not explained by stimulation of interferon release by HCT 8R cells but rather was found to be attributable to an increased susceptibility of HCT-8R cells to lysis by those NK cells that bind to sheep erythrocytes (E RFC). Cold target competition experiments and single-cell assay for cytotoxic cells suggested that the presence of surface CEA did not increase lysis of HCT-8R by facilitating "recognition" by E-RFC-type cytotoxic cells but by rendering HCT 8R cells more susceptible to the lytic mechanism of NK cells. The magnitude of expression of surface CEA by a variety of human carcinoma cell lines with a few exceptions and subclones of HCT-8 also correlated with increased susceptibility to lysis by blood mononuclear cells. The possible clinical significance of these findings was discussed. PMID- 6583437 TI - Characterization of a cell line derived from the ascites of a patient with papillary serous cystadenocarcinoma of the ovary. AB - An established cell line derived from the ascites of a patient with serous cystadenocarcinoma of the ovary has been characterized. Features studied included morphology, ultrastructure, clonogenicity in soft agar, population doubling time, karyotype, and chemosensitivity. The results indicated that the cells growing in culture were malignant ovarian tumor cells. These cells retained the ability to form free-floating cysts in culture, which were also present in the original ascitic fluid. The cell line had a chromosome number of 80-92 with no distinct mode and 15 stable markers. At passage 4 the cell line showed resistance to doxorubicin [adriamycin (ADM)], phosphoramide mustard (PM), and cisplatin [cis dichlorodiammineplatinum(II)] (CIS) but rapidly reverted to CIS sensitivity. At passage 25 the cell line was still resistant to ADM and PM, but by passage 59 sensitivity to these drugs appeared to have increased. Frozen cells from passage 15 onward are available. PMID- 6583438 TI - Monoclonal antibodies against cell surface antigens present on human urinary bladder cancer cells. AB - After hybridomas were prepared by cell fusion between the mouse myeloma cell line P3x63Ag8.653 and the spleen cells of a BALB/c mouse hyperimmune to the human bladder cancer KU-1 cell line, they were cloned. Monoclonal antibodies (HBA4, HBE3, HBE10, HBF2, HBG9, and HBH8) from the hybridoma clones were selected for their serologic reactivity to cell surface antigens of KU-1 cells and for their unresponsiveness to 2 human lymphoma cell lines. They were cross-reactive with a characteristic portion of human epithelial tumor cell lines and with surgically resected bladder cancer tissues. With regard to reactivity to normal human cells and tissues, HBG9 alone was reactive to epidermis and both HBF2 and HBH8 were reactive to erythrocytes, but none of the other 3 monoclonal antibodies was reactive to any normal cells or tissues. The biochemical analysis of the antigens defined at least three antigenic systems. One system was a glycopeptide complex recognized by HBA4, HBE3, and HBG9, and it consisted of molecules having molecular weights of 78,000 (major) and 40,000 and 130,000, as judged by sodium dodecyl sulfate-polyacrylamide gel electrophoresis of the 125I-radiolabeled extracts of KU-1 cells. Treatment of KU-1 cells with tunicamycin or neuraminidase lowered the reactivity to these antibodies, suggesting that the antigenic determinants reside in sialoglycoproteins. Antigenic determinants against HBG9 and the other two antibodies (HBA4 and HBE3) appeared to be different, as judged by the serologic reactivities. The other two antigenic systems detected by HBE10, HBF2, and HBH8 were defined as neutral glycolipids, according to heat stability, solubility in organic solvents, and characters in lipid fractionation. When examined by thin-layer chromatography in chloroform-methanol-0.25% KCl (30:15:4), a lipid component recognized by HBE10 migrated to a single zone [retardation factor (Rf), 0.33]. The other two antibodies (HBF2 and HBH8) did detect two lipid components (Rf, 0.23 and 0.33). Although the lipid component detected by HBE10 showed the same migration distance as one of the components detected by HBH8 (or HBF2), the antigenic determinants defined by these antibodies appeared to be different, as judged by their serologic reactivities. PMID- 6583440 TI - Trihalomethanes in drinking water and human colorectal cancer. AB - The relation of trihalomethanes (THM) to colorectal cancer was evaluated. A total of 395 colorectal cancer deaths among white women teachers in New York State was compared to an equal number of deaths of teachers from noncancerous causes. Cumulative chloroform (CHCl3) exposure was estimated by the application of a statistical model to operational records from the individual water treatment facilities that served the home and work addresses of each study subject during the 20 years prior to death. The odds of exposure to a surface source containing little or no THM was no greater for cases than for controls. The odds ratio = 1.07; the 90% confidence interval = 0.79-1.43; and the P = .68. The distribution of CHCl3 exposure was not significantly different between cases and controls (rated by Wilcoxon signed rank statistic = -0.52; P = .60). No effect of cumulative CHCl3 exposure on outcome was seen in a logistic analysis controlling for average source type, population density, marital status, age, and year of death (likelihood ratio test statistic = 0.047; P = .83). PMID- 6583439 TI - Risk of leukemia associated with the first course of cancer treatment: an analysis of the Surveillance, Epidemiology, and End Results Program experience. AB - The risk of leukemia associated with the first course of cancer treatment was evaluated in over 440,000 patients diagnosed during 1973-80 (average follow-up = 1.91 yr) from the National Cancer Institute's Surveillance, Epidemiology, and End Results Program. Although the reporting of the first course of therapy probably was incomplete, 34 acute nonlymphocytic leukemias (ANLL) developed compared with 7.6 expected among 70,674 patients known to receive initial chemotherapy [relative risk (RR) = 4.5, 95% confidence interval (Cl) = 3.1-6.3]. Significant ANLL excesses were observed following chemotherapy for breast cancer (RR = 8.1), ovarian cancer (RR = 22.2), and multiple myeloma (RR = 9.5). Patients initially treated with radiation (with no record of chemotherapy) also had a significantly increased ANLL risk; 45 leukemias occurred versus 17.9 expected (RR = 2.5, 95% Cl = 1.8-3.4). In this group, excess ANLL were found following irradiation for uterine corpus cancer (RR = 4.0). Kidney and renal pelvis cancer patients had a twofold leukemia risk (all types) that was unrelated to treatment (RR = 2.2). PMID- 6583441 TI - Biologic properties of three newly established human esophageal carcinoma cell lines. AB - Three epithelial cell lines, CE-48T/VGH, CE-69T/-VGH, and CE-81T/VGH, were established from human squamous cell carcinoma of the esophagus. The cells were polygonal with a high nucleus-to-cytoplasm ratio. Many cells were multinucleate. Electron microscopy revealed the presence of tonofilaments and desmosomes. Chromosome analysis showed that these 3 cell lines were heteroploids of human origin. When transplanted into BALB/c (nu/nu) mice, CE-69T/VGH and CE-81T/VGH produced tumors, the histology of which proved to be carcinomas. All 3 cell lines secreted carcinoembryonic antigen. However, the secretion patterns were different. These 3 cell lines may provide useful models for the study of human esophageal cancer. PMID- 6583442 TI - Correlations between cancer incidence rates from the Canadian National Cancer Incidence Reporting System, 1969-78. AB - Incidence rates for 19 cancers in females and 16 cancers in males have been computed from data reported by 8 Canadian provinces to the National Cancer Incidence Reporting System between 1969 and 1978. The rates, very similar in absolute and relative magnitude to those reported by the U.S. Third National Cancer Survey, have been used to examine patterns of correlation between various cancers within the 8 provinces. There is strong evidence of positive associations between a number of cancers, including a number of associations that have been reported in other similar correlational studies. Correlations that may be of particular interest in suggesting etiologic factors in common include clusters of smoking-related cancers (buccal cavity with pharynx, larynx, lung, and bladder), female sexual cancers (breast, corpus uteri, and ovary), and a group of cancers that have shown correlation in other studies (i.e., cancers of the pancreas and kidney, leukemias, lymphomas, and cancer of the prostate gland). Organs in the gastrointestinal tract (esophagus, stomach, colon, and rectum) anatomically close to each other show a high positive correlation in both females and males, but the further apart the organs are the lower is the correlation; these observations are consistent with other evidence of varying dietary etiologies. Two individual correlations of particular interest are those between female brain tumors and female bladder cancer (two cancers for which little is known of the etiology for a large percentage of them) and those between female breast cancer and female lung cancer. This study, the largest correlational study of incidence data reported to date, demonstrates the utility of such simple correlational analyses. PMID- 6583443 TI - Cancer and dysplasia of cervix in relation to reduced lymphocytic cortisol metabolism-enhancing effect. AB - In previous studies we found that the plasma of carcinoma patients shows a reduced capacity to enhance lymphocytic cortisol metabolism. In the present study this capacity was assessed in the plasma of patients suffering from cervical carcinoma (Ce. Ca.) and of patients suffering from cervical dysplasia (Ce. Dis.) regarded as being at high risk to develop cancer. Known concentrations of human lymphocytes from healthy donors were incubated with cortisol in media containing 50% phosphate-buffered saline (PBS) and 50% of one of the following additions: 1) homologous plasma (HP), 2) plasma from the patients being tested or from healthy controls, or 3) additional PBS. The cortisol conversion rate was measured and compared with that obtained with lymphocytes immersed in HP. Previous findings showed that the plasma of cancer patients has a mean metabolism-enhancing rate 62% of that obtained with HP. In the present study the results were as follows: Ce. Ca., 60%; Ce. Dis., 70%: controls, 93%. The percentage of "cancer-positive" results were as follows: Ce. Ca., 91%; Ce. Dis., 45%; controls, 25%. PMID- 6583444 TI - Parallels in the epidemiology of selected anogenital carcinomas. AB - Characteristics of Los Angeles, Calif., residents in whom carcinomas of the cervix, vulva, vagina, anus, and penis were diagnosed during the period 1972-81 were compared with those of all residents and with those in whom any cancer was diagnosed during the same period. At all five sites, risks for squamous and transitional cell carcinomas generally increased with decreasing social class, were low among Jews (not explained by social class), and were elevated among persons who were separated or divorced at diagnosis compared to married persons. Single men had a striking excess of anal but not penile carcinomas. The five sites represent contiguous and histologically similar tissues, and the clinical literature suggests common risk factors, e.g., sexually transmitted infections and other forms of chronic irritation. These observations are all consistent with the hypothesis that tumors at these sites have common or similar etiologic elements. PMID- 6583445 TI - Lack of an elevated risk of malignant melanoma in relation to oral contraceptive use. AB - Epidemiologic and laboratory data suggest an effect of oral contraceptives (OC) on the risk of malignant melanoma. This relationship was explored in a hospital based case-control study of 160 women with malignant melanoma and 640 matched controls, all of whom were white and 20-59 years of age. A total of 63 cases (39%) had used OC compared with 270 controls (42%), yielding a relative risk estimate of 0.9 (95% confidence interval: 0.6-1.3). When a number of potential confounding factors were simultaneously controlled, the relative risk estimate was 0.8 (0.5-1.3). For use that lasted 5 or more years the estimate was 0.9 (0.5 1.6). The level of tumor invasion was not related to OC use. The evidence from this study suggests that OC, even when used for 5 or more years, do not increase the risk of malignant melanoma. PMID- 6583446 TI - Effect of different levels of dietary zinc on longevity of BALB/c mice inoculated with plasmacytoma MOPC 104E. AB - The effect of different levels of Zn intake on survival was studied in 6 groups of 4-week-old BALB/c mice inoculated with MOPC 104E tumor cells. The first 3 groups received either a Zn-deficient (0.5 microgram Zn/g), a Zn-supplemented (1 mg Zn/g), or a control diet (37.5 micrograms Zn/g) starting 11 days after tumor inoculation (T11). The remaining 3 groups received the same diets starting the day the tumor was implanted (T0). The mean survival of rats beginning the Zn deficient diet at T11 was significantly increased compared with that of the control group. However, when the same diet was begun at T0, the mean survival of the Zn-deficient group was significantly reduced; for this group the results probably related to the combined adverse effects from prolonged Zn deficiency and to those effects of the tumor itself. Similarly, excess Zn intake significantly prolonged the mean survival when given at T11. However, excess Zn intake at T0 produced no significant effect on survival, probably because of the elevation of plasma Zn level following oral Zn intake that occurred before the establishment of the tumor or possibly because of the inability of the small intestine to absorb excess Zn at T11 when the tumor was fully developed. PMID- 6583447 TI - Neurohormonal modulation of natural resistance to a murine lymphoma. AB - The hypothesis that neuroendocrine stimulation after aversive handling can alter natural resistance was examined in the tail electroshock (TES) model, a procedure that can activate pituitary neuropeptide secretion. Immediately after a brief TES session, the resistance of DBA/2J mice was suppressed in proportion to the intensity of the shock. Initial suppression of the natural resistance was rapidly reversed in longer treatment protocols, and repeated aversive stimulation augmented the antitumor response, leaving the mice more resistant to lymphoma than unhandled animals. Corticosterone was released into the serum after all acute handling procedures, and hydrocortisone inoculation suppressed antitumor responses. However, serum corticosterone levels did not quantitatively correlate with the alterations in natural resistance. The observation that TES-induced suppression of natural resistance could be reversed by the opiate receptor antagonist naltrexone suggested that endogenous opiated released after TES stimulation were immunosuppressive. PMID- 6583448 TI - In vitro assessment of cytotoxic agents in murine cancers: comparison between antiproliferative and antimetabolic assays. AB - Different methods were compared for the in vitro evaluation of the therapeutic effects of the antineoplastic agents doxorubicin, cisplatin, fluorouracil, and vinblastine sulfate in a model system of murine tumor cell lines consisting of L1210 leukemia, P815 mast cell leukemia, and B16 melanoma. Excellent correlations were found with the in vivo effects with the use of a soft agar clonogenic assay, irrespective of the method of growth assessment (i.e., visual colony counting or incorporation of tritiated thymidine in proliferating colonies). Drug effects on the proliferation of tumor cell lines in liquid medium frequently led to an overestimation or underestimation of the actual in vivo effects. Direct incorporation of the radiolabeled precursors thymidine, uridine, and leucine after pretreatment with drugs always led to the prediction of resistance and was therefore considered unreliable. PMID- 6583449 TI - Lectin-dependent cell-mediated cytotoxicity: assessment of cytotoxic reactivity following challenge with syngeneic tumors. AB - Spleen cells from syngeneic tumor-bearing mice were examined for direct cell mediated cytotoxicity (DCMC) and lectin-dependent cell-mediated cytotoxicity (LDCC). In the DCMC assay specific cytotoxicity against the homologous tumor cell was assessed. In the LDCC assay cytotoxicity was nonspecifically assessed against EL-4 cells in the presence of concanavalin A or phytohemagglutinin. Most tumor lines tested (19/22) produced no cytotoxic reactivity in either the DCMC or LDCC assays. In the case of the remaining tumor lines (EL-4, BW5147-3, and P815 Y-3), significant LDCC, but not DCMC, was detected, which indicated that although cytotoxic effector cells had been activated, the reactivity was not directed toward the homologous tumor cell or could not be expressed in the DCMC assay. The EL-4 and BW5147-3 cell lines proved to be sporadic in terms of their ability to induce LDCC, whereas the P815 Y-3 cell line produced consistent LDCC. Reactivity induced by P815 Y-3 cells appeared to be due to the constitutive production and release of a soluble component which could activate cytotoxic T-cells in vivo. PMID- 6583450 TI - Relationship between antigen density and immunotherapeutic response elicited by monoclonal antibodies against solid tumors. AB - The relationship between the level of cell surface antigen expression and solid tumor immunotherapy with monoclonal antibody (MoAb) was evaluated. Two MoAb's that were shown effective in the passive therapy of breast carcinomas of human origin, established and growing in female Swiss nude mice, were used for these studies. Several groups of tumors were produced from cell cultures of different passages; each cell culture possessed a distinct target antigen level. Results from immunotherapy experiments demonstrated that the amount of tumor reduction response after MoAb therapy was proportional to the antigen density at the cell surface. Analysis of these data indicated a theoretical improbability of a single MoAb treatment being able to completely eradicate solid tumors and may necessitate the use of multiple MoAb's to circumvent this problem. PMID- 6583451 TI - Comparison of the carcinogenic effectiveness of N-nitrosobis(2 hydroxypropyl)amine, N-nitrosobis(2-oxopropyl)amine, N-nitroso(2-hydroxypropyl)(2 oxopropyl)amine, and N-nitroso-2,6-dimethylmorpholine in Syrian hamsters. AB - For examination of metabolic interrelationships in carcinogenesis between N nitroso-2,6-dimethylmorpholine, N-nitrosobis(2-oxopropyl)amine (CAS: 60599-38-4), N-nitrosobis(2-hydroxypropyl)amine (CAS: 53609-64-6), and N-nitroso(2 hydroxypropyl) (2-oxopropyl)amine, each was given to a separate group of 20 female Syrian golden hamsters by gavage. All four compounds induced tumors of the pancreatic duct and lung tumors, but the incidences varied from one compound to another. In addition, N-nitrosobis(2-oxopropyl)amine and N-nitroso(2 hydroxypropyl)(2-oxopropyl)amine induced many hepatocellular and cholangiocellular neoplasms, which the other two compounds did not. On the basis of short time to death with tumors and the relatively low total dose administered, N-nitrosobis(2-oxopropyl) amine appeared to be the most potent carcinogen in the hamster among the four. N-nitroso(2-hydroxypropyl)(2 oxopropyl)amine was next in potency but was considerably weaker than N nitrosobis(2-oxopropyl)amine. N-Nitroso-2,6-dimethylmorpholine, which was similar in potency to N-nitroso(2-hydroxypropyl) (2-oxopropyl)amine, however, did not induce a significant incidence of liver tumors of any type; and N-nitrosobis(2 hydroxypropyl) amine was considerably less potent than the other three compounds. These results did not support the opinion of N-nitroso(2-hydroxypropyl) (2 oxopropyl)amine as the proximate carcinogenic metabolite of all three compounds in the Syrian hamster but instead suggested that these compounds might have acted through formation of different and yet unknown carcinogenic intermediates. PMID- 6583452 TI - Amelioration of embryotoxicity by structural modification of the terminal group of cancer chemopreventive retinoids. AB - An oral dose of all-trans-retinoic acid or 13-cis-retinoic acid in the pregnant [Lak:LVG(SYR)] hamster caused a dose-dependent increase in malformations in the offspring, but an equivalent dose of all-trans-N-ethyl retinamide or 13-cis-N ethyl retinamide failed to result in embryotoxicity. The present results show that structural modification of the retinoid skeleton can produce compounds that retain cancer chemopreventive activity but that lack the teratogenic activity common to many synthetic and naturally occurring forms of vitamin A. The results indicate that in the case of the retinoids the two kinds of activity- interference with the process of carcinogenesis and interference with embryonic development--may be divorced. PMID- 6583453 TI - Tumor immunotherapy in the mouse with the use of 131I-labeled monoclonal antibodies. AB - This report describes the use of 131I-labeled monoclonal antibodies in two experimental models for tumor immunotherapy. In vitro treatment of the radiation induced murine thymoma ITT-1-75NS with radiolabeled anti-Ly-2.1 significantly impaired subsequent tumor growth in vivo. However, in vivo treatment of this tumor, which previously had been injected into C57BL/6 mice, was unsuccessful. By contrast, in vitro treatment of a human colorectal tumor cell line (COLO 205) with 131I-labeled 250-30.6--a monoclonal antibody directed against a secretory component of normal and malignant gastrointestinal epithelium--completely inhibited subsequent tumor growth in BALB/c nude (nu/nu) mice. Furthermore, in vivo treatment of preexisting human colorectal tumor xenografts significantly impaired progressive tumor growth. Although some tumor inhibition was also produced by unlabeled 250-30.6 antibody, this response was considerably amplified by treatment with [131I]-labeled 250-30.6 (P less than .05), suggesting that in vivo treatment of human tumors with the use of 131I-labeled monoclonal antibodies may be clinically beneficial. The antithyroid drug propylthiouracil was used to reduce dehalogenation of the radiolabeled immunoglobulins in an attempt to improve their therapeutic efficacy. PMID- 6583454 TI - Antitumoral activity of indomethacin on experimental esophageal tumors. AB - The effect of treatment with indomethacin on diethylnitrosamine (DENA, CAS:55-18 5; N-nitrosodiethylamine)-induced esophageal tumors was investigated in 128 C57BL mice. The number of DENA-induced esophageal tumors was significantly reduced when indomethacin was given together with DENA from the outset, suggesting that indomethacin may prevent the induction of esophageal tumors in the C57BL mouse. Similarly, esophageal tumors were significantly reduced when indomethacin was given 4 months after DENA treatment, suggesting that the delayed indomethacin administration may inhibit the further appearance of additional esophageal tumors in the C57BL mouse. PMID- 6583455 TI - Incidence of spontaneous tumors in a group of retired breeder female brown Norway rats. AB - A group of 80 female retired breeder inbred Brown Norway (BN) rats with recorded breeding histories was followed for 150 weeks with regard to spontaneous occurrence of tumors. The median survival time of the whole group was 134 weeks. Ninety tumors (42 benign tumors, 23 sarcomas, and 25 carcinomas) were found in 64 animals. Compared with previous findings on virgin female BN rats, the retired breeders used in the present study had a strikingly higher incidence (34%) of tumors of the genital system but a lower incidence (4%) of breast tumors. The breeding histories revealed no relationship between the recorded number of litters, number of newborns, age of the mother at the time of her first litter, preweanling mortality, and the occurrence of cancer or survival in general. Although all animals were kept under identical environmental conditions, animals born in the period July-December appeared to have a lower incidence of utero vaginal tumors than animals born in the first half of the year. The growth rates of 32 tumors inoculated into syngeneic rats were monitored for 26 weeks. They did not correlate with the histopathologic characteristics of the specific tumor. Malignant or benign tumors showed the same growth variability. PMID- 6583456 TI - Spinal cord tumors induced by N-ethyl-N-nitrosourea in rats: presence of spinal subpial target cells. AB - The correlation between induction of spinal cord tumor by N-ethyl-N-nitrosourea (ENU) (CAS: 759-73-9; 1-ethyl-1-nitrosourea) and postnatal cellular differentiation of the spinal cord was examined in 6 different strains of rats [noninbred Wistar and inbred F344, WF, LE, WF (female) X LE (male), and LE (female) X WF (male)]. By perinatal injection of 40 mg ENU/kg, 258 spinal cord tumors were induced in 175 of 372 ENU-treated rats. The spinal cords of rats at ages ranging from day 1 to day 8 after birth were particularly susceptible to the oncogenic effect of ENU. All spinal cord tumors developed in the white matter without any segmental predilection site. Moreover, most (93%) were found in the subpial region of the spinal cord and were classified as oligodendrogliomas. Morphologic and autoradiographic examinations revealed accumulation of spinal subpial immature glial cells from day 1 to day 8 after birth when the spinal cord had a high susceptibility and most of the cells were destined to differentiate into oligodendrocytes. These data show the existence of target cells in the spinal cords of rats after ENU carcinogenesis. PMID- 6583457 TI - Tumor promotion by dietary fat in azoxymethane-induced colon carcinogenesis in female F344 rats: influence of amount and source of dietary fat. AB - The promoting effect of dietary corn oil (CO), safflower oil (SO), olive oil (OO), coconut oil (CC), and medium-chain triglycerides (MCT) on azoxymethane (AOM)-induced colon tumors was studied in female F344 rats. The animals were fed low-fat diets containing 5% CO, 5% SO, or 5% OO 2 weeks before, during, and 1 week after sc injection of 20 mg AOM/kg body weight. One week after the AOM treatment, groups of animals were transferred to high-fat diets containing 23.52% CO, 23.52% SO, 23.52% OO, and 23.52% CC, or 5.88% CO + 17.64% MCT; the remaining animals were continued on 5% fat diets. All animals were fed these diets until the termination of the experiment. Body weights and intakes of calories, protein, and micronutrients were comparable among the various dietary groups. The incidence of colon tumors was increased in rats fed diets containing high-CO and high-SO compared to those fed low-CO and low-SO diets, whereas the diets containing high OO, CC, or MCT had no promoting effect on colon tumor incidence. There was a significant increase in the excretion of fecal deoxycholic acid, lithocholic acid, and 12-ketolithocholic acid in animals fed the high-CO and high SO diets and no difference in these secondary bile acids excretion in animals fed the high-OO and high-CC diets compared to those animals fed their respective 5% fat diets. This study thus indicates that not only the amount of dietary fat but also the fatty acid composition (type) of fat are important factors in the determination of the promoting effect in colon carcinogenesis. PMID- 6583458 TI - A sequential study of methapyrilene hydrochloride-induced liver carcinogenesis in male F344 rats. AB - Methapyrilene hydrochloride [2-[2-(dimethylamino)-ethyl)-2-thenylamino)pyridine monohydrochloride (CAS: 135-23-9)]-induced hepatocarcinogenesis was studied in male F344/NCr rats by sequential histologic, histochemical, and biologic methods. Methapyrilene hydrochloride was administered in the feed to rats at a concentration of 1,000 ppm for periods up to 89 weeks. Groups of rats were killed after 5, 10, 15, 29, 40, or 73 weeks of ingesting the carcinogen. Another group was allowed to live out their life-span. Hepatocellular eosinophilic foci and adenomas were seen after 10 and 15 weeks, respectively. Basophilic foci and adenomas were found after 29 and 40 weeks, respectively. Hepatocellular carcinomas developed in 5 of 10 rats at week 40, in 3 of 5 rats at week 73, and in 19 of 19 rats that lived out their life-span. Carcinomas arose within adenomas or as small in situ carcinomas. The histologic types included trabecular, adenocarcinoma, mixed, and solid poorly differentiated hepatocellular carcinomas. Eleven of the mixed and solid poorly differentiated carcinomas metastasized to the lung. Solid poorly differentiated hepatocellular carcinomas grew upon transplantation to the mammary fat pad of weanling F344 rats. Cholangiocarcinomas were found in 7 of 19 rats only in the life-span group. Mucous cholangiofibrosis was seen in all rats after 15 weeks. With the use of Regaud's mitochondrial stain, an increased cellular density of mitochondria was seen in some hepatocytes of peripheral and central lobular areas and in some hepatocellular carcinoma cells, but not in cells in many of the adenomas and foci. Cellular alpha fetoprotein was found by immunoperoxidase staining in portions of hepatocellular carcinomas, but not in foci, adenomas, and nonneoplastic areas. The majority of hepatocytes in foci, adenomas, and hepatocellular carcinomas contained gamma glutamyl transpeptidase. The findings suggest that multiple pathways may be followed in the development of methapyrilene-induced liver cancer that are similar to those found in rats exposed to many other hepatic carcinogens. PMID- 6583459 TI - [Functional rearrangement of the renal endocrine system in patients with hypertension]. PMID- 6583460 TI - Phenotypic reversion of D+ and D- mutant clones in mouse myeloid leukemia. PMID- 6583461 TI - Identification of hairy cell leukemia subset defining p35 as the human homologue of Ii. AB - A molecule defining a subset of patients with hairy cell leukemia (HCL) on the basis of being abundantly labeled with [35S]methionine, was demonstrated to be the human homologue of murine Ii, a glycoprotein which lacks alloantigenic variation and is associated non-covalently with Ia antigens. In one-dimensional SDS-polyacrylamide gradient gel electrophoresis, the HCL-subset-defining molecule migrated with HLA-DR molecules which were immunoprecipitated with a specific heteroantiserum. These molecules were further defined in two-dimensional, SDS and non-equilibrium pH gradient electrophoresis of either membrane preparations or immunoprecipitates formed with various antibodies. [35S]methionine-labeling of the HCL-subset-defining molecule was greater in hairy leukemic cells than in lymphoblastoid cell lines. The subset-defining species was associated non covalently with HLA-DR alpha and beta chains and ran electrophoretically at a position described for murine and human Ii molecules (in terms of pI and weight). Metabolic labeling of HLA-A,-B and -DR was also increased in HCL cells relative to lymphoblastoid cell lines. A separate protein, of 41,000 mol. wt and pI of 7 8, resembled another Ii-associated molecule which has been described in murine and human studies. PMID- 6583462 TI - Evaluation of the clonogenic cell population (Leuk-CFU) in the marrow of BN rats during development of a promyelocytic leukemia (BNML): an in vitro assay. AB - We report a reproducible in vitro clonogenic assay for the transplantable BN rat promyelocytic leukemia (BNML). Colony growth required a feeder activity elaborated by normal rat marrow cells. This stimulating activity is ascribed to the stromal elements. The in vitro maintained BNML cell line IPC-81 [Lacaze et al., Leukemia Research 7, 145 (1983)] also exhibited stimulating activities at high cell concentrations, confirming the autocrine capacities previously described. The nature of the stimulating activity is unknown but it is probably not of CSF type, and is not transferred to culture supernatants. This in vitro clonal assay permits the quantification of the clonogenic cells present in leukemic marrow during the early stage of the disease, when BNML cells are not yet distinguishable morphologically. Leukemic Cell Forming Unit (L-CFU) response was linear; 5-10(3) clones can be scored reproducibly. The plating efficiency obtained with cultured IPC-81 cells was high (60-90%), whereas marrow transplanted leukemia cells had reduced clonogenic capacities. These results are discussed. PMID- 6583463 TI - Blastic variants of rat promyelocytic leukemia produce neurologic disease. AB - The characteristics of tumor cells that enable invasion into normal tissues are not well understood. We have derived variants of the promyelocytic leukemia of the Brown Norway rat (BNML) that exhibit a high incidence of growth in the epidural space and produce paralysis of the hind limbs. This unique animal model mimics a major cause of morbidity in human cancer and provides a reproducible system in which to study the determinants of metastasis localization. PMID- 6583464 TI - An inhibitory effect of arachidonic acid on subsequent responses of canine cerebral arteries to serotonin and other agonists. AB - Arachidonic acid (AA) at 10(-4)M and 10(-3)M produced a phasic contraction in isolated canine basilar arteries that peaked rapidly and then slowly declined. This contraction was evidently due to the conversion of AA to prostanoids because it was blocked by cyclooxygenase inhibitors and because 11, 14, 17 eicosatrienoic acid (10(-3)M), which is not a cyclooxygenase substrate, failed to produce a contraction. When the artery was exposed to 10(-3)M AA for 20 min and washed, subsequent contractile responses to 10(-6)M serotonin (5-HT) were only 10% of control. Contractions produced by prostaglandin E2 (10(-5)M), uridine triphosphate (10(-4)M) and potassium (5.5 X 10(-4)M) were inhibited to a lesser degree than 5-HT, the response to potassium being the least affected (66% of control). This damaging effect of 10(-3)M AA did not occur if the artery was washed at peak contraction nor with 10(-4)M AA. Autooxidation products were evidently not responsible for the damage because prior oxygenation (90 min) of 10(-4)M AA had no such effect. Pretreatment with superoxide dismutase or ascorbate did not prevent the inhibition, suggesting that free radical reactions were not involved. Pretreatment with indomethacin (3 X 10(-4)M) or meclofenamate (10(-4)M) also failed to prevent the inhibitory phenomenon. Saponin, a detergent, produced similar inhibitory effects but 11, 14, 17 eicosatrienoic acid or oleate (10(-3)M) did not. The arteries partially recovered from the inhibition with time. In conclusion, AA produced contraction in basilar arteries by inducing prostaglandin synthesis but can produce secondarily by an unidentified mechanism an inhibition of the contractile responses evoked by various agonists that is both time and concentration dependent. PMID- 6583465 TI - [Various technics of psychotherapy and their theoretical principles]. PMID- 6583466 TI - How zealously should a patient with relapsed acute myeloid leukaemia be treated? Good survival after five simultaneous, potentially lethal, complications. AB - A relapse of acute myeloid leukaemia occurred in a 45-year-old woman 18 months after the disease was initially diagnosed and treated. During remission reinduction therapy, she developed a Gram-negative septicaemia, acute respiratory failure, acute renal failure, diabetic hyperglycaemia with ketoacidosis, and probable bacterial meningitis. She required assisted respiration for two days, received peritoneal dialysis for five days, and was unconscious for seven days. The patient eventually recovered, achieved full remission of her leukaemia, and survived a further 2 1/2 years, mostly in excellent health. Oncologists are often criticized for unjustifiable optimism and excessive zeal in the treatment of patients with malignant disease. This case illustrates that such optimism and zeal may be justified, and that intensive efforts to save the lives of seriously ill patients with chemosensitive malignant diseases are worthwhile. PMID- 6583467 TI - Hypokalaemia and renal impairment in patients with eating disorders. AB - The biochemical abnormalities and decreased renal function which developed in two patients suffering from eating disorders are reported. These cases illustrate the need for biochemical screening of patients with eating disorders to determine if significant abnormalities are present and to provide a baseline for future investigations. PMID- 6583468 TI - Splenectomy after angiographic embolization of the splenic artery in patients with massive splenomegaly and severe thrombocytopenia, in juvenile subacute myelomonocytic leukemia. AB - Splenectomy for massive splenomegaly in thrombocytopenic patients refractory to platelet transfusions carries increased surgical risks. Blocking of the splenic artery may reduce the size of the organ, prolong the survival of transfused platelets, and reduce the surgical complications. We describe four cases of extreme splenomegaly and thrombocytopenia where successful splenectomy was carried out after angiographic embolization of the splenic artery in children with juvenile chronic myelogenous leukemia. Significant improvement was observed in platelet counts and in the survival of platelets after transfusions in three of the patients. There was a concomitant decrease in transfusion requirements. Isoimmunization prevented prolonged platelet survival in the fourth case. We recommend earlier splenectomy in these patients to reduce transfusion requirements and delay the onset of poor platelet survival after transfusions. PMID- 6583469 TI - Hypereosinophilic syndrome in acute lymphoblastic leukemia with a chromosome translocation [t(5q;14q)]. AB - We report a case of hypereosinophilic syndrome associated with acute lymphoblastic leukemia (L1 type, FAB classification) which showed an abnormal karyotype. An 8-year-old boy was admitted to our hospital with complaints of fever and cough that had persisted for 2 weeks. Peripheral blood examination revealed remarkable eosinophilia (120,000/mm3) and a few lymphoblasts. Bone marrow examination also revealed many mature eosinophils and 20% lymphoblasts that were PAS and peroxidase negative. A direct chromosome analysis of the bone marrow cells demonstrated that 12.5% of the spontaneously dividing cells had an abnormal karyotype of 46XY, t(5;14) (q31;q32). The chest radiogram showed interstitial pneumonia-like densities, and the ECG had the pattern of a right bundle branch block. The therapy consisted of prednisolone, high dose of methylprednisolone, cyclophosphamide, and vincristine. This treatment failed to reduce the eosinophil count. On the 4th day after admission, the patient developed severe dyspnea, complete A-V block, and died. At postmortem, dense infiltrations of eosinophils in various stages of maturation were noted in lungs and liver. PMID- 6583470 TI - Anthracycline-induced cardiomyopathy in children: a report of six cases. AB - Although anthracycline antibiotics are among the most useful chemotherapy agents, the risk of producing cardiomyopathy and the absence of a reliable noninvasive technique to predict subclinical cardiomyopathy remain a major problem. We retrospectively reviewed our experience with anthracyclines over a 5-year period. Cardiomyopathy developed in 6 of 112 patients (5.3%) treated with anthracyclines and was fatal in 5 of the 6 patients. Our incidence and mortality rates are higher than those previously reported. PMID- 6583471 TI - Mediastinal mass in acute lymphoblastic leukemia. AB - Patients with acute lymphoblastic leukemia who have a mediastinal mass at the time of diagnosis are said to have a poor prognosis. However, many factors which may not be independent contribute to the success of treatment. We compared the disease characteristics and results of therapy in children having large mediastinal masses and lymphoblastic leukemia without mediastinal mass. Patients with a mediastinal mass had less evidence of marrow failure but were burdened with considerably more leukemic cells as measured by peripheral blood white count and extent of lymphadenopathy. Since the presence of mediastinal mass was strongly associated with these and other poor prognostic characteristics, we used multivariate techniques to determine which characteristics were independently associated with an increased risk for relapse. White count, extent of lymphadenopathy, age, and sex were significant predictors of early relapse, but when controlled for these variables the presence of a mass did not predict prognosis. PMID- 6583472 TI - Serum LDH values in childhood acute leukemias and non-Hodgkin's lymphoma. AB - Serum lactate dehydrogenase activity (LDH) was examined in 66 children with acute lymphoblastic leukemia (ALL), 26 with acute non-lymphocytic leukemia (ANLL), and 116 with non-Hodgkin's lymphoma (NHL). The mean serum LDH value for the ALL and ANLL groups was not significantly different: 970 +/- 105 units/L (mean +/- standard error of the mean) and 817 +/- 161 units/L, respectively. The difference between the LDH values in patients with ALL (970 +/- 105 units/L) and NHL (551 +/ 51 units/L) was significant (P = .001). In 32% of the patients with ALL and 23% of the patients with ANLL, serum LDH values were above 1000 units/L, whereas only 13% of the cases with NHL had values above 1000 units/L. In patients with ALL the LDH levels were correlated with white blood cell counts at the time of diagnosis. In NHL, there was no difference in serum LDH levels among the various histologic subtypes. Values of LDH in stage IV NHL and in ALL were similar. PMID- 6583473 TI - [Graduate professional preparation in dentistry and dental prosthesis]. PMID- 6583474 TI - [Hepatitis B in dentists. The initial results of a seroepidemiological study of students and technicians]. PMID- 6583475 TI - [Cariogenic pathogenicity and Streptococcus mutans: epidemiologic study of elderly edentulous subjects. II]. PMID- 6583476 TI - [Cryoimmunology and tumors of the oral cavity]. PMID- 6583477 TI - [Clinico statistical report on cardiac patients of the Centro Cardiopatici Piemonte. Cure and prevention of focal infection]. PMID- 6583478 TI - [Aspects of dental fluorosis in subjects from regions with water rich in fluorine and their classification]. PMID- 6583479 TI - [Effect of the root anatomy of the lower molars on the control of bacterial plaque]. PMID- 6583480 TI - [Survey of the tooth extractions in the 4 years of operation of the University of Turin Dental Clinic]. PMID- 6583482 TI - [Clinical study of the complications and sequelae of fractures of the orbito malar-zygomatic complex]. PMID- 6583481 TI - [Electrogustometric examination of diabetic patients and normal individuals with and without fixed and removable dental prostheses. A clinico-statistical contribution]. PMID- 6583484 TI - [Surgical prosthesis (palatine plate) as a useful complement to uranorrhaphy intervention]. PMID- 6583483 TI - [Approaches for extra- and intraoral surgical intervention in correcting dysgnathia with severe underdevelopment of the middle third of the face]. PMID- 6583485 TI - [Surgical technic for extraction of the 3d lower molar while maintaining the integrity of the periodontal ligament distal and vestibular to the 2d molar]. PMID- 6583486 TI - [Incidence of maxillofacial injuries in sports]. PMID- 6583487 TI - [Biological properties of materials in conservative dentistry. II. Materials for cavity lining and cementation]. PMID- 6583488 TI - [Diagnostic efficacy of a precision tomographic method for studying the temporomandibular joint]. PMID- 6583489 TI - [Use of oral ketamine in oral surgery. Clinical experiences in extractive surgery and ambulatory pedodontics]. PMID- 6583490 TI - [Tricyclic antidepressants and MAO inhibitors: how they affect local dental anesthesia]. PMID- 6583491 TI - [Oral autopsy]. PMID- 6583492 TI - Cell cycle regulation of mouse H3 histone mRNA metabolism. AB - The mechanisms responsible for the periodic accumulation and decay of histone mRNA in the mammalian cell cycle were investigated in mouse erythroleukemia cells, using a cloned mouse H3 histone gene probe that hybridizes with most or all H3 transcripts. Exponentially growing cells were fractionated into cell cycle specific stages by centrifugal elutriation, a method for purifying cells at each stage of the cycle without the use of treatments that arrest growth. Measurements of H3 histone mRNA content throughout the cell cycle show that the mRNA accumulates gradually during S phase, achieving its highest value in mid-S phase when DNA synthesis is maximal. The mRNA content then decreases as cells approach G2. These results demonstrate that the periodic synthesis of histones during S phase is due to changes in the steady-state level of histone mRNA. They are consistent with the conventional view in which histone synthesis is regulated coordinately with DNA synthesis in the cell cycle. The periodic accumulation and decay of H3 histone mRNA appear to be controlled primarily by changes in the rate of appearance of newly synthesized mRNA in the cytoplasm, determined by pulse labeling whole cells with [3H]uridine. Measurements of H3 mRNA turnover by pulse chase experiments with cells in S and G2 did not provide evidence for changes in the cytoplasmic stability of the mRNA during the period of its decay in late S and G2. Furthermore, transcription measurements carried out by brief pulse labeling in vivo and by in vitro transcription in isolated nuclei indicate that the rate of H3 gene transcription changes to a much smaller extent than the steady-state levels of the mRNA or the appearance of newly synthesized mRNA in the cytoplasm. The results suggest that post-transcriptional processes make an important contribution to the periodic accumulation and decay of histone mRNA and that these processes may operate within the nucleus. PMID- 6583493 TI - Homologous globin cell-free transcription system with comparison of heterologous factors. AB - Mouse erythroleukemia (MEL) cells provide a useful model system to examine the regulation of globin gene expression. MEL cells ordinarily do not express globin genes, but in the presence of inducers, such as dimethyl sulfoxide or hexamethylene bisacetamide, they mimic erythroid differentiation. We have developed a cell-free transcription system from uninduced MEL cells to determine the requirements for mRNA synthesis. The MEL system directs accurate transcription of adenovirus type 2 major late DNA and mouse betamaj-globin with an efficiency comparable to those of HeLa and KB cell extracts. Using the procedure of Matsui et al. (T. Matsui, J. Segall, P.A. Weil, and R.G. Roeder, J. Biol. Chem. 255:11992-11996, 1980), we have isolated three active fractions from both MEL and HeLa cell extracts which are required for accurate transcription and have shown that equivalent fractions from MEL and HeLa cell extracts are interchangeable. Our findings suggest that the components required for initiation of transcription are similar in different cell types, at least to the extent that they can be assayed in these in vitro systems. PMID- 6583495 TI - [Results of a program of oral hygiene education in a group of school-age children]. PMID- 6583494 TI - Multistep virus-induced leukemogenesis in vitro: description of a model specifying three steps within the myeloblastic malignant process. AB - A helper-independent Friend leukemia virus was used to infect bone marrow cultures. This virus induces myeloblastic leukemia in mice after a long latency period. Infection of the bone marrow cultures resulted in the in vitro production of myeloblastic leukemogenesis after a long latency period. Three steps were observed in the evolution of the infected cultures, and permanent cell lines were derived at each step. This allowed us to individualize three successive events in the course of the myeloblastic transformation: (i) an abnormal responsiveness to the physiological hormone granulo-macrophagic colony-stimulating factor, (ii) the acquisition of growth autonomy, and (iii) the acquisition of in vivo tumorigenicity. PMID- 6583496 TI - [A description of a rare and serious case of atypical oligodontia in an adolescent]. PMID- 6583497 TI - [Dento-periodontopathy in drug dependent patients. II]. PMID- 6583498 TI - [Initial therapy in periodontal treatment]. PMID- 6583499 TI - [Condensation of materials for endodontic filling]. PMID- 6583500 TI - [Presentation of 2 functional regulators modified for the treatment of dysfunctional Class II/1]. PMID- 6583501 TI - [Orthodontic considerations on the subject of tonsillar hypertrophy and tonsillectomy]. PMID- 6583502 TI - [Quadrilateral diagnosis in the beginning of orthodontic cases]. PMID- 6583503 TI - [Lingual appliances: contribution to the determination of the angle of torque]. PMID- 6583504 TI - [Cephalometric contribution to the diagnosis of open bite. I: Skeletal open bite]. PMID- 6583505 TI - [Orthodontic cephalometric parameters: relative values of tracings taken from 100 adult female subjects]. PMID- 6583507 TI - A radioimmunoassay for ovarian cancer. PMID- 6583506 TI - Bromodeoxyuridine resistance: thymidine transport and phosphorylation in Friend leukemia cells. AB - We have studied multiple step bromodeoxyuridine (BrdU) resistance in Friend leukemia cells. The mutation rate to 30 micrograms/ml resistance was 5.1 X 10(-5) per cell per generation, and to 100 micrograms/ml was 3.7 X 10(-7) per cell per generation. Resistant variants could not be obtained in a single step using BrdU concentrations higher than 100 micrograms/ml. Three clones isolated through multiple step selection were resistant to 640 micrograms/ml of BrdU and deficient in thymidine kinase, although their ability to transport radiolabeled thymidine was unimpaired relative to wild type. All three clones had low reversion frequencies, as judged by plating efficiencies in couterselective HAT medium. Two such revertant clones were isolated and tested for their forward mutation frequency in BrdU. No resistant clones were obtained when as many as 5 X 10(7) cells were tested. This observation argues against the hypothesis that the Friend cells possess two functional thymidine kinase loci and that the revertants represent a heterozygous condition. We conclude that the hypothesis of null mutations within a hemizygous or heterozygous thymidine kinase locus is sufficient to account for high-level BrdU resistance in Friend leukemia cells. PMID- 6583508 TI - Mercaptopurine "bioavailability". PMID- 6583509 TI - An uncommon cause of hematuria: the patient's story. PMID- 6583510 TI - Arm drift--a frequent occurrence in normal subjects. PMID- 6583511 TI - The identity and in vitro antibiotic sensitivity of aerobic gram-negative rods in a community hospital. PMID- 6583512 TI - Cryptococcal arthritis of the acromio-clavicular joint. PMID- 6583513 TI - There's a fungus among us. PMID- 6583514 TI - Impact of pregnancy on adolescent physical, psychosocial and socioeconomic development. PMID- 6583515 TI - Long-term results in spastic dysphonia. PMID- 6583516 TI - AIDS and blood transfusions. PMID- 6583518 TI - The sarcoid granuloma as an immune endocrine organ. PMID- 6583517 TI - Raynaud's syndrome. PMID- 6583519 TI - Things I know and things I don't know: how to develop a better opinion. PMID- 6583520 TI - Atrial fibrillation with long survival. PMID- 6583521 TI - The state of medicine in 1983. The extinction of the physician. PMID- 6583522 TI - The practice of family medicine in North Carolina. PMID- 6583523 TI - Thorotrast. PMID- 6583524 TI - Alcoholism treatment today. PMID- 6583525 TI - Strongyloidiasis at North Carolina Memorial Hospital. PMID- 6583526 TI - Management of nose bleed. PMID- 6583527 TI - Breast reconstruction following mastectomy. PMID- 6583528 TI - Problems and prospects for the "living will" in North Carolina. PMID- 6583529 TI - Medical exorcism--acute dilantin intoxication. PMID- 6583530 TI - [Vaccinate and die?]. PMID- 6583532 TI - [Post-graduate education: optional voluntary or compulsory mandatory?]. PMID- 6583531 TI - [A case report of high caries activity due to the drug therapy in Parkinson's disease. The problem of dry mouth--xerostomia]. PMID- 6583533 TI - [Orthodontics good or bad in general practice]. PMID- 6583534 TI - [Controversy in materials science]. PMID- 6583536 TI - [Surgical and non-surgical treatment of apical periodontitis]. PMID- 6583535 TI - [Is too much fluoride good or bad?]. PMID- 6583537 TI - [Various critical observations about apicoectomies]. PMID- 6583538 TI - [Are bitewing radiographs good or bad in 5-6 year-olds?]. PMID- 6583539 TI - [The shortened dental arch versus the complete dental arch?]. PMID- 6583540 TI - [Specialization, yes or no?]. PMID- 6583541 TI - Neuro-ophthalmic abnormalities in Tourette's syndrome: functional and anatomic implications. AB - Neuro-ophthalmic findings in 29 patients with Gilles de la Tourette's syndrome are described. Twenty-eight patients had blepharospasm, and 19 had other eye tics that included forced staring and involuntary gaze deviation. These neuro ophthalmic abnormalities and ocular disturbances are similar to those found in known basal ganglia disorders. PMID- 6583543 TI - Socio-economic backgrounds of nursing students. PMID- 6583542 TI - Ischemia and McArdle's disease. PMID- 6583544 TI - [Percutaneous cervical chordotomy and spinal morphine from a subcutaneous reserve in the management of cancer pain]. PMID- 6583545 TI - Thrombolytic therapy in thromboembolic disorders of the lung. PMID- 6583546 TI - An outbreak of hepatitis A linked to a food handler in a cafeteria. PMID- 6583547 TI - Aortocoronary paraganglioma. Anatomic relationship of left coronary artery to paraganglia of aorta. PMID- 6583548 TI - Functioning tumor of the organ of Zuckerkandl. PMID- 6583549 TI - Carotid body tumor as reversible cause of recurrent syncope. PMID- 6583550 TI - Thermography in the diagnosis of reflex sympathetic dystrophy. PMID- 6583551 TI - Metabolic alkalosis. PMID- 6583552 TI - Pneumomediastinum occurring in association with facial trauma. PMID- 6583553 TI - Anorexia nervosa and juvenile diabetes mellitus. PMID- 6583554 TI - Retinal hemorrhage, meningitis, and child abuse. PMID- 6583555 TI - Anorexia nervosa in a patient with juvenile diabetes. PMID- 6583556 TI - Retinal hemorrhage in an infant after recovery from meningitis. PMID- 6583557 TI - The epidemiology and control of Rocky Mountain spotted fever. PMID- 6583558 TI - Hemophilus parainfluenzae bacteremia in children. PMID- 6583559 TI - Stinging insect hypersensitivity. Safety and efficacy of venom immunotherapy. PMID- 6583560 TI - Sensory evoked potentials in adult-onset progressive spastic paraparesis. PMID- 6583561 TI - Diagnosis of deep vein thrombosis by phleborheography in a community hospital. PMID- 6583562 TI - An abnormal blood count in a 26-year-old man with Hodgkin's disease in remission. PMID- 6583563 TI - Arterioportal fistula secondary to percutaneous transhepatic cholangiography. PMID- 6583564 TI - Life-threatening hemoptysis and bronchoesophageal fistula in primary tuberculosis. PMID- 6583565 TI - Deaths from drowning. AB - During an eight year period in the Auckland coronial district, 225 persons over the age of fifteen years died from drowning and were subject to autopsy. Of these, 129 males and 21 females drowned because of accidents whilst 31 males and 29 females committed suicide by drowning. There was one homicide and in 14 cases it was unclear as to whether drowning was accidental or suicidal. At least half of the accidents showed analytical evidence of having consumed alcohol and in 37% of these the blood alcohol level was over 100 mg per 100 ml of blood. The activities in which the accidentally drowned were engaged at the time of their deaths are documented and the role of intercurrent illnesses in some drownings illustrated. PMID- 6583566 TI - Paediatric admissions to Auckland Hospital for asthma from 1970-1980. AB - Paediatric admissions to Auckland Hospital were examined for 1970 to 1980. The number of individual patients admitted for asthma each year increased significantly over the study period. The rate was higher in the 0-4 year age group than in the 5-14 year age group and was higher in Maori and Pacific Islander children than in Europeans. The male to female ratio was 1.4:1 over the period. The readmission rate increased between 1972 and 1980 and was higher for Polynesians than Europeans although there was no difference in the readmission rates of the 0-4 year age group compared to that of the 5-14 year age group. The mean length of hospital stay decreased significantly, but was longer in Polynesians than in Europeans. PMID- 6583567 TI - Cerebral mucormycosis. AB - The clinical and pathological features of two patients who died of rhinocerebral mucormycosis are described. The cases illustrate two of the major mechanisms by which the brain may be affected in this condition. Although the diagnosis is often made only at post mortem the clinical features are often distinctive enough to allow recognition of this disease during life. PMID- 6583568 TI - Rhinocerebral mucormycosis complicating acute lymphoblastic leukaemia treated successfully: case report. AB - We report a case of rhinocerebral mucormycosis in a patient with acute lymphoblastic leukaemia undergoing remission induction therapy. The diagnosis was suspected on the characteristic clinical features and confirmed by histology and culture of infected tissue obtained by biopsy. Treatment was successful because of early institution of antifungal therapy, repeated surgical debridement and established of remission in the underlying disease. PMID- 6583570 TI - Alcohol abuse. PMID- 6583569 TI - The magnitude and duration of titres of leptospiral agglutinins in human sera. AB - Sixty-nine meat inspectors with titres of leptospiral agglutinins ranging from 1:768 to 1:24, were re-bled and reexamined periodically over a period of 53 months. Some individuals maintained titres of 1:384 and 1:192 for at least 30 months and others with initial titres of 1:48 and 1:24 maintained such titres for 53 months. Only six, of 63 initially seronegative (less than 1:24) meat inspectors, seroconverted during the period of study. The magnitudes of titres at a single sampling from each of 162 people, with previous histories of medically confirmed leptospirosis, were analysed in relation to time elapsed since initial diagnosis. Some individuals had titres of 1:192 seven years after infection, while others had lower titres after more than 20 years. Conversely, 12% of the population was seronegative two years after infection. These results indicate that it is not possible, from the results of a leptospiral agglutination test, to estimate retrospectively the time at which infection may have occurred. In a small proportion of individuals recently affected by leptospirosis, it will not be possible to demonstrate a change in agglutinating titre. PMID- 6583571 TI - Grease gun injuries. PMID- 6583572 TI - The paranoid psychopath. PMID- 6583573 TI - Prelingual deafness. PMID- 6583574 TI - A case of diarrhoea associated with Plesiomonas shigelloides. PMID- 6583575 TI - Cardiovascular responses during cuff inflation in subjects who have been sensitised to the measurement of their blood pressure. AB - Changes in arterial pulse transit time, interbeat interval and the interval between the ECG signal and the arrival of the ensuing pulse at a peripheral site were recorded in response to the attachment and inflation of the cuff during blood pressure measurement. Two groups of subjects were used: a control group and a blood-pressure sensitised group. Blood-pressure sensitised individuals were defined as those who reported themselves to have been diagnosed as hypertensive by a physician, since it was hypothesised that learned or emotional responses to blood-pressure measurement would be greater in this group. No cardiovascular response to the blood-pressure measurement procedure was observed in the control group, but the blood-pressure sensitised group showed an increase in interbeat and a decrease in pulse transit time during cuff inflation. Decreases in pulse transit time are thought to reflect increases in diastolic blood pressure and arterial rigidity. PMID- 6583576 TI - Service development groups. PMID- 6583577 TI - Issues and problems for the infertile couple. PMID- 6583578 TI - Amoebic liver abscess: an Auckland experience. AB - Globally, liver abscess caused by Entamoeba histolytica is a common condition. In New Zealand, however, it occurs infrequently. Eight cases were diagnosed in Auckland between 1972 and 1982, each patient having travelled through an endemic area within two years of presentation. Management often was not ideal, with both delays in diagnosis and inappropriate treatment. There is a need for increased awareness of possible amoebic abscesses in those who have been in endemic areas because with prompt use of effective treatment complications can be avoided. PMID- 6583579 TI - Dialysis encephalopathy associated with polyvalent ion contamination. AB - The histories of five long term dialysis patients, all of whom showed the characteristic features of dialysis bone disease are considered. One population, on hospital dialysis, also suffered dialysis encephalopathy, whilst the home dialysis population did not. It is postulated that the excessive polyvalent ion content of the water supply to a new hospital building displaced aluminum from the bone stores and precipitated encephalopathy in three patients over three months. The relationship of bone lysis (corticosteroids, immobilisation and orthopaedic procedures) to encephalopathy is considered in the light of this experience. PMID- 6583580 TI - Hospital admissions for asthma. PMID- 6583581 TI - Deaths from asbestos-related diseases. PMID- 6583582 TI - Identification of fungi associated with rhinocerebral mucormycosis. PMID- 6583583 TI - Debendox: a statement from the New Zealand Adverse Drug Reactions Committee. PMID- 6583584 TI - Reading research reports. PMID- 6583585 TI - Nursing: present realities, future possibilities, 1983 Norman Peryer Forum. PMID- 6583586 TI - Nurses' amendment bill, Submission to health and welfare select committee of parliament. PMID- 6583587 TI - The influence of local anesthesia on occlusal adjustment. PMID- 6583588 TI - The consequences of variations in the need for dental care; another perspective. PMID- 6583589 TI - The advanced education program in prosthodontics. PMID- 6583590 TI - Indications and contra-indications in the use of composites for restorative dentistry. PMID- 6583591 TI - Oral health behavior: renewed emphasis. PMID- 6583592 TI - To every benefit there is a risk. PMID- 6583593 TI - A personalized regimen of multiple fluoride therapy for child patients. PMID- 6583594 TI - Oral hygiene, disorders of mucosa and teeth, and service use of school children in New York State. PMID- 6583595 TI - Intramuscular ketamine, an additional tool in the treatment of the exceptional child. PMID- 6583596 TI - Dentistry in 1990: premises and promises. PMID- 6583597 TI - Record retention: a professional responsibility even after the patient has gone. PMID- 6583598 TI - Influence of prostaglandins on contractility of the isolated human cervical muscle. AB - The contractile activity of smooth muscle from the pregnant and nonpregnant human cervix uteri was studied in organ bath experiments. Several patterns of spontaneous activity with varying frequency and amplitude were observed. Prostaglandin E2 inhibited muscle activity in a concentration-dependent manner, and total inhibition was achieved in pregnant tissue at extremely low concentrations. Prostaglandin F2 alpha, on the other hand, did not influence spontaneous contractions. Prostaglandin I2 and 6-keto-prostaglandin F1 alpha had an inhibitory effect but only at comparatively high concentrations. 5,8,11,14 Eicosatetraynoic acid and indomethacin abolished spontaneous contractions, indicating a regulatory influence of endogenous prostanoids on cervical contractility. The extreme sensitivity to prostaglandin E2 and enhancement of its action during early pregnancy provide evidence for a specific role of this compound in controlling cervical smooth muscle activity in the human female. PMID- 6583599 TI - Uterine and cardiovascular effects of fenoterol and hexoprenaline in prostaglandin F2 alpha-induced labor in humans. AB - The effectiveness of the beta-sympathomimetic drugs in prostaglandin-induced labor in humans is uncertain. To assess and compare their uterine and cardiovascular effects, fenoterol (2.5 micrograms/minute) and hexoprenaline (0.38 micrograms/minute) were alternatively infused for 20 minutes in each of 12 patients having prostaglandin F2 alpha inductions of labor at term. Uterine activity was reduced to less than 29% of the pretreatment value. For similar tocolytic effects, hexoprenaline produced a significantly lesser effect on maternal heart rate than fenoterol (P = .005). PMID- 6583600 TI - Cytogenetic study in acute myelocytic leukemia M2. PMID- 6583601 TI - [The child and fear of the dentist]. PMID- 6583602 TI - [Surgery in endodontic emergencies]. PMID- 6583603 TI - [Amount of fluoride in the saliva after the use of several toothpastes]. PMID- 6583604 TI - [A comparative in vitro study of 2 dentifrices containing fluoride. Evaluation of enamel protection following acid attack]. PMID- 6583606 TI - [Fluoride determination in beverages]. PMID- 6583605 TI - [Efficacy of toothpastes. Formulation and evaluation]. PMID- 6583607 TI - [Experimental study in laboratory animals of the stimulating effects of a challenge on gingival secretory immunity in a treatment using a toothpaste with antigenic properties]. PMID- 6583608 TI - [Ceramic materials in oral implantation]. PMID- 6583609 TI - [Preventive treatment with erythromycin in the extraction of impacted 3rd molars]. PMID- 6583610 TI - [Limitation of mouth opening due to osteoma of the coronoid process]. PMID- 6583611 TI - [New method for the reduction of mandibular fractures]. PMID- 6583612 TI - [Prevention of caries after radiotherapy: significance of a fluoridated dentifrice paste]. PMID- 6583613 TI - [Gingival reattachment on the carious surface of a tooth (follow-up after 1 year)]. PMID- 6583614 TI - Congenitally missing maxillary canines: a report of two cases. PMID- 6583615 TI - Informed consent--an attitudinal survey with recommendations. PMID- 6583616 TI - Diagnosis of lingual mandibular concavities. PMID- 6583617 TI - Proplast augmentation for posttraumatic zygomatic deficiency. AB - Facial deformities following fractures of the zygomatic complex are common. Included in this article are the indications, work-up, and surgical technique for placement of Proplast implant material to correct the deformity of the malunited zygomatic complex. Three cases are presented to illustrate this approach. PMID- 6583618 TI - Alcohol blockade of the inferior dental nerve under radiographic control in the management of trigeminal neuralgia. AB - A classification of the various treatments available for controlling the pain of trigeminal neuralgia is given. The cause of this disorder remains unknown. Peripheral nerve block of a semipermanent nature by means of alcohol injection is sometimes indicated. Radiographic localization of the position of the needle tip prior to the injection of alcohol is described. It is suggested that this technique gives more reliable results, with fewer side effects, and reduces the volume of the alcohol injection required. PMID- 6583619 TI - Swelling of the neck caused by the submandibular gland on swallowing. AB - Swellings of the neck are important to note. They may represent inflammations, primary tumors, or metastatic disease. Sometimes, however, there are normal structures that present as swellings and mimic disease. This is an account, with explanation, of a unilateral swelling in the neck that was caused by a normal submandibular gland with aberrant movement. PMID- 6583620 TI - Anterior lingual mandibular bone concavity. Report of a case. AB - A lingual mandibular bone concavity in the central incisor region is described. The radiographic appearance of the concavity in this area is an uncommon finding. A review of the literature is presented along with the report of this case. An exact diagnosis of this lesion can be made only by surgical intervention and histologic examination. However, the axial occlusal radiographic view is thought to be helpful in diagnosing this lesion clinically. PMID- 6583621 TI - Ampicillin allergy presenting as secondary syphilis. AB - This article reports a case of ampicillin rash with oral and skin lesions, including lesions on the palms and the soles. The distribution of the lesions in a young, sexually active man was suggestive of secondary syphilis. The history, the nature of the delayed rash of ampicillin, and the treatment are reviewed. PMID- 6583622 TI - Epidermolysis bullosa: dental and anesthetic management of two cases. AB - Epidermolysis bullosa (EB) is a group of rare genetic disorders which are of dental interest because of their specific oral manifestations and management difficulties. Two cases of recessive EB which may be classified clinically as the atrophicans-gravis Herlitz type are described. Dental therapy consisted of extractions and stainless steel crown restorations, with inhalation general anesthesia. The need for and advantages of early preventive and restorative dental care are illustrated by the cases presented. PMID- 6583623 TI - Allergy to dental gold. AB - Allergy to gold dental appliances in very rare. This article reports the case of a patient who presented with acute oral ulceration following the placement of a gold crown. Biopsy of the ulcer and adjacent mucosa showed histologic features typical of a contact sensitivity. The patient subsequently had a positive patch test reaction to gold chloride. The literature is reviewed, and the dental implications are discussed. PMID- 6583624 TI - Oral findings in osteogenesis imperfecta. AB - The dentitions of twenty-eight patients, each of whom had either an autosomal dominant or a sporadic osteogenesis imperfecta (OI) syndrome, were evaluated. The diagnosis of dentinogenesis imperfecta (DI) could be established in all seven patients with dominantly inherited OI in three families, while all eight persons with dominant OI in three other families had normal teeth. Of the thirteen remaining patients with OI, twelve had no family history of the disorder; four had DI and eight had normal teeth. One person had a family history of OI and DI. All patients with abnormal tooth wear and spontaneous tooth fractures had DI. The DMF ratio increased with age in all patients with OI type I and was higher among the patients with OI type III and DI. Class III malocclusions were found in 66% of the patients. A statistically significant high incidence of impacted first and second molars was noted. PMID- 6583625 TI - Oral discoid lupus erythematosus. II. Skin lesions and systemic lupus erythematosus in sixty-six patients with 6-year follow-up. AB - Sixty-six patients with oral discoid lesions and either discoid (DLE) or systemic (SLE) lupus erythematosus were followed during an average period of 6 years (range, 0.1 to 25 years). At time of initial examination, thirty-seven patients (56%) had discoid skin lesions and the remaining 29 (44%) had isolated oral discoid lesions. Among the latter, seven patients developed discoid skin lesions during the observation period. Ten of the sixty-six patients (15%) had SLE at the time of initial examination, and SLE developed in another five (8%) who had DLE initially. In six of fifteen SLE patients the oral discoid lesions were the first manifestation of SLE. Presence of ulceration of the oral discoid lesions at time of initial examination was of predictive value with regard to the presence or development of SLE. It is concluded that patients with oral discoid lesions should be seen at least yearly in order to secure an early diagnosis of eventually developing signs of cutaneous DLE and SLE. Furthermore, no connection was noted between the presence of skin lesions and the development or presence of SLE. PMID- 6583626 TI - Periapical condensing osteitis and endodontic treatment. AB - Forty-nine roots of thirty-six teeth with the diagnosis of condensing osteitis were followed up by means of radiographs and patient files after endodontic treatment. The mean observation period was 4.3 years. Prior to endodontic treatment the periodontal membrane was widened on thirty-eight roots but on follow-up only on twelve. The periapical condensing osteitis showed total regression on thirty-six of the forty-nine roots. No condensing osteitis showed progress. The results show rebuilding of bone structures to normal appearance after endodontic treatment of periapical condensing osteitis. PMID- 6583627 TI - Variations in same-size endodontic files. AB - Variations in same-size endodontic files (K-type, style B, stainless steel) were detected with a three-dimensional gauge. The variation between same-size files was within 3 mm. in most instances; however, variations from the smallest file in one size group to the largest file in the next size group was 5 mm. or more in many instances. Overall, about 74 percent of the variations came from the file itself. Suggestions concerning the use of the files are presented. PMID- 6583628 TI - External cervical resorption after bleaching a pulpless tooth. AB - A tooth with cervical resorption possibly caused by an internal bleaching technique was treated with calcium hydroxide. This case had characteristics in common with the other seven cases that have been described in the literature. Several possible treatment methods are discussed, along with the speculation that internal bleaching of tetracycline-discolored teeth may lead to cervical resorption. PMID- 6583629 TI - Densitometric evaluation of three x-ray films with five different developing solutions. AB - In order to determine the influence of different processing solutions on the quality of the radiograph, an aluminum step-wedge was radiographed with three speed D periapical films of three different manufacturers. The films were developed in five different processing solutions at standardized conditions, according to the manufacturers' instructions. Data concerning film density, contrast, fog plus base, and relative speed of each film-solution combination were compiled in an attempt to evaluate the optimal film-solution combination. PMID- 6583630 TI - Red bone marrow doses, integral absorbed doses, and somatically effective dose equivalent from four maxillary occlusal projections. AB - Phantom measurements of red bone marrow (RBM) doses, integral absorbed doses, and somatically effective dose equivalent (SEDE) from four different maxillary occlusal projections are presented. For each projection, different combinations of focus-skin distances and tube potentials were compared with regard to the patient's radiation load. The axial incisal view produced the highest patient exposures, with a maximum red bone marrow dose of 122.5 microGy/exposure, integral absorbed dose of 8.6 mJ/exposure, and SEDE values of 39.6 microSv/exposure. The corresponding values from the frontal, lateral occlusal, and tuber views ranged between 4% and 44% of the axial incisal view values for the integral absorbed dose and SEDE values, and between 0.3% and 3% for the red bone marrow doses. Increasing the focus-skin distance from 17.5 cm to 27 cm is accompanied by a 24% to 30% reduction in integral absorbed dose. Increasing the tube potential from 50 kV to 65 kV likewise results in a 23% reduction in absorbed energy. PMID- 6583631 TI - Use and workload factors in dental radiation-protection design. AB - A dosimetric and photographic record of the pattern of radiation on the walls of a dental x-ray operatory was obtained. This indicates that there is an overlap of the radiation fields with "hot spots" on the side wall opposite the patient's head, with the rest of the room receiving minimal exposures. In the course of this investigation, it was found that use of the long-cone x-ray machine resulted in less radiation reaching the walls of the room. The presently accepted concept of mAs per week proves to be less relevant than the number of films being taken. PMID- 6583632 TI - Cyst of the maxillary antrum. Report of an unusual case. AB - The radiographic differences between the mucocele, mucous retention cyst, and odontogenic cysts of the maxillary sinus are reviewed. A case of an unusual cyst of the maxillary antrum is presented. PMID- 6583633 TI - Ponticulus posticus, an anomaly of the first cervical vertebra as seen on the cephalometric head film. PMID- 6583634 TI - Pseudocyst in the coronoid process of the mandible. PMID- 6583635 TI - Gemination. PMID- 6583636 TI - Amalgam restoration in a submerged tooth. PMID- 6583637 TI - [Oxalate-induced radial segmentation of nuclei of myelo-monocytes as a cytologic marker]. PMID- 6583638 TI - [Enzymatic plaque inhibition - a pilot study]. PMID- 6583639 TI - [Secondary space loss as a result of early tooth loss]. PMID- 6583640 TI - [Plaque-inhibiting agents]. PMID- 6583641 TI - [A retrospective German-Austrian-Swiss Work Group study on carcinoma of the mouth: the prognostic relevance of various factors with reference to therapy]. PMID- 6583643 TI - [Initiation of a dental study as a pilot study in the framework of a military services study]. PMID- 6583642 TI - [Regional heavy metal deposits in presence of amalgam restorations]. PMID- 6583644 TI - [Polymerization temperatures of composite materials]. PMID- 6583645 TI - [The genesis and symptoms of masseter muscle hypertrophy]. PMID- 6583646 TI - [The question of the effects of focal infection]. PMID- 6583647 TI - [Prevention in dentistry - analysis of current questionnaires]. PMID- 6583648 TI - [The genesis and symptoms of masseter muscle hypertrophy]. PMID- 6583649 TI - [Effect of helium-neon lasers on the promotion of wound healing]. PMID- 6583650 TI - [Facial and mediastinal emphysema after tooth extraction]. PMID- 6583651 TI - [Hepatic experimental glycogenesis in mice on a casein-base diet]. PMID- 6583652 TI - Prostaglandin biosynthetic activities of isolated fetal lamb ductus arteriosus, other blood vessels, and lung tissue. AB - Experimental evidence from many laboratories implicates products of arachidonic acid metabolism in perinatal homeostasis of the circulation of the ductus arteriosus. Studies were conducted to define the potential prostaglandin and prostanoid biosynthetic capabilities of the isolated fetal lamb ductus arteriosus, other fetal blood vessels, and isolated fetal and neonatal lung tissue as possible humoral sources of vasoactive products. Because the biosynthetic pathway is a sequential cascade of enzyme reactions, both radiolabeled synthetic endoperoxide (PGH2) and arachidonic acid were used as substrates. Prostacyclin (PGI2) synthase was the primary enzymatic pathway for metabolism of exogenous PGH2 by the isolated ductus arteriosus; no conclusive evidence was found for enzymatic formation of PGE2 or thromboxane A2 (TXA2). The PGI2 synthase activity of the ductus arteriosus was intermediate between arterial tissues (high) and veins (low). A relatively high cyclooxygenase activity was apparent in isolated lung tissue exhibited enzymatic activity for the formation of PGI2, PGE2, and TXA2 from synthetic PGH2. Lung thromboxane synthase activity was markedly elevated late in term due to an apparent increase in Vmax without change in Km, indicative of increased enzyme concentration. Although exogenous PGE2 has been shown to be a more potent relaxant of the ductus arteriosus than PGI2, our study could not positively identify an enzymatic pathway for the total intramural biosynthesis of PGE2. Similarly, no evidence was found for a locally generated constrictor prostanoid, e.g., TXA2. Our results suggest that humoral sources of vasodilator (PGE2 and PGI2) and vasoconstrictor (TXA2) products may be more important than local production in control of the ductus arteriosus and point to the importance of the fetal and neonatal lung in cardiovascular adaptations and homeostasis. PMID- 6583653 TI - [Serum concentrations of free fatty acids (FFA) in leukemia and neoplasms of the lymphoreticular system in children]. PMID- 6583655 TI - Food and Drug Administration warning on dead space in tracheal tubes. PMID- 6583654 TI - Congenital juvenile chronic myelogenous leukemia: case report and review. AB - The case of a patient with ecchymosis, hepatomegaly, leukocytosis, thrombocytopenia, and anemia at birth is presented. Throughout his course, thrombocytopenia, anemia, and leukocytosis without a marked increase in the number of blast forms in either peripheral blood or bone marrow persisted until the patient developed a blast crisis shortly before his death at age 4 months. This patient is the youngest reported to have the juvenile form of chronic myelogenous leukemia and the first that in the present era can be considered congenital in origin. PMID- 6583656 TI - Diary of a trip to China. PMID- 6583657 TI - Internal vs. external regulation. PMID- 6583658 TI - Council on Practice. Interpreting the Nursing Practice Act in the acute care setting. PMID- 6583659 TI - The ANA Code for Nurses; NJSNA analysis continued. PMID- 6583660 TI - The Navajo way. PMID- 6583661 TI - The role of nursing in alcoholism services. PMID- 6583662 TI - Educator orientation visit to Naval Training Center. PMID- 6583663 TI - Doublet frequencies in evolutionary distinct groups. AB - We analyze the dinucleotide frequencies of occurrence and preferences separately within the vertebrates, nonvertebrates, DNA viruses, mitochondria, RNA viruses, bacteria and phage sequences. Over half a million nucleotides from more than 400 sequences were used in this study. Distinct patterns are observed. Some of the patterns are common to all sequences, some to either eukaryotes or prokaryotes and others to the subgroups within them. Doublets are the most basic ingredient of order in nucleotide sequences. We suggest that their preferences and the arrangement of nucleotides in the DNA in general is determined to a large extent by the conformational and packaging considerations of the double helix. Some principles of DNA conformation are viewed in light of our results. PMID- 6583664 TI - Using the separator for a Class 3 composite resin. PMID- 6583665 TI - Pulp protection and basing procedures: a survey of dental schools. PMID- 6583666 TI - Self-threading pins and amalgapins compared in resistance form for complex amalgam restorations. PMID- 6583668 TI - Use, abuse, and misuse of the electric pulp tester. PMID- 6583667 TI - Caries detector for pulpless teeth. PMID- 6583669 TI - Effect of four cavity varnishes and a fluoride solution on microleakage of dental amalgam restorations. PMID- 6583670 TI - Selection for body weight at eight weeks of age. 17. Overfeeding. AB - Female chicks from lines selected for high and low body weight and their reciprocal F1 crosses were overfed via force feeding to crop capacity from hatching to 21 days of age. Low-weight line chicks could be overfed at an earlier age to a greater extent than those from the high-weight line and F1 progeny. The degree of overfeeding appeared to be associated with the relative size of certain gastrointestinal components. Differences among lines in their capacity to be overfed were reflected in concomitant changes in body weight and carcass fat. Relationships among feed consumption and growth are discussed within the context of selection for body weight and heterosis under various feeding regimens. PMID- 6583671 TI - The genetics of predictive medicine. PMID- 6583672 TI - Primary structure of an amyloid prealbumin and its plasma precursor in a heredofamilial polyneuropathy of Swedish origin. AB - Prealbumin from an individual with heredofamilial amyloid polyneuropathy of Swedish origin was isolated from plasma by using a three-step procedure involving ion exchange, Affi-gel Blue affinity chromatography, and gel filtration. This prealbumin and its associated amyloid fibril subunit protein were digested with trypsin and the resulting peptides were separated by high performance liquid chromatography. Comparison with normal prealbumin peptides showed that an amino acid substitution of a methionine for a valine had occurred at position 30. In the plasma prealbumin, the abnormal residue accounted for 1/3rd of the material while in the amyloid fibrils it accounted for 2/3rds. From this sequence information and the known three-dimensional structure of the prealbumin molecule, a mechanism for the amyloid formation is proposed. It involves formation of the amyloid fibrils by addition of prealbumin dimers or tetramers to the aggregate. Each dimer must contain at least one variant peptide chain while the tetramer must contain at least two abnormal chains. Either of these models can account for the observed amount of normal prealbumin in amyloid fibrils. No proteolytic processing of this molecule is required because the entire undegraded prealbumin molecule is found in the fibrils. PMID- 6583673 TI - Brain-specific genes have identifier sequences in their introns. AB - The 82-nucleotide identifier (ID) sequence is present in the rat genome in 1-1.5 X 10(5) copies and in cDNA clones of precursors of brain-specific mRNAs. One brain-specific gene contains more than one ID sequence in its introns. There is an excess of ID sequences to brain genes, and some ID sequences appear to have been inserted as mobile elements into other genetic locations. Therefore, brain genes contain ID sequences in their introns, but not all ID sequences are located in brain gene introns. A brain ID consensus sequence has been obtained by comparing 8 ID nucleotide sequences. PMID- 6583674 TI - Altered temporal expression of DNA repair in hypermutable Bloom's syndrome cells. AB - The temporal regulation of DNA repair during synchronous cell proliferation was examined in normal human skin fibroblasts and in Bloom's syndrome skin fibroblasts. Normal human cells regulated DNA repair in a defined temporal sequence prior to the induction of DNA replication. Nucleotide-excision repair was stimulated prior to the induction of base-excision repair, which itself was increased prior to the induction of DNA replication. This temporal sequence was observed (i) by quantitation of the induction of the base-excision repair enzyme uracil DNA glycosylase during cell proliferation in the absence of cellular insult and (ii) by quantitation of nucleotide-excision repair after UV irradiation or base-excision repair after exposure to methylmethane sulfonate. In contrast, Bloom's syndrome cells were characterized by specific alterations in this temporal sequence of gene regulation, such that DNA repair was not enhanced prior to the induction of DNA replication. Nucleotide-excision repair, base excision repair, and the uracil DNA glycosylase were induced in a temporal sequence identical to that observed for DNA polymerase and for DNA replication. The inability of Bloom's syndrome cells to enhance DNA repair prior to DNA replication suggests that miscoding lesions remain in DNA and are replicated during cell proliferation. PMID- 6583675 TI - Interference of GTP hydrolysis in the mechanism of microtubule assembly: an experimental study. AB - This paper reports an experimental study of the interference of GTP hydrolysis in the mechanism of microtubule assembly, following the model and theory previously published [Hill, T. L. & Carlier, M.-F. (1983) Proc. Natl. Acad. Sci. USA 80, 7234-7238]. Results from dilution experiments show that microtubules depolymerize faster below the critical concentration than expected with a reversible polymerization model. The experimental plot of flux versus tubulin concentration exhibits a slope discontinuity at the critical concentration, in agreement with the theory. Theoretical points calculated by the Monte Carlo method can be fitted qualitatively to the data. A consequence of this peculiar dynamic behavior of microtubules is that the ratio of tubulin dissociation and association rate constants measured, respectively, below and above the critical concentration does not yield the true value of the critical concentration. It is emphasized that the presence of GTP at microtubule ends is necessary to maintain the stability of the polymer. PMID- 6583676 TI - Monoclonal antibodies detect a spectrin-like protein in normal and dystrophic human skeletal muscle. AB - Spectrin is the major protein of the erythrocyte membrane skeleton, which is bound to the cytoplasmic surface of the membrane's lipid bilayer and is responsible for cell shape and membrane elasticity. Inability to identify spectrin in other cell types led to the assumption that this protein was unique to erythrocytes. However, spectrin-like proteins have been demonstrated recently in a variety of cell types, including skeletal and cardiac muscle, in several species. We used monoclonal antibodies against human erythrocyte spectrin subunits in an immunocytochemical study to detect related proteins in normal and diseased human skeletal muscle. Six of seven monoclonal antibodies against beta spectrin determinants were bound at the cytoplasmic surface of muscle fiber plasma membranes, whereas none of six monoclonal antibodies against alpha spectrin determinants was bound. Muscle fibers of patients with neuromuscular diseases showed similar distribution and specificity of antibody binding to those of normal subjects, but the intensity of binding was increased. In contrast, probable regenerating fibers in muscle of patients with muscular dystrophies showed reduced binding of antibodies, but reduced binding was not seen in fetal muscle fibers nor in those of a patient with a myotubular myopathy. We conclude that human skeletal muscle fibers possess a spectrin-related protein associated with their plasma membrane that shows extensive beta-chain similarities to erythrocyte spectrin but differs significantly with respect to the alpha-subunit. Its function may be associated with the maintenance of membrane and myofibril integrity during contraction, and the increased antibody binding in diseased muscle may reflect a structural rearrangement of spectrin or a compensatory increase in spectrin abundance in response to increased stress on these systems. PMID- 6583677 TI - Exposure of nondividing populations of primary human fibroblasts to UV (254 nm) radiation induces a transient enhancement in capacity to repair potentially lethal cellular damage. AB - Nondividing (arrested) populations of primary human fibroblasts from normal individuals exposed to an initial dose (1.5 or 3 J X m-2) of far-UV (254 nm) radiation and then incubated in medium containing low (0.5%) serum develop enhanced resistance to inactivation of cloning efficiency by a second (challenge) dose of UV. The resistance develops within 2-4 days, after which there is a decline. Resistance develops to a higher degree and more rapidly (1-2 days) in cells derived from patients with the variant form of xeroderma pigmentosum. Excision-deficient cells from xeroderma pigmentosum complementation group A individuals also develop UV resistance after a lower (0.2 J X m-2) exposure to UV. Enhanced UV resistance does not develop in UV-irradiated cell populations incubated with the protein synthesis inhibitor cycloheximide (5 microM). These observations are consistent with the interpretation that exposure of human fibroblasts to low doses of UV induces synthesis of a protein involved in a metabolic pathway that transiently enhances the capacity of cells to repair potentially lethal damage resulting from a subsequent dose of UV. PMID- 6583678 TI - Direct observation of delta-crystallin accumulation by laser light-scattering spectroscopy in the chicken embryo lens. AB - By using the technique of laser light-scattering spectroscopy, direct observation has been made on the intracellular accumulation of a crystallin protein within the cells of chicken embryo lens during the process of development. Appearance of delta-crystallin has been detected as early as day 4, and its concentration reaches a plateau at day 19. The measurements constitute a noninvasive determination of accumulation of protein molecules that specifically characterize the process of cell differentiation. PMID- 6583679 TI - Cell growth and net Na+ flux are inhibited by a protein produced by kidney epithelial cells in culture. AB - Proliferation of confluent kidney epithelial cell cultures (BSC-1 line) is inhibited by a protein (Mr approximately equal to 24,000) that is secreted by the cells. The mechanism of action of this growth inhibitor was sought by studying its effect on net Na+ flux because increased availability of Na+ in the culture medium had been shown to stimulate cell growth. The increase in cell Na+ content observed during stimulation of the growth after a medium change was attenuated in the presence of the purified inhibitor. Inhibition of both cell Na+ accumulation and growth in the presence of the protein was reversed completely by addition of NaCl to the medium. These results suggest that control of net Na+ flux and growth in kidney epithelial cells could be mediated, at least in part, by a secreted cellular protein. PMID- 6583680 TI - Periodicity of extinctions in the geologic past. AB - The temporal distribution of the major extinctions over the past 250 million years has been investigated statistically using various forms of time series analysis. The analyzed record is based on variation in extinction intensity for fossil families of marine vertebrates, invertebrates, and protozoans and contains 12 extinction events. The 12 events show a statistically significant periodicity (P less than 0.01) with a mean interval between events of 26 million years. Two of the events coincide with extinctions that have been previously linked to meteorite impacts (terminal Cretaceous and Late Eocene). Although the causes of the periodicity are unknown, it is possible that they are related to extraterrestrial forces (solar, solar system, or galactic). PMID- 6583681 TI - Lengths of chromosomal segments conserved since divergence of man and mouse. AB - Linkage relationships of homologous loci in man and mouse were used to estimate the mean length of autosomal segments conserved during evolution. Comparison of the locations of greater than 83 homologous loci revealed 13 conserved segments. Map distances between the outermost markers of these 13 segments are known for the mouse and range from 1 to 24 centimorgans. Methods were developed for using this sample of conserved segments to estimate the mean length of all conserved autosomal segments in the genome. This mean length was estimated to be 8.1 +/- 1.6 centimorgans. Evidence is presented suggesting that chromosomal rearrangements that determine the lengths of these segments are randomly distributed within the genome. The estimated mean length of conserved segments was used to predict the probability that certain loci, such as peptidase-3 and renin, are linked in man given that homologous loci are chi centimorgans apart in the mouse. The mean length of conserved segments was also used to estimate the number of chromosomal rearrangements that have disrupted linkage since divergence of man and mouse. This estimate was shown to be 178 +/- 39 rearrangements. PMID- 6583682 TI - A pheromone-induced developmental switch in Caenorhabditis elegans: Temperature sensitive mutants reveal a wild-type temperature-dependent process. AB - Formation of a developmentally arrested dispersal stage called the dauer larva is enhanced by a Caenorhabditis-specific pheromone and is inhibited by increasing amounts of food. Pheromone-induced dauer larva formation of three tested wild type strains is temperature-dependent, so that an increased percentage of the population forms dauer larvae at 25 degrees C compared to lower temperatures. Dauer-defective mutants fail to respond to added pheromone, and some behavioral mutants affected in thermotaxis or egg-laying also exhibit abnormal responses. Temperature-sensitive (ts) dauer-constitutive mutants form dauer larvae at a restrictive temperature regardless of environmental stimuli. At the permissive temperature (17.5 degrees C), alleles of six out of seven dauer-constitutive genes tested overrespond to the dauer-inducing pheromone. All known mutations in daf-4 (eight alleles) and daf-7 (five alleles) produce a ts dauer-constitutive phenotype. One daf-4 and one daf-7 allele are suppressed by the amber nonsense suppressor, sup-7(st5). At least these two dauer-constitutive mutations are likely to cause production of nonfunctional rather than ts gene products. These mutations appear to indirectly result in a ts phenotype by enhancing the expression of a wild-type ts developmental process. PMID- 6583683 TI - Origin of the beta S-globin gene in blacks: the contribution of recurrent mutation or gene conversion or both. AB - In order to investigate the origin(s) of the mutation(s) leading to the beta S globin gene in North American populations of African ancestry, we analyzed DNA polymorphisms in the beta-globin gene cluster in a large number of both beta A- and beta S-globin gene-bearing chromosomes in U.S. and Jamaican Blacks. We found 16 different haplotypes of polymorphic sites associated with 170 beta S-globin gene-bearing chromosomes. The three most common beta S haplotypes, which account for 151/170 of the beta S-globin gene-bearing chromosomes, are only rarely seen in the chromosomes bearing the beta A-globin gene in these populations (6/47). Two observations suggest multiple origins or interallelic gene conversion, or both, of the beta S mutation. First, the mutation is present in all three beta globin gene frameworks. Second, the beta S haplotypes can be divided into four groups, each of which cannot be derived from any other by less than two crossing over events. In summary, our observation of the beta S mutation on 16 different haplotypes in African populations can be best explained by (i) a number of simple recombination events 5' to the beta-globin gene and (ii) up to four independent mutations and/or interallelic gene conversions. PMID- 6583684 TI - Intracellular lymphocyte activation and carrier-mediated transport of C8 substituted guanine ribonucleosides. AB - The studies described in this report constitute evidence substantiating that certain exogenous nucleoside derivatives can activate lymphocytes by acting intracellularly. These molecules, the C8-substituted guanine ribonucleosides, have recently been demonstrated to exert potent immunostimulatory and immunoregulatory activities both in vitro and in vivo. The current studies were undertaken to investigate whether the site of induction of mitogenesis in murine B lymphocytes by these compounds was intracellular or at the plasma membrane. Uptake of 8-bromoguanosine was found to proceed by carrier-mediated transport. Like that described for adenosine, the uptake system for 8-bromoguanosine could be resolved into high-affinity and low-affinity components. The hypothesis that the C8-substituted guanine ribonucleosides act intracellularly was tested in several ways. Immobilization of these substituted nucleosides, either on Sepharose beads or in the form of high molecular weight polymers, resulted in total loss of their mitogenicity. In addition, maneuvers designed to diminish plasma membrane fluidity interfered with transmembrane signaling by surface membrane-directed mitogens far more than they did with activation by the substituted nucleosides. Furthermore, modulation of surface membrane protein (IgM) with anti-IgM antibodies similarly resulted in differential inhibition of transmembrane signals with relatively little effect on activation by 8 mercaptoguanosine. Taken together, these data are consistent with the hypothesis that the C8-substituted guanine ribonucleosides trigger the cell at an intracellular site. PMID- 6583686 TI - Liver disease associated with duck hepatitis B virus infection of domestic ducks. AB - The liver disease associated with duck hepatitis B viremia was investigated in naturally infected ducks from Chi-tung county in China and in both naturally and experimentally infected ducks from the United States. Liver and serum specimens of adult Chinese ducks were examined for duck hepatitis B virus (DHBV) DNA by dot and gel blot hybridization. DHBV was found in serum and (in episomal form only) in livers of 6 of 11 birds exhibiting various degrees of chronic hepatitis. In 1 bird with hepatocellular carcinoma, DHBV DNA was detected at the limit of assay sensitivity and in another not at all, contrasting with findings in humans and woodchucks. In work with California Pekin and Khaki Campbell ducks, known amounts of DHBV were injected into the egg 10 days before, or into ducklings 1 day after, hatching and the livers were examined 6 weeks later. The majority of the injected ducklings had viremia detectable by hybridization 1 or 2 weeks after injection. The presence but not the amount of viremia correlated with incidence and degree of hepatitis, determined under code. The most severe instances of hepatitis, all in Pekin ducks, resembled the hepatitis in adult Chinese ducks of Chi-tung county. Severe and moderate hepatitis were found only in indoor-caged injected animals with viremia and in some uninjected birds without viremia that had been kept in outdoor flocks. The latter hepatitis, as some hepatitis in adult Chinese ducks, may not be related to DHBV. Mild and insignificant hepatitis were also found in injected and noninjected ducklings, some of which had the vertically transmitted spontaneous viremia previously described. The good correlation of experimentally induced viremia with incidence and severity of hepatitis in the Pekin duckling provides a simple, rapid, and relatively inexpensive model to study the relation of lesions to hepatitis B family infection in nonprimates. PMID- 6583685 TI - Divergence in cholesterol biosynthetic rates and 3-hydroxy-3-methylglutaryl-CoA reductase activity as a consequence of granulocyte versus monocyte-macrophage differentiation in HL-60 cells. AB - Addition of dimethyl sulfoxide or phorbol myristate acetate (PMA) to HL-60 cell cultures induces granulocytic or monocyte-macrophage differentiation, respectively, in HL-60 cells. Dimethyl sulfoxide-induced granulocyte differentiation in HL-60 cells is associated with a decrease in cellular 3 hydroxy-3-methylglutaryl (HMG)-CoA reductase activity and with a decrease in the incorporation of [14C]acetate and mevalonate into products of the cholesterol biosynthetic pathway. PMA-induced monocyte-macrophage differentiation in HL-60 cells is associated with a rapid and profound fall in cell proliferation but nonetheless is accompanied by a dose-dependent increase in cellular HMG-CoA reductase activity and [14C]acetate incorporation into the cholesterol biosynthetic pathway. In addition, PMA induces an increase in [14C]mevalonate incorporation into cholesterol and its precursors, suggesting that post-HMG-CoA reductase events in cholesterol biosynthesis are also enhanced. Mature peripheral blood human monocytes possess an active cholesterol biosynthetic pathway, whereas mature human granulocytes are almost entirely lacking in the ability to synthesize post-squalene products. Our results with HL-60 cells indicate that this divergence in sterol-synthesizing ability between two cell lineages, which normally also derive from a common stem cell, can be observed as an early event in the differentiation process. PMID- 6583687 TI - 12S,20-dihydroxyicosatetraenoic acid: a new icosanoid synthesized by neutrophils from 12S-hydroxyicosatetraenoic acid produced by thrombin- or collagen-stimulated platelets. AB - A new metabolite of arachidonic acid, formed during interaction between thrombin- or collagen-stimulated platelets and unstimulated neutrophils, has been demonstrated by both thin-layer radiochromatography and high-performance liquid chromatography. Production of the 3H-labeled metabolite in combined suspensions containing [3H]arachidonate-labeled platelets and unlabeled neutrophils from aspirin-treated donors suggested that platelet 3H-labeled 12S-hydroxy-5,8-cis,10 trans,14-cis-icosatetraenoic acid (12-HETE) was the precursor. This was confirmed by identification of the same product when purified 12-[3H]HETE was added directly to unstimulated neutrophils. Hydrogenation and oxidation of the isolated product, followed by gas chromatography-mass spectrometry showed the structure to be 12S,20-dihydroxyicosatetraenoic acid. These experiments further show that platelet stimuli known to occur in vivo may initiate metabolic interactions between different cell types via the arachidonic acid pathway. PMID- 6583688 TI - Tissue concentrations of somatomedin C: further evidence for multiple sites of synthesis and paracrine or autocrine mechanisms of action. AB - We have validated a method for extracting and measuring the tissue content of somatomedin C (Sm-C)/insulin-like growth factor I (IGF-I), a growth-hormone dependent, growth-promoting peptide. The Sm-C content of tissue extracts was strongly growth-hormone dependent because most of the tissues studied from hypophysectomized rats contained significantly less Sm-C than normal tissues. The intraperitoneal administration of ovine growth hormone (oGH) to hypophysectomized rats caused tissue extractable Sm-C to increase in kidney, liver, lung, heart, and testes. Tissue Sm-C responses to oGH were maximal after 12 hr, 6 hr before the maximal increment in serum. In liver and lung, the tissue Sm-C response to various doses of oGH fit linear regression models, and the doses of oGH needed to increase the Sm-C are in the range of those required to increase protein synthesis. Although these results do not exclude the possibility that the somatomedins act by hormone-like endocrine mechanisms, they add support to the concept that these peptides act through autocrine or paracrine mechanisms, being produced at multiple sites and acting at or near their sites of production. PMID- 6583689 TI - Evidence that the major postsynaptic density protein is a component of a Ca2+/calmodulin-dependent protein kinase. AB - Polypeptides of Mr 50,000 and 60,000 in isolated synaptic junctions have been compared to polypeptides of corresponding molecular weight in Ca2+/calmodulin dependent protein kinase II. The polypeptides of corresponding molecular weight from the two preparations were shown by several criteria to be indistinguishable. These criteria included 125I-labeled tryptic/chymotryptic peptide patterns, 32P labeled proteolytic peptide maps, and crossreactivity on immunoblots using polyclonal and monoclonal antibodies. Furthermore, studies examining the phosphorylation of substrate proteins, by the endogenous synaptic junction kinase and by Ca2+/calmodulin-dependent protein kinase II, indicated that the two enzymes have similar substrate specificities. Since the Mr 50,000 polypeptide present in synaptic junctions is known to be the major postsynaptic density protein, the present results indicate that the major postsynaptic density protein is a component of Ca2+/calmodulin-dependent protein kinase II. PMID- 6583690 TI - Isolation and identification of enkephalins in pedal ganglia of Mytilus edulis (Mollusca). AB - An acid extract of pedal ganglia of the mollusc Mytilus edulis was fractionated by high-pressure liquid chromatography with a reverse-phase column. Peak fractions with retention times of those of [Met]- and [Leu]enkephalin were subjected to binding assays in both invertebrate and vertebrate tissues. The results showed that these fractions have the same binding activities as authentic enkephalins. Peptides from these fractions were purified by high-pressure liquid chromatography under isocratic conditions. Sequential amino acid analyses showed that these peptides have the same primary structures as [Met]- and [Leu]enkephalin. These results with M. edulis suggest that invertebrates possess an enkephalinergic system similar to that of higher organisms. PMID- 6583691 TI - Serotonin binds specifically and saturably to an actin-like protein isolated from rat brain synaptosomes. AB - A soluble serotonin-binding protein was identified in a high-speed supernatant fraction of an osmotically shocked rat brain synaptosome (P2) preparation. The binding of serotonin was saturable (Bmax = 6.0 nmol per mg of protein) and was specific for serotonin and a few structurally related compounds including dopamine and norepinephrine. Binding of serotonin (1 microM) was inhibited approximately equal to 40% by chlorpromazine (10 microM). The affinity of serotonin for the binding protein was low in the crude extract (Kd = 1.7 X 10( 3)M). However, on purification by chromatography on a column of phenothiazine agarose, a higher affinity (Kd = 10(-5) M) binding component was also observed. The purified protein was greatly enriched in a polypeptide of Mr of 43,000 that comigrated on polyacrylamide gel with skeletal muscle actin. Muscle actin also bound serotonin, and the binding to actin was similar to that of the purified protein in both the specificity of the binding and the affinity for serotonin. It is likely that the serotonin-binding protein is identical to cytoplasmic G-actin or an actin-like protein of similar molecular weight. PMID- 6583692 TI - Subcortical projections from ectopic neocortical neurons. AB - There is a high degree of specificity in the efferent connections of the cerebral cortex. In the rodent neocortex, the characteristic band of corticospinal neurons within layer V is present at birth even though changes still occur in the areal distribution of these neurons. Disruption of neocortical development with ionizing radiation before, during, or after the production of neurons destined for layer V results in abnormally located corticospinal neurons. One abnormal location in which corticospinal neurons are found is in ectopic cell clusters beneath the cortical white matter bordering the dorso-medial aspect of the lateral ventricle. Corticospinal neurons only occur in these periventricular ectopias in adult rats irradiated on or before embryonic day 17. A second abnormal location of corticospinal neurons is between layer V and the pial surface. These scattered supragranular corticospinal neurons occur in all adult animals irradiated on embryonic days 16, 17, 18, or 19. The fact that neurons having an unusual position project to a subcortical target appropriate for one neocortical sublayer indicates that neither migratory path nor final position is essential to specifying a subcortical target. In addition, the fact that labeled corticospinal neurons are located in periventricular ectopias only when irradiation occurs on or before embryonic day 17 suggests that the initial projections of corticospinal neurons are determined early in their individual ontogeny prior to migration. PMID- 6583693 TI - Prothymosin alpha: isolation and properties of the major immunoreactive form of thymosin alpha 1 in rat thymus. AB - A polypeptide containing approximately equal to 112 amino acid residues, with the thymosin alpha 1 sequence at its NH2 terminus, has been isolated from rat thymus by using a radioimmunoassay with an antibody prepared against synthetic thymosin alpha 1. The new polypeptide, named "prothymosin alpha," was found to be the major substance crossreacting with thymosin alpha 1 antiserum in rat thymus extracts; peptides corresponding to thymosin alpha 1 or thymosin alpha 11 were not detected. In gel filtration at pH 2.8, prothymosin alpha emerged as a single symmetrical peak corresponding to an apparent molecular weight of 32,000, approximately 3 times larger than the minimum molecular weight calculated from its amino acid composition. On the same gel filtration columns, synthetic thymosin alpha 1 (calculated Mr = 3108) emerged at a position corresponding to a molecular weight of 10,000-11,000. Thus, both prothymosin alpha and thymosin alpha 1 appear to exist in solution as oligomers, possibly as trimers. Prothymosin alpha and synthetic thymosin alpha 1 also were separated readily in reverse-phase HPLC and in isoelectric focusing; the isoelectric point of prothymosin alpha determined by the latter procedure was found to be 3.55, consistent with an unusually high content of glutamic and aspartic acids based on amino acid analyses. Prothymosin alpha appears to represent the native polypeptide from which thymosin alpha 1 and other fragments are generated during the isolation of thymosin fraction 5. PMID- 6583694 TI - Evaluation of critical groups required for the binding of heparin to antithrombin. AB - We have examined the quantitative importance of various monosaccharide residues of an octasaccharide domain of heparin that are responsible for the binding of this oligosaccharide to antithrombin. Different fragments of the octasaccharide were prepared by enzymatic digestion and the avidities of these oligosaccharides for antithrombin were determined by equilibrium dialysis. The data show that the non-reducing-end and the reducing-end tetrasaccharides contribute equally to the binding energy of the octasaccharide. The O6-sulfate group of the N-acetyl glucosamine moiety within the nonreducing-end tetrasaccharide is responsible for approximately equal to 45% of the binding energy of the octasaccharide. Neither the two non-sulfated uronic acid groups that flank this residue nor the N sulfated glucosamine residue on the reducing end of this tetrasaccharide sequence that bears the unique O3-sulfate substituent contribute significantly to the binding energy of the octasaccharide. We suggest that the lack of sulfation of the two uronic acid moieties within the nonreducing-end tetrasaccharide may be required to permit the N-acetyl glucosamine O6-sulfate group to interact with a specific region on the antithrombin molecule. However, we cannot exclude the possibility that the O3-sulfate group plays an important role in orienting this O6-sulfate group within the nonreducing-end tetrasaccharide. PMID- 6583695 TI - 3' editing of mRNAs: sequence requirements and involvement of a 60-nucleotide RNA in maturation of histone mRNA precursors. AB - In vitro-synthesized transcripts of the sea urchin histone H2A gene with 3' extensions are efficiently and rapidly processed to H2A mRNA with faithful 3' ends in Xenopus laevis oocyte nuclei. Processing requires the presence of a histone-specific dyad symmetry element and of H2A-proximal spacer sequences in the precursor RNA. In DNA injection experiments with a processing-deficient H2A mutant, the transcription products appear to terminate heterogeneously in the first 100-200 base pairs of the post-H2A spacer. Processing of synthetic H3 RNA precursors requires the prior injection of a 60-nucleotide RNA from sea urchin embryos that seems to be a component of a small nuclear ribonucleoprotein. PMID- 6583696 TI - Adaptive response in mammalian cells: crossreactivity of different pretreatments on cytotoxicity as contrasted to mutagenicity. AB - Pretreatment of H4 (rat hepatoma) cells for 48 hr with low nontoxic doses of alkylating agents [methyl methanesulfonate (MMS), N-methyl-N'-nitro-N nitrosoguanidine (MNNG), and N-methyl-N-nitrosourea] renders the cells more resistant to the toxic effect of these compounds. Crossreactivity for survival is also observed with the different alkylating agents tested. Pretreatment with MNNG enables the cells to be less mutated than control cultures during a subsequent challenge with high doses of this compound. However, pretreatment with MMS does not modify the mutation frequency of cells challenged with either MMS or MNNG. The adaptive response to mutagenesis is correlated with a faster and more efficient removal of O6-methylguanine in MNNG-pretreated cells as compared to control cultures, whereas the disappearance of this lesion is not modified in MMS pretreated cells. As MMS produces less methylation at the O6 position of guanine and more methylation at the N7 position in comparison to MNNG, the results suggest that: (i) N7-methylguanine is not implicated in the adaptive response and (ii) adaptation to mutagenesis can be correlated with the amount of O6 methylguanine induced during the pretreatment. The effect of pretreatment on other O-alkylated derivatives is not known. PMID- 6583697 TI - Two initiation sites detected in the small s1 species of reovirus mRNA by dipeptide synthesis in vitro. AB - Reovirus mRNAs directed the synthesis of fMet dipeptides in a translation initiation system reconstituted from rabbit reticulocyte initiation and elongation factors, Artemia salina 80S ribosomes, yeast fMet-tRNAiMet and Escherichia coli3H-labeled aminoacyl tRNAs. As predicted from the GC(U,G) codon that follows the 5'-proximal AUG in half of the viral mRNA species, fMet-Ala was the predominant dipeptide product obtained in response to a mixture of mRNAs or to the separated size classes of medium (m) and small (s) mRNA. The four individual small mRNA species each directed the synthesis of an fMet dipeptide that was consistent with the utilization of the 5'-proximal AUG for initiation. In addition to fMet-Asp, the s1 mRNA also directed fMet-Glu synthesis indicative of initiation in a second reading frame at the 5'-penultimate AUG. The tripeptide fMet-Glu-Tyr was also synthesized from s1 mRNA, which further verified this second initiation site. mRNAs containing 5'-terminal GpppG were 10-15% as active as the corresponding m7G-capped templates. The dipeptide assay provides a rapid method for determining initiation sites in individual mRNAs or in mixtures of mRNAs. PMID- 6583698 TI - A quantitative model for the cooperative mechanism of human hemoglobin. AB - A quantitative model has been developed for the cooperative oxygenation of human hemoglobin. The model correlates the structural and energetic features of ligand linked subunit interactions within the tetrameric molecule and the coupling of these interactions to the binding of oxygen and Bohr protons. Recent findings are incorporated regarding (i) the sites of regulatory energy change within the tetrameric molecule, (ii) the nature of the Bohr effect for tetramers and dimers, (iii) the fractional Bohr proton release at each stage of oxygenation, (iv) relative probabilities of binding to the alpha and beta chains within the tetramer, and (v) an extensive data base recently obtained on the linked processes of oxygenation, proton binding, and subunit interactions [Chu, A. H., Turner, B. W. & Ackers, G. K. (1984) Biochemistry 23, 604-617]. Least squares minimization was used to evaluate from these data the free energies for the various processes. A special feature of the model lies in the synchronization of Bohr proton release with changes in quaternary structure. This leads to the striking prediction that a major fraction (as much as 30%) of tetramers are in the oxy quaternary structure after the first oxygen is bound. The model provides a rationale for the essential features of regulatory energy control, and it defines several kinds of additional information that are needed for a more complete understanding of the hemoglobin mechanism. PMID- 6583699 TI - Denervated skeletal muscle displays discoordinate regulation for the synthesis of several myofibrillar proteins. AB - Synthesis patterns of myosin heavy- and light-chain isoforms, tropomyosin and troponin, have been studied in chicken fast muscle denervated at both neonatal and adult stages. Denervated neonatal muscle does not synthesize the adult myosin heavy-chain isoform at the time of denervation, but it does synthesize the adult isoform several months after denervation. Thus, innervation does not appear to be necessary for the normal sequential replacement of embryonic and neonatal myosin heavy chain by the adult variant. Nerve is required, however, for the regulation of tropomyosin and troponin expression. Normally the pectoralis major muscle represses synthesis of both beta-tropomyosin and leg-type troponin T during late embryonic development. After denervation, however, the muscle relaxes its ongoing repression of these proteins and significant amounts of both beta-tropomyosin and leg-type troponin T are synthesized by the muscle. Denervation also results in an altered pattern of myosin light-chain synthesis so that the ratio of fast light chain 3/fast light-chain 1 decreases. Similar results are found in muscle denervated at the adult stage. In denervated muscle, therefore, synthesis of these myofibrillar proteins is not coordinated: ongoing isoform shifts proceed to express an adult pattern of myosin heavy chain while tropomyosin, troponin, and myosin light-chain patterns appear to revert to embryonic configurations. PMID- 6583700 TI - Further clues concerning the vectors essential to regulation of hexose transport, as studied in fibroblast cultures from a metabolic mutant. AB - A close study of the metabolic regulation of hexose transport in a hamster fibroblast mutant, highly defective in the enzyme phosphoglucose isomerase (PGI mutant), reveals the requirement for at least three vectors for transport regulation. The downward regulation of the hexose transport system, called the "transport curb," requires (i) a ligand for the transport system, (ii) oxidative energy metabolism, and (iii) some specific enzymes of the glucose-6-phosphate metabolism. Deprivation of glucose was shown to deprive the PGI mutant of UDP hexose, whereas the glucose-fed mutant contained high levels. The parental strain preserved the UDP hexose with or without glucose feeding. Cycloheximide added to the mutant showed two different types of effects. If added at the onset of glucose starvation, the up-regulation of the transport system was scarcely affected. If cycloheximide was added to the mutant at the onset of glucose refeeding, it prevented the development of the glucose-mediated transport curb. In the mutant, the glucose-mediated curb is not derived from energy metabolism but is solely dependent on certain enzymes of glucose-6-phosphate metabolism. The interference of this curb by cycloheximide requires evidently a reassessment, including that of the role of the UDP hexose pathway in regulation of the hexose transport system. PMID- 6583701 TI - Glucocorticoid-induced phospholipase A2-inhibitory proteins mediate glucocorticoid teratogenicity in vitro. AB - Dexamethasone induces the synthesis of a phospholipase A2-inhibitory protein (PLIP) of molecular weight approximately equal to 55,000 from calf thymus and PLIPs of molecular weights 55,000, 40,000, 28,000, and 15,000 from A/J mouse thymus and from 12-day embryonic B10. A mouse palates. Sufficient quantities of calf thymus PLIP and of the 15,000 molecular weight mouse thymus and palate PLIPs were prepared and tested as inhibitors of programmed cell death in the medial edge epithelium of single mouse embryonic palatal shelves in culture. All of the proteins tested prevent the loss of the medial-edge epithelium and, thus, produce the teratogenic effects of glucocorticoids in the palatal culture model. This teratogenic action of both PLIP and glucocorticoids is reversed by arachidonic acid, the precursor of prostaglandins and thromboxanes, suggesting that PLIP mediates the effects of glucocorticoids by inhibiting phospholipase A2. PMID- 6583702 TI - beta-Thalassemia in American Blacks: novel mutations in the "TATA" box and an acceptor splice site. AB - beta-Thalassemia genes, although often mild in their effects, are common among American Blacks. We have begun a systematic molecular analysis of beta thalassemia mutations in this group. DNA polymorphisms in the beta-globin gene cluster were examined among 22 beta-thalassemia chromosomes. Six different haplotypes were observed. beta-globin genes of two of these were cloned, and their phenotypes were examined both in heterologous cells upon transient expression and in vivo. The gene found in the most common haplotype (9 of 22 chromosomes) contained a single base substitution (A----G) at position -29 within the highly conserved proximal promoter element (the "TATA" box). This mutant gene directed beta-globin RNA at 25% of normal levels both in heterologous cells and in vivo. It was associated with a mild beta +-thalassemia phenotype. A different gene, isolated from an apparently rare haplotype (1 of 22 chromosomes), had a single base substitution (A----G) within the acceptor splice site of the second intervening sequence. This mutation abolished normal RNA splicing so that the only RNA made from the gene in vitro was an alternatively spliced RNA, which could not encode beta-globin. The mild deficit in beta-globin production attributable to the -29 A----G mutant allele most likely accounts for the frequently mild nature of beta-thalassemia among American Blacks. PMID- 6583703 TI - X chromosome-linked muscular dystrophy (mdx) in the mouse. AB - An X chromosome-linked mouse mutant (gene symbol, mdx) has been found that has elevated plasma levels of muscle creatine kinase and pyruvate kinase and exhibits histological lesions characteristic of muscular dystrophy. The mutants show mild clinical symptoms and are viable and fertile. Linkage analysis with four X chromosome loci indicates that mdx maps in the Hq Bpa region of the mouse X chromosome. This gives a gene order of mdx-Tfm-Pgk-1-Ags, the same as for the equivalent genes on the human X chromosome. PMID- 6583704 TI - Detection of a secreted form of the murine H-2 class I antigen with an antibody against its predicted carboxyl terminus. AB - Analysis of H-2 class I-specific cDNA clones has suggested the synthesis by the liver of a class I molecule that is secreted rather than membrane bound. To detect this putative class I-related molecule, we have predicted a unique region of amino acid sequence located toward the carboxyl terminus of the molecule that is not expected to be shared with any of the classical H-2 class I antigens, and we have generated specific antibodies to a synthetic peptide corresponding to this sequence. Indirect immunoprecipitation with this antibody led to the identification of a Mr 40,000 polypeptide in association with beta 2 microglobulin in the serum of mice of five different H-2 haplotypes. This class I molecule is also detected in the liver together with lower molecular weight components, which are presumably underglycosylated precursors. Synthesis of this molecule is not detected in thymus, spleen, kidney, or testis. This class I serum component has no detectable reactivity with either a broad-specificity alloantiserum against H-2b or a xenoantiserum against purified H-2a class I molecules. The availability of a specific antibody against the secreted class I molecule offers a means to purify this protein for structural and functional studies. PMID- 6583705 TI - Chaotic behavior in dopamine neurodynamics. AB - We report the results of the dynamics of a model of the central dopaminergic neuronal system. In particular, for certain values of a parameter k, which monitors the efficacy of dopamine at the postsynaptic receptor, chaotic solutions of the dynamical equations appear--a prediction that correlates with the observed increased variability in behavior among schizophrenics, the rapid fluctuations in motor activity among Parkinsonian patients treated chronically with L-dopa, and the lability of mood in some patients with an affective disorder. Moreover our hypothesis offers specific results concerning the appearance or disappearance of erratic solutions as a function of k and the external input to the dopamine neuronal system. PMID- 6583706 TI - Optimal sequential sampling from two populations. AB - Given two statistical populations with unknown means, we consider the problem of sampling chi 1, chi 2, ... sequentially from these populations so as to achieve the greatest possible expected value of the sum Sn = chi 1 + ... + chi n. In particular, for normal populations, we obtain the optimal rule and study its properties when the average of the two population means is assumed known, and exhibit an asymptotically optimal rule without assuming any prior knowledge about the population means. PMID- 6583707 TI - Induction of two genes by glucose starvation in hamster fibroblasts. AB - The coordinated expression of two genes specifically induced by glucose starvation is demonstrated in a hamster fibroblast cell line, K12. Using two cDNA plasmids, p4A3 and p3C5, as hybridization probes, we examine the kinetics of induction of these genes when the cells are grown in medium deprived of glucose. The results show that (i) after a lag period of about 8 hr, there is a rapid and simultaneous increase of the p4A3 and p3C5 mRNA levels and (ii) the elevation of the mRNA levels for p4A3 and p3C5 is largely due to new transcription. In addition, we compare the mRNA transcripts encoded by these glucose-regulated genes in culture cells and phosphoenolpyruvate carboxykinase, the enzyme that catalyzes the rate-limiting step in gluconeogenesis in fasted rats. Our results indicate that the expression of phosphoenolpyruvate carboxykinase is not inducible by glucose starvation in our culture cells. PMID- 6583709 TI - Truth telling in pediatrics. Case for discussion. PMID- 6583708 TI - Trypanosome variant-specific glycoproteins: a polygene protein family with multiple folding patterns? AB - Infection with the African trypanosomes gives rise to relapsing waves of parasitemia in the host. A predominant population of trypanosomes is present in each wave, and such predominant populations are usually serologically distinct from each other. Trypanosomes are covered by an extramembranous, highly antigenic, variant-specific glycoprotein coat that is 15 nm thick. The primary structure of a large portion of the glycoprotein molecule is different in the predominant trypanosome populations of each parasitemic wave. Analysis of the secondary structure potential of five full-length and five partial amino acid sequences of variant-specific glycoproteins from members of the Trypanosoma brucei complex has been carried out. The potentials for alpha-helix, beta-turns, and beta-strand structure have been calculated. A high degree of alpha-helical structure potential is present in all the full-length or partial sequences examined. There is conservation of secondary structure potential in the COOH terminal 100 amino acids, where both partial and complete conservation of primary amino acid sequence exists. The NH2-terminal regions are rich in alpha-helix potential. However, over large stretches of the middle of the VSG molecules there is wide diversity of secondary structure potential. This suggests that tertiary folding structures may also be different in this region. If these predictions are true, different regions of the variant-specific glycoprotein could be exposed to the solvent in different variant-specific trypanosome serotypes. The implication is that antigenic variation is mediated by a polygene family of glycoproteins containing highly polymorphic regions. These could fold differently and expose different surface regions of the protein to the solvent. This device might reduce immune crossreactivity among members of the variant-specific glycoprotein family. PMID- 6583710 TI - Discussion summary: truth telling in pediatrics. PMID- 6583711 TI - Prostaglandin levels following acute metabolic acidosis. PMID- 6583712 TI - Normal plasma thromboxane B2 (TXB2) and 6-keto-PGF1 alpha levels in childhood diabetes. PMID- 6583713 TI - Cigarette smoke ventilation decreases thromboxane B2 metabolism in isolated rat lungs. AB - 3H-TxB2 was infused into the pulmonary circulation of isolated perfused rat lungs. The metabolites were analysed from the nonrecirculating perfusion effluent. When the lungs were ventilated with cigarette smoke the amount of unmetabolized TxB2 in the effluent was increased by 50%. The amount of the main metabolite was, however, not changed. The efflux of radioactivity from the lungs after a bolus injection of 3H-TxB2 was slower during cigarette smoke ventilation than during air ventilation. This suggests that cigarette smoke inhibits the enzymes metabolizing TxB2 rather than the pulmonary thromboxane uptake system. PMID- 6583714 TI - Clinical correlates of sulcal widening in chronic schizophrenia. AB - Fifty-five chronic schizophrenic males who consented to have a computed tomographic (CT) brain scan were divided into those with cerebral atrophy evidenced by sulcal widening (n = 22) and those with normal sulci (n = 33). The two groups were compared on several clinical variables obtained from medical records by psychiatrists who were unaware of the CT results. Schizophrenic men with sulcal enlargement were significantly less likely to show agitation as a clinical symptom during an acute relapse and had significantly worse cognitive test scores on admission to the hospital. The implications of these findings are compared to the literature on ventricular enlargement and their clinical applications are discussed. PMID- 6583715 TI - Short-lived effect of (Des-Tyr)-gamma-endorphin in schizophrenia. AB - Des-tyrosine-gamma-endorphin (DT gamma E) has been reported to alleviate symptoms of schizophrenia. Attempting to replicate those reports, we administered 1 mg of DT gamma E, i.m., for 8 consecutive days to nine patients meeting the DSM-III criteria for schizophrenia. Patients in this double-blind, crossover, and placebo controlled study showed a statistically significant, but clinically modest improvement. The improvement was detectable during the first several days of the DT gamma E treatment; the symptoms then returned to baseline level in spite of continued doses of DT gamma E. Testing the metabolism of DT gamma E in the patients' plasma, we found a high rate of formation and of degradation, but the metabolic rates were not related to clinical symptoms. PMID- 6583716 TI - Urinary MHPG and ward behavior in unmedicated psychiatric patients. AB - The relationship between urinary excretion of 3-methoxy-4-hydroxyphenylglycol (MHPG) and overt behaviors emitted in two hospital environments was examined in a group of 27 drug-free psychiatric patients. Depressed patients with high MHPG excretion ate less and engaged in less visual activity in the lunch environment. Schizophrenic patients but not depressive patients with high MHPG tended to have greater body activity during the gym environment. The implications of these findings for the identification of subtypes of depression and schizophrenia, and for an improved methodology in investigation of biobehavioral relations in clinical populations, are discussed. PMID- 6583717 TI - Relatives of unipolar and bipolar patients have normal pursuit. AB - Impaired smooth pursuit eye movements are significantly less prevalent among the first-degree relatives of patients who have major affective disorders than among the first-degree relatives of schizophrenics. The distribution of normal and abnormal smooth pursuit among the relatives of unipolar and bipolar patients does not differ from that of normal individuals having no family history of major psychosis. Smooth pursuit impairment is thus specific to relatives of schizophrenic patients and is not characteristic of relatives of patients with major affective disorders. PMID- 6583718 TI - Skin conductance: a potentially sensitive test for depression. AB - The mean resting skin conductance level (SCL) in 31 inpatients with major unipolar depression was 2.63 mumho/cm2 +/- SD 1.41 compared to 7.81 mumho/cm2 +/- SD 3.0 in the control group. The best criterion below which an SCL could be considered abnormal was 4.3 mumho/cm2 with a resulting sensitivity of 87% and specificity of 89%. There was a significant difference in SCL between males and females but none between drug-free and medicated patients. SCL was abnormal in all depression subtypes. The SCL may represent a biological final common pathway in depression and may prove to be a very effective diagnostic test for depression. PMID- 6583719 TI - Depression and CSF endorphin fraction I: seasonal variation and higher levels in unipolar than bipolar patients. AB - Radioreceptor assay of endorphin Fraction I in the cerebrospinal fluid (CSF) of 92 inpatients suffering from major depression revealed the following: (1) clearly elevated levels as compared to normal control subjects, (2) higher level in unipolar than in bipolar patients, and (3) seasonal rhythms showing peaks in early fall for unipolar patients and late fall for bipolar patients. The annual pattern observed bears some resemblance to the known seasonal variations in the incidence of affective disorders and suicide. PMID- 6583720 TI - [Electrosurgery, more accurately: radiosurgery (I)]. PMID- 6583721 TI - [Preparation of short root canals - supplementation with the Vari-Fix Stopper system]. PMID- 6583722 TI - [Supernumerary teeth in the maxillary anterior region with special reference to odontoids (I)]. PMID- 6583723 TI - [Interpretation of radiographs]. PMID- 6583724 TI - [Rast-o-Pan bite blocks with millimeter screens - use and possibilities in surgical implantation procedures (I)]. PMID- 6583725 TI - [Epithelial damage caused by topical anesthesia]. PMID- 6583726 TI - [Electrosurgery, more accurately: radiosurgery (II)]. PMID- 6583727 TI - [Transdental fixation with monocrystalline posts of aluminum oxide ceramic (Bioceram)]. PMID- 6583728 TI - [Ready-made crowns in enamel anomalies in the juvenile dentition (case report)]. PMID- 6583730 TI - [Is the oral irrigator an appropriate means of plaque removal?]. PMID- 6583729 TI - [Supernumerary teeth in the maxillary anterior region with special reference to odontoids (II)]. PMID- 6583731 TI - [Rast-o-Pan bite blocks with millimeter screens - use and possibilities in surgical implantation procedures (II)]. PMID- 6583732 TI - [Interpretation of radiographs]. PMID- 6583733 TI - [A portable data processor for the office]. PMID- 6583734 TI - [Synthetic filling materials in the posterior region. 5-year clinical experiences with Isocap and 3 different conventional composites (III)]. PMID- 6583735 TI - [Rational approach to customized articulators used in the dental office and dental laboratory]. PMID- 6583736 TI - [The temporomandibular joint arthrograph--a special radiographic apparatus for presentation of the temporomandibular joint (I)]. PMID- 6583737 TI - [Interpretation of radiographs]. PMID- 6583738 TI - [Therapy of viral oral mucosal diseases]. PMID- 6583739 TI - [The golden toothbrush. Critical thoughts on "the new wave of prevention"]. PMID- 6583740 TI - [Intradermal nevus on the oral mucosa]. PMID- 6583741 TI - [Are too many teeth extracted?]. PMID- 6583742 TI - [New light-polymerizable crown and bridge veneering resins. A clinical report]. PMID- 6583743 TI - [Occlusal correction of the completely or partially dentate bite using the sagittal guide slots of the functiograph]. PMID- 6583745 TI - [The temporomandibular joint arthrograph - a special radiographic apparatus for presentation of the temporomandibular joint (II)]. PMID- 6583744 TI - [Effect of intermittent intensive preventive measures]. PMID- 6583746 TI - [Use of medications in dental practice during pregnancy]. PMID- 6583748 TI - [Conservative dentistry]. PMID- 6583747 TI - [Advances and focal points in oro-maxillofacial surgery]. PMID- 6583749 TI - [The Adaptor - a new retention appliance]. PMID- 6583750 TI - [Orthodontics in Germany today]. PMID- 6583751 TI - [Periodontology - data, facts, developments and outlook]. PMID- 6583752 TI - [Photographic equipment for the dentist and dental technician - decision aids for the selection of a modern system]. PMID- 6583753 TI - [Interpretation of radiographs]. PMID- 6583754 TI - [Dental practice management - yesterday - today - tomorrow]. PMID- 6583755 TI - [Education and advanced education - the dental profession in the Federal Republic of Germany]. PMID- 6583756 TI - [Legal aspects of oral implantation]. PMID- 6583757 TI - [Fissure sealants]. PMID- 6583758 TI - [Basic knowledge: definitive filling materials (IV)]. PMID- 6583760 TI - [Viewpoint and oral hygiene measures in endosseous implantation]. PMID- 6583759 TI - [The dental hygienist. Education and functions]. PMID- 6583761 TI - [Work steps in small laboratory jobs]. PMID- 6583762 TI - [Preventive aspects during tooth eruption (I)]. PMID- 6583763 TI - [Basic knowledge: endodontics (I)]. PMID- 6583764 TI - [Motivation for oral hygiene]. PMID- 6583765 TI - [Patients in the office]. PMID- 6583766 TI - [Cooperation of the assistant in filling therapy - an every day task (I)]. PMID- 6583767 TI - [Basic knowledge: definitive filling materials (I)]. PMID- 6583768 TI - [The enzyme in toothpaste]. PMID- 6583769 TI - [The dental assistant and ergonomics]. PMID- 6583771 TI - [The cooperation of the assistant in filling therapy - an every day task (II)]. PMID- 6583770 TI - [Oral hygiene measures - the duties of the dental assistant and the hygienist (III)]. PMID- 6583772 TI - [Basis knowledge: definitive filling materials (II)]. PMID- 6583773 TI - [Psychological aspects of preventive measures in dental practice]. PMID- 6583774 TI - [Happiness at work - results in practice]. PMID- 6583775 TI - [Charges for cast fillings (inlays) and onlays]. PMID- 6583776 TI - [Oral hygiene measures - the duties of the dental assistant and hygienist (IV)]. PMID- 6583777 TI - [The half angle technic - the parallel technic (I)]. PMID- 6583778 TI - [Introduction to education in the field]. PMID- 6583779 TI - [Basic knowledge: definitive filling materials (III)]. PMID- 6583780 TI - [Toothbrushing in kindergarten]. PMID- 6583781 TI - [Use and duties of the dental assistant/dental hygienist in systematic periodontal treatment]. PMID- 6583782 TI - [Ergonomics in the preventive workplace]. PMID- 6583783 TI - [The half angle technic - the parallel technic (II)]. PMID- 6583784 TI - [Diseases of the mouth]. PMID- 6583785 TI - [Lucite crystallization in fired ceramics]. PMID- 6583786 TI - [The dangers of dust to the lungs of dental technicians]. PMID- 6583787 TI - [Removal of fine dust in the dental technical workplace]. PMID- 6583788 TI - [An enclosed protrusion spring with additional support]. PMID- 6583789 TI - [A combined action element for the arrangement of single teeth]. PMID- 6583790 TI - [Energy technics in the dental laboratory]. PMID- 6583791 TI - Mechanism of increased renal prostaglandin E2 in uranyl nitrate-induced acute renal failure. AB - We have previously demonstrated that decreased cortical prostaglandin metabolism can contribute significantly to an increase in renal tissue levels and activity of prostaglandin E2 in bilateral ureteral obstruction, a model of acute renal failure. In the present study, we have further investigated whether alterations in prostaglandin metabolism can occur in a nephrotoxic model of acute renal failure. Prostaglandin synthesis, prostaglandin E2 metabolism (measured as both prostaglandin E2-9-ketoreductase and prostaglandin E2-15-hydroxydehydrogenase activity), and tissue concentration of prostaglandin E2 were determined in rabbit kidneys following an intravenous administration of uranyl nitrate (5 mg/kg). No changes in the rates of cortical microsomal prostaglandin E2 and prostaglandin F2 alpha synthesis were noted at the end of 1 and 3 days, while medullary synthesis of prostaglandin E2 fell by 47% after 1 day and 43% after 3 days. Cortical cytosolic prostaglandin E2-9-ketoreductase activity was found to be decreased by 36% and 76% after 1 and 3 days respectively. No significant changes were noted in cortical cytosolic prostaglandin E2-15-hydroxydehydrogenase activity after 3 days. Cortical tissue levels of prostaglandin E2 increased by 500% at the end of 3 days. These data demonstrate that in nephrotoxic acute renal failure, decreased prostaglandin metabolism (i.e., prostaglandin E2-9-ketoreductase activity) can result in increased tissue levels of prostaglandin E2 in the absence of increased prostaglandin synthesis and suggest that alterations in prostaglandin metabolism may be an important regulator of prostaglandin activity in acute renal failure. PMID- 6583792 TI - Urinary excretion of immunoreactive prostaglandin F2 alpha in healthy children and adults. AB - The 24-hours urinary excretion of immunoreactive prostaglandin F2 alpha (U-iPGF2 alpha) in normal children on a free diet was not significantly different in 30 boys (aged 3-15 years; geometric mean 589 ng/24 h) compared to 27 girls (aged 4 14 years; mean 473 ng/24 h). In both sexes this excretion rose with age until adolescence where it reached a plateau. In normal adults the men had significantly higher (p less than 0.001) excretions of U-iPGF2 alpha than the women; also body weight and urinary creatinine excretion were higher in men (p less than 0.001). In the children, as well as in the total population, U-iPGF2 alpha correlated best with body weight (r = 0.44 and r = 0.48 respectively; p less than 0.001) and the urinary creatinine excretion (r = 0.53 and 0.57 respectively; p less than 0.001); both body weight and urinary creatinine excretion are reflections of total body development. After the correction for urinary creatinine excretion or for body weight, the sex difference in the adult U-iPGF2 alpha totally disappeared. PMID- 6583794 TI - [Development of secondary neoplasms in Hodgkin's disease as sequelae of oncologic therapy]. PMID- 6583793 TI - [Cerebral changes shown by computed tomography in children with acute lymphatic leukemia after therapy]. AB - The authors discuss the CT findings of the late brain damage by the radiochemotherapic treatment for the prophylaxis of meningeal leukemia in 50 patients, 1 divided by 15 years old. The more frequent CT findings are: enlargement of the subaracnoid spaces; ventricular dilatation; hypodensity of cerebral parenchima; calcifications. These findings correspond to two clinical and anatomo-pathological conditions: subacute leucoencephalopathy and mineralizing microangiopathy. A greater damage on central nervous system was demonstrated in younger children (5 years old) at the time of prophylaxis of meningeal leukemia, that were irradiated with NSD = 950 ret. PMID- 6583795 TI - [Autogenic training in generalized fibrositis]. PMID- 6583796 TI - [Anterior pulpless teeth: composites or porcelain]. PMID- 6583797 TI - [Injuries to the temporary teeth: management]. PMID- 6583798 TI - [Juvenile periodontitis. Clinical picture, etiology and treatment]. PMID- 6583800 TI - [Contribution of endodontics and periodontics to the treatment of subtotal edentia]. PMID- 6583799 TI - [Round table "Electrosurgery in today's practice"]. PMID- 6583801 TI - [The cerebral palsy-impaired. Salivary incontinence and its treatment]. PMID- 6583802 TI - [Estimation of free eugenol in the pulp after treating deep caries with a ZnO + eugenol paste]. PMID- 6583803 TI - [Antibiotic therapy in dentistry]. PMID- 6583804 TI - [Developing a rational treatment protocol in a complex clinical case]. PMID- 6583805 TI - [Thermal and dimensional behavior of investments before casting]. PMID- 6583806 TI - [Programming the initial lateral movement (ILM) using wax records of the mandibular lateral position on a 2nd generation Arcon articulator]. PMID- 6583807 TI - [The periapex and the root canal]. PMID- 6583809 TI - [The argument for preprosthetic surgery at the time of extraction]. PMID- 6583808 TI - [Effect of new endodontic instruments in everyday practice]. PMID- 6583810 TI - [Reduction and splinting of a partial crown-root fracture]. PMID- 6583812 TI - [Centric relation]. PMID- 6583811 TI - [Future trends in the immunotherapy of periodontal disease]. PMID- 6583813 TI - [Geriatric dentistry: a very short-term need]. PMID- 6583814 TI - [Mandibular anesthesia in pedodontics. The Akinosi method]. PMID- 6583815 TI - [The lateral sliding flap in the treatment of isolated gingival recession]. PMID- 6583816 TI - [Problems posed by complete edentulousness in children under 6 years old]. PMID- 6583818 TI - [Otopalatodigital syndrome. Apropos of 3 female cases]. AB - The oto-palato-digital syndrome about which much has been written on the male subject is analysed for a case of a mother and her two daughters which exhibited the main characteristics of the affliction with the exceptions of deafness and cleft-palate. These two manifestations, quoted in the name of the syndrome will be tackled later like its mode of transmission which still remains obscure. PMID- 6583817 TI - Clinical and immunogenetic studies in rheumatoid arthritis from northern India. AB - A total of 258 patients with classic rheumatoid arthritis seen over a 7-year period were included in this study. The majority of the patients had relatively mild disease at the time of presentation. The incidence of extraarticular manifestations such as subcutaneous nodules, vasculitis, amyloidosis and pulmonary involvement was low although one or two pulmonary function test parameters were abnormal in some. Seventy patients were tested for all three subclasses of rheumatoid factors - IgM, IgG and IgA. Of these, 23 patients had all three whilst four had only IgG. The 62 patients who had most typical and severe manifestations were typed for four major HLA loci A, B, C and DR. Of these 42 (67.7%) had DR4 antigen while DR3 antigen was detected in 14 (22.6%). PMID- 6583819 TI - [Lethal midline granuloma, An anatomoclinical study apropos of 3 cases]. AB - In Midline malignant granuloma, a clinical entity characterized by necrotic ulcerations of the upper respiratory tract, two different histological features can be observed. The first one, called "idiopathic" granuloma, looks like simple granulation tissue and remains a strictly localized disease. In the second type (midline malignant reticulosis or histiocytosis), the granulation tissue contains atypical histiocytic cells. The 3 cases reported here belong to this last group. The early lesions were located in the nose (2 cases) or in the maxillary sinus (1 case). The histological analysis showed in all cases 20 to 40% of atypical histiocytes associated with other "inflammatory" cells. Radiotherapy was used in association with chemotherapy or surgery in the treatment. One patient is still alive at 3 years. We have no follow-up data for another patient. The third patient died after 18 months. An autopsy demonstrated multifocal visceral involvement by atypical histiocytes (malignant histiocytic lymphoma). The histogenesis of this disease, in light of histoenzymological and ultrastructural findings, and its possible relationship to lymphomatoid granulomatosis are discussed. PMID- 6583820 TI - [Diagnosis and therapy of temporomandibular dysfunctions. The experience of the Clinique de Stomatologie et de Chirurgie Maxillo-Faciale de Lyon]. AB - Temporomandibular dysfunction is a relatively frequent disorder, affecting mainly young women, that remains a poorly recognized entity. Clinical symptoms usually associate pain and cracking of the jaw, frequently accompanied by limitation of opening of the mouth. Occlusal injury is the cause of the dysfunction in every case. Two panoramic radiographs, one in the usual terminal occlusion and the other with the mouth open, provide evidence of the amount of condylar movement and the morphology of the condyles. Active mandibular movements provide muscular re-education. The inhibitors of occlusion (palatine plate to increase incisor elevation or covering plate) have the objective of reducing muscle spasm. Treatment of the cause of the disorder is based on occlusal rehabilitation, surgery of the temporomandibular joint being doomed to failure as it attacks the consequences and not the origin of the occlusal dysfunction. PMID- 6583821 TI - [Short-cone or semi-distancing technic. Substitution for so-called contact projections]. AB - Radiation protection requires that the so-called "on contact" (PARMA) projections be prohibited. They can be replaced by the short cone technique, which provides a sufficient enlargement to eliminate parasitic shadows on the unexamined opposite side, and is indicated for profile radiology of the TMA and profile parotid sialography examinations. PMID- 6583822 TI - [Radiologic anatomy of the bony lacrimal canal. Axial projections]. AB - Radiologic exploration of the bony lacrimal duct is principally indicated in lacrimal disorders secondary to facial injuries. The use of an axial projection enables analysis of possible displacements or obliterations. Its associations with lacrimography is often indispensable. PMID- 6583823 TI - [Treatment of florid oral papillomatosis. Apropos of 10 cases]. AB - Florid oral papillomatosis is a well defined, not exceptionally observed clinical entity of unknown pathogenesis. The exuberant lesions are characterized by their benign appearance on histology, but this is usually associated with a marked capacity for progression and recurrence and a tendency for epitheliomatous degeneration. Based on a review of cases in the published literature and a series of ten patients treated personally, it would appear that radiation therapy should be formally excluded, and that the treatment of choice is by wide excision associated, whenever possible, with reconstructive surgery. PMID- 6583824 TI - Proliferation and differentiation of normal and chronic myeloid leukaemia (CML) marrow cells in suspension cultures. AB - Immature myeloid cells highly enriched for colony-forming cells, myeloblasts and promyelocytes were isolated in Percoll gradients (lighter than 1.065 g/ml) from patients with chronic myeloid leukaemia (CML) or normal healthy volunteers. The proliferation and differentiation of these cells were followed in suspension cultures in McCoy's medium (15% FCS) with or without the addition of 15% human placenta conditioned medium (HP-CM) over a culture period of 12-16 d. Ion exchange chromatography and gel chromatography indicated that the proliferation stimulating activity in HP-CM was colony-stimulating activity (CSA). In unstimulated cultures (without HP-CM), normal cells produced very few neutrophils; macrophage production dominated. CML cells, on the other hand, gave rise to neutrophils even in the absence of stimulatory factor(s). The effect of HP-CM was dependent on the initial concentration: at a 'low' (1 X 10(5)/ml) concentration, the addition of HP-CM resulted in a great increase in neutrophils, but at a 'high' (5-8 X 10(5)/ml) initial cell concentration, HP-CM gave only minimal increase in neutrophil numbers in both normal and CML cultures. These observations suggest endogenous differences between normal and CML precursors in their requirements for or responses to growth stimulatory or inhibitory factors. PMID- 6583825 TI - The treatment of ureteral colic and biliary pain -- a symposium with special reference to the use of indomethacin. PMID- 6583826 TI - Ureteral colic. Epidemiologic and therapeutic aspects. PMID- 6583827 TI - Ureteral and biliary colic in an emergency out-patient department. PMID- 6583828 TI - The pathophysiology of ureteral colic. PMID- 6583829 TI - Conventional methods of treating pain from ureteral stone. PMID- 6583831 TI - Intravenous indomethacin in the treatment of ureteral colic: a multicenter pilot study. PMID- 6583830 TI - The effect of indomethacin on glomerular capillary pressure and renal pelvic pressure in ureteral obstruction. PMID- 6583832 TI - The significance of fluid restriction in indomethacin treatment of pain from ureteral stone. PMID- 6583833 TI - How does a fall in pelvic pressure influence the passage of a ureteral stone? PMID- 6583834 TI - Biliary pain. Epidemiology and definition of problem. PMID- 6583835 TI - Pathophysiological aspects on biliary pain. PMID- 6583836 TI - Studies on experimental cholecystitis. PMID- 6583837 TI - Effects of indomethacin on gallbladder pressure in patients with acute cholecystitis. PMID- 6583838 TI - Analgetic effects of indomethacin (Confortid) compared to Ketogin in patients with acute cholecystitis. PMID- 6583839 TI - Visceral pain. PMID- 6583840 TI - Distribution of haematological, serum and urine values in a general population of middle-aged men. The Reykjavik Study. AB - In the first stage of a prospective cardiovascular health survey, 2955 males aged 34-61 years were invited for examination during a 12-month period. The response was 75%. Appointments were arranged in such a way that all age groups would be equivalent with respect to time of day, weekday and time of year on which appointments were given. In fasting blood and urine samples the following quantities were estimated: s-alkaline phosphatase (AP), s-bilirubin (Bil), s creatinine (Cre), s-uric acid (UA), haemoglobin (Hb), haematocrit (Hct), mean cell haemoglobin content (MCHC), erythrocyte sedimentation rate (ESR) and urine specific gravity (USG). The approximate 5% and 95% centiles were as follows: (table; see text) No indication of seasonal variation was found in these results. PMID- 6583842 TI - Thickness discrimination threshold during conscious biting and chewing. PMID- 6583841 TI - [Pulp-dentin reactions to 3 amalgam condensation technics: manual, mechanical, ultrasonic]. PMID- 6583843 TI - Twenty-three year old caucasian female at 23 weeks gestation with vaginal bleeding and abnormal ultrasound study. PMID- 6583844 TI - Thirty year old caucasian male with acute onset of abdominal pain. PMID- 6583845 TI - Another public health hazard--the cordless telephone. PMID- 6583846 TI - Appearance of a new nucleosomal protein during differentiation of human leukemia (HL-60) cells. AB - A 60-kilodalton protein was identified in chromatin digested by micrococcal nuclease during retinoic acid-induced differentiation of human leukemia (HL-60) cells to mature-like granulocytes. The protein was not detected in a retinoic acid-resistant variant of the HL-60 cell line treated with retinoic acid, in HL 60 cells induced with dimethyl sulfoxide, or in normal human granulocytes. This protein may have an important role in the regulation of retinoic acid-induced leukemic cell differentiation. PMID- 6583847 TI - Case report 260: parosteal osteosarcoma of the pubis. PMID- 6583848 TI - [Supplementary treatment at home: oxygen therapy, assisted ventilation]. PMID- 6583849 TI - Double primary malignancies: osteosarcoma and medulloblastoma. AB - We report the case of an 8 1/2-year-old boy who, after successful treatment for osteosarcoma, had a fatal medulloblastoma. We discuss the possible causes for such an association. PMID- 6583850 TI - Provisional assignment of MPI, PKM2, PGM3, and ME1 to Chinese hamster chromosome 4. AB - Concordant segregation analysis of Chinese hamster (Cricetulus griseus) isozymes and chromosomes segregating from hamster X mouse interspecific somatic cell hybrids revealed that loci for ME1, PGM3, MPI, and PKM2 are located on Chinese hamster chromosome 4. Synteny of these loci in hamsters provides additional evidence for the conservation of mammalian autosomal linkage groups. PMID- 6583851 TI - Genetic analysis of control of proliferation in fibroblastic cells in culture. I. Isolation and characterization of mutants temperature-sensitive for proliferation or survival of untransformed diploid rat cell line 3Y1. AB - Mutants temperature sensitive for proliferation or survival were isolated from an untransformed diploid clone of fibroblastic rat cells (3Y1), according to an isolation protocol that selected for mutants defective at 38.5 degrees C (selection temperature) in undergoing the transition from quiescent to proliferating state while maintaining viability at 38.5 degrees C. Of the 108 temperature-sensitive clones isolated, 32 were examined for survival in sparse cultures at 39.8 degrees C (nonpermissive temperature) and classified into four classes. Results of temperature shift-up experiments suggest that functions defective in 11 of the 32 mutants are necessary not only for changing from the quiescent to proliferating state but also for maintenance of the proliferating state. Of the 32 mutants, 17 were assigned to eight complementation groups. Results of the physiological characterization of the representative mutants of each of the eight complementation groups are presented. PMID- 6583852 TI - DNA-mediated restoration of phenylalanine hydroxylase gene expression in enzyme deficient derivatives of enzyme-constitutive mouse cell hybrids. AB - Phenylalanine hydroxylase (PH) gene expression is not extinguished in hybrids between PH- mouse A9 cells, or its neomycin-resistant derivative A9Neo-3, and PH+ mouse erythroleukemia (MEL) cells, PHC-3A, in contrast to its extinction in hybrids between A9Neo-3 and PH+ rat hepatoma cells, FT-2. Two different types of 6-thioguanine (TG) -resistant derivatives of these A9 X PHC-3A hybrids (LP), are generated in regard to PH gene expression. In regular growth medium supplemented with 10(-4) M TG (Tyr+/TG), TGr derivatives, all of which continue to express PH, occur with high frequency (approximately equal to 10(-3). In contrast, in tyrosine-deficient selective medium, supplemented with 10(-4) M TG (Tyr-/TG), no actively growing colonies are observed. Nevertheless, small colonies containing quiescent cells can be rescued by supplementing the medium with tyrosine. The rescued TGr clones do not express any detectable level of PH. Biochemical, hybridization, and cybridization analyses of one such rescued clone, LPTG-3, showed that these cells lack the regulatory factor capable of activating PH gene in PH- MEL cells. The PH- phenotype of LPTG-3 cells can be converted to the PH+ phenotype by transfection with restriction enzyme-digested or -undigested PHC-3A or mouse liver DNA. Therefore, these cells could be used to clone a fragment of DNA involved in PH gene regulation through DNA-mediated gene transfer methods. PMID- 6583853 TI - High frequency "switching" at the adenine phosphoribosyltransferase locus in multipotent mouse teratocarcinoma stem cells. AB - Clones of multipotent mouse tetratocarcinoma stem cells, presumptively heterozygous at the adenine phosphoribosyltransferase (APRT) locus (EC 2.4.2.7), were selected for partial resistance to the purine analog 2',6'-diaminopurine (DAP). All had approximately 50% APRT activity as compared to the parental line and were found to segregate homozygous deficient cells at a high frequency (approximately 10(-2]. Homozygous deficient cells were isolated from one of the heterozygotes and were found to fall into a single class characterized by residual activity and the segregation of revertants at an equally high frequency. The revertants in turn gave rise to full mutants at comparably high frequencies. Chromosomal changes detectable with the light microscope were not associated with these transitions. Physical characterization of the APRT enzymes derived from mutant, revertant, and wild-type cells did not reveal any differences. We conclude that the reversible "switching" between heterozygosity and homozygosity is attributable to some form of gene inactivation and reactivation rather than to classical mutational events. PMID- 6583854 TI - Amplification versus mutation as a mechanism for reversion of an HGPRT mutation. AB - We have used a cloned cDNA for hypoxanthine-guanine phosphoribosyltransferase (HGPRT) to analyze the HGPRT gene and mRNA in an HGPRT-deficient mutant of Chinese hamster cells (RJK10) and its HGPRT-positive revertants. By Southern blot analysis, no DNA rearrangements were detected within the genes from any of the cell lines examined. However, four of five spontaneous revertants each contained 10- to 20-fold more copies of the HGPRT gene than did RJK10 or wild-type cells. In contrast, the gene was not amplified in four mutagen-induced revertants. The RJK10 mutation did not alter the size or concentration of HGPRT mRNA and representatives of the revertants contained the mRNA in amounts proportional to the number of genes they carried. Examples of clones with either stable or unstable gene amplification were identified and their HGPRT-positive phenotypes were shown to be dependent on the gene amplification. In a stably amplified revertant, the extra genes were found to be syntenic with the X chromosome marker glucose-6-phosphate dehydrogenase. In an unstable revertant only one of the 10 to 20 copies of the gene could be shown to be X linked. Thus, we found that RJK10 can revert by at least two distinct mechanisms: amplification of the HGPRT gene, which occurred spontaneously, or point mutation, which predominated after exposure to mutagens. PMID- 6583855 TI - Retention of both parental mitochondrial DNA species in mouse-Chinese hamster somatic cell hybrids. AB - Interspecific somatic cell hybrids were isolated following the fusion of an oligomycin-resistant derivative of LM (TK-) mouse cells to a chloramphenicol resistant derivative of AK412 Chinese hamsters cells. Hybrids were selected in either HAT medium, HAT plus chloramphenicol (CAP), HAT plus oligomycin (OLI), or HAT plus chloramphenicol and oligomycin. Cytogenetic analysis of the hybrids indicated that their karyotype reflected the sum of the parents. Hybrids selected in HAT medium alone or HAT plus OLI retained primarily mouse mitochondrial DNA while those selected in HAT plus CAP, or HAT plus CAP plus OLI retained both species of mitochondrial DNA. There was no evidence for mitochondrial DNA recombination, despite the continued growth of these hybrids in CAP plus OLI. Hybrids that were removed from dual antibiotic selection for over three months retained both species of mitochondrial DNA in approximately equal amounts with no detectable loss or rearrangement. PMID- 6583857 TI - [Improved standard in substitution alloys]. PMID- 6583858 TI - [Improved standard in impression materials]. PMID- 6583856 TI - Characterization of reiterated human DNA with respect to mammalian X chromosome homology. AB - Recombinants containing human repetitive DNA sequences were identified by dot hybridization and classified with respect to presence on the X chromosome and homology to mouse DNA. Using genomic probes that differ in number of X chromosomes, we observed extensive homology between human autosomal and X sequences. Hybridization to genomic probes that differ in species of origin indicate that these reiterated sequences have diverged between mouse and man. Eleven recombinants, each containing a different reiterated sequence(s), were hybridized in situ to metaphase chromosomes of mouse and man. These studies indicate that reiterated DNA which is homologous to the human X chromosome is more similar to DNA of human autosomes than to any murine chromosome. Therefore, it seems that reiterated DNA sequences on the human X chromosome have diverged as much during mammalian evolution as sequences on human autosomes. Moreover, the extensive modification of the original mammalian X has not interferred with the X inactivation process. PMID- 6583859 TI - [Diagnosis and endodontic treatment of traumatic pulp exposure and/or root fracture prior to the completion of root development]. PMID- 6583860 TI - [Mandibular function and electromyography]. PMID- 6583861 TI - [In response to the argument on restorative preservation of dental caries between Dr. Fusayama and Dr. Kondo]. PMID- 6583862 TI - [A new composite resin "Palfique"--characteristics and clinical use]. PMID- 6583863 TI - [Gingival discoloration produced by metal core; a case report]. PMID- 6583864 TI - [Selection of dental x-ray apparatus]. PMID- 6583865 TI - [Mandibular movement in malocclusion--cephalometric comparison before and after orthodontic treatment]. PMID- 6583866 TI - [Relapse following orthodontic retention in anterior crossbite]. PMID- 6583867 TI - [Nd-YAG laser in treating periapical lesions]. PMID- 6583869 TI - [Orthodontic treatment with better results]. PMID- 6583868 TI - [TMJ syndrome and maximum mouth opening capacity tested during clinical dental check-ups]. PMID- 6583870 TI - [Management of skeletal-type malocclusions]. PMID- 6583871 TI - [Dental care in Sweden]. PMID- 6583872 TI - [Activities to promote community dental health]. PMID- 6583873 TI - Secretion rate and buffer effect of resting and stimulated whole saliva as a function of age and sex. AB - Duplicate determinations of secretion rate and buffer effect of resting and stimulated whole saliva were made in 629 adults (286 males and 343 females) within an interval of 1-2 weeks. The subjects were arbitrarily classified into four separate age-groups. For all variables studied, a highly significant correlation was obtained between the duplicate tests. The secretion rate of resting as well as stimulated saliva was significantly lower for females than for males. For females, the resting secretion rate was negatively correlated with age. The buffer effect was also significantly lower in the females for both resting and stimulated saliva. For the females, the buffer effect was positively correlated with age and therefore, with advancing age, the females tended to catch up with the males. Irrespective of sex, the secretion rate of resting saliva was highly correlated to that of stimulated saliva. This relationship was established also for the buffer effect. However, between secretion rate and buffer effect a correlation was observed only for stimulated saliva. PMID- 6583875 TI - Denture patients: psychological evaluation and preparation. PMID- 6583874 TI - Intra- and interobserver variability in the assessment of signs of disorder in the stomatognathic system. AB - The observer variability in the assessment of signs of disorder in the stomatognathic system within a 3-hour period was investigated in 19 subjects. The clinical examination comprised measurement of maximal mouth opening capacity, sagittal distance between the retruded position (RP) and the intercuspal position (IP), vertical overbite, horizontal overjet and palpation for tenderness of masticatory muscles. The clinical dysfunction score and index (Helkimo 1974) were also calculated. The observer variability in the measurement of maximal mouth opening was quite low, while the relative variability in the measurement of the sagittal distance between RP and IP was high. The intra-observer variability of the nonparametric variables clinical dysfunction score and clinical dysfunction index was within accept able limits, while the interobserver variability was unacceptably high for all the non-parametric variables. PMID- 6583876 TI - Bracing for a breakthrough. PMID- 6583877 TI - Linkage disequilibrium between the HLA-B14 subdivisions and HLA-A, DR and properdin factor B alleles. AB - The recently reported linkage disequilibrium between HLA-B14.1 and DR7 and B14.2 and DR1 has been confirmed in a study of 44 B14.1 and 40 B14.2 positive individuals. In addition, significant linkage disequilibrium was observed between BfF and B14.2. Data on 238 B14 positives (98 B14.1 and 140 B14.2), from a population of 4,238, continues to support the previous observation of associations between B14.1 and Aw32 and B14.2 and A3, A28 and Aw33. These findings add further evidence for the existence of B14 splits. PMID- 6583878 TI - Effects of calcium channel blockers on pial vascular responses to receptor mediated constrictors. AB - Published studies have seldom examined the in vivo effect of calcium channel blockers on the contractile response of cerebral vessels to receptor mediated constrictors, and have had little success in demonstrating any effect of a single systemic dose of the channel blockers in contrast to the effects of continuous infusions. The present study examines the effect of topical norepinephrine, prostaglandin F2 alpha and serotonin on pial arterioles of the mouse, in the presence of locally applied channel blockers and also 15 and 30 minutes after a single i.p. injection of the blockers. Verapamil, nisoldipine and nimodipine were all effective inhibitors of constriction by either route of administration, and in doses having little or no dilating action. The data not only indicate that single systemic doses can effectively alter contractile behavior of cerebral arterioles, but also demonstrate the importance of testing these drugs against receptor mediated constrictors whose effects, alone or in combination, may be important during initiation or maintenance of cerebral vasospasm. PMID- 6583879 TI - Responses of isolated canine basilar artery and human platelet to chlorpromazine and amitriptyline. AB - Sustained contraction of isolated canine basilar artery was induced by addition of prostaglandin F2 alpha, prostaglandin E2, hemoglobin-containing solution, or serum. Human platelet aggregation was induced by 1.0 microM adenosine diphosphate. The sustained contraction of basilar artery and the aggregation of platelet, particularly its secondary aggregation, were inhibited in a dose dependent manner by addition of chlorpromazine or amitriptyline; calmodulin antagonist. The molar concentrations at 50% inhibition by chlorpromazine or amitriptyline were 5.9 to 7.7 microM or 28 to 39 microM for the contraction of basilar artery and 57 microM or 111 microM for the secondary aggregation of platelet. The results were discussed mainly on the basis of interaction of psychotropic drugs and Ca2+, calmodulin-dependent enzymes, particularly myosin light chain phosphorylation. PMID- 6583880 TI - [Nucleolar organizer activity of normal and leukemic cells in human bone marrow]. AB - The nucleolus organizer activity of bone marrow cell chromosomes has been studied by silver staining (Howell, Black, 1980) for 6 healthy donors, 24 patients with acute leukemia, and 17 patients with chronic myelocytic leukemia, including 6 cases of blast crisis. In respect to the nucleolus organizer silver staining pattern, bone marrow cells of donors and of patients with leukemias appeared to be more heterogeneous than PHA-stimulated lymphocytes of the same individuals. The average numbers of Ag-stained nucleolus organizers per metaphase in donors (5.2 +/- 0.22), patients with chronic phases (4.9 +/- 0.30), and patients with blast crisis of myelocytic leukemia (5.3 +/- 0.37), and in those with acute leukemia (5.2 +/- 0.46) were lower than those in PHA-stimulated lymphocytes of the same individuals; a great part of bone marrow cell mitoses (from 19 up to 46%) being Ag-negative in all the above groups. A conclusion is made that the heterogeneity in silver staining of the nucleolus organizers in bone marrow cells is due mostly to differences in their mitotic cell maturity degrees. Prospects of employment of silver staining of nucleolus organizers in cells for clinical purposes are discussed. PMID- 6583882 TI - [9th Scandinavian Congress on Perinatal Medicine. Uppsala, 31 August-2 September 1983. Abstracts]. PMID- 6583881 TI - Intranuclear undulating membranous structures in cells of a human parosteal osteosarcoma. AB - Large numbers of paracrystalline undulating membranous structures (UMS) were observed in the nuclei of dense cells in a human parosteal osteosarcoma. The electron-dense walls of the structures were 15-20 nm thick, and circular profiles had an outer diameter of 60-70 nm and an inner diameter of 25-30 nm. The UMS containing cell nuclei displayed a number of other characteristic features, including vermicellar bodies, large numbers of interchromatin granules, and prominent perichromatin granules. The possible significance of these features is discussed. PMID- 6583883 TI - Induction of parturition in cattle during the later stages of pregnancy: a comparison of three treatments. AB - To overcome dystocia, commonly associated with fetal oversize in prolonged pregnancies, parturition was induced with one of three agents: betamethasone, cloprostenol or dinoprost. Cows were treated on day 280 of pregnancy or later, and the average (+/- sd) gestation length was 287 days (+/- 5.1). Of the 75 cows treated, only one did not respond by calving within 72 hours of treatment. The time from treatment to calving was the same for all treatments; approximately 42 hours. Four animals required veterinary assistance at calving and three others required farmer assistance. No further assistance was essential. Four days after birth three calves had died. The dams were three heifers which required veterinary assistance at calving. The incidence of retention of fetal membranes was similar after the three agents, approximately 38 per cent. Those cows which retained the fetal membranes took significantly longer to respond to treatment than those which did not. Irrespective of placental retention, there was no difference among treatments in the subsequent calving to conception interval; an overall mean value of 84 days was recorded. PMID- 6583884 TI - [Prostaglandins and chronic circulatory insufficiency]. PMID- 6583885 TI - [Changes in the proteinogram and serum immunoglobulins in acute and chronic myeloleukosis]. PMID- 6583886 TI - [Initial description of hemoglobin D Punjab in an Austrian family]. AB - Haemoglobin D Punjab was detected in a slightly overweight, but otherwise healthy pregnant woman when she was tested for gestational diabetes within the framework of a screening programme. Chromatographic evaluation of the haemolysate by high pressure liquid chromatography (HPLC) revealed an unusual "splitting" of the A1 peak into two minor peaks. A diabetes-independent haemoglobin variant was suspected and further investigations, including electrophoresis, purification and sequential analysis of the tryptic peptide, identified the abnormal haemoglobin as haemoglobin D Punjab (beta 121 Glu-Gln). This is the first report of this haemoglobin variant in Austria. Various possible modes of geographical spreading of the gene from Punjab (India) are discussed, the land-route via Turkey being the most favourable hypothesis in this case. An investigation of 6 out of 7 living members of the family was undertaken. In 3 instances haemoglobin D Punjab was confirmed by HPLC and electrophoresis. The investigation of the family is currently being expanded to include a total of five generations. PMID- 6583887 TI - [Metal alloys in dentistry]. PMID- 6583888 TI - [Regression in the ovary of Myxine glutinosa L. (Cyclostomata). IV. Histochemical studies of atretic follicles]. AB - Within the atretic follicles of Myxine glutinosa neither 3 beta hydroxysteroiddehydrogenase, being in close relation to steroid production, nor cholesterol was found. The proofs of aryl sulphatase activity and acid phosphatase activity gave positive results in all cell types of the atretic follicle. A very strong reaction was observed in the granulosa cells and the migrating cells of the atretic follicle of the closed involutionary type. PMID- 6583889 TI - [Indications for retinoids]. PMID- 6583891 TI - [The machining of dental technical workpieces]. PMID- 6583890 TI - [Psychological treatment method for the very fearful child before medical or dental treatment]. PMID- 6583892 TI - [Adaptation to dentures]. PMID- 6583894 TI - [Dental preparation technic]. PMID- 6583893 TI - [The dentist of the future]. PMID- 6583895 TI - [Science, practice and industry hand in hand]. PMID- 6583896 TI - [Filling materials '83]. PMID- 6583897 TI - [In-vitro studies of the surface structures of various composite filling materials]. PMID- 6583898 TI - [Periodontology in the service of orthodontics]. PMID- 6583899 TI - [Orthodontics for the general practitioner - possibilities, limits, timing]. PMID- 6583900 TI - [Comparative studies of the biocompatibility of the oral mucous membrane to therapeutic drugs]. PMID- 6583901 TI - [Dental medical-dental technical professionalism in Switzerland]. PMID- 6583902 TI - [Caries prevention in Basel]. PMID- 6583903 TI - [The president as a pioneer in prevention]. PMID- 6583904 TI - [Keratocysts - their heritability and relation to basal cell nervus syndrome]. PMID- 6583905 TI - [Clinical significance of caries frequency in childhood]. PMID- 6583906 TI - [Comparison in vivo and in vitro of the antibacterial action of the antiseptics hexetidine and povidone-iodine]. PMID- 6583907 TI - [Experiences in the preparation of fluoridated milk]. PMID- 6583908 TI - [What should be taken into consideration in computer purchasing. A critical evaluation]. PMID- 6583909 TI - [Data processing in dental practice. Hardware and software in cross-examination]. PMID- 6583910 TI - [Automatic data processing in dental practice]. PMID- 6583911 TI - [Pulpotomy - partial and total pulpectomy in primary teeth]. PMID- 6583912 TI - [Frequency of profound caries in childhood and adolescence]. PMID- 6583913 TI - [The dentist of the future]. PMID- 6583914 TI - [Optical and profilometric studies on polishing and surface properties of composites]. PMID- 6583915 TI - [Results in maxillary and mandibular cyst surgery in 10 years]. PMID- 6583916 TI - [The splitting of retained teeth. A report on the surgical removal of retained canines and premolars]. PMID- 6583917 TI - [Questionable temperature generation in the application of adhesive agents and fissure sealants]. PMID- 6583918 TI - [The dentist of the future]. PMID- 6583919 TI - [Effect of the genetic markers Kell(K1), P1, Km(1), Tf(C